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	<title>BMH Emergency Department Expansion</title>
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	<link>http://bmhed.org</link>
	<description>MRI Relocation Project</description>
	<lastBuildDate>Fri, 17 May 2013 13:11:46 +0000</lastBuildDate>
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		<title>16 Tons in 15 Minutes</title>
		<link>http://bmhed.org/2013/05/17/16-tons-in-15-minutes/</link>
		<comments>http://bmhed.org/2013/05/17/16-tons-in-15-minutes/#comments</comments>
		<pubDate>Fri, 17 May 2013 13:10:35 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=459</guid>
		<description><![CDATA[Those who find lifting heavy an expensive objects exciting will be enthralled by the pictures below. They show the arrival of the air conditioning unit for the new lobby, Admitting, Café and ED addition. This 16 ton unit was put in place in less than 15 minutes by a crew whom obviously knew what they [...]]]></description>
			<content:encoded><![CDATA[<p>Those who find lifting heavy an expensive objects exciting will be enthralled by the pictures below. They show the arrival of the air conditioning unit for the new lobby, Admitting, Café and ED addition. This 16 ton unit was put in place in less than 15 minutes by a crew whom obviously knew what they were doing.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-461" title="051613_A" src="http://bmhed.org/files/2013/05/051613_A.jpg" alt="" width="624" height="468" /></p>
<p>In addition to displaying the air handling unit “in flight,” you can see that construction of the entrance is moving along quite smoothly.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-462" title="051613_B" src="http://bmhed.org/files/2013/05/051613_B-768x1024.jpg" alt="" width="538" height="717" /></p>
<p>Here the unit is swung over and ready to be lowered into permanent location.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-460" title="051613_C" src="http://bmhed.org/files/2013/05/051613_C-768x1024.jpg" alt="" width="538" height="717" /></p>
<p>You can safely assume that the last few feet went as well as the rest of the move.</p>
<p>- Rob</p>
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		<title>New Entryways in Place</title>
		<link>http://bmhed.org/2013/04/29/new-entryways-in-place/</link>
		<comments>http://bmhed.org/2013/04/29/new-entryways-in-place/#comments</comments>
		<pubDate>Mon, 29 Apr 2013 16:56:44 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=452</guid>
		<description><![CDATA[We here at BMH are just lovin’ the progress being made by HP Cummings for the first phase of out Emergency Department project! These two photos show the new entrances to the hospital and Emergency Department are beginning to take shape. The foreground doorway is for the hospital and the further entrance at the right [...]]]></description>
			<content:encoded><![CDATA[<p>We here at BMH are just lovin’ the progress being made by <a title="Construction Manager Revealed; MRI Readies for Move" href="http://bmhed.org/2012/05/07/construction-manager-revealed-mri-readies-for-move/">HP Cummings</a> for the first phase of out Emergency Department project!</p>
<p>These two photos show the new entrances to the hospital and Emergency Department are beginning to take shape. The foreground doorway is for the hospital and the further entrance at the right will be for the Emergency Department. (The doors shown are temporary for construction.)</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-454" title="042613_A" src="http://bmhed.org/files/2013/04/042613_A.jpg" alt="" width="636" height="476" /></p>
<p style="text-align: center;"><img class="aligncenter  wp-image-453" title="042613_B" src="http://bmhed.org/files/2013/04/042613_B.jpg" alt="" width="636" height="476" /></p>
<p>Finally, underneath these words one can see that the creation of the Emergency Department Registration desk is well underway:</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-455" title="042613_C" src="http://bmhed.org/files/2013/04/042613_C.jpg" alt="" width="639" height="479" /></p>
<p>…painting starts next week!<br />
- Rob</p>
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		<title>A Look Through the Interior Walls</title>
		<link>http://bmhed.org/2013/04/08/a-look-through-the-interior-walls/</link>
		<comments>http://bmhed.org/2013/04/08/a-look-through-the-interior-walls/#comments</comments>
		<pubDate>Mon, 08 Apr 2013 14:59:36 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=445</guid>
		<description><![CDATA[Let’s look inside the new addition, set to be our lobby, café, ED waiting and reception area. As of today, you can see through walls! Below you are looking from the new café area toward the reception and waiting area for the ED: Here we are looking back at the café serving area from the [...]]]></description>
			<content:encoded><![CDATA[<p>Let’s look inside the new addition, set to be our lobby, café, ED waiting and reception area.</p>
<p>As of today, you can see through walls! Below you are looking from the new café area toward the reception and waiting area for the ED:</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-446" title="040413_A" src="http://bmhed.org/files/2013/04/040413_A.jpg" alt="" width="602" height="451" /></p>
<p>Here we are looking back at the café serving area from the entry area:</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-447" title="040413_B" src="http://bmhed.org/files/2013/04/040413_B.jpg" alt="" width="605" height="455" /></p>
<p>All this demonstrates that folks are working feverishly on the interior fit up of the first phase.</p>
<p>Next blog, well, this super human vision will begin to fade away as the wallboard is installed…..</p>
<p>More to come!</p>
<p>- Rob</p>
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		<title>Let’s Play Construction Trivia!</title>
		<link>http://bmhed.org/2013/03/25/lets-play-construction-trivia/</link>
		<comments>http://bmhed.org/2013/03/25/lets-play-construction-trivia/#comments</comments>
		<pubDate>Mon, 25 Mar 2013 15:47:20 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=437</guid>
		<description><![CDATA[Anyone up for a little construction trivia? There are basically three types of construction. Which one is required for hospitals? Combustible (i.e. wood framing) Non combustible (i.e. steel framing) Non combustible protected (i.e. steel framing with a fire resistant insulation sprayed on, or poured concrete) The correct answer is (3): non combustible protected. This allows [...]]]></description>
			<content:encoded><![CDATA[<h3>Anyone up for a little construction trivia?</h3>
<p>There are basically three types of construction. Which one is required for hospitals?</p>
<ol>
<li>Combustible (i.e. wood framing)</li>
<li>Non combustible (i.e. steel framing)</li>
<li>Non combustible protected (i.e. steel framing with a fire resistant insulation sprayed on, or poured concrete)</li>
</ol>
<p>The correct answer is (3): non combustible protected. This allows for the building to stand for a longer period of time even in the event of a really intense fire breaking out. Since we have chosen to go with steel framing, fire proofing is sprayed on to insulate the steel so that it will not soften and bend in case of a severe fire.</p>
<p>What was the front entrance/coffee shop (and is destined to be admitting and expanded ER space) is partitioned with framing to delineate the wall locations for new rooms. Steel and concrete are in place for the addition and “fireproofing” will be sprayed onto the steel. Here is the addition before application of the “fireproofing”</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-438" title="032213" src="http://bmhed.org/files/2013/03/032213.jpg" alt="" width="560" height="420" /></p>
<p>Below is a closer picture of the metal deck and steel framing with the fuzzy grey “fireproofing” stuff. (I put the term “fireproofing” in quotation marks as it is really a method to increase fire resistance. A large enough fire could take down anything.) At the time of this update about one-third of the area had been coated with this material.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-439" title="032213_A" src="http://bmhed.org/files/2013/03/032213_A.jpg" alt="" width="540" height="577" /></p>
<p>By the way, the hospital is also fully outfitted with sprinklers, which is the best protection against an extensive fire. Thanks for keeping up with the project!</p>
<p>- Rob</p>
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		<title>Raising the Roof</title>
		<link>http://bmhed.org/2013/03/11/raising-the-roof/</link>
		<comments>http://bmhed.org/2013/03/11/raising-the-roof/#comments</comments>
		<pubDate>Mon, 11 Mar 2013 15:20:18 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=431</guid>
		<description><![CDATA[When last you read this page, you were told that things would move rapidly once the steel arrived. I will let readers evaluate the sincerity of those remarks by looking at the pictures below and comparing them to the Feb. 20 post. Before you peek at the pictures, however, let me say this. Where before [...]]]></description>
			<content:encoded><![CDATA[<p>When last you read this page, you were told that things would move rapidly once the steel arrived. I will let readers evaluate the sincerity of those remarks by looking at the pictures below and comparing them to the <a title="Progress" href="http://bmhed.org/2013/02/20/progress/">Feb. 20 post</a>.</p>
<p>Before you peek at the pictures, however, let me say this. Where before I could give you an idea about the work area with a single picture, we now need two to show the full scope.</p>
<p>The first shot is of the expanded interior area. This will house the café, lobby and waiting area for the Emergency Department. To the immediate right you will also see part of the new canopy:</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-432" title="EDphoto0311-01" src="http://bmhed.org/files/2013/03/EDphoto0311-01.jpg" alt="" width="640" height="480" /></p>
<p>The picture below shows the framework and roof decking for the new canopy. The big improvement here is the new covering protects not only the walkway to our entrances, but also shelters vehicles as they drive up.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-433" title="EDphoto0311-02" src="http://bmhed.org/files/2013/03/EDphoto0311-02.jpg" alt="" width="640" height="480" /></p>
<p>Next week we will go back inside to show the framing which will subdivide the spaces.</p>
<p>- Rob</p>
]]></content:encoded>
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		<title>Progress</title>
		<link>http://bmhed.org/2013/02/20/progress/</link>
		<comments>http://bmhed.org/2013/02/20/progress/#comments</comments>
		<pubDate>Wed, 20 Feb 2013 17:09:23 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=423</guid>
		<description><![CDATA[Readers may recall that we had a slight delay in the arrival of steel framing for our addition associated with the project.  HP Cummings uncovered a section of roof in the existing construction that did not conform to current hospital construction codes.  The result is that this section of roof had to be demolished and [...]]]></description>
			<content:encoded><![CDATA[<p>Readers may recall that we had a slight delay in the arrival of steel framing for our addition associated with the project.  HP Cummings uncovered a section of roof in the existing construction that did not conform to current hospital construction codes.  The result is that this section of roof had to be demolished and the new steel configuration needed to include retrofitting of this section of the existing structure.</p>
<p>Well, the steel came on Monday 2/18 and by Tuesday things are looking good!</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-424" title="steel" src="http://bmhed.org/files/2013/02/steel.jpg" alt="" width="560" height="420" /></p>
<p style="text-align: center;">Iron workers at work.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-425" title="crane setting steel" src="http://bmhed.org/files/2013/02/crane-setting-steel.jpg" alt="" width="560" height="420" /></p>
<p style="text-align: center;">The crane setting steel</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-426" title="birds eye view of steel" src="http://bmhed.org/files/2013/02/birds-eye-view-of-steel.jpg" alt="" width="560" height="420" /></p>
<p style="text-align: center;">A birds eye view of the new framing</p>
<p>Things will start to move now! We’ll keep you posted as more progress occurs.</p>
<p>&nbsp;</p>
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		<title>Ready, Willing and&#8230;Waiting</title>
		<link>http://bmhed.org/2013/02/11/ready-willing-and-waiting/</link>
		<comments>http://bmhed.org/2013/02/11/ready-willing-and-waiting/#comments</comments>
		<pubDate>Mon, 11 Feb 2013 16:01:43 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=417</guid>
		<description><![CDATA[We needed to make a last minute change to one section of the roof. This redesign required a re-submittal of the entire structural steel package, which in turn put us out of line in the queue to have our structural steel fabricated. Hence we are at a near standstill for another two weeks until the [...]]]></description>
			<content:encoded><![CDATA[<p>We needed to make a last minute change to one section of the roof. This redesign required a re-submittal of the entire structural steel package, which in turn put us out of line in the queue to have our structural steel fabricated.</p>
<p>Hence we are at a near standstill for another two weeks until the steel arrives on-site. The foundations and compacting for the slab floor of the new lobby are awaiting steel for the building structure. As the following photo shows:</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-418" title="wk 2 11 13" src="http://bmhed.org/files/2013/02/wk-2-11-13.jpg" alt="" width="560" height="420" /></p>
<p>Patience may reward us in the end. <a href="http://www.hpcummings.com/" target="_blank">HP Cummings</a> (our Construction Manager) will work as hard as they can to make up for this lag time.</p>
<p>Stay tuned to see if we can beat the clock and bring this phase online by the beginning of July.</p>
<p>- Rob</p>
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		<title>New Addition on Solid Footing</title>
		<link>http://bmhed.org/2013/01/21/new-addition-on-solid-footing/</link>
		<comments>http://bmhed.org/2013/01/21/new-addition-on-solid-footing/#comments</comments>
		<pubDate>Mon, 21 Jan 2013 13:14:49 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=412</guid>
		<description><![CDATA[In spite of a spate of real Vermont winter weather during this early January (go figure!), progress on the new addition continues on schedule. As a reminder, this expanded area will house the main hospital lobby &#38; cafe as well as the walk in entrance and waiting room for the Emergency Department, which will also [...]]]></description>
			<content:encoded><![CDATA[<p>In spite of a spate of real Vermont winter weather during this early January (go figure!), progress on the new addition continues on schedule. As a reminder, this expanded area will house the main hospital lobby &amp; cafe as well as the walk in entrance and waiting room for the Emergency Department, which will also be expanded in a later phase of the project.</p>
<p>The addition does not have a basement, but needs to have footing walls installed to support the structure itself. These walls are complete as shown in the following photo. Those of you who have been following this blog since we <a title="ED Project Breaks Ground! Construction Underway" href="http://bmhed.org/2012/11/12/ed-project-breaks-ground-construction-underway/">broke ground</a> will note that the soil in the area has mostly been graded and all the trenches shown in previous photos are filled in.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-413" title="1 18 13_A" src="http://bmhed.org/files/2013/01/1-18-13_A.jpg" alt="" width="640" height="480" /></p>
<p>The next course of action outside is to erect the steel superstructure. I am afraid there won’t be much to show over the next couple of weeks, as delivery of the steel has been delayed. But once it arrives it will quickly be assembled and the full shape of the addition will become apparent.</p>
<p>Until then!<br />
- Rob</p>
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		<title>Nor&#8217;Easter&#8230;No Problem</title>
		<link>http://bmhed.org/2012/12/31/noreaster-no-problem/</link>
		<comments>http://bmhed.org/2012/12/31/noreaster-no-problem/#comments</comments>
		<pubDate>Mon, 31 Dec 2012 14:24:32 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=406</guid>
		<description><![CDATA[Even though we actually had a touch of Vermont-style winter this week, construction continues according to schedule! The first picture of the continuing interior demolition should come as no surprise, unless you’re still wondering where the gift shop &#38; café went. On the outside, forms are being removed from concrete footings that have been poured. [...]]]></description>
			<content:encoded><![CDATA[<p>Even though we actually had a touch of Vermont-style winter this week, construction continues according to schedule! The first picture of the continuing interior demolition should come as no surprise, unless you’re still wondering where the gift shop &amp; café went.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-407" title="interior demolition_A" src="http://bmhed.org/files/2012/12/interior-demolition_A.jpg" alt="" width="560" height="420" /></p>
<p>On the outside, forms are being removed from concrete footings that have been poured. Next week more footings will be poured. Honest!</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-408" title="exterior demolition" src="http://bmhed.org/files/2012/12/exterior-demolition.jpg" alt="" width="560" height="420" /></p>
<p>Neither rain nor snow will prevent our progress! (Gloom of night does not particularly bother us either, but so far we have not needed to do anything after the sun sets.)</p>
<p>- Rob</p>
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		<title>Concrete and Curveballs: A look at exterior progress</title>
		<link>http://bmhed.org/2012/12/17/concrete-and-curveballs-a-look-at-exterior-progress/</link>
		<comments>http://bmhed.org/2012/12/17/concrete-and-curveballs-a-look-at-exterior-progress/#comments</comments>
		<pubDate>Mon, 17 Dec 2012 13:44:52 +0000</pubDate>
		<dc:creator>Brattleboro Memorial Hospital</dc:creator>
				<category><![CDATA[Updates]]></category>

		<guid isPermaLink="false">http://bmhed.southernvtortho.org/?p=400</guid>
		<description><![CDATA[After showing you how the project was progressing from the inside last week, let’s go back outside for an update on the site work for the addition. Forms for the outside “footings,” as they are called, are being poured. Covered in black plastic to allow for proper curing, a section of freshly poured concrete footings [...]]]></description>
			<content:encoded><![CDATA[<p>After showing you how the project was progressing from the <a title="Interior Demolition Update" href="http://bmhed.org/2012/12/10/interior-demolition-update/">inside last week</a>, let’s go back outside for an update on the site work for the addition.</p>
<p>Forms for the outside “footings,” as they are called, are being poured. Covered in black plastic to allow for proper curing, a section of freshly poured concrete footings are shown below. These footings make up the perimeter of the addition.</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-401" title="1" src="http://bmhed.org/files/2012/12/1.jpg" alt="" width="560" height="420" /></p>
<p>HP Cummings is on schedule and the weather is cooperating. But sometimes you find the unexpected. Coming out from the Dunham Wing, we uncovered some electrical and telephone/data cables that are not where they were supposed to be! (See the grey plastic pipes in the picture below)</p>
<p style="text-align: center;"><img class="aligncenter  wp-image-402" title="2" src="http://bmhed.org/files/2012/12/2.jpg" alt="" width="480" height="640" /></p>
<p>Although visibly damaged, we are lucky that the lines themselves were not severed. This does pose a minor inconvenience to the project, but as the utilities did not disconnect this did not become a major crisis.</p>
<p>The circuitry housed in these pipes feed power and data to the Dunham Building, just across the road from the Main Entrance. So they’ll need to be relocated, which has been scheduled to take place this coming Saturday to minimize the impact on the staff and services located in the Dunham Building.</p>
<p>- Rob</p>
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