Healthcare

Blackrock Clinic

This project included the construction of three additional floors on top of the existing Blackrock Clinic Hospital building whilst keeping the hospital operational 24 hours a day. The live hospital campus and phasing requirements of the client resulted in elaborate pedestrian and traffic management plans being developed and continuously updated throughout the project.

The extension comprises a structural steel frame with 150 mm hollowcore flooring with 75 mm structural screed. The elaborate external envelope is a combination of precast cladding and glazing whilst the roof is a combination of the re-specified IKO System, Kalzip and Kingspan cladding systems.

The new extension provides 80 new single bedrooms, two operating theatres and two endoscopy rooms. The internal works comprised a full fit-out incorporating offices, bedrooms (all en-suite) operating theatres day-care centre, nurse stations and administration areas.

The scope of works also included complicated interface works within the existing hospital building at the basement and ground floor levels along with the existing central atrium area; extension of the existing Energy Centre Building, Restaurant and ICU Buildings and Site Enabling Works.

Ballyfermot Primary Care and Mental Health Centre, Dublin

The project consists of a three storey building with some plant on the roof and associated external works. The floor area is approximately 4,800m² including plant areas.

The accommodation is a Primary Care & Mental Health Centre for the treatment of the public with nursing, physiotherapy, GP, mental health, dentistry and community services. Facilities include therapy observation and interview rooms, dental surgery, dental X-ray and sterilisation rooms, snoozelar, OT, group activity rooms and communal kitchens. The accommodation also includes a separate single storey crèche with outdoor playground equipment and impact absorbing play surfaces.

Holles Street Hospital, Dublin

Holles Street Hospital involved the construction of a new operating theatre, associated ancillary accommodation and plantrooms.

The project comprised the construction of a two storey extension, at third and fourth floors of the existing hospital building with attached five storey (fire exit only) stair-well and break-ins to the existing building on first, second, third and fourth floor levels.

Daily consultation and forward planning was required with the hospital authorities to ensure there was no disruption as the works included some internal remodelling at third floor level to rearrange accommodation which became displaced due to tie-in of the new accommodation and the project was bounded on three sides by the existing hospital building.

Grangegorman Mental Health Facility, Dublin

The Phoenix Care Centre is the first new building to be constructed as part of the redevelopment of the old St Brendan's Hospital site in Grangegorman. The new building has a total floor area of 7,600m² comprising new residential accommodation for patients with 54 bedrooms and ensuites, recreational rooms, clinical rooms, administration areas, seclusion rooms and therapy gardens. The building is spread over three floors which are constructed around two Internal Courtyards.

This uniquely designed mental health facility provides a safe, secure and therapeutic environment for patients to receive the care they require in a modern environment. The process of planning and design of this project had to take into account the full scope of anti ligature equipment provided for in relevant legislation and best practice.

Sisk played an integral part in this process by presenting samples to the design team and the client at an early stage. This ensured that the tight construction programme was achieved.

Limerick Regional hospital

Barrington's Hospital, Limerick

The project required the demolition of an old roof system and the installation of a new one followed by a structural roof platform, new HVAC system of AHU’s and associated internal works and internal fit-out to theatres.

All works were carried out above live theatre rooms. To mitigate risk of water ingress during the project the building was shrouded with a temporary, fully weathered tent structure. This was an intricate scaffolding design due to the hospital being a listed building with no tie-ins allowed.

Particular emphasis was placed on dust, noise and vibration control with daily monitoring required for each. Aspergillus being a high concern for the working hospital environment.

University College Hospital, Galway

Interim works were completed by Sisk in 1999.

Phase 2 commenced in 2000 and delivered:

• Replacement facilities linked to existing hospital
• Refurbishments/upgrades in medical records, staff changing, concourse area, administration, wards and ultra-sound/CAT scan
• New wards in Blocks 2 A & 2 C in 3 & 4-storey units
• Block 2 B offices/entrance
• Radiotherapy centre

Live 24 hour operational hospital environment

• 2,000 hospital staff
• 15,000 hospital visitors per day
• 45 separate partial possessions were handed over in the course of the works
• 1.5million man-hours
• 533 separate subcontractors/suppliers managed, monitored & controlled for production, cost control, schedule adherence and Quality.

Whitfield Clinic, Co. Waterford

The project required the design and build of a new theatre and associated rooms within the footprint of the existing building.

The enabling phase of the works required the removal and relocation of ducting, electrical board and cables, water services and the demolition of existing walls to facilitate the construction. The enabling works were completed as Phase 1 followed by construction of the main works.

Critical HSE considerations were the live hospital environment and the precautions required to ensure that there were no issues. These included solid hoarding between the construction area and the hospital. Monitoring of dust, noise and vibration and close interaction with the facilities team and infection control team.

The project build was carried out in 14 weeks which included the commissioning of all equipment and the BCAR certification.

Letterkenny University Hospital

This project required the extension of the Radiology Department and works to an existing underground services duct. The works were carried out in the confines of an existing live hospital. The construction programme commenced in October 2017 and was completed in September 2019.

Phase 1

16-week programme which required the fit out of an existing structure.

Phase 2

Two separate areas

Area 1 – works to an underground duct, large M&E scope of works which required strip out of old services and installation of all new services.

Area 2 - demolition of the temporary building in the existing 1960's courtyard followed by construction of a new infill building tying into the existing building. This required construction of new floor slab, structural columns, new roof and fit out of this new area along with the fit out of the adjoining X-ray area.

New construction - 375m² including plant rooms.

Refurbished area – 1,465m².

The finished project provides CT, Fluoroscopy, Ultrasound, MRI, general X-ray, and interventional X-ray services for the hospital, with associated administrative and support areas for staff and patients.

St Joseph's Hospital, Clonmel

St Joseph's Hospital, Clonmel involved the refurbishment of theatre, CSSD and construction of isolation unit as well as the refurbishment of four existing theatres and the construction of a new isolation unit on a phased basis to allow the facility to be partially operational throughout.

Galway Clinic

Sisk provided an additional 44 bed spaces, over 2,400m² of floor space above the existing facility. The majority of the new bed space is made up of single or semi-private rooms all of which contain their own ensuite bathrooms.

As a section of the project involved the conversion of the existing roof into clinical space as well as other interfaces within the live hospital environment, noise and dust monitoring were critical elements in the management process with monitoring stations set up in pre-agreed locations and results issued weekly

Wellwood Acute Hospital

Phase 1 consists of a private hospital. The overall development covers 9.3 hectares and also includes convalescent home, nursing home, hospice, primary care centre and crèche, among other facilities.

The main aspects of the hospital are:

§70 bedrooms

§4 operating theatres

§Diagnostic suites

§Medical Day Care Unit

§Rehabilitation Area, etc.

Bloomfield Care Centre, Dublin

Design & Build project for the construction of a healthcare facility including the provision of nursing care, retirement accommodation and meeting / conference facilities.

Mallow Primary Care Centre, Co. Cork

Construction of a four storey split level concrete frame building with ancillary services, site works and car-parking.

This new development amalgamated three existing town centre GP practices in a new 6,500m² contemporary primary care facility. The facility is located close to the town centre in Mallow, Co Cork, Ireland.

Our Lady's Hospital, Dublin

This project included a new 1,300m², 17 Bed Paediatric Intensive Care Unit incorporating five single rooms, four passively pressurised isolation suites, eight bay observation suite and associated support facilities adjacent to and replacing the existing outdated facility within the original hospital building. The site location consisted of an existing green area enclosed on three sides by the hospital buildings and on the south by the public car park. An existing water main, storm and foul water lines were diverted prior to commencement of excavation. The bulk dig consisted of reducing the ground level by approximately one metre over an area of 1,300m² and the excavation of trenches for the switch rooms and pads for the structural steel columns.

The space vacated by the existing facility was adapted under Phase 2 of the contract to provide much improved parent and family support accommodation. The new building was designed to be constructed on a fast track programme with a steel frame and composite metal deck slab. The external walls utilise the latest methods of prefabrication and off site construction which assisted greatly in minimising any construction disturbance to the adjacent ward areas.

The project also included for the construction of a new state of the art 220m² wounds clinic for burns patients and new playground and car parking facilities for the wider campus.