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Gallup Indian Medical Center Emergency Department & Urgent Care Expansion - Gallup, New Mexico

Total Gross Building Area: +/- SF 19,550
Total Construction Cost: $8,510,265

Since the opening of the current GIMC in 1955, patient workload has increased significantly due to complexity, growth of existing health programs and the population growth in the service area. These changes accelerate and highlight the space shortage in the existing Emergency Department and the Urgent Care within the facility.

To address the ED/UC needs, GIMC developed a renovation/expansion project, where construction will be conducted in the ED and in adjacent underutilized space within the first floor of the medical center. The ED and Urgent Care Clinic will encompass available vacant space and renovate the existing areas. This renovation provided an opportunity to install new HVAC, Exhaust Fans for the Isolation Rooms and upgrade the Medical Gas to comply with the latest code requirements. Approximately 2,400 SF of space will be added to the existing facility. Due to the volume of patients visiting the facility, operations of the current ED/UC must be maintained. Working with the facility, a swing space was created that allowed for the departments to continue to operate while construction proceeded.

Focus on patient care and workflow took priority in working with the departments at GIMC for this project. The first step was to make the information and registration front and center. This approach in an emergency helps to calm nerves and alleviate any anxiety a patient may have. The second key item was to move the patient waiting out of the main entrance to a quieter location adjacent the new urgent care.

Each department is secure yet accessible. In the common area between departments they share an X-Ray alleviating the need to leave the departments and going to Radiology. The ED is based on a central Nurse’s Station that has a 360-degree view of the suite. The UC space maximizes the number of Exam rooms while providing access to charting immediately adjacent to each room. An opportunity was also taken to move the administrative function immediately adjacent to their department.

In order to maintain 24 / 7 Services within the ED, it was necessary to break the project into 3 Phases, the first utilizing vacated space adjacent to the ED to create an Urgent Care Center.  Following Phase I, it will be possible to shift the ED Services into the new Urgent Care Space to provide for renovation of the existing ED into the new ED.  Then after Phase 2 is complete, the final Phase will accommodate ED Patient Registration and Administrative Functions.