FUNCTIONAL PROGRAMME

Mother & Child Hospital at Rajarhat, Kolkata

Project Scope Criteria

Bed Capacity Assumed @ 120 numbers, BUA (Built -Up - Area) – within 1 lac sq .ft.

Unit Specification:

• A- Women Care Unit

• B- Child Care Unit

• C- Diagnostic Unit

• D- Wellness Unit

• E- Additional Services

• F- Ancillary/Support Unit

A - Women Care Unit: This unit will have Obstetrics, Gynaecology, Infertility including O&G
Emergency and 24 hrs clinic.

Functional Element:

Outpatient consultation, Inpatient LDRP; LDR; OT; Level III ante/post-natal care unit, Critical Care
Unit.

Outpatient Consultation Unit will cater to the entire range of consultation services for women. In addition it
will have speciality clinic like breast clinic.

Basic assumption on the footfall calculation demands 12number of OP Consultation chambers, and two
treatment rooms. These consultation rooms are for therapeutic areas, and do not include requirements for
aesthetic units. This includes paediatric outpatient services

In addition, the OP service will include the following

• Oral & DentalCare for adult

• Basic Ophthal care

• Physiotherapy

• Gastro Procedure Room

• ENT Procedure Room

• Dermatology Consultation room ensuite procedure room

LDR will function as a delivery room, for patients admitted in IP beds for delivery.

Delivery area to include 3 C-section /Operation rooms, each with full operative capability, and 2 LDR
rooms. Design layout as central sterile/service core with perimeter corridor for patient/family access.
Surgical Operating Suite will be shared service between Obstetric Services, Gynaecology services and
Child Care Unit. Each C-section/Operation room with adjacent (or interior) scrub sinks. Shared treatment
room for infant stabilization will be provided between the C-section/Operation rooms, with access from
each.

Out of the three Operation/C-section rooms, two will be standard size and one will be of the size of a
standard hybrid OR. This is keeping the future provision for paediatric surgeries on the Neurology, ENT &
Orthopaedic surgeries, the operation room should have a provision of equipment room in the vicinity of the
complex.

Patient Induction & Monitoring Unit: This can be a shared unit for Pre-operative and Induction area. A 4
bed unit (separated by curtain) with monitors; with piped-in oxygen, suction, & compressed air outlets per
bed, nurses station and storage cabinets. This will be located at entry to Delivery/Operation room area.

Level III Antenatal & Postnatal Care Unit will be critically adjacent to the Delivery & OT area. This will be
a shared unit between Obstetrics & Gynaecology services, catering to the Ante/Post-natal complications,
Post-surgical complications, and will be supported by multidisciplinary therapy areas along with specific
requirements like monitoring, CTG, Foetal Doppler etc. A total 8 bed pod with a 50 % & 50 % ratio of step
down& Level III care can be considered.

In addition, this unit should have a counselling room for patient relative counselling.

O&G Emergency Services and 24-Clinic Walk in Clinic for women with O&G conditions. Round the
clock early and post pregnancy related conditions & acute gynaecological conditions will be handled here.
This unit will be responsible for Triaging, resuscitating & directing patients for respective therapy areas.
This unit will also act as odd hour clinic with 24 hrs availability of Gynaecologists & ER specialists. In
addition, this area will have a procedure room (shared support with Paediatric requirement) for minor
surgical/ procedural need including plastering, suturing etc.

A 6 bed day care unit, with provisions of monitoring and piped oxygen will be positioned in critical
adjacency with Outpatient area and ER. This unit will essentially function as post procedural area for gastro
requirement, ER requirement and ENT requirement.

Infertility services will cater to the entire range of infertility services with the following service units

Consultation; Procedure & Laboratory Services.

Inpatient services for Women Care unit will have Single & twin bed options. From the available bed
40 beds will be allotted for IP services. Of which 14 beds can be considered as single occupancy and 13
rooms can be allotted for twin occupancy services housing 26 patients.

In addition, the special category of beds will have the following division, and will be a shared occupancy
with paediatric services

Suite: 02; Super Deluxe: 04

Note: Each room category will be differentiated by area and facilities

Each room to have temperature control to manage Rooming In policy for obstetrics patients
B - Child Care Unit

Functional Elements:

Outpatient Consultation, Inpatient Service, Surgical Service, Paediatric Critical Care, Neonatal
Critical Care, Paediatric & Neonatal Emergency

Outpatient Consultation: A separate zone will be dedicated for paediatric outpatient clinic, which will house
speciality clinics like vaccination clinic, well baby clinic, paediatric speech & hearing clinic, paediatric dental
clinic (can be a shared facility with women care) .A separate play area should be considered for the
children coming to the outpatient clinic . The consultation clinic will be shared facility with adult ones

Paediatric Inpatient

The Paediatric inpatient unit will house both paediatric medical & surgical non-intensive patients. It will be a
40-bed inpatient unit comprised of 20 one-bed (“private”), 02 Eight-bed unit, 01 4 bed unit each room/pod
will have toilet-shower facility. To serve needs of infant patients, and maintain flexibility of room
assignments, each patient room will have an enclosed work-counter with inset infant bathing sink which
may also serve need for staff hand-washing unit. All patient rooms will have space for parent sleep-in unit
(either convertible chair-bed-recliner or built-in sofa-bed); one sleep-in unit per patient. Separate play area
will be considered for Inpatient.

Multi bed facility will be cubicle type, to provide some degree of privacy to the patients and will have 8 bed
and 4 bed units with Nurses Station, storage cabinets & common toilets. 2 numbers 08 bed units and 01
numbers of 4 bed unit will complete the paediatric multi bed facility of the hospital. This unit will have utility,
major stores and treatment room as shared service. The 4 bed unit should have infrastructural support for
performing dialysis.

Paediatric/Neonatal Surgery unit will cater to the entire range of paediatric & neonatal service except
paediatric Cardiac intervention & Surgery. No unique specialty inpatient support facilities are necessary.
Surgery will be performed in general operating rooms in the Surgical Operating suite. Patients will be
housed in general medical-surgical bed units

Paediatric Critical Care will serve critical care needs of paediatric medical & surgical patients. PICU will be
an 8 bed (7+1) POD, with individual cubicles, utilities/monitors on bed head panel or overhead “booms”.
Each patient cubicle will also have work-counter and sleep in chair for parent. One PICU room will have
negative pressure and gowning anteroom for infectious patients. Storage, utility etc. will be same as adult
critical care unit. The unit will also have toilet area both for the parents and patients.

Two beds of the PICU should be ready for dialysis. The PICU should also house a cleaning area for
dialyser in the vicinity.

Neonatal Critical Care (NICU) will have 12 stations, divided into level III, level II & Isolation room.
Stations/beds will be in two “clusters” of 4 beds/stations each; plus one isolation room with 4 bed stations
isolated from each other. Each “cluster” with nurses/staff work area (computer terminal and minimal
supplies storage) with visual control of all stations. One room for lactation support will be provided in
addition to the support facilities similar to adult critical care unit.

Paediatric & Neonatal Critical care should have critical adjacency with LDR- Operating Suite area. For
manpower management, it would be beneficial to co-locate PICU & NICU.

In addition to the above, the neonatal service will have a small Well baby Nursery with a baby show.
Essentially “Rooming In” policy will be followed in the hospital. The Well baby nursery will act as a support
unit for showing the babies during visiting hours to avoid cross contamination and also in case of the
mothers with postpartum complications. A unit with 15 cots can be considered.
Paediatric & Neonatal Emergency will be a part of the emergency services, and will have 24hrs coverage
with paediatrician/neonatologist. This unit will essentially do identification, stabilization and immediate
treatment of all acute emergencies like medical, surgical & trauma.

C - Diagnostic Unit

Diagnostic services will be a shared support service between Women & Paediatric /Neonatal unit. This
service will house X-ray; Mammography; USG, CT, MRI under the radiological services. In addition it will
have the laboratory service for the Outpatients and Inpatients.

D - Wellness unit

Functional Elements

Aesthetic surgery & Cosmetology; Yoga Center; Spa

Aesthetic surgery & Cosmetology services will have invasive & non- invasive procedures.

Invasive procedures will require Operation Room Set up; Post-Surgical Recovery Beds and Back up ICU
set up. This can be shared with the hospital units. This service will be a unit in the hospital with separate
entrance and lobby. The clinical units will act as a shared support. The non-invasive functions will be co-
located with the specific consultation chambers & SPA. The non-invasive functions will require procedure
rooms, related equipment and recliners.

E - Additional Services

• Salon( with basic services)

• Vanity Shop

• Garment shop for the Kids & would be moms

F - Ancillary / Support Services (detailed out in space programming)

• Kitchen

• Laundry

• HK (House Keeping) functions

• Cafeteria

• CSSD (Central Sterile Supply Department)

• Pharmacy

• Mortuary