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Wrangell, Alaska is a beautiful town set in Southeast Alaska, about a 20 minute plane ride above snow capped mountains north of Ketchikan. Our team spent the week wrangling the schematic design, addressing the hospital’s and the community’s comments. Key inputs were staff efficiencies with a nurse station that allows nurses to supervise the ER, the long term care unit, and the med/ surg unit simultaneously, easy ER access and views to the scenic bay. Our revised plan was able to achieve these goals. We ate well and saw some amazing sites just walking through town.