Aurora Health Care ~ NICU Medical and Surgical Renovation

Grafton, Wisconsin

Project Description

Aurora Health Care planned for the future of the community when they built the Grafton Medical Center in 2010. The hospital left approximately 12,000 sq. ft. of shelled space on the 4th floor knowing they would use the space in upcoming years. Since the needs and current options for the patient community have grown and evolved, the decision was made to use the shelled space and reconfigure existing spaces. Boldt was engaged as a design builder in partnership with Brubaker Architects.

Phase I of the project began in the fall of 2014 and consisted of an expansion of the labor, delivery, recovery and postpartum department (LDRP) and a relocation of the Neonatal Intensive Care Unit (NICU) into the shelled space. Six new patient rooms and an additional nurses’ station expanded the LDRP to a total of 18 rooms. The NICU has capacity for 11 babies. Six of the patient areas are in the formation of a pod, behind glass doors and windows with blinds for privacy. Four other rooms in the wing are private, including one with the capacity for twin babies and another with isolation capabilities.

With this expansion comes an increased level of security for this patient area at two secured entrances. One secured door isolates the entire wing and a second secured door isolates the NICU. Video monitoring makes it possible for the staff to identify who is requesting access to the space. Phase I was completed in late February of 2015.

Phase II began in March, following the relocation of the NICU into the new space. An existing 7,750 sq. ft. NICU on the south side of the 4th floor was demolished and built out for purposes of the medical surgical and orthopedics units. The new unit that is 9,750 sq. ft. in size includes 10 new patient rooms, 2 bariatric rooms and 2 isolation rooms. All rooms are sized to meet the requirements established by the Americans with Disabilities Act (ADA), since they are intended for patients specifically recovering from surgeries related to mobility issues. An inpatient rehabilitation gym was constructed to provide staff easy access to service patients right on the unit. The project completed in late August of 2015.

Small Projects throughout the Hospital
Simultaneous to the larger projects underway at the hospital, the Boldt team has performed twenty five other adjustments to various spaces. In December of 2014, Boldt completed the conversion of an existing operating room into an airborne isolation operating room. To accomplish this, a dedicated exhaust system was installed that serves the isolation operating room and two newly created ante rooms at each entrance to the operating room. The dedicated exhaust system is used to maintain the ante rooms at a negative pressure relative to the sterile corridor and sub sterile space. These ante rooms serve as a buffer between the OR and these adjacent spaces preventing the spread of contagious diseases into or out of the operating room. A high level of coordination with the users was required to complete the project. In particular, the coordination of off-hours work was necessary to install the new exhaust duct and roof-top equipment to minimize the impact to spaces outside the operating room including the surgical suite’s sterile processing department.

Another construction project in spring of 2015 will convert an already existing cath lab into an EP lab. Boldt has performed the pre-installation measures necessary for new GE Healthcare equipment. To complete the room, sinks have been relocated and medical gas installed.

Learn more about our design/build capabilities.


Brubaker Architects

Boldt's Role


Key Points

  • Coordination of the mechanical, electrical, plumbing and fire protection scope of work was done using the existing as-built documentation from Aurora. This allowed the project team to identify conflicts early and propose changes.
  • Pull plan scheduling was used on both phases of the project to identify constraints and material lead times early and to establish a workflow that maximizes each trade’s productivity.
  • Careful coordination with the hospital staff was required throughout the project but was especially important during the overhead plumbing work on the third floor Intensive Care Unit (ICU), Electrophysiology Labs (EP), and Catheterization Labs. Work was performed off-hours to minimize disruption to these spaces while still maintaining caregiver access for emergency situations. The project team was able to shave two weeks off the original nine week schedule by carefully coordinating their work based on the users’ needs.
  • The project was completed on-time and within budget.