Work on a $65-million expansion and renovation of the emergency department at Brigham and Women’s Hospital is on track for completion in early 2022, but later phases are not likely to be as harrowing as the recently completed first phase—built at the height of the COVID-19 pandemic.

First phase work involved building a 25,000-sq-ft addition as hospital staff scrambled literally next door in the existing space to treat coronavirus patients. “We could just coordinate on what we could do to minimize disruptions” and noise traveling throughout the connected buildings, said Bryan Northrop, head of general contractor Skanska’s building operations in Boston. There were “no real off hours” to schedule work, he added.

还在医院的低级放射单元上进行了扩展结构，CT扫描和MRI机器全天进行测试。分包商联邦管道和沙利文和麦克劳克林电气钻孔通过地板进行了170个开口，以运行水管，用于新的检查室水槽和浴室，以及用于护士站的电气线。潜艇通过在地板上夹在地板上的混凝土和钢的一楼的核心孔，用于在下面空间的天花板上运行的管道和电线，并在建筑团队和BWH放射学之间进行了许多协调职员。

该项目还涉及在第一阶段的屋顶和整个急诊室的19,000平方英尺的基础设施升级。该项目中约有1300万美元涉及基础设施，例如增加空运者或用较大的单位替换现有的空中处理程序。

允许前进

当Covid-19命中时，第一阶段大约是一半。Brigham是该市最早开始服用冠状病毒患者的医院之一，波士顿市长Marty Walsh是该国首位关闭紧急建设几乎所有的大城市领导者。诺斯罗普（Northrop）和项目团队与杨百翰（Brigham）官员挤满了人，并寻求城市许可以继续前进。

Skanska在医院会见了传染病专家，以帮助制定一项安全重新启动工作的计划，同时使受感染的工人远离现场。经过两周的停顿，从包括分包商和工会在内的利益相关者获得意见，Skanska重新启动了该项目。

The first roadblock emerged immediately—the number of workers on site was limited to about 25 at a time, down from 70. The project team compensated by working two and sometimes three shifts a day, and adding weekend shifts as well. The team required workers to go through a certification process before coming in for their shifts, attesting that they were free of any signs of the virus, with Brigham handling that part.

Skanska将一些管道工作从建造发生的区域重新占据，同时还引入了清洁室过滤设备，以抵消对潜在的从建筑工人到医院其他地区扩散的病毒的担忧。

Skanska mandated testing for all workers, a necessity given that access to the jobsite required walking through an active section of the ED. Workers on the project were given access to the same rapid COVID-19 testing the hospital had established for its own employees, with the same screening protocols, said Douglas Carney, senior vice president for real estate, facilities and operations at Brigham. “We gave them all the same support we gave to our own employees.”

Brigham’s doctors, nurses and other medical staff recently moved into the new addition, freeing up the original emergency department for renovation. The project is now two-thirds complete. When completed, the ED will include space for 87 patients, up from 53. Beds can also be closed off and isolated from each other, another key advantage in the COVID-19 era, Carney said.

卡尼（Carney）称扩张为“关键”，“我们在旧埃德（Ed）中看到的数量超出了我们的能力，那是在库维德（Covid）之前。由于Covid的结果，体积仅增加。”