Hospital Planning and Design

7/24/2019 Hospital Planning and Design

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PRINCIPLES OF HOSPITAL DESIGN

Dr A PRAKASHSr. Professor, Health Manageent

Nat!onal A"a#e$ of In#!an Ra!l%a$s&Forerl$ Ra!l%a$ Staff College'

(ADODARA ) *+ -



Dt"h ar"h!te"tral h!stor!an Cor /agenaar has"alle# an$ hos0!tals1

2... 3!lt "atastro0hes, anon$os !nst!tt!onal

"o0le4es rn 3$ 5ast 3rea"ra"!es, an# totall$nf!t for the 0r0ose the$ ha5e 3een #es!gne#for ... The$ are har#l$ e5er fn"t!onal, an# !nstea#

of a6!ng 0at!ents feel at hoe, the$ 0ro#"e

stress an# an4!et$.2



The resear"h of 7r!t!sh Me#!"al Asso"!at!on

sho%s that goo# hos0!tal #es!gn "an re#"e0at!ent8s re"o5er$ t!e. E40osre to #a$l!ght !s effe"t!5e !n re#"!ng#e0ress!on. E40osre to natre an# hos0!tal gar#ens !s also!0ortant 9 loo6!ng ot %!n#o%s !0ro5es 0at!ents8oo#s an# re#"es 3loo# 0ressre an# stressle5el. El!!nat!ng long "orr!#ors "an re#"e nrses8fat!ge an# stress.



THE PLOT

/here the "l!ents %ant !t

Eas$ rea"h of "a0t!5e 0o0lat!on

Free a""ess

Area not less than #o3le the floor area

IS :+; Pt I ) one he"tare 0er <; 3e#s

Gates ) Ma!n = Eergen"$ = Ser5!"e



7>ILDING

Ma!ntenan"e free

En5!ronent fr!en#l$

M!n! energ$ e40en#!tre for a3!ent l!ght ?"l!ate "ontrol

Fn"t!onal segregat!on

Eergen"$ e4!ts, ra0s, f!re alars

D!sa3le# fr!en#l$



FLOOR AREA OF HOSPITAL

@ ) + s ft 0er 3e#

One 3e# re!res @;9: s ft

Total floor area re!re# !s : t!es th!s



FLOOR AREA ALLOCATION

OPD ) :<B9:B

/ar#s ) *@B9-;B

D!agnost!" ? Thera0et!" ) :B9<<B

A#!n!strat!on ) B9:<B

Ser5!"e De0artents ) :;B9<B



FLOOR AREADETAILED 7REAK>P

Nrs!ng ) <;9<

Nrser$ ) :<9:

La3or Roo ) :;9<

OT ) *9;

Ph$s!"al Me#!"!ne ) :<9:

Ra#!olog$ ) <;9*; La3orator$ ) <;9*;

Phara"$ 9 -9




CSSD ) 9<;

D!etar$ ) <;9*;

Me#!"al Re"or# ) 9:;

Hose Kee0!ng ) -9;

Lan#ar$ ) :<9:

Me"han!"al Installat!ons ) ;9@; Ma!ntanen"e /or6sho0 ) -9

Stores 9 <;9*;




P3l!" Areas ) 9:

Staff Fa"!l!t!es ) :9:;

A#!n!strat!on ) -9;

C!r"lat!on ) ::;9:-

TOTAL ) :9++:

A## Part!t!ons, /alls et" ) +;9:<; GROSS TOTAL 9 @9:;



CORRIDORS

Ma!n "orr!#or shol# allo% for 0assage of t%o3e#s %!th 0ersons on s!#es

It re!res <.; etre %!#th

Less than : 3e#e# hos0!tals "an ha5e one3e# 0assage

It re!res <. etre %!#th

Segregat!on of "lean an# #!rt$ "orr!#ors



LIFTS

De0en#s 0on n3er of 3e#s a3o5e gron#floor

>0 to ) one

>0 to < ) t%o

>0 to *; ) three

S!e ) <<:<*

%!th #oor s!e :*<:



OPD

For e5er$ 3e# three 0at!ents are seen !n OPD

B of area shol# 3e for %a!t!ng ? "orr!#ors

Seats for :=* of #a!l$ atten#an"e s ft=0t.

Consltat!on roo ) :; s ft

Atta"he# e4a!nat!on roo ) s ft



/INDO/S IN /ARDS

/!n#o% area <B of floor area !f onl$ on one%all

/!n#o% area :;B of floor area !f on o00os!te%alls at sae s!ll le5el



CA7INS

At least "a3!ns 0er : 3e#s

Astral!an stan#ar# !s <;B of 3e#s !n s!ngle,#o3le ? a#r0le n!ts



IC>

7e# strength ) <B to ;B of total 3e#s

Not less than ; or ore than :; !n a n!t

Ea"h 3e# :; ) < s ft

Not ore than -B9;B floor area for 3e#s

Hen"e IC> s!e ; s ft 0er 3e#

Po%er ) <:; a0 ? *; a0 at least MGPS

Mon!tor "a3l!ng



OT ) THE N>M7ER

One OR 0er ; 3e#s

No. of O0erat!ons Srg!"al 7e#s7OR*;

ALS:/or6!ng Da$s

No. of OT No. of O0erat!ons 0er #a$

E40e"te# Ot0t 0er OT



OT ) THE N>M7ER

7EDS MINOR MAOR EM MINOR EM MAOR

; : :

: : : :

* < * :

; < ; : :

@; < : :

: < : : :



ONING IN OT

Prote"t!5e one

Clean one

Ster!le one

D!s0osal or Sl!"e one



EN(IRONMENTAL CONTROL

Te0eratre ) <<

Relat!5e H!#!t$ ) -B9B

A!r Changes <;=hr &at least : of fresh a!r'

Clean a!r thr HEPA f!lter &.* ? ++.@Beff!"!en"$'

Clean area ) :< or ore a!r "hanges, sae

te0eratre ? RH



OT FLOOR AREA DISTRI7>TION

General ? L!nen Store ) :< s ft

< 3e# re"o5er$ ) : s ft

Mo3!le ra$ ? Dar6 Roo ) :< s ft

Trolle$ 7a$ ) s ft

Safa!%ala Al"o5e ) s ft



OT FLOOR AREA DISTRI7>TION

ADD IN CASE OF DAJ CARE S>RGERJ

Re"e0t!on ) : sft

Men8s Change Roo ) :< sft

La#!es8 Change Roo ) :< sft

Pat!ent8s Pre0arat!on ) :< sft

Go%ne# /a!t!ng Area ) sft

PL>S C!r"lat!on Area



SER(ICES FOR OT

Ele"tr!"!t$ ) Clean

/ater S00l$ ) Clean

L!ght!ng ) General 7a"6gron# =

O0erat!on =S0e"!al

MGPS



SEAMLESS = MOD>LAR OT



LA7O>R ROOMS

Se0t!" ? Ase0t!" Segregat!on

L!ght!ng

MGPS

Neonatal Ress"!tat!on Area

(!"!n!t$ of Nrser$ ? OT



N>RSERJ

(!"!n!t$ of La3or Roo

Natral L!ght



MORT>ARJ

Conne"te# to Ser5!"e Gate

Col# Roo

S!#e Roo %!th Pl3!ng

/a!t!ng Area



PRO(ISION FOR GRO/TH

Area Gro%th A""elerat!on

In#oor .@B :.B

Ot#oor :.B -.:B

Me#!"al Ser5!"es <.-B :;.*B

Tea"h!ng ? Resear"h -;.+B *:.:B

Staff :.;B -.+B

Ser5!"es +.;B :.B

A#!n!strat!on <*.*B .;B



AIRCONDITIONING

Integrat!on of ) (ent!lat!on

L!ght!ng

F!re f!ght!ng MGPS

Ca3l!ng for "o0ters ? on!tors et"



AC ) OT

Te0 ) <9<*

RH ) ;B9 B

Pressre ) Pos!t!5e, Negat!5e !n Sl!"e Roo

A!r "hanges ) : fresh = <; total

A!r F!ltrat!on ) HEPA &.* ' !n OR < else

Pressre a!nta!ne# !n OR <-@



AC ) ENDOSCOPJ ROOM

Te0 ) <9<*

RH ) *B9B

Pressre ) Negat!5e

A!r Changes ) < fresh = :< total

A!r f!ltrat!on ) <

All a!r 5ente# ot



AC ) POSTOPERATI(E

Te0 ) <:9<- RH ) *B9B

Pressre ) Pos!t!5e

A!r "hange ) < fresh = total

A!r F!ltrat!on ) ;



AC ) MIC>=SIC>

Te0 ) <:9<- RH ) *B9B

Pressre ) Pos!t!5e

A!r "hange ) ; fresh = :; total

A!r F!ltrat!on ) ;



LA7O>R ROOM

Te0 ) <9<* RH ) *B9B

Pressre ) Pos!t!5e

A!r Changes ) * fresh = :; total

A!r F!ltrat!on ) ;

S



N>RSERJ

Te0 ) <<9< RH ) *B9B

Pressre ) Pos!t!5e


A!r F!ltrat!on ) ;

/ARDS



/ARDS

Te0 ) <:9<- RH ) *B9B

Pressre ) Pos!t!5e


A!r F!ltrat!on ) <

O5er "ro%#!ng !n 5!s!t!ng hors



REFERENCES



REFERENCES

Pr!5ate Hos0!tal G!#el!nes Astral!a IIIe#

Pr!5ate Health Care Fa"!l!t!es L!sen"!ngPro"e#res ? S0e"!f!"at!ons >AE

Hos0!tal Plann!ng an# A#!n!strat!on, RLle%ell$n9Da5!es ? HMC Ma"ala$

Pr!n"!0les of Hos0!tal A#!n!strat!on an#Plann!ng, 7M Sa6har6ar

Hos0!tal A#!n!strat!on, CM Fran"!s ? Mar!o C #eSoa

REFERENCES



REFERENCES

IS :+; &In#!an Hos0!tal Stan#ar#s'

HTM <<; &(ent!lat!on !n Health Care Fa"!l!t$'

HTM ; &F!re Safet$' ? HTM &Ele"tr!"al

Ser5!"es'

HTM <:- Ele"troagnet!" Interferen"e toMe#!"al E!0ent

EN :<-- for l!ght!ng

than6 $o



than6 $o

Hospital Planning and Design

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