BHB Acute Care Wing Supplement - October 2014

C O M M E M O R AT I V E I S S U E
BERMUDA’S NEW ACUTE CARE WING
KING EDWARD VII MEMORIAL HOSPITAL
Proud Supporter
of the KEMH
Redevelopment Project
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295-5566
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C O M M E M O R AT I V E M E S S A G E S
Commemorative Message for Acute Care Wing
Commemorative Message for Acute Care Wing
By The Hon. Michael Dunkley, JP MP
By The Hon. Jeanne Atherden, JP MP
Premier of Bermuda, Minister of National Security
Minister of Health, Seniors and Environment
It gives me great pleasure to extend my congratulations
on the completion of the new Acute Care Wing at the King
Edward VII Memorial Hospital. I know that the entire
community joins with me in saying job well done!
It is my distinct pleasure as Minister of Health,
Seniors and Environment to provide this message
of congratulations to Bermuda Hospitals Board on
the opening of King Edward VII Memorial Hospital’s
new Acute Care Wing.
Health and wellness is an issue that unites all of us.
This capital project represents the largest fundraising
campaign Bermuda has ever seen. In fact the efforts of
this campaign have shown the depth of philanthropy
and community engagement in Bermuda. It has joined
residents from all walks of life in a common cause, who
stepped up to do their part in making this facility a reality.
I recognise that the Acute Care Wing would not exist
today, if it were not for the hard work and dedication by a
few individuals.
So I must extend a very special thanks to those of you
involved in the fund raising drive, particularly Mr. Philip
Butterfield, Chairman of the Bermuda Hospitals Charitable
Trust, who has led this cause for over 10 years. Thanks
also to the dedicated Board of Trustees, a determined team
of fundraising volunteers and staff who have also helped
to make today a reality.
Also I must acknowledge the building contractors – Paget
Health Services and all of the workers who put in the long
arduous hours to create this structure. You have all done
stellar work in creating a truly first class facility that all of
Bermuda can be proud of.
In keeping with highlighting the construction works,
I would be remiss if I didn’t give special thanks to the
Bermuda Economic Development Corporation who
worked to ensure that small business owners in the
industry were provided an opportunity to work on the site.
The new Acute Care Wing will stand as a beacon of hope
for generations to come, and to everyone who had a role to
play in bringing it to fruition I want to congratulate you all
on behalf of the Government and the people of Bermuda.
The Hon. Michael H. Dunkley, JP, MP
Premier of Bermuda, Minister of National Security
This day has been a long time coming and yet, at
the same time, it astounds me to think that we only
broke ground in January 2011 and saw the completion
of this project in June 2014. This is no small feat
considering this was the largest construction project
in Bermuda.
I would like to thank everyone involved who worked
to see this project become the great triumph that it is –
from the construction worker who laid the first brick,
to the painter who made the last brush stroke.
Thank you to the Bermuda Hospitals Charitable Trust,
who worked tirelessly to secure the funds needed to
make the new wing possible and thank you to hospital
staff for their adaptability and patience as some of
them transitioned into the new building.
And, finally, thank you to Paget Health Services
whose work will ensure that we have enough space
for high quality sustainable healthcare services for
many years to come – something which is vital for
everyone in our community.
Investment in Bermuda’s only acute care hospital
was crucial in ensuring that we meet international
standards of care and today I am delighted to see this
vision come into fruition.
The Hon. Jeanne Atherden, JP, MP
Minister of Health, Seniors and Environment
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C O M M E M O R AT I V E M E S S A G E S
Commemorative Message from
BHB Chairman Jonathan Brewin and
BHB CEO and President Venetta Symonds
Congratulations Bermuda, together we have built a new
hospital wing that will enable the delivery of improved
healthcare for our entire community. It is a feat for which
we can all be proud. Bermuda Hospitals Board was clear
the facility should be designed centred around the needs
of patients. With this edict, staff worked long and hard,
researching and developing specifications for work areas and
equipment that would best serve patients.
This was no small task. Input was sought from every level of
the organisation. The people who do the work are uniquely
positioned to say what will work best. We recognised this and
facilitated information sharing. The result? Specifications that
not only meet international best practice, but also meet the
needs of our community.
The new building was designed and constructed by
Paget Health Services, a private consortium that includes
construction giant Sir Robert McAlpine and its Bermuda
division, BCM McAlpine, Canadian facilities management
company Black & MacDonald, and a host of local and
international companies as subcontractors.
The new wing is the largest construction project ever
undertaken on the island. We broke ground in 2011 and it is
now complete.
We are especially proud of the volume of jobs the project
created for locals in the construction industry during an
economic downturn.
The contribution of so many Bermudians in making this
facility a reality reinforces the fact that it is for the entire
community – built for Bermuda by Bermuda.
INTERNATIONAL AWARDS
Best Accommodation Project
Partnerships Awards 2012
Best Social Project in North America
World Finance Award 2013
WHAT IS THE ACUTE CARE WING?
The Acute Care Wing (ACW) is not a private hospital. It is for everyone. It is for you!
The ACW contains 90 single-bed suites.
These hospital departments have moved to the Acute Care Wing:
• Acute Medical Wards
• Acute Surgical Wards
• Admitting
• Day Surgery
•Dialysis
•Emergency
• Oncology (Cancer Care)
• Operating Rooms
•Security
• X-ray, CT scan, Ultrasound and MRI
Jonathan Brewin
BHB Chairman
Venetta Symonds
BHB CEO and President
THE ACUTE CARE WING COMMEMORATIVE MAGAZINE  z z z z z 3
C O M M E M O R AT I V E M E S S A G E S
Investing In The Care You Deserve
To our donors and friends:
For all of us at the Bermuda Hospitals Charitable Trust, 2014 will be remembered as a year to
celebrate our shared success. We have been both amazed and humbled by the outpouring of
generosity across our island in support of the Why It Matters Campaign. Old and young, from all
walks of life, Bermudians have acted as one to do their part in donating to this historic cause – the
establishment of the new Acute Care Wing (ACW) at King Edward VII Memorial Hospital.
The Why it Matters Campaign has demonstrated the depth of community engagement here in
Bermuda. It has given everyone the opportunity to realise the importance of the hospital in our
lives. The desire for excellent healthcare in Bermuda is a concern that unifies all of us.
Philip Butterfield
BHCT Chairman
My congratulations to Bermuda Hospitals Board for their unwavering vision and to Paget Health
Services for their delivery in the design and construction of the Acute Care Wing. Moreover,
I extend my heartfelt thanks to all who have given generously to the KEMH Redevelopment
Campaign thus far – from major businesses and foundations to community groups, individuals, and
even school children. Your investment in our future inspires us all.
Sincerely,
Mr. Philip Butterfield
Chairman, Bermuda Hospitals Charitable Trust
Throughout my career, I have been engaged in the profession of philanthropy – its strategies,
psychology and most importantly, its lasting benefits to our community. However, I have never been
more impressed by a fundraising initiative than the current Why It Matters Campaign. Through this
spirit of giving, we are ensuring that quality healthcare remains accessible to all Bermudians, to our
children and to future generations on island. Truly, there is no greater gift than this.
As the largest fundraising effort in the island’s history, the campaign is amazing by any measure.
The reason for our success, I am certain, has everything to do with the independent character
of Bermuda itself. We know that where our wellbeing is concerned, we must come together
to support each other, today and in the years to come. This is the vision that motivates me, and
I hope you as well, as we move forward to achieve the financial goal of our Campaign.
Ralph Richardson
BHCT Executive Director
The proof of our united purpose is now here, in the form of the new KEMH Acute Care Wing.
On behalf of the Bermuda Hospitals Charitable Trust, I want to congratulate all involved in its
creation – Bermuda Hospitals Board, Paget Health Services, and especially the extraordinary
number of donors who have given so generously thus far. The Trust is proud to have led this effort
and looks forward to other local healthcare initiatives in the future.
Thank you so very much for your support.
Sincerely,
Mr. Ralph Richardson
Executive Director, Bermuda Hospitals Charitable Trust
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Paget Health Services, together with its partners BCM McAlpine and Black
& McDonald, are delighted to have turned the Bermuda Hospitals Board’s
dream into a reality.
The Acute Care Wing has now taken its first patients and we would like to thank all who have
contributed during the design & construction phase of the new facility, particularly the strong core of
Bermudian based individuals who have helped to safely produce a quality building.
We look forward to continuing those relationships over the operating period and maintaining our
excellent relationship with the Bermuda Hospitals Board’s team.
The Acute Care Wing was developed using a form of
Public Private Partnership (PPP) called design, build, finance
and maintain (DBFM) – a first for Bermuda.
Ground Breaking – 19 January 2011
Bermuda Hospitals Board (BHB) provided detailed and
specific spatial and functional requirements for rooms,
departments and buildings to bid teams that were invited
to submit proposals.
BHB assembled a team of advisors who helped us create
those specifications in line with leading practice standards. BEFORE
Key Handover – 12 June 2014
After months of extensive investigation, evaluation and
consultation, BHB signed a project agreement with Paget
Health Services to design, build, finance and maintain a new
building on the King Edward VII Memorial Hospital site.
Paget Health Services (PHS) is a consortium of local
and international firms with knowledge and experience
appropriate for this project.
Contract Signing – December 2010
AFTER
HERE’S HOW THE BHB-PHS
PARTNERSHIP WORKS:
PHS paid for the construction of the new hospital
building and BHB paid nothing until it was completed
this year. This means BHB had time to plan in
advance for payments to PHS. Earlier this year, BHB
made a lump sum payment. After that, rather
like a mortgage, BHB will make annual
repayments to PHS for the duration of the
concession (30 years).
UNLIKE A USUAL MORTGAGE, HOWEVER:
• The annual repayments cover the capital cost of the
project, including design, construction, construction
management and financing the construction, as well
as building and lifecycle maintenance.
• BHB retains ownership of the land and new building.
• Set governance structure
• Establish project development plan
• Assemble project team
• Evaluate proposals, selection of preferred
bidder
• Transaction finalisation and closing
• Resolve policy, commercial, technical and
legal issues
• Refine project definition
• Develop proposed risk allocations,
payment mechanism, etc.
• Project agreement, procurement
documents, clinical and technical
specifications
• Contract signing: 1 December 2010
• Official ground breaking: 19 January 2011
• Roof wetting: 5 March 2013
• Key handover: 12 June
• Ribbon-cutting ceremony: 10 September
• Open to the public: 14 September
• The new building must be maintained in accordance
with BHB’s specifications for 30 years.
Repayments are subject to deductions by BHB if
the new building is not performing to BHB’s
predetermined specifications and standards.
This transfer of performance risk is one of the key
benefits of a Public Private Partnership (PPP).
THE ACUTE CARE WING COMMEMORATIVE MAGAZINE  z z z z z 7
THE COLLABORATION
ACHIEVING OUR VISION
BUILDING FOR THE FUTURE
Embarking on Bermuda’s Largest Construction Project
Bermuda’s biggest and most complex ever construction
project – the building of a new acute care wing – was
announced in November 2008.
Over the last six years it has involved a huge number of
people, from local and international companies, BHB
staff, Board members, chairmen and BHB executive, to
Government ministers, civil servants, healthcare partners
and service providers, and hospital neighbours.
The project was based on a review by Johns Hopkins
Medicine International (JHMI) of BHB’s Estate Master Plan.
JHMI recommended a phased approach to develop all
hospital services on the site over many decades, but noted
there was an immediate need for more clinical space for
acute care services as the existing hospital was more than
50 years old and no longer clinically functional.
“Our existing KEMH is already under great pressure,”
said Herman Tucker, then chairman, at the launch of
the project.
“Our staff feel this every day in the areas they work. Patients
and visitors feel it when they share their bedrooms with
other patients, and squeeze into small waiting, diagnostic
or consulting areas.
“We do not have the space to grow, nor enough space to
properly complete the renovations required to extend the
facility’s life,” he added.
8  z z z z z
Opposite: Ribbon cutting, 10 September 2014
Left: Roof wetting, 5 March 2013
Above: The planning process, March 2010
The executive sponsor of the BHB project, Venetta Symonds
(BHB’s current CEO), established a Project Office, headed
by KEMH Redevelopment Project Director James Campbell.
“This was a major construction project on the site of the
hospital in Bermuda. We had to make sure it ran to the
highest standards, and remained on time and on budget,”
Mrs Symonds said.
“The strength of the competition led to the bid coming in
$13 million under estimate, and also resulted in a number
of added design benefits,” Mr Campbell said. The winners,
Paget Health Services (PHS), included the use of solar
power, recycling water, higher sewage treatment standards
and increased use of natural light.
The financial model of a Design Build Finance Maintain
Public Private Partnership (PPP) was approved by Cabinet
in February 2009. International and local specialists worked
closely with BHB clinicians and support staff to create
detailed building specifications for the new wing. Staff also
had valuable input in some of the design.
“The BHB Clinical Advisory Team requested information
from the community, outside healthcare providers and
physicians, and our neighbours. The clinical specifications
that went into the final RFP were extremely detailed and
the design, at a minimum, had to meet all the criteria we
had set,” said Judy Richardson, Chief of Nursing, Quality
and Risk.
Barclay’s Construction LTD. congratulates
Bermuda Hospitals Board on the opening of the Acute Care Wing.
The Project Office oversaw both the procurement and
construction phases.
Project Director Mr Campbell said the procurement process
was run to the highest international standards.
“The contractual documents and procurement framework
were based on established Canadian templates, with
financial and technical evaluation of bids subject to
strict protocols. There were more than 50 BHB staff and
advisors involved in the process, and the evaluation was
undertaken in a secure location in Toronto,” he explained.
“The preferred bidder was then approved and selected by
the Board through a blind process.”
Financial close was achieved within eight weeks of the
preferred bidder announcement.
441-331-2974 | [email protected]
THE ACUTE CARE WING COMMEMORATIVE MAGAZINE  z z z z z 9
quarterly adverts ran to provide the Bermuda community
with regular updates of construction activity, alongside
regular releases about project milestones.
As Operational Readiness Assistant Director, Nicole Caines
was appointed to oversee all issues related to safely
moving services. She liaised regularly with clinical staff, the
Procurement Department and suppliers. Procurement staff
were also involved in purchasing equipment, and along
with the Operational Readiness team managed to reduce
the expected budget of $50 million for new equipment to
$22 million.
Clinical Advisory Team
Ground breaking took place in January 2011. The construction
lasted three years and entailed close cooperation between the
hospital and construction team, Government and neighbours.
As the construction was in close proximity to the still
operational King Edward VII Memorial Hospital, strict infection
control policies were a necessity.
“Frequent checks were undertaken, and there were clear
standards that had to be met to ensure dust didn’t enter
the hospital environment,” said BCM Project Manager
Richard Noel.
“We took the utmost care with this project,” said PHS General
Manager Barry New. “We were well aware that not only
were we working on a live hospital site, but that it was the
only hospital available so there could not be any service
interruption.”
Consideration for KEMH neighbours was given, with regular
meetings and correspondence on site activity. In addition,
“It was a mixture of relief and excitement as we moved,” said
Ms Caines. “Making sure we were operationally ready to move
into the new facility was a multi-year project and required the
support of all hospital departments – not just those who were
moving. It was a major undertaking by literally hundreds of
staff who pulled together, and we couldn’t relax until the last
patient was safely moved.”
Mrs Symonds believes the Acute Care Wing ensures the
community has access to care that meets international
standards.
She said, “We have won two international awards for this
project, highlighting the strength of the procurement and
the high standard of design. Bermuda should be proud. Not
only do we have a modern, high-quality facility, but we have
shown how well Bermuda can run a complex, major project.
We have the facility we need. We recognise that it is up to all
of us at BHB to ensure the service we provide meets the same
high international standards.”
to the Bermuda Hospitals Board and
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10  z z z z z
BV_AcuteCare_1/2 page_02.indd 1
9/30/14 3:21 PM
CLINICAL SERVICES IN
THE ACUTE CARE WING
WHAT TO BRING TO THE EMERGENCY DEPARTMENT
• A photo ID and your current medical
insurance card or Social Assistance card.
• A list of all your current medications,
including dosage, frequency and reason
you are taking each medication. We
recommend you carry a card in your wallet
which lists your current medications and
allergies.
• The name of your GP and any specialist
who is treating you.
THE EMERGENCY DEPARTMENT
Provides Both Quality Patient Care and Privacy
Patient privacy is a hallmark of the Emergency Department (ED) in the
Acute Care Wing. A private waiting room with seating for 15 people
and two wheelchairs keeps patients away from main hospital traffic.
Access to other hospital services required by Emergency Department
patients takes place via dedicated patient service elevators and
patient-only corridors.
Patients have access to X-ray, ultrasound, CT and MRI services without
being wheeled through public areas. The new department is 13,437
square feet with 15 fully equipped individual treatment rooms,
ensuring patient privacy over the former, curtained sectioning.
The new ED has a dual trauma/resuscitation (resus) room which
allows teams to work on two patients in the same room,
a benefit in many accident cases. There are two additional trauma/
resus rooms, one of which is equipped for paediatric cases.
Ambulance bays are adjacent to entrances that lead directly into resus
rooms, allowing immediate access for true, high acuity emergencies,
such a heart attacks, strokes or serious accidents. However, all rooms
are equipped for resuscitation should a more stable patient suddenly
deteriorate. Two of the 15 assessment rooms are negative pressure
isolation rooms. This increases infection control by minimising the
spread of disease from patients with highly communicable illnesses.
DIAGNOSTIC IMAGING
Patients being cared for in the Emergency
Department (ED) often need quick access to
Diagnostic Imaging (DI) services. In the Acute
Care Wing, DI is conveniently located next to
the ED. There are three X-ray rooms, two CT
scan rooms, including a 128-slice unit which is
the most powerful on the Island, an MRI and
two ultrasound rooms.
Examination rooms are soundproofed,
allowing instructions, pre-screening consent
and confidential information to be relayed
to a patient in a completely private setting.
Anaesthetic care for minor interventional
procedures performed in the department
are provided in the exam rooms. There
is also a bay where patients in beds wait
before and following exams performed in the
scanning rooms.
THE ACUTE CARE WING COMMEMORATIVE MAGAZINE z z z z z z 11
Patient Garden
THE PATIENT WARDS
Support Privacy & Infection Control
There are three patient wards in the
Acute Care Wing. At 19,260 square
feet each, they are substantially
larger than the former wards in the
General Wing. There are 90 patient
suites, 30 on each of the three wards.
Each includes 225 square feet of
bedroom space and a full bathroom
with a shower. Each room features all
necessary medical equipment, as well
as a patient chair, bedside cabinet and
wardrobe for personal items. The new
nurse call system is accessible from all
rooms and makes it easier for patients
to indicate their specific needs. The
bathroom has special nonslip flooring
and includes a toilet and full shower
with a fold-down shower seat. Each
suite includes two hand-wash basins,
one in the bedroom and one in
the bathroom.
Hand-wash basins in every room
greatly strengthens infection control
efforts. Infections are easily spread
by touching. Proper handwashing
eliminates most of the chances for
infection to spread this way. Staff and
visitors have easy access to the basins
and are encouraged to wash their
hands before and after their visits with
each patient.
Having one patient per room also
enhances infection control and
provides each patient with more
personalised care. Patients requiring
quiet to rest and recuperate are no
longer inconvenienced by another
patient in the room or people visiting
other patients.
All rooms have a large window with
scenic views. Natural light and great
views can be comforting for patients,
helping them to heal and recover.
Single-bedded suites also support
healthcare industry best practice in
terms of privacy and confidentiality for
patients and their medical information.
Personal medical information is no
longer overheard by other patients
or visitors. The medical team may
fully disclose the plan of care for their
patients without fear of confidentiality
being breached.
Additionally, clinical areas have been
soundproofed to ensure patient confidentiality. Acoustibloc, a thin 100
percent recyclable insulation product,
was used in constructing these areas
instead of more traditional, thicker
insulation material which absorbs
sound. Acoustibloc is engineered to
transform sound energy into trace
amounts of friction energy.
There are two nursing stations on each
ward, providing a clear line of sight
of 15 rooms from each station. While
there is access to the nurse call system
from every room, the ability of nurses
to easily see each room from their
station adds an additional layer of
protection for patients. Each ward
also has a room clinicians can use to
examine patients or consult with them
or family members.
A waiting area overlooking the atrium,
with seating for 10 and a wheelchair,
has been included on each ward.
Patient wards are on the third, fourth
and fifth floors and are colour coded to
help the public find their way. The third
floor, Caitlin Lindo Ward, is turquoise;
the fourth, Ascendant PartnerRe, is
blue; and the fifth, Ace Barber, is violet.
Ironwood Specialties congratulates Bermuda on the
opening of their new Acute Care Wing. We are pleased to
have supplied all the millwork for this project!
Ironwood Specialties Incorporated
Architectural Millwork & Associated Interior Finishes
Steven Huizinga
(905) 426-9663
Owner
www.ironwoodinc.ca
55
Road,
333
Frankcom
St 1&
55 Mills
Mills
Road, Unit
Unit
1 &22
Ajax,
Ajax, ON,
ON, Canada
Canada
2H2
L1S
L1S 1R4
2H2
Ironwood Specialties Incorporated
Architectural Millwork & Associated Interior Finishes
905.426.9663
905.426.9663
[email protected]
[email protected]
www.ironwoodinc.ca
www.ironwoodinc.ca
55 mills road, unit 1 & 2,
ajax, canada
l1s 2h2
THE ACUTE CARE
WING
COMMEMORATIVE MAGAZINE  z z z z z 13
Steven
Huizinga
Owner
THE DR BERESFORD SWAN DIALYSIS UNIT
Accommodates a Growing Number of Patients
The Dr Beresford Swan Dialysis Unit in the Acute Care Wing
occupies 11,846 square feet and is significantly larger than
the previous unit, where conditions had become severely
cramped due to the growing number of patients requiring
haemodialysis.
In a large, airy area with lots of natural light, 20 of the
treatment bays are arranged in stations of four. There are
also two single rooms, providing privacy or isolation, which
is consistent with current best practice for haemodialysis
units.
In 1984 the original unit, which treated 27 patients, was
moved across the road from King Edward VII Memorial
Hospital to the green cottage on Point Finger Road. Last
June, 142 patients were being treated on the unit and a year
later, that number had grown to 167.
Inclusion of an examination/consult room on the unit means
that patients who also have to meet the nephrologist will
be able to do so in the same area. Convenient and practical,
designing the unit in this way facilitates better patient
service.
There are 22 treatment bays in the new wing’s Dialysis Unit.
This means each day, 15 additional people are able to use
the service.
Also on the floor is a room where minor procedures can be
performed. Two nursing stations are used to facilitate the
increase in patient treatment stations.
The Dialysis Unit is on the first floor of the new wing.
Patients can be dropped off at the main entrance, which is
close to elevators that take them to the first floor. Parking is
conveniently located in the adjacent P1 parking lot.
NEW ONCOLOGY DEPARTMENT
Provides Comfort and Quality Care
The Oncology Department in the Acute Care Wing
meets best practice standards for patients receiving
chemotherapy treatment and ensures cancer patients
are kept as comfortable as possible. The 5,579-squarefoot department features eight treatment bays with
comfortable recliners and private monitors, providing
patients with the ability to surf the internet, or watch
TV or educational videos.
Natural light floods the area with floor-to-ceiling
windows that give those not interested in looking at
personal monitors the opportunity to simply enjoy
the relaxing scenery. The department also features a
waiting room with seating for 12 people, a consult/
examination room and a dedicated pharmacy to
prepare chemotherapy prescriptions.
14  z z z z z
Building on a tradition
of trust.
We extend our Congratulations to the Bermuda Hospitals
Board and the Bermuda Hospitals Charitable Trust on the
opening of the new Acute Care Wing.
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Clarien Bank Limited through its wholly owned subsidiary companies is licensed to conduct bank, investments and trust business by the Bermuda Monetary Authority.
THE SURGICAL DEPARTMENT
Offers Technical Advances and
Best Practice Care
The surgical departments in the Acute Care
Wing occupy 21,576 square feet on the
second floor and contain five operating
rooms and an endoscopy suite for patients
having minimally invasive procedures with a
form of scope. The waiting area for patients
going into surgery and the discharge
lounge, where patients wait to be collected
when their procedures are over, are
both in the Bank of Bermuda Foundation
Atrium area. A high ceiling makes the
area feel spacious and high windows
allow light to pour in, producing a calming
effect which is particularly beneficial to
surgical patients who may be nervous
and/or anxious.
There is seating for 10 in the pre-operative
waiting area. Patients are escorted from this
area to a changing room where they change
into their surgical gown and slippers and
then walk, if they are able, to the operating
room. Studies indicate surgery is a more
positive experience for patients who walk
to the OR, when they are capable, versus
those who are wheeled there when they can
walk. State-of-the-art surgical equipment,
including an audio visual integration
system, allows surgeons to see inside the
patient’s body on monitors. Both video and
photos of the procedure may be taken for
documentation. Immediately after surgery,
patients enter the peri-anaesthesia care
unit, or PACU, where they are recovered and
monitored either with a one-to-one nurse/
patient ratio or a one-to-two nurse/patient
ratio, according to best practice standards. There are 16 beds in PACU.
Patients leaving PACU are escorted to the
discharge lounge where they can recline
and relax with continued monitoring until
they are collected by the person taking
them home. The lounge seats eight and
has a large monitor that patients can opt
to view.
16  z z z z z
THE SEWAGE TREATMENT PLANT
A Cleaner Solution for Bermuda
BHB’s new state-of-the-art sewage treatment facility treats
waste from the Acute Care Wing as well as sewage flows from
the General Wing, including the Continuing Care Unit. The
plant was designed not only to meet current usage but also to
accommodate future expansion of the hospital.
Most sewage works discharge effluent (treated sewage)
after the removal of solids and following the breakdown and
removal of most of the remaining biological components.
The process that sets the KEMH facility apart from many others
is the third stage of treatment, known as micro-filtration, that
removes the extremely fine suspended particles that remain
following the first two stages. The result of this is a final
product that can be safely discharged into the ecosystem.
facilities, Watling-Hope/WPL of the United Kingdom and
Evergreen Engineering from the Republic of Ireland. Installation
on site was carried out by Bermudian companies BESCO Ltd. and
Rocon Services Ltd.
The underground location of the hospital’s sewage treatment
plant is unique in Bermuda. The facility is under the south visitor
parking lot on Point Finger Road. A specially designed ventilation
system is another interesting feature of the plant.
Installed by Bermudian company Keen Ltd., the system ensures
that odours usually associated with sewage treatment are
collected and filtered before being discharged from vents in the
top of the new building, some 150 feet above sea level.
The sewage treatment plant treats all 100,000 imperial
gallons per day of the wastewater from KEMH to a very
high standard. This level of treatment was stipulated in
an agreement between the Department of Environmental
Protection and BHB in 2010. The plant is expected to
provide at least a 17 percent improvement in the quality
of the wastewater discharged to the Seabright outfall off
South Shore.
The equipment was sourced through internationally
recognised manufacturers and installers of sewage treatment
THE ACUTE CARE WING COMMEMORATIVE MAGAZINE  z z z z z 17
BACK-UP GENERATORS
Provide Power Safeguard During Outages
The Acute Care Wing has two back-up generators
in place as a safeguard. In the event of a power
outage or disruption in power supply, each
machine can provide 1,600 kilowatts of electricity.
Housed in units next to each other, each generator
sits on a specially designed ‘floating concrete floor’
to minimise noise and vibration to the building
structure.
Made by Baldor, the generators have 16-cylinder
Mitsubishi engines. Each generator is about
22 feet long, 9 feet wide and 9 feet tall. The
engines themselves weigh 15,230 lbs each, and
the overall weight of each of the generators
is 35,671 lbs.
FUEL TANKS
Ensure Generators Have Required Minimum Oil Capacity
The Acute Care Wing contains steam generators and hot-water
boilers and generators which will all run on Class II fuel oil. Fuel
oil is primarily stored in bulk underground oil-storage tanks. At
the Acute Care Wing, these tanks are located beneath the visitor
car park. Oil is pumped from these storage tanks to separate
secondary day tanks that feed the steam generators, hot-water
boilers and hot-water generators.
The bulk tanks contain manholes within the car park’s surface to
allow oil tankers to directly fill them via hoses without spilling
fuel onto the adjacent car park surface. The sumps contain
integral, level-sensing shut-off valves to prevent tank overfill.
The bulk underground tanks satisfy BHB’s requirement for a
minimum of 72 hours of oil storage.
If the level of fuel oil continues to drop within the bulk oil
tanks, the control system will disable the boilers as necessary
to ensure that the generators take priority and always have the
required minimum oil capacity.
18  z z z z z
Parent Company of Lanscomm International Company Ltd
Subcontractors to BCM McAlpine and Paget Health Services
Congratulations to the Bermuda Hospitals Board on the completion of
the Acute Care Wing.
We are proud to have been chosen as the supplier and installer of
the Curtain Wall Glazed System.
Providing Commercial & Residential Services:
u commercial glazing systems u caulking products u supply & install commercial electric doors
u glazing and repair services u residential entry doors u supply & installation for residential shower enclosures
u retractable awnings u pvc & aluminum windows and framesu rolling hurricane shutters
u fabricated window screens u skylights
We are located at # 10 Bakery Lane
Tel: 441-293-2758 u Email: [email protected]
AT THE HEART OF GIVING IN BERMUDA
Since 2004, Bermuda Hospitals Charitable Trust (BHCT) has
served as the fundraising agency for Bermuda Hospitals
Board. However, in the last three years, we have taken on
an even greater role and responsibility as the leading voice
and organiser for the largest fundraising effort in Bermuda’s
history.
In supporting the Why it Matters campaign, BHCT has
spearheaded the effort to reach out across our community
to local and international companies, organisations,
associations, schools, churches, families and individuals,
asking everyone to play their part in contributing to our
revitalized, state-of-the-art hospital.
Having spent the past three years chatting with thousands of
fellow Bermudians of every age, race, and background, we
have discovered a simple truth.
All of us on island share a common belief – that the people
of Bermuda deserve the best healthcare available today.
Additionally, we are committed to reaching that goal not at
some distant point in the future, but today.
In 2014, we achieved a major step of that goal with the
opening of the new Acute Care Wing at KEMH. But the
momentum we have reached can only be sustained with
continued support. If you have not yet made your donation
to the Why It Matters campaign, now has never been a
better time to do so. Join your neighbours and friends, your
congregation and company, in ensuring we have the best
care close to home.
To learn more about BHCT, call us at 441.295.2428
or visit www.bhct.bm.
BOARD OF TRUSTEES
Philip Butterfield, Chairman
R. Gil Tucker, Treasurer
David Lang, Secretary
Gavin Arton
Jerome Dill
Joan Dillas-Wright
Don Mackenzie
Robin J. Mayor Lucille Parker
Jonelle Smith
Jane Spurling
Lady Jacqueline Swan
Dr. Wilbert N.E Warner
Jonathan Brewin, Ex Officio
Ralph Richardson, Ex Officio
Venetta Symonds, Ex Officio
HONOURING THE GENEROSITY OF OUR FOUNDING DONORS
BERMUDA CEDAR SOCIETY
LONG TAIL SOCIETY
Edmund Gibbons Limited
Bank of Bermuda Foundation
American International Company Limited
Gill & Allan Gray
CAHOW SOCIETY
Argus Group
The Green Family
ACE Foundation - Bermuda
Bacardi Limited
E.Jean Gutteridge & Family
Arch Capital Group
The Bank of N.T. Butterfield & Son Limited
Hiscox
Ascendant Group
David & Mary Barber
The Kitson Group of Companies
AXIS Capital
Bermuda Commercial Bank
KPMG
Butterfield & Vallis
BF&M Insurance Group
John & Elizabeth Leseur
Patrick & Beryl Campbell Charitable Trust
Dr. James Martin Don & Lorna MacKenzie & Family
Catlin Group Limited
Lilian Martin
Markel Corporation
Lindo’s Group of Companies
Susan & Robert Cawthorn
The OIL Group of Companies
Ministry of Health
In Memory of Sir John W. Cox, Henry C.D.
Cox & Michael J. Cox
In Loving Memory of Sir James Pearman
Deloitte Ltd
The Honourable Sir John & Lady Swan
PartnerRe
RenaissanceRe
XL Foundation
The Hon. Michael, Stephen & Marye Lee
Dunkley & Family
EY
Fram Shipping
20  z z z z z
Buddy & Jenny Rego
Third Point Re
Dorothy K. Trimingham, Barrie Trimingham
The Wardman Family
BIRD OF PARADISE SOCIETY
L. Lorraine Ingram
Michael & Mary Darling
Arthur Morris & Company Limited
Inter-Service Golf Tournament Committee
Joan E. Dillas-Wright
Assured Guaranty Ltd
Island Health Services
Dr. TerryLynne Emery
Bermuda Aviation Service
Dr. Valerie James & Dr. Louise White
Rod & Martha Ferguson
Bermuda Blue Printing Ltd
Lars & Kitty Knudsen
David & Julie Goodwin
The Brewin Family
Mr. & Mrs. Scott G.S. Lines
Brian Hall
Philip & Rosalind Butterfield
Lombard Odier (Bermuda) Limited
Dr. Richard & Mrs. Sharon Hammond
Codan Trust
The Luthi Family in Loving Memory of Rolf
Luthi
Harper Digital Entertainment Ltd
Marshall Diel & Myers Limited
Greg & Pat Haycock & Family
Conyers Dill & Pearman
DeFontes Broadcasting
Brian & Nancy Duperreault
Gosling Brothers Limited
Catherine & Charles Gosling
George Hammond & Dr. Caroline Hammond
Humann Foundation
Elisabeth & Anne Kast Charitable Trust
Christian Luthi & Susannah Frith
James, Jan, Alexandra & Cameron Macdonald
Robin, Sarah & Stephen Mayor
RBC Trustees (CI) Limited
David & Christine Saul
Rick & Jane Spurling and Family
Robert & Susan Stewart
The Supermart Ltd
John & Rosemary Talbot
Mutual Insurance Company
Nabors Foundation
Janet Outerbridge
Dr. & Mrs Brian Peckett & Family
Dr. William Peckett & Family
People’s Pharmacy
Pompano Beach Club
In Loving Memory of Sir Edward & Lady
Richards
Crystal & Edward Schultz
Henry, Judiann, Talley & Price Smith
Glen & Jonelle Smith
Somers Isle Shipping Limited
Steinhoff Family
Venetta Symonds & Family
Dr. Wilbert & Mrs. Romelle Warner
Barbara Thomson in Loving Memory of William
Dr. Andrew & Jennifer West
D. Thomson
Mr. & Mrs. F. Stephen West & Family
Trott & Duncan Limited
A.E. Wilkinson
Robert & Anne Tucker
Aina Wilkinson
Sharon Vesey
Winchester Global Trust Company Limited
Watlington Waterworks Limited
QUEEN CONCH SOCIETY
Alec Anderson
Anonymous
Bermuda Police Service
Francois Bertrand & Charlene Scott
BHB Variety Show Committee
Graham Collis
Mr. & Mrs. Neville Conyers
Dr. William R. Cooke
Michael DeGroote
Fraser Family Foundation Inc.
Anna & Ian Fulton
Adrianna H. Goodfellow
Dr. & Mrs. Reg Grundy
Marie & Narinder Hargun
Scott Hunter & Janet Kemp
Mike, Ally, Emma & Jack Harvey
The Island Press
Island Trading Ltd
James & Bridget Jardine
Dr. & Mrs. Benjamin Lau
Donald & Janine Lines
Christopher & Kimberly Mitchell
William & Cassie Moniz
Edward & Elizabeth Murphy
Paget Service Station Limited
Lucille Parker
In Honour of Norris & Lucille Ilis Pearman
Platinum Underwriters
Tara & Robert Railton
The Family of Casmin & Vincent V.K.
Richardson
Donna L. Pearman & Tamara D. Richardson
Terrance & Leah Dean , Ralph & Julie
Richardson
Schroders (Bermuda) Limited
Dr. Victor Scott
Mr. & Mrs. Eugene Simmons
CORAL REEF SOCIETY
Anonymous
In Loving Memory of Edward & Olivia
Simons
Gavin & Nancy Arton
Melanie, Cidalia, Paul Soares-Chan
Jeanne Atherden
T & T Production
Wendy, Tiffani, Che’ & Nazaire Augustus
Mr. & Mrs. Ralph Terceira
Owen H. & Pamela Darrell
Dr. Hermann Thouet
Roslyn Bascombe-Adams M.D.
Glenn & Susan Titterton
Bermuda Mechanics Benefical Association
Tanya Tucker-Simmons
Bermuda Medical Society
United Insurance Company Limited
Dr. Gordon Black & Family
Dr. Robert Vallis
John & Jean Campbell
Dr. Boris Vestweber
Michael Cassidy
Peter & Katherine Watson
Wayne & Fiona Chapman
Melinda Sheena Williams & Millicent D.
Timothy
Dr. Keith Chiappa
Debbie Cottingham
Colin E. Couper MD
The Wineinger Family
Zurich Bermuda
Michael & Elaine Darling
THE ACUTE CARE WING COMMEMORATIVE MAGAZINE  z z z z z 21
Today, I took steps to balance my TYPE 2 DIABETES.
Today, I chose a balanced diet
and talked to my doctor.
Actor portrayal.
JANUVIAworkstolowerbloodsugarin2ways.TalktoyourdoctoraboutJANUVIAtoday.
Increases
Insulin
Production
Decreases
Sugar Made
In Liver
• JANUVIAisaonce-dailyprescriptionpillthathelpsyourbodyincreaseinsulin
productioninyourpancreasanddecreasethesugarmadeinyourliver.
• Alongwithdietandexercise,JANUVIAhelpslowerbloodsugarlevelsinadults
withtype2diabetes.
• Byitself,JANUVIAisnotlikelytocauseweightgainorlowbloodsugar(hypoglycemia).
JANUVIA (jah-NEW-vee-ah) should not be used in patients with
type 1 diabetes or with diabetic ketoacidosis (increased ketones in
the blood or urine). If you have had pancreatitis (inflammation of the
pancreas), it is not known if you have a higher chance of getting it
while taking JANUVIA.
SelectedRiskInformationAboutJANUVIA
Serious side effects can happen in people who take JANUVIA,
including pancreatitis, which may be severe and lead to death.
Before you start taking JANUVIA, tell your doctor if you’ve ever had
pancreatitis. Stop taking JANUVIA and call your doctor right away if
you have pain in your stomach area (abdomen) that is severe and
will not go away. The pain may be felt going from your abdomen
through to your back. The pain may happen with or without
vomiting. These may be symptoms of pancreatitis.
Do not take JANUVIA if you are allergic to any of its ingredients,
including sitagliptin. Symptoms of serious allergic reactions to
JANUVIA, including rash, hives, and swelling of the face, lips,
tongue, and throat that may cause difficulty breathing or swallowing,
can occur. If you have any symptoms of a serious allergic reaction,
stop taking JANUVIA and call your doctor right away.
Kidney problems, sometimes requiring dialysis, have been reported.
Please read the Product Information on the adjacent
page for more detailed information.
Copyright © 2013 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved. DIAB-1037993-0022 08/14
If you take JANUVIA with another medicine that can cause low
blood sugar (hypoglycemia), such as a sulfonylurea or insulin,
your risk of getting low blood sugar is higher. The dose of your
sulfonylurea medicine or insulin may need to be lowered while you
use JANUVIA. Signs and symptoms of low blood sugar may include
headache, drowsiness, weakness, dizziness, confusion, irritability,
hunger, fast heart beat, sweating, and feeling jittery.
Your doctor may do blood tests before and during treatment with
JANUVIA to see how well your kidneys are working. Based on
these results, your doctor may change your dose of JANUVIA. The
most common side effects of JANUVIA are upper respiratory tract
infection, stuffy or runny nose and sore throat, and headache.
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PARTNERSHIP