UIUC School of Architecture: Spring 2015 Rich Nation, Poor People

Page 1

RICH NATION, POOR PEOPLE

A HOSPITAL IN RIYADH, SAUDI ARABIA



HOSPITAL // ISSUE 05 The HOSPITAL journal is the annual, student-produced publication of the works from the University of Illinois at Urbana-Champaign vertical graduate studio program. The studio seeks to investigate the current trends of architecture with the aid of renowned professionals in the field. The intention of this publication is to share the work produced by the students with the rest of the community both academic and professional.

CREDITS CONTRIBUTORS Joshua Chen Yan Deng Kaitlin Gerson Thomas Hawk Folarin Ijelu Kimberly Johnson Sevara Khabibullaeva Alexandria Leppert

FACULTY ADVISOR Sijia Liu Johnathon Nelson Angela Ng Erasmo Ortega Katherine Stowell Aparna Uvaraj Jienan Zhang Juliette Zidek

Professor William Worn, AIA, LEED AP, EDAC Professor and Associate Director for Graduate Studies

PRODUCTION NOTES PUBLISHER www.lulu.com HOSPITAL, Issue 05 Copyright Š 2015 All Rights Reserved No part of this publication may be used or reproduced in any manner without written permission from the University of Illinois at Urbana-Champaign. UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN www.arch.illinois.edu 117 Temple Hoyne Buell Hall 611 Lorado Taft Drive, MC-621 Champaign, Illinois 61820 Tel 217.333.1330 Fax 217.244.2900


FOREWORD With its vast oil wealth, Saudi Arabia has one of the highest concentrations of super rich households in the world. But an estimated 20 percent of the population, if not more, lives in crippling poverty. Beggars panhandle in the shadows of Riyadh’s luxury shopping malls, and just a few kilometers away families struggle to get by in the capital’s southern slums. While the government has finally acknowledged that poverty is a problem in the kingdom, the world of the Saudi poor is largely hidden from sight. The transformation of the Saudi health care system since 1970 has been astonishing. In 1970, there were 74 hospitals with 9,039 beds; by 2005, there were 350 hospitals with nearly 48,000 beds. Yet issues of health access and health disparity continue to grow for those people living in poverty. This Studio will design a hospital intended to serve the poorest residents of Riyadh. In response to the need for hospital care and ambulatory care for the Saudi underserved, this studio will design a Western style hospital in Riyadh. The hospital program will include inpatient care; diagnostic and therapeutic services; administrative and public areas; support services; and outpatient clinics accommodated in approximately 450,000 GSF. PROFESSOR WILLIAM WORN Professor William Worn was the Director: Master of Architecture in Health Design at the University of Illinois at Chicago. In 2010, he joined the University of Illinois at Urbana-Champaign as an Associate Professor, while simultaneously continuing his role as President of Worn Jerabek Architects P.C. in Chicago.


ACKNOWLEDGEMENTS Throughout this course, various industry professionals have contributed their time and expertise to assist in the development of our knowledge and design of healthcare environments. We had the opportunity to experience healthcare architecture via guest lectures, hospital tours, and a firm visit at VOA Associates. We would like to express our heartfelt gratitude to all who participated, including: James Arends Brenda Bush-Molina VOA Sheila Cahnman Founding Principal, JumpGarden Consulting. Former: Healthcare Market Sector Leader, AECOM Todd Eicken Senior Vice President, HDR Tom Fromm Regional Director for Healthcare, BSA LifeStructures Timothy Gregg Principal, Director of Healthcare Architecture, Proteus Group Max Komnenich Cannon Design, Healthcare Studio Former UIUC Healthcare Design Student, 2011 David Kuffner AIA, Cannon Patty Looker Director of Patient Experience at Cook County Health and Hospitals System Sarah Marberry Clark Miller Managing Principal, Perkins and Will Jeff Reinke Past Healthcare Team Leader, Proteus Group Rebel Roberts President and COO at VOA Associates Incorporated Carson Shearon Principal, Cannon Candace M. Small AIA, LEED AP BD+C, EDAC, Associate, VOA associates Incorporated, chair, AIA Chicago Healthcare Knowledge Community Rosemary Woodbury Healthcare Architect, Cannon Design UIUC Healthcare studio graduate 2012 Scott Harding VP Facilities, Carle Foundation Hospital


06 14 18 50 78 102 116 128 142 160


SITE ANALYSIS // ARCH 572

PROGRAM ANALYSIS // ARCH 572

’IMAN  & ’UMMAH // JOSHUA CHEN + JIENAN ZHANG

INJECTED NATURE // ANGELA NG + YAN DENG

CONNECTED HEALTH // ALEXANDRIA LEPPERT + KATHERINE STOWELL

CANOPY OASIS // KAITLIN GERSON + JULIETTE ZIDEK

RIYADH GENERAL HOSPITAL // JOHNATHON HELSON + KIM JOHNSON

GREEN VEIL

// THOMAS HAWK + SIJIA LIU

RWC: RIYADH WELLNESS CENTER // FOLARIN IJELU + ERASMO ORTEGA

GARDENS OF DELIGHT // SEVARA KHABIBULLAEVA + APARNA UVARAJ


SITE ANALYSIS

Riyadh is the capital and largest city of Saudi Arabia. It is situated in the center of the Arabian Peninsula on a large plateau, and is home to 5.7 million people, and the urban center of a region with a population of close to 7.3 million people. The climate is classified as “Hot Desert� with extreme temperatures in the summer months and frequent dust storms. With climate change the Arabian Peninsula will continue to become hotter and dryer.



Urban Context Analysis

15 min 20 min

30 min 45 min Before 1970

1970-1990

2015

Proposed New Sub-centers of Riyadh

Population Density Pattern and Change in the City if Riyadh, Saudi Arabia, Al-Gabbani, Mohammed, Dr., King Saud University, Department of Geography, POB 2456, Riyadh, Saudi Arabia, GeoJournal 1991 24.4 375-385 A Fuzzy Cellular Automata Urban Growth Model(FCAUGM) for the City of Riyadh, Saudi Arabia. Part 2: Scenario Testing, Khalid Al-Ahmadi. Alison Heppenstall. Jim Hogg. Linda See, Appl. Spatial Analysis(2009) 2:85-105 http://www.arriyadhmap.com/maps/ar/

12 | SITE ANALYSIS


Medical Centers in Riyadh

# of beds per medical facility King Saud University Medical City

1500

Prince Sultan Military Medical City

1192

King Fahad Medical City

1095

King Abdulaziz University Hospital

1002

King Faisal Hospital & Research Center

894

King Khalid University Hospital

800

King Abdulaziz Medical City

690

Prince Mohammad Bin Abdul Aziz Hospital

500

Dallah Hospital

500

Specialized Medical Center Hospital

450 350

Dr. Sulaiman Al-Habib Hospital in Arrayan Saudi German Hospital

300

Al Hammadi Hospital

300

Riyadh Care Hospital

255

Al Iman General Hospital

215

Dr. Sulaiman Al-Habib Hospital in Al Takhassusi

200

Al Mouwasat Hospital

200

Dr. Abanamy Hospital (Sanad Hospital)

190

Najd Consulting Hospital

160

Al Mashary Hospital

122

Green Crescent Hospital

10 minutes

20 minutes

30 minutes

55

High Commission for the Development of Riyadh: Health & Education http://www.arriyadh.com/eng/index.aspx/?1=1&menuId=36

ARCH 572: BEHAVIOR + ENVIRONMENT | 13


Climate in Riyadh JAN

Solar Radiation, Wh/m2 Avg. Daylight per Day

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEP

OCT

NOV

DEC

6523 Wh/m2

6079 Wh/m2

7735 Wh/m2

7467 Wh/m2

8765 Wh/m2

7982 Wh/m2

7011 Wh/m2

7900 Wh/m2

7828 Wh/m2

7851 Wh/m2

7153 Wh/m2

6131 Wh/m2

10.75 hrs

11 hrs

12 hrs

12.75 hrs

13.25 hrs

13.5 hrs

13.5 hrs

13 hrs

12.25 hrs

11.5 hrs

11hrs

10.5 hrs

16.8°C (62°F)

18.5°C (65°F)

22.9°C (73°F)

28.5°C (83°F)

32.4°C (90°F)

34.6°C (94°F)

36.3°C (97°F)

35.7°C (96°F)

32.9°C (91°F)

29.1°C (84°F)

23.5°C (74°F)

19.1°C (66°F)

31.9°C (89°F)

30.1°C (86°F)

36.8°C (98°F)

40.5°C (105°F)

43.1°C (110°F)

44.7°C (113°F)

45.8°C (114°F)

46.1°C (115°F)

45.5°C (114°F)

39.7°C (104°F)

38.1°C (101°F)

33.5°C (92°F)

8.9°C (48°F)

5.8°C (42°F)

11.1°C (52°F)

14.8°C (59°F)

23.1°C (74°F)

24.7°C (77°F)

27.8°C (82°F)

25.5°C (78°F)

24.0°C (75°F)

18.7°C (66°F)

14.6°C (58°F)

8.9°C (44°F)

53% 36%

44% 28%

38% 24%

32% 20%

36% 23%

36% 23%

41% 27%

39% 25%

avg. high average avg. low

Temperature, °C (°F) Monthly Average Avg. High Avg. Low

9 am 3 pm

Relative Humidity, % 9 AM 3 PM

Heating Degree Hours Cooling Degree Hours

56% 41%

heating cooling 2063 hrs.

Precipitation Average, mm (in.) # of Wet Days Chance of rain/day

36% 25%

45% 33%

55% 42%

1597 hrs.

453 hrs.

16 hrs.

0 hrs.

0 hrs.

0 hrs.

0 hrs.

0 hrs.

0 hrs.

363 hrs.

1350 hrs.

807 hrs.

1407 hrs.

2953 hrs.

5879 hrs.

8933 hrs.

10,229 hrs.

11,845 hrs.

11,393 hrs.

8994 hrs.

6482 hrs.

3145 hrs.

1419 hrs.

11 mm (0in.)

10 mm (0in.)

24 mm (0in.)

29 mm (1in.)

8 mm (0in.)

0 mm

0 mm

1 mm

0 mm

1 mm (0in.)

6 mm (0in.)

11 mm (0in.)

3 days

1 days

2 days

1 days

2 days

0 days

0.5 days

0 days

0 days

0 days

5 days

3 days

10%

4%

6%

3%

6%

0%

2%

0%

0%

0%

17%

10%

N/A

N/A

North-West

North-West

North-West

West

South

South

South

N/A

N/A

N/A

4%

17%

12%

15%

11%

23%

10%

0%

2%

3%

1%

2%

Wind Direction Prevailing Direction

Dust Storms Frequency (%)

14 | SITE ANALYSIS


Solar Path

Summer Solstice

Equinox

Winter Solstice

ARCH 572: BEHAVIOR + ENVIRONMENT | 15


Site Context

N 5째N

.1 224 la

Qib

Highway

Qibla Direction

+630m

+637m 16 | SITE ANALYSIS


Site Topography +630m

+637m

1/4

Contour

Road

Site

Road

Site

1/30

ARCH 572: BEHAVIOR + ENVIRONMENT | 17


PROGRAM ANALYSIS

Inpatie In response to the need for hospital care and ambulatory care for the Saudi underserved, the intent of this studio is to design a Western style hospital in Riyadh. The hospital program includes inpatient care; diagnostic and therapeutic services; administrative and public areas; support services; and outpatient clinics accommodated in approximately 450,000 GSF.

LDRP

Emergenc Imaging

Respirator Rehab Dental MOB Surgical Oncology Women's

Cardiac Food Serv

Distributed Lab

Pharmacy


Mechanical

Inpatient Care

Food Service Central Sterile Supply

122,626 sq ft

Distributed IT

LDRP 28,525 sq ft Surgical Imaging MOB Emergency Department Women’s Health Rehabilitation Cardiac Respiratory Oncology Dental

Lab

Pharmacy Central Staff Support

33,976 sq ft 15,663 sq ft 10,906 sq ft 7,265 sq ft 5,227 sq ft 5,123 sq ft 4,356 sq ft 3,870 sq ft 3,750 sq ft 1,738 sq ft

Fitness Public Outreach Child Care Administration Public Retail Pharmacy

42,471 sq ft 8,544 sq ft 5,064 sq ft 4,163 sq ft 3,384 sq ft 2,899 sq ft 2,340 sq ft 8,750 sq ft 4,260 sq ft 3,750 sq ft 3,396 sq ft 3,096 sq ft 786 sq ft


State of Health Hospital compared to the United States StaďŹƒng

KSA USA

2.2

KSA

KSA

Beds per 1000 population

81.94 years

76.94 years

77.11 years

72.79 years

USA KSA USA

3

USA

KSA

Beds per 1000 population

USA

KSA

2.3

KSA

Nurses per 1000 population Nurses per 1000 population

KSA 77.11 years

72.79 years

18.78 births 3.32 deaths

USA KSA USA

Physicians per 1000 population

2.42

13.42 births

USA

81.94 years

76.94 years

USA

8.15 deaths

14.58 deaths 6.17 deaths

15.5 deaths 6.9 deaths

KSA USA

Physicians per 1000 population

Infant per 1

Death per 1

8.15 deaths

14.58 deaths 6.17 deaths

15.5 deaths 6.9 deaths

Birth Rate per 1000 population Death Rate per 1000 population

https://www.cia.gov/library/publications/the-world

Infant Mortality per 1000 live births Deaths before the age of 5 per 1000 live births

www.who.int

Hospital Staffing

https://www.cia.gov/library/publications/the-world-factbook/geos/us.html

KSA

USA

Life Expectancy at Birth

Disease Burden

Cost of Cost Illness of Illness

ValueValue of Lost of Output Lost Output

$

Death per 1

USA

KSA

9.8 .92

3.32 deaths

Birth per 1

Life Expectancy at Birth Life Expectancy at Birth

USA

KSA

13.42 births 18.78 births

$

ValueValue of Statistical of Statistical Life Life 20 | PROGRAM ANALYSIS

42%

42%

35%

35%

12%

12%

7%

7%

4%

4%

35%

35%

33%

33%

18%

18%

10%

10%

4%

4%

37%

37%

36%

36%

11%

11%

10%

10%

5%

5%

a a $1,722 billionbillion 9.3%9.3% $1,722 GDP GDP c c $5,164 $5,164 per capita per capita

a a $10,194 billionbillion 60% 60% $10,194 c c GDP GDP $30,572 $30,572 per capita per capita

https://www.cia.gov/library/publications/the-world-factbook/geos/us.html

b b $45.59 billionbillion 5.6%5.6% $45.59 GDP GDP d d $1,581 $1,581 per capita per capita

b b billionbillion 62% 62% $462$462 d d GDP GDP $16,037 $16,037 per capita per capita

a a b b $5,674 billionbillion billionbillion 33.2% 33.2% $5,674 34.4% 34.4% $257$257 GDP GDP c c d d GDP GDP $17,014 $17,014 per capita per capita $8,925 $8,925 per capita per capita


Mental and behavioral disorders

14.6% 14.3%

Musculoskeletal diseases

7.03% 7.66%

Diabetes mellitus

6.27% 3.01%

Malignant neoplasms

5.80% 16.3%

Respiratory diseases

4.25% 7.37%

Genitourinary diseases

3.71% 2.71%

Neurological conditions

3.18% 6.95%

Congenital anamolies

2.76% 1.14%

Endocrine, blood, immune disorders

1.73% 1.70%

Digestive diseases

1.60% 3.18%

Neonatal conditions

4.36% 1.58%

Nutrional deficiencies

3.74% 0.15%

%DV

Infectious and parasitic diseases

3.73% 2.69%

Respiratory infections

3.45% 1.36%

11.3% 9.34%

17.7% 17.7%

Intentional/ Unintentional injuries

Cardiovascular diseases

Communicable, maternal, perinatal and nutritional

1

73.2% Non-communicable diseases 84.8%

DALY due to

15.5% 5.89%

Disability - Adjusted Life Years

Road injury

5.97% 2.20%

Falls

1.62% 0.72%

Fire, heat and hot substances Poisonings Interpersonal violence Self-harm

0.87% 0.17% 0.24% 0.72% 0.41% 1.13% 0.13% 2.13%

https://www.cia.gov/library/publications/the-world-factbook/geos/us.html Wolfram Alpha. US GDP as percentage of global GDP(2013). Retrieved January 24, 2015, from http://www.wolframalpha.com/ input/?i=US+GDP+as+percentage+of+global+GDP Wolfram Alpha. KSA GDP as percentage of global GDP. Retrieved January 24, 2015, from http://www.wolframalpha.com/input/?i=KSA+GDP+as+percentage+of+global+GDP The World Bank. Population, total. Retrieved January 24, 2015, from http://data.worldbank.org/indicator/SP.POP.TOTL/countries/US?display=graph The World Bank. Population, total. Retrieved January 24, 2015, from http://data.worldbank.org/indicator/SP.POP.TOTL/countries/SA?display=graph World Health Organization. DALY Estimates, 2012. Retrieved January 22, 2015, from http://www.who.int/healthinfo/global_ burden_disease/estimates/en/index2.html ARCH 572: BEHAVIOR + ENVIRONMENT | 21


’IMAN   & ’UMMAH JOSHUA CHEN JIENAN ZHANG The socio-cultural values of Islam - that of the ’ummah, social solidarity - shared by those of the Islamic faith is what moves the design of this hospital. By submitting to those values and the spatial principles they engender the architecture is one that belongs to the genius loci, creating an environment that is less foreign, more approachable, and more livable; making a place where people can continue to demonstrate ’iman, faith, even in illness until the fullness of health returns.



Heirarchy of Space The urban fabric Spaces in an islamic city define the boundaries for the public, semi-public, semi-private, and private zones. Beginning with the main street around the mosque, streets extend to the markets and bazaars, then into the neighbourhood quarters, and finally to the home.

‫ةةةةةة‬

The compactness of the city streets provide shade and promote social interaction, responding to both the environment and to the 'ummah

public semi-public semi-private private

24 | ’IMAN & ’UMMAH


JOSHUA CHEN, JIENAN ZHANG | 25


Heirarchy of Privacy The home The heirarchy extends into each individual home. Individuals enter into a vestibule with limited line of sight into the rest of the home; all but the most intimate of friends are brought to the guestroom where the family hosts them; the rest of the house and its interactions belong only to the family who resides there.

Single-patient rooms intimate these layers of privacy while maintaining practical limits for the activity of medical personnel

1

2

4 6

5 3 2

3 1

1 Hawsh (cul-de-sac) 2 Vestibule 3 Guestroom public semi-public semi-private private 26 | ’IMAN & ’UMMAH

LDRP module 1 Corridor 2 Caregiver preparation zone 3 Caregiver activity zone 4 Family zone 5 Bathroom 6 NICU/ Nursery attachment


The patient room 1 2

3

8

9 1

4 5

2 1

2

3

6 4 7

‫ا لقبلة‬ general medical/ surgical module

VIP module

LDRP module

common features-

VIP features-

LDRP features-

1 family room 1 family storage 2 kitchenette 2 large family zone 3 primary sight lines: outdoors/ plants media wall unit 3 blocked sight line: caregiver preparation area 4 direct line of sight to patient from washbasin 5 separate male & female nursing wings 6 distributed storage strategy: cabinet with through-wall 7 distributed nursing strategy: charting alcoves 8 all unit windows open towards Qibla ‫ا لقبلة‬ 9 stowable bench to perform wudu

1 rooming-in practice accomodated 2 winow open to private nursery/ NICU 3 scrub area 4 neonatal omnibed(s)

JOSHUA CHEN, JIENAN ZHANG | 27


PLANS GROUND LEVEL ‫ا لقبلة‬

N

INPATIENT PARKING

IMAGING ENTRY

OUTPATIENT ENTRIES

M.O.B. ENTRY

8 1

E.D. WALK-IN & LDRP ENTRY 13

3 2

4

6

5

7

11 12

10 9

VIP ENTRY WOMEN’S HEALTH PRIVATE ENTRY

INFUSION ENTRY

‫ا لقبلة‬

1. E.D. 2. LDRP EDU. & EARLY ELELU.

SHELL SPACE

3. IMAGING 5. WOMEN’S HEALTH 4. CARDIAC CARE 6. RESPIRATORY

12. INPATIENT PARKING 11. WOMEN’S HEALTH GARDEN 13. ED & LDRP PARKING

28 | ’IMAN & ’UMMAH

N

7. ONCOLOGY 9. REHABILITATION 8. DENTAL 10. M.O.B. ELEVATORS INPATIENT CLINIC OUTPATIENT CLINIC

SERVICE PUBLIC


LOWER LEVEL ‫ا لقبلة‬

N

5

E.D. AMBULANCE ENTRY 1

2 3

4 5

‫ا لقبلة‬

1. E.D. AMBULANCE ENTRY

2. IT & SUPPORT 3. CENTRAL STERILE

SITE VEHICULAR CIRCULATION PUBLIC VEHICULAR FLOW

N

4. LABORATORY 5. MATERIAL MANAGEMENT

AMBULANCE FLOW MATERIAL FLOW

ELEVATORS INPATIENT CLINIC OUTPATIENT CLINIC

SERVICE PUBLIC

JOSHUA CHEN, JIENAN ZHANG | 29


PLANS PODIUM LEVEL ‫ا لقبلة‬

N

MALL ENTRY

INPATIENT PARKING

3 9

9

10

10

6 1

7

8

8

5

5

2 4

OUTPATIENT PARKING

11

5

STAFF ENTRY

‫ا لقبلة‬

1. SURGICAL PROCEDURE 8. FITNESS CENTER 9. CHILDREN CARE

2. SOUTH CLINIC CORRIDOR 3. NORTH CLINIC CORRIDOR

10. RETAIL 11. RETAIL PHARMACY SHELL SPACE

30 | ’IMAN & ’UMMAH

N

4. CENTRAL STAFF 6. ADMINISTRATION 5. MECHANICAL SPACE 7. PUBLIC EDUCATION ELEVATORS INPATIENT CLINIC OUTPATIENT CLINIC

SERVICE PUBLIC


LEVEL 2 ‫ا لقبلة‬

N

9

8

9

8

7

6

3

4

5

10

SURGICAL PROCEDURE ABOVE

1 2

MAIN ENTRY FROM PARKING

‫ا لقبلة‬

1. FOOD COURT 10. CENTRAL PRAY HALL 2. KITCHEN

9. PEDIATRIC

3. M/S (MALE) 4. REHABILITATION (MALE)

5. VIP (MALE) 6. VIP (FEMALE)

N

7. REHABILITATION (FEMALE) 8. M/S (FEMALE)

ELEVATORS INPATIENT CLINIC OUTPATIENT CLINIC

SERVICE PUBLIC

JOSHUA CHEN, JIENAN ZHANG | 31


PLANS LEVEL 3 ‫ا لقبلة‬

N

9

1

9

2

8

8

7

6

3

3

4

5

‫ا لقبلة‬

1. LDRP 2. ICU

3. M/S (M) 4. REHABILITATION (M)

5. VIP (M) 6. VIP (F )

7. REHABILITATION (F ) 8. M/S (F )

N

9. PEDIATRIC

ELEVATORS INPATIENT CLINIC OUTPATIENT CLINIC 32 | ’IMAN & ’UMMAH

SERVICE PUBLIC


LEVEL 4 ‫ا لقبلة‬

N

1

2

3

3

3

LEVEL 5

‫ا لقبلة‬

1

N

1

1. LDRP 2. ICU

3. M/S (M)

ELEVATORS INPATIENT CLINIC OUTPATIENT CLINIC

SERVICE PUBLIC

JOSHUA CHEN, JIENAN ZHANG | 33


ENLARGED PLAN EMERGENCY DEPARTMENT KEY

2 2 3

2

4

6

5

TO IMAGING

1 7

8

15

12

10

11

9

14

13

16

17

18

FUNCTIONS

22 19

23

‫ا لقبلة‬

N

34 | ’IMAN & ’UMMAH

WAITING & RECEPTION TRIAGE ROOMS DECONTAMINATION CONSULT ROOM FAST TRACK FAMILY CONSULTATION ISOLATION ROOM RESUSCITATION PROCEDURE ROOM TREATMENT ROOMS NURSES STATION & INTERNAL WAITING SCRUB ALCOVE STORAGE NURSE MANAGER OFFICE ON CALL ROOM

LDRP EDUCATION & EARLY EVALUATION 16 WAITING 17 EARLY LABOR EVALUATION 18 JACUZZI ROOM 19 FAST TRACK 20 SHARED OFFICE 21 CONSULTATION ROOM 22 PARENT EDUCATION SEMINAR 23 LDRP WALKING GARDEN

21

20

E. D. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

‫ا لقبلة‬

N

DIAGNOSTIC & TREATMENT LDRP D&T PUBLIC LDRP EDU. SHELL SPACE CLINIC SUPPORT PATIENT SUPPORT CIRCULATION PATIENT STAFF ELEVATORS INPATIENT CLINIC OUTPATIENT CLINIC

SERVICE PUBLIC


ENLARGED PLAN RADIOLOGY KEY

1

FROM IMAGING LOW EMERGANCY

2

1 2 3 4 5 6 7 8 9 10 11 12 13 14

11 12 13

3 10 5

4

RADIOGRAPHY

CARDIAC CATHETERIZATION

WAITING ROOMS CONSULT VIEWING ROOMS RECEPTION CHANGE ROOM PUBLIC TOILET SOILED WORKROOM CLEAN SUPPLY STORAGE MEDICATION ROOM CLERICAL WORKSTATION CONFERENCE ROOM COPY ROOM SHARED WORKROOM HOUSEKEEPING

FROM IMAGING NUCLEAR IMAGING 9 8 CT SCAN 14 MRI

7

FUNCTIONS

6

‫ا لقبلة‬ ‫ا لقبلة‬

N

N

DIAGNOSTIC & TREATMENT SHELL SPACE PUBLIC CLINIC SUPPORT PATIENT SUPPORT CIRCULATION OUTPATIENT INPATIENT/GOWNED OUTPATIENT EMERGENCY STAFF ELEVATORS SERVICE INPATIENT CLINIC OUTPATIENT CLINIC PUBLIC JOSHUA CHEN, JIENAN ZHANG | 35


ENLARGED PLAN SURGICAL PROCEDURES

3 8

1

5

6 4

7

11 9

12

10

13 2

14

15

24

16

17

18

19

20

26 29 27

25 28 30

32

31 33

‫ا لقبلة‬ ‫ا لقبلة‬

N

36 | ’IMAN & ’UMMAH

N

21

22

23


BLOCKING & VERTICAL CIRCULATION KEY PRE-OPERATIVE HOLDING & RECOVERY 1 WAITING ROOMS 2 RECEOTION 3 ICU HOLDING/ RECOVERY 4 CONSULT ROOM 5 EQUIPMENT STORAGE 6 MEDICATION ROOM 7 ICU ISOLATION ROOM 8 GENERAL HOLDING/ RECOVERY 9 SHELL/ INTERIOR WAITING 10 SHELL/ NURSING STATION 11 SPECIMEN COLLECTION 12 MEDICATION ROOM 13 STRETCHER STORAGE 14 ISOLATION ROOM SURGICAL PROCEDURES 15 16 17 18 19 20 21 22 23 24

ANESTHESIA WORKROOM ANESTHESIA STORAGE CLEAN SUPPLY SOILED UTILITY OR CONTROL ROOM NURSE MANAGER OFFICE NURSE CONFERENCE ROOM MD WORKROOM CLINICAL CONFERENCE ROOM STAFF LOUNGE (M/F)

25 26 27 28 29 30 31 32 33

MD DICTATION ROOM SATELLITE LAB SOILED WORKROOM MAIN STERILE CORE iMRI OPERATING ROOM (2) iCT OPERATING ROOM GENERAL OPERATING THEATRE (3) CAESAREAN SUITES (2) SATELLITE STERILE CORE

FUNCTIONS DIAGNOSTIC & TREATMENT SHELL SPACE PUBLIC CLINIC SUPPORT PATIENT SUPPORT CIRCULATION OUTPATIENT INPATIENT/GOWNED OUTPATIENT EMERGENCY STAFF ELEVATORS SERVICE INPATIENT CLINIC OUTPATIENT CLINIC PUBLIC JOSHUA CHEN, JIENAN ZHANG | 37


MODEL SCALE 1/64”=1’

38 | ’IMAN & ’UMMAH


JOSHUA CHEN, JIENAN ZHANG | 39


Sun, Wind & Light Macro environment

1

3

+H20 dry summer wind

phytofiltration

2

40 | ’IMAN & ’UMMAH

tempered air


5

+H20

4

4 solar chimney utilizing thermal mass to augment the stack effect creating continuous negative pressure, drawing air into couryard throughout the day

1 evaporative screen water evaporates through porous ceramic pipes to precondition the summer wind traditional analogue: earthenware pots

2 living roof

5 formed roof roof shape serves as windcatchers wind

vegetation filters dust and provides an acoustic and visual buffer from adjacent highway

3 screened courtyard diffuses daylight JOSHUA CHEN, JIENAN ZHANG | 41


Sun, Wind & Light Micro environment

reduces noise pollution mashrabiya signals Qibla and provides visual privacy

IAQ strategy: natural x displacement ventilation

tempered courtyard air

+H20

Patient care unit Wall type A - green lung

42 | ’IMAN & ’UMMAH

constant views to nature stress

+O2

Corridor Wall type B - trellis screen


drawn to solar chimney

captures small dust particles +H20

layers

of visual privacy

+O2

Bridge Water fountain

Patient care unit Wall type C - deep planter

JOSHUA CHEN, JIENAN ZHANG | 43


The Patient Experience Pregnancy, Labor, Delivery, and Recovery Three of Saudi Arabia's Millennium Development Goals has a direct effect on the design of healthcare in the region: promoting gender equality, reducing child mortality, and improving maternal health. The first of the three is particularly important in that it empowers women to seek and attain healthcare for herself and her children.

By understanding the process, procedures, and setting expectations for antenatal, intrapartum, and postpartum care, appropriate design interventions can be put in place to enhance the experience of these momentous occasions of childbirth

4wks medical record

? !

!

!!

blood and urine test maternal heart rate antenatal

? education

first trimester

typical first visit: 4th month average number of visits: 3-6

maternity triage

P

latent stage 1 labor

LDRP room

ambulation in maternity garden

1.7 - 15hrs

44 | ’IMAN & ’UMMAH

freedom of movement no continuous EFM

active stage 1 labor

waiting


ultrasound

?

fetal heart rate birth plan forms natural birth doula: mother midwife led LD active mgt. rooming-in

second trimester

third trimester

96% births attended by skilled physician skin-to-skin

infant mortality rate: 10/100,000 maternal mortality rate: 14/ 100,000

within 1st hr

help initiate breast feeding; clinical observation

discharge

initiate breast feeding emphatic support and counseling

neonatal: suctioning drying warming

perform tahneek and taweez

stage 3

stage 2 0.95 - 2.4hrs

0.5 - 1hr

2 hrs

JOSHUA CHEN, JIENAN ZHANG | 45


First Impressions Driving to the hospital In the current paradigm, the husband must accompany his wife not only to drive her to the hospital, but also to help her make medical decisions. Through the ponds of the central atrium, the couple is able to peer into the hospital. The noticeably cooler environment and the scintillating play of lights along their path let them know they have arrived at a safe haven.

46 | ’IMAN & ’UMMAH


JOSHUA CHEN, JIENAN ZHANG | 47


The Beacon Rushing to the hospital

48 | ’IMAN & ’UMMAH


JOSHUA CHEN, JIENAN ZHANG | 49


Nativity The LDRP room From her arrival and registration at the maternity triage floor, an LDRP room will be made ready according to the birth plan formed during antenatal clinic visits - dimmed lights, pleasant scents, music, and accomodations for her doula. Antenatal visits had determined that she was at low risk for birth complications, a matter reaffirmed during triage, so she is assigned to the appropriate wing of the labor and delivery department.

50 | ’IMAN & ’UMMAH


JOSHUA CHEN, JIENAN ZHANG | 51


A New Chapter Becoming a father As his wife completes the last stage of labor, the husband is led by an attendant to the LDRP room where mother and child await his arrival.

52 | ’IMAN & ’UMMAH


JOSHUA CHEN, JIENAN ZHANG | 53


INJECTED NATURE YAN DENG ANGELA NG Nature is injected into the hospital in hopes of improving patient outcomes, while providing a welcoming environment for family and staff to rest and enjoy. A continuous experience is shaped by this injection of nature in the form of themed archetypal healing gardens: forest, harbor, plains, islands, promontory, sea, hills, and sky. “HexaShade”, a smart shading system, is applied to the wall and ceiling surfaces of these healing gardens to provide continuity which assists in better wayfinding. “HexaShade” responds to local temperature and light levels, designed to combat the extreme climate of Riyadh. Technology is also integrated with nature in the surgery family waiting experience via smart wristbands and digi-pods. Nature is injected into the patient room by introducing an indoor accessible terrace that is oriented towards the patient bed. A double skin façade is employed to deal with the harsh southern sun, filtering daylight into the patient room.



1918 Plan of Riyadh Palm Grove Gardens Palace Suq (Marketplace) Great Mosque

56 | INJECTED NATURE

City Wall Guard Turret Main Traffic Line

Condense Plan of Riyadh

Inject N S


Inject Nature into Site

Inject Nature into Central Communal Space

Dissolve Barrier

YAN DENG + ANGELA NG | 57


ower

Site Strategy

1. Existing 3. Extrude Site Parking Garage

2. Extrude 4. Carve D+TFor andCirculation Patient Tower

3. E

2. Extrude 4. Carve D+TFor and Circulation Patient Tower

3. Extrude 5. Extrude Parking Medical Garage Office Building

4. C

3. Extrude 5. Extrude Parking Medical Garage Office Building

4. Carve 6. Rotate For Circulation Patient Tower

5. E

58 | INJECTED NATURE


7. 9.Inject Extend Nature Nature

8.10. Elevate CarveNature Parking Garage

9.11 E

8.10. Elevate CarveNature Parking Garage

9.11. Extend Terrace Nature Nature

10. 12

9.11. Extend Terrace Nature Nature

10. 12.Carve Define Parking Site Garage

11.

YAN DENG + ANGELA NG | 59


Ground Floor Plan

A

MOB Entrance

Walk-In Public Entrance

MOB

ED

Public Education/ Community Outreach

Lobby

Imaging

WC

Fitness Center

Ambulance Drop-off

Retail

B

Music Garden

Pharmacy

Dining Hall/Courtyard

B

Mosque Laboratory Materials Management Surgery

Central Sterile

Staff Support Staff Retreat

Staff Entrance

Service Entrance

A

N

Public Circulation Ambulance Circulation Service Circulation Emergency Department Circulation

60 | INJECTED NATURE

Public & Admin Diagnostic & Therapeutic Support & Service Public Elevator Clinical & Service Elevator

Qibla ‫ةلبق‬ 0

50

100

200FT


Second Floor Plan

From Parking Garage

Urban Agriculture

MOB

Child Care Urban Agriculture Children’s Workshop

Mechanical Spaces/ Structure Transfer Floor

N

Public & Admin Diagnostic & Therapeutic Support & Service Public Elevator Clinical & Service Elevator

Qibla ‫ةلبق‬ 0

50

100

200FT

Programmatic Section Public Elevator Clinical Elevator

YAN DENG + ANGELA NG | 61


Emergency Department and Imaging Department Detailed Plan

Walk-In Security Station Child Area

Triage

Triage

Triage

Triage Treatment Room

Waiting Area

ED Reception

On-call Room Bereavement Room

Nurse Manager

Copy Room

Patient Toilet

Staff Locker

Staff Toilet

Storage

Nuclear Imaging Room

Conference Room

Radiography/ Fluroscopy Room

Injection Room

Staff Lounge

Radiography/ Fluroscopy Control Room Radiography/ Fluroscopy Room

Patient Toilet

Patient Waiting

Staff Toilet

Housekeeping Soiled Utility

Medication Room

CT Scan Room

Housekeeping Storage

Storage MRI

Consult Viewing

CT Scan Room

Clinical Room Clinical Room

rtyard

Patient Holding

Imaging Reception &Waiting Area

Shared Tech Workroom

MRI Control Room

Scrub/ Gowning Clean Supply Control Room

Surgery Reception

Public Toilet

Cath Lab

Pre-OP Prep Room

Pre-OP Prep Room

P om

Pre-OP Prep Room

MRI

Public Toilet

Pre-OP Prep Room

Storage

Nursing Station

Pre-OP Prep Room Pre-OP Prep Room

Pre-OP Prep Room

Pre-OP Prep Room

62 | INJECTED NATURE

Hybrid CTOR

Clean Workroom

Procedure Room

Cardiac Room

Decontamination

Ambulance Drop-off

CT Scan Room

Patient Shower

Consult Viewing

Eye/ENT Room

Clean Supply

Clean Supply

Copy/Supply Room

Pre-OP Waiting

Nursing Station Staff Toilet

Patient Toilet

Soiled Utility

Staff Toilet

Pediatric Room

Staff Toilet

Soiled Workroom

Shared Workstations

Treatment Room

Radiography/ Fluroscopy Room

Injection Room

Injection Room

Staff Locker

Pediatric Room

Isolation Room

Gynecological Exam Room

Radiography/ Fluroscopy Room

Radiography/ Fluroscopy Control Room

Injection Room

Stress Lab

Soiled Workroom

Fluroscopy Prep Room

Consult Room

Public Toilet


S Wo Injection Room

Staff Locker

Surgery Department Detailed Plan

Radiography/ Fluroscopy Room

Injection Room

Stress Lab

Shared Workstations

Patient Waiting

Staff Toilet

Housekeeping

Clean Supply

Copy/Supply Room

CT Scan Room

Patient Shower

Soiled Utility

Staff Toilet

Clean Supply

Patient Toilet

Soiled Utility

Medication Room

CT Scan Room

Housekeeping Storage

Consult Viewing

Storage MRI

Consult Viewing

CT Sca

Clinical Room Clinical Room

Dining Hall/Courtyard

Patient Holding

Imaging Reception &Waiting Area

Shared Tech Workroom

MRI Control Room

Scrub/ Gowning Clean Supply Control Room

Pre-OP Waiting

MRI

Public Toilet

Surgery Reception

Public Toilet

Family Waiting

Family Waiting

Cath Lab

Pre-OP Prep Room Pre-OP Prep Room Pre-OP Prep Room

Family Waiting

Pre-OP Prep Room

Storage

Family Waiting Storage Family Waiting

Nursing Station PACU Bed

Family Waiting

Pre-OP Prep Room

PACU Bed

Pre-OP Prep Room Pre-OP Prep Room

PACU Bed Pre-OP Prep Room

PACU Bed PACU Bed

Pre-OP Prep Room

Pre-OP Prep Room

Pre-OP Prep Room

Hybrid CTOR

Pre-OP Prep Room Nursing Station Pre-OP Prep Room PACU Bed

PACU Bed

General OR

PACU Bed PACU Bed

PACU Bed

PACU Bed

PACU Bed PACU Bed

PACU Bed

General OR

General OR

Soiled Workroom

Clean Workroom

Soiled Utility

Hybrid MROR Central Sterile Supply and Processing

Anesthesia Workroom Staff Toilet Anesthesia Storage

General OR

Hybrid CTOR

General OR

OR Control Desk

YAN DENG + ANGELA NG | 63


Surgery Family Waiting Experience

CHECK IN

TOUCH DOWN 64 | INJECTED NATURE

Receive wristband to track your loved one.

Relax in a comfortable pod.


DIGI-PODS

PRE-OP/PACU

Customize your interactive digital world.

Look up to the sky. YAN DENG + ANGELA NG | 65


SECTION A-A

66 | INJECTED NATURE


YAN DENG + ANGELA NG | 67


HexaShade https://www.youtube.com/watch?v=FvT1tpyQc4M

7 a.m.

10 a.m.

7 a.m.

68 | INJECTED NATURE

10 a.m.

1 p.m.

1 p.m.

4 p.m.

4 p.m.

7 p.m.

7 p.m.


PhotoResistor

Temperature Sensor

Arduino UNO

YAN DENG + ANGELA NG | 69


The Archetypal Healing Gardens

FOREST

Follow the trail to reach your destination.

HARBOR

Explore the bazaar and engage yourself in food produce.

70 | INJECTED NATURE


PLAINS

Learn the art of cultivating crops.

ISLANDS

Have your children learn the art of cultivating crops. YAN DENG + ANGELA NG | 71


PROMONTORY

Pause on the extreme edge to observe your surroundings.

SEA

Settle down in the food hub.

72 | INJECTED NATURE


HILLS

Reflect as you promenade around the music garden.

SKY

Let your mind drift away. YAN DENG + ANGELA NG | 73


SUMMER WINTER

88°

44°

Medical/ Surgical Bed

N

Room Area: 375sf Hygiene Area: 61sf

Qibla ‫ةلبق‬

Nursing Area

Hygiene Area

Medical/ Surgical Bed

N

Room Area: 375sf Hygiene Area: 61sf

Qibla ‫ةلبق‬

Nursing Area

Hygiene Area

t ien

t Pa

ea

Room Area: 375sf Hygiene Area: 61sf

ily

Fam nt

tie

Pa

Medical/ Surgical Bed

Ar

ea

Ar

r oo Ind race r Te

ea

Ar

ily

Fam

Qibla

Nursing Area

Hygiene Area

ea

Ar

r oo Ind race r Te

In-Patient Tower

N

16 Beds/ Neighborhood

Qibla ‫ةلبق‬

Public Elevator Clinical Elevator Service Elevator

0 1 2

0 1 2 5FT

Double Height Atrium

Public Corridor

5FT nt

tie

Pa

ea

Ar

ily

Fam

UP

ea

Ar

r oo Ind race r Te

Indoor Terrace

0 1 2

Clinical Corridor 30’6”

UP

8’ 89’

12’ 8’ UP

30’6”

Retreat Room

18’ 144’

Clinical Corridor

0 10 20

SECTION B-B 74 | INJECTED NATURE

40 FT


YAN DENG + ANGELA NG | 75


In-patient Tower

A.1

16 Beds/ Neighborhood

Double Height Atrium

Public Corridor

Public Elevator Clinical Elevator Service Elevator

B.1

C.1

D.1 UP

Indoor Terrace

Public Corridor

10 A

30’6”

UP

9.1

Clinical Corridor

9

8’ 89’

B 8.1 8

12’ 8’

C

7.1

UP

7

30’6”

6.1

D

6

N 1

1.1

2

2.1

3

3.1

144’

76 | INJECTED NATURE

4.1

5

5.1

Clinical Corridor

18’

PATIENT ROOM

4

Retreat Room

Qibla ‫ةلبق‬ 0 10 20

Enjoy the view to natural light and vegetation.

40 FT


Medical/ Surgical Bed

N

Design Considerations 1. Patient Outcomes 2. Patient Safety 3. Staff Outcomes

Qibla ‫ةلبق‬

Patient rolls onto right side to pray towards Mecca Bed away from corridor (reduced noise levels) Large family zone near bed for social support

Perforated screen to reduce solar heat gain Accessible green space Pull-down digital media screen Patient has direct view towards outdoors with vegetation

0 1 2

5FT

YAN DENG + ANGELA NG | 77


Medical/Surgical Bed Design Considerations 1. Patient Outcomes 2. Patient Safety 3. Staff Outcomes

N

Qibla ‫ةلبق‬

Visibility of patient from corridor

Short distance of toilet room to staff

Short distance of toilet room from patient

Continuous handrails

0 1 2

78 | INJECTED NATURE

5FT


Perforated Aluminum Sheet Glazing Steel Treads Indoor Terrace

YAN DENG + ANGELA NG | 79


80 | INJECTED NATURE


YAN DENG + ANGELA NG | 81


CONNECTED HEALTH ALEXANDRIA LEPPERT KATHERINE STOWELL “Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.” - WHO Definition of Health The main goal of this project proposal is to curb the effects of the obesegenic environment by encouraging fitness, healthy dieting, and providing access to nature. A sense of community is invoked by creating a direct connection to the existing mall by implementing additional retail and health facilities for both visitors, patients, and staff. To promote social interaction and strengthen the sense of community within the hospital, the central atrium features a farmer’s market as well as a grand stair that accommodates seating. In order to facilitate outdoor activities in this extreme climate, shading devices are utilized on many levels of outdoor garden space as well as entrances and walkways.



Fitness Centers Fitness Centers Outdoor Parks / Green Outdoor Parks / Green space Space FreshFood Food Markets Fresh Markets Mosques Mosques FastFood Food Restaurants Fast Restaurants 84 | CONNECTED HEALTH

Area Study

Due to the large number of fast food restaurants and lack of healthy resources made available to the people of Riyadh, the main intent of this hospital is to create a center of activity that promotes a healthy lifestyle.


Connected Program

In order to create a stronger connection with the community, the hospital is linked to the existing mall through a series of walkways and elevated commercial and retail spaces. This facilitates walking and allows both patients, visitors and staff to take advantage of the healthy resources included in our program.

ME

DIC

AL

EDUCATION

URGE

NT CA

RE

Y STO

ER ROC

G

RE

SPA ETAIL

ESS R

FITN

ALEXANDRIA LEPPERT + KATHERINE STOWELL | 85


TO SS CE RE AC ATU N

SH

E FR O O D

RN DE INE O M DIC ME

86 | CONNECTED HEALTH

FA

ITH

HE

AL DIE THY T

Atrium Program FIT

NE

SS

Surrounding a celebrated stair in the atrium are ammenities that we deemed vital for maintaining a healthy lifestyle. A fitness center, farmer’s market, mosque, outdoor access and a healthy dining area all are featured at the entrance. These programmed spaces are visible from the exterior and display an active atmosphere.


ALEXANDRIA LEPPERT + KATHERINE STOWELL | 87


Site Plan

88 | CONNECTED HEALTH


First Floor and Access Plan

STA FF UT RO E

BLIC

PU

UTE

RO

IC

BL

PU E UT

RO STAFF ROUTE

PUBLIC ROUTE

STAFF ROUTE

SERVICE ROUTE

EMT ROUTE

SERVICE ROUTE

EMT ROUTE

ALEXANDRIA LEPPERT + KATHERINE STOWELL | 89


Second Floor Plan

90 | CONNECTED HEALTH


Third Floor Plan

ALEXANDRIA LEPPERT + KATHERINE STOWELL | 91


Fourth Floor Plan

92 | CONNECTED HEALTH


Fifth Floor Plan

ALEXANDRIA LEPPERT + KATHERINE STOWELL | 93


MED / SURG ONCOLOGY

RESPIRATORY

CHILD CARE

DENTAL

MOB

ADMINISTRATION

WAITING

MED / SURG

WAITING

LDRP INTENSIVE CARE UNIT

WAITING

FITNESS

PHARMACY

East West Section 1 MED / SURG MED / SURG LDRP INTENSIVE CARE UNIT MATERIALS MANAGEMENT CENTRAL SUPPLY

94 | CONNECTED HEALTH

SURGERY

IMAGING

FARMER’S M MECHANICAL


MARKET / ATRIUM

MED / SURG

MED / SURG

MED / SURG

MED / SURG

LDRP SURGERY EMERGENCY DEPARTMENT

LDRP INTENSIVE CARE UNIT

IMAGING

CENTRAL SUPPLY

East West Section 2

WAITING WAITING

WAITING

REHABILITATION

PHARMACY

North South Section ALEXANDRIA LEPPERT + KATHERINE STOWELL | 95


Upon entering the hospital, family members and patients register at the front desk and are able to download an application onto their mobile device. This application allows them to explore the hospital while still maintaining a connection with the patient. This app is designed to encourage exploration of the hospital’s amenities and provide education about healthy lifestyles.

96 | CONNECTED HEALTH


131 steps

106 steps

69 steps 47 steps

35 steps

Ëž` A` go ly.` ^ `r le Ę˜r Í… AP [ ko m,@ ^ `r le 6z`r Í… qa` gMj ,Y` ^a / 5e

bz ȽȽ5` sȽȽ4 ˰ ȽȽky,py

,L ȽȽ5e ˰ sȽȽL,j qȽȽ \0 r ,ȽȽ Mj ȽȽj lȽȽfT

ly,` csȽy ^ȽȽ` e

gȽȽz$0` lȽȽf$0` r

˞ȽȽ˯ M` / qȽȽa` ,ȽȽf%`

gȽȽz$0` lČ˝f$0` Í…qȽȽa` gȽȽ5

A celebrated stair in the main atrium encourages walking due to its location and manageable height. The words of the Quran attract visitors and creates a sense of community as a gathering space to sit upon.

z$0 ALEXANDRIA LEPPERT + KATHERINE STOWELL | 97


Imaging and Emergency Department

The emergency department is accessed from the northeast. Adjacent to the ED is the imaging department, both of which are located near an interior courtyard providing light for patients waiting for treatment. TO STAFF SUPPORT/LOCKERS

NUCLEAR IMAGING ROOM STAFF SUPPORT

INJECTION

INJECTION

RADIOSOTOP LAB STRESS LAB INJECTION

WORKSTATION

INJECTION

TOILET/SHOWER

WAITING ROOM

WAITING

CONSULT ROOM

REST ROOM

R/F ROOM

R/F ROOM

MRI CONTROL ROOM

TRIAGE

IMAGING WAITING

R/F CONT. ROOM

MRI

WAITING ROOM

TRIAGE

TRIAGE R/F CONT. ROOM

R/F ROOM

ISOLATION REST ROOM

EMERGENCY DEPARTMENT

TREATMENT ROOM

NURSE STATION

TREATMENT ROOM

TRIAGE

PEDIAT.

R/F CONT. ROOM MRI

R/F ROOM

FAST TRACK TO IMAGING

IMAGING TOILET CATH. LAB

CENTRAL SUPPLY

98 | CONNECTED HEALTH

PROCEDURE ROOM

STORAGE

CATH. CONT. PATIENT ROOM HOLDING /SCRUB

CT CONT. ROOM

CT SCAN ROOM

CT SCAN ROOM

CT CONT. ROOM

CT SCAN ROOM

PEDIAT.

GYN.

EYE/ENT.

CARDIAC ROOM

EMERGENCY/IMAGING DEPARTMENT FIRST FLOOR 1/16” 0’ 5’ 10’ 20’ 50’

100’


Surgical Department

The surgical suite is located directly above imaging and ED. Another smaller waiting area is located near the courtyard and allows family to utilize the outdoor garden space while maintaining a connection with the patient

ALEXANDRIA LEPPERT + KATHERINE STOWELL | 99


Through this app family members have the ability to send positive messages to the patient room at any time during their stay.

100 | CONNECTED HEALTH


ALEXANDRIA LEPPERT + KATHERINE STOWELL | 101


Patient Room Section

An external shading device is used on the facade of the bedded care tower. The thickness of the shade was determined through solar studies to ensure no direct sunlight reaches the patient bed throughout the day. The change in thickness creates an undulating rhythm which can be seen on the exterior. 102 | CONNECTED HEALTH


Patient Room Layout

1

View of outdoor landscape from patient bed

2

Short path of travel to bathroom with assisted handrail

4

2

3

Sink encourages staff hand washing while maintaining eye contact with patient and family

5

Space hidden from patients for needle disposal, reduces patient stress

6

Visibility of patient from corridors while still maintaining privacy

5 3

Bathroom door swings in with safety feature to swing out for emergencies

4 1

6

ALEXANDRIA LEPPERT + KATHERINE STOWELL | 103


104 | CONNECTED HEALTH


ALEXANDRIA LEPPERT + KATHERINE STOWELL | 105


CANOPY OASIS KAITLIN GERSON JULIETTE ZIDEK The Canopy Oasis hospital looked at the use of alternative medicines in healthcare and the effect of climate on design. In realizing the need for outdoor courtyards due to the intensity of the arid and hot climate in Saudi Arabia, our team chose to develop an oasis within the hospital itself. A large canopy system enveloping our site shades the building and outdoor space while allowing diffuse light to permeate throught. Through a series of enrionmental analyses, this canopy system was optimized to capture the maximum incident solar radiation throughout the year by changing form over time. It is intended to be constructed of flexible photovolatic fabric, supported by hydraulic columns and tensile cables. The resulting topography from the canopy determined the locations for a series of open-air courtyards and a central mosque. We focused on enhancing patient outcomes by allowing each patient room a view into the planted courtyards, away from the surrounding urban congestion. We also decided to prefabricate the rooms to allow for an ease of construction and potential expansion.



108 | CANOPY OASIS


KAITLIN GERSON + JULIETTE ZIDEK | 109


Topography of Canopy Incident Solar Radiation

Spring

Summer

Canopy Analysis The images on this page depict the optimized canopy forms with their relevant solar radiation and resulitng topographies. These topographies then informed the location of the open-air courtyards within the hospital. The highest points of the canopy became the natural locations for these spaces, so as to provide maximum lighting and ventilation to the planted interior.

110 | CANOPY OASIS

Fall

Winter

Spring

Summer

Fall

Winter

Overlay of All Seasons


The Use of Prayer Common Prophetic Treatments include: 1. Self-treatment by self-reciting the Qur’an 2. Treatment by a relative through recitation directly over one’s body. 3. Consuming or being massaged with water or oil over which the Qur’an had been recited. Al-Rowais, N., Al-Faris, E., Mohamed, A., Al-Rukban, M., Al-Kurdi, A., Balla Al-Noor, M., ... Sheikh, A. (2008). Prevalence and pattern of alternative medicine use: The results of a household survey. Annals of Saudi Medicine, 28 (1).

LEVEL 03 + 04 Nursing Units

LEVEL 02 Labor + Delivery Surgery

LEVEL 01 MOB Women’s Health Rehabilitation Imaging ED

QI

M

H

I

LEVEL -01 Mechanical Materials Central Sterile Pharmacy Laboratory

RA

BL

A

B

KAITLIN GERSON + JULIETTE ZIDEK | 111


MOB Entrance

Ambulance Entrance 8 8

ED Walk-in 8 8

24

23

Public Entrance

7

8 8 8 8 8

8

9

9

9

9

13 22

11

10

7

6

12

21

14

15

16

18

19

6. Mosque 7. Waiting 8. Treatment Rooms 9. Radiography 10. CT 11. MRI 12. Cath Lab 13. Nuclear Imaging 14. Rehabilitation 15. Women’s Health 16. Administration 17. Child Care 18. Public Outreach 19. Food Services 20. Outpatient Oncology 21. Outpatient Cardiac 22. Outpatient Respiratory 23. Outpatient Ambulatory 24. Fitness Center

20

17

Level 01 | Entrances

3

1

4

2

1. Central Sterile 2. Materials Management 3. Laboratory 4. Pharmacy 5. Mechanical

5

Service Entrance

Level -01 | Services 112 | CANOPY OASIS

0

50’

100’

200’

400’

Mecca

N


Alternative Medicines There are several types of alternative medicines used in Saudi Arabia, two of the most widely used include Prayer and Medicinal Herbs. The central courtyard of the hospital is where both of these alternative medicines are located. There is a central two-story mosque surrounded by medicinal herbs. Common health symptoms treated1

Herbs and plants widely used in traditional Saudi medication2 Achillea biebersteinii An infusion from its leaves is used to reduce itching.

Allergy

Ecbolium virde Its leaves are used for treating skin rashes. Rhazya stricta Whole plant is used for improving bad breath, chest pain, skin rash. Mentha longifolia Fresh leaves with tea is taken to relieve stomach-ache and head-ache.

Headache

Arnebia hispidissima A solution obtained from boiling the whole plant in water is taken as tea to relieve fever. Moringa peregrina Oil from the seeds is used to relieve headaches, fever.

Fever

Senecio asirensis A decoction made from its leaves is used for treating fevers. Calligonum comosum Dried stems and leaves are used against toothache.

Dental pain

Indigofera articulata Soaked roots are chewed to relieve toothache. Ricinus communis Leaves and roots are used to treat bad breath, toothache etc.

Diarrhea

Nepeta deflersiana A mixture of leaves extract and tea is taken orally to ease stomach problems. Nerium oleander An extract from leaves is used for treating bronchitis, and coughs.

Cough

Tephrosia apollinea Ground leaves are used to treat cough. Sisymbrium irio A solution obtained from boiling the seeds in water is used to relieve cold and fever.

Cold and flu

Euphorbia schimperiana An extract of leaves and roots is used as a laxative. Matricaria aurea Inflorescence is used for making a tea for all stomach ailments.

Abdominal pains

Ruta chalepensis Leaves are used to cure rheumatism and abdominal colic.

01 02 03 04 05 0 Percentage of Studied Adolescent Population

Senna italica A solution made from boiling the leaves is used for treating constipation and stomach cramps. Tamarindus indicus Fruits are used as a laxative.

1 Musaiger, A. O., & Abahussain, N. A. (2014, August 22). Attitudes and Practices of Complementary and Alternative Medicine Among Adolescents in Saudi Arabia. Global Journal of Health Science, 7(1), 173-79. doi:10.5539/gjhs.v7n1p173

Labor & Delivery Entrance

Thomas, J. (2012, January 20). Vegetation. Retrieved from Plant Diversity in Saudi Arabia: http://plantdiversityofsaudiarabia.info/

2

25. PACU 26. Operating Rooms 27. CT/OR 28. MR/OR 29. Labor and Delivery

29

25

DN

27

28

26

Level 02 | Surgical

0

50’

100’

200’

400’

Mecca

N

KAITLIN GERSON + JULIETTE ZIDEK | 113


-

DN

DN

Level 04 | Nursing Units

UP

UP

Level 03 | Nursing Units 0

50’

100’

200’

400’

Mecca

114 | CANOPY OASIS

N


Patient Rooms | Prefabricated

0

25’

Patient Room | View from Bed KAITLIN GERSON + JULIETTE ZIDEK | 115


Patient Room | View from Door

Main Reception | Level 01 116 | CANOPY OASIS

Surgery Waiting | Level 02


Patient Room | View from Footwall

Mosque | Courtyard KAITLIN GERSON + JULIETTE ZIDEK | 117


Longitudinal Section Perspective

Transverse Section Perspective 118 | CANOPY OASIS


Central Courtyard KAITLIN GERSON + JULIETTE ZIDEK | 119


RIYADH GENERAL HOSPITAL JOHNATHON NELSON KIM JOHNSON Riyadh’s General Hospital was designed with three particular goals: improve user experience, provide access/views to nature, and respect cultural values of the region while operating as a westernized healthcare facility. Designing for the user was important for us as research has shown better patient outcomes come from patient happiness. We also realized that the experience of the family and staff were equally important. We used the building mass as a guide to the main departmental areas from the exterior and continuing that understanding of place throughout the interior spaces. The experience in between places was also important to us. Hallways, lobbies and waiting areas, became important areas we needed to focus on. We took cues from the region’s response to privacy and places designated for relaxation and then translated those ideas for our ‘in between’ areas. During an analysis of our site and neighbors, we saw that minimal spaces were allotted for parks. Green spaces were found only at hotel resorts. Our desire for visual and physical access to green spaces led our design of gardens that spilled from the rooftops to the ground. We incorporated green spaces using xeriscape plants on the ground level for first floor users and vehicles driving past, climbing vertically towards the towers and onto all horizontal surfaces. These greenspaces offer visual support for users and acts as a tool used to reduce the solar heat gain occurring on the rooftops.



Traffic Key Emergency Department Main Entrance MOB

MOB

Main Entrance

Service Ambulance Emergency Department

N

Ambulance

Q

122 | RIYADH GENERAL HOSPITAL

Service


6 - 15

Bedded Care

5

Sky Lobby Healing Gardens

4

Labor and Delivery VIP Suits

3

Mechanical Support Services

2

Surgery MOB Child Care Center Children’s Garden

1

Main Entrance Emergency Department Imaging MOB Food Service Support Services JOHNATHON NELSON + KIM JOHNSON | 123


Sun Shading

The base of the hospital is angled due to the site conditions and is in the best position to minimize solar heat gain the patient tower, however is at the worst possible angle. To combat this and still maintain the building position (which for culture reasons necessitated its placement on site) solar shading in the form of intricate 3D printed screens which would work both vertically and horizontally were developed. Light reflective material in order to reduce solar heat load on roof

Green roofs to reduce solar heat load on roof 67000 Wh/m2

+1735000 Wh/m2

solar heat gain on building exterior surfaces based on information found using ecotech

Vertical shading required to reduce solar heating load

horizontal surface to protect from northern and southern sun

124 | RIYADH GENERAL HOSPITAL

vertical louvers to protect from eastern and western sun

motif found in saudi arabian prints. Pattern has horizontal and vertical elements that assist in protecting solar heat coming from the east and west facing facades in addition to the northern and southern light coming in due to the building’s orientation


PROJECTED ICON

*Inspired by Arneill, Aliison., & Devlin, Ann S. 2002

The Waiting Experiance: ED

FAST TRACK CHECK IN & ICON SELECTION

MOTHER EXPERIENCING AN SKIN INFECTION COMES IN WITH FAMILY.

PATIENT

WAITING TIME AND ORDER, COLOR CODED ACUITY LEVELS

ACUITY LEVEL ACQUIRED

ELECTRONIC DEVICE

DATABASE TRIAGE RESULTS, PROFILE CREATED

PROVIDED FOR PATIENTS UPON CHECK-IN

WRIST-LET

1 2 3 4 5 6 7

GREEN SPACES ARE INTRODUCED THROUGHOUT THE HOSPITAL BOTH INSIDE AND OUTSIDE IN ORDER TO CREATE VIEWS.

THE RECEPTION ARE FOR THE ED IS OPEN AND EASY TO ACCESS. PATIENTS RECEIVE INITIAL INFORMATION HERE AND THE RECEPTION DESK STAFF CONTINUALLY CHECK ON THE NEEDS OF PEOPLE WITHIN THE GENERAL AREA.

WAITING ROOM NODES ALLOW FOR PRIVACY FOR FAMILY AND FRIENDS AND OFFER AN ALTERNATIVE TO THE TRADITIONAL WAITING ROOM

THE PUBLIC HALLWAYS ARE WRAPPED WITH WAITING NODES THAT ARE PLACED NEXT TO RETAIL SHOPS AND PUBLIC SERVICE AREAS.

AFTER CHECKING IN WITH THE RECEPTION DESK, THE NEXT STOP IS TRIAGE WHERE INITIAL PHASE BEGINS AND ICON AND WRISTLETS ARE GIVEN TO PATIENTS IN ORDER TO AVOID

PATIENT ROOMS ARE DESIGNED FOR FAST TURN OVER RATE IN ORDER TO.

PATIENT WAITING ROOMS DESIGNED FOR PATIENTS TO WAIT OUTSIDE OF THE PATIENT ROOMS. THIS FREES UP MORE ROOMS AND ALLOWS PATIENT TO WAIT IN A LES STRESSFUL ENVIRONMENT.

JOHNATHON NELSON + KIM JOHNSON | 125


Main Entrance

Retail Pharmacy

Gift Shop

Community Outreach Center

IT Support

Rehabilitation

Womens Health

Outpatient Ambulatory Care

Results Waiting ED Entrance

Patient Waiting Alcoves Cath Lab

Reception

Triage Rooms

Cont. Rm

Cont. Rm

Exam Rooms

Radiography

CT Scan

Cont. Rm

Cont. Rm

Patient Prep.

Cont. Rm

Hot Waiting

Team Station

Injection Rooms

Dining Services

MRI 1

Support

Stress Lab Cont. Rm Procedure Cardiac Rm. Rm. Ambulance Entrance

Nuclear Imaging

Admin.

Support Services

Lab

MRI 2

Support Services

Isolation

1st Floor

Children’s Garden Dental Services

Child Care Center

Support

Fitness Center

Respiratory Therapy

Cardiac Rehabilitation Center

Administration

Surgical Alcoves OR

Pre-Op Lab

Hybrid CTOR

Hybrid MMOR Hybrid MMOR

Male Lockers

OR

Surgery Waiting

Sterile Core Low Acuity PICU

Anesthesiology Female Lockers

2nd Floor 126 | RIYADH GENERAL HOSPITAL

OR

OR

OR

OR Soiled Work Rm.

OR Control

High Acuity PICU MD Work Rm.

MOB Support Services

Oncology


Waiting Alcoves

Inspired by traditional Islamic architecture the alcoves provide a semi-private waiting area, that are part of the hospitals decentralized waiting experience. Each alcove contains a screen that displays the patients position in the que and allows family to easily monitor where loved ones are. Helping to de-stress the waiting experience is one part of ensuring the best patient outcomes.

Main Entrance Exterior

ED Waiting Alcove Hallway

Main Entrance Interior

ED Results Waiting

Surgical Alcoves

Above the main ED waiting alcoves on the first floor are surgical alcoves. On the surgical floor the staff break and meeting rooms have been decentralized and placed in these alcoves. Frosted class over the light wells allow for natural light to floor into the surgical floor while still protecting patient privacy and restricting direct sun exposure

JOHNATHON NELSON + KIM JOHNSON | 127


Labor and Delivery

Mechanical Space

VIP Suits

Central Sterile

Pharmacy

Laboratory

3rd Floor

4th Floor Healing Gardens

A major portion of the hospitals patient experience centers on the expansive gardens. The main gardens are on the 5th floor as part of the sky lobby. To the east a general garden with curved paths and a large fountain create a quite healing oasis. To the west is the rehabilitation garden which uses linear paths to reduce confusion and contains a labyrinth and specialized rehabilitation area with ramps Women’s Prayer Room

Men’s Prayer Room

Security Desk

Bazaar

5th Floor 128 | RIYADH GENERAL HOSPITAL


omeliad

bromeli

ad agave euphor

bia_myr

sinites

s

myrsinite

ia_ euphorb agave

d

es

it rsin

my

a_ rbi

ho

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ve

aga

Children’s Garden

Located outside the child care center on the 2nd floor, the children’s garden features enclosed learning and play spaces. The garden also contains several free standing green walls to help teach kids how to tend garden.

JOHNATHON NELSON + KIM JOHNSON | 129


Family Waiting

Consultation

Team Station

Clean

Clean

Soiled

Soiled

Team Station

Clinical Elevators

Conference

Staff Lounge

Med / Surge Neighborhood 6-15th Floor

Care Giver Area Patient Area Family Area

130 | RIYADH GENERAL HOSPITAL


Oversized Family Area To Accommodate Large Saudi Families Hand Washing Station

Headboard

Respecting Islamic Culture

As a team it was decided early in the design phase to stay true to the program and create a “western style hospital� but still make reasonable accommodations for the strict religious culture of Saudi Arabia. Gender separation was not prioritized, however quibla direction was. To achieve this we curved the patient tower and arranged beds in the most convenient and respectful way. Patients in all beds can easily roll to their right and be immediately aligned to the quibla direction to facilitate easy prayer as required 5 times a day. JOHNATHON NELSON + KIM JOHNSON | 131


GREEN VEIL

THOMAS HAWK SIJIA LIU

“...’Man could make Paradise on Earth, make the Desert Bloom, that he was Creator and Steward...” Gardens and Courtyards can be a powerful healing supplement in the right conditions. With a bridge spanning the main road and several specialized courtyards within, Green Veil strives to take healing gardens to the next level. Three bed towers rise up to help disrupt direct solar radiation with the help of a double skin facade derived from cultural patterns and historic facades. The gardens within adapt to each department that they are located in to best meet the needs of the patients and the staff alike. From the grand main courtyard to its smaller counterparts, Green Veil moves to heal through the comfort of Nature.



0ft 25f

t 50f

t 100

ft

N

Qibla

N 0ft

25ft

50ft

100ft

Main Entry ED Walk-in Ambulance

Staff Entry

Service Outpatient Emergency Loop

l.

bu

Am

in

Ma

C

BLI

PU

ING

RK

PA

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Zoning according to the arrangement of different entrances.

C

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Tra

MO

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ffic

134 | GREEN VEIL

Tra

Site Plan with Concept Development

ING

RK

PA

To separate people and vehicles, raise MOB to second floor directly connectd to the parking garage.


ING

ING

PA

Move the LDRP to third floor, to provide a relatively independent level for pregnant women.

.

&TT DD&

Inp

P LIC BR PLUD

B p. O InM

To provide a continuous connection among the quadyards outdoors, move Surgery on second floor with LDPR.

B MO

B

MO

B

PU

T &T

D&D LIC

.

RP

LD

ING

RK

RK

PA

Inp

RK

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P LIC BR PLUD

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Quadyards with different expression come with the staggered bed tower . THOMAS HAWK + SIJIA LIU | 135


Islamic Gardens Diversity ...interplay between Real and Ideal, Practicality and Fantasy, Tangible and Symbolic, Physcial and Metaphysical, Urban and Natural...

Beauty ...richness of the Soul and the humble appearance of the body...

Conservation ...element of enviornmental concern, a basic tenet of Islam...

Contextuality ...requirement to have a garden designed in response to other elements of architecture...

Individualism ...considered central to Islam, where each person is responsible directly to God and bearing in mind that individuals also have a duty not to harm their neighbors’ ...

Multiple-Use ...central to the Islamic Garden, which should provide food and water not only for inhabitants, but also animals and birds, to shade and protect...

Moderation ...need to maintain balance of man with nature, to neither impose a form of rational will on nature, nor submit to a concept of nature...

136 | GREEN VEIL


Nursing Units

Outdoor Shell space

··· LADR

Shell Space Expansion

Mechanical and Transfer Floor

Surgical Procedures

C-Section Surgical Support

Holding PACU Waiting

Bed Tower Atriums

Dental Ambulatory Women’s Care Outpatient cardiac Oncology Outpatient Respiratory

Imaging Cafe Emergency Staff Support Gift Shop Retail Pharmacy Administration VIP Rehabilitation IT Support Childcare Education

88°

Fitness Service Court Processing

41°

Mechanical Food Services Material Mgmt. Administration Pharmacy Lab Mechanical

Visors Visors West and East

South

North

Stacking and Ciruclation THOMAS HAWK + SIJIA LIU | 137


Level: 01 ED - MOB - Imaging

The first level houses the Emergency Department as well as that of Imaging. The lower level of MOB is also located on the buildings west side and is available through boht the entrance courtyard and the second level bridge from the parking structure across the main street. The entrance courtyard continues through the public middle section fof the buildign and connects to the side courtyard seen in the rendering below.

Main Entrance

ED Walk-in

Ambulance

Staff

0ft

Service

25f

t 50f

t 100

ft

0ft

138 | GREEN VEIL

25ft

50ft

100ft

N

N


Level: 02 MOB - Surgery

The second level is the primary connection to the parking structure takes place, allowing for direct access to all outpatient sections of the MOB as well as a straight path to the central circulation core. Surgery is located on the building’s east side0ft directly above ED and 25f t Imaging 50f t 100

ft

0ft

25ft

50ft

N

N

100ft

Main MOB Access

With the second level being the primary access point to the MOB, it wanted to become a more grand gesture. By having the bridge curve into the building from the neighboring parking structure, it not only puts emphasis on the bridge itself, but also the main courtyard that it embraces. Cultural screens and access to a second floor courtyard right at entry gives a more comforting feel as the space is entered.

Surgery Courtyard

The courtyard located on the buildings eastern most side on the second level is dedicated to the surgery staff. It is a courtyard away from the public to allow the surgery staff to relax for a moment during their shift or between operations.

THOMAS HAWK + SIJIA LIU | 139


Level: 04 LADR

LADR is located on the fourth level, above the mechanical floor and begins the section of the building with inpatient rooms. The LADR is divided into three main sections, two of which house the LADR rooms. They are divided in two with respect to non-native methods and more native and culture based methods. The last section holds the NICU and C-Section. Courtyards separate the sections with views and their is a personal labor walk courtyard on the eastern side.

0ft 25f

50f

t 100

ft

0ft

140 | GREEN VEIL

t

25ft

50ft

100ft

N

N


Level: 05 - 09 Bed Towers

The bed towers located at the top of the building are divided into three. The primary reason being gender separation and to offer more views for the patients in the rooms.

Consultation Team Conference

TLT

On-Call

TLT

Med Room

Bed Alley

Nurse Manager

Soiled Utility

Clean Supply

Staff Lounge

Family Waiting

Central Reception

Consultation

Family Waiting Consultation

Staff Lounge

Relaxation/Prayer Corner

Room Layout

The rooms are primarily laid out with patient safety in mind. The angling of the facade also allows for clear views outside from the patient bed as well as clear view of the patient from the perspective of the staff walking along the corridors.

Nurse Team Station

TLT

Nurse Manager

0ft

Med Room

25f

t 100

ft

25ft

50ft

Clean Supply

Staff Lounge

t 50f

0ft

Soiled Utility

On-Call

Bed Alley

N

N

100ft

THOMAS HAWK + SIJIA LIU | 141


Level: 02 Mechanical Floor

The primary mechanical floor is located between the LADR and Surgery floors. This allows for the specific HVAC for each department to be easily divided, with surgery receiving its need for heavy HVAC and LADR and the Bed Towers receiving what is necessary.

Mechanical/Shell Space

0ft 25f

t 50f

t 100

ft

0ft

Room Layout

Most of the support for the building is located on the lower level. This includes the delivery and service area as well as additional mechanical spaces that may be needed. Key support departments like Processing and material Management are located more directly under Surgery to allow for direct access through a separate elevator core.

142 | GREEN VEIL

25ft

50ft

100ft

N

N


Bed Tower

lDRP Mech. PACU

Bridge

Waiting

Wo

Lobby Service Lobby

Gym. Mech.

Lab.

Bed Tower

LDRP Mech.

Mech. Women

Ambulatory

Gym.

Admin.

Mech.

Mech.

C-Section Imaging

Imaging

OR Support Emergency Mech.

RP Mech.

h.

y

n.

h.

C-Section Imaging

Imaging

OR Support Emergency Mech.

THOMAS HAWK + SIJIA LIU | 143


144 | GREEN VEIL


THOMAS HAWK + SIJIA LIU | 145


RWC: RIYADH WELLNESS CENTER FOLARIN IJELU ERASMO ORTEGA This project looks to promote health and wellness as a lifestyle through the use of designed elements within the hospital. This leads to us changing the idea of what a hospital can be and what it can offer the community. The project combines retail with hospital program to create a place for the entire community. The hospital can become a community center because of the way Saudi mall culture permeates all aspects of life.



SITE PLAN

148 | RWC: RIYADH WELLNESS CENTER


HEALING GARDENS

ENTRY GARDEN

REHAB HEALING GARDEN

Using EBD ideas, these healing gardens are designed to help in the patient healing process while promoting a healthy lifestyle for both clinicians and family members.

Waiting

Accessible

Protection

Views

Textures

CONNECTION GARDENS These gardens become a hybrid between traditional islamic gardens and waiting spaces for both patients and clinicians. The mix of traditional plantings with winding paths leading to areas of interest creates successful spaces.

COURTYARD GARDEN

CHILD AREA GARDEN

POPLAR TREE Nov

Feb

25m

MULBERRY TREE Nov APRICOT TREE Dec Feb POMEGRANATE TREE Feb Oct

RED JUDAS Feb

Aug

May

CHERRY TREE QUINCE TREE

Nov

PLUM TREE

Oct Mar TREFOIL

5m

DOG ROSE Oct

Sep

Sep

Jun

Mar

FIG TREE

Feb Sep

Mar

Jun FOLARIN IJELU + ERASMO ORTEGA | 149


Courtyard Create an enclosure to shield from sun and focus interest inwards

RIYADH_SITE

Step backs Upper Floor setback and create shaded Courtyard terraces bed tower naturefrom spaces Create anand enclosure to shield sun CHAMPAIGN_SOUTHand QUAD CHCIAGO_ART focus interest inwards

INSTITUTE

COURTYARD Step backs Upper Floor and create CREATES AN setback ENCLOSURE TOshaded SHIELD FROM Courtyard terraces and bed tower nature Create an enclosure to shield from sun SUN AND FOCUS INTERESTspaces INWARDS

STEP BACKS Absorb UPPER FLOOR SETBACKS CREATE The creates a full edge towards theSHADED Stepcurve backs south orienting itself towards the mall Upperwhile Floor setback and create shaded TERRACES AND SPACES FOR NATURE

ABSORB THEAbsorb CURVE CREATES A FULL EDGE TOWARDS The curve a full edge towards the backscreates THEStep SOUTH WHILE ORIENTING ITSELF south while orienting itself towards the mall Upper Floor setback and create shaded TOWARDS THE MALL terraces and bed tower nature spaces

EXTEND Extend A PUBLIC CORRIDOR TO THE CREATING Creating a public corridor to the garage Absorb EXTENDS CARAGE THE USABLE INDOOR AREA extends the usablea indoor area for retail The curve creates full edge towards the FOR RETAIL AND OUTPATIENT SERVICES and outpatient services

and focus interest inwards

150 | RWC: RIYADH WELLNESS CENTER

terraces and bed tower nature spaces

south while orienting itself towards the mall


MODEL

FOLARIN IJELU + ERASMO ORTEGA | 151


AXON STACKING

152 | RWC: RIYADH WELLNESS CENTER


Inpatient Beds

L6

Inpatient Beds

L5

Inpatient Beds

L4

Inpatient Beds

L3 L2 L1

Outpatient Outpatient

Rehab Sterile Supply

Labor & Delivery Diabetes Edu.

Pharm Public

Fitness Center

Food Service

Surgical Procedures

Imaging

ICU ED

Pharm Lab

Materials Mech.

Inpatient Beds

L6

Inpatient Beds

L5

Inpatient Beds

L4

Inpatient Beds

L3 L2

Outpatient

L1

Outpatient

Labor & Delivery Diabetes Edu.

Fitness Pharm Public Center

Food Service

Sterile Supply

Imaging

Rehab Surgical Procedures

ICU ED

Pharm Lab

Materials Mech.

BLOCKING AND STACKING DIAGRAMS

FOLARIN IJELU + ERASMO ORTEGA | 153


ED 1_Vesibule 2_Triage Room 3_Waiting Room 4_Bereavement Room 5_Clean Workroom 6_Soiled Workroom

7_Staff Zone 8_Treatment Room 9_Eye/ENT Room 10_Gyno. Exam Room 11_Consult Room 12_Isolation Room

13_Resuscitation Room 14_Procedure Room 15_Pediatric Treatment Room 16_Nurses Station

1

ED ENTRANCE

5 6

5 7

1_Radiography/Fluoroscopy 2_CT Scan 3_Nuclear Imaging 4_MRI

1

3

6 8

5_Cardiac Catheterization 6_Support 7_Waiting 8_Staff Zone

GROUND FLOOR

154 | RWC: RIYADH WELLNESS CENTER

4 8 9 10 11

16 15 14 13

MAIN ENTRANCE

Imaging

3

2

7

2 4

MATERIALS

12

AMBULANCE


3RD - 6TH FLOOR

Surgical Procedures 1_General OR 2_Hybrid CTOR 3_Hybrid MROR 4_Sub Sterile

5_C-Section Room 6_Support Spaces 7_Clean Workroom 8_Soiled Workroom

9_Pre-Operative Holding 10_PACU 11_Waiting 12_Staff Support

10 6 11

3

7 8

2

1 4 1

1

1

1

9 12

5

1

2ND FLOOR

FOLARIN IJELU + ERASMO ORTEGA | 155


2_RECEPTION

1_ENTRY

NARRATIVE

156 | RWC: RIYADH WELLNESS CENTER

4_OR

3_WAITING


6_MED/SURG RECOVERY

5_ICU RECOVERY

7_DISCHARGE

FOLARIN IJELU + ERASMO ORTEGA | 157


EXTERIOR SKIN

WEST SECTION VIEW

158 | RWC: RIYADH WELLNESS CENTER


LOBBY ENTRANCE

EAST SECTION VIEW

FOLARIN IJELU + ERASMO ORTEGA | 159


STAFF ZONE PATIENT ZONE

HYGIENE ZONE

PATIENT ROOM PLAN

160 | RWC: RIYADH WELLNESS CENTER

FAMILY ZONE


PATIENT ROOM

FOLARIN IJELU + ERASMO ORTEGA | 161


8 1

8 5

1 2 3 4 5 6 7 8 9 10 11 12

1

2

5 2

3 3

10 10

Horizontal Aluminium Member Translucent laminated safety glass 1 Horizontal Aluminium Member Aluminium bracket Translucent laminated safety glass Structural silicone2sealant 3 Aluminium Steel angles for glass structure bracket 4 Structural silicone sealant Steel Grating Aluminium sheet 5 Steel angles for glass structure Double glazing: 86mmSteel floatGrating glass with solar coating Bolt connection 7 Aluminium sheet 8 Double glazing: 8 mm float glass with solar coatin Vertical aluminum structural member 9 Bolt connection Steel beam with fireproofing 10 Vertical aluminum structural member Steel angle 11 Steel beam with fireproofing 12 Steel angle 2

3

16’

1

4

MODULE

DOUBLE SKIN DETAIL

MODULE

9

10

9

10

PLAN

8’

PLAN SCALE: 1/2” = 1’-0”

8’

PLAN SCALE: 1/2” = 1’-0”

162 | RWC: RIYADH WELLNESS CENTER

WA

SCA


1_HORIZONTAL ALUMINIUM MEMBER 2_TRANSLUCENT LAMINATED SAFETY GLASS 3_ALUMINIUM BRACKET 8 4_STRUCTURAL SILICONE SEALANT 5_STEEL ANGLES FOR GLASS STRUCTURE 1 Horizontal Aluminium Member 2 Translucent laminated safety glass 6_STEEL GRATING 3 Aluminium bracket 7_ALUMINIUM SHEET 10 4 Structural silicone sealant 5 Steel angles for glassSOLAR structure SHADING 8_DOUBLE GLAZING: 8MM FLOAT GLASS W/ 6 Steel Grating 9_BOLT CONNECTION 7 Aluminium sheet 10_VERTICAL ALUMINIUM STRUCTURAL MEMBER 8 Double glazing: 8 mm float glass with solar coating 9 Bolt connection 11_STEEL BEAM WITH FIREPROOFING 10 Vertical aluminum structural member 12_STEEL ANGLE 11 Steel beam with fireproofing 12 Steel angle 2

3

16’

1

8 4 5

6

11 7 12

9

10

BUILDING SHADE

8’

WALL SECTION

SHADE STUDY

SCALE: 1/2” = 1’-0”

WALL SECTION

FOLARIN IJELU + ERASMO ORTEGA | 163


GARDENS OF DELIGHT SEVARA KHABIBULLAEVA APARNA UVARAJ The aim of the design was to develop a holistic experience within the healthcare setting, that bestows care to the patients and their family, while providing the staff with favorable working condition. The project focuses on systemic circulation patterns among and within various departments, superimposed with the treatment zones,amenities and interactive zones. These internal spaces are woven into the outdoor through specially treated gardens which accelerate the process of healing. The building design assists stack effect through a large open atrium. The patient rooms are designed to provide optimal sunlight from the north and the east, for speedy recovery. And the landscape provides visual and thermal comfort. A crucial element to the design is the canopy that masks the entire structure and cycles cooling water that provides thermal conditioning to the occupants.



The Big Idea The concept of the design stems from research studies that demonstrate the positive attributes of interaction in the process of healing, at environmental, social and technological levels, among patients, families and staff.

166 | GARDENS OF DELIGHT


SEVARA KHABIBULLAEVA + APARNA UVARAJ | 167


Planning

168 | GARDENS OF DELIGHT


Planning

SEVARA KHABIBULLAEVA + APARNA UVARAJ | 169


Stacking Diagram

170 | GARDENS OF DELIGHT


Riser Diagram

SEVARA KHABIBULLAEVA + APARNA UVARAJ | 171


Building Formation The design and the form were influenced by arabic patterns. The abstraction of such a pattern accommodated the requisite of gender separation within the bed tower. The form aided in the manifestation of an unconventional curvilinear design with an exterior that is captivating and interior that supports unobtrusive layers of circulation.

172 | GARDENS OF DELIGHT


N NN

SEVARA KHABIBULLAEVA + APARNA UVARAJ | 173


Roof Plan

174 | GARDENS OF DELIGHT


Access Plan

SEVARA KHABIBULLAEVA + APARNA UVARAJ | 175


Ground Plan The Ground level houses the Emergency, Imaging and Outpatient Departments that require critical and public access.

EN T

MO

B

ON

OU

TP AT I

CO

RE

LO G

Y

SP

MO

IRA TO RY

B

ED

WA ED LK -IN

MAIN ENTRY

RE

H

ED RE

TA L

CE

MR

AB

D EN

PT

IO

N

CA

I

FE

CT R/

F

CA TH

NU

CL

W O HE ME AL N’S TH

EA

R

50’ 10’

CA

RD IA

C

PUBLIC CLINICAL SUPPORT

176 | GARDENS OF DELIGHT

25’


Main Entry

SEVARA KHABIBULLAEVA + APARNA UVARAJ | 177


main entry

178 | GARDENS OF DELIGHT


check-in lobby

SEVARA KHABIBULLAEVA + APARNA UVARAJ | 179


180 | GARDENS OF DELIGHT


SEVARA KHABIBULLAEVA + APARNA UVARAJ | 181


182 | GARDENS OF DELIGHT


SEVARA KHABIBULLAEVA + APARNA UVARAJ | 183


kids’ playing area

184 | GARDENS OF DELIGHT


family waiting area

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Second Floor Plan The Second Floor includes Surgical Department (right above ED and Imaging) and Public Amenities and Services on the other wing.

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188 | GARDENS OF DELIGHT


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transfering to patient room

190 | GARDENS OF DELIGHT


Third Floor Plan The Third floor acts as the point of entry from the Parking garage, through a bridge. It houses retail facilities and landscape zones that provide positive distraction. From this point, the user has the flexibbiltiy to acces the bed tower units on the top or the DNT departments at the base.

50’ 10’

25’

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Patient Bed Tower A typical bed tower floor accommodates sixteen units in each of the two wings that provides optimum patient to nurse ratios. In addition there are recreation spaces provided for the staff.

50’ 10’

192 | GARDENS OF DELIGHT

25’


staff garden

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staff breakout area

194 | GARDENS OF DELIGHT


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196 | GARDENS OF DELIGHT


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198 | GARDENS OF DELIGHT


typical patient room

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Evaporative Cooling Building Skin An element of marvel is added by the Khimar (Veil). The exterior canopy which is influenced by delicate and beautiful silken masks made out of wood that once masked the exteriors of Buildings in the Middle East, called the Mashrabiya. The intent was to deconstruct the identity and tradition of Mashrabiya as a static concept, and instead adopt innovative technology to cycle water through hollow terracotta blocks, so the prevalent incoming air is conditioned before it reaches the occupants. Depending on the position and orientation, the depth of the elements, the perception of the envelope and the spatial experience changes. Mashrabiya deconstructs the notion of cultural identity and tradition as a static concept, by incorporating flow of water though it.

200 | GARDENS OF DELIGHT


Hot air escaping from high claustre work opening

Sun shade

Shutters control air movement

Evaporative cooling as breeze passes over surface of porous water pot

Oriel window enclosed with carved wood latticework located on the second storey of a building

Porous water pot

Tiles cooled through natural process of seepage and evaporation

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Gardens Front Porch

202 | GARDENS OF DELIGHT


Gardens Formal Garden

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steel structures for graston technique therapy

garden for patients going through physical therapy to accomplish minor challenges as they are walking through the park fixed bike to encourage patients to ride it, waters splash as patients ride the bike

204 | GARDENS OF DELIGHT


stairs along the path help patients to exercie

bridge over small body of water to walk across

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children’s garden located in the middle of hospital to make it easy for parents to keep an eye on their kids

activities for kids, such as, climbing walls and musical instruments

round textured floor elements for kids to jump around and create interactive element

206 | GARDENS OF DELIGHT


meditation garden is away from the busiest parts of the hospital and includes maze

meditation garden is away from the busiest parts of the hospital and includes maze

prayer room is part of the meditation garden

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ldrp garden

ldrp garden is connected to the fourth level ldrp department for women in labor to take a walk

seating area for mother’s with space to keep the strollers parked next to benches

enclosed, more private seating area for patients.

ramp is connected back to the ldrp department

ramp is connected to the recreational | shopping level

208 | GARDENS OF DELIGHT


vegetable garden

vegetable garden for patients to own and grow their own vegetables plot for vine tree

plot for eggplants

plot for sorghum plot for tomatoes

plot for barley

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atrium children’s play area

210 | GARDENS OF DELIGHT


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Published on May 6, 2015 By the Students of ARCH 572: Behavior + Environment University of Illinois at Urbana-Champaign ISBN 978-1-329-14996-0

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