The Rochester Region has outgrown several of its Emergency Departments.  As a result, patient satisfaction was challenged by long waits.  “Code Red” status was a frequent occurrence.  New and revised Emergency Department projects have been undertaken in multiple facilities, with master plans including similar scopes of work.

These facilities are designed to update outdated Emergency Departments, meet current needs and provides for future growth.  The focus is to improve patient flow; a separate Ambulance Entry, with it’s special design elements is for example.

The Urgent Care concept has also become popular in the area to ease the overcrowding of hospitals and the reduced wait time for minor illnesses change to more relevant. 

URMC Strong West
Brockport, NY
The scope includes the design for a new free standing Emergency Department. It also includes an Ambulatory Surgery Center with three operating rooms, a large multi-purpose procedure room and a GI Procedure room, preparation and recovery areas, Central Sterile support, Imaging Department upgrade, Pharmacy and Lab improvements.
Size: 87,000 SF
Construction Value: $11,188,000
Project Completion: To be completed in 2015

Noyes Health Emergency Department 
Dansville, NY
Addition and renovation to the existing Emergency Department, including eight (8) treatment rooms, nurse station and other required clinical and staff support spaces. Renovations as required to adjacent areas to provide Temporary Entrance to ED during construction, 23 hour Observation Area improvements to the current Phlebotomy Draw area.
Size: 14,000 Addition
Construction Value: $ 7.3 million
Project Completion: 2014

Noyes Health Urgent Care (After Hours)
Dansville and Hornell, NY
Designed to handle minor illnesses and injuries with shorter wait times. 
Size: 2,500 SF
Project Completion: 2013

Unity Hospital Emergency Department
Rochester, NY
The new Center meets current needs and provides for future growth.  Patient flow is carefully controlled with several entry points: Ambulance Entry, Decontamination Entry and Walk-In Entry. The Treatment Rooms are designed nearly identical throughout.  Specialization is subtle for Ortho and GYN patients.  Four Trauma Rooms are near Surgery to allow for quick transport.   Radiology support includes a dedicated Rad Room and CT scanner.    
Size: 20,000 Addition, 12,000 Renovation
Construction Value: $8.5 Million
Project Completion: 2006

Leroy Urgent Care & Spencerport Urgent Care
LeRoy & Spencerport, NY
Two Urgent Care Centers are located to meet neighboring community needs for immediate treatment of non-life threatening issues.
Size: 2,600 (interior build-out) and 2,800 (interior build-out)
Construction Value: $130,000 & $172,000
Project Completion: 2010 & 2009

Bath VA Medical Center Emergency Life Support, Building 76
Bath, NY
Renovation to expand an existing unit, add a bed unit, an isolation room and a behavioral health observation room. The current Radiology Department was relocated to accommodate this Emergency Department upgrade and expansion.
Size: 3,750 Renovation
Construction Value: $800,000
Project Completion: 2005

Noyes Hospital Emergency Department Addition

Nicholas Noyes Memorial Hospital’s former Emergency Department was undersized for the current patient volume. The work flow efficiency was negatively affected by its outdated floor plan configuration. The patient population was forced to share the ambulance and walk-in entrance. Noyes Hospital tasked Gardner PLUS to assist them in designing a space that would address these concerns.

The new floor plan incorporates a racetrack concept with 7 treatment rooms around a central nurse station. There are separate entrances for the ambulance and walk-in population. The walk-in population is controlled and evaluated through a new triage process. Administrative functions are separated from the clinical space. Emergency decontamination provisions were incorporated into the design. This included a separate decontamination entrance with shower and direct access to an isolation treatment room. Accommodations for a decontamination tent and tank were designed on site near in close proximity to the ED addition.

The former Emergency Department was converted to a five bed Observation Unit that is adjacent to the ED. This allows for shared space between the units and a desired adjacency for staff efficiency and patient care.