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HEALTH
CARE DESIGN EXPERIENCE - GLENS
FALLS HOSPITAL INPATIENT SURGERY RENOVATIONS
The Glens Falls
Hospital Inpatient Surgery Renovations had to be constructed
with minimal disruption to the hospital and with minimal
downtime of needed services to the existing surgical suite.
Construction was performed in phases.
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First,
pre-op, recovery, physician/nurse lockers and other support
services were relocated to the adjacent south wing.
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Next, one new operating room, a sterile
supply and scrub area were constructed adjacent to the
four existing operating rooms in the north wing.
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Then the east wing was gutted, including
operating rooms, pre-op, recovery and lockers. A
new air handling unit was provided in the east wing penthouse
to serve the new lockers, lounge, and office spaces.
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The existing
north wing penthouse was expanded to allow for additional mechanical
equipment. A new air handling unit was provided for the
operating rooms, pre-op, recovery, isolation, sterile supply
and scrub areas. The new units HEPA filtration system
exceeds minimum code requirements for filtration and air quality.
To minimize fan noise in the suite, the air handlers were equipped
with duct silencers on the supply and return. A new 100-ton
chiller was added to serve both new and existing surgical suites.
This allows the hospital to provide 40 degree chilled water
to the surgical suite and allows the central chilled water plant
to run at a higher temperature. The new chilled water
piping is connected to the central system for back-up.
All vibrating equipment in the penthouse was mounted on inertia
bases to prevent sound transmission.
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A
new steam-to-hot water convertor was added to allow more precise
temperature control of the surgical suite. The hot water
piping is also connected to the central system for back-up.
A new steam-to-steam convertor was added to provide clean, dry
steam to humidifiers. Each of the existing operating room
units were retrofitted with new HEPA filters and new humidifiers
were provided in each zone duct. This work was performed
at night when the operating rooms were not in use.
After construction was well underway, the hospital decided that
they wanted a high-tech orthopaedic operating room with a "clean-room"
atmosphere. In orthopaedic surgery where deep-wound infections
are a major concern, special precautions must be taken to protect
against airborne bacteria. A normal general surgery room
requires an air exchange rate of 15 air changes per hour.
W感惹 designed this room with 375 air changes per hour within
the clean zone around the surgical table and 90 air changes
per hour for the entire room. The system features clear
Lexan containment panels attached to the ceiling that extend
to a height of seven feet three inches above the floor, which
allow for maximum mobility of equipment. The containment
panels define the boundaries of the 10 foot by 12 foot clean
zone and provide a protective barrier to potentially contaminated
air. The air is delivered through laminar flow diffusers
with 99.99% efficient HEPA filters almost covering the entire
10 foot by 12 foot area. The return/exhaust air is picked
up low along the perimeter walls.
To provide the 7,100 CFM of supply air required for this room,
an additional air handler was required. New equipment
in the north wing penthouse had to be re-arranged to make room
for the additional air handler. Since the penthouse was
fully enclosed and the majority of ductwork and piping was installed,
the air handler had to be shipped in pieces and field assembled.
The unit included inlet and discharge silencers, a plug fan
and a cooling coil. To supply and return that amount of
air to the surgical suite, six supply and six return ducts were
routed between the existing joists. Careful field measuring
and coordination with the supplier of the equipment was undertaken
by W感惹 to ensure everything would properly fit. Room
Pressurization is monitored locally and reported remotely to
the energy management system. Air Monitor controls maintain
precise CFM setpoints by varying the speed of the air handlers
variable speed drive as the filters become loaded.
W感惹 worked closely with the hospital during the design and
performed extensive field investigations. W感惹 also maintained
an excellent working relationship with the contractors and construction
manager. The end result was that the only HVAC change
orders on the entire project were Owner requested additional
work and the orthopedic operating room.
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The renovation
of over 20,000 SF of operating rooms, recovery areas, and staff
support areas included new, dedicated chilled water and heating
hot water systems. Shown here (left) is a new 100 ton air-cooled
reciprocating chiller, serving the specialized needs of the
OR's and Recovery. Cross-connections to the main facility chillers
were made for "emergency" back-up. In addition, the new chiller
was placed on emergency power circuits, ensuring air conditioning
to the OR's at all times.
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This
picture (right) shows the ORTHO SURGERY ROOM. The area within
the operating field (enclosed by the ceiling hung lexan shields)
was designed to and tested out better than a Class 100 Clean
Room. As a result of W感惹' creativity, this room is extremely
quiet, despite the high air movement.
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The
picture on the right shows the new Neurological Operating Room.
The "high-tech" operating rooms were a necessary part
of this 2.3 million dollar renovation project. This project
enabled the Glens Falls Hospital to maintain its high
rank as one of the top hospitals in the Northeast.
In addition
to the HVAC upgrades, mechanical/electrical design included
expansion of the sprinkler, emergency power, fire alarm, and
medical gas systems. The new OR's included state-of-the-art
retractable medical gas columns. The fire alarm system was designed
to accommodate the future installation of a fully computerized
state-of-the-art fire alarm system.
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New air
handling units (pictured on the right) were placed in the expanded
Mechanical Penthouse. These new double-wall constructed units
provide higher air quantities and superior air filtration to
meet today's hospital requirements for "high-tech" OR's and
Recovery Rooms.
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