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How do you create an entirely new emergency department in the same location as the existing one, when it's located on the floor above a surgery department and directly below inpatient rooms, and keep it fully operational throughout the entire duration of construction? Only by careful planning and design. 

Phase 1 prepared spaces that would allow the department to partially relocate but remain fully connected and functional. New spaces were designed to become repurposed in later phases. Phase 2 focused on the addition and renovation. At the end of phase 2 the new space again formed a fully functional ED. Phase 3 completed the expansion of the departmental spaces and repurposed those remaining from phase 1.

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The design substantially increases the capacity of the department with eight treatment and two trauma rooms. Physicians and nursing staff operate within a single central core that is fully separated from the public spaces, increasing staff efficiency and patient privacy, and security simultaneously.

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