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Avera Marshall Regional Medical Center

Marshall, MN

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.


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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