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Left: Safari Room: The pediatric emergency department patient room incorporates fun themes to help make young patients more comfortable, while accommodating healthcare needs. Right: Pediatric suite: Part of the renovation, pediatric suite patient rooms are located in the original tower. All are designed to comfort children and feature an updated "child-friendly" space through colors, new flooring and new technology. The suites look out onto the new pediatric playground, located on campus. LOBBY AND ER UPDATES Another challenge included the expansion of the hospital's main lobby entrance, which was still being utilized. The addition represented a three-story expansion located between two patient towers. A construction barrier was built that measured 150' long and 45' wide. Instead of building a temporary barrier, it was constructed with permanent wall characteristics, including insulation for sound and thermal. It was also fire rated and weather tight. From the inside, patients and staff did not recognize it as a temporary barrier. It was painted and completed with handrails and a rubber base that blended with the existing hospital corridors. The existing lobby was removed along with a portion of the existing emergency department and ambulance drive. To mitigate noise and vibration, tools and methods of demolition were reviewed for each task. For example, the existing concrete decks outside the lobby were sawcut into small pieces and chipped out with small chipping hammers by hand. Traditionally, the concrete would have been removed with larger equipment resulting in significant vibration and noise, which would have impacted patient comfort and care. "We understood that the renovation phase of this project was going to require very creative methods to minimize noise, vibration and the overall risk to our patients, staff and visitors," said Jim Lucas, project executive at Banner Health. "The McCarthy team was able to think 'out of the 28 Medical Construction & Design | January/February 2013 box' and come up with construction access points for all work areas without ever entering the hospital. Work was coordinated around the clock seven days a week with means and methods not commonly seen in the industry to maintain the patient satisfaction ratings of the hospital, an expectation set early by the Banner Health project team." NEED FOR LASER SCANNING Banner Thunderbird was originally opened in 1983. Buildings this age or older often have no available design or asbuilt data in electronic form or in 3-D. When data does exist, it is most often hard-copy blueprints that have limited value because people often alter the environment over time. The project team knew that without the help of laser scanning technology, it was going to be a daunting task and PROJECT TEAM: BANNER THUNDERBIRD MEDICAL CENTER General Contractor: McCarthy Building Companies Architect: NTD Architecture Structural Engineer: Chavez Grieves Civil Engineer: Littlejohn Engineering Interior Design: NTD Architecture Landscape Architect: JJR Floor MEP Engineer: Dufoe Consulting Engineers Electrical Engineer: Affiliated Engineers Inc. www.mcdmag.com