UNIVERSITY OF NUEVA CACERES

COLLAGE OF ENGEENERING AND ARCHITECTURE

CITY OF NAGA

LEVEL THREE
GENERAL
HOSPITAL
RESEARCH

“A hospital bed is a parked taxi with the meter

running” ~Groucho Marx
 LEVEL THREE GENERAL HOSPITAL 2018

INRODUCTION

What is a general hospital?

The general hospital is the best-known type of hospital, which is
set up to deal with many kinds of disease and injury, and normally has
an emergency department (sometimes known as "accident &
emergency") to deal with immediate and urgent threats to health.
Larger cities may have several hospitals of varying sizes and facilities .
https://en.wikipedia.org/wiki/Hospital#General.

What is a level three hospital?

A general hospital which classified on level three that can deal
larger number of patients and services. This hospital is a
Departmentalized hospital which a well oriented hospital that separate
the private and non-private spaces.

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 LEVEL THREE GENERAL HOSPITAL 2018

SPATIAL ANALYSIS

LEVEL THREE GENERAL HOSPITAL ZONING CLASSIFICATION:

PUBLIC – MEDICAL FACILITIES (PMF)

The Public- Level Three General Hospital Zoning Classification

includes facilities that’s open to any hospital personnel this spaces or
facilities are usually used for everyday medical needs.

NON-PUBLIC –MEDICAL FACILITIES (nPMF)

The Non Public- Level Three General Hospital Zoning Classification

these are the spaces that only authorized medical personals can use or
allowed to enter the space or facilities.

PUBLIC-NON-MEDICAL FACILITIES (PnMF)

Public-Non-Public- Level Three General Hospital Zoning Classification

these spaces are usually open to all and allow non personals to enter.

NON-PUBLIC-NON-MEDICAL FACILITIES (nPnMF)

Non-Public-Non-Medical- Level Three General Hospital Zoning

Classification these spaces are the spaces that are normally only allowable
for authorized non personals to enter . These are usually the authorized
visitors of a patient.

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 LEVEL THREE GENERAL HOSPITAL 2018

LEVEL THREE GENERAL HOSPITAL SECURITY LEVELS:

LOW SECURITY (LEVEL 1)

Low Security areas classified as the areas which are the public spaces
that allow anyone but under the supervision of the security personals.
These are usually public main entrance, parking spaces and etc.

MEDIUM SECURITY (LEVEL 2)

Medium Security is areas that classified as normally secured. These

are areas usually authorize non medical personals or visitors and medical
personals.

HIGH SECURITY (LEVEL 3)

High Security classified as areas that need to have the best attention
or security this accounts the entire security of the people (non personals
and medical personals) using the medical facilities of the hospital. These
are usually the laboratory, rehabilitation unit, surgical unit, blood bank unit
and other non-public medical facilities (nPMF).

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 LEVEL THREE GENERAL HOSPITAL 2018

OTHER CONSIDERATION:

A hospital and other health facilities shall be planned and designed to observe appropriate architectural

practices, to meet prescribed functional programs, and to conform to applicable codes as part of normal

professional practice. References shall be made to the following:

• P. D. 1096 – National Building Code of the Philippines and Its Implementing Rules and Regulations

• P. D. 1185 – Fire Code of the Philippines and Its Implementing Rules and Regulations

• P. D. 856 – Code on Sanitation of the Philippines and Its Implementing Rules and Regulations

• B. P. 344 – Accessibility Law and Its Implementing Rules and Regulations

• R. A. 1378 – National Plumbing Code of the Philippines and Its Implementing Rules and Regulations

• R. A. 184 – Philippine Electrical Code

• Manual on Technical Guidelines for Hospitals and Health Facilities Planning and Design. Department

of Health, Manila. 1994

• Signage Systems Manual for Hospitals and Offices. Department of Health, Manila. 1994

• Health Facilities Maintenance Manual. Department of Health, Manila. 1995

• Manual on Hospital Waste Management. Department of Health, Manila. 1997

• District Hospitals: Guidelines for Development. World Health Organization Regional Publications,

Western Pacific Series. 1992

• Guidelines for Construction and Equipment of Hospital and Medical Facilities. American Institute of

Architects, Committee on Architecture for Health. 1992

• De Chiara, Joseph. Time-Saver Standards for Building Types. McGraw-Hill Book Company. 1980 1

Environment: A hospital and other health facilities shall be so located that it is readily accessible to the

community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not be

located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants, disposal

plants.

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 LEVEL THREE GENERAL HOSPITAL 2018

Patient Movement: Spaces shall be wide enough for free movement of patients, whether they

are on beds, stretchers, or wheelchairs. Circulation routes for transferring patients from one

area to another shall be available and free at all times.

 Corridors for access by patient and equipment shall have a minimum width of 2.44

meters.

 Corridors in areas not commonly used for bed, stretcher and equipment transport may

be reduced in width to 1.83 meters.

 A ramp or elevator shall be provided for ancillary, clinical and nursing areas located on

the upper floor.

 A ramp shall be provided as access to the entrance of the hospital not on the same level

of the site.

Lighting: All areas in a hospital and other health facilities shall be provided with sufficient

illumination to promote comfort, healing and recovery of patients and to enable personnel in the

performance of work.

Ventilation: Adequate ventilation shall be provided to ensure comfort of patients, personnel and

public.

Auditory and Visual Privacy: A hospital and other health facilities shall observe acceptable

sound level and adequate visual seclusion to achieve the acoustical and privacy requirements in

designated areas allowing the unhampered conduct of activities.

Water Supply: A hospital and other health facilities shall use an approved public water supply

system whenever available. The water supply shall be potable, safe for drinking and adequate,

and shall be brought into the building free of cross connections.

Waste Disposal: Liquid waste shall be discharged into an approved public sewerage system

whenever available, radioactive waste and others hazards liquid waste to be collected and

treated in accordance to international rules and solid waste shall be collected, treated and

disposed of in accordance with applicable codes, laws or ordinances.

Sanitation: Utilities for the maintenance of sanitary system, including approved water supply

and sewerage system, shall be provided through the buildings and premises to ensure a clean

and healthy environment

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 LEVEL THREE GENERAL HOSPITAL 2018

Housekeeping: A hospital and other health facilities shall provide and maintain a healthy and

aesthetic environment for patients, personnel and public.

Maintenance: There shall be an effective building maintenance program in place. The buildings

and equipment shall be kept in a state of good repair. Proper maintenance shall be provided to

prevent untimely breakdown of buildings and equipment.

Material Specification: Floors, walls and ceilings shall be of sturdy materials that shall allow

durability, ease of cleaning and fire resistance.

Segregation: Wards shall observe segregation of sexes. Separate toilet shall be maintained for

patients and personnel, male and female.

Fire Protection: There shall be measures for detecting fire such as fire alarms in walls,

Peepholes in doors or smoke detectors in ceilings. There shall be devices for quenching fire

such as fire extinguishers or fire hoses that are easily visible and accessible in strategic areas.

Signage: There shall be an effective graphic system composed of a number of individual visual

aids and devices arranged to provide information, orientation, direction, identification,

prohibition, warning and official notice considered essential to the optimum operation of a

hospital and other health facilities.

Parking: A hospital and other health facilities shall provide a parking space.

https://www.linkedin.com/pulse/20140613201200-65586394-guidelines-main-requirements-in-the-planning-and-design-of-hospitals-

part-ii , https://www.doh.gov.ph/sites/default/files/publications/planning_and_design_hospitals_other_facilities.pdf

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 LEVEL THREE GENERAL HOSPITAL 2018

SPACE PROGRAMING

OUTLINE OF SPACES
I. Administrative Service

 Lobby Waiting

A. Information and Reception Area

B. Toilet

 Business Office
 Medical Records
 Office of the Chief of Hospital
 Laundry and Linen
 Maintenance and Housekeeping
 Parking Area for Transport Vehicle
 Supply Room
 Waste Holding
 Dietary Dietitian

A. Supply Receiving Area

B. Cold and Dry Storage Area

C. Food Preparation Area

D. Cooking and Baking Area

E. Serving and Food Assembly Area

F. Washing Area

G. Garbage Disposal Area

H. Dining Area

I. Toilet

 Cadaver Holding Room

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 LEVEL THREE GENERAL HOSPITAL 2018

II. Clinical Service

 Emergency Room Waiting Area

A. Toilet

B. Nurse Station

C. Examination and Treatment Area with Lavatory/Sink

D. Observation Area

E. Equipment and Supply Storage Area

F. Wheeled Stretcher Area

 Outpatient Department

A. Waiting Area

B. Toilet

C. Admitting and Records Area

D. Examination and Treatment Area with Lavatory/Sink

E. Consultation Area

 Surgical and Obstetrical Service

A. Major Operating Room

B. Delivery Room

C. Sub-sterilizing Area

D. Sterile Instrument, Supply and Storage Area

E. Scrub-up Area

F. Clean-up Area

G. Dressing Room

H. Toilet

I. Nurse Station

J. Wheeled Stretcher Area

K. Stretcher Janitor’s Closet

 Nursing Unit
A. Semi-Private Room with Toilet
B. Patient Room Toilet
C. Isolation Room with Toilet
D. Nurse Station
E. Treatment and Medication Area with Lavatory/Sink

 Central Sterilizing and Supply Room Receiving and Releasing Area Work Area Sterilizing Room
Sterile Supply Storage Area

III. Nursing Service

 Office of the Chief Nurse

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 LEVEL THREE GENERAL HOSPITAL 2018

IV. Ancillary Service

 Primary Clinical Laboratory

A. Clinical Work Area with Lavatory/Sink
B. Pathologist Area
C. Toilet
 Radiology
A. X – Ray Room with Control Booth, Dressing Area and Toilet
B. Dark Room Film File and Storage Area Radiologist Area
C. Pharmacy

https://www.doh.gov.ph/sites/default/files/publications/planning_and_design_hospitals_other_facilities.pdf

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 LEVEL THREE GENERAL HOSPITAL 2018

STORAGE
Storage for Laboratory Equipment
Area/Approx. dimension 110 SQ. FT.
Activities To store laboratory equipment.
Number of users
Maximum number of users
Zone nPMF
Adjacency
Ventilation Mechanical
Lighting Electrical
Security level Level 2
Furniture Storage Cabinet, Fume Hood ,Casework

Conference Room

Area/Approx. dimension 1120 sq. ft. (2 rooms)

Activities To held the conference to medical personals
and staff.
Number of users 6-10 min.
Maximum number of users 20
Zone PnMF
Adjacency Private and non-Private offices
Ventilation mechanical
Lighting Electrical
Security level Level 3
Furniture Chairs, projectors, and conference table.

ADL Kitchen
A Domestic style kitchen for patient Activities of Daily Living assessment and training; bench is
to be wheelchair accessible.
Area/Approx. dimension 12 m. sq.
Activities A kitchen which a head cook can cook food for
the patients and staff.
Number of users 6
Maximum number of users 12
Zone nPnMF
Adjacency Food storage
Ventilation Mechanical
Lighting Electrical
Security level Level 2
Furniture Microwave, fridge,stove, rangehood

Birthing Room – LDR

The Birthing Room LDR provides for the entire process of delivery including patient
preparation, relaxation and analgesia during labour, delivery, infant resuscitation, post natal
recovery and observation.
Area/Approx. dimension 28 m.sq.
Activities Provides for the entire process of delivery.
Number of users 6
Maximum number of users 10
Zone PMF
Adjacency
Ventilation Mechanical
Lighting Electrical
Security level Level 3
Furniture Labour Delivery Room Bed (LDR), Obstetric
delivery table Telescopic (ADJUSTABLE
HEIGHT), suction, telephone , kick bucket.

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https://access.tarrantcounty.com/content/dam/main/administration/JPS/2016-
130_Attachment%20F_JPS_FunctionalSpaceProgram_Volume2_Room_Data_Sheets.pdf

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