| The intra-operative MRI system at the United Hospital Nasseff Neuroscience Center in St. Paul, Minn., will allow neurosurgeons to perform real-time MRI scans during operations to confirm that all cancerous tissue is removed during procedures. |
11. Operating Room-Integrated MRI will Help Neurosurgeons Get it Right the First Time
A major limitation of traditional brain cancer surgery is the lack of scanning capability in the operating room. Neurosurgeons do their best to visually identify and remove the cancerous tissue, but only an MRI scan will confirm if the operation was a complete success or not. Consequently, patients must be stitched up and wheeled into the MRI room for further scans. If cancer is still present, further surgery is often required.
To avoid putting its patients through this painful cycle of surgeries and scans, the United Hospital Nasseff Neuroscience Center in St. Paul, Minn., is collaborating with HDR Architecture on an intra-operative MRI system. This "MRI on a track" will be able to move between two operating rooms and spin in any direction, allowing neurosurgeons to perform real-time MRI scans during operations.
"The neurosurgeon can use the intra-operative MRI to confirm that the entire tumor was removed before closing, thus reducing the need for additional operations," says Douglas S. Wignall, AIA, RAIC, international healthcare director with HDR Architecture, Omaha, Neb. In addition, Wignall says the mobility of the system allows the neurosurgeon to update images quickly and efficiently so that surgical adjustments and decisions can be made with pinpoint accuracy.
"This is one example of how architecture can help save lives," says Wignall.
| The new SYNC modular nursing station line from Nurture by Steelcase is designed to accommodate both centralized and decentralized spaces. |
12. Nursing Stations Go Modular
Modular nursing stations are designed to accommodate virtually any healthcare environment, whether for centralized or decentralized spaces, standard or high-tech facilities, or new or retrofit projects. HDR Architecture collaborated with Nurture by Steelcase on the SYNC line, which was inspired by the way people fit in cockpits and automobiles. It accommodates multiple users, heights, and movements.
The centralized solution is offered in three fixed heights—28½, 36, and 42 inches—to provide seated, service counter, and standing solutions. Widths are available in one-foot increments from five to nine feet, and integrated monitor arms have 160-degree adjustability for sharing information between caregivers. The product sits elevated off the floor, creating a light, minimalistic look.
The decentralized products provide height-adjustable (23 to 48 inches), fixed, or combination surfaces in eight shapes. Two-person configurations allow each work surfa
ce to be adjusted individually.
| A. Secondary MOB. B. MOB. C. Hospital. D. Nursing units. E. Signature entry rotunda. F. Future construction, including hospital expansion, additional MOB, clinic, and parking. G. Future helipad. |
13. Template Helps Hospitals Open Quickly and Efficiently
Faced with the unprecedented task of having to replace half its California hospital beds by 2015, Oakland, Calif.-based Kaiser Permanente, the nation's largest nonprofit HMO, enlisted SmithGroup and Chong Partners Architecture (now Stantec Architecture) to collaborate on the design of a new hospital template—a state-of-the-art, prototypical hospital that could be built on many different sites with only minimal changes to the basic concept for quick and efficient construction.
Luckily, the team wasn't starting from scratch. Over the years Kaiser had developed best-practices templates for emergency departments, patient rooms, and other individual clinical spaces and those pieces were combined into a single configuration for an entire hospital. The resulting template consists of common planning concepts, floor plans, equipment and furnishings, and structural and building systems. Exterior skins and colors vary from site to site. So far Kaiser has built five hospitals using the template, which shaved 15 to 18 months off its typical new hospital timeline.
Related Stories
| Feb 11, 2011
Iowa surgery center addresses both inpatient and outpatient care
The 12,000-person community of Carroll, Iowa, has a new $28 million surgery center to provide both inpatient and outpatient care. Minneapolis-based healthcare design firm Horty Elving headed up the four-story, 120,000-sf project for St. Anthony’s Regional Hospital. The center’s layout is based on a circular process flow, and includes four 800-sf operating rooms with poured rubber floors to reduce leg fatigue for surgeons and support staff, two substerile rooms between each pair of operating rooms, and two endoscopy rooms adjacent to the outpatient prep and recovery rooms. Recovery rooms are clustered in groups of four. The large family lounge (left) has expansive windows with views of the countryside, and television monitors that display coded information on patient status so loved ones can follow a patient’s progress.
| Feb 11, 2011
Grocery store anchors shopping center in Miami arts/entertainment district
18Biscayne is a 57,200-sf urban retail center being developed in downtown Miami by commercial real estate firm Stiles. Construction on the three-story center is being fast-tracked for completion in early 2012. The project is anchored by a 49,200-sf Publix market with bakery, pharmacy, and café with outdoor seating. An additional 8,000 sf of retail space will front Biscayne Boulevard. The complex is in close proximity to the Adrienne Arsht Center for the Performing Arts, the downtown Miami entertainment district, and the Omni neighborhood, one of the city’s fast-growing residential areas.
| Feb 11, 2011
Chicago architecture firm planning one of China’s tallest towers
Chicago-based Goettsch Partners was commissioned by developer Guangzhou R&F Properties Co. Ltd. to design a new 294,570-sm mixed-use tower in Tianjin, China. The Tianjin R&F Guangdong Tower will be located within the city’s newly planned business district, and at 439 meters it will be one of China’s tallest buildings. The massive complex will feature 134,900 sm of Class A office space, a 400-key, five-star hotel, 55 condominiums, and 8,550 sm of retail space. The architects are designing the tower with multi-story atriums and a high-performance curtain wall to bring daylight deep into the building, thereby creating deeper lease spans. The project is currently finishing design.
| Feb 11, 2011
Two projects seek to reinvigorate Los Angeles County medical center
HMC Architects designed two new buildings for the Los Angeles County Martin Luther King, Jr., Medical Center as part of a $360 million plan to reinvigorate the campus. The buildings include a 120-bed hospital, which involves renovation of an existing tower and several support buildings, and the construction of a new multi-service ambulatory care center. The new facilities will have large expanses of glass at all waiting and public areas for unobstructed views of downtown Los Angeles. A curved glass entrance canopy will unite the two buildings. When both projects are completed—the hospital in 2012 and the ambulatory care center in 2013—the campus will have added more than 460,000 sf of space. The hospital will seek LEED certification, while the ambulatory care center is targeting LEED Silver.
| Feb 11, 2011
Sustainable community center to serve Angelinos in need
Harbor Interfaith Services, a nonprofit serving the homeless and working poor in the Harbor Area and South Bay communities of Los Angeles, engaged Withee Malcolm Architects to design a new 15,000-sf family resource center. The architects, who are working pro bono for the initial phase, created a family-centered design that consolidates all programs into a single building. The new three-story space will house a resource center, food pantry, nursery and pre-school, and administrative offices, plus indoor and outdoor play spaces and underground parking. The building’s scale and setbacks will help it blend with its residential neighbors, while its low-flow fixtures, low-VOC and recycled materials, and energy-efficient mechanical equipment and appliances will help it earn LEED certification.
| Feb 11, 2011
Texas megachurch inspired by yesteryear’s materials, today’s design vocabulary
The third phase of The First Baptist Church of Pasadena, Texas, involves construction of a new 115,000-sf worship center addition. Currently in design by Zeigler Cooper, the project will include a 2,500-seat worship center (with circular layout and space for a 50-person orchestra and 200-person choir), a 500-seat chapel (for weddings, funerals, and special events), and a prayer room. The addition will connect to the existing church and create a Christian Commons for education, administration, music, and fellowship. The church asked for a modern design that uses traditional materials, such as stone, brick, and stained glass. Construction is scheduled to begin this summer.
| Feb 11, 2011
Apartment complex caters to University of Minnesota students
Twin Cities firm Elness Swenson Graham Architects designed the new Stadium Village Flats, in the University of Minnesota’s East Bank Campus, with students in mind. The $30 million, six-story residential/retail complex will include 120 furnished apartments with fitness rooms and lounges on each floor. More than 5,000 sf of first-floor retail space and two levels of below-ground parking will complete the complex. Opus AE Group Inc., based in Minneapolis, will provide structural engineering services.
| Feb 11, 2011
Four-story library at Salem State will hold half a million—get this—books!
Salem State University in Massachusetts broke ground on a new library and learning center in December. The new four-story library will include instructional labs, group study rooms, and a testing center. The modern, 124,000-sf design by Boston-based Shepley Bulfinch includes space for 500,000 books and study space for up to a thousand students. Sustainable features include geothermal heating and cooling, rainwater harvesting, and low-flow plumbing fixtures.
| Feb 11, 2011
Green design, white snow at Egyptian desert retail complex
The Mall of Egypt will be a 135,000-sm retail and entertainment complex in Cairo’s modern 6th of October district. The two-story center is divided into three themed zones—The City, which is arranged as a series of streets lined with retail and public spaces; The Desert Valley, which contains upscale department stores, international retailers, and a central courtyard for music and other cultural events; and The Crystal, which will include leisure and entertainment venues, including a cinema and indoor snow park. RTKL is designing the massive complex to LEED Silver standards.
| Feb 10, 2011
7 Things to Know About Impact Glazing and Fire-rated Glass
Back-to-basics answers to seven common questions about impact glazing and fire-rated glass.
