ACHA Sample Portfolio C

Transcription

Portfolio of Representative Work
Anna Bertucci Ghelase, AIA, EDAC
Submission to the
American College of
Healthcare Architects
June 2013
Application Form
Original Architectural License
Current Architectural License
Letters of Recommendation from Architects
Letters of Reference from Clients
Project Experience
Table of Contents
Application Form
Attach passportsized photo of
applicant here.
American College of Healthcare Architects
Examination Application
Sign photo across
the front.
GENERAL INFORMATION (please print)
Name
Ghelase
Bertucci
Anna
Last,
(Maiden),
First,
AIA Member:
✓ Yes, Member Number: 30159710
No Social Security Number: 435438434
Mailing Address: Sizeler Thompson Brown Architects
300 Lafayete Street, Suite 200
Company
Street
New Orleans
Louisiana
70130
USA
State
Zip
Country
City
504.523.6472
Telephone Number: ___________________
Gender:
F
M
Middle
Date of Birth: 5/5/74
Male/Female
aghelase@sizeler.com
E-mail address:_______________________
Country of Birth:
✓ U.S.
Canada
Other
m/d/year
(specify)
Do you have, or have you ever had a restriction, condition, limitation, suspension, or revocation of a
license
to practice architecture in any state or jurisdiction of the United States or provinces of Canada?
✓ No
......................................................................................... Yes
If Yes, you are required to submit along with your application your statement providing the details of any disciplinary
action and restriction, condition,limitation, suspension, or revocation of your license, including the names of the
disciplining agency or licensing board, the date thereof, the subject matter and sanctions.
Have you ever entered into a consent or similar agreement with a registration board in connection with a
✓ No
Yes
disciplinary action? ..................................................................................
If Yes, you are required to submit with your application your statement providing the details of such
consent/agreement including the names of the disciplining agency or licensing board, the date t hereof, the subject
matter and sanctions.
Have you ever been denied registration?................................................
Yes
✓ No
If Yes, you are required to submit with your application your statement providing the details of such denial including
the names of the disciplining agency or licensing board, the date thereof, the subject matter and sanctions.
Degree: (1)
(5)
BArch (2)
✓ MArch
(3)
DArch
(4) F No College
Date Conferred: 5/15/1998
Other
(specify)
m/d/year
College/University: Tulane University
Additional University if necessary:_______________________________________________________
Country:
✓ United States
Canada
Other:
(specify
If you graduated from an architectural school outside the United States its provinces or Canada, you must submit
comparable credentials from that institution.
P a g e 13
Experience in Healthcare:
(Applicants must have been a registered architect for at least the past five years during which, in at least three of
those years, the specialty of healthcare facility architecture represented the majority of the applicant’s full-time
practice.
Year
Estimated Number of Relative Annual Hours in the practice of Healthcare Architecture:
indicate hours per year and five year total (based upon 2080 available hours/year)
2008
2009
2010
2080
2080
2080
2011
2012
Total
Years of Healthcare Architecture Experience:
How many years have you been practicing Healthcare Architecture?
2080
2080
10,400
11 years
Project Experience:
(Provide a complete, chronological listing of all health facility projects over the past 5 years beginning with the most
recent first. This listing should coincide with the portfolio submission per eligibility requirements. Attach additional
sheets as necessary.)
Project Name/Location
Describe
your
Role
Phone Number and
Position of Project
Contact
Date of
Project
Completion
Total Cost Construction (C)
and Project (P)
Example: XYZ Hospital
City, State
planner
(555) 555-5555
Jane Doe
Facilities Director
12/2007
$15 million C
$22 million P
See attached
PREVIOUS PRACTICE AND/OR NON-TRADITIONAL PRACTICE HISTORY NARRATIVE (OPTIONAL):
ACHA wishes to encourage applications from the full range of architects with widely differing roles in the
healthcare field.
Some applicants may practice in non-traditional roles or may have been focused on a limited number of
projects, project types or specialized practice roles over the past five years. In order to provide a better
understanding of your healthcare architecture experience, attach a one page 8½ x 11 narrative summary
of other healthcare experience from date of initial registration to present.
P a g e 15
APPLICANT CONSENT
After reading the following statement in its entirety, affix your signature and the date in the spaces
provided.
I, the undersigned, in connection with my application for certification by the American College of
Healthcare Architects, hereby authorize the American College of Healthcare Architects, now and in the
future, to request, procure, and review any information regarding my professional practice, moral standing
and character, including any information related to any disciplinary action related to the practice of
architecture by any state licensing board in which I have practiced architecture.
I hereby authorize the American College of Healthcare Architects, now and in the future, to request
and procure such information from any individual or institution, each of which shall be absolutely immune
from civil liability arising from any act, communication, report, recommendation or disclosure of any such
information even where the information involved would otherwise be deemed privileged so long as any
such act, communication, report, recommendation or disclosure is performed or made in good faith and
without malice.
I hereby authorize the American College of Healthcare Architects to supply a copy of this consent,
which has been executed by me, to any individual or institution from which it requests information relating
to me.
Name of Applicant (print or type)
6/10/13
Signature of Applicant
P a g e 16
Date
Phone Number and
Position of Project
Contact
Date of
Project
Completion
Total CostConstruction (C)
Project (P)
Project Architect/
Project Manager
Clarence "Bub" Millet
Director of Construction/
Facilities & Property
Management
(504)454-4233
February 2014
(Projected)
$733,000 (C)
Not Known (P)
East Jefferson General Hospital
ED Observation Unit
Metairie, Louisiana
Project Architect/
Project Manager
Management
(504)454-4233
February 2014
(Projected)
$250,000 (C)
Not Known (P)
Tulane Lakeside Hospital
Pediatric Move Phase I
ED Fast Track Addition/
Renovation
Metairie, Louisiana
Project Architect/
Project Manager
Tommy Rushe
Director of Facilities
(504)415-9549
August 2013
(Projected)
$360,000 (C)
Not Known (P)
ED/ Cardiology Expansion
Slidell Memorial Hospital
Slidell, Louisiana
Preliminary
Planning/
Programming
Bruce Clement
Chief Operating Officer
(985) 649-8605
November 2013
(Projected)
$17,661,000 (C)
$25,032,000 (P)
6th Floor Wing Renovations
Metairie, Louisiana
Project Architect/
Project Manager
Management
(504)454-4233
November 2013
(Projected)
$2,500,000 (C)
$3,800,000 (P)
Cancer Center Addition and
Renovations
Metairie, Louisiana
Project Architect/
Project Manager
Management
(504)454-4233
November 2013
(Projected)
$4,500,000 (C)
$6,700,000 (P)
Pediatric Move Phase II
PICU Patient Room and
Child Life
Metairie, Louisiana
Project Architect/
Project Manager
Tommy Rushe
(504)415-9549
August 2013
(Projected)
$280,000 (C)
Not Known (P)
Pediatric Move Phase IIA
PICU 3 Bed Patient Unit
Metairie, Louisiana
Project Architect/
Project Manager
Tommy Rushe
(504)415-9549
August 2013
(Projected)
$55,000 (C)
Not Known (P)
Pediatric Move Phase III
Specialty Care Unit
Metairie, Louisiana
Project Architect/
Project Manager
Tommy Rushe
(504)415-9549
August 2013
(Projected)
$530,000 (C)
Not Known (P)
Project Name/ Location
Describe Your
Role
Occupational Medicine
Metairie, Louisiana
Project List
Original Architectural License
6623
12/31/2013
Anna Bertucci Ghelase
$180
1/18/13
12/31/2013
Anna Bertucci Ghelase
Current Architectural License
Letters of Recommendation from Architects
Letters of Recommendation from Clients
EDUCATION
Tulane University - School of Architecture
New Orleans,Louisiana
Graduation date: May 1998
Degree Obtained: Master of Architecture I – M Arch I
LICENSES
Licensed Architect in the State of Louisiana
PROFESSIONAL ORGANIZATIONS
AIA Member (#30159710)
ACCREDITATIONS
Evidence-based Design Accreditation and Certification (EDAC)
Anna has been engaged in Healthcare Design in the
New Orleans Area for over 10 years. Her current
position, in the Healthcare Design Group at Sizeler
Thompson Brown Architects, has allowed her to
focus exclusively on design of healthcare
environments for the past 7 years. Her projects
vary in size, type and complexity. They include a
full range of healthcare design projects including
inpatient, outpatient, specialized medical
equipment spaces and clinics. The projects
included illustrate this variety of experience.
Regardless of the size or the acuity of the patient
experiencing these spaces, it is important that the
environment is a healing environment.
Because of the ever changing nature of healthcare
and the need for hospitals to remain current,
many projects are renovations to existing spaces.
The mix of projects included reflects this.
Renovation projects can be complex in a
healthcare setting where it is important to
minimize disturbances, interruptions and
contaminants. Many of these projects employ
carefully implemented phasing to allow the
institutions to continue operations while
undertaking renovations and additions with
minimal effect to patients and staff.
Project Experience
Project Experience
Second Floor Plan
Third Floor Plan
Infusion Area Rendering
Project Experience
Patient Room Rendering
Oncology Unit Floor Plan
Project Experience
First Floor Plan
Elevator Lobby
Exterior of Entry Vestibule
Second Floor Plan
Project Experience
Large Nurse Station
Small Nurse Station
Third Floor Plan
Exterior View toward Hospital
Project Experience
Operating Room
First Floor Plan
Second Floor Plan
Project Experience
Third Floor Plan
Nurse Station
Surgery Waiting
Typical Patient Room
Project Experience
Compound Prepack Area
Chemo Mixing Room
Pharmacy Floor Plan
Clean Room Pass Thru Refrigerators
Project Experience
CT Scan Room
Reception Area Rendering
Floor Plan
Project Experience
Cath Lab #2
View from Control Room
Floor Plan
Project Experience
Overall First Floor Plan
E.D. - Floor Plan Phase I
MRI - Floor Plan Phase V
Interventional Radiology - Floor Plan Phase IV
Project Experience
Floor Plan Phase IIA
Overall Third Floor Plan
PICU - Floor Plan Phase II
Child Life - Floor Plan Phase II
Project Experience
Overall Fourth Floor Plan
Specialty Care Unit - Floor Plan Phase III
Project Experience
Therapy Area - As Built
Therapy Area - Before
First Floor Plan
Employee Lounge
Second Floor Plan

ACHA Sample Portfolio C

Transcription

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