A four-story, nearly 62,000-square-foot expansion and renovation of the existing emergency department creates 25 new exam / treatment positions (with two trauma rooms), and shelled second floor space for 24 future observation beds. A new ambulance entry with a covered canopy was added, along with an EMS room, triage, and staff support areas. A new two-story emergency entry lobby with a skylight and second floor balcony overlook infuses natural light into registration and waiting spaces. Creative phasing strategies were utilized to allow the existing facility to remain operational throughout construction.

Parking and driveways were reworked to optimize parking availability during construction, and tight site conditions required careful coordination—including details of flight paths for a future roof helipad addition. The Owner requested a connector to better integrate the new addition and existing tower floors; however, the first-floor roof structure was not designed for vertical expansion. After thorough investigation, extensive interior demolition and re-build enabled construction of the new connector. A new mechanical and elevator roof penthouse was also added.

The original public and ambulance ED entries had to be closed during construction. The existing hospital’s east and west main entries served as public walk-in points, and a temporary ambulance entry and canopy were installed at an adjacent staff entrance. Extra wayfinding signage, volunteers and security escorts redirected visitors to the existing, operational ED. After the first 90 days of construction, a temporary public entry was added.

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