NEW ACUTE HOSPITAL, STOKMARKNES Development and solutions

1. NEW ACUTE HOSPITAL, STOKMARKNESDevelopment 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 structuralengineering: Rambøll as Consultant technicalengineering: Norconsult as Project administration: Hospitalitet as/ Hartmann Prosjektrådgivning as 1

2. NORDLANDS-SYKEHUSET HF NLSH Vesterålen 2 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

3. Area Vesterålen – appr. 30.000 inhabitants AREA OF SERVICE NLSH Vesterålen 3 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

4. NLSH Vesterålen MAIN NUMBERS Population in capture area: Appr. 30.000 inhabitants Function area: Appr8000 m2 Gross area: Appr14.900 m2 Budget frames: Appr900 mill. NOK Start construction: September 2010 Project plannedfinalised: August 2014 Normal beds inclmaternityward: 69 Observation beds: 5 Surveillance beds : 5 Post-surgerybeds : 5 Outpatienttreatmentrooms: 26 Daycareplaces; dialysis, medical and surgical: 17 (7+5+5) Operating theaters: 3+1 Birthrooms: 2 4 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

5. Year 2000 – Existingenvironment HSH Stokmarknes skisseprosjekt 17.06.03 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

6. Optimistic start – theexistingstructure is assumed to be fit for futureuse, demanding total renovation and reconfiguration… 2001 – GENERAL PLAN HSH Stokmarknes generalplan BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

7. Technical dept Technical plant Surgery Central supplies Acutesection: Intensive care Recovery Ambulanse-inngang Receipt Treatmentfunctions Bed- handeling Vakt Main kitcen Mottagelse Observasjon Script service Lab. Beds Beds Cleaning services Laundry Main entrance Radiology Radiology Resep-sjon Textile services Waste handeling Cantine Kiosk Outpatient …A simple pattern for logicalgroupingoffunctionswasdeveloped Groupingoffunctions Public/outpatientfunctions Acutefunctions HSH Stokmarknes skisseprosjekt 17.06.03 Technical and administrative functions BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

8. … and a first completescedule for renovation and extentions to the hospital, is commissioned, compensatinglowbulidingheightswithcreativeuseof glass and levels SKETCH PROJECT 2003 HSH Stokmarknes skisseprosjekt 17.06.03 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

9. … 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 – SCETCH FOR A COMPACT, NEW HOSPITAL LOWER LEVEL – «PUBLIC» UPPER LEVEL – «ACUTE» HHF Stokmarknes idéprosjekt nybygg 25.02.04 BOARCH arkitekter as

10. Two alternative sketch projects followed, analyzing the differences in cost, and concluding that building new is the most economic solution. 2004 – SKETCH PROJECT 2-3 HHF Stokmarknes skisseprosjekter 29.11.2004 10 V BOARCH arkitekteras ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

11. The project was then challenged on flexibility and generality. A period of thorough analysis and studies, led by SINTEF Health, followed... NEW CONSIDERATIONS – SINTEF ENGAGED HHF Stokmarknes skisseprosjekt 2008 11 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

12. … the users were invited to participate actively... USER PARTICIPATION – TRYING OUT LAYOUTS HHF Stokmarknes skisseprosjekt 2008 12 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

13. … and the architects challenged the “usual” patterns of hospital layouts… All beds and acutefunctionsononelevel SCETCH PROJECT 4 – 2008: INITIAL STUDIES 10 2 7 8 Beds in 2 levels All beds in onelevel, divided from acutefunctions 1 4 3 Beds in 3 levels NLSH Vesterålen utvikling skisseprosjekt 2008 13 6 5 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

14. 2008 – studyofother hospitals’ bed areas STUDY OF OTHER HOSPITALS St. Olavs hospital 48 beds Ringerike sykehus 36 beds Bærum sykehus 24 beds Visby lasarett 30 beds NLSH Bodø forprosjekt 54 beds NLSH Vesterålen utvikling skisseprosjekt 2008 NLSH Vesterålen sketchproject2004 58 beds BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

15. …tryingouttotally different shapes… SCETCH PROJECT 4 – 2008: INITIAL STUDIES 2A 7A 9A 12A 13A 11A NLSH Vesterålen utvikling skisseprosjekt 2008 15 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

16. 2008 – closingdown to 5 alternatives SCETCH PROJECT 4 – 2008: INITIAL STUDIES 2B 7A 9B 14A 8A NLSH Vesterålen utvikling skisseprosjekt 2008 16 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

17. 2008 – onemodelshowingsignsof final layout Alternativ 9B 3D from south NLSH Vesterålen utvikling skisseprosjekt 2008 17 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

18. Brainstorming around bed clusters – concludingthatdaylightintothemiddleofthecluster is essential Bed clusters – earlyideas NLSH Vesterålen utvikling skisseprosjekt 2008 18 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

19. Bending fasade to minimizelength Sengeområde – bad til alle rom NLSH Vesterålen utvikling skisseprosjekt 2008 19 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

20. Strivingtowards a compactsceme – but is it compactenough? • Gross/netfactorin onewingappr. 1,7 • Length 3 bed clustersappr. 78 m Wingof bed clusters NLSH Vesterålen skisseprosjekt 2008 20 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

21. Bed cluster – scheme TREAT-MENT WORKSTATION DINING KITCH EXAMIN SINGLE BED NLSH Vesterålen skisseprosjekt 2008 21 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

22. Flexibility in bed area – clusterslinked General bed clusterscan be adapted to different needs for bed types NLSH Vesterålen forprosjekt 2009 22 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

23. The site in 2009 - beforeconstruction start NLSH Vesterålen forprosjekt 2009 23 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

24. Most oftheexisting hospital buildingsareplannetdemolishedaftercompletionofthesceme Exisitingsite - DR. THODES GATE SYKEHJEM SYKEHJEM ? ? PSYK. BUILDINGS PLANNED DEMOLISHED PSYKIATRI PSYK. PARK. IVAR BERGSMOS GATE HADSEL- HALLEN SITE BORDER PARK-VEIEN HADSELHALLEN NLSH Vesterålen skisseprosjekt 2008 BARNE- HAGE 24 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

25. Cad-generatedsun studies – revealing a shadowysouthern part ofthesite from october to march Sun studies ofexistingsite12. october/3. marchkl 10 og 12 Kl. 10 Kl. 12 HHF Stokmarknes skisseprosjekter 29.11.2004 25 BOARCH arkitekter as ProsjektPartner Bodø as Intekno as Ingeniørtjeneste as

26. Sun studies ofthebuildingmodel NLSH Vesterålen skisseprosjekt 2008 26 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

27. Climatestudyanalyzingwind and snowdrift – revalingneeds for shieldingvegetation Alternative 9C Climateanalysis NLSH Vesterålen skisseprosjekt 2008 27 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

28. Wind-damping vegetation and atriums for exercise is part ofthesceme Sketchoutdoorfacilities NLSH Vesterålen forprosjekt 2009 28 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

29. Possibleexpansion in threedirections Patternofexpansion NLSH Vesterålen forprosjekt 2009 29 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

30. Site plan NLSH Vesterålen forprosjekt 2009 30 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

31. Plan groundfloor: Main entrance, outpatientfunctions and technical service Groundfloor NLSH Vesterålen detaljprosjekt 31 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

32. Upper/first floor: Acuteentranceand inpatientfunctions Operation First floor Birth Acutereception, observation, surveillance 24 beds 19 beds incl. pasient hotel 24 beds NLSH Vesterålen detaljprosjekt 32 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

33. Administration and ventilation plants Second floor NLSH Vesterålen detaljprosjekt 33 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

34. Each bed cluster has itsdefined «square», a definedarchitecturalplace for identification and belonging for thepatients… Axonometry bed area NLSH Vesterålen forprosjekt 2009 34 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

35. Visibiltybetweentheworkstationswascrucial in the layout Perspective3 bed clustersin a row NLSH Vesterålen detaljprosjekt 35 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

36. … Axonometry bed cluster NLSH Vesterålen forprosjekt 2009 36 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

37. Environment in one bed cluster… Perspective bed cluster- I NLSH Vesterålen forprosjekt 2009 37 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

38. … seenacross Perspektiv bed cluster- II NLSH Vesterålen forprosjekt 2009 38 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

39. Environment in bedroom, withlargebaywindow Perspectivebedroom NLSH Vesterålen forprosjekt 2009 39 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

40. Each bed clusterfeatures a zone for patientrestingneartheworkstation, and withaccess to wintergarden/multi-usespace Perspectivepatient-zone NLSH Vesterålen forprosjekt 2009 40 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

41. …used for childrens play… Vintergarden/play area NLSH Vesterålen forprosjekt 2009 41 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

42. …or plant/tactileroom… Wintergarden/tactile-/plant room NLSH Vesterålen forprosjekt 2009 42 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

43. The mainexpedition is easilyfound by themainentrance Main expedition NLSH Vesterålen forprosjekt 2009 43 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

44. Circulation areas withdaylight and wiews for orientation Corridor by surgical area NLSH Vesterålen forprosjekt 2009 44 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

45. Extensiveuseof glass for contactbetweenfunctions Surveillance area NLSH Vesterålen forprosjekt 2009 45 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

46. Useofcolours to giveidentity to different wings GRØNT FARGETEMA: FONDVEGG & TEKSTILER INTERIØR KONSEPT LAMMHULTS ”CINEMA SPORT”, H450mm, I GABRIEL ”COMFORT 0049” VEGG KORRIDOR, OVERFLATE FAST & LØST INVENTAR: NCS S0500-N NORTHERN LIGHTING ”DOKKA” PENDEL I KROM TIL SENGEROM VINYLGULV: TARKETT IQ NATURAL 173 OFFECCT ”GRIP” HVITT SIDEBORD, H440mm, M. TILHØRENDE BLOMSTERVASE (BORDPLATE I CORIAN) HVITPIGMENTERT EIK DETALJER I FAST INVENTAR HELLAND ”GENT” HVILESTOL, H460mm, I GABRIEL ”COMFORT 0049” GARDIN: ALMEDAHLS ”UNI 75689-3” FONDVEGG SENGEROM, TUN B1: BUTINOX 5757 ”FRI” FONDVEGG SENGEROM, TUN B2: NCS S 2030-G80Y FONDVEGG SENGEROM, TUN B3: NCS S 2010-G30Y BOARCH arkitekter as PLAN 2, FLØY B: SENGEROM NLSH VESTERÅLEN

47. Facade materials and details Glass, aluminium, brick, stone and wood combined to emphasize the different elements of the buliding NLSH Vesterålen forprosjekt 2009 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

48. Gross bulding height 4,5 m, and flat beam-and-slab constructions allow flexibility for future changes in technical facilities Constructions NLSH Vesterålen forprosjekt 2009 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

49. 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… Plan culvert NLSH Vesterålen detaljprosjekt 49 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as

50. … Technical supplyduct NLSH Vesterålen forprosjekt 2009 BOARCH arkitekter as ProsjektPartner Bodø as Norconsult as