Healthcare

UCSF and the School of Medicine’s new Department of Orthopaedics established a premier center for orthopaedic care at 1500 Owens Street, directly across from the Mission Bay Community Center and two blocks from the Women’s and Children’s Hospital.

The 42,000 sq. ft. Orthopaedic Institute relocated, consolidated and expanded existing services at Mt. Zion and at Parnassus. The project consisted of an outpatient clinical facility, ambulatory surgery center, radiology suite, orthotics and prosthetics clinic and shop, human performance center and academic offices. The clinical area includes patient waiting areas, 30 exam rooms and clinical support space. The ambulatory surgery center includes four operating rooms and two procedure rooms, and the radiology suite consists of a 3T MRI and three x-ray rooms. Academic space features 15-20 faculty offices and a hotel office.

Phase I: The hospital/research tower includes 40 medical and surgical nursing beds, 10 mental health beds, 10 medical research beds, 10 intensive care beds, four operating rooms, radiology, emergency, endoscopy and medical research laboratories. In addition, upgraded mechanical and electrical energy centers were required.

Phase II: The Ambulatory Care Building served as a hospital for Air Force and the VA, since 1964. The building was converted to ambulatory care building after the completion of the hospital tower. The ambulatory care facility required life safety upgrades to its structural, fire alarm and fire sprinkler systems. In addition, the new hospital expansion required upgrades to the nuclear medicine, pharmacy, clinical laboratory, sterile processing and distribution services and morgue.

Emergency Department: The project is a design-build addition to the existing emergency department to accommodate the increasing need for more clinical space. The additional clinical space includes: observation/monitoring rooms, observation/treatment rooms, nurse station, triage rooms and other support areas. This project also improves the physical security and access for the medical center.

The M3 New MRI Suite is a conversion of an existing 3,600 sq.ft. sleep study area into a state-of-the-art Inpatient MRI Imaging Suite featuring two 3.0T MRI scanners, tech work space, patient prep and recovery areas located on the third floor of the existing Moffitt/Long Hospital. The suite was designed collaboratively with the user group to maximize MRI safety, staff efficiency and patient comfort. This project integrates the “best practices” recommendations of the California Healthcare Foundation, evidence passed design recommendation from the Center for Healthcare Design and MRI safety guidelines from the American College of Radiology.

 

With an increase in population and rapid business growth, the Modesto Radiological Institute, a medical imaging group located in California’s Central Valley, wanted to open a second location in a larger location in Turlock, California, to service the demanding needs of the clinic. The project includes the design of a 20,000 sq.ft. two-story multi-modality imaging center and offices. 10,000 sq.ft. is designated for the imaging center program with space for a waiting/reception area, business and administrative offices, multiple patient dressing and waiting areas, tech work areas, reading rooms, support space and storage areas. The remaining 10,000 sq.ft. is reserved for future development. Limited site work included the location of miscellaneous support equipment (chillers and cooling units), landscape, walkways and ADA accessible curb cuts and ramps in the immediate vicinity of the building.

The Clinical Laboratory replacement is a component of San Joaquin County General Hospital Phase II. Being an essential service, the existing Clinical Laboratory was part of the non-compliant outpatient building which required either retrofit or replacement, based on the SB 1953 structural evaluation and master plan. Since the existing laboratory had to remain in operation during construction of a new Clinical Laboratory, and the existing plan was antiquated and did not allow for flexibility or maximize access, it was decided that replacement was the best option.

Planning required a program of 15,330 sq.ft. for a new Clinical Laboratory Building and 3,000 sq.ft. of renovation within the existing laboratory area for expanded specimen collection services. The laboratory is a free-standing building adjacent to the hospital and connected by a pneumatic tube system and courier services. Chemistry, special chemistry, hematology, coagulation, blood bank, microbiology and pathology provide laboratory services to the hospital, clinics and surrounding community.

The Radiation Oncology Center located on the campus of Mercy San Juan Hospital provides outpatient cancer treatment in a facility designed for patient comfort. The use of natural materials, lighting and color combine to reduce the patient’s stress while they receive treatment with state-of-the-art equipment. Nacht & Lewis Architects started design work in 1990 on the facility with the building being completed in 1992.

Nacht & Lewis Architects was selected to master plan a 13-acre site for Kaiser Permanente in Davis, California.  As part of the first phase of the plan, the design and construction of this medical office building took place.  It was completed in 1990 and contains a general lab, a pharmacy, and various administrative offices.

Originally designed in 1973, the Radiation Oncology Building for Sutter Memorial Hospital has been relocated to another facility in downtown Sacramento. This mid century modern building features smooth lines and liner shape.

Stanislaus County Community Medical Center offers an array of programs and services designed to protect the health and safety of the community. Our firm designed this facility for Stanislaus County in 1972.

The Sierra Army Depot is in the highest desert plain east of the Sierra Nevada mountains at an elevation of 4,200 feet. Along with the medical center, ammunition storage and ammunition disposal warehouses are also located at this site. Nacht & Lewis designed the medical facility in 1971. Due to cutbacks, most of the facilities at the Sierra Army Depot were shut down in 2001.

Completed in 1965, the Child Guidance Center is one of the facilities designed by Nacht & Lewis located on the campus of Sutter Memorial Hospital.

The original address of this building was 5275 F Street and has now changed to accommodate the new facilities added to the campus. This building has been integrated into the Sutter Memorial Hospital Neonatal Building.

This medical office building was constructed in 1961. Design work began in 1959 with several possible schemes being rendered, one of which still survives. Once the final design was agreed to construction began. This facility is now associated with Sutter Memorial Hospital and is named the Sutter Children’s Outpatient Building.

 

Since it opened in 1937 at F and 51st street, more than 325,000 children have been born in the city’s “baby hospital,” which stands as an imposing presence in a neighborhood of tree-lined streets and quaint homes. Leonard Starks was not the architect of the original hospital building, he worked for Sutter Memorial Hospital in the preceding years including designing the multi-story Nursing Tower in 1958, the Child Guidance Center in 1964, the Radiation Therapy Center in 1974, as well as various other interior and exterior remodels.

 

The tower was razed in 2014.

Sonoma Valley Hospital, located in the heart of California’s wine country, provides emergency care to the City of Sonoma. At the onset of the project, the hospital was intent on building a new central plant to serve the hospital’s growing needs, but with the team’s prior experience with central plants and hospitals, it was determined that a new plant was not necessary. Instead, the Nacht & Lewis and Otto Construction team recommended an upgrade to the existing 30 year old boiler and chiller, allowing the hospital to build a new two-story, Emergency Department and cutting-edge operating suite, providing patient care and healing in a single space. In addition to the new building, the project included minor tenant improvements to the second floor of the existing west wing hospital building and enhancements of the hospital’s entrance and lobby. With the assistance of this design-build team, Sonoma Valley Hospital has begun their transition to become a healing hospital, providing emergency care while encouraging health and healing in the community.

The project at University of California Davis Medical Center included a two-phase remodel to replace the existing angiographic imaging system with new Siemens Interventional Radiology equipment including two bi-plane Artis C systems and one single plane Robotic Zee Go systems. Work includes the removal of existing imaging equipment, modifications to the mechanical and electrical systems, the installation of new Siemens Imaging equipment and related devices. The support spaces include removal of darkroom equipment in an adjacent room, the installation of scrub sinks and other tenant improvements. The new interventional room will provide both inpatient and outpatient procedures.