NEW ACUTE HOSPITAL, STOKMARKNES Development and solutions 1 Commissioner: Nordlandssykehuset HF Architect: BOARCH arkitekter as Consultant structural engineering:

NEW ACUTE HOSPITAL, STOKMARKNESDevelopment and solutions

1

Commissioner: Nordlandssykehuset HF

Architect: BOARCH arkitekter as

Consultant structural engineering: Rambøll as

Consultant technical engineering: Norconsult as

Project administration: Hospitalitet as/ Hartmann Prosjektrådgivning as

PRESENTATION AT THE IFHE WORLD CONGRESS 2012

Architect MNAL Svein Erik Tøien BOARCH arkitekter as

2

BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

NORDLANDS-SYKEHUSET HF

NLSH Vesterålen

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AREA OF SERVICE

NLSH Vesterålen

Area Vesterålen – appr. 30.000 inhabitants

4


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 NUMBERS

NLSH Vesterålen

Year 2000 – Existing environmentBOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

HSH Stokmarknes skisseprosjekt 17.06.03

2001 – GENERAL PLAN

BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

HSH Stokmarknes generalplan

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LE G E -K O N T.150

LE G E -K O N T.200

Optimistic start – the existing structure is assumed to be fit for future use, demanding total renovation and reconfiguration…

Grouping of functions



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

SKETCH PROJECT 2003



… 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

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…


2004 – SKETCH PROJECT 2-3

HHF Stokmarknes skisseprosjekter 29.11.2004

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V

Two alternative sketch projects followed, analyzing the differences in cost, and concluding that building new is the most economic solution.

MEDISINSK SENGEPOST

FØ

DE

AV

DE

LIN

G

AKKUTT SEKSJON

LEGEVAKT

AMBULANSE SEKSJON

PARKERING

AMBULANSEBASE

BASE

BASE

BASE

BASE

BASE

OPPH.

ÅP

EN

T N

ED

ÅP

EN

T N

ED

ÅPENT NED

ÅPENT NED

OPERASJONS AVDELING

POSTOPERATIV

DAGKIRURGI

FYSIOTERAPI

KAPELL

FELLESAREAL

SENGEPOST

RESEPSJON

VAKT

PSYK.

PSYK.

OPERASJONANESTESISTERILSENTRAL

AKUTT-SEKSJON

AKUTTMOTTAK

AMBULANSEINNG.

AMBULANSE-TJENESTE

ÅPENT NED

VAKT

VAKT

SENGEPOST MED.

ÅPENT NED

FØDEAVDELING

EKSP.

VENT

FØDEAVDELING

VAKT

SENGEPOST KIR.

VAKT

LEGEVAKT

ÅPENT

BASER

BASE

BASER

BASE

NEW CONSIDERATIONS – SINTEF ENGAGED


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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...

USER PARTICIPATION – TRYING OUT LAYOUTS


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HHF Stokmarknes skisseprosjekt 2008

… the users were invited to participate actively...

SCETCH PROJECT 4 – 2008: INITIAL STUDIES13


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…

STUDY OF OTHER HOSPITALS

Ringerike sykehus36 beds

Bærum sykehus24 beds

NLSH Vesterålen sketch project 200458 beds


Visby lasarett30 beds

NLSH Bodø forprosjekt54 beds


St. Olavs hospital 48 beds

2008 – study of other hospitals’ bed areas

SCETCH PROJECT 4 – 2008: INITIAL STUDIES

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2A 7A 9A

11A 12A 13A

…trying out totally different shapes…

SCETCH PROJECT 4 – 2008: INITIAL STUDIES16



2B 7A 9B

14A 8A

2008 – closing down to 5 alternatives

Alternativ 9B 3D from south17



2008 – one model showing signs of final layout

Bed clusters – early ideas18



Brainstorming around bed clusters – concluding that daylight into the middle of the cluster is essential

Sengeområde – bad til alle rom19



•Bending fasade to minimize length

Wing of bed clusters20


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

Bed cluster – scheme21



WORKSTATION

SINGLE

BED

DINING KITCH

TREAT-MENT

EXAMIN

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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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The site in 2009 - before construction start



BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as24


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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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

Sun studies of the building model26



Alternative 9C Climate analysis



Climate study analyzing wind and snowdrift – revaling needs for shielding vegetation

27

Sketch outdoor facilities28


Wind-damping vegetation and atriums for exercise is part of the sceme


29

Pattern of expansionBOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

Possible expansion in three directions


Site plan30



Ground floor31


NLSH Vesterålen detaljprosjekt

Plan ground floor: Main entrance, outpatient functions and technical service

First floor 32



Upper/first floor: Acute entrance and inpatient functions

Acute reception,

observation, surveillance24 beds

24 beds 19 beds incl. pasient hotel

Operation

Birth

Second floor33



Administration and ventilation plants

Axonometry bed area34



Each bed cluster has its defined «square», a defined architectural place for identification and belonging for the patients…

Perspective 3 bed clusters in a row35



Visibilty between the workstations was crucial in the layout

Axonometry bed cluster36



…

Perspective bed cluster - I37



Environment in one bed cluster…

Perspektiv bed cluster - II38



… seen across

Perspective bedroom39



Environment in bedroom, with large bay window

Perspective patient-zone 40



Each bed cluster features a zone for patient resting near the workstation, and with access to wintergarden/multi-use space

Vintergarden/play area41



…used for childrens play…

Wintergarden/tactile-/plant room42



…or plant/tactile room…

Main expedition 43



The main expedition is easily found by the main entrance

Corridor by surgical area44



Circulation areas with daylight and wiews for orientation

Surveillance area45



Extensive use of glass for contact between functions

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”

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AR

CH

ark

itekt

er a

s

GARDIN:ALMEDAHLS ”UNI 75689-3”

Use of colours to give identity to different wings


Facade materials and details


Glass, aluminium, brick, stone and wood combined to emphasize the different elements of the buliding


Constructions


Gross bulding height 4,5 m, and flat beam-and-slab constructions allow flexibility for future changes in technical facilities

Plan culvert49



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…


Technical supply duct


…


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



Access, controll and security


Tegnforklaring: Åpen soneDelvis åpen soneLukket soneLukket felles soneLåste rom

Security combined with openness – ensured through extensive zoning

Perspective from north east53



Perspective from south west54



Atrium south55



Atrium north – training garden56


NLSH Vesterålen detail project

57

Building site dec. 2011BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as


Building site march 201258



Building site march 201259



…the first users have already moved in…

Documents

NEW ACUTE HOSPITAL, STOKMARKNES Development and solutions 1 Commissioner: Nordlandssykehuset HF Architect: BOARCH arkitekter as Consultant structural engineering: