Hospital

INTRODUCTION

A hospital is an institution for providing health care treatment to the patients with specialized staff and equipments.

Hospital level

A hospital is categorized in four level

  • HOSPITAL LEVEL 1

  • HOSPITAL LEVEL 2

  • HOSPITAL LEVEL 3

  • HOSPITAL LEVEL 4

CATEGORY A : (25-50 BEDS)

CATEGORY B : (51-100 BEDS)

CATEGORY C : (101-300 BEDS)

CATEGORY D : (301-500 BEDS)

CATEGORY E : (501-700 BEDS)

1. Primary healthcare services with having a bed strength of not more than 30.

2. This level may include all the services provided at level 1 plus also have facility For surgery and anesthesia.

3. This level may include all the services provided at level 1 and 2 plus the following Multi-speciality clinical care with distinct department.

4. This level will include all the services provided at level 3. it will however have

The distinction of being teaching/training institution and it will have multiple Super-specialities.

Orientation

The most suitable orientation for treatment and operating room Is between north-west and north-east.

For nursing ward facades, south to south east is favourable

(pleasant morning sun, minimal heat buildup,minimal requirement For sun shading, mild in evenings

Some specialist disciplines might require rooms on north side so that Patients are not sbjected to direct sunlight

Water bodies also help to reduce temperature and improve micro-climate Landscape and green buffers can help in reduction of noise level

flow chart ad relationship

(out patient department)

The OPD provide consultation, investigation and diagnosis For patients who require little or o recovery service afterwards and they Generally attend by appointment.

Intensive care unit

The task of intensive care is to pervent life-threating disruption Of the vital bodily functions. the services of ICU include monitoring And treatment as well as care of patients

Department in hospital

  • OUT PATIENT DEPARTMENT
  • IN PATIENT DEPARTMENT
  • ACCIDENT AND EMERGENCY UNIT

Building attributes

FLEXIBLITY AND EXPANDABILITY-

Be open-ended, with well planned directions for future expansion For instance positioning “soft space” such as administrative departments, Adjacent to “hard space” such as clinical laboratories.

CONTROLLED CIRCULATION-

  • Typical outpatient routes should be simple and clearly defined.
  • Outpatients visiting diagnostic and treatment areas should not travel through inpatient
  • functional areas.
  • Visitors should have a simple and direct route to each patients nursing units
  • Without penetrating other functional areas.
  • Separate patients and visitors from industrial/logistical areas or floors outflow of trash
  • Recylables and soiled materials seperated from movement of food and clean supplies
  • And both should be separated from routes of patients and visitors.
  • Dedicated service elevators for delievers, food and building maintenance service.

AESTHETICS-

  • Increased use of natural light, natural material, and textures
  • Use of artwork
  • Attention to proportion, color, scale, and detail
  • Bright, open generously-scaled scaled public spaces

CLENLINESS AND SANITATION-

  • Appropriate, durable finishes for each functional space
  • Careful detailing of such as doorframes casework, finish transition
  • To avoid dirt catching and hard to clean joints
  • Adequate and appropriately located housekeeping spaces

ACCESSIBILITY-

Ensuring grades are flat enough to allow easy movement  and sidewalks

In patient department

Inpatient– means that the procedure requires the patient to be admitted to the hospital so that he can be closely monitored during the procedure and afterwards for recovery.

Emergency and accidental unit

Renders services right from the elementary first aid to sophisticated management of surgical and medical emergencies and full scale trauma care.

Operation centre

Operation theatre attachment areas

Size of room – 3.8×3.8m. Electric sliding door of clear width 1.4m. Room should be equipped with a refrigerator, draining sink, rinsing line, cupboards, connections for anesthesia equipments and emergency power.

For hygiene reasons this is not located in the surgical zone but in the outpatient area.  In emergencies the patient must be channeled through lobbies in order to get to the OT.

Min. width – 1.8m. For each OT there should be 3 non-splash wash basins with foot controls.

Size of roughly 10 sqm. Must be directly accessed by the OT.

Size of approximately 20 sqm. Should be as close as possible to the OT.

It contains a non-clean area for non-sterile material and a clean area for prepared sterile items. Should be equipped with a sink, storage surface, work surface and steam sterilizer.

Operational department inter-department relationship

Admitting department

Functions of the admitting department revolve around admitting, transfer and discharge of patients. This department coordinates patient’s arrival, registration, medical records and initial tests.

Maintain bed index showing current occupancy status. Prepare admission and discharge lists and midnight census.

It should be situated on the same level as hospital’s main entrance, be readily identifiable, and provided with a sign(easily seen).

Admitting patients’ waiting area, large enough to accommodate patients and relatives accompanying.

Clerical work area for maintaining hospital occupancy directories, records, forms,, notices, etc.

Wheelchair and stretcher alcove. Space for computers and office equipment.

Radiology

Radiology includes the specialist areas which use ionizing radiation for diagnostic and therapeutic purposes. This includes X-Ray diagnosis, radiotherapy and nuclear medicine.

Should always be close to the ambulance entrance and because of the great weight of the equipment should be on ground floor.

A connecting corridor which can be used simultaneously as a store, dictating room and switch room for staff is desirable.

Sonography, mammography and jaw X-ray require about 12-18 sqm. Whereas standard X-ray and admission rooms need to be 20-30 sqm.

The access route for the patients should be through 2 changing cubical.

WC’s should be installed in the X-ray room used for stomach/intestinal inspection.

Connectivity chart

x-ray department relationship

Relationship in department

MAJOR CLINICAL RELATIONSHIP

GENERAL HOSPITAL RELATIONSHIP

Circulation

Corridors, Doors, Stairs and Lifts

Doors 

Normal door – 2.2 m

Vehicle entrance – 2.5 m

Transport entrance – 2.8m

Corridors

Access corridors – 1.5 m wide

Patient’s corridors – 2.25 m

Stairs

Width – 1.5-2.5 m

Step height – 170 mm

Tread depth – 280mm

Lifts

Lift car – 0.9-1.2 m

Shaft – 1.25-1.5 m

Standards area details

HOSPITAL TROLLY DIMENSIONS

Flow charts

Area details of overall hospital

Arrangement of bed space

SIX BEDROOM WITH OWN WC AND DAY SPACE

FOUR BEDROOM WITH OWN WC

DOUBLE BEDROOM WITH OWN WC

section

Patient flow charts

Anthrprometrics for handicapped

Other details for handicapped

Passage details for handicapped

Parking layout

PERPENDICULAR PARKING (90DEGREE)

DIAGONAL PARKING(45 DEGREE)

TURNING THROUGH  90 DEGREE: DIMENSIONS FOR DIFFERENT VEHICLES

45 DEGREE PARKING:-Good Entry to parking bay and exit. It’s a normal type of layout and relatively required small area/parking space.Its also meant for one way traffic only.

Required space-23-26 SQ.MT/CAR

SOURCE :- NEUFERT

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