Medical Construction & Design

SEP-OCT 2017

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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MCDM AG.COM | SEPTEMBER /OCTOBER 2017 | Medical Construction & Design 35 considerations as sustainability and wellness factors, along with operational and mainte- nance concerns. Materials that foster access are crucial. Because many garden visitors are in wheel- chairs, have IV poles or other equipment or may simply have diffi culty walking, transitions from the interior to the garden and within the garden should be smooth and easy. Aligning diff erent material surfaces, verifying stability of instal- lation and creating gradual transitions ensures the greatest accessibility. Special considerations should be given to children's hospitals, which require a play-friendly surface. At Children's National, the team selected a poured recycled tire material that could support the heavy loads of stretchers and equipment. The recycled tire surface also is water perme- able, so rainwater can easily drain to the roof membrane below, as can rainwater falling on the green roof system. Healing gardens are ideal places to implement sustain- able design strategies, such as controlling stormwater run-off and mitigating the heat island eff ect. Green roof systems can augment other planting areas, or be the primary green space on the roof. At the Lucile Packard Children's Hospital Stanford in California, the design turns an impervious parking lot into a pervious greenscape through the exten- sive use of gardens and green roofs. Each facility takes a diff er- ent approach to integrating water in a healthcare environ- ment. Considerations include patient population, mainte- nance, hospital protocols and donor preferences. Water fea- tured prominently in visioning sessions at Children's National. When considering the needs of the sickest patients, the infection control staff must be highly involved to ensure the design minimizes health risks. A granite water element was designed to be fed by a very small amount of potable water that does not splash. Bee-free plantings Signifi cant and lengthy discus- sions usually surround the selection of garden plantings. 18 of Memorial Sloan Kettering Monmouth's infusion therapy rooms face a window to the outdoors, providing a direct view to nature. — perkinswill.com 3.5 acres of healing gardens and green space of the Lucile Packard Children's Hospital Stanford refl ect the fl ora and topography of Northern California. — stanfordchildrens.org From left: At the Lucile Packard Children's Hospital Stanford in California, the design turns an impervious parking lot into a pervious greenscape through the extensive use of gardens and green roofs. The healing garden at Valley Health's Cancer Center in Winchester, Virginia becomes an extension of the light-fi lled central waiting/activity area. Lucile Packard: Halkin Mason

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