Fort Mojave Indian Tribe Dialysis Home Therapy ClinicMohove Valley, AZ 86440
Design Achievement - In an effort to create a healing environment, DLR Group's design incorporates earth-toned masonry units with horizontal bands of gray stone, along with interior wood doors and frames, and wood-framed windows. There are windows in each patient room and a pop-up clerestory over the centrally located nurse station which provides natural light to all patient and staff work areas. An interior palette of warm tones, modern patterns, and easily maintained finishes also supports a soothing environment. The clinic design includes eight private treatment rooms with accessibility from a central nursing work area. This clinic allows for capacity to treat up to 16 patients each day. The individual spaces provide the privacy and separation many desired without compromising the level of care required by the nursing staff. The building’s structure plan also considers an east/west orientation to allow for the most strategic control of the occasionally harsh desert sun and advantageous positioning to achieve natural light. Since dialysis treatment requires a significant amount of time, the tribal leadership sought the ability to offer as many comforts as possible, while ensuring patient safety, staff access and visibility, and individual control. One unique element of each treatment room is the large photograph displayed above the work counter. The tribe supplied all the photographs of natural areas in and around the reservation and each room received a unique image.
Scope Summary - This 5,100 SF facility uses a home therapy approach and includes portable reverse osmosis (RO) machines in each patient room to accompany each portable dialysis machine. However, due to the low-quality and unusually hard water available on site, it was necessary to install a large system for water conditioning and RO treatment as a pre-treatment. The installed system is equivalent to what would typically be found in larger dialysis treatment clinics, with a higher volume of patients. The resulting system has a large footprint, requires a significant amount of electricity and water, and needs constant monitoring during operations to maintain the required quality. The internal plan is simple and includes public access functions on the east, private treatment spaces in the center and support/service functions on the west. Access control is accomplished at the front door and lobby. Due to the perception that the clinic may store drugs and could be attractive to others, the building’s security system offers protection for the staff and patients. The building material choices are based on ease of maintenance, simplicity and long-term lifespan. Integral colored CMU exterior walls require little if any maintenance while the deep roof framing members provide volume for exceptional insulation value. DLR Group provided architectural, interiors, structural, mechanical, plumbing, and electrical.