The intra-operative MRI system at the United Hospital Nasseff Neuroscience Center in St. Paul, Minn., will allow neurosurgeons to perform real-time MRI scans during operations to confirm that all cancerous tissue is removed during procedures. |
11. Operating Room-Integrated MRI will Help Neurosurgeons Get it Right the First Time
A major limitation of traditional brain cancer surgery is the lack of scanning capability in the operating room. Neurosurgeons do their best to visually identify and remove the cancerous tissue, but only an MRI scan will confirm if the operation was a complete success or not. Consequently, patients must be stitched up and wheeled into the MRI room for further scans. If cancer is still present, further surgery is often required.
To avoid putting its patients through this painful cycle of surgeries and scans, the United Hospital Nasseff Neuroscience Center in St. Paul, Minn., is collaborating with HDR Architecture on an intra-operative MRI system. This "MRI on a track" will be able to move between two operating rooms and spin in any direction, allowing neurosurgeons to perform real-time MRI scans during operations.
"The neurosurgeon can use the intra-operative MRI to confirm that the entire tumor was removed before closing, thus reducing the need for additional operations," says Douglas S. Wignall, AIA, RAIC, international healthcare director with HDR Architecture, Omaha, Neb. In addition, Wignall says the mobility of the system allows the neurosurgeon to update images quickly and efficiently so that surgical adjustments and decisions can be made with pinpoint accuracy.
"This is one example of how architecture can help save lives," says Wignall.
The new SYNC modular nursing station line from Nurture by Steelcase is designed to accommodate both centralized and decentralized spaces. |
12. Nursing Stations Go Modular
Modular nursing stations are designed to accommodate virtually any healthcare environment, whether for centralized or decentralized spaces, standard or high-tech facilities, or new or retrofit projects. HDR Architecture collaborated with Nurture by Steelcase on the SYNC line, which was inspired by the way people fit in cockpits and automobiles. It accommodates multiple users, heights, and movements.
The centralized solution is offered in three fixed heights—28½, 36, and 42 inches—to provide seated, service counter, and standing solutions. Widths are available in one-foot increments from five to nine feet, and integrated monitor arms have 160-degree adjustability for sharing information between caregivers. The product sits elevated off the floor, creating a light, minimalistic look.
The decentralized products provide height-adjustable (23 to 48 inches), fixed, or combination surfaces in eight shapes. Two-person configurations allow each work surfa
ce to be adjusted individually.
A. Secondary MOB. B. MOB. C. Hospital. D. Nursing units. E. Signature entry rotunda. F. Future construction, including hospital expansion, additional MOB, clinic, and parking. G. Future helipad. |
13. Template Helps Hospitals Open Quickly and Efficiently
Faced with the unprecedented task of having to replace half its California hospital beds by 2015, Oakland, Calif.-based Kaiser Permanente, the nation's largest nonprofit HMO, enlisted SmithGroup and Chong Partners Architecture (now Stantec Architecture) to collaborate on the design of a new hospital template—a state-of-the-art, prototypical hospital that could be built on many different sites with only minimal changes to the basic concept for quick and efficient construction.
Luckily, the team wasn't starting from scratch. Over the years Kaiser had developed best-practices templates for emergency departments, patient rooms, and other individual clinical spaces and those pieces were combined into a single configuration for an entire hospital. The resulting template consists of common planning concepts, floor plans, equipment and furnishings, and structural and building systems. Exterior skins and colors vary from site to site. So far Kaiser has built five hospitals using the template, which shaved 15 to 18 months off its typical new hospital timeline.
Related Stories
| Jul 25, 2013
ACEEE presents the 2013 Champions of Energy Efficiency in Industry Awards
The American Council for an Energy-Efficient Economy (ACEEE) presented four Champion of Energy Efficiency Awards last night at its Summer Study on Energy Efficiency in Industry.
| Jul 24, 2013
Architecture Billings Index dips slightly in June, but demand for design services remains positive
All building sectors are seeing an increase in demand for architectural services, according to AIA's Architecture Billings Index for June.
| Jul 23, 2013
Paul Bertram to speak at ACEEE Summer Study on Energy Efficiency
Paul Bertram, FCSI, CDT, LEED AP and director of environment and sustainability for Kingspan Insulated Panels N.A., will present a white paper during the American Council for an Energy Efficient Economy (ACEEE) 2013 Summer Study on Energy Efficiency in Industry.
| Jul 22, 2013
School officials and parents are asking one question: Can design prevent another Sandy Hook? [2013 Giants 300 Report]
The second deadliest mass shooting by a single person in U.S. history galvanizes school officials, parents, public officials, and police departments, as they scrambled to figure out how to prevent a similar incident in their communities.
| Jul 22, 2013
Competitive pressures push academia to improve residences, classrooms, rec centers [2013 Giants 300 Report]
College and university construction continues to suffer from strained government spending and stingy commercial credit.
| Jul 22, 2013
Top K-12 School Sector Construction Firms [2013 Giants 300 Report]
Gilbane, Balfour Beatty, Turner top Building Design+Construction's 2013 ranking of the largest K-12 school sector contractors and construction management firms in the U.S.
| Jul 22, 2013
Top K-12 School Sector Engineering Firms [2013 Giants 300 Report]
AECOM, URS, STV top Building Design+Construction's 2013 ranking of the largest K-12 school sector engineering and engineering/architecture firms in the U.S.
| Jul 22, 2013
Top K-12 School Sector Architecture Firms [2013 Giants 300 Report]
DLR, SHW top Building Design+Construction's 2013 ranking of the largest K-12 school sector architecture and architecture/engineering firms in the U.S.
| Jul 22, 2013
Top University Sector Construction Firms [2013 Giants 300 Report]
Whiting-Turner, Turner, Skanska top Building Design+Construction's 2013 ranking of the largest university sector contractors and construction management firms.
| Jul 22, 2013
Top University Sector Engineering Firms [2013 Giants 300 Report]
Affiliated Engineers, URS, AECOM top Building Design+Construction's 2013 ranking of the largest university sector engineering and engineering/architecture firms in the U.S.