Addition to Ryhov hospital

WAVE

LIFE GATEWAY

JÖNKÖPING A NEW ADDITION TO RYHOV HOSPITAL

CHALMERS UNIVERSITY OF TECHNOLOGY ARK 262 - VÅRDENS ARKITEKTUR - FALL 2015

ENA SREDANOVIC HANNA HOLMGREN NINJA WESTBERG

CHALLENGES & GUIDELINES TO PREVENT INSTEAD OF TREATING Life Gateway Jönköping is a new concept, aiming to look 10 years ahead of time, into the healthcare service at Ryhov Hospital. The new concept consists of one entrance - unifying the whole hospital.

Life Gateway will be the meeting place between citizens and healthcare where you as a patient are invited to take bigger part of the service given.

In 10 years time education, both for students, hospital staff and citizens, will be more important than ever - therefor a new learning centre is crucial. The emergency process will change and patients who are not extremly sick will get to meet a new department instead which is called ”Investigation”. As working with preventive healthcare becomes more and more important - a new rehabilitation centre will be added. Healthcare also aims at treating people in their homes when possible, therefor the department ”Home care” will be created and have its base at Ryhov.

NATURE & DAYLIGHT • Care for the greenery and

parks

2

• More meeting rooms for

different type of meetings

• A great need of terraces for

PATIENT CENTERED • Strenghten the patient’s

position and participation

patients and staff

FLOWS & WAYFINDING • Big lack of parking • Too few elevators and not

separated flows

• The restaurant is hidden

• A good work environment

from main entrance and the corridors

for the employees

• Unclear and unattractive

entrance situation

• Big trauma rooms are

MEDICAL INNOVATION • ”Hybrid rooms” are needed

SUSTAINABILITY • New energy systems that will not

The project WAVE wants to answer these requirements.

COLLABORATION

contribute to CO2 emissions

• Acute should have separate

infection track

• Acute needs imaging + labs

FLEXIBILITY • Rapid changes of functions

and program within healthcare • Education has increased - new lecture rooms are needed • Acute has to be planned for a growing flow

needed with direct access to operation and intensive care

• Acute process requires

multi-professional care and short distances to important functions

from ”Länssjukhuset Ryhov Översiktsplan”

by Region Jönköpings län august 2015 (the development plan of Ryhov hospital)

JÖNKÖPING & RYHOV CONCEPT

VÄTTERN CITY CENTRE

EXISTING BUILDINGS GREENERY

KEEP EXISTING PART - REFURBISH THE INSIDE

WATER

DEMOLISH EXISTING PART - BUILD NEW STRUCTURE

URBAN AREA

NEW STRUCTURE

NEW VOLUME

TO BUILD ON TO THE WAVE THAT RYHOV ALREADY IS AND UNITE THE WHOLE HOSPITAL IN ONE ENTRANCE UNDER THE WAVE

ACUTE

BEFORE

FROM HIGH WAY

ACUTE

AFTER

FROM HIGH WAY CORRIDORS THAT CAN BE EXTENDED

BUS STOP TODAY

FUTURE EXTENSION POSSIBILITIES

BUS STOP TOMORROW ROADS TOMORROW PARKING TOMORROW

AMBULANCE ROUTE TO MINIMIZE NARROW AND UNNECESSARY TURNS

3

SITEPLAN PARKING

PARKING

PARKING

PARKING

SJUKHUSVÄGEN

PARKING E4 PARKING

FÖRSÖRJNINGSVÄGEN

4

1:2000 (A3) 0

100

200

FUNCTIONS & VERTICAL COMMUNICATION

6

THE NEW VOLUME

REHAB

5

LOBBY RETAIL

4

INVESTIGATION

EDUCATION

HOSPITAL WARDS MAIN ENTRANCE

HOME CARE

OPEN PLAZA

3

HOSPITAL WARDS TRIAGE

ACUTE

2

INVESTIGATION

ENTRANCE SITUATION Patients, students, visitors and staff are all entering via the hospital’s new plaza. From the plaza three entrances are available: the main entrance, the emergency’s triage or home care. Inside the main entrance one finds the lobby, a library and a clear design of how the visitor moves further into the hospital. In the acute the visitor is greeted by a triage, which then leads on to the emergency, investigation, or to a particular ward.

VERTICAL COMMUNICATION

FUNCTIONS

ELEVATORS

REHABILITATION

ACUTE

STAIRS

HOME CARE

TRAUMA

MAIN CORRIDORS

EDUCATION

INVESTIGATION

LOBBY / RETAIL / FOOD

PARKING / VENTILATION

5

FLOOR 4

THE ENTRANCE FLOOR

The visitor using the hospital’s new main entrance is greeted by a grand vertical opening, which gives a clear overview of the different floors and connects functions vertically.

On the first floor the visitor is facing an information desk, a café with views of the greenery, a learning centre, a healthy food store and a pharmacy. Further into the building is an auditorium, rehabilitation centre and home care placed.

Investigation is the buffer zone in between the existing hospital and the new addition. In this section new types of rooms are designed for the healthcare of the future, such as meeting rooms where the doctor and patient can talk, study rooms for group discussions as well as rooms where patients can stay over night if necessary.

EDUCATION REHABILITATION

6

HOME CARE LOBBY / RETAIL / FOOD

5

INVESTIGATION ACUTE TRAUMA PARKING / VENTILATION

4

3

6

VIEW 2 - FROM MAIN ENTRANCE TOWARDS CAFÉ

2 THE EXTRUSION SHOWS THE NEW + REFURBISHED VOLUME

EAR NOSE THROAT

CLINICAL PHYSIOLOGY & CLINICAL CHEMISTRY

B

CARDIAC DEPARTMENT

C CHAPEL

STORAGE

A

LAB

OUTDOOR GARDEN

INVESTIGATION

LAB

LAB

STAFF AREA

STORAGE

STORAGE MEETING ROOMS

LAB

POOL

LAB

LAB

LAB

AULA

EYE DEP.

FOOD STORE LEARNING CENTRE

D

MAGAZINES

RECEPTION

STAFF ROOM

VIEW 2

PHARMACY

X-RAY

INVESTIGATION ACUTE

INVESTIGATION

STORAGE

HOME CARE

A

EXAM.

TRIAGE DECONTAMINATION TRACK

SELF-CHECKS

DAY ROOM

BUS STOP

VIEW 1

C B

D

CAFÉ

REHAB

1:500 (A3) 0

7 25

50

A

PATIENTS

LEARNING CENTRE

FOOD STORE PATIENTS

BEDS

CAFÉ MAGAZINES

SUPPLIES

INVESTIGATION REHAB - PHYSIOTHERAPY

HOSPITAL WARDS

RECEPTION PHARMACY

TRIAGE TO EMERGENCY DEP.

ACUTE ENTRANCE

SELF-CHECKS

FUTURE TECHNIQUE WILL DO SELF-CHECKS ON PATIENTS BEFORE THEY MEET A NURSE OR DOCTOR IN INVESTIGATION

A

STAFF

INVESTIGATION

TRIAGE

INFECTION TRACK PATIENTS THAT COME TO ACUTE WITH SUSPECTED INFECTION GOES THROUGH EXAMINATION, OUT AND OVER TO INFECTION CLINIC

8

TRIAGE TO INVESTIGATION ”NOT SICK ENOUGH FOR EMERGENCY DEP.”

1:200 (A3) 0

10

20

FLOOR 4

ENTRANCE FLOOR The flow in the new addition of the hospital is similar to how ants move in an ant’s nest. There are a number of central, vertical communications from where different functions bloom out. These functions have a visual connection to each other through openings in the floor slabs.

passage hang out passage

passage

entrance lobby parking parking (http://bldgblog.blogspot.se/ 2006/05/nest-casting.html)

When the patient arrives to the acute, he, or she, comes into the triage. The triage will seperate the emergent cases from less serious problems and staff will send the patient further into the building.

If it is less serious the patient will be sent to the Investigation department, he or she passes to the next room where the “check in” boxes are available. In these boxes the patient can examine their own heart rate, weight, length etc, and then await a call for examination.

If the triage indicates a very emergent case the patient will be sent directly down to the emergency room, via elevators.

In the triage room, if infection is suspected, the patient is sent via an infection track. The patient will be examined in an isolation room, sent out and further to the infection clinic.

SECTION A-A 0

9 10

20

1:200 (A3)

FLOOR 3

”HOT FLOOR”

On this floor the ambulance garage is located next to the trauma department in order to create the most effective flow and treatment. Thereafter, the patient is close to the ICU. If the ambulance arrives with a person that is not critically injured the patient is immediately led to the emergency room for further treatment or via elevators to the investigation floor one level up.

When a patient is walking from the triage point, he or she waits by the acute desk before further examination. Patients may also arrive through the garage when arriving, critically, by car.

EDUCATION REHABILITATION

6

HOME CARE LOBBY / RETAIL / FOOD

5

INVESTIGATION ACUTE TRAUMA PARKING / VENTILATION

4

3

10

VIEW 3 - FROM GARAGE TO MAIN ENTRANCE

2 THE EXTRUSION SHOWS THE NEW + REFURBISHED VOLUME

CARDIAC DEPARTMENT

SURGERY RADIOLOGY ONCOLOGY MATERNITY

B

CARDIAC DEPARTMENT

C LAB

LAB

A

LAB

STAFF ENTRANCE STORAGE ACUTE OBERVATION

ICU

EXAMINATION ROOMS

ICU

D

HOME CARE STORAGE

CAR PARKING (SAME ON FLOOR 2) PATIENTS WHO ARE SENT DOWN FROM TRIAGE IN ACUTE ENTRANCE

ACUTE RECEPTION

SURGERY

ORTHOPEADIC

HYBRID SURGERY

HYBRID SURGERY

HOME CARE STAFF PARKING

DECONTAMINATION

A

PATIENTS WHO COME BY AMBULANCE WHERE IT’S LESS ACUTE - TRANSPORTS ONE FLOOR UP TO INVESTIGATION

BIKE PARKING

FROM AMBULANCE TO ACUTE

FROM AMBULANCE TO TRAUMA ROOM

AMBULANCE HALL

VIEW 3

C UNEXCAVATED

B

D

1:500 (A3) 0

11 25

50

HELIPAD

FLOOR 5 The restaurant Matilda is moved to a more central location in order to find it more easily than today. The restaurant has views in several directions, and there is an opportunity to sit outside on the terrace.

The library continues from the 4th floor and up to the 6th floor, surrounded by nature. The rehabilitation also continues on 5th floor and administration of education is placed above the home care.

The investigation is designed the same on floor 5 as on floor 4, in order to collect functions and to create a generality in the plan.

EDUCATION REHABILITATION

6

HOME CARE LOBBY / RETAIL / FOOD

5

INVESTIGATION ACUTE TRAUMA PARKING / VENTILATION

4

3

12

VIEW 4 - FROM LIBRARY

2 THE EXTRUSION SHOWS THE NEW + REFURBISHED VOLUME

MANAGEMENT

B

OFFICE MEDICINE

C CHAPEL

STORAGE

A

LAB

INVESTIGATION

LAB

LAB

STAFF AREA

REHAB STORAGE

STORAGE

STAFF

MEETING ROOMS

LAB

LAB

LAB

LAB

EYE SURGERY

PREP. KITCHEN TERRACE

D

D LIBRARY / STUDY AREA

RESTAURANT

VIEW 4

VIEW 5+6

MEETING ROOM STAFF ROOM MEETING ROOM INVESTIGATION

INVESTIGATION

A

STORAGE

ADMINISTRATION EDUCATION OFFICES

EXAM.

MEETING ROOM

B

DAY ROOM

C 1:500 (A3) 0

13 25

50

SECTION B-B

1:200 (A3)

0

10

20

14

VIEW 5+6 FROM BED

ZOOM IN ON REHAB

3m corridors

FUTURE EXTENSIONS

3m corridors

Rehab is located in the building's northern part, close to nature. The floor plan is generally planned, facilitating flexibility for future new needs. The department can be transformed into a treatment center with patient rooms.

There are also good opportunities to extend the building, both to the north and to the east, in the future. To the east it is possible to connect with the existing hospital to create a good circulation flow.

STAFF

STAFF OFFICE

REHABILITATION

EXAMINATION ROOM

MEETING ROOM

CORRIDORS THAT CAN BE EXTENDED

6m

FUTURE EXTENSION POSSIBILITIES The section to the left shows shows the connection between the investigation department and the courtyards in between. Greenery is one of the great qualities of Ryhov today, something the new addition continues to work with.

3m corridors

The views to the left show the patient’s perspective from the bed. As a visitor to the investigation department you will have both visual connections to the green courtyards in all rooms as well as seeing the doctors and nurses in the observation station outside of the rooms, for every patient’s safety and comfort.

OFFICE / MEETING ROOM

STORAGE

15

1:200 (A3) 0

10

20

FLOOR 6 Floor 6 is similar to floor 5, but with more focus on meeting rooms. They can be used for conferences or lectures and are available both for students and staff from education as well as doctors, nurses or other hospital staff. The rooms are designed so that the audience both can focus on the lecturer and on each other, to provide a better learning environment that promotes collaboration and sharing of knowledge.

+113,0 +109,0

From the library/study area there is access to a green terrace to provide outdoor space for studying when climate allows.

+105,0 +100,5 +96,3

EDUCATION

6

SECTION C-C 0

REHABILITATION

25

50

HOME CARE

1:500 (A3)

LOBBY / RETAIL / FOOD

5

INVESTIGATION ACUTE TRAUMA

The design of the roof has both aesthetical and functional reasons.

The new roof is supposed to continue the already existing wave structure of the hospital roof to connect and respect the old building. But the inclination is also used to harvest energy from the sun through solar panels as well as collecting rain water.

The rain water is collected in tanks, purified and then ditributed in the building to help meet the large amount of water used in a hospital building.

16

PARKING / VENTILATION

4

3

2 THE EXTRUSION SHOWS THE NEW + REFURBISHED VOLUME

MEDICINE WARD

CHILDREN’S WARD

B

TECHNICS

A

C TECHNICS

TECHNICS MEETING ROOM TERRACE

D

VENTILATION LIBRARY / STUDY AREA MEETING ROOM

MEETING ROOMS

VENTILATION

A C B

D

1:500 (A3) 0

17 25

50

LONGITUDINAL SECTION

SECTION D-D 0

25

50

1:500 (A3) THE SAME BOX

The greenery has a strong influence on the building and facilitates wayfinding. In each corridor the visitor is moving towards the greenery or along with it.

In the refurbished part the old facade is left as it is today, but with larger windows to let in more light.

18

(Centro Kakel och Klinker: https://s-media-cache-ak0.pinimg.com/ originals/9c/6e/c3/9c6ec36e4818a0b2caad8fc0003ea54a.jpg)

Ryhov is characterised by its light brick and dark roof. The new addition continues on the same theme but uses brick in a new way. The façade consists of a glass skin, covered with slidable brick panels. The panels consist of linked bricks. The panels let light through, provides shade when the sun is set high as well as provide integrity in rooms where it is needed.

DIFFERENT FUNCTION

Bus stop box on the plaza Silent working box in Home care and Education ”Check in” box in Emergency and Investigation

ELEVATIONS

OUTDOOR STAIRS

BUS STOP

Centro Kakel och Klinker: https://s-media-cacheak0.pinimg.com/ o r i g i n a l s / 9 c / 6 e /c 3 / 9c6ec36e4818a0b2caad8fc0003ea54a.jpg

Learning center, Paris’ Ecole Polytechnique sou fujimoto + nicolas laisné associés + OXO architectes

EAST ELEVATION

WEST ELEVATION

FACADE MATERIAL

1:500 (A3)

0

25

50

LIFE GATEWAY

JÖNKÖPING A NEW ADDITION TO RYHOV HOSPITAL

CHALMERS UNIVERSITY OF TECHNOLOGY ARK 262 - VÅRDENS ARKITEKTUR - FALL 2015

ENA SREDANOVIC HANNA HOLMGREN NINJA WESTBERG