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Construction Management at Risk, Estimating, Scheduling


$2.2 Million


Hybrid OR: 750 SF
Standard OR's: Approx. 600 SF each



Regency Construction Services, Inc. renovated nineteen (19) standard operating rooms and the only hybrid operating room for The MetroHealth System within an active and occupied hospital.

Regency served as the Construction Manager at Risk to transform an existing operating room into MetroHealth’s first Hybrid Operating Room and to upgrade nineteen standard operating rooms with new Stryker equipment.

Regency worked with Stryker to install new electrical isolation panels, new surgery tables, dual surgical lights, equipment booms, and anesthesia booms in all twenty (20) operating rooms. Regency also installed a new three-compartment sink for sanitation in the Hybrid Operating Room. Self-performed work throughout the project included rough-ins, selective demolition, corner guard installation, wall repainting, and floor replacement.

Hybrid Operating Rooms use a C-Arm, which facilitates a less invasive surgery by showing live images to guide the surgeon’s work. Given its weight and complexity, the C-arm is mounted to the ground and supported by structural steel. Regency coordinated with the emergency room below to core the floor and create the rough-ins needed to connect the C-arm to medical gas and electrical lines.

Maintaining strict ICRA protocols for both the operating wing and the emergency room below, Regency renovated and turned over two completed operating rooms every sixteen days. Regency used a detailed plan to keep the adjacent operating rooms in full operation during construction. That phased plan included using split shifts to minimize noise, setting up and disassembling anterooms for each pair of operating rooms, and following MetroHealth’s detailed procedures for medical gas shutoffs.

The MetroHealth System

Hybrid and Standard Operating Room Renovation

Cleveland, Ohio


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