On the south side of the main corridor are the nursing departments. A characteristic of this is the L-shaped layout, with a nursing group housed in each wing.
On the north side of the main corridor are the outpatient clinics, and on the east side are the building blocks housing the management, administrative departments, and civil services.
Due to the strict separation in building sections between the nursing departments and the outpatient clinics, the most appropriate construction principle could be sought for each of these categories. This layout has enabled a relatively simple extension of all blocks in the future.
Considering ideas about heat transmission, sun exposure, and maintenance factors, a relatively closed facade design of masonry with wooden frames has been created for all building blocks. The main corridor, on the other hand, has been kept predominantly transparent.
New Construction – The new construction of the regional Mental Health Center (RGC) Zeeuws-Vlaanderen in Terneuzen is a joint initiative of Ziekenhuis de Honte and Stichting Emergis, Center for Mental Health Care. The center has 24 clinical placements, 16 part-time treatment places, and an outpatient clinic, plus 24 full-time equivalents for RIAGG functions.




During the period from 2007 to 2011, new construction took place for approximately 4800 m2 of outpatient clinics, followed by around 4000 m2 of renovation of the existing building. The plan was successfully completed, especially due to the design & build approach, and within the specified constraints of time and budget.
The first phase of this plan involved the conversion of the existing maternity department into a birthing center with seven birthing suites and five neonatal care suites. This allowed for both the physical and organizational integration of gynecology, obstetrics, neonatology, and the pediatric department. The challenge of this renovation was to realize the new birthing suites with minimal disruption to the surrounding care process’s continuity.
Subsequently, the construction of the new outpatient clinic was carried out. This was necessary to create space for additional offices and treatment rooms, including 4 Emergency Department rooms, a Class 3 operating room, and the Cardiac Intervention Center (CIC), but primarily for the expansion of outpatient clinics.
The final phase of this plan involves the renovation and refurbishment of various outpatient clinics. The new construction had freed up space in the existing building, allowing for the expansion of outpatient clinics there as well. Lastly, in this phase, the Intensive Care Unit has been expanded with 6 CCU beds and 4 First Heart Aid beds.




New Construction Operating Room (O.R.) Complex and Central Sterile Supply Department (CSSD) – An elevated volume with 4 new operating rooms and associated technical space is connected to the existing building section by means of two bridges. A phased renovation of the holding/recovery area, office functions, and CSSD will be completed in early 2021.
While O.R. activities continue with minimal disruption, a new volume is being constructed adjacent to the existing O.R. complex for 4 state-of-the-art operating rooms. An ambulance garage has been designed beneath the new construction as a transparent volume.
Two bridges connect the O.R.s to the existing building section. A phased renovation of the holding/recovery area, staff and office functions, and the CSSD results in a compact O.R. complex with an efficient layout for patients, staff, and logistics. The so-called ‘fast-track’ circuit around an existing O.R. functions with its own lounge and waiting area as a separate circuit for minor procedures.
The design places a great emphasis on daylight, not only in the operating rooms and patient areas but also in the corridors. A floor-to-ceiling window has been designed on both sides of the new O.R. corridor. The offices are equipped with glass walls, providing indirect daylight in the staff corridor.


Timeline
: Construction of general hospital – 1988
: Regional laboratory (part R) – 1989
: Renovation – 1991
: Main entrance – 1993
: Expansion of section H – 1993
: Branch for non-clinical rehabilitation in Terneuzen – 1994
: Canopy between sections G and K – 1996
: Various renovations – 1996
: Container park + ambulance park – 1998
: Expansion of ambulance stall – 2004
: New construction of RGC – 2005
: New construction and renovation of outpatient clinics – 2011
: New construction and renovation of O.R. complex and CSSD – present

