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Your Georgia Connection: Rich Olivier, Atlanta, GA • 1-800-409-1479
SGMC Undergoes Extensive Renovations, Improvements By Cindy Riley CEG CORRESPONDENT
Major construction at South Georgia Medical Center (SGMC) promises significant change at the non-profit hospital. Crews in Valdosta are putting in long hours, working to complete projects ranging from a patient tower, a new parking deck, infusion room and generator building. Drainage upgrades and nursing station renovations also are among the hospital’s recent improvements and renovations. “We are working an average of 50 tradesmen right now,” explained Mark Fernung, senior project manager of general contractor Robins & Morton of Valdosta, Ga., which is overseeing the patient tower project. “We should peak around 250.” The tower expansion and renovation involves approximately 127,000 sq. ft. (11,798 sq m) of new construction with the five-story patient tower construction and 8,000 sq. ft. (743 sq m) of renovation. According to Fernung, working in the somewhat confined space has been a challenge, along with keeping the existing areas functional and operating. Some of the equipment included as part of the job are cath labs, ceiling booms and patient lifts. The patient tower calls for 8,500 cu. yds. (6,498 cu m) of concrete, 850 tons (771 t) of reinforcing steel, 48,000 sq. ft. (4,459 sq m) of precast concrete, 180 tons (163 t) of structural steel, 20,000 sq. ft. (1,858 sq m) of metal panels, 17,000 sq. ft. (1,579 sq m) of glass and six new elevators. Crews hope to complete work on the tower by next summer. Half a dozen locations were evaluated before deciding on the current site for the patient tower, which is next to the outpatient center. The main floor of the new construction will house the Dasher Heart Center diagnostics and cath labs. The second floor of the tower is slated for the Cardiac Progressive Unit. The third floor will house the CICU, and the fourth floor will serve as the M/S ICU. A specialized surgical unit will be on the fifth floor. A bridge will connect the existing hospital with the new patient
Photo courtesy of Aero Photo
Working in the somewhat confined space has been a challenge, along with keeping the existing areas functional and operating.
tower. Chuck Smith, owner of Cauthan Construction Company Inc. said the SGMC Cancer Center expansion/renovaton and the new hospital parking deck both began in June 2011. “Both projects are in the final stages of construction with occupancy in approximately 45 days. Some of the biggest challenges or concerns on this project have included infection control, noise, parking and maintaining services to SGMC. Also, because we’re working through an existing building to enclose a courtyard and building over an existing detention pond, weather was a concern and a variable every day.” Equipment used by Cauthan’s crews included a tower crane, mobile cranes, boom truck, concrete pumps, backhoes, bulldozers, excavators, dump trucks, power buggies, demo equipment, concrete finishing equipment and pneumatic equipment. Materials have included structural fill, ready-mix concrete, masonry, metal studs,
many sub-contractors and suppliers.” Valdosta Mechanical Co. Inc. CEO Jimmy Scruggs says coordination is crucial on a project of this magnitude. “We’re responsible for the mechanical/HVAC work. We started on the bridge connector addition in March of 2012, and will start physical work on the patient tower in September. We are almost finished with the Cancer Center addition/renovation which started in late 2011, and have just started working in the new parking deck.” Valdosta Mechanical is working on the new generator building, and has just completed the air handling unit replacement, which is three projects combined into one, replacing air handling units for operating rooms and adjacent spaces, lab area and the radiology area. “Access to the site and coordination with other trades to make sure the owner has access to all components involved for maintenance is one of the biggest challenges. Hospitals have a lot more services than most buildings, but the allotted space never seems to increase proportionally. Chilled water piping, steam, heating water, supply duct, return duct, exhaust duct, fire protection piping, medical gases, domestic water, sanitary, and storm piping are all trying to fit into some very tight spaces. We are using building information modeling (BMI) to help accomplish this on the patient tower. Core drilling for the new patient tower kept “It’s even more challenging on the crews busy as they worked on one of SGMC’s renovation areas,” Scruggs explained. highest profile projects. “There are existing spaces so tight we can’t even remove the ceiling tiles. EIFS, hollow metal wood, door, pre-cast We’ve also had issues dealing with some of concrete, aluminum storefront/curtain wall the existing systems old enough that no one and structural steel. The Cancer Center expansion includes 27 knows where or what many of the compoinfusion bays and calls for fresh paint, floor- nents are. We’ve tracked and found dampers ing, cabinetry and new furniture as part of closed, blocking air to different areas, found the renovation. The parking deck, mean- in-line pumps no one knew the purpose of, while, is expected to feature a walkway from found piping that had eroded bad enough to stop up the HW system, etc. These are issues the deck to the main cafeteria hallway. Smith added, “These two feature projects typical in an aging facility that can’t be preare a successful reality due to the pre-plan- dicted. SGMC has been good about working ning and the close working/team relation- with us on these issues, but it takes a lot of see SGMC page 6 ship with our client, our design team and our
Page 2 • September 5, 2012 • www.constructionequipmentguide.com • Georgia State Supplement • Construction Equipment Guide
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Page 6 • September 5, 2012 • www.constructionequipmentguide.com • Georgia State Supplement • Construction Equipment Guide
Multi-Faceted Job Requires Coordination of Many Trades SGMC from page 1
time to resolve. “The patient tower is the largest project,” Scruggs went on. “It’s five stories with a new heart center on the first floor, and patient rooms on the upper four floors. We are installing five custom air handling units with fan walls totaling 140,000 cfm, two in the basement and three in penthouses to serve the building, three new boilers totaling 350 hp for heating water, chilled water piping connecting to the existing plant to provide 560 tons of cooling, nine individual computer room units totaling 45 tons, steam connecting to the existing plant for humidification, and 244 VAV boxes along with interconnecting supply, return, and exhaust duct. “The air handling unit project consists of removing and replacing four each air custom handling units with fan walls totaling 96,600 cfm, while the spaces being served are occupied, three new glycol subcooling chillers, and a new steam fed heating water system. We had about five days from shut down to getting each space back under full control. This required a lot of prep work, planning, and coordination with each department. The operating room systems were done one at a time, so the hospital always had at least half their eight rooms in use at any one time. During that time, we also installed new operating room pressure and status monitoring and connected them to the facility automation system. When finished, the units deliver 37degree Farenheit air and maintain the rooms as low as 62 degrees Farenheit at 42 percent relative humidity and can raise or lower the space temperature 10 degrees Farenheit in each individual operating room in about 11 minutes. We had to install a 20,000 cfm temporary unit connected to facility utilities for the radiology unit to keep it in service and the machinery cool while we were replacing the main unit and used spot coolers to maintain temperature in the lab while that unit was being changed out.” According to Scruggs, the Cancer Center addition and renovations involved installing a new 9,000 cfm custom rooftop unit with fan walls, 21 each VAV terminal units, HW and CHW piping to
connect the equipment to the existing facility utilities, and associated duct work and distribution pumps. The parking deck and bridge connector involve installing multiple fan coil units and associated HW and CHW piping to connect the new equipment to the existing facility utilities. The power plant project involves a new fuel system and associated tanks and piping, including a new 30,000 gal. UG tank, three new 400 gal. day tanks, and temporarily relocating the existing 10,000 gal. tank, and providing 25 tons of cooling for the new generator building. The air handling units are all made by Temptrol. Pumps are all B&G. Computer room units are all Liebert. VAV boxes are all JCI. Crews will be using 200,000 lbs. (90,718 kg) of sheet metal, 23,000 ft. (7,010 m) of piping, 23,000 ft. of piping insulation and 170,000 sq. ft. (15,793 sq m) of duct insulation. “Weather has not impacted us so far but has impacted the project as a whole while the basement is coming out of the ground. With all of these projects going on at the same time, logistics are a nightmare. We are involved on all of them, but each one has a different prime contractor. We were the prime contractor on the air handling unit project. Coordinating what is happening and when on each project to be able to control getting materials in and out where we need them has been tough, but everyone has worked together between the different projects very well. “We are prefabricating and using our warehouse as much as possible, delivering material and equipment to the site only as needed to minimize any lay down space and protect the materials to maintain the quality and cleanliness required in a medical facility. When all of these projects are finished, SGMC and the community as a whole will have one of the top medical centers in the region.” Ashley Paulk, president of Valdosta Electrical, predicts his crews will go through roughly a million ft. (304,800 m) of wire and approximately 250,000 ft. (76,200 m) of pipe as they continue work on the patient tower. “We’re using scissor lifts, Gehl loaders to move dirt, John Deere
The main floor of the new construction will house the Dasher Heart Center diagnostics and cath labs. The second floor of the tower is slated for the Cardiac Progressive Unit. Here crews have been working on the heart tower pit.
The new hospital parking deck is nearing completion and will serve visitors, patients and hospital staff.
backhoes, John Deere mini excavators and a John Deere 330 excavator,” Paulk said, “We needed the larger one because we’re as deep as 23 feet to get down to the basement.” “In addition to the tower, we’re actually doing the central energy plant that feeds the entire project. Our work here has involved a lot of coordination and planning. Anytime you’re adding on to a building, it’s a different environment. And in a hospital environ-
ment, you must be extra cautious in doing any kind of shutdown. You have to be careful not to turn off any critical service that could put someone’s life at risk.” Hogan Pullin, CEO of Erickson Plumbing of Valdosta, Ga., stated that his company was responsible for plumbing and medical gas, beginning in December 2011. “Accurate coordination and placement of nearly 1,000 sleeves for pipes penetrating the concrete floors is the greatest challenge on a
project of this nature,” Pullin said. “Doing so requires a great amount of effort to locate every sleeve on the plywood forms before the concrete is poured, so each pipe, fixture and drain is in its correct location.” Pullin also said that prefabricating as much practical in-wall domestic water and medical gas, and as much overhead sanitary piping as practical, was key. “This is done to maximize production while building the piping sections and minimize the field labor needed in installing the piping.” Kohler plumbing fixtures were used, along with Amico medical gas equipment. Fulton condensing boilers equipped for natural gas as the primary fuel source and fuel oil backup provided domestic hot water. A Flo-Pak domestic water booster pump also was utilized, along with Chem-Aqua water softener. Materials used include under slab sanitary and storm PVC. The domestic water piping is copper. Above slab sanitary and storm piping is no-hub cast iron. Medical gas piping is copper. Plumbing fixtures, drains and major equipment are worth about $700,000. Said Pullin, “A great deal of coordination between the trades, as well as with the owner-furnished equipment, is always a major factor in a health care project of this magnitude. Our company has been installing the types of systems required for this project in hospitals for more than 50 years and our superintendent has been doing so for nearly 30 years. When it comes to understanding and planning how all of the components of the systems should fit within the overall construction, our experience in this field is an invaluable resource.” Since SGMC’s founding in 1955, the full-service acute care facility has grown from a small community hospital into a regional referral center serving roughly 350,000 residents in north Florida and south Georgia. The hospital is noted for its Pearlman Cancer Center, The Birthplace and the Dasher Memorial Heart Center. (This story also can be found on Construction Equipment Guide’s Web site at www.constructionequipmentguide.com.) CEG
Construction Equipment Guide • Georgia State Supplement • www.constructionequipmentguide.com • September 5, 2012 • Page 7
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