LINDSEY HOFSTRA
CLEMSON UNIVERSITY MASTER OF ARCHITECTURE + HEALTH
LINDSEY HOFSTRA
LINDSEY HOFSTRA
2
CONTENTS
[CONNECTIVE HEALING]............................................................................. 1
THE OPERATING ROOM.............................................................................. 8
THE HEALTHY VILLAGE CANCER CENTER................................................ 13
MEDICAL UNIVERSITY OF SOUTH CAROLINA........................................... 15
NANSHAN HOSPITAL EXTENSION (SHENZHEN, CHINA)............................. 19
LINDSEY HOFSTRA
[ CONNECTIVE HEALING]
Rehabilitation that is connected to community and nature Asheville, NC Spring 2017, 12 week project | ARCH 8920, David Allison Final Comprehensive Project, Individual Project
ABOUT Often times, rehabilitation occures away from community and every day activities, leading patients to feel isolated and as if they are removed from the world and relationships. Access to nature, both physically and sight wise, a sense of belonging and independence, fostering community, a rich variety of spaces, and an environment that allows for recovery to be somewhat enjoyed and enriching were all critical matters in my research and ultimately implemented into the design of the building. Also, sustainable building design that respects the site and location and fosters such community to occur.
ACCESS & LINKAGE
The place is easy to arrive at and connections are made between surrounding context. Edges of the area are to be important and the place must be convinient for buses and other public transport
Safe biker lane borders site and connects Watchuga Hospital Bus stop on site Sustainable parking garake below plaza that invites people up into the public space Parking along side of site
COMFORT AND IMAGE
USES AND ACTIVITIES
SOCIABILITY
Resources: Project for Public Spaces How to live in a city- 1964
A place should be comfortable to be in and have a good public image as a place that is cared for. There should be sitting areas, choices in those areas and cleanliness
Activities are what start a place and hold it together. People want to come when there is an activity or entertainment in the space. The more activities occurring the better
Clean lines and design Distinction of areas and choices for people Tree canopies provide shade and seating is by canopies
Spaces for service dogs and pets Grass areas for frisbee, picnics, relaxing, reading Public area near main stair well with food trucks Seasonal activities and vendors such as farmer’s market
People should feel like they belong and have some meaning from the place. Seeings friends, meeting new people, all helo to create a strong sense of community and fosters sociability
Three distinct communities within the area that can come together Different thresholds of sociability from the area near bus stop to the open space for events and gatherings to take place Activities that encourage sociability such as seasonal activities
LINDSEY HOFSTRA
1
MEDICAL OFFICE BUILDINGS
WATAUGA MEDICAL CENTER
LTACH SITE
0’
WATAUGA
200’
HOSPITAL
W EL LNE S
S DIS T
RICT
RE
ITA SP HO H AB
L
Bioswale
Riverbed
LINDSEY HOFSTRA
2
ENGAGING SPACE IN FRONT
Farmers Market
HEALTHY FOOD TRUCKS
Food Trucks
SUMMER
Farmers Market
Festivals
SPRING
PLACE
CHANGING OF SEASONS
EPISODIC EVENTS
AUTUMN
Walking Weather
Food Trucks
Fall Leaves
Concerts Fall Leaves
Christmas Market
Ice Skating
WIN TE R
ACTIVE
PASSIVE
ICE RINK IN ACTIVE SPACE
REHABILITATION PARK
Ice Skating
BIOSWALE LINDSEY HOFSTRA
3
Limestone
Tinted Glass
Aluminum Shading
Glass for double envelope facade
View from the rehabilitation park
MER
SUM
TER
WIN
1
E2
JUN
DEC
21
1
E2
JUN
DEC
21
1
E2
JUN
DEC
21
1
E2
JUN
DEC
Climate Consultant | 60 degrees for horizontal shades
21
Summer and Winter Solstice Light
HVAC hot and cold water connections
Summer Solstice
Winter Solstice LINDSEY HOFSTRA
4
107
107
136
100
136
100
137
137 99
Group#4 Group#3 Group#2 Group#1 Group#5
99
Group#4 Group#3 Group#2 Group#1 Group#5
132 Group#5 Group#1 Group#3 Group#2 Group#4
132 131
Group#5 Group#1 Group#3 Group#2 Group#4
98
131 112
98 108
112
108
97
DN
97
130 23
DN
130 23
87 24 87 24
88
88
---
25
-
Storage 122 SF
89
89
---
25
Storage 122 SF
111
111
WC 164 SF
Resource 154 SF Therapeutic Recreation 1334 SF
WC 164 SF
Resource 154 SF
90
26 WC 160 SF
WC 160 SF
Therapeutic Recreation 1334 SF
DN
90
Gift Shop 627 SF
Storage 101 SF
DN 1
Clergy Office 238 SF Conference Room 258 SF
Gift Shop 627 SF
Storage 101 SF
Director Office 57 SF
A107 1
Int Coord 62 SF
26
Clergy Office 238 SF
64
Conference Room 258 SF
Scheduler 67 SF
64
Director Office 57 SF Scheduler 67 SF
A107 113
22
Office Int Coord 145 62 SFSF
Conference 81 SF
113
22
Files/ Print 166 SF Conference 81 SF
Office 145 SF
21
Chapel 232 SF
Files/ Print 166 SF
21 Chapel 232 SF
92
20 16
92
18
18
19
20
16
19 95 15
95
DN
15
DN
14
14
DN
Speech Therapy 1529 SF
DN
13
Speech Therapy 624 SF
Speech Therapy 1529 SF
13
Speech Therapy 624 SF
27
Speech Therapy 570 SF
27 28
Speech Therapy 570 SF
12
28
12 29 115 29
DN
115
30
DN
32
30 11
32 11
10
10 9 33 9 33
8
8 34
7
34
7 6
6
1”=20’
LO B B Y A N D T H E R A P Y | L E V E L 2
1”=20’
103
101
105
103
107 105
101 100
136 107
137 136
100 99 Gr
Gr
137 Gr
oup#4 oup#3 oup#2 oup#1 oup#5
131
oup#5 oup#1 oup#2 oup#3 oup#4
99 98
oup#5 oup#1 oup#2 oup#3 oup#4
Gr
132 Gr
oup#4 oup#3 oup#2 oup#1 oup#5
oup#5 oup#1 oup#2 oup#3 oup#4
132 Gr
Gr
oup#4 oup#3 oup#2 oup#1 oup#5
112
108
Gr
oup#4 oup#3 oup#2 oup#1 oup#5
131
oup#5 oup#1 oup#2 oup#3 oup#4
98 97
112
130
108
DN 97 87
DN
23
130
DN
24
23
87 88
DN
24
128' 25
88 89
111
111 26 64
90 113
DN
22 64
21
113 92 18 19
92 95
DN
128'
26
25 89 90
DN
16 18 15 19
95
16
22
20 21
20
15 14
DN DN
200'
200'
14 13 27
DN
28
1213
27 115
DN DN
29
28
11
29
115
30 32
9
7 8
6 34
7
10
10
8 34
33
11
9
33
Mechanical
12
30
32
Structure
Life Safety
6
Main drop-off point and entry
Main entry out of light filled garage LINDSEY HOFSTRA
5
130 23
130 24
23
Administative Storage 299 SF
24
WC 60 SF Therapy Gym 2828 SF
WC 60 SF Acute Care 319 SF Acute Care 325 SF
Administative Storage 299 SF WC 80 SF WC 60 SF
Acute Care 343 SF WC 73 SF
WC 75 SF
WC 80 SF
WC Acute Care 343 SF 74 SF Patient WC 302 SF 74 SF
Laundry 145 SF
---
Nourishment 229 SF
Clean Linen 288 SF
Acute Care WC 302 SF 75 SF
Nourishment 229 SF
Nurse Station 164 SF
Acute Care 300 SF
Patient 338 SF
RT work and T-zone 287 SF Soiled Holding 180 SF
Patient 311 SF
WC 78 SF WC 79 SF
Patient 311 SF
Patient 328 SF
Kitchen 165 SF
A107
wc 76 SF
WC 99 SF
Soiled Dining Cart 46 SF
WC 78 SF
Clean Supply 226 SF
21
20 16
Patient 300 SF
18
Patient 308 SF
19
15
Patient 317 SF
15
14
Patient Patient 317 SF 306 SF
wc 76 SF wc 76 SF
20
19
Patient 294 SF
Patient 284 SF
wc 76 SF
WC 99 SF
22
Patient 284 SF Patient 300 SF
WC 77 SF Clean Supply 226 SF Laundry 426 SF
WC 76 SF
Kitchen 165 SF
A107
WC 79 SF
WC 77 SF WC 78 SF
Laundry Nurse Station 160 SF 426 SF
Soiled Dining Cart 46 SF WC 76 SF
Patient 328 SF
1
64
21
16
WC 78 SF
WC 75 SF
WC 76 SF
WC 76 SF
Acute Care 329 SF
Acute Care 299 SF
WC 79 SF
Patient 308 SF
WC 75 SF
Patient 323 SF
1
22
18
Storage 122 SF Nurse Station Clean Supply 160 SF 207 SF
Patient 323 SF
WC 73 SF
Acute Care 300 SF
Patient 294 SF RT work and T-zone 287 SF
64
DN
Medical Equipment 378 SF
Acute Care 302 SF
Soiled Holding 180 SF
WC 75 SF
Patient 340 SF
Support 443 SF
Acute Care 329 SF
WC 79 SF
Storage 122 SF Clean Linen 288 SFClean Supply 207 SF
WC 75 SF
WC 75 SF Patient 311 SF
26 WC 73 SF
Acute Care 299 SF
WC 79 SF
Medical Equipment 440 SF
DN
Medical Equipment 378 SF
WC 75 SF
WC 58 SF
WC 79 SF
WC 75 SF
WC 75 SF
Support 443 SF
Tzone 75 SF
Nurse Station 160 SF
Medical Equipment
Storage 440 SF Soiled Dining Cart 157 SF Nurse Station 50 SF 164 SF Patient 338 SF
WC 75 SF
26
WC 58 SF
Nourishment 190 SF
Staff Conference 203 SF
Patient 311 SF
25
Nourishment 190 SF
Laundry 145 SF
WC 74 SF
Patient 340 SF
Support 185 SF
-
Tzone Janitor 75 SF 99 SF
Nurse Station 160 SF
Staff Conference 203 SF
25
Janitor 99 SF
WC 73 SF
WC 75 SF
Storage WC Soiled Dining Cart 157 SF 74 SF 50 SF
Patient 308 SF
---
Acute Care 319 SF
Acute Care 325 SF Patient 308 SF
Therapy Gym Support 2828 SF185 SF
-
WC 60 SF
Patient 302 SF
Exam 173 SF
14
P of C Test 239 SF Patient 306 SF
13
Exam 173 SF Quiet Room 399 SF
27
P of C Test 239 SF
13
28 Quiet Room 399 SF
27
28
12
29
115
12 30
29 32 115
11 30
32
10
11
9 33
10
8 9 33 34
7 8
6 34
7
6
INPATIENT | LEVEL 4 103
105
101
107 136
103
100
137 105
99101
107132 98
97
131
136
100
112
108
137
99
130
23
132 87
131
98
89
24
112
108 88
97
130
87
23
25 24
111
26 90
64
25
113 89
111
22 26
21
92 90
95
132'
88
18 19
16
132'
20 64
113
22
15 21
92
14 16 18 19
95
20
13 15 27 28
12
30 32
11
27 28
10
33
115
29 8
32
Mechanical
14
29
115
34
9 30 11
7 6
10 9
33 8 34
13
12
Structure
Life Safety
7 6
ROOF GARDEN WALKWAY
Patient Room
Elevation-Section North/East Side LINDSEY HOFSTRA
6
ROOF DRAIN
4" CONCRETE SLAB ON STEEL DECKING
1
C- CHANNEL CAP WATERPROOF MEMBRANES SHEATHING
COPING
24
HOT/COLD SUPPLY FOR HVAC INSULATED
WIDE FLANGE BEAM
2 A114
FIBER CANT STRIP
roof lev
REINFORCEMENT LAYER
CAP SHEET MEMBRANE
BOLTED CONNECTION FOR VERTICAL FINS
NAIL FLASHING
BULKHEAD
RIGID INSULATION
STRUCTURAL CURTAIN WALL WITH ARGON GASS GLASS
ROOF MEMBRANE
SHEATHING
TAPERED RIGID INSULATION
RIGID INSULATION EXPANDED POLYSTYRENE 4X8 SHEETS 1 1/2"
BENT STEEL PLATE 3/4"
ALUMINUM WOOD COLOR COATED VERTICAL FIN
1
CASTILATED BEAM
6" DRAIN LEADER WITH 2" INSULATION
SPRAY FIREPROOFING BLOCKING
roof level-Level 6 64' - 0"
Parapet Detail
STRUCTURAL MULLION C-CHANNEL CONNECTION FOR HUNG CEILING HAT CHANNEL GYPSUM CEILING TIES FOR GYPSUM CEILING 23
VAV BOX
CLIP ANGLE
DUCT FOR TEMPERED AIR
BOLTED METAL PLATE SPANDRAL GLASS
BULKHEAD C-CHANNEL SUPPORT TIEBACK
2
4 A114
BULKHEAD
Level 5 - Inpatient 48' - 0"
RIGID INSULATION
C-CHANNEL CAP
Level 5
COLUMN FOR CANTILIVER TIE
STRUCTURAL VERTICAL MULLION TUBE STEEL
STEEL KICKER SUPPORT
STRUCTURAL HORIZONTAL MULLION TUBE STEEL
SUPPLY AIR
BULKHEAD
WALLS CONTINUE UP FOR ACOUSTICAL COMFORT
2
FIRE SPRINKLER
Fin and Spandrel Detail
SPRAY INSULATION
Level 4
SUPPORTIVE I-BEAM SPANDREL GLASS HUNG C-CHANNEL CAULKING
Cantilever structure with Castellated beams and Tapered beams on bottom
FIREPROOFING AND INSULATION SHEATHING FIREPROOFED JOISTS ALUCOBOND CONNECTION AND WET SEAL ALUCOBOND PANELS CAULKING
WATERPROOF MEMBRANE 24X24 IBEAM COLUMN WITH FIREPROOF SHEATHING
3
3 A114
FLASHING
Z-CLIPS FOR ALUCOBOND TRACK FURRING CHANNEL FLASHING AND WATERPROOF MEMBRANE
2X4 KNEE HEAD TAPERED INSULATION 1/4" SLOPE PER FOOT DROPPED STEEL DECK ALUCOBOND 12'X4' PANELS
Lev
CLIP ANGLE
ALUMINUM TRIMMING
STOREFRONT GLASS
2 1/2" STEEL TUBE
BASEPLATE ANCHORBOARD GRAVEL BACKFILL
Double cantilever situation which requires more beam reinforcement at often intervals
DRYWALL C-STUDS RETAINING WALL WATERPROOF MEMBRANE
24
EXTRUDED POLYSTYRENE RIGID INSULATION 1" DRAINAGE MAT DRAIN STOREFRONT WINDOW FLASHING Z-CLIP CONNECTION TAPERED RIGID INSULATION WATERPROOF MEMBRANE DROPPED METAL DECKING 6"
WATERPROOF MEMBRANE METAL PLATE
I-BEAM WRAPPED IN FIREPROOFED SHEATHING LARGE FOOTING TO SUPPORT CANTILIVERS ABOVE COMPACTED GRAVEL
WATERSTOP GASKET KEY FIT
VAPOR BARRIER
FILLER FABRIC AROUND DRAIN
1/2" EXPANSION JOINT, FELT AND ASPHALT
FOUNDATION DRAIN
STUD TRACK
RETAINING WALL FOOTER
POURED CONCRETE SLAB
Level 1-
ALUCOBOND PANELS
Level 3-Mezz 16' - 0"
Section through Main Entry and Inpatient Suites
3
Mezzanine Window Detail
LINDSEY HOFSTRA
7
THE OPERATING ROOM
Maximizing flow, incorporating technology and designing for patient satisfaction Charleston, SC Fall 2016 15 week project| ARCH 8950, David Allison Studio Project | Lindsey Hofstra, Leah Bauch, Jane (Zhiquin) Liu, Max (Shirui Lin, Inge (Yinge) Huang, Rachel Matthews, Austin Ferguson and Kenneth (Qian) Dong -Evenly divided work
ABOUT With the AHRQ RIPCHD.OR grant, our studio conducted research on the OR of the future and how to better design for flow and for staff and patient satisfaction. Better flow and optimizing once repetitive or distance traveling tasks can prove to directly benefit the patient, help the staff and increase turnaround time of the OR room which ultimately would mean that more surgeries could be performed when needed. Our studio team, with the assistance of professional designers, OR staff and vendors, sought out to improve infection control rates, cut down on time, optimize flows of the staff, and cut down on time spent in the OR and mistakes that are often times made. In the final stages of the semester after our research with a full scale mock-up, we designed the ideal operating room for ambulatory surgeries.
GUIDELINES
1
2
EMPLOY A FLEXIBLE ROOM / SUITE CHASSIS
PROVIDE INTEGRATED DIGITAL INFORMATION DISPLAYS IN MULTIPLE LOCATIONS
A
3 PROVIDE APPROPRIATE AND CONTROLLED ACCESS TO DAYLIGHT AND VIEWS TO THE EXTERIOR
4
5
6
INCORPORATE PLUG & PLAY SYSTEMS
PLAN AND LAYOUT THE OR TO OPTIMIZE MOVEMENT AND FLOW
PROVIDE FLEXIBLE & CONTROLLABLE ARTIFICIAL LIGHTING
A.Z.
S
DIRECT SUNLIGHT
S
CURRENT
PRE-OP
C.Z. SN
S.Z.
INTRA-OP
CN
REFLECTED SUNLIGHT WITH INSIDE/ OUTSIDE SHADING POST-OP FUTURE
NO SUNLIGHT
LINDSEY HOFSTRA
8
SUITE OPTIONS CC
ROOM OPTIONS TESTED 22' - 0"
1
2
A
A.Z.
OR
26' - 0"
14' - 3"
OR
CLEAN CORE
C.Z. S.Z.
13' - 0"
B
OR
OR
C 12' - 3 1/2"
12' - 3 1/2"
ROOM LAYOUT A
SC b
SC a 22' - 0"
1
2
WC b
WC a
3
A
OR
A.Z. 14' - 3"
OR GB&A
26' - 0"
SINGLE CORRIDOR
SINGLE CORRIDOR
C.Z.
OR
S.Z.
13' - 0"
OR
OR
OR
OR
C
B
OR
OR
OR
OR
WORK CORE
WORK CORE
OR OR
OR
OR
OR
C
12' - 3 1/2"
12' - 3 1/2"
15' - 0"
ROOM LAYOUT B
SC b
SC a
B
A
WC b
WC a
C
A.Z.
S.Z.
C GB&A
C.Z.
22' - 0"
S.Z.
12' - 3 1/2"
2
OR
OR
OR
SINGLE CORRIDOR
12' - 3 1/2"
SINGLE CORRIDOR OR
OR
OR
OR
OR
OR
OR
OR WORK CORE
WORK CORE
OR OR
1
OR
OR
OR
26' - 0" 14' - 3"
13' - 0"
ROOM LAYOUT C
SC c
22' - 0"
1
2
13' - 11"
WC c
3
A
INDUCTION
INDUCTION
A.Z.
OR C GB&A
14' - 3"
26' - 0"
B
OR
S.Z.
WORK CORE INDUCTION
OR
OR
INDUCTION
INDUCTION
C
12' - 3 1/2"
12' - 3 1/2"
INDUCTION
INDUCTION
C GB&A
OR INDUCTION
INDUCTION
INDUCTION
SINGLE CORRIDOR
C.Z.
OR
INDUCTION
INDUCTION
INDUCTION 13' - 0"
OR
INDUCTION
INDUCTION
OR INDUCTION
15' - 0"
ROOM LAYOUT D
This room configuration was found to be most ideal in terms of ease of transporting the patient in and out of the room, visibility for the navigating nurse and anesthesiologist, functionality of the scrub nurse and visibility and movement for the surgeons. It was an iterative process to find this ideal setup using our life-size mock-up and having clinicians come in to do the simulations
For each room that we tested, we also tested how it the room would function at a larger scale, which included 1. Clean Core 2. Work Core 3. Single Corridor The work core suite with the adaptability of storage / control room next door tended to be liked among most clinicians that participated. It allows for a centralized scrub and work area as well as future expansion possibilities.
LINDSEY HOFSTRA
9
1
1
2
2
A
A
595 NSF
A.Z.
A.Z.
FGI MIN | 400 SF MIN DIMENSION | 20 FT Above Equipment Movable Furniture or Equipment Patient Circulating Nurse Scrub Nurse Surgeon Anesthesiologist
C.Z.
B
S.Z.
C.Z.
B
S.Z.
C
C
PATIENT PREP
2
1
A
1
3
2 22' - 0"
A.Z.
4 22' - 0"
15' - 3"
A S.Z.
28' - 1"
S.Z.
S.Z.
C.Z.
CG & AB
CG & AB
C.Z.
C G & AB
C.Z.
CG & AB
A.Z.
A.Z.
S.Z.
C.Z.
C.Z.
A.Z.
A.Z.
B
17' - 5 1/2"
B
C 20' - 0"
S.Z.
D 17' - 5 1/2"
C
E 28' - 0"
A.Z.
A.Z.
C.Z. S.Z.
A.Z.
C.Z. S.Z.
INTRAOPERATIVE
A.Z.
C.Z.
C.Z.
S.Z.
S.Z.
F
WORK CORE SUITE The work core suite with the adaptability of storage / control room next door tended to be liked among most clinicians that participated. It allows for a centralized scrub and work area as well as future expansion possibilities.
WC b
1
2
A
OR
OR
A.Z.
WORK CORE
OR
OR
(Work Core drawing by Leah Bauch)
C.Z.
B
S.Z.
C
INTRAOPERATIVE LINDSEY HOFSTRA
10
1
2
A
A.Z. 4
C.Z.
B
S.Z.
C
ANESTHESIOLOGIST PATIENT PREP
2
1
A
A.Z.
3 B
C.Z.
S.Z. C
SURGEON VIEW INTRAOPERATIVE
1
2
A
A.Z.
C.Z.
B
S.Z. 1
C
CIRCULATING NURSE POST OPERATIVE LINDSEY HOFSTRA
11
WALL PANEL CONNECTION
CEILING/WALL CONNECTION
4" STEEL STUDD C CHANNEL
C CHANNEL 1/4" CARRIAGE BOLT
4" STEEL STUDD
METAL CEILING/ GLASS CONNECTOR METAL BACKING
FLAT SCREEN TV
BRACKET RECEIVER CONNECTION SCREW
METAL HANGING CEILING STRUCTURE
BRACKET GLASS PANEL
PLASTER CEILING SYSTEM
BUILDING THE OR MOCKUP METAL BRACKET CONNECTOR WELD GLASS PANEL
SECTION DETAIL
PLAN DETAIL
4" STEEL STUDD
1/4" CARRIAGE BOLT METAL HANGING CEILING STRUCTURE
C CHANNEL
METAL CEILING/GLASS CONNECTOR
PLASTER CEILING SYSTEM WELD
BRACKET BRACKET RECEIVER CONNECTION SCREW RUBBER STOP
METAL BRACKET CONNECTOR 4 " STEEL STUDD
OR STAFF CONDUCTING DIFFERENT SIMULATIONS
GLASS PANEL
METAL BACKING
FLAT SCREEN TV
GLASS PANEL
PARTICIPATION AND FEEDBACK FROM CLINICIANS AND ARCHITECTS
(Model by Austin Ferguson, Jane (Zhiqin) Liu, Inge (Yingce) Huang, and Kenneth (QIan) Dong) LINDSEY HOFSTRA
12
THE HEALTHY VILLAGE CANCER CENTER
Thriving in Community
Greenville, SC Spring 2016, 12 week project | ARCH 8960, Byron Edwards Individual Project
ABOUT Cancer centers of the past and sometimes today are places often times of hopelessness, with buildings and rooms that are not calming nor maintained with care. With this project, our studio researched Integrative Cancer Care strategies that included alternative and medical methods of care. A Maggie’s Center was to be integrated into the project which included a lot of Integrative Care spaces. My inspiration came from the natural contours of the site that reminded me of the calm and tranquility that can be found in a small Italian hill town.
SHELTER
SHADE
NARROWING/ WIDENING OF STREETS -NEVER STATIC
D
LAN
NN
CO
LE
SEATING
ITH
W ECT
HU
MA
NS
CA
WALKING & VEHICULAR
WALKING & PIAZZA
THRESHOLD OF SCALAR SPACE / SCALAR LAYERS
THRESHOLD OF SCALAR SPACE - Sienna example of layering VILLAGE FORMS TO HILLSIDE - Latronico example
LINDSEY HOFSTRA
13
HOT lab 72 SF
CT 584 SF
Exam 143 SF
Exam 145 SF
Exam 147 SF
Cntrl 107 SF
Exam 132 SF
Rad onc office 130 SF
Jan 39 SF
Rad ther man 114 SF
HDR 517 SF Cntrl 85 SF
TLT 88 SF
Exam 127 SF
DN
LINAC cntrl 109 SF
women change 139 SF
W sub wait 168 SF
LINAC 562 SF
TLT 71 SF
Physicist 158 SF
staff TLT 60 SF
Break 146 SF
Soiled 81 SF
M sub wait 163 SF
equip storage 159 SF
FR(inactive) 196 SF
men change 122 SF
TLT 64 SF
Billing 105 SF FR(active) 186 SF
Phys Storage & Lab 346 SF
bio office 127 SF
Stor 26 SF Clean 127 SF
treatment planning 254 SF
Conference 207 SF Nurse Work Rm 144 SF Infus Bed 123 SF DN
consult 138 SF
DN
TLT 64 SF Infus 80 SF
Infus 80 SF
Infus 80 SF
Infus 79 SF
Infus 80 SF
Infus 80 SF
Nurse Prac 80 SF
Nurse Station 156 SF
Infus 80 SF
Electrical 59 SF
Infus 80 SF Storage 35 SF
Infus 80 SF
UP
TLT 65 SF
Infus 80 SF
Stor 41 SF
TLT 64 SF
Infus 82 SF
Manager Office 81 SF
Infus 81 SF
Infusion 92 SF
Infus 81 SF
Med Records 49 SF Pharesis 90 SF
Infus 84 SF
Infus Bed 86 SF
LAB 101 SF
Pharesis 90 SF Nurse Station 110 SF Infus 87 SF
Infus 80 SF
Nurse Station 156 SF
Pharesis 90 SF
Pharmacy 624 SF
storage 19 SF
Infus 80 SF
Infus Bed 88 SF
Stor 59 SF
Infus 80 SF
Infus 82 SF
Electical 39 SF Stor 67 SF
Registration 65 SF Pharesis 95 SF
Retail Pharmacy 1000 SF
Pharesis 89 SF
Nurse Station 146 SF
Registration 138 SF
Infus 84 SF
Scheduler 173 SF
Lab 76 SF
Lab 50 SF Pharmacist Office 114 SF
Infus 79 SF Infus 80 SF
TLT W 181 SF
Nurse StationJanitor 123 SF 34 SF
Infus 89 SF
Infus 79 SF
TLT 180 SF
Registration 106 SF
Infus 78 SF
Infus 81 SF
Infus 80 SF
Registration 64 SF
TLT 51 SF
TLT Storage 48 SF 57 SF TLT 64 SF
Infus 80 SF
Retail 972 SF
Cafe 1113 SF
Infus 82 SF
Infus 80 SF
Infus 82 SF
Infus 77 SF Infus Bed 125 SF
INFUSION ROOM Intake Nurse 60 SF Scale/Vital 60 SF Phys Therapy 129 SF
Medical Records Staff 120 SF
Yoga 267 SF
consult 111 SF
Exercise/Multipurpose 186 SF
Exam 121 SF Storage 52 SF
Exam 120 SF
DN
Phys Office 160 SF
Exam 120 SF
Billing Staff 301 SF
Nurse Station 95 SF
Procedure 204 SF
Procedure 150 SF
Exam 120 SF
Stor 32 SF
Exam 122 SF
Massage 108 SF
consult 67 SF
Nurse Station 122 SF
Exam 120 SF
Meditation 164 SF
Exam 120 SF
Stor 41 SF
Procedure Storage 100 SF
Massage 115 SF Work Space 139 SF
Procedure 150 SF
Med Records 87 SF
Education 531 SF
Counsel 125 SF
Phys Office 160 SF Exam 124 SF
Resource Center 350 SF
Procedure 155 SF
Exam 121 SF
Exam 120 SF
Massage 101 SF
Scale/Vital 60 SF
PhysOffice 80 SF
Break Rm 250 SF staff TLT 82 SF
Diet/ Food Edu 222 SF
Intake Nurse 59 SF
Phys Office 80 SF
Clinical Manager 80 SF
Exam 121 SF
Storage 26 SF
Storage 86 SF
Phys Office 162 SF
Billing Manager 80 SF
Exam 120 SF
TLT 64 SF
Counsel 124 SF
Storage 40 SF TLT 81 SF Exam 120 SF
Soiled 91 SF
Nurse Station 100 SF
Counsel 122 SF
Clean 120 SF
Exam 134 SF Storage 48 SF
Exam 120 SF
Medication 114 SF Exam 109 SF
Exam 122 SF
TLT 64 SF
Exam 123 SF
Group Room 354 SF Counsel 125 SF
Multipurpose 540 SF
TLT 81 SF
Exam 122 SF
Nurse Station 94 SF Exam 120 SF
Chapel 299 SF
Exam 122 SF Exam 120 SF Exam 122 SF DN
Floor Plans
Exam 131 SF
N
Public Patient Support
0’
50’
RADIOLOGY LOBBY
LAYERING OF SPACES
RADIOLOGY 11,000 GSF
LOBBY
13,000 GSF 10,000 GSF
INFUSION
F
12,000 GSF
8,500 GS
INTEG MAGGIES ONCOLOGY
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MEDICAL UNIVERSITY OF SOUTH CAROLINA
A new front door to Charleston
Charleston, South Carolina Fall 2015, 4 week project | ARCH 8970, David Allison Partnered with Asma Sanaee + Yingce [Inge] Huang -Evenly divided work
ABOUT
STAFF/ CLINICIANS NEEDS: Restorative spaces, good office space, places to eat TRAVEL MODE: Car, MUSC shuttle DESIGN GOALS: Access to nature, restorative spaces, Classes, Alcove, offices
This project involves the conceptual design of the MUSC hospital replacement master plan. Our team examined relationships between urban design, the medical district and hospital planning and design. The program was not specifically defined, but did require an ED, Surgery, Imaging, and Inpatient spaces. Our seminar class, which covered the different planning aspects of hospitals, was also a major part of this project, including ideas on efficiency, patient centered design, flexibility, and learning how the hospital functions. Conducting a user study, we designed the site plan and new hospital specifically for patients, as well as staff/ clinicians, students/ faculty, and visitors.
1,500
STUDENTS/ FACULTY NEEDS: Multi-model classrooms, labs, places to eat, collaborative spaces TRAVEL MODE: Car, MUSC shuttle, bike DESIGN GOALS: Access to nature, Coffee shop, collaborative spaces, class rooms, retails
PATIENTS NEEDS: Easy wayfinding, patient - centered care, access to nature, easy parking access TRAVEL MODE: Car, MUSC shuttle, bike DESIGN GOALS: Create sense of welcoming, establish a clear sense of spatial hierarchy order and process, bring daylight by light wells, community garden
VISITORS NEEDS: Easy wayfinding, , access to nature, easy parking access, places to eat TRAVEL MODE: Car, MUSC shuttle, bike DESIGN GOALS: Create spaces to inspire humanhuman connection and collaboration, civic spaces that blurs boundaries between community and traditional hospital settings, Numerical sources: http://academicdepartments.musc.edu/pr/ aboutmusc/ http://www.imaginemusc.com/ http://health.usnews.com/best-hospitals/ area/sc/medical-university-of-south-carolina-6370085
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1- Transit hub 2- Waterfront park 3- Tree canopy 4- High-line 5- Healthy food stalls 6- Healing garden 7- Green roof 8- Bike racks
01 03
05
06
04
08
02 07
GLOBAL WARMING+ LAND SUBSIDENCE SITE PLAN Site located near the water in Charleston
03
POPULATION BELOW 5ft
97%
96%
100%
ROADS BELOW 5ft
PROPERTY VALUE BELOW 5ft
HOSPITALS BELOW 5ft
1, 818 miles
113,043
31,827 $M
2100
2050
2020
6 HOSPITALS
SEA LEVEL RISE + FLOOD HEIGHT
SEA LEVEL RISE + FLOOD HEIGHT
SEA LEVEL RISE + FLOOD HEIGHT
4.1ft
5ft
7.8ft
”Highline” for students to access all of campus, even during flooding
GLOBAL WARMING+ LAND SUBSIDENCE POPULATION BELOW 5ft 113,043
2020
2050
97%
96%
100%
ROADS BELOW 5ft
PROPERTY VALUE BELOW 5ft
HOSPITALS BELOW 5ft
1, 818 miles
31,827 $M
6 HOSPITALS
2100
SEA LEVEL RISE + FLOOD HEIGHT
SEA LEVEL RISE + FLOOD HEIGHT
SEA LEVEL RISE + FLOOD HEIGHT
4.1ft
5ft
7.8ft
LINDSEY HOFSTRA
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ASHLEY RIVER
04 01
03
05
02
BIG IDEAS
01
MAINTAIN CHARLESTON IDENTITY HARLEM HOSPITAL, NY
02
CREATE CENTRAL GREEN SPINE PROTON THERAPY CENTER, DENMARK
Iconic facade acts as a “Front Door” welcome to the peninsula
03
GRADATION OF PUBLIC AND PRIVATE SPACES PROTON THERAPY CENTER, DENMARK
04
05
SPAULDING REHAB, MA
PALOMARE HOSPITAL, CA
VIEW TO ASHLEY RIVER
SUSTAINABLE DESIGN
Central Green Spine connecting public and private zones
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35,130 DGSF: 24,184 NSF: Net to Gross Ratio: 1.45
CT (w/ control, prep and tlt)
RF (w/ drs and tlt)
Ultra
Cntrl
Cntrl
CT
Work
Rad Storage
CT
ULTRASOUND RM
Prep
Work Ultra Prep CT
Cntrl
Rad Storage
CT
Wait W
Phys Lounge
Cntrl
DRS
Control
RF
OUTPATIENT & STAFF
DRS
Wait M
RF
MRI (w/ dns, MRI equip, tlt,drs, and prep)
Cons Rad Supply
Work
Rad Read
Work
Cons
Rad Read
Rad Read
Cntrl
Rad Read
Ultra
Cons
2ND FLOOR IMAGING
Equip Storage
Control
OFFICE
General Rad
RF
Storage
MRI Equipment
Control
MRI
DRS
Prep
Prep
DRS
DRS
Control
Storage
DRS
MRI
RF
Ultra
Ultra
MRI SCAN CT SCAN
STAFF & PATIENTS
RAD/FLUORO
MRI Equipment
ULTRASOUND
Shell
WORK / CNTRL RMS CONSULTATION HOLD/ PREP/ DRESS RAD READING LOUNGE DRS TOILETS
2nd Foor - Imaging Department
15’
30’
45’
60’
STORAGE/ ALCOVES OTHER SUPPORT SHELL
MEDITATION GARDEN QUIET/PRIVATE SPACE
INPATIENT TOWER
TRANSITIONAL SPACE
COMMUNITY GARDEN LOUD/PUBLIC
INPATIENT INTERSTITUAL
SURGERY IMAGING ED SECTION A-A
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NANSHAN HOSPITAL EXTENSION
Making quality healthcare available to Shenzhen’s growing population Nanshan, Shenzhen, China One year spent working for BMP Other team members:
Local Materials 就地取材
Liu Xiang, Chen Hao, Feng Zize, Deng Chen, Yu Miao Ling, Xu Xiaotian, Xóng - Work features is my own unless otherwise stated Water Conservative Fixtures 节水器具
Low Maintenance Native Plants 低维护原生植物
Stormwater Management
ABOUT
雨水管理
With nearly 20% of the world’s population, China has been known as one of the most quickly urbanizing countries in the world. With more people moving into the cities now more than ever, there is a greater need for healthcare and the expansion of what is in place. Currently this hospital has 650 beds and we are adding 650 more. This was a competition that my firm won before I started working here. I have critiqued designs at work, made site visits, helped to make new designs, created layouts for power points, made diagrams, and have given presentations to the firm and our clients. I have been blessed with the opportunity to work alongside some wonderful healthcare architects, challenging me and making me think in ways I never could have before having this experience.
Solar Panels 太阳能发电
Roof Gardens 屋顶花园
Views to Nature 外部意见， 以绿色植物
Waste Management 污水处理
(drawing above not my own)
Company Rendering
SUSTAINABILITY ANALYSIS - In part of my presentation to the Nanshan Hospital clients, I analysed sustainability features and recommended others that would improve patient care, save our client money and better the surrounding environment.
Shade and Covering
LINDSEY HOFSTRA
灯罩
19
LINDSEY HOFSTRA
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