Report on hospital design.

A PRESENTATION ON H0SPITAL DESIGN STUDENT ID 1407205 1407209 1407215 1407239

HOSPITAL A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment.

A district hospital typically is the major health care facility in its region, with a large number of beds for intensive care and additional beds for patients who need long-term care

CLASSIFICATION OF HOSPITALS According to the size of the hospital: a. b. c. d.

Mini size hospital; Mid size hospital; Big hospital; Huge hospital;

<50 bed.

50-250 beds.

250-500 bed. >500 bed.

According to the owners of the hospital:

a. Private hospitals. b. Public hospitals; university hospitals,.. ete.

ELEMENTS AND DIVISIONS OF A HOSPITAL 1. Administration division.

3. Diagnostic services division, includes • Laboratories.

• Radiology (diagnostic).

2. Outpatients’ division, includes; • Outpatient clinics.

• Pharmacy.

• Emergency reception.

4. Therapeutic services division, includes; • Physical Therapy.

• Radiology (therapeutic).

ELEMENTS AND DIVISIONS OF A HOSPITAL 5. Internal medical treatment division, includes; • Operation Theatres.

• Intensive Care unit.

• Maternity section.

• Central Sterilization Department.

6. Inpatient division, includes; • Patient wards.

• Nurses wards.

• Inpatient services.

STAGES OF A HOSPITAL NURSING NURSERY DIAGNOSTIC SERVICES DIVISION

HEALTH CENTER

Patients Staff of hospital

SURGERY

OUTPATIENT DIVISION

Out patients

SERVICE Kitchen Laundry Storages Workshops Mechanical services Mortuary.

Security.

Parking.

Landscaping

DELIVERY

EMERGENCY

Ambulance

ADMINISTRATIVE DEVISION

Staff Patients

Service & Visitors Help

ENTRANCES AND CIRCULATION Entrances: •Patient visitors entrance.

•External entrance.

•Emergency entrance.

•Service entrance.

ELEVATORS DIMENTIONS(m)

PATIENT VISITORS ENTRANCE

EMERGENCY ENTRANCE

EMERGENCY DIVISION AMBULANCE

OFFICE

BATH EMERGENCY OPERATING ROOM

OBSERVATION BEDS

TO NURSING

PARTS AND COMPONENTS OF THE DIVISION: •Entrance + waiting area.

•Registration.

•Staff room.

•Mini-surgery.

•Test room.

•Medical utilities.

•Mini sterilization room.

LOCATION:

•Very close to the exit door of the emergency.

•Very close to the radiology.

•Close to the pharmacy, laboratories, and central sterilization.

•Direct access to the stairs and elevators.

AREA OF THE DEPARTMENT: U.S. Public Health Service (USPHS): •100 bed hospital area = 100 m2 •200 bed hospital area = 215 m2.

Examples for Emergency department 100 bed hospital , total area = 100 m2

ADMINISTRATION DIVISION HOSPITAL

RECORDS

CONFARENCE LONGE LOCKERS LIBRARY TLET

TEL

SUP’T NURSES

SOC. SER.

NURSES LOCKERS

STAFF

NURSING DEPT.

SUP’T NURSES

ADMITTING CASHIER

TOILET INFO.

LOBBY WAITING

STAFF

RETIRE ROOM TEL

VISITORS

PATIENTS

BUSINESS

PARTS AND COMPONENTS OF THE DIVISION : • • • • • • • • •

Reception hall.

Waiting area.

Registration.

Treasury and Accounts.

Staff offices.

General manager office.

Staff lounge.

Nursing head office.

WCs.

LOCATION:

•Very close to main entrance of the hospital.

•Entrance area, registration, accounts should face the entrance, while the manager office should be back for privacy.

AREA OF THE DEVISION

U.S. Public Health Service (USPHS): •50 bed hospital area = 214 m2 •100 bed hospital area = 363 m2 •200 bed hospital area = 567 m2

World bank estimations (Hopkinson & Kostermans): •50 bed hospital area = 199 m2 •100 bed hospital area = 328 m2 •200 bed hospital area = 409 m2

Example for admin department: 50 bed hospital , total area = 214 m2

Example of admitting department

OUTPATIENTS DEPARTMENT ADJUNCT DIGNISTIC FACILITIESA

DRUG DISPENSARY

TREATMENT

CONSULTATION OFFICE STAFF

HISTORY EXAMINATION SOCIAL SERVICE HOSPITAL RECORD ROOM

APPOINT INFO.

LOCKERS

ADMITTING

WAITING

RECORDS OUT PATIENTS

TOILET TEL

PARTS AND COMPONENTS OF THE DIVISION:

•Consultation room.

•Examination room.

•Treatment room.

•Waiting area.

•Staff room.

•WCs.

LOCATION:

•Very close to the main entrance of the hospital.

•Close to the diagnostic services (labs and x-ray).

•Close the pharmacy.

•Must be in the ground floor

Example for out patient department:

PHARMACY

DIAGNOSTIC SERVICES DIVISION IN-PATIENTS

PHY. THERAPY

RADIOLOGY

LAB

E.K.G BMR

OUT-PATIENTS AND HEALTH CENTER PATIENT

PHARMACR

MORGUE AND EXIT AUTâ&#x20AC;&#x2122;PSY

PARTS AND COMPONENTS OF THE DIVISION:

• • • • • • •

Work area.

Waiting area.

Sample room.

Cleaning room.

Staff offices.

Utility room.

Storage

THE MOST IMPORTANT LABS IN THE HOSPITAL ARE: • Chemical lab.

• Bacteriology lab.

• Histology lab.

• Pathology lab.

• Serology lab.

• Hematology lab.

• Microbiology lab.

LOCATION:

•Very close to the emergency department and external clinics.

•Easily accessible from internal division.

•Easily accessible from maternity and surgery departments.

•Accessibility from central storages.

Example of diagnostic service division

THERAPEUTIC SERVICES DIVISION TELETHERAPY UNIT

LOCATION

close to the x-ray therapy department.

THERAPEUTIC SERVICES DIVISION TELETHERAPY UNIT

Example: Cobalt 60 room

Section

THERAPEUTIC SERVICES DIVISION PHYSICAL THERAPY.

PARTS AND COMPONENT OF THE DIVISION: • • • • •

Waiting area Office Hydrotherapy Exercise room WCs

THERAPEUTIC SERVICES DIVISION PHYSICAL THERAPY.

Example of physical therapy

OBSTETRICAL DEPARTMENT

DELIVERY ROOMS

SUPERVISOR

SCRUB UP

DOCTORS LOCKERS DOCTORS

NURSES LOCKERS

NURSES

SUB STERILIZING

LABOR ROOMS

CLEAN UP SUPPLIES JANITOR CL. STRETCHERS

PATIENTS

OBSTETRICAL DEPARTMENT LOCATION

Very close to the newborn nursery and maternity unit

• Open room.

•Operation.

•WCs. •Utilities.

•Office.

•Unclean room.

•Cleanup room.

•Storage.

•Waiting area.

•Corridors

20-40 m2 26 m2 8 m2 15 m2 8 m2 5 m2 10 m2 10 m2 w = 2.2 m Example of obstetrical department

INTERNAL MEDICAL TREATMENT DIVISION FROZEN SECTION LAB

SUB STERILIZING

OPERATION ROOM

CLEAN UP

SUPERVISOR

ANESTHESIA ROOM

INSTRUMENTL STOR STORAGE

SCRUB UP

DOCTORS LOCKERS PATIENTS

DOCTORS

NURSES LOCKERS

CENTRAL STERILIZING SUPPLIES

OTHER HOSPINURSES TAL AREA

INTERNAL MEDICAL TREATMENT DIVISION PARTS AND COMPONENTS OF THE DIVISION: •Entrance.

•Storage.

•Preparation room.

•Access area.

•Staff clothes room + WCs. •Operation theatre.

•Clean up room.

•Sub sterilizing room.

•Supervision room.

•Staff lockers.

 LOCATION:

•Very close to the intensive care division and should be touchable both of them.

•Very close to the central sterilization division of the hospital.

•Close to the inpatient wards.

•Can be easily accessible from the emergency division.

INTERNAL MEDICAL TREATMENT DIVISION AREA OF THE DEPARTMENT: U.S. Public Health Service (USPHS): •50 bed hospital area = 185 m2 •100 bed hospital area = 360 m2 •200 bed hospital area = 550 m2.

Example of Internal medical treatment division or surgical suit

INTENSIVE CARE UNIT

PARTS AND COMPONENTS OF THE DIVISION: â&#x20AC;¢I.C.U space.

INTENSIVE CARE UNIT

LOCATION:

•Very close to the recovery room in the operation theatre.

•Can be easily accessible from the emergency division by elevator.

AREA OF THE DEPARTMENT:

Must be designed 1-2 % of hospital beds.

INPATIENT DIVISION PARTS AND COMPONENTS OF THE DIVISION:

• Inpatient wards. 11.5m2/bed – 8m2/bed.

• WCs. • Nursing station. Not less than 12m2 for 30 patients.

• Treatment rooms. 10-15m2 for 60 patients.

• Day rooms. 0.7m2/bed and not less than 15m2 • Nurses’ lounge. Not less than 12m2 • Storage. 8-12m2 • Kitchen. 12m2 • Doctor room. 15m2 The most suitable beds in the hospital is 20-40 patient / unit.

BEDROOM STANDARD

WALL ELEVATION 1. Over bed light 2. Nurses' call 2A. Micro speaker in ceiling SINGE BED 3. Oxygen outlet 4. Suction outlet 5. Suction bottle bracket.

6. Night light-switch outside room door 7. Double duplex outlet 8. Telephone, radio, TV jacks

(10’x15’)

BEDROOM STANDARD

DOUBLE BED (13’-6”x15’) 1. Over bed light 2. Nurses' call 2A. Micro speaker in ceiling 3. Oxygen outlet 4. Suction outlet 5. Suction bottle bracket.

6. Night light-switch outside room door 7. Double duplex outlet 8. Telephone, radio, TV jacks

FOUR BED

(20’to24’x18’)

WALL ELEVATION

NURSING UNITE

PATIENTS

SOLARIA

NURUTILITY TREAT- SES STAMENT TION

WAIT- LINEN TOI- FLOOR ING STRE- LET PANTRY TCH BATH

STAFF PATIENT VISITOR

FROOM KICHEN

NURSING UNITE

Detail of nursing station and utility unite

Example of nursing unit

GENERAL SERVICE DEPARTMENT HOSPITAL

MAINTANANCE FUEL MECH’CAL PLANT

CENTRAL LINEN ROOM HOUSE KEEPING

STAFF

LAUNDRY

STAFF DINING

HELP’S LOCKER

CENTRAL STORAGE BULK FOOD STORAG

NURSES LOCKERS

HELP DINING

KITCHEN

RECEIVING CLERK SERVICE ENTRANCE AND HELP

FORMULA ROOM SPECIAL DIRSTS

GENERAL SERVICE DEPARTMENT SPACES OF THE DEPARTMENT:

•Storage room.

•Kitchen.

•Preparing and supply area.

•Cleaning.

LOCATION:

•In the ground floor.

•Direct opening to the service entrance.

AREA OF THE DEPARTMENT: •100 bed hospital area = 195 m2 •200 bed hospital area = 355 m2

LAUNDRY DEPARTMENT SEWING ROOM

TO FLOOR LINEN CLOS.

FROM ROOMS

SOILED LINEN ROOM

CENTRAL LINEN RM

SORTING

FOLDING FLAT WORK IRONING

EXTRACTING

65%

SHAKEOUT 30%

5%

TUMBLING

PRESSING & HAND WASH

W A S H I N G

LAUNDRY DEPARTMENT

CENTRAL STERILIZATION DIVISION PARTS AND COMPONENTS OF THE DIVISION: •Work space.

•Receiving area.

•Washing area.

•Supplies storage.

LOCATION:

•Very close to the operation theatre and maternity division.

•Can be easily accessible from the emergency division, laundry and central storages.

CENTRAL STERILIZATION DIVISION AREA OF THE DEPARTMENT:

1. U.S. Public Health Service (USPHS): •100 bed hospital area = 65 m2 •200 bed hospital area = 110 m2 Or 0.6-0.9 m2/bed, 0.6 m2 for large hospitals and 0.9 m2 for small hospitals.

Examples for central sterilization department 100 bed hospital area = 65 m2

HOUSEKEEPING DIVISION SPACES OF THE DIVISION: •Office.

•Dirty linen.

•Clean linen.

•Storage.

•Laundry.

•Mechanical room.

LOCATION:

• In the ground floor.

• Close to central storages

AREA OF THE DEPARTMENT:

U.S. Public Health Service (USPHS): • 50 bed hospital area = 150 m2 • 100 bed hospital area = 180 m2 200 bed hospital area = 270 m2

GENERAL STORAGES SPACES OF THE DIVISION: •Medicine storage.

•Furniture storage.

•Food storage.

•Utilities storage.

•Achieve.

•General storages.

LOCATION:

• In the ground floor.

• Close to housekeeping and dietary division.

• Direct access to the service entrance.

AREA OF THE DEPARTMENT:

1. U.S. Public Health Service (USPHS): •100 bed hospital area = 260 m2 •200 bed hospital area = 520 m2 Generally the area of the storages is 2-2.6m2 /bed.

MORTUARY DIVISION LOCATION:

• In the ground floor or basement floor.

• Exit from emergency entrance or service entrance.

AREA OF THE DEPARTMENT: 1. U.S. Public Health Service (USPHS): •50 bed hospital area = 25 m2 •100 bed hospital area = 45 m2 •200 bed hospital area = 70 m2

MAINTENANCE WORKSHOPS LOCATION:

• In the ground floor or basement floor.

• Direct relation with service entrance.

AREA OF THE DEPARTMENT: 1. WHO experts: •50 bed hospital area = 65 m2 •100 bed hospital area = 90 m2

CASE STUDY 01

CASE STUDY 02

TYPES OF SPACES

There are 4 main categories of spaces in a hospital building which can be categorized as: • OPD • IPD • LABORATORIES • SERVICE

CASE STUDY 03 M. ABDUR RAHIM MEDICAL COLLEGE AND HOSPITAL STORAGE

STORAGE

KITCHEN

STORAGE

OUT PATIENT

EMERGENCY

GE. TRANSFUSION

DIAGNISTIC

COMMERCIAL

VISITOR ENTRY CIRCULATION BED

OUT PATIENT

OUT PATIENT O.P.E GROUND FLOOR PLAN

STAIR/ELEVATOR TOILET DOCTOR DIAGNISTIC STAFF LOCKER COMMERCIAL OTHERS

BASEMENT FLOOR PLAN CIRCULATION PARKING LIFT AND GENERATOR

STORAGE

STORAGE

DIALISIS

STORAGE

ICU GYNAE

CARDIOLOGY

CARDIOLOGY CCU

NURSERY

CIRCULATION

JAIL

BED STAIR/ELEVATOR TOILET

ORTHO FEMALE

ADMINISTRATION

DOCTOR STAFF OTHERS

FIRST FLOOR PLAN

OPERATION GYNAE

OPERATION

CABIN

CABIN

ORTHO MALE

SURGERY MALE OTHERS

SECOND FLOOR PLAN

BED

CLASS ROOM CIRCULATION

STAIR/ELEVA.

OPERATION

TOILET DOCTOR

MEDICINE

( FEMALE)

SURGERY FEMALE

CABIN

CIRCULATION BED

MEDICINE

( MALE)

STAIR/ELEVATOR TOILET DOCTOR CLASS ROOM

THIRD FLOOR PLAN