

Overview
Prime Architects designed a complete refurbishment of the Bone Marrow Transplant Unit. Patients occupied adjacent units on the same floor during construction. ICRA measures were written into the specifications.
Technical Scope
- Architecture/Interiors: Renovation of all surfaces and finishes in patient rooms, restrooms, corridors, offices, support spaces and nurse stations. New ceilings and lighting fixtures.
- Mechanical: Removal and replacement of a 60-ton AHU on the 7th-floor roof, set by crane. The unit serves multiple critical patient units, including the Sleep Lab and Chemotherapy Clinic.
- Plumbing / Electrical: Associated plumbing and electrical work throughout the unit.
- Infection control: ICRA requirements included in the specifications to control work areas.
- CPS: Construction Period Services.
Challenge and Solution
Work occurred next to occupied patient units in a specialized setting. ICRA provisions and phased construction controlled the work areas around active care.
Project Data:
- Client / agency: Department of Veterans Affairs (contracting: Central Texas Veterans HCS)
- Location: Audie L. Murphy Memorial VA Hospital, San Antonio, TX
- Size: 6,800 SF
- Est. construction cost: $1,129,196
- Completed: Design 2017 / construction 2020
- Project type: Renovation
- Delivery / contract: Firm-fixed price
- Facility condition: Occupied hospital; patients occupying surrounding units on the floor
- Prime Architects role: Prime A/E: project management, architecture, planning, interior design; Construction Period Services
- Design team: MEP Associates (now Salas O'Brien), Norman OK — MEP/FP engineering; OCMI, Inc. (SDVOSB), Dallas TX — cost estimating
- Criteria: Infection Control Risk Assessment (ICRA) in specifications
Relevant If Your Project Involves:
- bone marrow transplant / immunocompromised patients
- ICRA
- rooftop AHU replacement by crane
- phased work on an active hospital floor
Project Category:
Part of our VA and federal healthcare architecture work. See the full market page for related projects, standards and how we team on this type of facility.