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Fortis GURGAON "ENRICHING LIVES"

I
" Preparation is essential to ensure the success and logical flow."
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Getting Started with a Presentation..........


SITE ANALYSIS
CITY CONTEXT
NEIGHBOURHOOD CONTEXT

DESIGN CONCEPT
PHILOSOPHY
FEATURES
OBJECTIVES
MEDICAL PROGRAM
Zoning
INITIAL DESIGN
PRELIMINARY DESIGN
DESIGN

FLOOR PLANS
LOWER BASEMENT FLOOR PLAN
LOWER GROUND FLOOR PLAN
UPPER GROUND FLOOR PLAN
FIRST FLOOR PLAN
SECOND FLOOR PLAN
SERVICE FLOORPLAN
TYPICAL FLOOR PLAN(3RD FLOOR 4TH FLOOR)
FIFTH FLOORPLAN
ATRIUM
SECTIONS
DETAILS
PNEUMATIC TRANSPORTATION SYSTEM
Foreword

“HOSPOTEL”

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Philosophy

Create areas for solitude, recreation, decision-making, humanism, feeling and


experience, communication, and cooperation.

Concept wellness and technology that creates a Gen Next Medical Center focusing on
healing & nurturing robust health

03 Healing Garden & Natural light


Features

Enhanced and independent building entry.

Family-centered care is done by the creation of a friendly, cure

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atmosphere.

The location of the perimeter corridor allows natural light to most


spaces and gives an outside orientation.

The healing garden is planned on the southwest corner to provide a


calm and peaceful environment.
Objectives Standardized patient encounters.
Modular planning of clinical floors.
Clear organization and a simple circulation system.
Flexible floorplates.
Maximum utilization of available site area.
Natural daylight into most of the common waiting areas.
Refreshing & congenial environment for patients.

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Location Analysis

SITE CONTEXT ROADWAYS TRANSIT

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POINTS OF INTREST
V
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Advanced minimal access, bariatric and metabolic surgery

PROGRAM
Anaesthesiology
Cardiology and cardiac surgery
Cosmetic, reconstructive, and plastic surgery
Critical care medicine
Dentistry
Dermatology
Diabetes, endocrinology and metabolic disorders
General surgeries
AREA SUMMARY - PHASE I Gastroenterology, GI surgery, and Hepatology
Immunology
Total plot area: 10.7 Acres
Infertility
General care beds: 250 nos Internal medicine
Mental health and behavioral sciences
Intensive care beds: 100 nos (excluding transit beds) Nephrology
OPD chambers: 80no Neurology and neurosurgery
Obstetrics and gynecology
Oncology

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Site area: 43,303 sq. m. Ophthalmology
Organ transplant
Built – up area : 65,961 sq.m. Orthopedics and joint replacement
FAR: 1.52 Otorhinolaryngology(ENT)
Pediatric medicine and surgery
Principal Architect: Ar. Rajinder Kumar, Rajinder Kumar Associates, New Delhi Pain medicine
Pulmonology
Rheumatology
It has 430 functional beds, with a further planned increase in beds to 1000. Robotic surgery
Stem cell therapy
Trauma and emergency medicine
Urology
The main Façade of the building is
facing North-West Direction

The service areas are provided in the


South-East Direction

The bed tower extending up to G+5 is


providing shade to the rest portion of
the building from sun rays coming
from the south direction.

The Atrium in the center of the


building is receiving diffused light

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from the north direction.

Healing gardens are provided in the


North direction shaded all the time
from sunrays.

The heavy plantation is done at site


boundaries to absorb most of the
noise coming from the vehicles
outside.
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Configuration
Typical Floor

Third Floor (patient beds 67)

Second floor (surgical floor 10OT. ICU BEDS 92)

First floor (maternity ICU 62 beds, wards, ICU relatives)

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Upper ground (maternity, atrium lobby)

Lower ground (diagnostics, OPD, ER)

Basement(parking,plantrooms)
Site Plan
Ramp for basement parking

Drop-off/pick-up

Service entry/exti
Emergency
parking - 36 cars

Emergency drop-off

12
OPD entry

OPD parking

Maternity ward
parking - 71 cars

Maternity ward drop-off


1 2

4
5
3
6 7
8
10 9
1. contract staff dining
2. store 11 12 13 14
3. pharmacy store
4. purchase executive
5. security
6. IT services 15
7. toilets
8. service lift
9. morgue
10. stationary
11. consumable store
12. PTD blower room 16 17 19
13. acute medical unit
14. Autopsy
15. consumable store kitchen
16. washing
17. electric room
18. biomedical store workshop
18
19. medical records
4
2 3
1
6
5

10
1. High Dose Rate radiation therapy 7
2. HOD room 8 9
3. office
4. tumor board room 12 15 16
5. patient hold room 13 14
6. console 11
7.
8.
mould room
dirty utility room
21
9. clean utility room
10. CT simulator room
11. treatment planning room 17 18 19 20
12. physicist room 22
13. procedure room
14. store
15. toilets female
16. toilets male
17. console
18.
19.
UPS
console
23 24
20.
21.
oncology waiting
lift
25 26
22. lobby
23. LINAC 1
24. LINAC 2
25. consultation room 1
26. consultation room 2
8

10
1. pump room
2. MEP
3. server room
4. Plant room 1
5.
6.
fire control system
SH7 - 1 12 2
7. TWT ( hydraulic water and foam extinguishing tower) 13
8. medical gas pipe system
9. diesel and gas generator
10.
11.
pump room
air handling unit
3
12. AC plant room 11
13. low-temperature air conditioning unit - freezers
14. painting workshop 4
15. workshop
16. server room
14 15
17. air handling unit
18. plumber
16 5 6 7
19. painter 20 22
20. manager room 19
21. air handling unit 17 18 21
22. UPS room
LINAC

most commonly used for external


beam radiation treatments for
patients with cancer. The linear
accelerator can also be used in

14
stereotactic radiosurgery
15
1 1 2 3

4 1. consultation room
2. female toilet
3. disabled toilet
4. waiting lobby
1 1 5 5.
6.
male toilet
acute medical unit
7. procedure room

1 7
1
1 1 6
1 1
1 1
1
1 1 4
4 1

1 1 1 1 1 1 1 1 1 1
1 1 7

1
1. consultation room
4. waiting lobby
6. air handling unit
8. ECG
9. echo
10. cardiac treadmill test room

1 11. test report

4 12. physio
13. mother-baby room

1
9 9 10
8 8
6

11
13 4

12 10
2 1.
2. toilets

11 3.
4.

2 5.
6.
sterile
operation theatre
7. pharmacy
8. care unit
9.

12
10.
11.
12. waiting
13. consultation room
14. police

2 1 3 4 5 15.

6 15 16.
17.

2 18.

7 16 13
8 14
9
10
4 4 5 5 5
2 2 7
6
1 3 6 6
1

15 13 8
14 12 11 10 9
16

1. office 4. staff toilets 7. lift lobby 10. MRI technical room 13. consultation
2. toilets 5. lockers 8. ICT 11. X-ray examination room 14. doctors lounge
3. report room 6. toilets 9. MRI examination room 12. console room 15. technical
5
2
6
1 6
3 3 4 6
5

1. swimming pool
2. physiotherapist room
3. toilets
4. gym
5. consultation room
6. treadmil
2
3 4
2 5
4 4
6 7
2

1 2 8
9 2
1. laundry
12
2.
3.
air handling unit
sterile
10 5
11 4
4. change room
5.
6.
toilets
folding and sorting 2
7. clean
8. decontaminate
9.
10.
office
chief
13
11. chemical store
12. service lift core
13. patient lift core
1
2 3

3
3 5
4
1. lift lobby
2. future expansion
3. air handling unit
4. electrical room
5. tele medicine
MRI, X-RAY, ICT

16
17
3

5 5
3
4
1 2 3

4
1 2
1.
2.
baby shop
air handling unit 6 7 8 9 6 6
3.
4.
consultation room
waiting lobby
6
5. scanning room
6. consultation and
6
examination room
7. vaccination
3
8. air handling unit
4
9. counseling room
13
10. children play area
6 6 12
11. procedure room
10
11
12. recovery room
13. pharmacy
2
1

3
6 7
1. food court seating
2. shop

4
3. dishwasher

5
4. male toilet
5. female toilet
6. air handling unit
7. air washer
2
1 2 3 4
5
6
7
1. administration 9
13
2. meeting room
3. board room

10 15 17
4. air handling unit
5. kitchen
8 14 16
10 11 12 1010 16 16
6. support room
7. reception lobby
8. registration desk

18
9. billing

16 16 16
10. counseling
11. bank
12. ATM
13. exchange
14. finance manager
15. air handling unit
19 22
16. office
17. service lift lobby

23
18. patient lift lobby
19. visitor lift lobby
20. male toilet
21. female toilet
21
22. electrical room
15
23. LV room
20
18
1 2
4
3 2
1

5 6 7

1. ward - 1
2. toilets
3. ward - 2
4. ward - 3
5. air handling unit
6. nurses station
7. corridor
1 2 3 2 4
1

5 6 7

1. ward - 1
2. toilets
3. ward - 2
4. ward - 3
5. air handling unit
6. nurses station
7. corridor
1 5
3 4 6 4
4
8 13 12 4
7
4 11 11 4

2 14 13
12 8 5
15

10 9 10

1. wash 4. doctors room 7. office 10. Pvt chemo room 13. lab
2. dialysis 5. air handling unit 8. isolation 11. simulation 14. clean utility room
3. doctors room 6. pharmacy 9. chemo 12. procedure room 15. dirty utility room
1
3 4 5 6 4 4

8 7 13 12 4

2 4 11 11 4
14 13
12 8 5
15

10 9 10

1. wash 4. doctors room 7. office 10. Pvt chemo room 13. lab
2. dialysis 5. air handling unit 8. isolation 11. simulation 14. clean utility room
3. doctors room 6. pharmacy 9. chemo 12. procedure room 15. dirty utility room
8
1 7
1 5 6

9 10
2 1 4
1
11
3
12

1. toilets 3. corridor 5. nurses station 7. procedure room 9. pantry 11. air handling unit
2. emergency exit 4. executive lounge 6. doctors room 8. doctors room 10. doctors entry/exit 12. electrical room
1
1

8
9 9 10 10
6
1. Blood Store 7 11
2. Cold Room packed cells
3. Cold Room platelet
1
4. Air Handling Unit
4
5
5. Component Lab

12
6. Head Lab Operator
7. Reception

4 3
8. Lab store
9. Hematology
1
13 14
10. Clinical pathology
11. Apheresis Room
12. Donor Room
2
13. Changing/Wash
14. Store
15. Donor Refreshment
15
16. Store
17. Hod
16
17
1
30 29 28 2 3
1. Toilet
2. disabled toilets
27 27
3. Dirty Utility Room
4. Surgical Wards
27 27
5. Nurses Office
6. Clean Utility Room 4
7. Pharmacy
8. Air Handling Unit
13 13 8
9. Changing Room
10. Physician Work Area 14
11. Decontamination
9 12
12. Sterile
15 5 6 7
13. Consultation
11
14. Cosmetology Waiting
9 9 8
15. Procedure Room
16. Baby Nursing 15 10
17. Doctors Lounge
18. Isolation
19. NICU
6
20. Formula Room
16 25 8 24
21. Doctor On Duty
3
22. NICU Lobby
23. Delivery
18 8 1 17 26
24. Labor Delivery Recovery
25. Labor Room
3
19
26. Post recovery
27. Doctors Office
21 13 22 23 23 12 24 24
28. Meeting ROOM
20 8
29. private Cafe
30. public cafe 3 24
4

3
5

1. Corridor
2. Pre-function space
3. Corridor
4. Fire exit
5. Air Handling Unit
6. Auditorium 6
1
19
1. patients toilets
2. recovery
3. clean utility
4. dirty utility

36
5. store

27 28
6. sludge room
7. operation theatre
8. equipment room
9. anesthesia store and scrub 10 10
area
29
26
10. pharmacy
11. store and scrub area
12. sterile store
30
13. consumable and scrub area
14. flash sterilization unit and
scrub area
2
15. pre-operation theatre
16. doctors lounge 3
4 3
17. doctors wash, changing and
toilets
18. technician changing, wash, 7 7 7 7 7 7 4
and toilets
19. nurses wash, changing and
56
toilets
25
20. patients lift lobby
8 9 10 11 1
34 14 36 31
21. service lift lobby
22. physician waiting area
23. isolation room
24. changing area
8 14 13 12 7 33 33 33 32 24 1 23
25. intensive care unit
26. procedure room
7 22
27. doctors office
28. nurses office
3 3 1 18 19 21
29. equipment room

7 7 17
30. intensivist
31. sterile store 36 15 16 17
32. decontamination room
33. office
34. labs
35. server room
20
36. emergency staircase
18 14

16 19
19
1. Minimal Invasive surgery waiting 5 3
2. Post Cath 17
15
3. Clean Utility Room
4. Differently-abled Toilet 4
5. Dirty Utility Room
6. Changing Room 3 25
6 9 4
7. Endoscopy
8. Store 1 10 7
9. Scoop Wash
3 5 26
7
10. Toilet

2 27
11. Air Handling Unit
12. Pre/post Endoscopy
12 6 25
13.
14.
Isolation
Pharmacy 11 8 7
15. Staff Toilet
16. Nurses Room
17. Equipment Room
3 5 14 18 4 20 19 3 5 19 3
18. Intensivist
13 11
19. Duty Doctors 13 15 17 10 13 14 5
20.
21.
Procedure Room
Office 4 14 16 17 19 20 21
22. ICU- 2 4
23. ICU -3
24.
25.
ICU- 4
Cath Lab 24 22
26.
27.
Cath Lab Control Room
ICU- 1
23
1

1. ICU - 6
2 10 15
2.
3.
clean utility
dirty utility
3 11 14
4.
5.
equipment
pharmacy
4 16
6. nurses room
5 17 13 10
7. transplant
13 12 11
8. transplant patients room with
toilets
6 2 3
7
9. ICU - 5
10. differently-abled toilets
11. procedure room
12. physician waiting area
13. air handling unit
9
14. isolation room
15. toilet
16. intensivist 8 8 8 8 8 8
17. duty doctor room
Cathlabs with
common consoles A catheterization laboratory,
commonly referred to as a cath
lab, is an examination room in a
hospital or clinic with diagnostic
imaging equipment used to
visualize the arteries of the heart

20
and the chambers of the heart
21
22
attached
toilets

double
bed room
built in
wardrobe

attached
toilets

single bed
room
1 1
1
1 1
1

1
1

1. ward - 1 1
2.
3.
toilets
ward - 2
1
4. ward - 3
5. air handling unit
1 1
6.
7.
nurses station
corridor 1
23
24
25
PNEUMATIC
TRANSPORT
SYSTEM

Pneumatic tubes (or capsule


pipelines; also known as
pneumatic tubes Transporter
PTT) are systems that are
propelled by partial vacuum.
27
GRIHA INDIA
Location: Sector 44,Gurgaon
Site area: 43,303 m2
Built-up Area: 65,961 m2
Air-conditioned area: 26,254 m2
Non-Air-conditioned area: 44,612 m2
Energy consumption reduction: 33%
reduction in energy consumption compared to TERI
GRIHA benchmark EPI : 154 KWh/m2 /year
Renewable energy installed on site : Rated capacity of
solar PV installed on site is 25 KWp TERI GRIHA final

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rating : 4 Stars
Sustainable site planning:

Adopted • Topsoil from the site, which was not very fertile

Strategies
was stacked, preserved, made fertile with the
addition of manure, and re-laid on the landscape
areas.

& Audit • Consolidation of all site services along the


transportation corridors minimizes the site

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disturbances.

• Surface parking is provided with 100% grass


pavers to reduce the heat island effect on site.

• Sufficient plantation done at the site reduces


the noise levels considerably and enhances
exterior environmental quality.
Reduction in water consumption
(compared to TERI GRIHA benchmark):

• Low flow plumbing fixtures used to


minimize the building water consumption
reduction by 63%.

• Drip Irrigation system adopted on the site

30
along with native plant species to cut short
the landscape water consumption by 50%.

• 100% Treated water from the sewage


treatment plant is reused for cooling towers
and irrigation purposes
Reduction in energy consumption (compared to TERI GRIHA benchmark) while
maintaining occupant comfort:

• For achieving visual comfort – Ingress of daylight in Patient areas &Waiting


areas. – Landscape in sync with the Architectural spaces to provide visual
comfort.

• For achieving thermal comfort – Use of AAC blocks, Double Glazing & Roof
insulation

Renewable energy technologies installed on site:

• Solar Photovoltaic Panels for 25 KWp are installed at the site.

• SolarWater Heaters for 8000 liters are also installed to meet the surplus hot

31
water requirement after the heat recovery system.

Use of low energy materials:

• Autoclaved Aerated Concrete blocks are used for the construction of the
hospital building.

• Cement with a sufficient percentage of fly ash had been used for the
construction.

• Low embodied energy construction materials and finishes have been used
in the hospital interiors.
Building performance as per audit report:

Energy

• Final EPI achieved - 109 KWh/m2/year.


• Reduction in from proposed case-53%.
• Thermal comfort is met as per NBC 2005.

Water and waste

• Portable water test report indicates


conformity to IS code

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• Treated water test report indicates
conformity to IS code

Noise level

• Outdoor noise levels are within acceptable limits


as per CPCB
• Indoor noise levels are not within
acceptable limits as per NBC 2005
CREDITS

CLIENT : FORTIS HEALTHCARE (P) LTD, GURGAON,


WWW.FORTISHEALTHCARE.COM

PROJECT COORDINATOR : MR. SURENDER KUMAR,


FORTIS HEALTHCARE (P) LTD, GURGAON

PRINCIPAL ARCHITECT : AR. RAJINDER KUMAR,


RAJINDER KUMAR ASSOCIATES, NEW DELHI

LANDSCAPE ARCHITECT : MS. SANJOO BOSE, S BOSE

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LANDSCAPE CONSULTANTS, NEW DELHI

PROJECT MANAGEMENT CONSULTANT : MR. NITIN


KUMAR, FAIRWOOD CONSULTANTS (P) LTD, NOIDA

STRUCTURAL CONSULTANT : AR. RAJINDER KUMAR,


RAJINDER KUMAR ASSOCIATES, NEW DELHI

ELECTRICAL CONSULTANT : MR. ASHISH RAKHEJA ,


SPECTRAL SERVICE CONSULTANTS (P) LTD, NOIDA

GREEN BUILDING DESIGN AND CERTIFICATION :


GREENTREE BUILDING ENERGY (P) LTD, GHAZIABAD

GREEN BUILDING DESIGN AND ENERGY CONSULTANT


: THE ENERGY AND RESOURCES INSTITUTE
Getting done with
one .......finally

Biblography

05
To create a stunning presentation, it's best to
simplify your thoughts. Start with an outline of
topics and identify highlights, which can be
applied to whatever subject you plan on
discussing.
Start with a blank piece of
paper and make an outline.

Make sure you do enough research to


support your points. It’s also a good
EXPERT TIP ALERT: idea to pair data with visual aids like
charts, graphs, or images.

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