Randall Lamb Association

Monthly Archives: October 2011

INsight: Updating Our Hospitals, Expansions

October 24, 2011

Updating Our Hospitals: Expanding into the Future

In order to keep up with demand and technology, some hospitals have implemented major expansions of their existing sites. In children’s hospitals, the increasing prevalence of chronic conditions such as diabetes, developmental disorders and the rising rates of infant prematurity and childhood obesity are placing added stress on pediatric hospitals nationwide. Advances in medical care for chronic conditions have improved and might require specialized care for children throughout their youth, including frequent and lengthy hospital admissions.

National standards of care set the optimal occupancy rate for pediatric specialty hospitals at 65%, so that beds are available for emergency admissions and unpredictable disease outbreaks. In order to avoid a high occupancy rate and provide availability for a growing population, expansion may be paramount.


Rady Children’s Hospital San Diego, Acute Care Pavilion, San Diego, CA

In order to accommodate the current and future patient demand of a highly respected and award-winning children’s hospital, and after securing the supplemental funding needed from other sources, Rady Children’s Hospital San Diego implemented a $260 million expansion on their health center campus. Just off the I-805, Rady Children’s new 279,000 sq ft, 4-story Acute Care Pavilion is located on a 148,650 sq ft site, adjacent to the Hospital’s Rose Pavilion and connected via a bridge.

The Acute Care Pavilion includes a surgical center, neo-natal intensive care center, cancer center and new emergency generator building. The facility has 16 operating rooms with associated support departments, a 28-bed hematology and oncology unit, 10-bed bone marrow transplant intensive care unit, 32-bed neo-natal intensive care unit, and 84 acuity adaptable medical surgery beds. The project was completed last year, two weeks early.

Rady Children’s Hospital Acute Care Pavilion is one of the first LEED certified OSHPD facilities in California, and one of the first LEED certified healthcare facilities within San Diego County. Randall Lamb’s electrical engineering team contributed to the team’s energy efficiency goals.

Designed by San Francisco-based architectural firm Ashen + Allen and built by McCarthy, the new Children’s Hospital Acute Care Pavilion features a glass-fiber reinforced, precast concrete exterior; dimensional travertine stone; storefront and curtain wall glass systems with colored accents; and metal panels, railings and canopies.


Rady Children’s Ronald McDonald House and Parking Garage, San Diego, CA

Randall Lamb also provided electrical engineering for the addition of a $25.4 million, 1-story, 45,000 sq ft, 47-guest Ronald McDonald housing atop an existing 6-story, 1,016 car parking garage, also a Randall Lamb project. The 19th Ronald McDonald House to be built, it is home to the families of patients who are receiving critical care at the Hospital, and four times the size of the hospital’s previous patient parent/family housing facility. With an impressive list of amenities, it serves families by offering dining services, a living room, quiet rooms, a chapel, a teen center, laundry facilities, computer resources, a beauty salon, exercise room, outdoor play space and healing gardens.

Since the hospital and parking structure operate 24/7, particular attention was paid to passive security systems, with open architecture meeting many of the objectives of Crime Prevention Through Environmental Design (National Crime Prevention Council). The structure is well lit with energy-efficient lighting. Four elevators serve the parking structure and the Ronald McDonald House. Front and back cab doors were designed to orient pedestrians toward their destinations and provide better passive security in the lobbies. Since its completion in 2009, the Ronald McDonald House has received an impressive list of awards, including:

  • San Diego Associated General Contractors – 2009 Build San Diego Award – Private Work
  • International Parking Institute (IPI) – 2010 Award of Excellence, Award of Merit
  • California Construction Magazine – Best of 2009 Awards Competition, Southern California Overall Top Project
  • California Construction Magazine – Best of 2009 Awards Competition, Outstanding Project Management Award, Small Projects
  • California Construction Magazine – Best of 2009 Awards Competition, Top Honor in Green Building

This project was a labor of love for the entire design and construction team, and a significant amount of the time and effort was donated to the Ronald McDonald House by all parties involved for this most worthy cause – with the endless satisfaction of making a difference.

Posted in Project Insights

INsight: Updating Our Hospitals, Retrofitting

October 24, 2011

Updating Our Hospitals: Retrofitting for the Future

Since 1994, hospitals have been hiring architectural and engineering firms to study and develop projects to deal with the new seismic requirements of Senate Bill 1953 (SB 1953), enforced by the Office of Statewide Health Planning and Development (OSHPD). Based on their Structural Performance Category (SPC) and Non-Structural Performance Category, hospitals have closely examined how their facilities will be utilized in the future.
SB 1953 only requires seismic strengthening of the building and anchorage of the nonstructural components of a hospital, with the goal of providing a safer environment for patients in the event of an earthquake. Hospitals also realized that there are additional upgrades to consider for patient safety. The costs of meeting SB 1953 standards are already staggering and upgrading outdated patient services, or creating greater efficiencies in unreliable mechanical, electrical and plumbing (MEP) system infrastructure greatly increases those costs. Nonetheless, hospitals understood that retrofitting their facilities required that they cast a much wider net.
Since the onset of SB 1953, Randall Lamb has assisted hospitals in studying and engineering new projects to address the MEP impact of the mandated requirements. In conjunction with those projects, Randall Lamb has reviewed the MEP equipment for age, condition, capacity, efficiency, remaining useful life and disruption impacts; and developed recommendations and costs to support current and future growth requirements. MEP equipment that has reached its end of useful life can fail at any time, and the loss of equipment through a catastrophic event can be costly and disruptive to hospital operations, impacting patient care.



Kaiser San Diego Medical Center Zion, Infrastructure Surveys, San Diego, CA

Randall Lamb was commissioned to evaluate and identify the mechanical and electrical infrastructure upgrade projects that would be required for the 597,000 sq ft hospital and central plant through the year 2020. The scope of services addressed the condition, age, location, disruption impacts and recommended upgrades and probable costs for the MEP systems that are currently being implemented.

Scripps Health, Air Handler Units Evaluation and Repair, San Diego, CA

Randall Lamb evaluated thirty (30) existing air handling units; twenty-four (24) units in the hospital and six (6 ) units in the Anderson Outpatient Pavilion at Scripps Green Hospital. The project determined each unit’s existing condition, remaining useful life, component replacement options and overall unit replacement. Subsequently, Randall Lamb recently provided prime mechanical and electrical engineering services to repair six of the hospital’s air handlers to extend their life by 3-5 years until they could be replaced. The exact scope of work varies for each unit, but includes repair/replacement of the following: Moisture eliminators/pre-filters, control dampers, condensate drain pan, chilled water and heating coils, supply and return fans, air handler cabinet, air filters, test and balance, and temporary HVAC system.

Kaiser San Diego Medical Center Zion, 4th Floor NICU Department Study/Remodel & Postpartum Department Remodel, San Diego, CA

Randall Lamb is also providing MEP design to support the build-out of the NICU and Postpartum Departments on the 4th floor of the Hospital. The scope incorporated recommendations from a prior study completed by Randall Lamb, and includes new HVAC, plumbing, lighting, power, fire protection, nurse call/code system, and low voltage signal plans. The Design Team is working diligently and collaboratively to produce an excellent outcome without disrupting these important and special units in the hospital.

Posted in Project Insights