SAFHE/CEASA 2011 - DR. A.G. JEETOO HOSPITAL UPGRADE

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A presentation from the SAFHE/CEASA 2011 Conference by Colin du Toit. He covers the process and details of upgrading the Dr A G Jeetoo Hospital in Mauritius.

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SAFHE/CEASA 2011 - DR. A.G. JEETOO HOSPITAL UPGRADE

  1. 1. DR. A.G. JEETOO HOSPITALUPGRADE CASE STUDY APRIL 2011
  2. 2. THE REDEVELOPMENTOF DR. A.G. JEETOO HOSPITAL, PORT LOUIS, MAURITIUS
  3. 3. ASSESSMENT CRITERIATeam Experience and ResourcesKey Persons – named individuals – 15 yrs experience Team Leader Design Architect Hospital Planner Structural Civil Engineer Mechanical and Electrical Specialist Quantity Surveyor Equipment SpecialistMethodology
  4. 4. SCHEDULE OF ACCOMMODATION Accident & Emergency – 1158m2 Outpatients – 4 054m2 General Nursing Units – 8 861m2 Specialized Nursing Units – 1 314m2 Clinical Services – 3 805m2 Support Services – 2 796m2 Establishment – 2 179m2 Staff Facilities – 865m2 Circulation – 2 505m2 Total Gross Area - 27 553m2
  5. 5. BED ALLOCATIONMedical 112 BedsSurgery 100 BedsOrthopaedic 50 BedsPaediatrics 55 BedsNursery/Neo-natal 18 BedsGynaecology 25 BedsAnte-natal 25 BedsPost-natal 25 BedsLabour Ward 10 BedsPsychiatric 30 BedsCardiac 30 BedsDay Ward 12 BedsHaemodialysis 20 BedsICU 20 BedsHigh Care 18 BedsTotal 550 Beds 13
  6. 6. EXISTING HOSPITALMain Entrance Pharmacy and Records
  7. 7. EXISTING HOSPITALTheatres and ICU Central Space
  8. 8. METHODOLOGY CONSULTANCY SERVICES FOR THE UPGRADING OF THE DR. A.G. JEETOO HOSPITALInterrogate Schedule HOSPITAL PLANNER DESIGN ARCHITECT DESIGN ARCHITECT STRUCTURAL CIVIL PUBLIC HEALTH TEAM LEADER ELECTRICAL / MECHANICALAssess existing buildings SURVEYOR NO. METHODOLOGY - PRE-CONTRACT QUANTITY ENGINEER FGG J&AEstablish Design 1 1.1 BRIEF Accept Brief from the Client. Analyze brief and evaluate in terms of timescale, x 1.2Principles 1.3 1.4 phasing, financial limits. Analyze schedules of accommodation. Check whether budget provision is realistic x x x x x x x x x x x x x x Report to Client on concerns, comments, and advise on 1.5Agree Standards 1.6 how to proceed. Agree on reporting procedure. x x 2 SURVEY Obtain all record drawings of existing buildings,Prepare Masterplan 2.1 structures, and site. Obtain from Client information on ownership and any lessor and lessees of the site, and any known x x x x 2.2 easements, encroachments, rights of way, rights ofEstablish Operational 2.3 support, and other relevant matters. Obtain existing topographical survey, review, and identify any further survey required. x x x xPolicies 2.4 2.5 Obtain existing geotechnical survey, review and identify any further survey required. Verify accuracy of records, survey as necessary, and x prepare site plan of the existing hospital. x x x x Obtain records of underground and overhead services,Prepare Specifications 2.6 2.7 and validate on site. Evaluate existing site electrical reticulation. Report to Client on any further surveys or investigations x x x 2.8 required. x x x x xPrepare Documentation 2.9 Inspect existing buildings and evaluate in terms of practicality for re-use. Consider flexibility of space, fire safety, sound insulation, natural light and ventilation. x x x x x Inspect existing buildings structural and physical 2.10 condition. x x x x Inspect existing buildings mechanical services, in terms 2.11 of condition, conformity with current standards, and potential for being upgraded. x
  9. 9. DESIGN PRINCIPLESForming the basis of the Design Facilitate delivery of first class medical service. Use appropriate technology, and viable resources. Services which are essential to welfare of the seriously endangered patient are grouped together in close proximity. Needs of the patient are paramount. Efficient use of staff. Maximum use of natural light and ventilation. Circulation should be horizontal, and minimise the reliance on lifts. Different categories of circulation should be separated. Systems should be environmentally friendly, low energy reliant and low maintenance. Construction must be capable of implementation while the hospital is fully operational.
  10. 10. ENVIRONMENTAL PRINCIPLESConservation of Historic BuildingsMaintenance of existing trees.Encouragement of indigenous vegetation.Sustainable building materials and methods.Utilisation of local resources.Low Maintenance.Low energy consumption.Alternative energy sources.
  11. 11. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
  12. 12. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 M O N S I E U R S T R E E T FIELD MESS SERVANTS MESS COMPOUNDING SUB GENERATOR STAFF PARKING LINEN 22 CARS METHADONE WORKSHOP S T R E E T STORES GARDEN ELECTRICAL PROPOSED SERVICE SPEECH METHADONE CLINIC STORES YARD S T R E E T PHYSIO CATERING P O I V R E PHYSICAL PARKING STAFF DAY PARA PARKING 21 CARSS T R E E T WARD SOCIAL MESS 20 CARS C O U R C Y CARDIAC OPD GARDEN SPARE D E PLANT L A P E R O U S S E S T R E E T RAMP INCINERATORD E S R O C H E S CHEST D E LABORATORY CLINIC RADIOLOGY MEDICAL ORTHOPAED MEDICAL PAEDIATRIC RECORDS OPD PHARMACY OPD OPD H O S P I T A L S T R E E T PUBLIC EMERGENCY PARKING 24 CARS DROP-OFF SAMU ACCIDENT EMERGENCY UNSORTED SURGICAL O&G SHARED OPD OPD OPD OPD PARKING BUSES TAXIS PARKING MAIN ENTRANCE V O L C Y P O U G N E T S T R E E T GROUND FLOOR PLAN
  13. 13. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
  14. 14. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 EAST ELEVATION SECTION J - J SECTION B - B
  15. 15. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 M O N S I E U R S T R E E T SERVICE PARKING20 S T R E E T ENTRANCE POST NATAL CARS SERVICEYARD P O I V R E “H” BLOCK S T R E E T PARKING PARKING 21 CARS 16 CARS D ES T R E E T C O U R C Y STAFF ENTRANCE L A P E R O U S S E S T R E E TD E S R O C H E S PLANT D E MORTUARY PARKING 122 CARS ENTRANCE PARKING 24 CARS EXIT PLANT TAXIS PARKING MAIN BUSES ENTRANCE V O L C Y P O U G N E T S T R E E T BASEMENT PLAN
  16. 16. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 M O N S I E U R S T R E E T FIELD MESS SERVANTS MESS COMPOUNDING SUB GENERATOR STAFF PARKING LINEN 22 CARS METHADONE WORKSHOP S T R E E T STORES GARDEN ELECTRICAL PROPOSED SERVICE SPEECH METHADONE CLINIC STORES YARD S T R E E T PHYSIO CATERING P O I V R E PHYSICAL PARKING STAFF DAY PARA PARKING 21 CARSS T R E E T WARD SOCIAL MESS 20 CARS C O U R C Y CARDIAC OPD GARDEN SPARE D E PLANT L A P E R O U S S E S T R E E T RAMP INCINERATORD E S R O C H E S CHEST D E LABORATORY CLINIC RADIOLOGY MEDICAL ORTHOPAED MEDICAL PAEDIATRIC RECORDS OPD PHARMACY OPD OPD H O S P I T A L S T R E E T PUBLIC EMERGENCY PARKING 24 CARS DROP-OFF SAMU ACCIDENT EMERGENCY UNSORTED SURGICAL O&G SHARED OPD OPD OPD OPD PARKING BUSES TAXIS PARKING MAIN ENTRANCE V O L C Y P O U G N E T S T R E E T GROUND FLOOR PLAN
  17. 17. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
  18. 18. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 M O N S I E U R S T R E E T ADMIN S T R E E T UPPER MEZZ UPPER S T R E E T UPPER P O I V R E M1S T R E E T ADMINISTRATION C O U R C Y D E L A P E R O U S S E S T R E E TD E S R O C H E S F D E Q3 PLANT M2 RECORDS C.S.S.D. ROOM FINANCE LIBRARY M1 POLICE / M4 IT. STAFF REST GENERAL M3 ROOMS PERSONNEL V O L C Y P O U G N E T S T R E E T MEZZANINE PLAN
  19. 19. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 M O N S I E U R S T R E E T S T R E E T UPPER UPPER DOCTORS HEALTH MESS S T R E E T DOCTORS MESS UPPER P O I V R E PARAMED HEALTH MESS ORTHOPAEDIC WARDS T R E E T C O U R C Y D E SPARE L A P E R O U S S E S T R E E T CHESTD E S R O C H E S D E LABORATORY CLINIC LABOUR WARD SURGICAL SURGICAL O.T. 10 BED 25 BED 25 BED ICU 24 BED HIGHCARE 18 BED NURSERY SURGICAL SURGICAL NICU 25 BED 25 BED V O L C Y P O U G N E T S T R E E T FIRST FLOOR PLAN
  20. 20. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 M O N S I E U R S T R E E T S T R E E T S T R E E T P O I V R ES T R E E T C O U R C Y ROOF D E L A P E R O U S S E S T R E E TD E S R O C H E S L5a L1c D E L5b ANTE NATAL WARD GYNAE WARD MEDICAL WARD A/C 25 BED 25 BED 28 BED PLANTROOM E L5d L1c L1c DIALYSIS UNIT POST NATAL WARD MEDICAL WARD MEDICAL WARD 25 BED 28 BED 28 BED V O L C Y P O U G N E T S T R E E T SECOND FLOOR PLAN
  21. 21. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 M O N S I E U R S T R E E T S T R E E T S T R E E T P O I V R ES T R E E T C O U R C Y D E L A P E R O U S S E S T R E E TD E S R O C H E S L1c L6a D E L4a ROOF PAEDIATRIC WARD MEDICAL WARD PSYCHIATRIC WARD 25 COT 28 BED 15 BED LABORATORY ROOF L4b J3 L6b PAEDIATRIC PAEDIATRIC WARD CARDIAC WARD PSYCHIATRIC WARD PLAY AREA 30 BED 30 BED 15 BED V O L C Y P O U G N E T S T R E E T THIRD FLOOR PLAN
  22. 22. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 WARD VENTILATION External air quality is poor. Filtered fresh air supply to all Wards. Air supply into each ward with ceiling fans to assist circulation. Natural air movement into corridor assisted by extraction at each end. Extract duct at each end of corridor, with secondary extraction via bathrooms into extract shaft, discharging at roof level.
  23. 23. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
  24. 24. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 WEST ELEVATION SECTION F - F
  25. 25. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
  26. 26. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
  27. 27. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010
  28. 28. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 ENVIRONMENTAL PRINCIPLES Hot water produced by a combination of solar water heaters and heat recovery from the chillers. Expected annual savings of 85,000 kWhr saved which can be quantified with an associated reduction of carbon dioxide emission if this was to be heated by LPG gas of 17,000 kg 3/24/2011
  29. 29. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 ENVIRONMENTAL PRINCIPLES Maximization of daylight through the atrium with an estimated annual savings of 31,000 kWhr which can be quantified with an associated reduction of carbon dioxide emission if this was to be provided by artificial lighting of 16,120 kg Maximization of daylight in typical wards though openings with an estimated annual savings of 48,442 kWhr which can be quantified with an associated reduction of carbon dioxide emission if this was to be provided by artificial lighting of 25,190 kg
  30. 30. PREMIER PRESENTATION o DR A.G.JEETOO HOSPITAL UPGRADE o APRIL 2010 ENVIRONMENTAL PRINCIPLES Filtered fresh air supply to all areas departments of the hospital Use of energy efficient light fittings and Optimization of Energy consumption by using complex Building Controls systems Equipment using Ozone friendly refrigerants Re-use of existing buildings and restoration of historic buildings.
  31. 31. PROGRAMStart of Construction - October 2009Phase 1 Completion - January 2011Phase 2 Completion - October 2011Phase 3 Completion - February 2012Service Buildings - April 2011Refurbish Existing – February 2012Final Completion - February 2012
  32. 32. PROFESSIONAL TEAMFGG ArchitectsTeam Leader / ArchitectJ & A ArchitectsArchitect (Mauritius)Pholela HealthEquipment SpecialistPro-DesignMechanical & ElectricalOcal LtdQuantity SurveyorGibbCivil & StructuralClient - Ministry of Health & Quality of Life - Government of Mauritius

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