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By Monique Muise, THE GAZETTE May 23, 2011 11:09

 

Read more: http://www.montrealgazette.com/Garbage+control+rethought+buildings/4828620/story.html#ixzz1NElXNSMR

 

 

When it comes to garbage, Montreal’s new hospital complex will be a lot like Disney World.

 

Just like in the Magic Kingdom, a huge amount of trash will be discarded on the Glen campus each day; but the patients, staff and visitors wandering through the halls will be blissfully unaware of where it goes or how it is handled.

 

“If you look at the model of how Disney cleans their facilities, everything is done underground,” said Joe Desrochers, Operations Manager in the McGill University Health Centre’s hospitality department.

 

“You never see them moving garbage, and there is never any sign that things are being cleaned ... One of my personal pet peeves is that in (the existing MUHC hospitals), we do a lot of operations in a very public way.”

 

Desrochers’s department has spent years mapping out the waste management system for the state-of-the-art buildings currently taking shape on the Glen, and he’s confident the new setup will represent a big improvement over the systems in the city’s older hospitals.

 

“I work at the Royal Victoria, and some of our wings are over 100 years old, so space is always tight,” Desrochers said. ”Because we’re starting with a clean sheet of paper at the Glen, we’re really able to develop things into our plans.”

 

Along with a completely separate, “back-of-house” network of elevators and corridors dedicated to maintenance and cleaning, the hospitality staff in the new hospital will have access to a large waste management area located two floors beneath the cancer centre and research institute (also known as “Block D”). The facility will consist of office space and separate storage rooms for each type of waste that is brought down from the buildings above. Some of those rooms will have movable walls which can be shifted based on the changing needs of the hospital over time. Rooms that store paper waste may shrink as staff rely more and more on digital records, for example. Other rooms will be permanent, and must be built using very specific materials.

 

“Some may require a cement wall that is 18 inches thick, for example, or for radioactive waste the room needs to be shielded with lead,” Desrochers explained. “We give (the construction consortium) an idea of what will be in a room, and they have to design that space according to the current Canadian standards.”

 

The rooms housing flammable or volatile waste materials are being built around a central courtyard that will house the hospital’s heavy-duty garbage compactors. The walls facing toward the courtyard will be “blow-out” walls, Desrochers said, so that in the unlikely event that there is an explosion, the blast will be directed toward the compactors.

 

Designing and approving all of these elements has been a long and complex process, but Desrochers promises it will be worth it.

 

“We really needed to make sure that our needs were heard,” he said. “We’ve been very fortunate because they have really listened to us.”

 

mmuise@montrealgazette.com

© Copyright © The Montreal Gazette

 

Read more: http://www.montrealgazette.com/Garbage+control+rethought+buildings/4828620/story.html#ixzz1NEl2dBCn

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Très bien, il aurait été désolant de construire des complexes modernes avec des idées anciennes, et la question des déchets est un incontournable qu'il faut gérer de la manière la plus efficace possible. D'autant plus qu'un hôpital génère beaucoup de déchets dangereux qu'il faut soustraire au contact du plus grand nombres de gens, pour des raisons évidentes. Ici la technologie vient donc appuyer l'écologie et le développement durable par une gestion supérieure des matières résiduelles.

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The word "bunker" conjures images of wartime raids and falling bombs, but in a hospital setting, these fortified structures are actually a place where people go to be healed.

 

The McGill University Health Centre's new Glen campus will be equipped with eight "cancer bunkers" buried partially underground in the hospital's cancer centre, at the eastern end of the site.

 

These rooms, each eight metres by eight metres, will house large, sophisticated machines that use targeted ionizing radiation to destroy cancer cells in a patient's body. The treatment, commonly known as radiotherapy, involves aiming radiation beams at a tumour from several angles, explained William Parker, a medical physicist at the MUHC.

 

"A course of radiotherapy can vary between one and 20 sessions," Parker said. "It's quite a sophisticated practice now."

 

Although these new facilities will be state-of-the-art, they will also present a certain danger to anyone not receiving cancer treatment, since radiation can harm healthy human cells.

 

In order to shield staff and the public from unnecessary exposure, the Glen's bunkers must be built using specific guidelines set out by the Canadian Nuclear Safety Commission.

 

Michael Evans, a medical physicist and radiation safety officer at the MUHC, explained that the walls will be composed of medium-to high-density concrete and must be 1.5 to 2.5 metres thick to ensure that no one besides the patient will be exposed when the machines are activated. High-tech security systems will also be installed as an extra precaution.

 

"SNC Lavalin has experts for this, and we have collaborated with them on the design," Evans said. "There's a sophisticated licensing procedure that is followed by the 40 to 50 cancer centres in Canada."

 

Once construction is completed and the equipment is moved in, the Glen's radiotherapy bunkers will be able to process about 200 patients a day, Parker said. Currently, the MUHC has six bunkers in operation in Montreal.

 

Along with the bunkers, the Glen's radiotherapy level will house office space, waiting areas and various other patient care rooms.

 

As with the rest of the campus, planning how the pieces will all fit together has taken years and has involved input from doctors, nurses, physicists, engineers, architects, construction bosses and other stakeholders.

 

"The scope of the thing is the biggest challenge," Evans said. "We're dealing with the installation of eight bunkers instead of just one."

 

Read more: http://www.montrealgazette.com/health/Glen+campus+will+have+eight+cancer+bunkers/4865183/story.html#ixzz1Nwg2MOy9

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A state-of-the-art hospital isn't much good if you can't access it quickly in an emergency.

 

The architects who designed the McGill University Health Centre's new Glen campus were fully aware of that fact when they began sketching the plans for the facility's emergency transport systems. Ensuring that critically ill patients get where they need to go - and fast - has been a major priority from the start.

 

Ambulances will be able to access the Glen through three entrances; two along Décarie Blvd. and one off St. Jacques St. Those are the same entrances that will be used by all vehicles entering the site, said Pierre Major, the MUHC's associate director of construction and redevelopment.

 

Once they are on the campus, however, ambulances will take a different route than the rest of the hospital traffic. While visitors will stay on the north side of the buildings and head down a series of ramps into the underground parking structure, ambulances will head toward the south side of the buildings and remain at ground level. Once there, they will stop in special areas designated for ambulance traffic and unload their patients.

 

The ambulances also will have a reserved parking lot, to be built parallel to St. Jacques St., near the hospital's shipping and receiving bays.

 

The fact that the Royal Victoria Hospital, the Montreal General, the Children's Hospital, the Montreal Chest Institute, the new cancer centre and the Shriner's Hospital will be located nearby, of course, will result in an increase in ambulance traffic in the surrounding neighbourhood. However, Major said the impact on the community will be "negligible."

 

"Not all emergency transport will be going to the Glen, since the Montreal General's emergency unit will remain open," he said. "Based on our statistics, we're talking about 30 ambulances a day going to the (MUHC) emergency rooms."

 

The MUHC will not be planning the most efficient routes to the Glen from various points around the city, Major added. That's something that is left to the ambulance drivers. If there's construction on surrounding streets, they'll have to navigate around it.

 

In addition to ground transport, new mega-hospital will accept patients flown in from around the province. Those patients will arrive on medical transport planes operated by the provincial government, Major said. After landing at Pierre Elliott Trudeau International Airport, they will be transferred to a waiting ambulance and driven to the Glen.

 

One thing the new hospital won't have when it opens in 2014 is a helicopter landing pad, but that doesn't mean a pad will never be installed, Major said.

 

"Helicopter transit is not something that the Quebec government has deployed, but there are many physicians who are questioning that," he said. "It's something we would need to look at and obviously discuss with the city of Montreal, the province, Nav Canada (the country's civil air navigation services provider) and other partners."

 

(Courtesy of The Montreal Gazette)

 

We live in a modern society, yet we wont have a helipad.

Modifié par jesseps
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We live in a modern society,

 

No, we live in Quebec....

 

My grandfather died due to the lack of quick transportation between the airport and Montreal area hospitals so this subject really, really pisses me off.

Modifié par SKYMTL
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No, we live in Quebec....

 

My grandfather died due to the lack of quick transportation between the airport and Montreal area hospitals so this subject really, really pisses me off.

 

Not necessarily, my grandmother died due to gross negligence and incompetence on the part of the Montreal area hospitals... notably an operation that became infected, on return, was kicked out of the building (in such a shape the taxi adapte refused to take her).

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  • 3 semaines plus tard...

5015968.bin?size=620x400

 

The McGill University Health Centre has released a new artist's rendering of the hospital complex taking shape on the Glen campus.

 

The original drawings of the mega-facility, available on the MUHC's website for about a year, did not include the Shriners hospital, seen in the new photo on the far right.

 

According to spokesperson Caroline Phaneuf, the exterior of the building may still change slightly between now and when the complex opens in the fall of 2014.

 

Also, the buildings will not be completely white, as shown in the photo, as the planning teams continue to work on some of the esthetics of the buildings, Phaneuf explained.

 

For now, the real-life Glen remains a large, gaping construction pit. About 450 workers are at the site each day, and they have driven 91 per cent of the support piles that will eventually support the hospital's foundations.

 

All the piles are to be installed by the end of August.

 

Foundation work is continuing on Blocks E (Research Institute), D (Cancer Centre) and C (adult wing).

 

Crews have started pouring the foundation on Block B, which will house part of the Montreal Children's Hospital, and will soon begin foundation work on Block A, which will house another part of the Children's and the Shriners.

 

Framing work - essentially the construction of the skeletal outlines of the buildings to come - is under way. Workers will take a break for the annual construction holiday between July 23 and Aug. 7.

 

(Courtesy of The Montreal Gazette)

 

So it seems they went back to the drawing board and made is more modern.

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This looks much better, they must of been embarrassed after seeing how nice the CHUM will look, the original design looked like a giant factory, all that was missing was a couple of huge smoke stacks

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