new acute hospital, stokmarknes development and solutions
DESCRIPTION
NEW ACUTE HOSPITAL, STOKMARKNES Development and solutions. PRESENTATION AT THE IFHE WORLD CONGRESS 2012 Architect MNAL Svein Erik Tøien BOARCH arkitekter as. Commissioner : Nordlandssykehuset HF Architect: BOARCH arkitekter as Consultant structural engineering : Rambøll as - PowerPoint PPT PresentationTRANSCRIPT
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NEW ACUTE HOSPITAL, STOKMARKNESDevelopment and solutions
1
Commissioner: Nordlandssykehuset HF
Architect: BOARCH arkitekter asConsultant structural engineering: Rambøll asConsultant technical engineering: Norconsult as
Project administration: Hospitalitet as/ Hartmann Prosjektrådgivning as
PRESENTATION AT THE IFHE WORLD CONGRESS 2012Architect MNAL Svein Erik Tøien BOARCH arkitekter as
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2
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NORDLANDS-SYKEHUSET HF
NLSH Vesterålen
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BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
AREA OF SERVICENLSH Vesterålen
Area Vesterålen – appr. 30.000 inhabitants
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BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Population in capture area: Appr. 30.000 inhabitants
Function area: Appr 8000 m2
Gross area: Appr 14.900 m2
Budget frames: Appr 900 mill. NOK
Start construction: September 2010
Project planned finalised: August 2014
Normal beds incl maternity ward: 69
Observation beds: 5
Surveillance beds : 5
Post-surgery beds : 5
Outpatient treatment rooms: 26
Daycare places; dialysis, medical and surgical: 17 (7+5+5)
Operating theaters: 3+1
Birth rooms: 2
MAIN NUMBERSNLSH Vesterålen
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Year 2000 – Existing environmentBOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
HSH Stokmarknes skisseprosjekt 17.06.03
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2001 – GENERAL PLANBOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
HSH Stokmarknes generalplan
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Optimistic start – the existing structure is assumed to be fit for future use, demanding total renovation and reconfiguration…
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Grouping of functions
BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
HSH Stokmarknes skisseprosjekt 17.06.03
Main entrance
CantineKiosk
Lab.
Outpatient
Script service
RadiologyResep-sjon
Ambulanse-inngang
Mottagelse Observasjon
Surgery
Acute section:Intensive careRecovery
Beds
Vakt
Radiology
Receipt
Main kitcen
Central supplies
Treatment functions
Technical plant
Technical dept
Laundry
Waste handeling
Bed- handeling
Cleaning services
Textile services
Beds
Public/outpatient functions Acute functions
Technical and administrative functions
…A simple pattern for logical grouping of functions was developed
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SKETCH PROJECT 2003
BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
HSH Stokmarknes skisseprosjekt 17.06.03
… and a first complete scedule for renovation and extentions to the hospital, is commissioned, compensating low buliding heights with creative use of glass and levels
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BOARCH arkitekter as
2004 – SCETCH FOR A COMPACT, NEW HOSPITAL
HHF Stokmarknes idéprosjekt nybygg 25.02.04
UPPER LEVEL – «ACUTE»LOWER LEVEL – «PUBLIC»
… then, a year later, the regional health administration got a new director of medical profession, putting forth a strong urge to build new, instead of mending the old stuff…
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BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
2004 – SKETCH PROJECT 2-3
HHF Stokmarknes skisseprosjekter 29.11.2004
10 V
Two alternative sketch projects followed, analyzing the differences in cost, and concluding that building new is the most economic solution.
MEDISINSK SENGEPOST
FØD
EA
VD
ELI
NG
AKKUTT SEKSJON
LEGEVAKTAMBULANSE SEKSJON
PARKERING
AMBULANSEBASE
BASE
BASE
BASE
BASE
BASE
OPPH.
ÅPEN
T N
EDÅP
EN
T N
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ÅPENT NED
ÅPENT NED
OPERASJONS AVDELING
POSTOPERATIV
DAGKIRURGI
FYSIOTERAPI
KAPELL
FELLESAREAL
SENGEPOST
RESEPSJON
VAKT
PSYK.
PSYK.
OPERASJONANESTESISTERILSENTRAL
AKUTT-SEKSJON
AKUTTMOTTAK
AMBULANSEINNG.
AMBULANSE-TJENESTE
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VAKT
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SENGEPOST MED.
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FØDEAVDELING
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SENGEPOST KIR.
VAKT
LEGEVAKT
ÅPENT
BASER
BASE
BASER
BASE
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NEW CONSIDERATIONS – SINTEF ENGAGED
BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
11
HHF Stokmarknes skisseprosjekt 2008
The project was then challenged on flexibility and generality. A period of thorough analysis and studies, led by SINTEF Health, followed...
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USER PARTICIPATION – TRYING OUT LAYOUTS
BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
12
HHF Stokmarknes skisseprosjekt 2008
… the users were invited to participate actively...
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SCETCH PROJECT 4 – 2008: INITIAL STUDIES13
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen utvikling skisseprosjekt 2008
10 2 7 8
4 3
6 5
1
All beds and acute functions on one level
Beds in 2 levels All beds in one level, divided from acute functions
Beds in 3 levels
… and the architects challenged the “usual” patterns of hospital layouts…
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STUDY OF OTHER HOSPITALS
Ringerike sykehus36 beds
Bærum sykehus24 beds
NLSH Vesterålen sketch project 200458 beds
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Visby lasarett30 beds
NLSH Bodø forprosjekt54 beds
NLSH Vesterålen utvikling skisseprosjekt 2008
St. Olavs hospital 48 beds
2008 – study of other hospitals’ bed areas
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SCETCH PROJECT 4 – 2008: INITIAL STUDIES
15
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen utvikling skisseprosjekt 2008
2A 7A 9A
11A 12A 13A
…trying out totally different shapes…
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SCETCH PROJECT 4 – 2008: INITIAL STUDIES16
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen utvikling skisseprosjekt 2008
2B 7A 9B
14A 8A
2008 – closing down to 5 alternatives
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Alternativ 9B 3D from south17
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen utvikling skisseprosjekt 2008
2008 – one model showing signs of final layout
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Bed clusters – early ideas18
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen utvikling skisseprosjekt 2008
Brainstorming around bed clusters – concluding that daylight into the middle of the cluster is essential
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Sengeområde – bad til alle rom19
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen utvikling skisseprosjekt 2008
•Bending fasade to minimize length
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Wing of bed clusters20
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Striving towards a compact sceme – but is it compact enough? • Gross/net factor in one wing appr. 1,7• Length 3 bed clusters appr. 78 m
NLSH Vesterålen skisseprosjekt 2008
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Bed cluster – scheme21
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen skisseprosjekt 2008
WORKSTATION
SINGLEBED
DINING KITCH
TREAT-MENT
EXAMIN
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22
Flexibility in bed area – clusters linked BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
General bed clusters can be adapted to different needs for bed types
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23
The site in 2009 - before construction start
NLSH Vesterålen forprosjekt 2009
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
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BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as24
NLSH Vesterålen skisseprosjekt 2008
Most of the existing hospital buildings are plannet demolished after completion of the sceme
Exisiting site -
HADSELHALLEN
SYKEHJEM
PSYKIATRI
SITE BORDER
DR. THODES GATE
PSYK.
PSYK.
PARK.
?
?
SYKEHJEM
IVAR BERGSMOS GATE
PARK-VEIEN
BARNE-HAGE
HADSEL-HALLEN
BUILDINGSPLANNED DEMOLISHED
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BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as
25
HHF Stokmarknes skisseprosjekter 29.11.2004
Cad-generated sun studies – revealing a shadowy southern part of the site from october to march
Sun studies of existing site 12. october/3. march kl 10 og 12
Kl. 10 Kl. 12
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Sun studies of the building model26
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen skisseprosjekt 2008
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Alternative 9C Climate analysis
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen skisseprosjekt 2008
Climate study analyzing wind and snowdrift – revaling needs for shielding vegetation
27
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Sketch outdoor facilities28
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Wind-damping vegetation and atriums for exercise is part of the sceme
NLSH Vesterålen forprosjekt 2009
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29Pattern of expansionBOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Possible expansion in three directions
NLSH Vesterålen forprosjekt 2009
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Site plan30
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
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Ground floor31
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detaljprosjekt
Plan ground floor: Main entrance, outpatient functions and technical service
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First floor 32
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detaljprosjekt
Upper/first floor: Acute entrance and inpatient functions
Acute reception, observation, surveillance
24 beds
24 beds 19 beds incl. pasient hotel
Operation
Birth
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Second floor33
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detaljprosjekt
Administration and ventilation plants
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Axonometry bed area34
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
Each bed cluster has its defined «square», a defined architectural place for identification and belonging for the patients…
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Perspective 3 bed clusters in a row35
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detaljprosjekt
Visibilty between the workstations was crucial in the layout
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Axonometry bed cluster36
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
…
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Perspective bed cluster - I37
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
Environment in one bed cluster…
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Perspektiv bed cluster - II38
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
… seen across
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Perspective bedroom39
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
Environment in bedroom, with large bay window
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Perspective patient-zone 40
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
Each bed cluster features a zone for patient resting near the workstation, and with access to wintergarden/multi-use space
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Vintergarden/play area41
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
…used for childrens play…
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Wintergarden/tactile-/plant room42
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
…or plant/tactile room…
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Main expedition 43
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
The main expedition is easily found by the main entrance
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Corridor by surgical area44
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
Circulation areas with daylight and wiews for orientation
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Surveillance area45
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
Extensive use of glass for contact between functions
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PLAN 2, FLØY B: SENGEROMNLSH VESTERÅLEN
HVITPIGMENTERT EIK DETALJER I FAST INVENTAR
GRØNT FARGETEMA: FONDVEGG & TEKSTILER
VINYLGULV:TARKETT IQ NATURAL 173
FONDVEGG SENGEROM, TUN B1:BUTINOX 5757 ”FRI”
FONDVEGG SENGEROM, TUN B2:NCS S 2030-G80Y
FONDVEGG SENGEROM, TUN B3:NCS S 2010-G30Y
NORTHERN LIGHTING ”DOKKA” PENDEL I KROM TIL SENGEROM
VEGG KORRIDOR,OVERFLATE FAST & LØST INVENTAR:NCS S0500-N
INTERIØRKONSEPT
OFFECCT ”GRIP” HVITT SIDEBORD, H440mm, M. TILHØRENDE BLOMSTERVASE (BORDPLATE I CORIAN)
LAMMHULTS ”CINEMA SPORT”, H450mm, I GABRIEL ”COMFORT 0049”
HELLAND ”GENT” HVILESTOL, H460mm, I GABRIEL ”COMFORT 0049”
46
BO
AR
CH
ark
itekt
er a
s
GARDIN:ALMEDAHLS ”UNI 75689-3”
Use of colours to give identity to different wings
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BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Facade materials and details
NLSH Vesterålen forprosjekt 2009
Glass, aluminium, brick, stone and wood combined to emphasize the different elements of the buliding
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BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Constructions
NLSH Vesterålen forprosjekt 2009
Gross bulding height 4,5 m, and flat beam-and-slab constructions allow flexibility for future changes in technical facilities
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Plan culvert49
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detaljprosjekt
Main technical supplies are conducted via subway, passing along the core of the building wings. Economical limitations put a hold to establishing a complete basement…
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BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Technical supply duct
NLSH Vesterålen forprosjekt 2009
…
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BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Ventilation, heating
Ventilation plant rooms are located on roof, central on each wing, minimizing distances and duct dimensions. Calculated energy consumption 284 kWh/m2 and year
NLSH Vesterålen forprosjekt 2009
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BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
Access, controll and security
NLSH Vesterålen forprosjekt 2009
Tegnforklaring: Åpen soneDelvis åpen soneLukket soneLukket felles soneLåste rom
Security combined with openness – ensured through extensive zoning
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Perspective from north east53
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detaljprosjekt
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Perspective from south west54
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detaljprosjekt
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Atrium south55
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen forprosjekt 2009
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Atrium north – training garden56
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detail project
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57
Building site dec. 2011BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detail project
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Building site march 201258
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detail project
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Building site march 201259
BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as
NLSH Vesterålen detail project
…the first users have already moved in…