Semester VI

Architectural Design Brief

Introduction;
Hospital buildingdiffers from other building types in the complexity of functional relationships
that must exist between the various parts of the hospital.This brief for a proposal of100-
bedhospitalwith the standards for healthcare design in Indiawith Blending technical and functional
requirements into a design that brings delight. In this case of hospitals - functional complexities
and Physical complexitieswith the demand and addition to the plan and design of persons who
understand not only the work process of individual departments but also the hospital operating
system as a whole.
Objectives;
 To create an awareness with regard to the design of green buildings, sustainable architecture with
the importance of services integration and spatial planning in the context of design of
Hospitalbuildings with service
 To understand issues in hospital building with respect to density, services and energy
consumptionas well as make the right choices in design situations involving issues like Understand
context based programme & design.
The following list details areas for consideration under the “non-clinical”
 Portering
 Access  Materials Handling  Post Room
 Security & Safety  Catering services  Social Work
 Fire Safety  Domestics  General Management
 Communications  Transport  Education & Training
services  Linen & Uniforms facilities Medical Engineering
 Car Parking  Admission & Discharge  Control of Infection
 Estate Management notes  Staff Accommodation
 Voluntary Services  Health Records & PAS  Police desk
 Religious Facilities  Sterile Services  ATM

The following list details requirements and areas for Hospital buildings
 General ward
 Pharmacy outlet  Emergency room
 Semiprivate+ deluxe
 MRD  Ambulance
 Private+ deluxe
 CSSD  Telephone booth
 Obstetric ward
 Laundry  Shoppe
 Paediatric ward
 Kitchen  Executive health
 NICU
 Restaurant check-up
 ICU
 Housekeeping  Residents
 OT Distribution of bed
 Telecommunicatio  Total space for 100
 OPD  General
beds – 16
n
 Physiotherapy department  Semi- private ( 2 in 1 ) – 26
 PR Department Parking space
 Radiology  Private – 13 + HVAC +
 Security Electrical
 Other diagnostic facilities  Deluxe
water– 6
 Auditorium
(ECG, EEG, Stress test,  ICU – 10
 Prayer room
Endoscopy)  NICU – 9
 Mortuary
 Laboratory  Obstetric ward – 10
 Library
 Blood bank  Paediatric – 10
 Manifold room
 Pharmacy store  Total – 10
 Administration
 Stores  Pre – operation - 4
 A/C department
 EDP  Post – operation – 6
 Emergency – 4
 Semester VI

Distribution of floor space by ward and department

 Wards – 392 (43%)
 Diagnostic facilities - 110(12.01%)
 OPD + Emergency + Related areas - 88 (9.60%)
 Administrative area – 100(10.78%)
 Service Departments - 930(10.25%)
 Residential areas - 130 (14.25%)
 Total 100%

 Floor wise allocation

G+0 – 2114
 OPD – 460
 Emergency –180
 Radiology – 465
 Laundry – 175
 Kitchen – 215
 Physiotherapy – 92
 Pharmacy outlet – 25
 PR department – 25
 Manifold room – 37
 Shoppe – 12
 Telecommunication – 36
 Prayer hall – 25
 Ambulance - 31
 Telephone booth – 25
 Mortuary – 90

 Laboratory – 225

 ATM kiosk – 3
 Waiting
 Police desk -5
 Additional 30% for circulation -
 Department wise
General ward - 370
 Beds 120/bed
 Nursing station – 18
 Doctors – 10
 Nurses room – 10
 Treatment room – 10
 Staff toilet – 5
 Store – 6
 Pantry – 6
 Clean utility room – 6
Semi private (2 in 1) – 785
 Beds – 26x175 = 425
 Beds deluxe – 3x350 = 98
 Nursing station – 18.5
G+1 - 2085
 Restaurant – 265
 Housekeeping – 23
 Administration – 214
 Security – 18
 Accounts departments - 73
 Executive health check-up
– 112
 Blood bank – 157
 MRD – 133
 General ward – 370
 Paediatric – 265
 Other diagnostic facilities –
315
 Pharmacy stores – 45
Toilets general – 14
EDP department – 73
Dirty utility – 6
Doctors Conference room -
15 area – 19
85
Single room /private -
785
 Bed s – 13x350 = 4550
 Beds deluxe – 3x350 =
425
 Nursing station – 18.5
 Doctor’s room – 10
 Nurses rest room – 10
 Store – 6
 Pantry – 6
 Clean utility – 6
 Dirty utility – 6
 Toilet – 5
 Waiting area – 18.5
 30 % circulation – 180
G+2 – 1988
 CSSD – 182
 Semiprivate ward +
Deluxe bed – 785
 Stores – 224
 Obstetric ward – 342
 NICU – 458
G+3 – 1998
 OT – 545
 ICU – 675
 Private + deluxe –
784
G+4 – 1595
 Residential area – 1395
 Library – 40
 Auditorium – 182
space plan
NICU – 458
 Open care units – 9x125 =105
 Nursing station – 18.5
 Equipment store room – 18.5
 Doctor room – 10
 Nurses rest room – 10
 Toilet staff – 2x5 =10
 Component milk formula
room - 5
 Feeding room – 6
 Toilets general – 3x5=15
 Nursing room – 10
 Waiting room – 23
 Beds for relatives – 9x14=125
 30% circulation - 106
 Semester VI
 Doctor’s room – 10
 Nurse rest room – 10
 Store – 6
 Pantry – 6
Other diagnostic facilities - 315
 Clean utility – 6
 ECG room – 28
 Dirty utility – 5
 EEG room – 32
 Toilet – 5
 2D echo room – 47
 Waiting area – 18.5
 Stress test room – 70
 30% circulation area – 180
 Endoscopy department – 14
ICU – 675  Reception – 5
 Beds – 8x225 = 168  Waiting –18.5
Obstetric ward – 341Consultation – 10
 Beds – isolation room -2x23 Paediatric ward -265
 Beds 10x12=120  Endoscopy room – 32
=47  Beds – 10x12=120
 Nursing station-1830%circulation – 72.4
 Nursing station – 32  Nursing station -18.5
 Doctors room – 10
 Equipment room – 23
 Nurse roomPhysiotherapy
– 10  Doctors– 92
department room
with– 10
 Stat lab -5  Nurse room – 10
 Clean utility- 6
circulation
 Doctors room – 10
 Dirty utility – 6  Clean utility- 6
 Nurses rest room – 10 Radiology – 465  Dirty utility – 6
 Pantry – 5
 Toilet staff - 5
 Staff toilet –MRI-
5 33  Pantry – 5
 Toilet general – 5  Staff toilet – 5
 General toilets -2x5=10
 Store - 2x5=10  Ultrasound room
 Store -10  General toilets -2x5=10
 Pantry – 6  Change room
 Labour room – 2x28=56  Waiting area -19
 Clean utility – 6  Sub waiting room30% circulation- 61
 Waiting area -18.5
 Dirty utility – 6
 30% circulation- 79 XRAY -60
General
 Waiting area – 28
 Beds for relatives -10x 14= 140  Radiography room
 Toilets cum bath – 3x7=21  Control room
 30% circulation =156  Change room
 Sub waiting room
Operation theatre - 542
Special XRAY - 84
 OT room – 2x42=84 OT in-charge room – 6  Doctor’s room – 14
 General OT room -58 Nurse room – 6  Radiography room -6
 Reception
 Specialty OT room –   Control room
Dumbwaiters – 2x2=4  Waiting room – 10
2x10=20 Pantry – 4  Change room
 Pre operation room (4beds)- 33
 Scrub room - 2x10=20  
Equipment room – 20 Toilet  Post operation room (6beds)
 Instrument room – 18.5 Trolley bay – 14  Barium preparation
-56
 Wash room/dirty utility Toilet – 2x4=8  Sub waiting
 30% circulation – 125
2x6=12 
 Change room – 2x5=10 Staff room -10
 Store room – 20  Radiologist room – 10
 Chief anaesthetist room -10  Waiting room – 27
 Reception – 10
OPD - 460  Technicians room – 10
 May I help your desk – 5  Staff toilet 2x5=10
 Registration/ billing – 18.5  Records room – 14
 Waiting area- 46  Film store – 14
 Toilets (men and female) - 8x2.5=18  Reporting room -10
 30% circulation – 108

 Reception and records room – 23
 OPD waiting area – 38
 Consulting room
(Medicine, surgery Gyno, paed
 Sub waiting area – 2x5=10
 Staff toilet – 5
 Doctors toilet – 7
 Trolley/ wheelchair bay – 18.5
 Collection room – 5
 Minor OT- 28
 OPD store – 7
 Emergency room - 180
Staff room – 24
  Triage 4 beds – 47
Administration office – 14
  Med. Officer – 10
30% circulation - 106
Laboratory – 230
 Reception – 7
 Biochemistry – 28
 Haematology and clinical
pathology – 19
 Histopathology – 19
 Microbiology – 19
 Serology – 19
 Sample collection – 14
 Toilet – 4
 Toilet staff – 5x2 = 10
 Waiting – 10
 Report dispatch area – 10
 Auditorium – 182
Staff room – 10
 Technician’s room – 10
 30% circulation – 52
Pharmacy – 73
 Store area – 38
 Retail area – 19
 30% circulation- 55
MRD – 134
 Process room – 47
 Office room – 10
 Record cum store room – 47
 30% circulation- 30
Blood bank - 172
 Waiting area – 18.5
 Examination room – 7
 Recovery and refreshment room
– 14
 Bleeding room – 14
 Staff room – 6
 Blood bank in charge room – 37
Semester VI
and ortho ) -5x14=70
CSSD – 182
 Receipt area – 18
 Wash room – 18.5
 Gloves sterilizing room – 7
 Change room – 5
 CSSD supervisor room – 10
 Clean area for packing room – 10
 Actual sterilizing room – 42
 Sterile store room – 18.5
 Staff store room – 18.5
 Nursing station – 10
 Staff toilet -2x4=8
 Dr change room – 7
 Trolley Park - 14
 Nurse change room – 7
 Dumb waiters – 2x2=4
 Toilet – 4
 30% circulation- 42
 Minor OT- 24
Cafeteria - 265  Waiting area – 24
 Sitting area – 140  Reception – 10
 Preparation – 47  30% circulation- 42
 Store – 18.5
A/C department – 73
 30% circulation- 62
 Office – 18.5
Housekeeping - 31  Process area – 2x18.5=37
 Office – 5  30% circulation- 17
 Store – 19
 30% circulation- 7
 30% circulation -42
Telecommunication - 37
Stores -224
 office – 5
 Receipt area – 10
 cable area – 23
 Storage area – 140
 30% circulation- 9
 Office – 24
Personal relation department -24
EDP – 73
 Office – 18.5
 Office – 10
 30% circulation-5.5
 Server room – 47
Security -19  30% circulation- 17
 Office- 14
Parking space - 4355
 30% circulation- 5.5
 Area for 1 car -26
Mortuary – 90.5  Area for parking -150 cars (30
 30% circulation- 24 staff,120 general parking )
 Area for 1 scooter - 7( 25staff,
Prayer room – 18.5 50 general )
 30% circulation- 5.5
 Semester VI
 Component separation room – 37
 Toilet - 2x4=8
 Issue counter – 5
 Store room – 14
 30% circulation – 40

Laundry -180
 Receipt area -10
 Dirty area – 14
 Ironing/washing area – 37
 Laundry in charge room – 14
 Toilet – 5
 Store room – 18.5
 Mending room – 10
 Delivery / distribution – 10
 Trolley park – 10
 30% circulation- 42

Kitchen – 213
 Receipt area – 8
 Dietician room – 10
 Store room – 10
 Utensils area for storage-14
 Dry area – 14
 Cold area – 10
 Preparation area – 14
 Cooking area – 32
 Washing area – 14
 Trolley park – 14
 Change area – 5
 Toilet -4
 Dining room – 18.5
 Garbage room – 5
 30% circulation- 50

Library – 28
 30% circulation- 9

Electrical HVAC + water + Boiler

Compressor air and vacuum- 325
 30% circulation- 98

Manifold room
 Area – 24
 Office – 4.5
 30% circulation- 8.5
 Semester VI
Administration -200
 MD/CEOs office – 24
 MS office – 18.5
 Office 2x50=10
 Waiting room – 18.5
 Manager admiration – 14
 Clerical office – 33
 Nursing superintendent – 18.5
 Toilets – 3x4=12
 30% circulation- 50

Ambulance - 55
 Control room – 24
 Telephone booth – 10
 Shoppe – 10
 30% circulation -13

Residential area – 1400

Executive health check-up- 122

 Reception - 9
 Waiting room – 25
 Doctors room - 3x13=39
 Collection room -10
 Records and storage – 10
 Toilets – 10
 30% circulation- 28

Guidelines in the Planning and Design of A Hospital and Other Health Facilities
 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 odour, flood, and shall not
be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants,
disposal plants.
 A minimum of two (2) exits, remote from each other, shall be provided for each floor of the building.
 Exits shall be restricted to the following types: door leading directly outside the building, interior
stair, ramp, and exterior stair.
 Corridors for access by patient and equipment shall have a minimum width of 2.44 meters.
 Semester VI
 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.
 Floors, walls and ceilings shall be of sturdy materials that shall allow durability, ease of cleaning and
fire resistance.
 Wards shall observe segregation of sexes. Separate toilet shall be maintained for patients and
personnel, male and female, with a ratio of one (1) toilet for every eight (8) patients or personnel.
 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 minimum of one (1) parking space for
every five (5) beds
 Zoning
1. Outer Zone – areas that are immediately accessible to the public: emergency service,
outpatient service, and administrative service. They shall be located near the entrance of the
hospital.
2. Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy, and
radiology. They shall be located near the outer zone.
3. Inner Zone – areas that provide nursing care and management of patients: nursing service.
They shall be located in private areas but accessible to guests.
4. Deep Zone – areas that require asepsis to perform the prescribed services: surgical service,
delivery service, nursery, and intensive care. They shall be segregated from the public areas
but accessible to the outer, second and inner zones.
5. Service Zone – areas that provide support to hospital activities: dietary service, housekeeping
service, maintenance and motor pool service, and mortuary. They shall be located in areas
away from normal traffic.
 Function:
1. The emergency service shall be located in the ground floor to ensure immediate access. A
separate entrance to the emergency room shall be provided.
2. The administrative service, particularly admitting office and business office, shall be located
near the main entrance of the hospital. Offices for hospital management can be located in
private areas.
3. The surgical service shall be located and arranged to prevent non-related traffic. The
operating room shall be as remote as practicable from the entrance to provide asepsis. The
dressing room shall be located to avoid exposure to dirty areas after changing to surgical
garments. The nurse station shall be located to permit visual observation of patient
movement.
4. The delivery service shall be located and arranged to prevent non-related traffic. The delivery
room shall be as remote as practicable from the entrance to provide asepsis. The dressing
room shall be located to avoid exposure to dirty areas after changing to surgical garments.
The nurse station shall be located to permit visual observation of patient movement. The
nursery shall be separate but immediately accessible from the delivery room.
5. The nursing service shall be segregated from public areas. The nurse station shall be located
to permit visual observation of patients. Nurse stations shall be provided in all inpatient units
 Semester VI
of the hospital with a ratio of at least one (1) nurse station for every thirty-five (35) beds.
Rooms and wards shall be of sufficient size to allow for work flow and patient movement.
Toilets shall be immediately accessible from rooms and wards.
6. The dietary service shall be away from morgue with at least 25-meter distance

 Notes:
1. 0.65/person – Unit area per person occupying the space at one time
2. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space for
occasional visitor, and space for aisle
3. 1.40/person – Unit area per person occupying the space at one time
4. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional visitor, and
space for passage of equipment
5. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher
Key Departments
 OPD, Emergency, Radiology, and Laboratory would be situated on the ground floor.
 The Radiology dept. would be situated near the Emergency dept.(According to a study nearly 40% of
cases coming to Emergency require X-rays)
 The administration department would be located on the 1st floor along with the Blood bank and
General and Paediatric wards. The Labour room, Obstetric ward and NICU would be located on the
2nd floor along with the semi-private ward.
 The CSSD would also be located on the 2nd floor just below the operation theatre with provision for
dumb waiters between the CSSD and the OT.
 The OT’s will not be located on the top floor to avoid the excess heating nor will they be located near
the major traffic areas.
 The ICU’s and private wards will also be located on the 3rd floor.
 The residential area will be located on the 4th floor just above the ICU’s and the OT’s. So a doctor
can easily attend to the patient when called.
 30% of the area is kept for circulation