REY JUAN CARLOS HOSPITAL

International Case Study

 LOCATION AND SITE ANALYSIS

SITE

Table of SITE CONTEXT

contents SITE ANALYSIS

"if a book has no index or good table

CONCEPT
of contents, its very useful to make
one as you are reading it"
-Issac
CONSTRUCTION TIMELINE

FEATURES

OBJECTIVES
LOCATION
ANALYSIS

Móstoles
Site
Site context
T he building façade is
facing southern east in the
direction of wind.

considering the conditions of

solar orientation, topography,

the built environment and the

greenery nearby, green materials,

Renewable energy technology has

BEEN INCORPORATED, with the
objective to save resources and
optimize operating costs,

providing through the green roof

the natural light and ventilation
to the inside of the building.

the healthcare unit is covered by

narrow horizontal bands to
prevent interiors from inclement
sunlight

the circular openings in roofs of

the basement and patios provide
sufficient light and ventilation
21 JUNE 21 JUNE 21 JUNE
9AM 12PM 3PM

Summer solstice
21 DECEMBER 21 DECEMBER 21 DECEMBER
9AM 12PM 3PM

Winter solstice
OBJECTIVES

Achieving a perfect functional relationship

between the areas
Providing maximum flexibility to the scheme between the exterior
and interior spaces. Differentiate between internal and external
circulation, distinguish the accesses and the specificity of vertical
communication cores, allowing clarifying the scheme.

The position of the two towers, responds to the functional need to

have an immediate access to the operating rooms, delivery rooms,
emergency and diagnostic. The functionality of the building lays in
the way of life the patients and their relatives have during the time
they have to be inside.
 "
Crown
 given therapeutics
spaces, provide and
architecture that serves

Base
to the rest and recovery
of the patient. To use the
architecture as a medical
treatment.

Two functional concepts space: base and crown, which are linked to form a

Efficiency
new architecture,

Light A model that offers to the professionals the opportunity to

treat and to the citizens to be treated in an environment where the natural

Silence light and the silence resulting therapeutics.

organizing the building around accessible atria that help orient patients and immerse them in a protective,
inward-looking environment.

These spaces also ensure that all patient areas have direct access to natural light.

leaving room for a future addition, the program was organized into a dense, compact building divided
vertically into two distinct realms.

A rectangular podium contains technical and outpatient service

two ovoid glass drums on top of house patient rooms.

Overview
the different geometries of the two zones were resolved by adding an intermediary floor between them
that efficiently delivers mechanical services to both
Spatial Dirtribution
HORIZONTAL

RADIAL
broken into 3 parallel modules separated
by triple height spaces that function as
corridors , patio or atriums

each block serves different purposes

outpatient , diagnosis , treatment
Features

Structured in three modules or parallel buildings that reflect the best

hospital main structures:
The elimination of corridors and in consequence. Light and silence around a common atrium
The elimination of annoying noise. flexibility
Expansion
Concentric circulation
functional clarity
horizontal circulations.
The proposals were characterized by
quality spaces for patients and families
avoiding repetitive use of hospital typologies

Healthcare unit
Hospitalisation unit
the basement of a limited height , achieving a
human and close scale.
PROGRAMME
BUILT AREA OVERGROUND: 69,782SQM
BUILT AREA UNDERGROUND: 24,923.20 SQM
FLOOR AREA: 94, 705 SQM

Allergology
Digestive system
Cardiology
Palliative care
Endocrinology and Nutrition
Geriatrics
10 operating rooms.
32 examination rooms. Hematology and Hemotherapy
78 emergency positions. Physical Medicine and
21 radiology rooms. Rehabilitation
10 neonatal positions.
Intensive medicine
18 ICU places.
54 outpatients' units. Internal Medicine
33 exploration rooms. Nephrology
7 RPTU (Radiological Protection Technical Units). Pneumology
4 emergency stations.
Clinical Neurophysiology
17 dialysis stations.
20 medical day hospital stations.
Neurology
20 surgical day hospital stations. Medical Oncology
17 radiology stations. Psychiatry
Rheumatology
Emergencies
Site Plan
Major access points
The three-story base of the building is organized into a trio of parallel horizontal bands separated by two atria
that run across its full width.

One band, containing outpatient services, faces the street and features a line of eight light wells that bring
daylight into corridors and waiting areas. Examining rooms look outside, where windows are shielded by a
screen of continuous metal slats.

Emergency services occupy a second band on the opposite side of the building and one level up, with
ramped access for ambulances and dropoffs. Diagnostic equipment, operating rooms,

technical areas are in the central band, for easy access from all areas, including the patient rooms above them.

Entries to the building from parking areas on both sides and from the street bring visitors into the main atrium.

Overview
crossed by bridges and with natural light sifting down from lofty circular skylights.

The second atrium, lined on both sides with corridors for technical areas, is quieter and more isolated.
INTERIORS Interior spaces show the functionality required without
forgetting its spatial and material quality

Circulations, the alignment of voids or patios of light , the

arrangement of equipment , combination of forms in the
delimination of areas and rooms , play with variables such
as lighting , visuals and the easy spatial percentage
Circular shape transferred to roof of the large

basement allowing light to enter interior

spaces a singular element that is access to

emergency area

Intermediate void connecting bands between

healthcare blocks

Atrium materialized as large interior streets

combines information and admission areas

together with commercial spaces & cafeteria

Access is made from this triple-height space;

the main hospital , diagnosis or teaching

services
 WAREHOUSE
STERILIZATION LAUNDRY DISPOSAL

CENTRAL
CLEANING

PHARMACY KITCHEN WAREHOUSE MORGUE

Logistics
 STAFF CAFE ADMINISTRATION MEETING

WORSHIP ROOM

SECURITY

PUBLIC CAFE CPD ADMISSION AUDITORIUM

PRE-DISCHARGE

STORE SOCIAL WORK

Cafe / administration
 EXTRACTION REHABILITATION DIALYSIS

TELEPHONE/ELECTRIC
STAIRCASE LOBBY/RECEPTION

ACCESS TO CONSULTATION/ STAIRCASE

AMBULANCE ACCESS ACCESS TO EXTRACTION REHABILITATION

ACCESS TO CONSULTATION/
REHABILITATION

Rehab / dialysis
CLEAR SEPARATION OF ZONES BY CORRIDORS

EASE OF WAYFINDING DUE TO THE PARALLEL PLACEMENT OF ZONES AND CORRIDORS

SEPARATION OF PUBLIC, PATIENT, STAFF DUE TO ALTERNATE PLACEMENT OF ZONES IN CORRIDORS

PLACEMENT OF BLOCK 1 (REHAB AND DIALYSIS) TOWARDS THE MAIN ROAD ALLOWS FOR EASY ENTRY /EXIT FOR
DAILY PATIENTS WITHOUT INTERRUPTING THE CIRCULATION WITHIN THE HOSPITAL

THE ADMINISTRATION /CAFE BLOCK 2 ACTS AS A BLOCK BETWEEN THE GENERAL PUBLIC CIRCULATION AND
PATIENT/STAFF CIRCULATION

THIS IS ACHIEVED WITH THE CLEVER PLACEMENT OF PUBLIC CAFE/ADMISSION TOWARDS BLOCK 1 AND
ADMINISTRATION/MEETING/STAFF CAFE TOWARDS THE LOGISTIC BLOCK

Inference
THE LOGISTIC BLOCK/BLOCK 3 IS COMPLETELY ISOLATED FROM PUBLIC CIRCULATION AND IS PLACED TOWARDS THE
SERVICE ENTRY

THIS ARRANGEMENT OF SPACES CREATE EASY AND SMOOTH CIRCULATION FOR BOTH STAFF AND PUBLIC
Horizontal component counteracted by
cylindrical parts of the nuclei of vertical
communications.

Circular plan related to the perforations

of the roof , which introduce light in the
heart of the hospital

Vertical communications are free

standing cylindrical pieces , formally and
materially autonomous , placed in the
central void .

The wavy shapes dominate in these

spaces , linking the glass perimeter , the
roof perforations and the cylindrical
volumes
PATHOLOGY UNIT HOSPITAL GUARD TRIAGE RECEPTION

WAITING WAITING

BLOOD BANK LAB GENERAL EMERGENCY PEDIATRIC EMERGENCY

Emergency
WIDTH OF ATRIUM 14M

CIRCULATION PRIVATE

DOCTORS CORRIDOR 3M

CIRCULATION USED FOR NURSES,DOCTORS,PATIENTS,SERVICE

EMERGENCY CORRIDORS 3M WIDE

 TELECOMMUNICATION TELICOMMUNICATION

LIFT

HDM CARDIOLOGY RADIOLOGY NUCLEAR MEDICINE MEDICAL OFFICES

Imaging / One - day hospital

 STAIR ELECTRICAL STAIR

LIGHT COURTS CONSULTATION LIGHT COURTS

Clinics
EXTERNAL CONSULTATION WAITING ROOM

PERSON IN A WHEELCHAIR 0.7-0.8M WIDE

TURNING RADIUS 1.2M

CORRIDOR 2.2M WIDE

WAITING CHAIRS 1M LONG 0.45M WIDE

SPACE OCCUPIED BY ONE PERSON 0.6M IN DIAMETER

OFFICE DOOR 1M WIDE

PERSON IN A WHEELCHAIR 0.7-0.8M WIDE
TURNING RADIUS 1.2M

MEDICAL INSTRUMENT CABINET 0.6M DEEP ,0.9M HEIGHT

DESK 0.6M DEEP ,0.72 M HEIGHT

SPACE OCCUPIED BY ONE PERSON 0.6M IN DIAMETER

MULTIFUNCTIONAL STRETCHERS 182M LENGTH,0.62M

WIDE,0.92 M HEIGHT
CLEAR SEPARATION OF ZONES BY CORRIDORS

EASE OF WAYFINDING DUE TO THE PARALLEL PLACEMENT OF ZONES AND CORRIDORS

SEPARATION OF PUBLIC, PATIENT, STAFF DUE TO ALTERNATE PLACEMENT OF ZONES IN CORRIDORS

PLACEMENT OF BLOCK 1 (REHAB AND DIALYSIS) TOWARDS THE MAIN ROAD ALLOWS FOR EASY ENTRY /EXIT FOR
DAILY PATIENTS WITHOUT INTERRUPTING THE CIRCULATION WITHIN THE HOSPITAL

THE ADMINISTRATION /CAFE BLOCK 2 ACTS AS A BLOCK BETWEEN THE GENERAL PUBLIC CIRCULATION AND
PATIENT/STAFF CIRCULATION

THIS IS ACHIEVED WITH THE CLEVER PLACEMENT OF PUBLIC CAFE/ADMISSION TOWARDS BLOCK 1 AND
ADMINISTRATION/MEETING/STAFF CAFE TOWARDS THE LOGISTIC BLOCK

Inference
THE LOGISTIC BLOCK/BLOCK 3 IS COMPLETELY ISOLATED FROM PUBLIC CIRCULATION AND IS PLACED TOWARDS THE
SERVICE ENTRY

THIS ARRANGEMENT OF SPACES CREATE EASY AND SMOOTH CIRCULATION FOR BOTH STAFF AND PUBLIC
OT AND SURGICAL CORRIDOR STERILIZATION CORRIDOR SURGICAL BLOCK

SURGICAL POST ANESTHESIA CIRCULATION OBSTETRICS

Surgery / Obstetrics
IN-VITRO FERTILIZATION ENDOSCOPY

STAFF WAITING ICU CONTROL STAFF WAITING

SPECIALIST ROOMS ICU

Endoscopy / ICU
 STAIR ELECTRICAL STAIR

LIGHT COURTS CONSULTATION LIGHT COURTS

Clinics
EXTERNAL CONSULTATION WAITING ROOM

PERSON IN A WHEELCHAIR 0.7-0.8M WIDE

TURNING RADIUS 1.2M

CORRIDOR 2.2M WIDE

WAITING CHAIRS 1M LONG 0.45M WIDE

SPACE OCCUPIED BY ONE PERSON 0.6M IN DIAMETER

OFFICE DOOR 1M WIDE

PERSON IN A WHEELCHAIR 0.7-0.8M WIDE
TURNING RADIUS 1.2M

MEDICAL INSTRUMENT CABINET 0.6M DEEP ,0.9M HEIGHT

DESK 0.6M DEEP ,0.72 M HEIGHT

SPACE OCCUPIED BY ONE PERSON 0.6M IN DIAMETER

MULTIFUNCTIONAL STRETCHERS 182M LENGTH,0.62M

WIDE,0.92 M HEIGHT
REPETITION OF BLOCK ARRANGEMENT AND CIRCULATION

THE LIFTS LOCATED TOWARDS THE WESTERN END ALLOWS FOR DIRECT MOVEMENT
OF THE PUBLIC FROM THE GROUND FLOOR CORRIDOR TO THE CLINICAL BLOCK AND
THE SPECIALIST ROOMS VIA SKY BRIDGES

THE SURGICAL UNIT IS KEPT ISOLATED FROM THE PUBLIC CIRCULATION CORRIDOR

Inference
Organized the curving drums above this base around accessible gardens, which are surrounded by glazed
corridors and patient rooms.

Patients and visitors find themselves in a luminous, womblike space that includes them in a larger
community of patients.

Sunlight filters through tilted roof canopies to create together with the wood-plank floors, planters, and
seating an intimate and habitable space.

These gardens are cloisters, places of repose, tranquility, and protection.

Patient rooms have expansive windows that overlook a suburban landscape. Even bathrooms have
exterior windows.

Overview
Outward-facing bathrooms give nurses greater visibility and access into the room.

A corridor 2.5m wide which can accommodate two wheelchairs or stretchers at the same time without any
obstruction.
 Completely separated from the rest of the building

Bright and quiet autonomus pleras

Raised on the roof of the blocks

Oval plan with a central void (patio) accessible on different levels

Structure allows circulation around the patio diluting the feeling of a corridor
Quality and comfort for patient and bystander.

Children's drawings in pediatric area for quick identification ;images that enliven
the environment

THIRD FLOOR
in patient units
 LIFTS

LIFTS

NURSES STATION NURSES STATION

STAIR NEONATAL

IN PATIENT

IN PATIENT

GENERAL PEDIATRIC

In Patient Units
aluminum ventilated facade
wooden cladding in atriums
metal sheet and panel for roof Materials
Room Layout
ROOM DOOR 1 M WIDE

BED 2M LONG X 0.9M WIDE-0.55-0.99M HEIGHT

FREE SPACE AT THE SIDE OF BED 1.1M

PERSON IN A WHEELCHAIR 0.7-0.8 WIDE

TURNING RADIUS 1.2M

BATHROOM DOOR 0.85 M WIDE

Hospitalization Room
PERSON IN A WHEELCHAIR 0.7-0.8M WIDE
TURNING RADIUS 1.2 M

BATHROOM DOOR 0.85 M

LAVATORY 0.45M WIDE( BOTTOM)

FOLDING BAR

FIXED BAR

Bathroom
Interior
Vertical Circulation
Elevation
 White cubic volume
Healthcare units in a single container whose
double skin reinforces the horizontal
component of the basement
Highlights entrances
Distinguish access to atrium or vestibule at
The horizontal bands , at the same time, they the same time differentiate from the patio
hide variable character of the openings and Backlighting affects the perforations through
which to enter the hospital
blind panels
 The towers are in contrast to the block structure below
Diagonal lattice of its enclosure delimits circular voids , like bubbles introduce a tactile and vibrant character to its surface
The perimeter like a shell appears subtly pierced
The curved glass sheath of the two drums
as The resulting ventilated façade,
supported by stainless-steel arms,

Textured with a diamond pattern of

dimpled glass panels 'each configured
with a surface of white ceramic frits that
enable clear views from inside.

Resting above the horizontal banding of

the plinth,
August 2010 2010
AUGUST

January 2011 2011

JANUARY

Construction timeline
AUGUST
August 2011 2011

JANUARY
January2012
2012
1. The Hospital is strategically located, allowing good accessibility.

It has 8 entrances (1 aerial, 2 vehicular, and 5 pedestrians).

2. Thanks to the location, the wind comes directly, and the shadows generated by the
neighbors do not affect it and vice versa. For the same reason, the sun falls directly on it,
which was solved with a double façade, thus achieving comfort inside the hospital.

3. The architectural program is divided into 10 functional packages, organized by modules,

to facilitate the distribution of the different environments, according to their function.

4. The hospital design respects the minimum circulation and movement spaces, taking into

Conclusion
account the user (separating the circulation of internal and external patients), equipment,
and furniture (taking into account ergonomics, increasing productivity, and providing
comfort ).
Bibliography
THANK OU