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