Ambulatorul pentru copii al Spitalului de Recuperarea - Cluj-Napoca
Outpacient ward for the Rehabilitation Hospital in Cluj Napoca
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Informaţii despre proiect
10.722.600,25 +TVA (lei)
Cluj-Napoca str. Viilor nr. 46-50
Echipa de proiect
SPITALUL CLINIC DE RECUPERARE CLUJ-NAPOCA
arh. Diana Talos
- Raluca Toma - program / architect - Robert Pop - electrical plan / engineer - Paul Barta - sanitary piping and plumbing plan + heating and ventilation plan + alternative solutions / engineer - Gheorghe Matis - structural plans / engineer
The Clinic Recovery Hospital is a respected medical institution and university level learning center. It is administrated by the Cluj County Council and hosts annually 12000 hospitalized people and treats 35000 people in its outpatient clinic. The people are drawn here by the facilities offered and by the qualification of the medical staff, formed mainly from the local medical university's professors.
In the international context of health systems, the recovery profile has gained a special importance in the medical services market, starting from the premise of the unacceptable economic, professional and social cost of the patient who has not been integrated into an effective rehabilitation system.
The hospital buildings form a large ensemble build in 1978, with a total developed surface of 18.683 sqm. Due to its size, the visibility from two main roads and the height of the main building – 10 levels, the hospital is a reference point at local level. To the current requirements, the architecture of the hospital, characteristic and generous for the period, is crowded, rigid, energy consuming and obsolete.
The project focuses on moving the Outpatient Ward in a new Location. The Ward, which is located now in one of the hospital buildings, is currently overcrowded and without the possibility of a spatial development. The hospital wants also to increase its services by setting up a Hyperbaric Oxygen Therapy Ward. Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized chamber. Hyperbaric oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in your blood vessels, and wounds that won't heal as a result of diabetes or radiation injury. In Romania Hyperbaric Oxygen Therapy Chambers are mainly in private facilities, with limited access and high treatment costs.
For the new Outpatient Ward was chosen one of the hospital buildings, formerly used as Hospital's Laundry. Newer than the rest of the ensemble, the Laundry Building was built in 1999 and has a concrete frame structure. The long side of the building occupies most of the front at Turturicii Street, a residential street with individual houses
The hospital management team required the following:
- to move the Outpatient Ward in the Laundry buiding
- to accommodate the Hyperbaric Oxygen Therapy Ward that meets all the requirements for a Multi-Place Hyperbaric Therapy Chamber.
- the access of the hospitalized people to the Hyperbaric Oxygen Therapy Ward trough a closed bridge between the main buildings and the Outpatient Ward Building
- to start a new Pediatric Outpatient Ward in order to meet the current healthcare law requirements
- to develop the Outpatient Surgery Ward in new, larger, spaces
- to increase the surface of the hospital with limited maintenance costs
- to use alternative energy sources
The project aimed at European founding and was conceived to meet the requirements of the Priority Axis 1.14. The project was submitted in December 2018 and is currently under evaluation.
The estimated costs are 10.722.600.25 lei (+TVA) = 2.257.057 euro.
The concept of the project focuses on the bone internal structure. The bone structure is denser in the more stressed areas and more tenuous in other areas. The broken bone are connected trough a new tissue witch rebuilds the connection. Here the body is formed by the main building as the hospital, trough his complicated inner processes, works as an organism. We tried to connect the new Outpatient Ward location trough a structure, to the main body, in a way to keep the inner processes working.
The new Outpatient Clinic will provide modern services in rehabilitated spaces. The technologies involved in this building the Hyperbaric Oxygen Therapy Chambers, the use of alternative energies in a medical building (heat pumps air-soil and solar photo voltaic panels) are the novelties that are brought in by the project.
The rehabilitated building will provide a new image for the hospital and the surrounding areas.
The Laundry Building , part of the The Clinic Recovery Hospital, was built in 1999 and has a concrete frame structure. The long side of the building occupies most of the front at Turturicii Street, a residential street with individual houses. It is now partially used as a Medical Analysis Laboratory and Hospital Archive. The rest of the building is empty.
The current building characteristics:
Total build area: 732,00 sqm
Total developed area: 1412,00 sqm
Total useful surface 1222,40 sqm
Height: G+1, partially G
We had to find potential in this modest, industrial building as demolition was not an option. The concrete structure, with wide openings offered us the possibility to change the inner walls position according to the new needs. The current building services where compromised and needed to be radically changed. The facade to the residential street was monotonous and out of scale.
The new Hyperbaric Oxygen Therapy Ward will occupy the groundfloor of the building, for technical reasons. For the ease of access the Pediatric Outpatient Ward will be also settled in the groundfloor of the building. On the first floor is the relocated Outpatient Ward and on the second floor the Outpatient Surgery Ward. The separate access for the Outpatient ward will free the main access in the Hospital.
In the Outpatient Ward was put an electronic system that distributes the patients to each medical office and ease the experience of the patient. All the spaces have universal access trough a special elevator and outdoor ramps.
We have investigated the structural and the energetic potential of the building together with high level building experts within an approach that searched to implement efficiently the use of alternative energy sources. The conclusions have drawn us to a heating system based on a air-soil heating pump for underfloor heating doubled, for safety, by conventional heating, from the main building heating system. In order to reduce the electric energy consumption we have used solar photo voltaic panels over the entire inclined roof surface.
The connection to the Hospital's main buildings was made trough a metallic articulated bridge. The hospitalized patients reach the building trough this bridge at the first level. Trough an elevator that meets stretcher requirements the patients access the Hiperbaryc Ward area. This bridge has an articulated structure due to the special requirements of the soil in this area.
The characteristic of the final buildings are:
For the Outpatient Ward:
Total build area: 771,50 sqm
Total developed area: 2038,10 sqm
Height: G+2 Levels
For the metalic bridge:
Total buildt area: 176,30 sqm
Total developed area: 207,60 sqm
Considering the given conditions. the project brings innovation in terms of medical services and the possibility to implement the use of alternative sources of energy in a medical program. The main difficulty is financial source is the European founding, if the project qualifies. If not, there is no other known alternative for improving the quality for the medical services.