One of the largest and busiest hospitals in North Carolina, the Carolina Medical Center (CMC) needed to increase their number of Operating Rooms and increase the throughput capacity of their Surgical Services Department. Two of the many challenges that stood in the path to reaching these goals were; maintaining support for their existing 26 operating rooms during construction and constructing the new OR addition above the Radiation Oncology Department and three operating linear accelerators.
Specialized Engineering Solutions (dba Caveo|SES) performed an extensive mechanical and electrical (MEP) infrastructure systems assessment to set the scope of work required and aid in determining phasing of the project. The availability of MEP utilities and sources for extending new utilities to the project area were determined and reported to the Owner and design team prior to the start of design. This assessment included systems in 11 different building additions constructed between 1940 and the present. The design and construction consisted of 18 major phases and two separate new construction phases. Each new construction phase included space for six state of the art operating rooms with the latest integration technology. (10 were built with 2 shell spaces for future ORs.) The project included 1 Hybrid OR with bi-plane imaging equipment. Mechanical / Electrical Rooms located directly above the ORs housed all the systems needed to serve the OR spaces. All equipment maintenance and repairs are accomplished without entering the sterile spaces. In addition to the surgical suites, 120,000 sq. ft. of existing hospital space was renovated. The renovations included new Central Sterile Department, 52 bed PACU, 28 bed Pre-Op, plus support spaces.
The first phase of construction began in 2008 and the final phase of construction was completed in December of 2011. Throughout the 3+ years of construction activity, all services, including Radiation Oncology, were maintained. Each phase of construction was reviewed and fully accepted by the North Carolina Division of Health Service Regulation (DHSR). This project not only added much needed surgical services capacity but also set the stage for the Hospital to provide state of the art care and to continue to expand well into the 21 Century.