Healthcare Design - December 2016 - 41

REMODEL/RENOVATION

P EDIATR IC SPACE S

CHKD/Nuss Center
Renovation
Norfolk, Va.
S UBMITTED BY P F & A D E S I G N * N O R F O L K , V A .

BEFORE

BEFORE

JURY COMMENTS:

DESIGN TEAM:

OVER THE PAST thirty years, Children's Hospital of The King's Daughters

(CHKD) has grown into an international center for chest wall deformity
treatment and research. The minimally invasive Nuss Procedure was pioneered at CHKD by its own Surgeon-in-Chief Emeritus, Dr. Donald Nuss.
The challenge was to make the renovated Nuss Center feel like its own
center within the hospital while also acknowledging its relationship to/
with the Pediatric Surgery department. PF&A designed the floor pattern to
intertwine through the two waiting rooms and continue seamlessly across
the hallway between them, symbolizing the relationship between the two
phases of treatment. The waiting rooms were also designed with custom
glazing for two reasons: to increase the perceived space by minimizing
hard barriers and to simultaneously provide a visual barrier that eases insecurities by offering privacy to passersby.
The Nuss Procedure is a minimally invasive approach to correcting pectus excavatum, and involves surgeons inserting a curved metal bar under
the ribs and sternum to reshape the chest wall. Though the floor pattern
was one of the more prominent adaptions of the metal bar motif, it is subtly
mimicked in other details as well, including the architectural wall panels,
door, and casework pulls. Graphics are also used throughout the space to
tell the story of the Nuss Procedure and to brand the center apart from the
hospital. The story is translated through customized quotes, images, and

Sharon L. Szalai, AIA,
IIDA, LEED AP, SEGD,
principal-in-charge
architecture/design;
Kim J. Bernheimer,
CHID, IIDA, associate,
interior designer;
Emily Bickel, interior
designer (PF&A
Design); William
Quinn Jr., PE, HFDP,
Pace Collaborative,
P.C. (MEP engineer);
Rolley Davis,
general contractor,
project manager;
Andrew Hammond,
general contractor
superintendent
(Sussex Development
Corp.)
COST PER
S Q U A R E F O O T:

$220
PHOTOS (AFTER):

Dave Chance
Photography

* This project does a great job of blending with,
but distinguishing itself from the rest of the
facility as a clear destination point within the
framework of the existing architecture.
* The use of color in an effective way along with
large glass openings to integrate and tie in
spaces together works well in the overall context
of the hospital. 
* The design is bold without being overbearing
and makes a clear, concise yet modern
statement that you have arrived.
* Feels refreshing. The right amount of
renovation, glazing, and application of color and
forms. 

timeline graphics in the waiting room to educate
patients. Furthermore, the custom Nuss Center logo, custom dry-erase measuring grids, and
staff scheduling boards are used throughout the
space which help to cohesively brand the Nuss
Center experience.
The Nuss Center performs more procedures
than any other treatment center of its kind in the
world, so there was a dire need for the space to
grow. Exam rooms were added to accommodate
the high traffic of patients. The average exam
room size was increased and additional seating
was provided to accommodate family members.
The new design also provides much-needed additional staff space including offices, a dedicated
research room, conference room, and two work
rooms.
The design objective was met by thoughtfully
designing the Nuss Center to reflect the ingenuity and significance of the program, making it
truly the worldwide Center for Excellence.

DECEMBER 2016

41



Healthcare Design - December 2016

Table of Contents for the Digital Edition of Healthcare Design - December 2016

HEALTHCARE DESIGN - DECEMBER 2016
CONTENTS
EDITORIAL
SHOW TALK
PHOTO TOUR
BIG IDEAS
A SOUND PLAN
PROCESS IMPROVEMENT DATA TRANSMISSON
PRODUCT SPOTLIGHT ACOUSTICS
THE CENTER
SPECIAL SUPPLEMENT
FACE TIME
Healthcare Design - December 2016 - HEALTHCARE DESIGN - DECEMBER 2016
Healthcare Design - December 2016 - Cover2
Healthcare Design - December 2016 - 1
Healthcare Design - December 2016 - 2
Healthcare Design - December 2016 - CONTENTS
Healthcare Design - December 2016 - 4
Healthcare Design - December 2016 - 5
Healthcare Design - December 2016 - 6
Healthcare Design - December 2016 - EDITORIAL
Healthcare Design - December 2016 - SHOW TALK
Healthcare Design - December 2016 - 9
Healthcare Design - December 2016 - PHOTO TOUR
Healthcare Design - December 2016 - 11
Healthcare Design - December 2016 - 12
Healthcare Design - December 2016 - 13
Healthcare Design - December 2016 - 14
Healthcare Design - December 2016 - BIG IDEAS
Healthcare Design - December 2016 - 16
Healthcare Design - December 2016 - 17
Healthcare Design - December 2016 - 18
Healthcare Design - December 2016 - 19
Healthcare Design - December 2016 - 20
Healthcare Design - December 2016 - 21
Healthcare Design - December 2016 - 22
Healthcare Design - December 2016 - 23
Healthcare Design - December 2016 - A SOUND PLAN
Healthcare Design - December 2016 - 25
Healthcare Design - December 2016 - 26
Healthcare Design - December 2016 - 27
Healthcare Design - December 2016 - 28
Healthcare Design - December 2016 - 29
Healthcare Design - December 2016 - 30
Healthcare Design - December 2016 - PROCESS IMPROVEMENT DATA TRANSMISSON
Healthcare Design - December 2016 - 32
Healthcare Design - December 2016 - PRODUCT SPOTLIGHT ACOUSTICS
Healthcare Design - December 2016 - 34
Healthcare Design - December 2016 - THE CENTER
Healthcare Design - December 2016 - 36
Healthcare Design - December 2016 - SPECIAL SUPPLEMENT
Healthcare Design - December 2016 - 38
Healthcare Design - December 2016 - 39
Healthcare Design - December 2016 - 40
Healthcare Design - December 2016 - 41
Healthcare Design - December 2016 - 42
Healthcare Design - December 2016 - 43
Healthcare Design - December 2016 - 44
Healthcare Design - December 2016 - 45
Healthcare Design - December 2016 - 46
Healthcare Design - December 2016 - 47
Healthcare Design - December 2016 - FACE TIME
Healthcare Design - December 2016 - Cover3
Healthcare Design - December 2016 - Cover4
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