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"ALL SUCCESSFUL HOSPITALS ARE BASED ON THE TRIAD OF

GOOD PLANNING, GOOD DESIGN AND CONSTRUCTION AND


GOOD ADMINISTRATION.........."

GRADING OF HOSPITALS - as per the number of


beds:
Grade
Grade
Grade
Grade

I: Hospitals norms for 500 beds


II: Hospitals norms for 300 beds
III: Hospitals norms for 200 beds
IV: Hospital norms for 100 beds

Hospital bed occupancy rate should be atleast 80%.


An area of 65-85 sq.m per bed has been considered to be
sections:
Hospital
can be divided into 2 main
Medical section
reasonable.
-Patient
The areacare
will division
include the service areas.
Non-medical
OPD( OUT-PATIENT DEPARTMENT) IPD (IN-PATIENT
section
DEPARTMENT) EMERGENCY -DIAGNOSTIC DEPARTMENT
-Administrative
RADIOLOGY PATHOLOGY
Medical
OT (OPERATION THEATRE) DELIVERY SUITS -SUPPORT
records
SERVICES DIETARY LAUNDRY STORES ETC.
Purchase
Accounts
-Engineering
services AC
Fire-fighting
Medical gas
Sewage disposal
Electric substation -Ancillary
services

Lifts:
Separate lifts are required for different functions for
hygiene and aesthetic reasons.
Internal surface must be smooth, washable and east to
disinfect.
Floor must be non-slip.
Lift shaft must be fire-resistant.
One multipurpose lift should be provided per 100 beds.
Minimum of 2 smaller lifts for portable equipment, staff
and visitors. Clear dimension of lift car: 0.90x1.20m Clear
dimension of shaft: 1.25x1.50m Stairs:
Must have handrails on both sides without projecting tips.
Effective width of landings: 1.5m - 2.5m Tread depth:
280mm-300mm Riser: 150mm-170mm
Doors must not constrict the useful width of landings.
Doors to the staircase must open in the direction of
escape. Doors:
Surface coating on doors must withstand the long-term
action of cleaning agents and disinfectants.
Designed to prevent the transmission of sound, odors and
draughts. Clear height of doors: Normal doors: 2.10-2.2m
Vehicle entrances, oversized doors: 2.50m Transport
entrances: 2.70-2.80m

CIRCULATION:

The circulation area should not be more than 55% of the


total floor area of the building.
Circulation areas like corridors, toilets, lifts, ramps, staircase
and other common spaces etc.
The room height should not be less than approx. 3.6m
measured at any point from floor to floor height.
Corridors:
Access corridors (medical service): 1.5m - 2.5m wide
Corridors for patients'trolleys (wards & surgical area):
2.25m wide
Service and storage area corridor: 3.5 - 4.0m wide
Max. distance between 2 windows for lighting and
STORAGE
ventilation: 25m

I-

ADMINISTRATION:
Nursing Service Administrative

Financial
Managemen
t Unit

Professional Service Unit

ROOM

patient lobby

OI LEAST 1
5
M
belter ? ?5rn

SHEET
NO.

Material
Managemen
t Unit

Public
Relations
Departmen
t
ri

at
least
2.25m

Executive Unit
- 3.50-4.00

ADMINISTRATIO

Human
Resource

N (Waiting area)

Department

Executive
Unit:CMO'S/CEO'S office
Secretarial Office
Waiting Area + Reception

30sq.m
15SQ.M
140160SQ.M
60sq.m

Board Room/ Conference Room


Nursing Service Administration:HEAD OF NURSING DEPARTMENT'S
20-25sq.m
OFFICE
Secretarial Office
15SQ.M
Financial Care Unit:HEAD OF FINANCIAL SERVICES
15OFFICE
20SQ.M
Secretarial Office
15SQ.M
Chief Cashier's Office
20sq.m
Billing Section
20sq.m
Auditor's Office
20sq.m
Professional
Unit-Department
head's
salary andService
pay-roll's
office
20sq.m
Office Secretarial Office Medical Staff
15Lounge+Pantry
20SQ.M
15SQ.M
Public Relations Department:
Head Of Public Relation's Department Secretarial
20Office Clerical Office
25sq.m
Human Resource Deparment:-Head of Department's
15SQ.M
Office Secretarial Office Employment Manager's
Office
Employee Relation Manager's Office Training12SQ.M
Manager's
Office Multi-purpose Room(Lectures/interviews) Clerical
20Office
25sq.m
NOTE:- Common Pantry for all units Storage for all units
15SQ.M
2025sq.m
2025sq.m
2025sq.m
80sq.m
ADMITTING DEPARTMENT:
12SQ.M
The hospital admitting office is generally the15SQ.M
patient's
first point of contact with the hospital.
15The hospital admitting department is composed
30SQ.M of both
management staff and registration staff.
Hospital admitting managers are responsible for the overall
admissions process, operations, and related services.
Reception + Waiting area
Chief Admitting Officer's room
Secretarial Office
Office
Store

PROPOSED MULTISPECIALTY HOSPITAL AT BADDI - literature


study

2025sq.m
15sq.m
15SQ.M
SUBMITTED BY:
AYUSHISHARMA 10608
TENZIN PHENDHOK 10632
DEPARTMENT OF
ARCHITECTURE N.l.T HAMIRPUR

EMERGENCY DEPARTMENT:
An emergency department (ED), is a medical treatment facility
specializing in acute(medicine) care of patients who present
without prior appointment, either by their own means or by
ambulance.

I-

Dead
Imme
(White
diate Band)

(Red
Band)
Identification

I
Urgent

I
Non

(Green

Urgent

Band)

(Blue

Resuscitation

Mortuary

Band)
Casualt
y
Treatm
ent

Traige Room Emergency Counter Emergency


OT
30sq.m
Doctor's Changing Room Scurb Room Sterilization
Room
10SQ.M
Anesthesia Room Recovery Room Station
40-Doctor's Room Nurse
Station Equipment Room
48sq.m
2025sq.m
1215SQ.M
14SQ.M
14.8SQ.
M
25OUT-PATIENT DEPARTMENT (OPD):
30sq.m
Amulatory medical care provided to patients who are not
16confined to bed can be provided at a general practitioner's
20SQ.M
clinic
and specialist's
Reception
+ Counter clinic
5sqm
10Doctor's room: General Practitioner
20sq
30SQ.M
m
10(specialists) ENT
20sq
20SQ.M
m
Ophthlamogy
Dermatology
Orthopaedic
Gyneacology
Cardiology
Registrati
Dentalon
Surgery

Neurology
Exit
Diagnostic

Pharm
acy

Treatment room
Minor
SHEET OT
NO.

20sq
m
20sq
m
20sq
m
20sq
m
20sq
m
20sq
m
20sq
m
20sq
m
45sq
m

SPECIALISATION
DEPARTMENTS

OPERATION THEATRE:

GYNEACOLOGY DEPARTMENT:
25sq.m
General OPD
201. DOCTOR'S ROOM
25sq.m
2. Ultrasound Lab
singl
3. Wards
bed
Critical Area
11sq.m
1. LABOUR ROOM
(120sq.f
85-100sq.m
2. Delivery Room
t) mltpl
(Septic & Non30sq.m
bed
septic)
8sq.m/b
3. Preparation Room
19-25SQ.M 20SQ.M
ed
4. Nursery
20-30sq.m 20sq.m
(80sq.ft)
5. On-duty Doctor's
DENTAL DEPARTMENT:
Room
Examination Room
6. Nurse Station
Assistant's Room
Waiting Area
Waiting Area +

55Reception Store
75sq.m
PEDIATRIC DEPARTMENT:15sq.m
20sq.m
Examination Room
15sq.m
Wards
Nursing Station Isolation
25Room (Singl bed)
30sq.m
Recreation Area Store
8sq.m
2025sq.m
10sq.m
70sq.m
15sq.m

ORTHOPEDICS
DEPARTMENT:
Observation
Room
25sq.m
X-Ray
Lab
PHYSIOTHERAPY:
30sq.m
Therapist's Room
Plaster Room 18sq.m15SQ
Radiation Heat Cabin.M
Waiting Room 20sq.m
I.R. Rays Cabin M.E. 10SQ
Stimulator Cabin TNS
.M
Cabin UST Cabin Wax
10SQ
Bath Exercise Room .M
Sauna
10SQ
.M
10SQ
.M
IN-PATIENT DEPARTMENT
(IPD):
10SQ
The procedure requires
.M to the patient to be admitted to the
hospital, primarily so15SQ
that he or she can be closely monitered
during the procedure.M
and afterwards, during recovery. Wards:
11SQ.M X
50SQ
Private (no. of bed .M
50 8SQ.M
50) General (no. of 15SQ
X 150 20bed 150) Nurse
30SQ.M
.M
Station Station
16Doctor Room
20SQ.M
Storage
15SQ.M
Equipment Room
20SQ.M

ICU-INTENSIVE CARE UNIT:


Dressi
ng
Room

Should preferably be located on the ground floor with


convenient access from the operation theatre suit and
emergency department and easy accessibility for wards. It
consists patient area, staff area, support area. The unit shall
not have less than 4 beds nor more than 12 beds.

The location of Operation theatre should be in a quite


environment,
free from noise and other disturbances, convenient
relationship with
surgical ward, intensive care unit, radiology, pathology, blood
bank
and CSSD (Central Sterile and Supply Department).
Zoning should be done to keep the theatres free from microorganisms,
Four well defined zones of varying degree of cleanliness:
1. PROTECTIVE ZONE 2.CLEAN ZONE
3. Aseptic or Sterile Zone 3.Disposal or Dirty Zone
Normally there are three types of traffic flow:
1.Patients 2. Staff 3.Supplies.
An Operation Theatre should also have Preparation Room,
Pre-operative Room, Scrub room and Post Operative Resting
Room. Operating room should be made dust-proof and
moisture proof.

BLOOD BANK:
Blood bank shall be in close proximity to pathology
department and at an accessible distance to operation
theatre department, ICU and emergency and accident
department.

RADIOLOGY DEPARTMENT:
To employ the use of imaging to diagnose and treat disease
visualised within the human body.
The department should be located at a place which is
accessible to both OPD and wards and also to operation
theatre department. Diagnostic services:X-ray 30sq.m
MAMNOGRAPY
30SQ.M
CLINICAL
LABORATORIES:
ECG 30sq.m
Hematology Lab Bio-Chemistry 20sq.
Lab Pathology Lab
CTScan 35sq.m
m
Histopathology Cytology Autopsy
MRI SCAN 35SQ.M
20sq.
Ultra Sound 20-25sq.m
m
30sq.
m
20sq.
PHARMACY:
m
Should located in an area eassily
accessible from all clinics.
20sq.
The size should be adequate to m
contain 5% of the total clinical
visits to
20sq.
the OPD in one session.
m
Pharmacy should have component of medical store facility
for indoor patients and separate pharmacy with accessibility
for OPD patients.

PROPOSED MULTISPECIALTY HOSPITAL AT BADDI - literature


study

Reference:
Indian Public Health Care Standards for 101 to 200
bedded Hospital Architect's Data by Ernst and Peter
SUBMITTED BY:
Neufert
AYUSHISHARMA 10608
TENZIN PHENDHOK 10632
DEPARTMENT OF
ARCHITECTURE N.l.T HAMIRPUR

LITERATURE
HOSPITAL
STUDY

PARACLINICAL REQUIREMENTS

A hospital is a health care institution providing


patient treatment by spe- ^ .
cialized staff and equipment. In reality, hospitals are the setting
where cutting-edge medical advances relieve suffering, and bring
healing and even new life for those whom, even a few short
years ago, there would be little hope. Hospitals are complex
buildings containing many departments of different
specializations where diagnostic or therapeutic activities take
place, while other administrative, ancillary, or service units
sustain, and support main functions, to compliment the health
care process.
*>

GRADING OF HOSPITALS

Laboratory Services X-Ray


Facility Sonography
(ULTRASOUND) ECG
Blood transfusion & storage facilities
PARACLINICAL REQUIREMENTS

CONDITION OF ROADS AND PATHWAYS


Physiotherapy
Dental Technology
(Dental Hygiene)
Drugs and
Pharmacy

Medico-legal/postmortem
Water supply (plumbing)
Ambulance services
Heating, ventilation and
Dietary services Laundry services
air-conditioning Transport
Security services
Communication
Counseling services for domestic violence,
adolescents, Medical
etc.
Social Work Nursing
Waste management
Services Sterilization and
Ware housing/central store
Disinfection Horticulture
Maintenance and repair
(Landscaping) Lift and
Electric Supply
vertical transport
Refrigeration

Based on the assumptions of the annual rate of admission as 1 per 50 populations and average
length of stay in a hospital as 5
days, the number of beds required for a district having a popula- t>tttt - PLANNING
.
& LAYOUT
NTXTR

tion of 10 lakhs will be around 300 beds. However, as the popula-

HOSPITAL

SITE SEECTION
BUILDING tion of the district varies a lot, it would be prudentCRITERIA
to prescribe norms by
A hospital and other health facilities shall be so located that it is
grading the size of the hospitals as per the number of beds.
readily accessible to the community and reasonably free from
Grade I : Hospitals for 500 beds
Grade II : Hospitals for 300 beds Grade III : Hospitals for 200 beds undue noise, smoke, dust, foul odor, flood, and shall not be located
Grade IV : Hospital for 100 beds.
adjacent to railroads, freight yards, children's playgrounds, airports,
Total number of beds required when occupancy is 80% =
industrial plants, disposal plants.
100000/365 x 80/100 = 200 approx. Generally district hospitals
APPEARANCE AND UPKEEP
lies in this cattegories.
The hospital should have a high boundary wall with at least two
exit gates.
There shall be provision of adequate light in the night so hospital
is visible from approach road.
Building shall be plastered and painted with uniform colour
BASIC REQUIREMENTS
scheme.
A SERVICES INCLUDE OPD, INDOOR, EMERGENCY SERVICES.
Secondary level health care services regarding following
specialties will be assured at hospital:
CONSULTATION SERVICES
General Medicine Ophthalmology
General Surgery ENT
Obs & Gyne Dermatology & Venerology
Paediatrics including Neonatology including STI/ RTI
Critical
Emergency
& (Casualty) Orthopaedics
Radiology
care (Accident
(ICU)
Anaesthesia

Stir FT
TITLE.

SIGNAGE
The building should have a prominent board displaying the name
of the Centre in the local language at the gate and on the building.
Signage indicating access to various facilities at strategic points in
the Hospital for guidance should be provided.
Florescent Fire Exit plan shall be displayed at each floor.
PATIENT MOVEMENT

CORRIDORS FOR ACCESS BY PATIENT AND EQUIPMENT SHALL


HAVE A MINIMUM WIDTH OF 2.44 METERS.
Dental
hi- u i+H m .Corridors in areas not commonly used for bed, stretcher and
care
Public Health Management EQUIPMENT transport may be reduced in width to 1.83 meters.

PROPOSED HOSPITAL

- baddi, solan

Approach road to hospital emergency shall be all weather motorable road.


There shall be dedicated parking space separately for
ambulances, Hospital staff and visitors.
FUNCTION
The emergency service shall be located in the ground floor to
ensure immediate access. A separate entrance to the
emergency room shall be provided.
The administrative service shall be located near the main
entrance of the hospital.
The surgical service shall be located and arranged to prevent
non-related traffic. The operating room shall be as remote as
practicable from the entrance to provide asepsis
The delivery room shall be as remote as practicable from the
entrance to provide asepsis. The nurse station shall be located to
permit visual observation of patient movement.
Nurse stations shall be provided in all inpatient units of the
hospital with a ratio of at least one (1) nurse station for every
thirty-five (35) beds.
The dietary service shall be away from morgue with at least 25meter distance.
CIRCULATION AREAS
Circulation areas like corridors, toilets, lifts, ramps, staircase and
other common spaces etc. in the hospital should not be more
than 55% of the total floor area of the building.
ZONING
Outer Zone - areas that are immediately accessible to the public:
emergency service, outpatient service, and administrative
service. They shall be located near the entrance of the hospital.
SECOND ZONE - AREAS THAT RECEIVE WORKLOAD FROM THE
OUTER ZONE: LABORATORY, PHARMACY, AND RADIOLOGY. THEY
SHALL BE LOCATED NEAR THE OUTER ZONE.
Inner Zone - areas that provide nursing care and management of
patients:
nursing service. They shall be located in private areas but
accessible to guests.
Deep Zone - areas that require asepsis to perform the prescribed
services: surgical service, delivery service, nursery, and intensive
care. They shall be segregated from the public areas but
accessible to the outer, second and inner zones.
FLOOR HEIGHT
The room height should not be less than approximately 3.6 m
measured at any point from floor to floor height
HOSPITAL COMMUNICATION
24x7 working telephone shall be available for hospital.
Ther should be the availability of ATM machines.

SUBMITTED BY :
PRANAV SHARMA
CHANDAN SHARMA

O C2
5
OQ3

architectural design
deptt. of architecture
nit hamirpur.

LITERATURE
STUDY
DEPARTMENTAL LAYOUT
OUTDOOR PATIENT DEPARTMENT (OPD)
The facility shall be planned keeping in mind the maximum peak
hour patient load and shall have the scope for future expansion.
OPD shall have approach from main road with signage visible
from a distance

A. RECEPTION AND ENQUIRY


Enquiry/May I Help desk shall be available with competent staff
fluent in local language.
Services available at the hospital displayed at the enquiry.
B. WAITING SPACES
Main entrance, general waiting and subsidiary waiting spaces are
required adjacent to each consultation and treatment room in all
the clinics.

*
C. LAYOUT OF OPD
shall follow functional flow of the patients, e.g.:
Enquiry^Registration^Waiting^Subwating^Clinic^ Dressing
room/Injection
Room->Billing->Dignostics
(lab/x-ray)
Pharmacy>exit
D. PATIENT AMENITIES

Potable drinking water.


Functional and clean toilets with running water and flush.
Fans/Coolers.
Seating arrangement as per load of patient.

INDOOR PATIENT DEPARTMENT


General IPD beds shall be categorized as following

In this unit, critically ill patients requiring highly skilled life saving
medical aid and nursing care are concentrated. These should
include major surgical and medical cases, head injuries, severe
hae morrhage, acute coronary occlusion, kidney and respiratory
LOCATION
catastrophe, poisoning etc. The unit shall not have less than 4
beds nor more than 12 beds. Number of beds may be restricted to
Location of the ward should be such to ensure quietness and to
5% of the total bed strength.Out of these, they can be equally
control number of visitors.
divided among ICU and High Dependency Wards. For example, in
WARD UNIT
a 200 - bedded hospital, total of 10 beds will be for Critical Care.
The basic aim in planning a ward unit should be to minimize the work Out of these, 5 may be ICU beds and 5 will be allocated for High
of the nursing staff and provide basic amenities to the patients within Dependency Wards.
LOCATION
the unit. The distances to be traveled by a nurse from bed areas to
'$COV$FY J
This unit should be located close to operation theatre department
treatment room, pantry etc. should be kept to the minimum. Ward
FOOOI
NF "
so
unit will include nursing station, doctors' duty room, pantry, isolation and other essential departments, such as, x-ray and pathology
TWO
that the staff and ancillaries could be shared. Easy and convenient
room, treatment room, nursing store along with wards and toilets as
4
BEDS
access from emergency and accident department is also essential.
per the norms. On an average one nursing station per ward will be
This unit will also need all the specialized services, such as, piped
provided. It should be ensured that nursing station caters to around
suction and medical gases, uninterrupted electric supply, heating,
40-45 beds, out of which half will be for acute patients and half for
chronic patients. The following quality parameters should be ensured: ventilation, central air conditioning and efficient life services.
There shall be at least 2.5 metre between centres of two beds to
prevent cross infection and allow bedside nursing care.
Every bed shall be provided with IV stand, bed side locker and stool
for attendant. Screen shall be available for privacy.
Dedicated toilets with running water facility and flush shall be
provide for each ward.
Architect* U A
Weicken
Dirty utility room with sluicing facility and janitors rooms shall be
ID INTENSIVE
CARE UNIT
provided with in ward.
All wards shall be provided with positive ventilation (except isolation ACCIDENT & EMERGENCY SERVICES
ward) and fans.
24 x 7 operational emergency with dedicated emergency room
Male Medical ward Maternity ward Female surgical ward
Male surgical ward Paediatric ward Isolation ward
Female Medical ward Nursery special wards

tt

"

Single Room

4 Bed Room
-

11M M M

E. CLINICS
The clinics should include general, medical, surgical,
ophthalmic, ENT, dental, obsetetric and gynaecology,
paediatrics, dermatology and venereology, psychiatry,
neonatology, orthopaedic and social service department. The
clinics for infectious and communicable diseases should be
located in isolation, preferably, in remote corner, provided
with independent access.
Pharmacy shall be in close proximity of OPD.
All clinics shall be provided with examination table, x-rayView box. Screens and hand wishing facility. Adequate
number of wheelchairs and stretcher shall be provided

C
I
-

1
AT
*C
L
J 61.0
NRV
M

(D UIDO
1700 MM ROS I

I ROA<

^ FFIM M RLM R

J_J

-T
A

'7& 00 M M CLA A

^ 1 FLFL M M

\ I o)
VI <

_J_

1
4!
/

A
Q I

^OW M
LA

trvijla

V
I
Support

Bedroom, Clinical Support and En-suite WC/Shower/ hand-wash basin

Total AREA = 5 M'

Bedroom, Clinical
and two En-suites
TOTAI ATPA = 70 0

SHE-EX
TITLE.

INTENSIVE CARE UNIT AND HIGH


DEPEN-DENCYWARDS

o PR0P05LD HOSPITAL - baddi, solan

3&QO MM
RLEAR

shall be available with adequate man power.


It should preferably have a distinct entry independent of OPD
main entry so that a very minimum time is lost in giving
immediate treatment to casualities arriving in the hospital. There
should be an easy ambulance approach with adequate space for
free passage of vehicles and covered area for alighting patients.
Lay out shall follow the functional flow.
Signage of emergency shall be displayed at the entry of the
hospital with directional signage at key points.
Separate provision for examination of rape/ sexual assault
victim should be made available in the emergency as per
guidelines of the Supreme Court.
Emergency should have mobile x-ray/ laboratory, side
labs/plaster room/and minor OT facilities. Separate emergency
beds may be provided. Duty rooms for Doctors/nurses/
paramedical staff and medico legal cases
Emergency shall have dedicated triage, resuscitation and
observation area. Screens shall be available for privacy.

SUBMITTED BY :
PRANAV SHARMA
CHANDAN SHARMA

OG2
5
0G3

architectural design
deptt. of architecture
nit hamirpur.

LITERATURE STUDY -

CORRIDORS, DOORS, STAIRS AND LIFTS


Generally, access corridors must be at least 1.50m wide.
Corridors in which patients will be transported on trolleys
should have a minimum effective width of 2.25 m. Service
corridors should be at least 3.5m wide. Main spine corridors
are taken 3m wide least. The suspended ceiling in corridors
may be installed up to 2.40 m. Windows for lighting and
ventilation should not be further than 25m apart

SPACE REQUIREMENTS

1. ENTRANCE HALL:
The size of the hall may be determined on the basis of
number of beds available to back up the OPD.

U-4

DOOR

R E CE PTION A N D WA IT IN G A RE A

ADMITTING OFFICER
ASSISTANT ADMITTING OFFICER

4, SURGICAL DEPARTMENT

CASHIER

2* WAITING SPACES:
Apart from the entrance hall, general waiting per clinic and
subsidiary waiting spaces are required adjacent to each
consultation room and treatment rooms in all clinics. The
minimum floor area required per waiting patient can be put
as 8 sq. ft (0.75 m2). So as to avoid a 'club atmosphere' in
the waiting rooms, it may be advisable to put the seats in
such a way that all the patients face in the same direction.
The waiting room should be adequately ventilated
Apart from the entrance hall, general waiting per clinic and
subsidiary waiting spaces are required adjacent to each
consultation room and treatment rooms in all clinics. The
minimum floor area required per waiting patient can be put
as 8 sq. ft (0.75 m2). So as to avoid a 'club atmosphere' in
the waiting rooms, it may be advisable to put the seats in
such a way that all the patients face in the same direction.
The waiting room should be adequately ventilated

3. A & E (ACCIDENT AND EMERGENCY


The accident and emergency department is for ambulant
and bedridden patients and is accessed via the emergency
entrance (the minimum vehicle headroom is 3.50m). Clear
signposting to the driver-in-entrance is of life saving
importance for ambulance drivers. It is convenient to site
this entrance on the opposite side of the building to the
main entrance to avoid contact with the visitors and other
patients. The accident and emergency department consists
of emergency treatment rooms (20-25 sq.m) equipped with
operating furniture's.

Surgical department should be close to the intensive care


department, the recovery room and the central sterilization
area because there is extensive interaction between these
departments and so easy access must be assured.
The hygiene precautions require the surgical unit to be isolated
from the rest of the hospital operations. This is achieved by a
demarcation system using lobbies.
Surgical departments are best located centrally in the core area
of the hospital where they are e M y to reach. The reception area
for emergency cases (casualties) must be as close as possible
to the surgical area since such patients often need to be moved
into surgery immediately.

MAIN SURGICAL ROOMS

M ) W ARD (O RN D O RM YRAIN G ARA A

.
A

STAIRS

(2 J' MAM
CORRIDOR
(PNA)

(3 J MADICAL
SARVKAI
CORRDOR

For safety reasons stairs must be designed in such a way that


if necessary they can accommodate all of the vertical
circulation. The Stairs must have handrails on both sides
without projecting tips.
FThe effective width of the stairs and landings in essential
staircases must be a minimum of 1.50m and should not
(V)
exceed 2.50 m. Step heights of 170 mm are
permissible and
the minimum required tread depth is 280 mm. It is better to
have a rise/tread ratio of 150:300 mm.

II
* LO M T

-350

4 <X

corridor.< M tvar> a. /T\ W orking corridor,surgical

STO RAO A ARA AS _ ARA A

LIFT

LLifts transport people, medicines, laundry, meals and hospital


beds between floors, and for hygiene and aesthetics reasons
separate lifts must be provided for some of these. In buildings
in which care, examination or treatment areas are
accommodated on upper floors, at least two lifts suitable for
transporting beds must be provided.
One multipurpose lift should be provided per 100 beds, clear
dimensions of lift car: 0.90 x 1.20 m clear dimensions of
shaft: 1.25 x 1.50m
W ard < orrdor.intansiva car a 7 Lif

The operation theater should be designed to be a square so as


to allow working in what ever direction the operation table is
turned into.
The suitable size would be 6.5m x 6.5m with a clear height of
3m and a height allowance of 0.7m for air-conditioning and
other services.
Highly sterilized room is separated , to which sterile
instruments are supplied

ORGANISATION OF THE SURGERY

operating theatre 40-48 sq. m.


entry room 15-20 sq. m.
exit room 15-20 sq. m.
washroom 12-15 sq. m.
equipment room 10-15 sq. m.

Surgical department Intensive care Exit room Recovery room Patients lobby Clean working corridor
L\LR> N -RL^ AN RO RRIH N R

ShrFTTITLF

PR0P05LD H05PITAL

Normal doors : 2.l0-2.20m


Vehicle entrances, oversized : 2.50m
Transport entrances: 2.70-2.80m
MIN. HEIGHT ON APPROACH ROADS: 3.50M

FUNCTION AND LAYOUT

WORK
AREA

Internal Connections of Emergency


department

ADMITTIN
AREA

- baddi, solan

NTTTTTTTT"
16CO biOO
?dOO2KK I 3000 1)000 1330: 1400 llSOO 1IftX
2400

2400 b;oo\2K<
-IVl! HL1
%j [Elffil] I
INIECE.-WI

1300 1300 '30C 7300 12300 230C I 2160 LMM ?inr

-L ILRIU ILTI

^ S U R Y C L operations ccntro. Katharmen Hospital. Stuttgart

I IIaaiM *IN W IIRH M jpi1

AZ-A AI

^Q N Dimtniioni of b*d

SUBMITTED BY :
PRANAV SHARMA
CHANDAN SHARMA

LIFTS FIT)

RATD
LIFT

<*P*C
?V
1*9'
SKAFT
WXLTH
C
SHATT
<TOP?
H <1
CAR 4
car depth b
car cloor I
car height
ca door
height

architectural design
deptt. of architecture
nit
hamirpur.
(.IIXK^ 1 < iM VVfKirf

OG

25
OG3

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