Américo Boavida Hospital
Américo Boavida Hospital
2010 - ...
The creation of the six emergency blocks and recovery room of this Hospital is born with the need of the functional restructuring of the current services, aiming at an "efficient and effective organization that allows the provision of clinical care, reception conditions and patient stay according to quality criteria and good practice ". The development of the program took into account certain criteria of principle regarding the location of each of the services and their interconnections.
The presentation project is designed to optimize and extend the efficiency of services through a clear, space-saving structure that is easy to read, allowing effective use by both service technicians and the public user, as well as obvious identification and separation of dirty and clean circuits. Thus, through a redesigned access that includes "transfer" of patients in stretcher, resort for hospital staff and cabinets for the director of the block and chief nurse, one accesses a corridor with connection to the existing area of emergency service, with 3 operative blocks, and also this new area. Hence, from a central circulation corridor, the connection between all the spaces of this block is made, including support areas such as a clean room / clothes / medicines, storage of the block / arsenal instruments, dumps and prewash room.
It is proposed the construction of six new operating rooms, arranged to ensure the degree of asepsis recommended for each one. Thus, it is guaranteed that access to each of the rooms can be done on one side by the patients, through the anesthetic induction room, two in number, or directly from the corridor and, on the other, by the surgical team through a personal disinfection room. At the end of the route there is a recovery room, with capacity for 6 beds. All these routes are organized in a way to clearly hierarchize the clean and dirty circuits, ensuring a "clean" area in the corridor to access the operating rooms, and dirty exits in the "back" of the block rooms, with direct access to the which directs the contaminated material to the sterilization area. Also the supply of sterilized surgical equipment and material is guaranteed through a dedicated circulation corridor, directly from the sterilization unit, located at the top of the building.
The emergency block program is structured around a pre-existing space, with an organizational structure that also depends on the existing circuits. It maintains the central corridor by reorganizing the spaces according to the stated program with the use of demolition of the existing walls for its implementation and the construction of new walls and coating of existing masonry in gypsum boards. The ceilings shall be lowered so as to incorporate all electrical and HVAC infrastructure and shall be covered in plasterboard in the work spaces and removable aluminium foil lacquered in the circulation areas in order to allow easy access for maintenance to the infra -installed structures. An intervention in the coverages is proposed, which includes the inclusion of a covered technical floor that aims to protect a set of AVAC equipment provided there. This area will have a low right foot so as not to have an impact on the built volume, being covered with grate in the part that lies between the current plank and the new coverage provided.
Solutions of materials of finishes are proposed that have as fundamental concern the guarantee of permanence of the chosen materials, with the use of constructive solutions that also guarantee low levels of maintenance. In this assumption are proposed window frames in thermo-lacquered aluminum with double glass incorporation with a design in all identical to the existing one and covers in "sandwich" sheet - double sheet termolacada with thermal insulation in the interior. Internally it is intended to continue the logic previously enunciated with materials that guarantee a long life, are, in their use, appropriate to the various situations proposed. Inwardly the coatings will be of hospital characteristics, ensuring the asepsis of the spaces, their easy maintenance and cleaning. We are talking about vinyls in all floors, being antistatic in the operating rooms and anti-slip in the sanitary facilities, which fold in the shape of a half cane to the walls desirably up to the height of the wheel-beds, and in all height in the sanitary facilities and operating room. The false ceilings shall be in gypsum boards in most of the compartments and in removable false ceilings in circulation areas for easy access to the infrastructures. The doors are made of phenolic material, with metal hoops and metal protections up to the height of the stretchers.