Healthcare Design - June/July 2018 - 23

ABOV E : The building

configuration allows
every inpatient room
to have a view of the
outdoors, including the
gardens on campus.
LE FT: The entry walls to
the patient rooms are
angled to accommodate
nested staff charting
areas. Nursing units are
themed around the ecoregions of California,
with native leaf and
flower images cut into
the flooring.

and a more private setting between the West and Main buildings. "That
[private] garden has been embraced now as the new heart of the campus,"
Guenther says.
To deliver flexibility for future care needs or equipment upgrades, the
inpatient floors in both the med/surg tower and the ICU tower were designed to support a transition in room type with minimal construction,
says Amy Douma, healthcare designer at HGA (Minneapolis) and a medical planner for the project. "There's adaptability in both room layouts and
room size, and that will serve them long term should their needs change."
Another feature supporting flexibility is the location of the building's
major hard infrastructure elements, including IT and electrical components, in a spine that runs between the two bed towers and is positioned so
those elements can be expanded without disturbing the patient care areas.
The project also came with some inherent construction complexities
thanks to a constricted site, requiring the new towers to go up right next to
the existing-and operational-hospital. "The guideline given to us by our
executive team was that we couldn't take any beds out of service during
construction because we were so full," says Michael Lane, vice president
of construction for Lucile Packard Children's Hospital Stanford.
During construction, Lane says two tower cranes were brought on-site,
one for each tower, because "everything of any substance had to be craned
in and out of the building until we got to a point where we could actually
drive into the site." Additional logistical challenges included planning
the loading requirements for the 3.5 acres of garden space that would be
built on the structure, including a green roof located above the surgery
and imaging departments. The team also had to construct seven physical
connections between the Main and West buildings-four on the ground
floor, which connect the surgical and imaging departments, and one each
on levels 1, 2, and 3. To overcome this challenge, a separate contractor with
experience working in the existing building was hired to focus on the links
in the West building so that DPR Construction, the contractor on the expansion, could focus on the larger project.
Opened in December 2017, the eight-story, 521,000-square-foot expansion features three levels of underground parking, which includes a discharge lounge where inpatients can wait to be picked up rather than going
through the main lobby. The main entrance, lobby, and surgery department are located on the ground floor-a layout that accommodated Lucile
Packard's desire to expand its surgery department by aligning the new and
existing ORs on the same level, while also ensuring that none of the hospital's clinical areas are below ground.
The entry lobby features a 20-foot glass wall overlooking a garden on
one side and an elevator well and staircase on the other. The first floor
houses most of the public functions, including the cafeteria, café, gift shop,
and sanctuary, which are shared between the Main and West buildings.
The four inpatient floors, located on levels 2 to 5, house private rooms
with expanded accommodations for families, including a built-in sofa
bed, family closet, storage space, and a laptop charging station. Keeping in
mind that many patients and their families might face extended hospital
stays, there's a family kitchen and laundry on every floor.

© EMILY HAGOPIAN

S O U R C E O F I N S P I R AT I O N

One of the features from the original hospital that designers wanted to
translate to the new building was access to nature. Parker's design featured
a terraced building form with multiple balconies outside patient rooms.
Rob Goodwin, principal at Perkins+Will (New York) and lead designer on
the project, says the use of terracing wasn't something that would work this

J U N E /J U LY 2 01 8

23



Table of Contents for the Digital Edition of Healthcare Design - June/July 2018

Healthcare Design - June/july 2018
Contents
Editorial
Show Talk
Full Spectrum
Continuing the Hai Fight
Diversity in Design
Natural Progression
At Your Service
Operations Bridging the Gap
Product Spotlight
The Center
Face Time
Healthcare Design - June/July 2018 - Healthcare Design - June/july 2018
Healthcare Design - June/July 2018 - Cover2
Healthcare Design - June/July 2018 - 1
Healthcare Design - June/July 2018 - 2
Healthcare Design - June/July 2018 - Contents
Healthcare Design - June/July 2018 - 4
Healthcare Design - June/July 2018 - 5
Healthcare Design - June/July 2018 - 6
Healthcare Design - June/July 2018 - 7
Healthcare Design - June/July 2018 - 8
Healthcare Design - June/July 2018 - Editorial
Healthcare Design - June/July 2018 - Show Talk
Healthcare Design - June/July 2018 - 11
Healthcare Design - June/July 2018 - 12
Healthcare Design - June/July 2018 - Full Spectrum
Healthcare Design - June/July 2018 - 14
Healthcare Design - June/July 2018 - 15
Healthcare Design - June/July 2018 - Continuing the Hai Fight
Healthcare Design - June/July 2018 - Diversity in Design
Healthcare Design - June/July 2018 - Natural Progression
Healthcare Design - June/July 2018 - 19
Healthcare Design - June/July 2018 - 20
Healthcare Design - June/July 2018 - 21
Healthcare Design - June/July 2018 - 22
Healthcare Design - June/July 2018 - 23
Healthcare Design - June/July 2018 - 24
Healthcare Design - June/July 2018 - 25
Healthcare Design - June/July 2018 - 26
Healthcare Design - June/July 2018 - 27
Healthcare Design - June/July 2018 - At Your Service
Healthcare Design - June/July 2018 - 29
Healthcare Design - June/July 2018 - 30
Healthcare Design - June/July 2018 - 31
Healthcare Design - June/July 2018 - 32
Healthcare Design - June/July 2018 - 33
Healthcare Design - June/July 2018 - 34
Healthcare Design - June/July 2018 - 35
Healthcare Design - June/July 2018 - 36
Healthcare Design - June/July 2018 - Operations Bridging the Gap
Healthcare Design - June/July 2018 - 38
Healthcare Design - June/July 2018 - 39
Healthcare Design - June/July 2018 - 40
Healthcare Design - June/July 2018 - 41
Healthcare Design - June/July 2018 - 42
Healthcare Design - June/July 2018 - Product Spotlight
Healthcare Design - June/July 2018 - 44
Healthcare Design - June/July 2018 - 45
Healthcare Design - June/July 2018 - 46
Healthcare Design - June/July 2018 - The Center
Healthcare Design - June/July 2018 - Face Time
Healthcare Design - June/July 2018 - Cover3
Healthcare Design - June/July 2018 - Cover4
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