The addition to the Mountrail Medical Center was 2,013 sq. ft. built tight to the property line. The addition turned the open air ambulance drop off into an enclosed ambulance bay with room for a Decon ER, Decon Bathroom, CT Scanner, Ultrasound Exam room. The addition was done with colored concrete block over steel studs & steel frame. The single bed Decon ER & bathroom enable the staff to treat accident victims who have been exposed to chemical & industrial products without contaminating the main ER trauma bays. The old single bed ER trauma bay was converted into an ER Exam room. The old surgical suite was remodeled into a 2 bed trauma treatment room and support spaces. The old ER waiting room was moved deeper into the building to provide greater patient privacy. The space remodeled for the new hospital nurse station is substantially closer to the ER entrance, enabling quicker service for walk-in trauma patients.