And the wall came down...

The ER waiting room temporary wall has come down!!!

Construction continues to move forward but at least starting tomorrow, patients and guests will be able to sit in a waiting room, and not the hall ways.

Movin right along!

So our ER construction is moving right along. flooring has gone in along with the starting of cabinets and counter tops. I am going limit my comments and just post some pictures, because it is exciting to see it all take shape.

Heat when we need it

The ER vestibule is being equipped with a new drop ceiling and heat blowers. This will be a welcome change for people coming in the ER entrance when the wind is blowing from the north. Along with the radiant heat in the sidewalk in front of the entrance, it will make for a more pleasant way to enter the building. Looking through the windows from the vestibule to the new waiting room you can see cabinets for the various new treatment rooms are stacked on the floor waiting for installation this week.

Home Improvement

The plumbing tie-in to the main sewer line was completed last week. This week workers are in the new edition tiling the new shower rooms--one specifically for decontamination from exposure to hazardous substances or materials. Cabinets for the Trauma room have arrived, and flooring installation should begin next week. New exterior and vestibule doors into the ER are almost done, just in time for more snow.

ER floor removal

The main ER beds have been moved and the area they once occupied is now walled off. From behind this temporary wall you can hear the soft roar of the jackhammer. The construction crew is removing the old concrete to run new line under the floor. Surprisingly enough the noise is not as loud as I thought it would be, however still cumbersome, so please bear with us.

I see a bright light...

A worker welds air ducts inside the new area of the Emergency Room. Interior painting is done in this area and the rooms are really taking shape. Next week begins the tie-in of new to existing plumbing. This involves running pipe through the hallway between the nurses station and the large treatment room. Expect noise, dust and disruption if you visit the ER next week.

A little late for snowmelt

The snowmelt system under the sidewalk in front of the Emergency entrance should be activated by the end of the week--a little late for last week's snowstorm but hopefully in time for the next one.
Back to the inside of the Emergency Room. Interior painting starts today in the lobby area--you can see ladders stacked up in preparation. Patients and visitors have probably noticed there are no exterior doors at the ER entrance. They were supposed to arrive last week and are expected any time now. Both sets of doors are slated for replacement, and will be done at the same time when they arrive.

Nursing station takes shape

This shows the future nursing station in the ER. Eventually a countertop will run under the recessed lighting and soffits. Drywall was started late last week, and already the area looks much more like it will in the finished version.
On another note, Medical Oncology was surveyed (finally) by the state Department of Health last week. A few minor deficiencies were noted, and a plan of correction was sent in. If all goes well, they should be moving into their new digs at the end of the month. Medical Oncology has been housed in the former Childcare department on the third flood since the renovation and expansion began about a year ago.

New admitting cubicles

New cubicles in the emergency room are shown from the clerk's point of view. When finished, the new cubicles will be staggered to increase patient privacy. Sheetrock installation should begin this week in this section of the project. Look for new handrails in the ER vestibule that were installed last week.

Working on the inside

The fall weather has been beautiful, but all the work on the ER expansion is on the insider. After the Dryvit was completed and concrete replaced in the vestibule, workers have moved inside to complete the mechanical work on the new patient waiting area. The plans call for drywall installation next week. The project is only a few days behind schedule, mostly due to vendor delays. The contractor hopes to make up these delays and keep the project on schedule.

A look on the inside

The inside of the new ER lobby doesn't look like much now, but sheetrock will be hung in the new lobby beginning next week. The new admission area is on the right in this photo. Straight ahead is a temporary door to access the next phase of the construction.

Dryvit - EFIS

What is Dryvit? Well I knew nothing about it until today.

More than twenty-eight years ago, Dryvit Systems, Inc. introduced North America to an exterior wall cladding system based on a revolutionary concept: installing insulation as part of the outside wall. Since that time, Dryvit's innovative "EIFS" (Exterior Insulation and Finish Systems) have been used successfully on hundreds of thousands of commercial and residential buildings. - http://www.thermalfoams.com/construction/dryvit.htm

Dryvit is what the new ER is now covered in. It is really beginning to take shape. Starting Monday the ER entrance will have the other half of the sidewalk done, so no more jack hammering.

The new doors will be installed some time next week. Along with sheet rock and plumbing being done on the inside, the ER is moving right along.

More !*#!* Jackhammering

Half of the ER vestibule is now blocked off so the concrete can be removed and replaced. The jackhammering is very loud--you can feel it through the floor! The good news--it will be done soon. The bad news--when this side is finished the other side will be demolished. This phase of the project should be done by the end of the week.

Health Science Education Center Grand Opening today

On a side note:

Health Science Education Center Grand Opening September 5
A Grand Opening ceremony for the Herbert A. and Dorothy P. Carter Health Science Education Center at the Gillette College will be held Friday, September 5 from 4-6pm.

Construction update

A staging area for current and future construction projects has been created on Burma Avenue north of the hospital. The ground has been leveled and fenced, and will store equipment and materials for the Hospice/Hospitality House, ED construction project and future CCMH expansion project.

Labor for the weekend

As we head into what should be a wonderful Labor day weekend, here is what is coming up for the ER remodel.

The parking lot and sidewalk was finished on the 27th of August.

To day they finish the framing the internal walls

On the 2nd of September the crew will demo half of the ER entrance concrete.
This means that foot traffic will be moved to one side of the entrance, please watch your step.

Among other things being finished, the electrical rough and plumbing rough in will begin.

Keep checking back to stay updated on the progress.

Checking their work

Workers inspect the newly poured concrete sidewalk in front of the Outpatient Surgery department windows. Paving is scheduled for Wednesday and striping on Thursday. Watch for new parking and access directions tomorrow while paving is being done.

Cooler day

Concrete is still being poured, but as we head into the weekend we are getting some cooler weather. They look to finish the sidewalk next week.

I took some time and snook a peek inside the new ER and this is what I saw.


The new inside is coming around nicely. I can begin to imagine the hustle and bustle of the ER as we expand into our new space. EXCITING!!

Updates

Here is what is in store for the start of this week:

Fire proofing the structural steel will begin today.

Exterior finish of the new structure to start today.

Will finish placing new sidewalk around the new structure today.

Will begin demolition of existing sidewalk adjacent to OSTS.

It will be very busy at the ER entrance and parking will be limited to the far south end and the west side of the ER parking lot.

The entrance will be routed through the north side of the existing entrance. We need to have people park elsewhere if at all possible for the next two weeks. The asphalt is scheduled to be placed on the 26th and 27th. After that time there should be only one more interruption of the ER entry.

Rain, Rain, Rain

Well things have had to slow down a bit here over the past couple of days due to the weather. With a rain storms that have passed over the area, concrete has not been able to be poured. So construction has moved to the vestibule which is getting a new ceiling.

Again please use the main entrance to the hospital unless it is an emergancy. Thank you for your cooperation.

Check back Monday for more updates.

Steam fried sidewalks

Today they are pouring the concrete on north side of ER for the new steam heated sidewalks. Which I must say are cool in and of themselves. For the past two days workers coiled red tubing around the frame of the new sidewalk. This tubing will be steam heated during the winter to prevent ice buildup. This will be a nice safety feature for patients and staff that use this entrance during the lovely Wyoming winters.

The ER entrance is still cut down to about a third of its original size and now the ER waiting room is almost non-existant, but we are getting by, and we continue to ask for your understand during this time.

Stay off the sidewalk!

Fresh concrete was poured last week for the sidewalks in front of the ER. These sidewalks will be heated for winter snowmelt, which fortunately is a long way off. Be prepared for lots of work going on inside the ER waiting room this week. The waiting room will be partially closed off beginning today to install fireproofing. The seating area will be very limited, so your patience is appreciated. Expect more concrete to be poured on the south and west side of the ER addition to begin today.

Watch out for the sidewalk!

Work on the exterior of the ER expansion project will have more impact on patients and visitors beginning August 11. Crews are expected to begin demolishing the current sidewalk by the ER entrance Monday, August 11. In addition, the ER entrance and waiting area will become significantly smaller, as the space is fireproofed. Please assist visitors and patients with these changes, and assure them that the result will be a much-improved Emergency Department. Remember—employee parking is not allowed at any time in the ER parking lot.

Daily Work

Today they are pouring the curb and gutter on the south side of the ER entrance. Aside from the concrete they are working on walls on the inside and working on the roof addition.

The ER entrance is small compared to normal but it is manageable for all. Please continue to bear with us as we move towards making the ER bigger and better for all.

Cement is flowing like...well, Cement.

The floor is being poured as I type this, which is kind of exciting. For about a month is was just dirt and now it really is taking shape. Plant Operations says that they should start sheet rock and the roof this week also.

Inside three of the new rooms in the ER are getting tiling on them.

Here is an update on our new Medical Oncology suite is waiting on a new fire door then the plans get shipped off to the state for final approval.

Walls

Walls are starting to come a live in the ER remodel.

Floor prep is still being done, so that the new floor can be poured by the end of the week.

Progress is showing as the project keeps moving forward.

On a side note:
CCMH is excited to have New Plant and Facilities Vice President Corey Fedie. Corey began work last week at CCMH. Please welcome him to the CCMH family and our great community.

The Roof is on

The roof tin is on and the steel is up.

After chatting with Norton Construction, here is the skinny of the ER remodel. Once the plumbing is done the floor will be poured next Tuesday. Tomorrow workers will work on cutting in to the ER waiting room and start finishing that part of the wall. The picture above shows the roof connecting to the existing ER and kind of where the new wall will be assembled. Next week the south wall may begin to be erected, floor permitting.

All in all it is just moving right along. It is really nice just to see progress, it is exciting, well at least for me.

PS: We made the front page of the News-Record, check out the link: PHOTO

Adding Steel

Steel girders lay piled on the ground, waiting to be hung. The i-beams arrived last Friday, and actually seeing the structure makes the addition seem larger.

Iron Men?

The iron has arrived! It was temporally delayed yesterday, arrived this morning and construction began to flourish. The I-beams are being set to construct the walls and roof. Check back Monday for our next post and more action.

It doesn't look like much--

It doesn't look like much is going on with the ER remodel, but work is ahead of schedule by about 10 days. What you can't see is the activity behind the scenes inside the department in the former trauma room and in the ambulance bay. At least the jackhammering has stopped for now!

Sunshine and dirt piles

The sunshine has helped build dirt piles in the ER construction area. If you drive by on Burma Avenue you will see significant changes in the outside appearance of the ER. Portions of the walls have been removed to prepare for the outside structure to begin taking shape.

The ER nurses and staff have slowly adjusted to the changes inside the ER. Movement of supply carts and lockers is now expected and become a a little joke - "Where's my locker today? On another floor?" is a common question when a nurse has been off for a couple days.

Remember - use the Walk-in Clinic for minor injuries and illness. They are open Thurs-Mon from 1-9 p.m.

ER remodel is ER-nder way!

The ER remodel is really beginning to move. For those of you that have been in the ER and treated in the suture room or the trauma room - these are nolonger in the same locations! The trauma room (pictured to the left of the nurse station, and enclosed by drywall) has been moved to the suture room, the suture room - where many of us with kids or as kids probably have been has been moved to an end curtain space in the treatment area. These locations will shift again once phases are achieved.

From a patient perspective - you won't even know rooms have changed all necessary equipment is readily available and care will be seamless. From an employee perspective - the lockers have moved so that has caused some confusion but nothing that can't be dealt with and easily communicated.

Kitchen is finished!

The serving area in the cafeteria has been finished for several days now. And to answer the comment posted about the ice - yes, the new ice/water machine does have the crushed/pelt ice that is available on each unit. The soda dispenser still uses the cubed ice - so take your pick! I agree the pelted/crushed ice is yummy.

Now that the kithcen area is done - the ER is really beginning to take shape.

Kitchen Serving area move-in day is coming

The final details are being completed today in the kithcen serving area. Hospital Environmental Services are expected to clean the area today and Nutrition Services expects to stock the new area tommorrow the final moving details will happen on Wednesday evening and the very excited staff will begin serving out of the new area on Thursday morning! Check out the new ice/water dispenser that will be accessible even when the kitchen is closed.

The ER remodel is still undergoing the prep work. Remember to access the Walk-in Clinic for sniffs, snivels, coughs and minor injury - this will help alleviate the back-up in the reduced waiting area space. A portion of the ER waiting area has been consumed by temporary walls.

The serving area is so close to done we can smell it...

The serving area in the cafeteria is darn near complete. The signs are hung, the fixtures are in, the cosmetic things are complete. We are now waiting for a final inspection from the City - it is planned for early next week.

The ER remodel is moving along well. Not anything new to tell you about.

ER Construction = Increased Customer Service

The ER remodel has now taken shape inside. The waiting area has been reduced by about 3 feet due to the firewall installation. Because of the construction and as an ongoing quality/patient satisfaction goal for CCMH, ER admitting clerks will now provide updates to waiting patients and family. As a patient, please don't hesitate to ask a clerk what to expect.

The kitchen remoded didn't make the 30-day deadline, however, they are not too far off! The wood trim will be stained on Friday evening, the decorative windows will be installed upon completion of staining, and clean-up has begun. The expected opening hasn't been confirmed but it should be soon!

Kitchen remodel won't hit deadline

As you are aware - today is DONE "D" day for the kitchen remodel, one month ago today the contractor began the 30-day kitchen remodel. Needless to say, the kitchen isn't finished - at not fault to anyone, things have just taken longer than expected. That construction in Gillette! Minor things like waiting on the reciept of ceiling tiles and final detail work is what is taking longer expected. New equipment is here and just needs cleaned and installed.

The ER remodel is definately happening - the firewall is sheetrocked. the temporary insulated wall will be installed in the waiting room today.

The kitchen remodel is almost ready to be unveiled. The new serving area will be wonderul! This photo to the left shows where the beverages and a'la carte items will be, this way customers can bypass the hot line if they wish.

The excavated outside area of ER is still under water, thanks to all the moisture over the holiday weekend. But the inside firewall will be insulated and sheetrocked today.

Have a safe holiday weekend

The rain hasn’t deterred too much construction – the ER remodel is well underway. A one hour fire-wall has been framed-in in the ambulance bay. This wall will serve as a barrier to protect the existing structure and people from dust and fire hazards due to construction.

The kitchen area is really taking shape, most of the storage areas are complete, the flooring is done and most of the countertops/hard surfaces are installed. This project was projected to be a one-month project and it appears they will hit that target date.

Please be aware - the main lobby outpatient registration desks will be closed on Monday May 26th for the Memorial Day holiday. All patients needing to register should go to the ER.

Rain, rain go away...

ER
As you can guess - the rain is pooling in the exterior demolition area of the ER remodel. Pumps have been installed to remove the water and in the meantime the contractor has moved inside to install a temporary double door from the ER bay/garage to the ER treatment area. They will also begin framing a dust/firewall in the garage area.

Kitchen
The most exciting thing in the kitchen is the new roll-up doors. If you remember - to close the kitchen area the staff would drag a chain link-like door across both entrances to the serving area. Closure of the serving area will now be more aesthetically pleasing with the roll-up doors. Corian countertops will be installed today and the tile floor will be grouted.

ER demolition has begun

The north end of the ER parking lot has been fenced off and the concrete is being removed. This means ER parking is a little tighter so please leave the ER parking lot for emergency room visits only.

The cafeteria serving area remodel is headed into it's final stages. New carpeting is being layed and the tile has been set. Those that visit the temporary serving area will get a sneak peak of what is to come - as the plastic barrier has been lifted so the flooring can be put down.

Monday...ER begins

Just to remind everyone, ER parking lot will be cut by 5 spaces on the North side by the ambulance bay. Inside remodel will be begin early this week, just keep checking here for further details.

Cafeteria Remodel:
Working on electrical (kind of sounds like a country song) - Wiring continues on the lights. Soffits are hung. Workers are starting to set millwork and installing the oak trim.

Heading into the weekend...

Well construction is heading into the weekend as soffits continue to be hung and lights are being wired. Trim is going up as the project rolls along.

As a reminder starting Monday the ER remodel will begin and parking will be limited to ER and OR patients only.

Thanks and have a safe weekend.

Let there be light...

Well today's projects include installing lights and hanging soffits. Window trim is going up along with ducts. Both sides of the new wall ceiling grid will be complete and ceiling tile borders will be installed. It is continuing to move right along.

ALSO: Remember that the ER construction begins Monday May 19th. Click here to read more.

Ceilings, electricians, windows...oh my!

Ceilings are being installed, the electricians are installing trim. Window instals will probably start today. All the wall coverings are installed with cabinets getting installed over weekend.

We moving right along.

ER Remodel Starts Monday

Exterior work on the ER remodeling project will begin Monday, May 19. The north end of the ER parking lot will be blocked off beginning Sunday night, May 18. Temporary firewalls will divide the ER waiting area shortly afterwards. Employees and vendors are not allowed to park in the ER parking lot. Due to the decreased number of spaces, it is especially important to leave adequate parking for patients and families.

Painting...

Well the majority of the painting is done and the wall coverings are beginning to go up. Things are moving right along on our new cafe. Tomorrow they hope to start the frame for the drop ceiling, and even windows on Thursday.

Remember to check back everyday and keep up to date with all things construction here at Campbell County Memorial Hospital.

Monday, May 12, 2008
The visual changes haven't changed much- therefore, no new photo to post. The drywall is complete and being prepped for paint today. Project is still on time for May 28th completion.

Thursday, May 8, 2008

The electrical rough-ins are almost finished. Tape and texture should be complete by the end of the week. Painting will then begin. Remodel of the serving line will start soon.

Tuesday, May 6

The City inspection took place on Friday, May 2. Sheetrock is installed in the "addition" where decorative windows will be. The electrical rough-in is complete. The project is on schedule to be complete around May 28.

Friday, May 2, 2008
Soffits and arches at doorways are installed. Plumbing is roughed in. Sheetrock wraps at the windows to be installed today. Window frames scheduled for installation today. Remodel of the serving line counter should begin. Rough-in inspection by City inspector scheduled for the afternoon.

May 1, 2008

Plumbers will tie in sewer lines, electricians will continue rough in, general contractor will finish framing, backing and soffit installation. Cabinets and windows should be on site today. Building Inspection should happen on Friday. Flooring demo will be completed in the closed area on Sunday 5-4.

Construction Update

April 30, 2008

· Kitchen Serving Area - Norton Construction began construction on Monday, April 28. Current walls were demolished, electrical has been rerouted and flooring has been removed in the appropriate areas. Today the new walls will continue to be framed in and electrial will start to be roughed in. This project is on schedule and should be complete within 30 days - May 28th.