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Manalaysay JPT Thesis With Approval PDF
Manalaysay JPT Thesis With Approval PDF
Manalaysay JPT Thesis With Approval PDF
LETTER OF TRANSMITTAL
Dear Sir:
In compliance with your requirements for ARCHITECTURAL DESIGN 11 (AR200-2S), section AR1; I hereby present to you my thesis
work entitled: Proposed Cardio-Pulmonary Hospital in Baliuag, Bulacan. I hope that this will prove to be satisfactory.
Thank you.
CHAPTER 3: METHODOLOGY....................................15
iii
TABLE OF CONTENTS PAGE
PART 4: BUILDING USER PROGRAM....................................................................................................................................................................56
iv
ACKNOWLEDGEMENT Jodie Lavaro: who always reminds me to finish my work on time
and for her assistance and encouragement during this thesis research.
This thesis project would not be possible without the support of many
Rob Ritz Cruz, Katrina Atterado, and Bianca Dinao: for helping
people namely:
me in 3d modeling and photo editing.
Arch. Carlos Sauco, our thesis adviser, for his criticism and
My friends, thesis classmates, and co-architecture students:
guidance throughout my 9 months of thesis class and for his constant
for their support and encouragements.
encouragement and support to our class.
Tita Ellen, Lola Juling and my siblings, Leo, Leilani, JJ and Mara
Municipality of Baliuag, for their kind and approachable officers.
for their love and support.
v
ABSTRACT
According to the World Health Organization, heart and respiratory related diseases are the top causes of mortality in the world. This data
also reflected on the statistics conducted by Department of Health (DOH) of the Philippines in 2006. Considering the culture of the Filipinos in food
and also the influence of cigarette smoking in our lives, these are the primary causes of health problems in the Philippines.
Cases of cardio-pulmonary related problem in the province of Bulacan shares a large fraction to morbidity rate of Region III based on
statistics conducted by DOH from year 2000 to 2009. In the past 10 years, the health profile of Baliuag Bulacan shows that cardiopulmonary health
problem contributes mostly in morbidity and mortality rate of the said town. Health is one of the most important factors that Filipinos priorities in life.
Health services like hospital should be proportional to the large population to support the Filipinos medical needs. The municipality should able to
Key words:
*Cardio-pulmonary
*Specialty hospital
*Morbidity rate
*Mortality rate
vi
PART I
THE PROPOSAL
PART II
THE SITE
PART III
CASE STUDIES
PART V
ARCHITECTURAL
DESIGN SOLUTION
PART IV
BUILDING-USER PROGRAM
FLOOR PLANS
SITE DEVELOPMENT PLAN
ELEVATIONS
PERSPECTIVES
SECTIONS
2
CHAPTER 1: THE PROBLEM AND SETTING Based on studies, the use of tobacco continues to be a major
Philippines is one of the country with highest population. 1.3 billion smokers in the world, with 4.9 million people dying because
According to US Census Bureau, Philippines is ranked 12th in the of tobacco use in a year. If this trend continues, the number of deaths
worlds most populous country, contributing 1.35% of total population will increase to 10 million by the year 2020, 70% of which will be
in the world. Aside from this fact, Philippines is also considered as a coming from countries like the Philippines. (The role of Health
third world country which means the development of our country is Professionals in Tobacco Control, WHO, 2005) Cases of cardio-
slower compare to other countries. Services offered are limited to pulmonary related problem in the province of Bulacan shares a large
sustain the growing needs of the people especially those in the rural fraction to morbidity rate of Region III based on statistics conducted by
According to the World Health Organization, heart and In the past 10 years, the health profile of Baliuag Bulacan
respiratory related diseases are the top causes of mortality in the shows that cardiopulmonary health problem contributes mostly in
world. This data also reflected on the statistics of Department of morbidity and mortality rate of the said town. Health is one of the most
Health (DOH) of the Philippines in 2006. Considering the culture of the important factors that Filipinos priorities in life. Health services like
Filipinos in food and also the influence of cigarette smoking in our hospital should be proportional to the large population to support the
lives, these are the primary causes of health problems in the Filipinos medical needs. The municipality should able to provide the
With the rapid development of towns like Baliuag, Bulacan, its the needs of the people with cardiopulmonary problems and provide
population also increases accordingly, but its medical facilities remain the necessary services for their condition. Statistics from Baliuag
the same. The main question for this study is, municipality shows that cardio-pulmonary related diseases are the
Is there a need of cardiopulmonary specialized hospital in Baliuag, specialized hospital may also cater the medical needs of nearby
Bulacan to support its growing population and medical needs? municipalities. With this facility, patients with such health problem are
How this project will be able to help people in their medical need.
necessities especially those who has cardiopulmonary This study should able to state that:
Is the facility helpful not only to the situated town but also in the It can help people in their medical necessities especially those
Is it capable of supporting the needs of its users especially its The facility is helpful not only to the situated town but also in
It is capable of supporting the needs of its users especially its Definition of Terms
target patients. Cardio-pulmonary - Of, relating to, or involving both the heart
Significance and Importance of the Study: and the lungs. (The American Heritage Medical Dictionary)
The significance of this study is to help the development of medical DOH shall mean Department of Health
services of Baliuag Bulacan and its nearby municipalities. This is also General Hospital provides services for all kinds of illnesses,
essential to understand that the current health condition with respect diseases, injuries or deformities.
to cardiopulmonary cases is alarming and needed a medical attention. Morbidity rate The proportion of patients with a particular
The targeted beneficiaries are mainly the people with cardiopulmonary disease during a given year per given unit of population. (The
related problems; the unemployed people, especially those in medical American Heritage Medical Dictionary)
field (ex. nurses, etc.), to seek a work opportunity in this project; the
Mortality rate also refers to death rate; an expression of the
designers and architects to be knowledgeable of the necessary
number of deaths in a population at risk during one year.
information needed to design similar projects.
(Dorland's Medical Dictionary for Health Consumers)
Objective
Specialty Hospital provides services for one particular kind of
The main objective of this study is to develop a medical facility
illness/disease or medical care need.
on Baliuag, Bulacan that specialized in cardio-pulmonary to support
WHO shall mean World Health Organization
the needs of its citizens. This may also serve towns from Northern
Luzon.
5
CHAPTER 2: REVIEW OF RELATED LITERATURE action shows that DOH sees tobacco smoking as threat concerning the
health of Filipinos.
According to The Role of Health Professionals in Tobacco
Control (2005), the use of tobacco continues to be a major cause of Many hospitals are built catastrophes, anonymous institutional
health problems worldwide. There is currently an estimated 1.3 billion complexes run by vast bureaucracies, and totally unfit for the purpose
smokers in the world, with 4.9 million people dying because of tobacco they have been designed for, writes Dutch architectural historian Cor
use in a year. If this trend continues, the number of deaths will Wagenaar in The Architecture of Hospitals. (Ode Magazine-2006)
increase to 10 million by the year 2020, 70% of which will be coming Cor Wagenaar suggest that todays hospitals are not well
from countries like the Philippines. designed. Instead of helping the patients recover from their illness, it
In 2009, Philippine Global Adult Tobacco Survey revealed that contributes more stress and anxiety to its patients.
28.3% of the population aged 15 years old and over currently smoke Research, however, shows that wisely planned hospital spaces
tobacco, 47.7% (14.6 million) of whom are men, while 9.0% (2.8 can help reduce stress, improve safety and health, and enable harried
million) are women. Eighty percent of these current smokers are daily staff to care for patients more easily, according to Robert Ulrich, a
smokers with men and women smoking an average of 11.3 and 7 professor of architecture at Texas A&M University and a behavioural
sticks of cigarettes per day respectively. scientist who studies the effects of health-care facilities on patient
In relation to this issue, DOH released a National Smoking safety and outcomes. Healing design elements include windows
overlooking nature, gardens and perhaps most important of all, private The author suggests that public health is involved in other
rooms. (Ode Magazine-2006) aspects of society including natural and built environment for
II. The Tradition of Nature and Healing relaxing feeling to the patients as well as the other users of the medical
facility.
By Guenther and Vittori
spaces defined by the presence of awe-inspiring nature Such early By Stephen R. Kellert, PhD, and Judith H. Heerwagen, PhD
Even in the history of medication, nature plays a great role in building and site design. The authors clearly stated that nature
patients healing. In the nineteenth century, the design of hospitals including gardens, sunlight and landscape views - was ignored as part
focuses on the recovery of its patients. More openings are placed of healthcare designs despite of its benefits given to the patients.
in dimly lit rooms. Same result was found out 1998 survey conducted
9
in heart patients. Patients assigned in northern side of the building has Plants and animals
higher mortality rate compared to those in sunny critical-care rooms. Natural views and vistas
Faade greening
The authors concluded that including nature as part of the hospital
Geological and landscape forms
design gives benefits to its users. These benefits includes: a) stress
Habitats and ecosystem
reduction; b) improved sense of well-being; c) enhanced emotional and
natural morphology (e.g. stratified surfaces and rooted Linked series and chains
relationships)
Natural light
Similar forms at different scales (e.g. fractals) Spatial harmony (the integration of light, mass, and
Avoiding placelessness
GUIDELINES IN THE PLANNING AND DESIGN OF A HOSPITAL personnel and public exist. It shall be capable of withstanding weight
4. Security
A hospital and other health facilities shall be so located that it is
readily accessible to the community and reasonably free from undue A hospital and other health facilities shall ensure the security of person
noise, smoke, dust, foul odor, flood, and shall not be located adjacent and property within the facility
A building designed for other purpose shall not be converted into a transferring patients from one area to another shall be available and
hospital. The location of a hospital shall comply with all local zoning free at all times.
ordinances.
6. Ventilation
3. Safety
Adequate ventilation shall be provided to ensure comfort of patients,
A hospital and other health facilities shall provide and maintain a safe personnel and public.
7. Ventilation 9.2. Second Zone areas that receive workload from the outer
A hospital and other health facilities shall provide a minimum of one (1) areas but accessible to guests.
parking space for every twenty-five (25) beds. 9.4. Deep Zone areas that require asepsis to perform the
9.1. Outer Zone areas that are immediately accessible to the dietary service, housekeeping service, maintenance and
public: emergency service, outpatient service, and motorpool service, and mortuary. They shall be located in areas
administrative service. They shall be located near the entrance away from normal traffic.
of the hospital.
14
movement.
The different areas of a hospital shall be functionally related with each
10.4. The dressing room shall be located to avoid exposure to
other.
dirty areas after changing to surgical garments. The nurse
10.1. The emergency service shall be located in the ground
station shall be located to permit visual observation of patient
floor to ensure immediate access. A separate entrance to the
movement.
emergency room shall be provided.
10.5. The nursing service shall be segregated from public
10.2. The administrative service, particularly admitting office
areas. The nurse station shall be located to permit visual
and business office, shall be located near the main entrance of
observation of patients. Nurse stations shall be provided in all
the hospital. Offices for hospital management can be located in
inpatient units of the hospital with a ratio of at least one (1)
private areas.
nurse station for every thirty-five (35) beds. Rooms and wards
10.3. The surgical service shall be located and arranged to
shall be of sufficient size to allow for work flow and patient
prevent non-related traffic. The operating room shall be as
movement. Toilets shall be immediately accessible from rooms
remote as practicable from the entrance to provide asepsis.
and wards.
The dressing room shall be located to avoid exposure to dirty
10.6. The dietary service shall be away from morgue with at
areas after changing to surgical garments. The nurse station
least 25-meter distance.
15
CHAPTER 3: METHODOLOGY
The proponent will use a descriptive method of research for this The method of collecting data that proponent will be used
study. This study will attempt to describe systematically the situation, includes an extensive research accompanied by interviews and
problem, and living condition of a community. There will be no surveys. The proponent will visit libraries for research of related
experimental manipulation or random selection of groups, as there is in literature and studies; government agencies concerned to health
experimental research. This method also involves collection of data facilities, such as Department of Health (DOH), from municipal to
that will provide a description of individuals, groups, or situations. As national office if necessary; and an ocular inspection to the chosen
for this study is concerned to the present condition of Baliuag, site. The proponent will also prepare questionnaires for the citizens of
Bulacans cardiopulmonary health problem, a descriptive type of the Baliuag, Bulacan to conduct survey regarding the proposed
research will be most accurate technique for this specific study. The healthcare facility.
CHAPTER 4: ANALYSIS, INTERPRETATION, AND 2. Are you aware that too much drinking alcohol and smoking
Yes
No
Yes
No
Conclusion: 99.10% of the respondents are aware that too
3. Do you think the hospital facilities in Baliuag, Bulacan 4. How many times have you experienced or heard a patient
are enough to treat heart and lung diseases? being transferred to another hospital because the previous
disease?
Yes
No
0-5 times
more than 6 times
Conclusion: majority of the respondents opinion that the
Conclusion: In relation to question no. 3, majority of the
municipality of Baliuag doesnt have enough facility to treat
respondents claimed that they experienced or heard more than
heart and lung illness. This also proves that the proposed
6 times that patients from Baliuag are transferred to other
specialty hospital is needed by the community.
hospitals due to incapability of the previous hospital to provide
the needed treatment for the patient with heart or lung disease.
18
5. Do you think a specialized hospital for heart and lung 6. Do you prefer to have a garden within the hospital
Yes Yes
No No
LOVES NATURE
0 10 20 30 40 50 60 70 80 90
7. Infected wound 525 3.62 % 7. Infected wound 702 4.69 % 7. Infected wound 736 4.76 %
8. Skin Disease 327 2.25 % 8. Skin Disease 646 4.31 % 8. Skin Disease 646 4.18 %
10. Pneumonia 109 0.75 % 10. Tonsillitis 347 2.32 % 10. Tonsillitis 360 2.33 %
21
9. Infected wound 746 5.24 % 9. Diarrhea 986 6.80 % 9. Parasitism 723 4.88 %
10. Parasitism 589 4.14 % 10. Infected wound 814 5.61 % 10. Infected
649 4.38 %
wound
CONCLUSION: The highlighted illnesses in the table are the diseases related to cardiopulmonary. The table shows that there are 4 to 5 illnesses
related to heart and lung disease that contributed annually in Municipality of Baliuags morbidity rate.
22
5. Atherosclerotic 5. Atherosclerotic
51 5. Accident 28 38
Heart Disease Heart Disease
CONCLUSION: The highlighted illnesses in the table are the diseases related to cardiopulmonary illnesses. The table shows that there are 6 to 7
illnesses related to heart and lung disease that contributed annually to Municipality of Baliuags mortality rate.
24
15 bed capacity
Services:
Outpatient Department
25
Services: Services:
General Diagnosis ( X-ray, Mammography, Ultrasound, General Diagnosis ( X-ray, Mammography, Ultrasound,
ECHO, Hemodialysis) ECHO, Hemodialysis)
Public hospital
75 bed capacity
Services:
Outpatient Department
General Diagnosis
Based on the data presented in this research, the proponent therefore Health of people is very important for a community. Healthcare
concludes that the condition of the current health data of Baliuag, Bulacan, facilities in Baliuag should be able to provide the necessary cardiac and
the morbidity and mortality are mostly related to cardio-pulmonary diseases. pulmonary health assistance needed by its consumers. With this, citizens of
67 out of 111 persons surveyed do have history of cardio-pulmonary the community will not be obliged to go to Manila City or any highly urbanized
diseases. There are enough cardiac and pulmonary doctors that were based area to receive the medical treatment they need.
PART 2: THE SITE industry also played important contributions to the economy of the
Historical records revealed that the town of Baliuag began its chairs) all of fine quality became known in many parts of the world. The
actual or de facto existence on May 26, 1733 and the Augustinians local market also grew. During the early part of the 19th century Baliuag
formally approved or recognized its creation as tenth (10th) town of was already considered as one of the most progressive and richest
Baliuag in the provincial charter on May 15, 1734. The first population town of Bulacan. The growth of the public market has significantly
census of Baliuag was conducted in 1759 revealing the actual count of changed the mode of economy of the town. Baliuag became the center
inhabitants to 3,548. After about two (2) decades the population of the of commercial activities due to this strategic geographical location.
1887 due to onslaught of dreaded diseases particularly cholera. Historical records say that Baliuag was part of Quingua (now
Though the years of Spanish domination, Baliuag was 1898, the town had leaders numbering to 49 who served as Capitan,
predominantly agricultural. People had to depend on rice farming for 13 Alcalde, and 92 as Gobernadorcillos.
The American came Baliuag became distinguished as the first Geographic Location and Land Area
officials was held on May 6, 1899. The first municipal president was The municipality of Baliuag is located on the western most part
the Hon. Francisco Guerero. Baliuag since then had 26 mayors until of Bulacan province. It is also one of the perimeter towns of bulacan in
Hon. Rolando F. Salvador rose to political leadership in 1998 and the provincial boundary line with Pampanga. North of the town are two
currently the 27th mayor of the municipality. (2) municipalities of Pampanga namely, San Luis and Candaba, on
the south are Pulilan and Plaridel both of Bulacan: on the west Bustos
Baliuag rose to prominence as the growth center in the northern and San Rafael Bulacan. The town is approximately located between
part of Bulacan. In 1932 the market revenue soared to Php 39.000.00, 14 55 and 15 00 North latitude and 120 40 and 121 00 East
which greatly contribute to the general services to the people. The last longitude.
Today, Baliuag is in the height of general growth and production and urban development. Other topographic variations are
development trend, which is comparable to a city. the bodies of water, which means that the soil is fertile aside from
adding to the natural beauty of the territory. One of the largest rivers in
natural boundary line of Baliuag and Bustos. Rio Grande de communication system. This consists of telecommunication system;
Pampanga (Pampanga River) is on the northern north part of the town telegraph and postal services are available. At present, there are
that divides the provinces of Pampanga and Bulacan. seven (7) telecommunication companies, which operate in the locality,
is dry with occasional rains around the area. The average temperature
December and January are the cold months and the temperature
The Baliuag Water District (BWD), Supplies water to the municipality. It
registers from 21 to 25 C the town is also affected by typhoons, tropical
is located at Barangay Bagong Nayon. Thirteen (13) Barangays are
rains and storms.
being served by the Waterworks System
Telecommunication
Power
Reliable communication process cultivates the awareness of all
The Manila Electric Company (Meralco) serves the electrical needs of
people and makes them a potent instrument of development and
the municipality with office located at Barangay San Jose, Baliuag,
partner of social upliftment. The municipality has ample
Bulacan.
32
MACRO ANALYSIS
SITE MAP
TO NUEVA ECIJA
RESIDENTIAL
AREAS
NINAS RESTAURANT
TO MANILA
35
SITE ANALYSIS
transportation
Philippine Heart Center and one of the biggest Heart Station in the
Dr.Christiaan Barnard, Dr. Denton Cooley, Dr. Donald Effler, and Dr. Charles It is located at the ground floor of Medical Arts Building with local
The Invasive Cardiology Division of the Philippine Heart Center is The Radiological Sciences Division provides radiologic services to
one of the country's busiest and most experienced cardiac patients including fluoroscopic contrast examinations, tomogram of
catheterization laboratory, routinely performing thousands of specific organs or structures, portable radiography and fluoroscopy,
angioplasties, catheterizations and other specialty procedures. diagnostic (non-cardiac) ultrasound, and Magnetic Resonance
4,000.
First Floor-Hospital Building the Radiological Sciences Division
It is conveniently located at the first floor of the hospital building in
provides radiologic services to patients including fluoroscopic
between the Radiology Division and Ultrasonography Section. The
contrast examinations, tomogram of specific organs or structures,
compact unit includes the offices and clerical services adjoining the
portable radiography and fluoroscopy, diagnostic (non-cardiac)
cardiac catheterization laboratory with 4 working catheterization
ultrasound, and Magnetic Resonance Imaging (MRI). The Sections
rooms.
under the Division are: General Diagnostic Radiology, CT-MRI
The Division of Nuclear Medicine of the Philippine Heart Center is a full The Vascular Center under the Division of Cardiovascular Surgery is a
service nuclear medicine which performs both diagnostic and dynamic multidisciplinary and service oriented unit composed of highly
therapeutic procedures. The division provides all the diagnostic specialized staff of cardiovascular medicine, surgical specialists and
procedures needed in a general Nuclear Medicine set-up with technologists that cater to the need of patients with vascular disorder.
equipment, advanced computing technology and various radioactive VII. Laboratory Medicine
Fellow, eight (8) Residents, thirty-one (31) Medical Technologists, VIII. Bloodbank
seven (7) Clerks, and four (4) Laboratory Technicians. Total number of
The Philippine Heart Center Blood Bank pursues one overriding
procedures performed annually 2 million.
objective: to provide adequate amounts of safe blood in a timely
Services Offered manner for our patients. They supply the complete menu of blood
3. Culture studies of equipment/machine utilized by patients for the of all its blood products. Total number of procedures performed
Neurological and Neurovascular disorders. The section provides phase is designed to address the different needs of the patient and
diagnostic test of Neurological and Neurovascular disorders. It is maximize their gain in the various stages of their recovery.
located at the 4th floor of hospital building between petal 4A and petal
The section is located at the 8th floor of the Medical Arts Building, just
4B with local number of 2456. Total number of procedures performed
beside the elevator where you can see a 3-lane indoor oval designed
approximately 7,000.
to enhance physical fitness. It has ample rooms for group exercise
X. Cardiac Rehabilitation classes, patient consultation, health education lectures, and support
group meetings for the patients partner and family. It also has a
The Philippine Heart Center- Cardiac Rehabilitation Section is the
Human Performance Laboratory where various physical fitness
pioneer in the field of cardiac rehabilitation and has been in the
evaluations are done.
forefront of the cardiac rehabilitation practice in the Philippines. It is
also a major proponent of primary and secondary prevention of cardiac XI. Physical Medicine and Rehabilitation
musculoskeletal, from the pediatric to the geriatric. The PMRD staff is aims to help an individual reach the highest potential for function
made up of a qualified and experienced team of five(5) Consultant within his environment.
systems and the selection and application of appropriate XII. Pulmonary and Critical Care Medicine
therapeutic processes such as physical modalities and exercise
The Division of Pulmonary and Critical Care Medicine is one of the
to maintain, improve and restore these functions.
most active in patient care, intervention and provides comprehensive
b) OCCUPATIONAL THERAPY a program of selected
service in the care of patients with respiratory disorders. It keeps a
activities conducted at treatment under medical direction which
twenty- four (24) hour service delivered by both pulmonary physicians
44
and respiratory therapists. Total number of procedures performed 24 Hour Ward Consult
Services Offered
Maintains out patient care service once a week for both adult
Fiberoptic Bronchoscopy
Emergency Room Call
Determination
XIII. Clinical Electrophysiology
o Mechanical Ventilation and Monitoring
The Clinical Electrophysiology Section serves all arrhythmia patients in
o Non-Invasive Mechanical Ventilation
need of diagnostic and therapeutic electrophysiology, device therapy
o Chest Physiotherapy
and follow-up.
The Clinical Electrophysiology Section is composed of the Section psychologically for heart operation. Specifically, CHEERS aims
fellows in training includes a third year and a second year Adult Educate about diagnosis, treatment plan, and prognosis;
principles of behavior medicine which recognizes that all thoughts, Mental status examination (MSE) abnormalities,
emotions, and behaviors directly influence health and therefore takes a depression, anxiety, and adjustment difficulties
comprehensive approach to health care.
Need for emotional support
Services Offered
Assistance with patient disposition
CONCLUSION:
diseases.
47
laboratory examinations, the laboratory has expanded its services and IV. Physical Therapy and Rehabilitation
Clinical Microscopy able direction of the previous head, Dr. Buenaventura V. Medina, Jr., it
Blood bank has geared up with the latest equipment and facilities, embarked on
Clinical Chemistry specialized training, and involved itself in various research studies
Histopathology towards the promotion of its specialty. Plans to expand its services to
Immunology and Serology cater to non-pulmonary cases began a few years ago, as it can provide
Microbiology
48
9. Cosmetic/Plastic Surgery
Divided into 3 Sections
10. Laser Therapy
Diagnostic Radiology
11. Myesthenia Clinic
CT Scan Section 12. Gastroesophagoscopy
Ultrasound Section 13. Pain Management Clinic
4. Thoracic Endoscopy Procedures At present, the Nursing Department has 133 nurses providing direct
5. Video Assisted Thoracic Surgery (VATS) care to patients in the different hospital unitssuch as the four Medical-
6. Esophageal Surgery Surgical wards, Medical Intensive Care Unit, Post-Anesthesia Care
7. Rigid and Fiberoptic Bronchoscopy Unit, St. Therese Unit, Emergency Room, Out-Patient Department, and
49
the Public Health & Domiciliary Unit, all of which are directly and repairing to coordinating the laundry of bedsheets, pillow cases,
supervised by Head Nurses. We have 59 Senior Nurses who are patient gowns, etc.
mostly distributed in the special units, while 58 of the Junior Nurses VIII. Emergency and Out-Patient Department
handle acute care in the ward areas. The hospitals Central Supply
The Emergency Room-Outpatient Department (ER-OPD) is one of
Division and the Linen Department are also under the supervision of
the busiest areas of the Center. These sensitive areas are manned by
the Nursing Department. All of our highly-trained nurses share the core
physicians, nurses and nursing attendants who are highly skilled and
values of concern and care for patients, employees, and the institution.
specially trained to handle ambulatory and life-threatening cases that
We possess high levels of responsibility, discipline, commitment, and
require medical attention and care. With a carefully selected consultant
dedication to excellence in the practice of Nursing as a profession.
staff consisting of board certified pulmonologists and thoracic surgeons
The Central Supply Sterilization Services of the Nursing who closely supervise the activities within the area, it is a very good
Department is responsible for the distribution of common non-drug training ground for fellows seeking to become specialists in their
supplies, sterilization procedures, the repacking of supplies, and chosen fields. ER-OPD involves in consultation, work-up and follow-up
requisition. It is also the property custodian, and is accountable for the of both private and service patients not requiring confinement. The
storage of equipment and supplies while not in use at the bedside or provision of a 24-hour emergency care management at the Emergency
the ward. Room, the areas of General and Specialty Clinics, and Private Doctors'
The Linen Section which under the Nursing Department is the Clinics are under the office of the ER-OPD Manager.
area responsible for the linen requirements of all wards, from sewing
50
IX. Intensive Care and Recovery Room 3. Control the patient's pain and level of consciousness to
This is where the patients are transferred after surgery, allowing make conditions ideal for a safe and successful surgery
anesthesiologist consultation immediately available. While As early as 2004, the Center has put up its Saint Therese Unit
safety is the foremost priority during surgery, it is also of utmost (STU) which was specially made to house the highly
concern that the patient be monitored and continually assessed contaminating patients. The construction of the St. Therese
while fully regaining consciousness. The anesthesiologist Unit was rushed to meet the SARS problem. The same unit
decides when the patient has recovered adequately to be sent came in handy with the admission of an alleged
The Section/Area:
The LCP Chapel is located at the 2nd floor of the hospital. It is open
research facilities of new technology for treatment and medicine for its
They also have separate facility for those patients with serious and
Completion: 2005
195,000 square feet hospital, an expanded emergency room and 4. Cardiac Center of the University Hospital at Cologne,
connecting all four stories. The building responds to the flowing form of
the nearby river affording patients views of skyline across the water.
Completion : 2007
benches and warm materials such as cherry wood make the five
CROSS SECTION OF CARDIAC CENTER OF THE UNIVERSITY HOSPITAL VIEW FROM MAIN ENTRY
54
Conference Room -hold meetings 12 1.40 sq. 5.04 Whiteboard 1 1200 x 2400 Close to Chiefs
and special m/person mm Hospital Office
lectures Chair 12 and to Business &
Conference table 1 1200 x 300 Finance Office
mm
Business and -performs 5 1 Hospital 5.02 sq. 7.53 Desk and chair 3 750 x 1200 Close to main
Finance Office cashiering, Administrative m/staff mm entrance and
disbursement, Officer Office of the
budgeting & 1 Cashier Computer table 3 400 x 800 mm Chiefs Hospital
personnel
functions
1 Bookkeeper Chair 3
2 Staffs Steel filing cabinet 3 700 x 500 mm
57
Computer 1
printer 1
Commission of -reads, writes in 4 1 Commission of 5.02 sq. 6.02 Desk and chair 2 750 x 1200 Close to Business
Audit Office his work station Audit officer m/staff mm and Finance
Office
-stores, files & 1 staff Chair 4
retrieves records
visitors Computer table 1 400 x 800 mm
Computer 1
Steel filing cabinet 2 700 x 500 mm
Toilet facilities -use and clean-up 6 Staffs 1.4 sq. 2.52 Water closet 4 Close to
m/person Lavatory 3 Administrative
urinal 2 Offices
Nurse Station -makes inquiries 2 1 Nurse 5.02 sq. 3.01 Instrument table 1 Close to
& records m/staff Emergency Suite
necessary info. Entrance
From patients 1 Nursing Desk and chair 1 750 x 1200 Adjacent to
rushed in ER Attendant mm Treatment &
Operating Room
58
Treatment Room -treatment in 4 1 Resident 1.4 sq. 1.68 Table 2 406 x 508 mm Close to
patients injuries physician m/staff Emergency Room
and illness entrance
1 Nurse Chair 2 Adjacent to Nurse
Station and
Operating Room
Observation -observe vital 5 1 Resident 1.4 sq. 2.1 Patient bed 2 100 x 1900 Adjacent to Nurse
Room signs & patients physician m/person mm Station
at regular
intervals
1 Nurse Table 2 406 x 508 mm Close to
Emergency &
Treatment Room
1 Nursing Lavatory 1
Attendant
2 Patients Water closet 1
Scrub-up Area -rinse arms & 2 1 Physician 1.4 sq. 0.84 Scrub sink 2 Adjacent to
hands prior to & 1 Nurse/Nursing m/person Operating Room
after delivery or Attendant
surgical operation
SURGICAL SERVICE
Operating Room -surgical 6 2 resident 5.02 sq. 9.04 Instrument tool 2 Adjacent to Sub-
operation is physicians m/staff sterilizing room &
performed 1 Nurse Scrub-up area
1 Nursing
-administering of Attendant Operating table 1
anaesthesia 1 Patient
1 Utility Worker Anaesthesia 1 450 x 600 mm
machine
60
Surgical bed 1
Anaesthetists table 1 570 x 2100
mm
Surgical light 1 400 x 500 mm
Single basin stand 1
Adjustable open 1
shelving
Double x-ray film 1 430 x 470 mm
illumination
Flat illuminators 2
Clock 1
Case cart 1
Medical gas 1
Operating Room 1
storage
Scrub sink 1
Video endoscopic 1
1 Nurse
61
Sterile -checks the 2 1 Nurse 1.4 sq. 0.84 Shelves 450 mm deep Close to
Instrument & availability of m/person Operating Room
Supply Storage supplies for & Delivery Room
issuance 1 Nursing
Attendant
Clean-up Room -perform post- 2 1 Nurse 1.4 sq 0.84 Counter w/ cabinet 1 600 mm deep Close to
operation & m/person Operating Room
clean-up activities 1 Nursing Clinical sink 1 & Delivery Room
Attendant
Staff s Locker & -change clothes 10 Resident 1.4 sq. 4.2 Lockers 8 500 x 600 mm Close to access
Toilet physicians m/person door of Surgical
-storing of Nurses Lavatory 2 Room
clothing &
personal things Nursing Water closet 2
Attendants
Staff Lounge -take a rest 6 Resident 1.4 sq. 2.5 Sofa bed 2 750 x 2000 Close to access
Physicians m/person mm door of Surgical
Nurses Coffee table 2 400 x 600 mm Room
Nursing
Attendants
Recovery Room -use of 5 1 Physicians 5.02 sq. 7.53 Bedside cabinet 3 400 x 500 mm Close to
monitoring Nurses m/staff Desk and chair 1 Operating &
& diagnostic Nursing Delivery Room
equipment Attendants Stretcher bed 3
Lavatory 1
Clinical sink 1
Wall cabinet
Work counter w/
sink
62
Central Sterilizing -disassembling & 3 1 Central Supply 1.4 sq. 1.26 Counter 900 mm high Close to Surgical
& Supply Room arranging of Service m/person Room
instruments 1 Nurse Table 2
1 Nursing Wall cabinets
Attendant
Sterile supply
cabinets
Surgical -records, stores & 2 1 Surgical 5.02 sq. 3.01 Chair 2 Close to
Supervisors Area retrieves data Supervisor m/staff Operating &
1 Nurse Steel filing cabinet 1 500 x 700 mm Delivery Room
Counter
desk 1
Anesthesiologists -records, files & 1 1 5.02 sq. 1.51 Desk and chair 1 750 x 1200 Close to
Area retrieves data Anaesthesiologist m/staff mm Operating and
or Delivery Room
-oversees work Resident Steel filing cabinet 1 500 x 700 mm
physician Adjacent to
Anaesthesiologist
Storage
MAXIMUM EQUIPMENTS/
BREAKDOWN OF UNIT AREA AREA NO. OF PCS. PLANNING
ROOM/SPACE ACTIVITIES NO. OF FURNITURES/ DIMENSIONS
USERS PER USER CIRCULATION REQUIREMENTS RELATIONSHIP
USERS FIXTURES
X-ray Room -undergoes 3 1 X-ray 5.02 sq. 4.52 Sink & casework 1
radiographic Technician m/staff
63
Dark Room -preparation of 1 1 X-ray 5.02 sq. 1.51 Manual processing 1 Adjacent to X-ray
processing Technician m/staff tanks Room & Control
chemicals Console
Pass box 1
-loading and
unloading of
unexposed x-ray
film into cassette
X-ray cassettes w/ 12
-processing of intensifying screens
films
-cleans manual
Safe light 1
processing
Dressing room -patient changing 1 1 Patient 1.02 sq. 0.31 water closet 1 Adjacent to X-ray
and Toilet room m/staff lavatory 1 Room
Control Console -technician gives 1 1 X-ray 5.02 sq. 1.51 Control console 1 Within X-ray
instruction to Technician m/staff room
patient
-conducts microphone 1 Adjacent to
radiographic darkroom
exposure
built-in desk 1 750 x 1 200
mm
Film File and -filing of 1 1 X-ray section 1.40 sq. 0.42 open shelves 1 Close to
Storage Room radiographs of 5- staff members m/person Radiologist office
years duration and Viewing room
movable step ladder 2.00 mts.
-retrieving of height
films on file for
follow-up of
patient condition
Radiologist office -interpretation of 2 1 Radiologist 5.02 sq. m 3.01 Desk and chair 1 750 x 1 200 Adjacent to x-ray
data /staff mm room
1 Physician-in-
-oversee work Charge of
Radiology
CT Scan room -Operating the 1 1 Patient 5.02 sq. 1.51 CT table 1 90 X 1 900 Close to other
machine m/staff mm Ancillary services
Laser imager 1
-Obtaining
imaging of patient
Sink 1
65
PHARMACY
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Pharmacy -preparing & 3 Pharmacists 5.02 sq. 4.52 Refrigerator w/ 1 8 cu. Ft. Close to
sterilizing of m/staff biological drawers outpatient &
solutions inpatient service
Computer and 1
- preparing of printer Close to business
reports & finance office
Cold packs 1
-drug information Close to frontline
is provided Calculating machines 1 services
-injectible
solutions
prepared and
sterilized Electric stove 1
drug cabinet, 1 600 mm deep
sectional type
Transaction counter 1 600 mm deep
66
Counter, cabinets
and drawers below
Counter, open 2
adjustable shelves
below
Swivel chairs 1
Book shelves 2
Sink w/ and Drain
board
Distribution trolley 500 x 700
mm
LABORATORY
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Clinical -collecting 3 2 Medical 5.02 sq. m. 4.52 Refrigerated reagent 1 8 cu. Ft. Close to
Laboratory specimens technologist /staff storage Emergency
1 physician Department
-recording of Computer and 2 Close to
source & findings printer outpatient
department
-clinical hand Tissue processor 1
washing
Slide Storage 1
-blood collection, Counter 1
typing & cross-
matching
67
OUTPATIENT
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Admitting & -patient arrives 30 Patients and 1.60 sq. 14.4 Waiting benches 4 600 x 3 600 Close to other
Waiting area on foot or in their companions m/person mm Ancillary services
wheelchair
68
Examination -physical 2 1 Patient 5.02 sq. 3.01 Examination Bed 1 90 x 1 900 Within the
Room assessment of m/staff mm Consultation
patient Room
1 Physician Examining Light 1
-doctor's
assessment
Stool 1 450 mm dia.
Adult Weighing 1 500 x 500 mm
Scale
Sphygmomanometer 1
Stethoscope 1
Diagnostic Set 1
Instrument ray 1
Waste receptacle 1
Sterilize 1
69
Physicians Office -writing 1 1 Physician 5.02 sq. 1.51 Desk and chair 1 750 x 1200 W/n the
m/staff mm Consultation
Dental Clinic -performing 3 1 Dentist 8.36 sq. 7.52 Desk 1 600 x 1 200 Adjacent to other
special dental m/dental mm Treatment Rooms
procedures 1 Dental Aide chair Swivel chair 1 & other Ancillary
1 Patient Chair 2 Service
Dental instrument 1
cabinet
Adjustable stool 1
MEDICAL RECORDS
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Medical Records -filing and 2 Medical records 5.02 sq. 3.01 Desk 2 750 x 1200 Close to Ancillary
retrieving of officer m/staff mm Services
patient records Swivel chair 3 500 mm dia.
Transaction counter 600 mm deep
MORTUARY
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Lobby/ Waiting -family inquiry 8 Family of patient 0.65 sq. 1.56 Sofa 1 750 x 2 000 Adjacent to
area m/person mm Autopsy Room
-releasing Coffee table 1 400 x 600 mm
NURSE STATION
ROOM/SPACE ACTIVITIES MAXIMUM BREAKDOWN OF UNIT AREA AREA EQUIPMENTS/ NO. OF PCS. DIMENSIONS PLANNING
NO. OF USERS PER USER CIRCULATION FURNITURES/ REQUIREMENTS RELATIONSHIP
USERS FIXTURES
Nursing Station -records & reports 3 1 Chief Nurse 5.02 sq. 4.52 Counter 1 900 mm high Close to Nursing
patient care 1 Nurse m/staff Wards
activities 1 Nursing
-entertain queries Attendant Bulletin board 1
from visitors
-transferring to Adjustable stool 2
hospital's linen Chair
room
Clean Linen Room -storing of clean 1 1 Nurse/Nursing 5.02 sq. 1.51 Cabinets 600 mm deep Adjacent to Nurse
linens Attendant m/staff Station
-distribution of Linen carts 4
linens to patients
Treatment Room 2 1 Nurse 1.4 sq. 0.84 Patient bed 2 1 000 x 1 900 Adjacent to Nurse
1 Nursing m/staff mm Station
Attendant
1 Dietician
Close to
-inspects and
Dieticians Office
checks the quality 1 Auditor/Senior
Supply Receiving 1.4 sq.
of food items 3 House Officer 1.26 Mobile cart 1
Area m/person Close to Dry
purchased from
Storage Room
the market
1 Food Service
Worker
Locker 3
Locker Room w/ 1.4 sq. Close to Dietary
-dressing 8 Dietary staffs 3.36 Lavatory 1 500 x 600 mm
toilet m/person work areas
Water closet 1
75
Staff Room -makes 3 1 Engineer 5.02 sq. m 4.52 Desk 1 750 x 1 200 Close to
requisition for mm Maintenance
spare parts work area
-updates records 1 Utility worker Chair 2 Close to Locker
room & toilet
76
-inspections of
linens brought Uniform rack 2 Adjacent to
from the drying Sorting &
area Washing Area
Pressing & 2 Laundry 1.4 sq.
2 0.84 Ironing board 1
Ironing Area workers m/person
-presses & irons Close to Linen
clean linens 660 x 2 400 Office
Table 1
mm
600 x 1 200
1
mm
Adjacent to
Open shelving Pressing & Ironing
Sorting bins Area
Sorting & 2 Laundry 1.4 sq.
-washing of linens 2 0.84
Washing Area workers m/person
Tiles washing Close to Linen
troughs Office
77
-receives linen
issue slip & 1 Laundry Head Close to Sorting &
Chair 4
prepares linen Unit Washing Area
items for issuance
-prepares forms
2 Laundry 5.02 sq. Close to Pressing
Linen Office for purchased of 3 4.52 Counter 900 mm high
workers m/staff & Ironing Area
materials
Shelving w/ bins
79
I. CONCEPT:
Design Concept:
Studies show that incorporating nature within a hospital can give a relaxing and peaceful
feeling for its users. Thus, large landscape areas and open spaces were included in this design
to supplement the medication of its patients. The structures form was curvilinear so that room
openings (especially nursing rooms) will be the landscape and open spaces.
In addition to the operability of the structure, administrative offices are located at the
center directly accessible to other departments to express its full control of the facility.
88
FRONT ELEVATION
LEFT ELEVATION
89
REAR ELEVATION
RIGHT ELEVATION
91
TOP: EXTERIOR
PERSPECTIVE
BOTTOM-RIGHT: CLINIC
BIBLIOGRAPHY
Guenther, R. & Vittori, G. (2009). Sustainable Healthcare Architecture. New Jersey: John Wiley & Sons , Inc.
Leibrock, C. & Harris, D. (2011). Design Details for Health. New Jersey: John Wiley & Sons , Inc.
Nickl-Weller, C. & Nickl, H.(2009). Hospital Architecture + Design. Braun Publishing AG.
National Building Code of the Philippines. (2007). Quezon City: Vicente B. Foz.
Guidelines in the Planning and Design of a Hospital and other Health Facilities (2007). Manila: Department of Health
Ridley, Kim (2006). Healing by Design. Retrieved January 21, 2007 from http://odewire.com/52170/healing-by-design.html
http://lcp.gov.ph
http://phc.gov.ph
http://www.gmp-architekten.com/uploads/tx_gmpprojects/1419_e_Herzzentrum_Uniklinik_Koeln__web.pdf
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CONTENT
MANALAYSAY, JOHN PAUL T. MAPUA INSTITUTE OF TECHNOLOGY PROPOSED CARDIO-PULMONARY SITE DEVELOPMENT PLAN DESIGN 11 : THESIS
2008122305 HOSPITAL IN BALIUAG, BULACAN ARCH. CARLOS SAUCO
2
4.1
9
201.92
4
2.0
18
N
142.82
LOT 1 AREA LOT 2 AREA
12,134.96 sqm 12,618.42 sqm
28.43
SITE DIMENSION
141.60 73.29 SCALE 1:1000 MTS
CONTENT
MANALAYSAY, JOHN PAUL T. MAPUA INSTITUTE OF TECHNOLOGY PROPOSED CARDIO-PULMONARY SITE DIMENSIONS DESIGN 11 : THESIS
2008122305 HOSPITAL IN BALIUAG, BULACAN ARCH. CARLOS SAUCO