Professional Documents
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Hospitalpresentation 190311175112
Hospitalpresentation 190311175112
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Standard
FUNCTIONS:
THE HOSPITAL AS A BUILDING TYPE IS COMPLEX
COMPONENTS
T
A
N
D
A
Functional Relationships
Admitting dept functional flow chart
Physician
Refered Self refered
individuals individual
Reservation Receptionist
Patient
transfer
1
and Scheduling
discharge
Financial Medical
1 Pre-admiting 1
Manage records
ment
information
Safekeeping interview
Patients
1
valuable Escort
Identification device
And charge plate
Inpatients outpatients
Information services services
Information flow
distribution Nursing units Diagonstic x-ray
Route patient flow Medical Laboratory
Surgical Physical therapy
Emergency patient flow All units Obstatric Out patient clinics
Admitting department
1
concerned Pdiatric Emergency services
Other units
Source__Time Savers Standard s
INTER-DEPARTMENT RELATIONSHIP
ADJUNCT DIAGNOSIS FACILITIES
DRUG
TREATMENT DISPENSARY
Consultant
office
EXAMINATION
ROOM, HISTRY
WAITING ROOM
DELIVERY ROOMS
S OUT PATIENTS
SUPERVISOR
A
LOCKERS LOCKERS ROOMS
(DOCTORS) (NURSES) (PATIENTS)
N
CLEAN UP
D
SUPPLIES,
JANITORS,
STRETCHERS
ADJUNCT DIAGNOSTIC
FACILITIES SURGERY DEILIVERY SERVICES
LAUNDRY
,KITCHEN
,DINNING ,STUFF
HEALTH OUT-PATIENT EMERGENCY ADMINISTRATION ROOM ,NURSE
(staff, patients,
CENTER DEPARTMENT (ambulance) ROOM & LOCKER
visitors) ,STORAGE ,
MECHANICAL
FIG: GENERAL HOSPITAL ROOM. NURSING
S
LIBRARY, INFORMATION
TO NURSING
TOILET BOOTH
FIG: EMERGENCY DEPARTMENT
T FIG: ADMINISTRATION DEPARTMENT
A IN PATIENTS
N PHYSICAL
RADIOLOGY LABORATORY EMERGENCY PHERMACY
MORGUE&
D
THERAPY AUTPSY
S
WARD CORRIDOR/NURSING AREA MAIN CORRIDOR(SPINE) MEDICAL SERVICES CORRIDOR
T
A
N SERVICE CORRIDOR, WORKING CORRIDOR, WARD CORRIDOR, INTENSIVE CARE
D
DELIVERIES, STORAGE AREA SURGICAL AREA
WIDTH OF CORRIDOR (MINIMUM)
user Width in meter (minimum) Width in feet(minimum)
A Under 50 person
Over 50 person
for bed moving condition
0.9
1.1
2.4
2.95
3.6
7.9
LIFT & STAIR
LIFTS
1 MULTIPURPOSE SHOULD BE PROVIDED PER 100 WITH A MINIMUM OF 1 FOR SMALLER HOSPITALS.IN ADDITION THERE
SHOULD BE A MINIMUM OF 2 SMALLER LIFTS FOR EQUIPMENTS,STAFFS AND DOCTORS.
T BOUNDARY WALL :
A
1. 1.73sm HEIGHT FROM GROUND LEVEL.
2. 2.64sm FOR GRILL.
3. USING OF AND BRICK WALL (SHOULD BE 2.64sm HIGH) OWNER IS CAPABLE TO CHANGE THE HEIGHT FOR BETTER
N APPEARANCE,UNDER THE PERMISSION OF RAJUK.
RAJUK RULE ( BOUNDARY WALL)
D
TO PROTECT THE SITE A BOUNDARY WALL AT BEST 1.73sm (APPRX) HIGH AND 2.70sm (APPRX) GRILL,NET OR ROLLING ENCLOSER
SHOULD BE MADE.IN CASE OF NET AND GRILL MADE ENCLOSER HEIGHT SHOULD NOT EXCEED 1.73sm FROM THE GROUND.
•Minimum size of lift car should be 1500mm X 1200mm •Flight of exit ramp should not be more than 1 :12
•If the ramp is more than 1:15 than a guard or hand rail must be
provided at both side of the ramp.
•Minimum distance of two hand rail must be 1200mm
•If the single flight of a ramp is more than 9m then there should be
a landing in the ramp which should be 1.5m X 1.5m ( for electric
wheel chair it is 2,5m X 2.5 m
25m 25m
IN-PATIENT DEPARTMENT
FIG. 1: SINGLE ROOM (SMALL) FIG. 2: SINGLE ROOM FIG. 3: FOUR-BED ROOM
(MEDIUM SIZE)
T SIZE OF BEDROOM:
A
SINGLE ROOM: 117 TO 172SFT
DOUBLE ROOM: 157 TO 210SFT
FOUR-BED ROOM: 308 TO 401SFT
N • IN THE TWO AND FOUR BED ROOMS A CLEAR DISTANCE OF 14’ FOR TWO BEDS AND TWO BED-
D •
SIDE TABLE IS NECESSARY.
ACCORDING TO USPHS STANDARD, THE CLEAR DISTANCE IS NEARER 15’.
A
• LAVATORY, TOILET DOOR OR WARDROBE DOOR DO NOT ENCROACH INTO THESE CLEAR
DIMENSIONS IN THE BETTER ROOMS.
IN-PATIENT DEPARTMENT
FURNITURE:
• BED SHOULD SET PARALLEL TO THE EXTERIOR WALL, SO THAT PATIENT CAN LOOK OUT WINDOW
WITHOUT FACING DIRECTLY INTO THE BRIGHT SKY.
• ACCORDING TO ECONOMIC STATUS OF PATIENTS THE FURNITURE LAY OUT MAY BE VARIABLE .
FIG. 6: WALL ELEVATION OF SINGLE ROOM (LEFT) AND DOUBLE ROOM (RIGHT)
LEGEND: 3. OXYGEN OUTLET 6. NIGHT LIGHT – SWITCH OUTSIDE ROOM
1. OVER BED LIGHT 4. SUCTION OUTLET DOOR
2. NURSES’ CALL 5. SUCTION BOTTLE BRACKET 7. DOUBLE DUPLEX OUTLET
8. TELEPHONE, RADIO, TV JACKS
2A.MICRO SPEAKER IN CEILING 3’
BED DIMENSION:
WIDTH: 2’6’’ TO 3’
HEIGHT: 1.96’/600MM TO 2’
LENGTH: 7’3’’
BED SIDE TABLE: 16MX20M
1.6m/ 5.24sft
HIGHT-4’6’’ AREA PER BED COMPARISON
SHELVES: HEIGHT- 4’6’’
11.2 m
11.2 m
BED SPACING:
12.8 m
A BED SPACING OF
1.6M / 5.24 TO 5.5FT
8m
6.4 m 6.4 m
TOTAL AREA: 82SQM TOTAL AREA: 90SQM TOTAL AREA: 72SQM
AREA PER BED: 5SQM AREA PER BED: 5.6SQM AREA PER BED: 6.0SQM
SPAN: 6.4SQM SPAN: 8.0SQM SPAN: 6.4SQM
OUT-PATIENT DEPARTMENT
Fracture
Main Entrance clinic
X-Ray
Pathology
Separate
entrance
Out-patient dept.
S Fracture clinic Radiology
T
A Separate op entrance
X-Ray
N
Lobby & waiting
Accidental emergency
•The patients lounge should be of 25-30 m2.generally in out patient department patients and person accompanying them
wait in the lounge
OPERATION THEATRE:
DESIGN PRINCIPALS:
- Cleanliness
- Adequate space
- Good quality lighting and ventilation
SUPERVISOR
CHANGING NURSES
SCRUP UP
ANT
ROOM ANESTHESN
ROOM
E
ANTE
STERILIZI MAIN THEATRE DOCTORS NURSES
ROOM LOCKER
ZING LOCKER CENTRAL
ROO ROOM ROOM
STERILIZING
M SUPPLIES
CHANGING
ROO PATIENTS NURSES
M DOCTORS
MINOR THEATRE WARDS OTHER
HOSPITAL AREA
FIG.OPERATION THEATRE
PRE- POST-
SURGERY OPERATIVE
OPERATIVE
INJECTION ROOM AND DRESSING ROOM
WARD
WARD ARRANGEMENT
S
T
A
N
D
A
FUNCTIONAL RELATIONSHIPS
Flow chart of individual parts: Legend:
Food
Service
Patient
Staff
Visitor
Wards
Bulk kitchen
staff dinning rooms
Phys.Med
O.T X-ray Path Pharmacy
Casualty &
Admission dept
Wards
F Wards
L
O
w Pharmacy
Wards
F
L O.T Pathology Mortuary
Wards
C Plaster room
H
A
Outpatient dept
FUNCTIONAL RELATIONSHIPS
Legend:
Food
Service
Patient
Out-patient dept Staff
Bulk kitchen
F staff
dinning rooms X-ray Path
Ph ys.Med Phar-macy
L Casualty &
O admission
dept
Outpatient dept orthopedic clinic
Wards
C O.T X-ray
H
A
Casualty & admission dept Outpatient dept
Occupancy type D
Area needed for per person in health facility
building:
According to the use of the building the type can be TYPE OF AREA FLOOR AREA
PER USER
classified into two categories:
Inpatient area 15sqm
gross
D1 :Normal medical facilities Out patient area 10sqm
gross
The buildings under single management in which
general and specialized medical surgical and other
treatment is provided to person suffering from physical
limitations because of health fall under this category.
50% open
For example: Hospital ,clinic ,nursing homes space
,diagnostic center laboratory
Built area
Open area
D2 : Emergency medical facilities
The building or the part of building which has the
function of providing essential medical facilities Means of access:
having surgery , emergency and casualty treatment Public or private road or street are the means of
areas which is equipped and designated to handle access for the buildings.
post disaster emergency and is required o remain
operational after disaster is included in this category. Open spaces:
For example: Emergency and casualty units of For any kind of educational institution, health care
designed hospital and clients and dispensaries built center etc. open area should not be less than 50% of
as part of disaster preparedness program. the plot area.
Ventilation, Natural light and Courtyard :
•Every building must be well ventilated with window, skylight and fan and light.
•Window area should be 15% of the total floor area of the residential and industrially
used building
•If there is insufficiency in natural ventilation ,mechanical ventilation should be provide.
•Basement floor area should be well ventilated
•If the ventilation source is the courtyard than the size of the courtyard should be
determined as the following chart:
In the courtyard the minimum length must be 1/3 of the maximum building height.
This bags are putted on the waste basket according to their need .For example The black bag are
seen on the administrative part but the red waste bag is found on the lab section.
Danger Emergency
LAB SECTION : Waste
waste waste
entry
5 St. Hospital
building
2 St. ICU
2 St. damage
building
2 St. quarter
Master plan
Medical college
Medical hospital
playground
zoning
Road network
Entry
Internal Road Network
Site Plan
case study
Name : Dhaka Medical College
Area :109265.665 sqm/1633.468 katha/81.673 Bigha
Established : 1946
Administrative staff : 3,406
Students : 1,050
Postgraduates : 900 (2009)
Location : Ramna, Dhaka, Bangladesh
SHAHBAGH ROAD
TSC
MAIN ROAD
SEC0NDARY ROAD
Outpatient entry
Store
Out patient department
1st floor : department of
1. eye 3. skin
2. psychiatry 4. venereal 5. ent
chamber
Chamber
Blood bank
Casual OT
Corridor
Fig : Radio therapy and cancer department
Fig : ward
Fig : Central Mosque
Existing
College
Building
500 bed
Hospital
building
Out patient
Department
Lady
Hostel
Hostel
ward
Nurse
Hostel
Hostel
ward
Boys
Hostel
Road network
Entry
Internal Road Network
Site Plan
Building no 1
(500 bed hospital Medical college
building) Building
Site Plan
Building no 2
Building no 3
Outpatient Dept.
Hostel Ward
Building no 1 (500 Bed Hospital Building, 11 storied)
Emergency
Department
Reception &
Vertical
Fig: Ground Floor Circulation
Plan
ICU and
Observation
Room
Storage
Room
Doctor’s
Room Wash
Room
Nursing
Station
Secondary
Lobby
Entry
Lobby
ICU ( Intensive Care Unit)
ICU Washroom
NCU
Departments (7th Floor)
Urology Department
Building no.2 ( Out-patient Department)
Eye
Medicine
department, Surgery
department,
Outpatient Department
Outpatient
Family Washroom
Planning
department
Waiting
and
Reception
Stair and
Ticket Lift
Counter
Entry
Building no.2 ( Out-patient Department)