![\"\"](\"http:\/\/oar.archi\/wp-content\/uploads\/2021\/03\/1I5-CR2020-2-724x1024.jpg\")
<\/figure>\n\n\n\nTHE STUDIED SITE<\/h2>\n\n\n\n
For the urban and the architectural analysis of the site we considered relevant the area between Clinicilor St. at North, V. Babes St. at East, Bogdan Petriceicu St. at South and Piezi\u0219\u0103 St. at West. On one hand, our study identifies the existent values of the area as well as its malfunctions, and on the other it focuses on the anticipation of the impact of the new transplant center and its integration in the urban environment. The heart of the studied area is Mik\u00f3 Garden, for which we envision a better connection with the existing and proposed hospital facilities, as well as with its borders along the city streets.<\/p>\n\n\n\n
PEDESTRIAN AND VEHICULAR TRAFFIC. GREEN AREAS<\/h2>\n\n\n\n
The hospital ensemble including the three main terraces and the park between the second and the third terraces must be cleared of the residual parking lots and the uncontrolled interventions that led to minimal pedestrian traffic and green spaces. We consider that the parking lots between the pavilions must be reduced to the bare minimum (mainly for medical staff) and all the interstitial space should be dominated by vegetation (medium sized trees and shrubs ) and pedestrian paths.<\/p>\n\n\n\n
Currently on the hospital premises there are on average 100 parked cars. According to our proposed systematization, 73 over-ground parking spaces will remain available organized around the clinics in compact lots of approximately 10 spaces – for the medical staff. The new transplant center will also provide 283 underground parking spaces, covering the site parking requirements.<\/p>\n\n\n\n
Site roads are provided with U-turns for cars and ambulances, the access of the latter being possible directly at the first and second terraces from adjacent public streets. Moreover, ambulance transfer between the first two terraces is provided by a road ramp.<\/p>\n\n\n\n Mik\u00f3 Garden, extending itself towards the heart of the terraces housing hospital facilities, represents the site\u2019s green link. Rehabilitated, the garden connects included and adjacent functions with the city beyond its limits, while offering a calm atmosphere, an alternative to the neighboring urban noise.<\/p>\n\n\n\n Rehabilitating the park between the second and the third terrace will address two important needs : connecting the transplant center to the existent clinics and Mik\u00f3 Garden, offering an intimate, reflexive space for recreation, socializing, recovering, palliation.<\/p>\n\n\n\n The new stairway on the park\u2019s East side offers a direct connection between the clinics, while the old restored steps remain as witness and become part of the promenade. The stairs in the park are supported by elevators integrated in the landscape design, granting access to the disabled persons.<\/p>\n\n\n\n There are three types of existent buildings: historical monuments, functional buildings without a significant value, parasitic interventions that incorporate building equipment.<\/p>\n\n\n\n Buildings included in the protected heritage will be rehabilitated or restored. Buildings without significant value, generally built subsequently as extensions or independent, will be architecturally reconfigured and functionally adapted to current requirements: the Emergency Room (although it parasites the initial ensemble, we believe it should be maintained as it represents a built resource), the extension of the Pulmonology Hospital, the Diagnosis Center, the University Rectorate Buildinge etc.<\/p>\n\n\n\n Buildings that were erased from the site plan are considered parasitic and if their functions cannot be relocated to existent buildings, they will be replaced by new, context-adapted, preferably underground ones (annexes, technical equipment, installations).<\/p>\n\n\n\n The theme requires the configuration of a volume that surpasses by far the dimensions of buildings in the urban context. We propose a simple, ordered, clearly structured building. The proposal creates 3 exterior spaces with different functions and ambiances, connecting the transplant center to adjacent urban spaces:<\/p>\n\n\n\n Terraces above the cylindrical section and the West section complete the offer of exterior spaces designed for medical staff and patients.<\/p>\n\n\n\n The proposed volume is trying to adapt the different urban settings in its neighborhood: the cylindric trough its scale creates a non-aggressive vicinity, harmonized with V. Babes St., while the West section, lower than the central wing, allows crossing towards the semi-private space of St. Pantelimon Church.<\/p>\n\n\n\n Volumetric expression translates functional segregation: the cylindric section contains functions with flows independent from the clinical hospital life, but connects them very well to the hospital: administration, research area, amphitheater. The rigorous section with L-shaped print is adapted to necessities and improvements of the hospital flows.<\/p>\n\n\n\n The grid of the fa\u00e7ades sustains the rigorous volume organization and allows the stylistic recall from the new building to the existent clinics on terraces 1 and 2.<\/p>\n\n\n\n The chosen materials, apparent brick and bronze panels integrate in the urban context materiality. Brick cladding facilitates human scale trough its dimension and texture. The fa\u00e7ade is designed using prefabricated elements that will be attached to the main structure.<\/p>\n\n\n\n The main pedestrian access is designed at the ground floor, connected to the sidewalk of V. Babe\u0219 St. and Studen\u021bilor Alley crossing. The lobby opens at the cylindric volume\u2019s ground floor, extending towards the main volume\u2019s middle section. This lobby allows the distribution of patients, attendants and staff to the administrative, research and hospital areas.<\/p>\n\n\n\n Emergency access for ambulances is designed at underground level 1. Road access allows ambulance entrance as well as drop-off road access. An elevator connects the drop-off area to the ground floor main lobby.<\/p>\n\n\n\n Underground level 2 hosts supply and waste disposal access. Access ramp in underground level 2 is designed on the East wing, on V. Babes St.<\/p>\n\n\n\n Underground level 3 and 4 is dedicated mainly to staff parking and it has dedicated areas for the medical personnel.<\/p>\n\n\n\n 1. Medical Staff Flow<\/em><\/p>\n\n\n\n The access to their dedicated locker rooms is made from the parking lot at level -3. Staff then follows medical staff circuit. 2. Patients flow<\/em> 3.1. OT Instruments flow<\/em> 4. Attendees\/ caregivers flow<\/em> 5. Food flow<\/em> 6. Scrubs\/ linen\/ disposable items<\/em> 7. Waste disposal<\/em> 8. Biologic samples flow<\/em> Interior spaces where various persons stay for long and medium periods of time (wards, doctor and nurses rooms etc.) are given a special attention regarding the atmosphere . We try to avoid as much as possible generic, rather industrial type of materials (e.g. PVC floors) and we wish to emphasize on a series of textures and surfaces that can bring a feeling of comfort: terrazzo floors, micro topping, treated wood wall finishes, smooth ceilings made of gypsum board or painted metal sheet with sealed joints.<\/p>\n\n\n\n Illumination system plays an important part in defining the atmosphere and is programmed to meet the requirements of each type of function.<\/p>\n\n\n\n Building systems, building materials, services, accessories are chosen and calibrated to meet a holistic, sustainable approach:<\/p>\n\n\n\n Prefabrication procedures are used in order to reduce time and costs; -Smart design for reduced energy consumption: good natural lighting, facade elements shading (expressed grid facade) and additional shading systems\/ solar control systems, natural cooling and thermal inertia (brick facade instead of curtain wall)![\"\"](\"http:\/\/oar.archi\/wp-content\/uploads\/2021\/03\/2I5-CR2020-2-724x1024.jpg\")
<\/figure>\n\n\n\nMIK\u00d3 GARDEN<\/h2>\n\n\n\n
![\"\"](\"http:\/\/oar.archi\/wp-content\/uploads\/2021\/03\/3I5-CR2020-2-724x1024.jpg\")
<\/figure>\n\n\n\nEXISTENT BUILDINGS<\/h2>\n\n\n\n
SITE SPECIFICITY \/ MASSING<\/h2>\n\n\n\n
![\"\"](\"http:\/\/oar.archi\/wp-content\/uploads\/2021\/03\/4I5-CR2020-2-724x1024.jpg\")
<\/figure>\n\n\n\nARCHITECTURAL EXPRESSION <\/h2>\n\n\n\n
THE ACCESS<\/h2>\n\n\n\n
![\"\"](\"http:\/\/oar.archi\/wp-content\/uploads\/2021\/03\/5I5-CR2020-2-724x1024.jpg\")
<\/figure>\n\n\n\nHOSPITAL FLOWS<\/h2>\n\n\n\n
Pharmacy staff enter directly in the pharmacy.
1.1. Medical Staff Flow in OT (operating theater)\/ ICU (intensive care unit)<\/em>
Staff passes through the filter changing rooms from the clean social area to the clean area, then through the scrub room.
1.2 Medical staff flow in the dirty areas<\/em>
Staff passes through filter changing rooms. The circulations in the clean areas don\u2019t intersect with those from the dirty areas.<\/p>\n\n\n\n
2.1 Outpatient flow<\/em>
From the main reception at the ground floor the patient is directed towards the outpatient clinic\u2019s reception.
2.2 Hospitalization patient flow<\/em>
From the main reception at the ground floor the patient is directed towards the intermediate receptions at the floors with patient wards.
2.3. Day hospitalization patient flow<\/em>
From the ground floor reception the patient is directed towards day hospitalization area.
2.4 Ambulance transported patient flow<\/em>
From the ER (emergency room) at level -1 the patient is transferred towards OT\/ ICU\/ ward\/ morgue
2.5 Patient flow to\/ from OT<\/em>
Separate flows have been designed for access from the social clean area to the clean area (OT\/ ICU) by buffer rooms. The transfer from OT to ICU is dedicated (clean). The transfer from ICU to social clean areas (patient w ards) is carried out through buffer rooms. Flows are designed so as to avoid the crossing between patients entering OT and those exiting ICU.<\/p>\n\n\n\n
By montecharges dedicated to horizontal and vertical sterile instruments circuits, from the sterile instruments storage room to the OT, by means of transfer filter windows.
Instruments evacuation from OT is made through transfer filter windows in the horizontal and vertical dirty circuit. Instruments transfer from the dirty flow to the clean flow is carried out through washing-disinfectors with double transfer doors.
3.2. Medical supplies flow<\/em>
Medical supplies are transported from the storage room to OT\/ ICU by dedicated montecharges.
3.3. Pharmaceuticals flow<\/em>
From the hospital internal pharmacy by pneumatic systems serving each floor.<\/p>\n\n\n\n
Main reception->intermediate receptions on each floor->buffer rooms->wards<\/p>\n\n\n\n
By dedicated montecharges or elevator from the catering unit to the specific floors<\/p>\n\n\n\n
Specific flow with separate schedule for supply and evacuation<\/p>\n\n\n\n
By horizontal and vertical dirty corridor \u2013 dirty elevators. There are special areas for sorting biohazard\/ general waste\/ dirty medical instruments. Clean flows do not cross with dirty flows.<\/p>\n\n\n\n
By dedicated pneumatic system<\/p>\n\n\n\nFINISHES<\/h2>\n\n\n\n
SUSTAINABILITY<\/h2>\n\n\n\n
Use of local materials for reducing the carbon footprint generated by transport, as well as costs;
Renewable materials use (wood for some interior finishes)
Material choice with low production costs; use of low-tech finishes such as brick.<\/p>\n\n\n\n
-Efficient materials: glass with efficient coefficient for thermal and solar radiation control, ventilated facade system (within the apparent brick grid)
-Efficient services, calibrated for energy consumption reduction: heat recovery systems, efficient light sources (LED), using renewable energy: solar panels\/ solar heaters, rainwater storage and usage, BMS and EMS systems.<\/p>\n","protected":false},"featured_media":24735,"template":"","class_list":["post-14947","project","type-project","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\n