BUILDING DESIGN
The hospitalisation preparation area.
The hall between the six isolation rooms.
The new building is controlled by a building management system, which monitors energy efficiency throughout the year
square metres – was selected to be expanded because it had two floors and an important connection between one linear accelerator bunker and the blood bank department. On the ground floor, this building included an emergency unit and on the level above a crèche for the children of staff. The crèche was relocated away from the inpatient area. Since the first floor was not being used
most effectively from an operational perspective and because of the lack of space for engineering services plus the structural safety demanded for hospital buildings that are in a seismic zone, the decision was made to demolish the existing first floor. The first floor was demolished while the emergency unit remained in operation. In addition, after a structural analysis and review it was found that this level needed to be reinforced because another three floors were to be added on top of the original basement. The existing first floor was based on a rigid concrete frame (girders and columns). The next levels were built on a steel system that allowed for flexible construction and had been specially
designed to allow for seismic moment on the first floor and not in the basement due to the rigidity of the ground. It was also necessary to strengthen the first floor. All the work was completed without affecting emergency services.
Design
Although the architectural design started with the selection of the site, it was not until a structural plan was put in place that this could be developed. Functionality and aesthetics were carefully evaluated because the principal function of the new oncology area was to be bone marrow transplantation and the location was within the controlled area of another protected building, the bunker. As a result, the exterior facades were designed to complement the original buildings. Additional features, such as the principal vertical circulation, emergency stairs and plant rooms were inspired by the designs of Javier Sordo Madaleno, who designed the bunker. These features were complemented by the use of volcanic rock in the exterior access hall, which was obtained following excavation of the new foundations. The aim was
to create a friendly environment and to unify the appearance of the architecture. On the new first floor is the medical
consultation area, which has a waiting area with a play area for children as well as administrative services and an auditorium for clinical education and training. The second floor includes a bridge to connect the new building to the original one where imaging services are provided. On the ground floor are the transplant unit, which has one ward preparation area (four beds for transplant patients), a surgery area that includes two operating theatres with integrated telemedicine (four recovery beds) and a sterilisation unit, an intensive care area (five beds, one isolation) and six isolation rooms for post-transplant patients, with complementary services including a food preparation area and laundry room. This floor functions independently due to the special care needs of the patients, thus avoiding the risk of healthcare associated infections (HCAIs). On the third floor, the oncology area includes 40 beds, four isolation rooms, complementary services and a play area. The new building is monitored and
controlled by a building management system, which measures energy efficiency throughout the year. The building also has the following features: a solar preheating system, which reduces the necessary size of the boiler; a residual water treatment plant, which provides water for irrigation
The hemato-oncology hospitalisation area. IFHE DIGEST 2018
The hospitalisation play area on the third floor. 73
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88
