Fourth Years Hospital Design

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HINDUSTHAN SCHOOL OF ARCHITECTURE

OTHAKKALMANDAPAM, COIMBATORE – 641 032

DESIGN BRIEF – ACADEMIC YEAR : 2023-24 SEMESTER VII

AR8711 ARCHITECTURAL DESIGN VI Ar. KalaiVendhan, Ar. Anbuchchelvi

Course Objectives:

 To enable an understanding of architecture as having the capacity to critically interpret and


transform status quo in the built environment and society through the act of design.

 To guide in the taking of critical/ philosophical/ ideological positions relating to specific


design situations in the current world and to explore architectural morphology as an
expression of those positions.

Introduction

Architecture as a discipline balances many concerns in the creation of buildings. However, it also
represents ideas and production reacting to/ reinforcing/ anticipating/ transforming specific aspects
of the existing world towards a more desirable future. This could spring from individual
perspectives as well as through concerted efforts which then become movements. Architecture can
thus seek to understand, reflect, strengthen, question, change status quo. The process of design can
thus offer a possible, intended future.

“All architecture is shelter, all great architecture is the design of space that contains, cuddles,
exalts, or stimulates the persons in that space.” – Philip Johnson

A healthy urban healing environment


A healthy living necessitates for basic health infrastructure at each neighbourhood level to cater
emergency and epidemic situations exclusively after COVID hit. The architecture of a hospital is
the shell for all operational processes, the room for recovery for patients and the daily workplace for
doctors and staff. You might compare a hospital with a city—having all the functions from the
residential area next to the park, over the workplace for hundreds of employees up to the disposal
area and energy central. Cities are always changing, they have to adapt to new technologies and
new requirements, which means that the hospitals have to be able to change as well thereby it
should be in line with the intent of change status quo in the built environment.
.
In this regard the design challenge is to enable students to think and arrive at design solutions which
are not only functional but also aid the inmates to healing faster. The design needs to address
situations for building a hospital with communal living (residential quarters for doctors and staffs)
that is sensitive and responsive to long‐term human needs and well being, both physical and
emotional. A complete holistic approach towards design integrating function, structure, services,
interaction spaces, landscaping, adherence to local norms/rules; cost concerns, flexibility and
conscious choice of materials are appreciated.
Design Problem :

 The proposed healing environment should comprise of 200 bedded hospital with better
environment friendly setup, unique protective environment that also caters the communal
living with transitional healthy places.

 In this process, the students are expected to understand the importance of service
integration. Students are required to understand the nature, needs and ways of contemporary
urban society.

Requirements:

NO OF TOTAL
SL NO SPACE ROOMS AREA AREA
1. ENTRANCE ZONE
7.2 Administration offices
Reception And Lobby 1 100 100
Admission 1 100 100
Manager +Toilet 1 12 12
Office For 5 Persons 1 50 50
Medical Records Room And Store 1 30 30
Medical Registration Counters 5 7 35
Billing Counters 5 7 35
Common Toilets 1 30 30
Janitors Closet 1 4 4
Nurses Changing Room 1 10 10
406
2. AMBULATORY ZONE
2.1 Out Patient Consultation Rooms
General Medicine 1 20 20
Orthopedics 1 20 20
Gynecology 2 20 40
Cardiology 1 20 20
Pediatrics 1 20 20
ENT 1 20 20
Opthamology 1 20 20
Dentistry 1 20 20
General Surgeon 1 20 20
Psychiatry 1 20 20
Dermatology 1 20 20
Waiting/ Toilets Etc 1 100 100
340
2.2 Pharmacy
Dispensing area and issue counter 1 10 10
Queuing area 1 40 40
Pharmacist room+ toilet 1 15 15
Store 1 15 15
80
3. EMERGENCY ZONE
3.1 Emergency Department
Reception + Drive in Ambulance 1 42 42
Waiting area + Toilet (staff and Visitors) 1 42 42
Examination cubicles 2 10 20
Nurses station 1 10 10
Duty Doctors Room 1 25 25
Emergency ward (5 Beds) 1 40 40
Observation room (5 Beds) 1 40 40
Sluice room + Janitor room 1 15 15
Minor Operation Theatre 2 20 40
Drivers' retiring room 1 10 10
284
4. INTENSIVE TREATMENT ZONE
4.1 PEDIATRICS
Single Bed Rooms With Attached Toilets 10 20 200
General Ward (10 Beds) 1 12 12
Immunization Room 1 20 20
Nurse Station + Toilet 1 18 18
Duty Doctor + Toilet 1 18 18
Janitors Closet 1 4 4
Waiting Area + Toilets 1 20 20
Linen Store Room 1 15 15
Procedure Room 1 15 15
322
4.2 GYNECOLOGY
Single Bedrooms With Toilets 30 15 450
General Ward (12 Beds) Into 2 Or 3 Wards 1 150 150
Nurse Station + Toilet 1 20 20
Waiting Area + Toilets 1 20 20
Linen Store Room 1 15 15
Premature 1 21 21
Normal 1 21 21
Duty Doctor + Toilet 1 18 18
Stores 1 10 10
Sluice Room 1 10 10
Procedure Room 1 15 15
Janitor's Closet 1 4 4
95
4.3 CARDIOLOGY (Non Surgical)
ECHO Cardiogram, Treadmill 1 25 25
ECG 1 10 10
Single Bedroom With Toilets 10 20 200
Procedure Room 1 15 15
250
4.4 ORTHOPEDIC SURGERY
Consultation And Examination Rooms 2 16 32
Plaster And Splint Storage Room 1 20 20
Plastic Cutting Room 1 20 20
Minor Procedures 1 15 15
Department Of Ortho Surgery Office/ Records 1 15 15
Department Of Ortho, Surgery Stores 1 15 15
Staff Room For Technical Staff 1 15 15
Waiting Area+ Toilet 1 35 35
167
4.5 ENT
Consultation And Examination Rooms 2 16 32
Single Bedrooms With Toilets 5 15 75
Minor Procedures 1 15 15
Audiometry room 1 20 20
142
4.6 Opthamology
Consultation And Examination Rooms 2 16 32
Consultation-cum-refraction room 2 16 32
Treatment room 1 20 20
Single Bedrooms With Toilets 5 15 75
Minor Procedures 1 15 15
174
4.6 Dentistry
Consultation‐cum‐surgery room 2 16 32
Dental hygiene room 1 15 15
Dental workshop room 2 20 40
Minor Procedures 1 15 15
102
5. DIAGNOSTIC ZONE
5.1 Radiological Services
Reception and waiting area 1 26 26
X Ray rooms with changing rooms 2 26 52
Film developing, processing, drying and storage
1 45 45
rooms
X Ray record room 1 20 20
Radiologist and technicians office + toilet 1 25 25
Ultrasound room 1 26 26
CT scan control room 1 40 40
CT Scan computer room 1 40 40
CT scan Machine room 1 80 80
MRI room 1 70 70
Janitors closet 1 6 6
Electrical Panel room 1 12 12
442
5.2 Clinical Laboratory
Reception And Specimen Collection 2 26 52
Patients Waiting Area With Toilet 2 26 52
Medical Officer Room + Toilet 1 20 20
office and record room 1 30 30
store 1 12 12
Laboratories 2 25 50
Specimen, disinfections, disposal and sluice room 1 12 12
Janitors closet 1 4 4
232
5.3 Blood Bank
Doctor's room + Toilet 1 10 10
Lavatory 1 7 7
Collection room cum storage 1 25 25

42
5.4 PHYSIOTHERAPY
Therapy Room 1 200 200
CRITICAL ZONE
6.
6.1 OPERATION THEATRE Department
Ot Reception 1 10 10
Waiting Area + Toilets 1 21 21
Change Rooms 2 18 36
Technician Change Room 1 10 10
Sterile Store 1 18 18
Instrument & Linen Store 1 18 18
Trolley Bay 1 18 18
Pre-Operative Room 2 14 28
Recovery Room (4 Beds) 1 35 35
Nurses Duty Room 2 10 20
Theatre Preparation Room 2 10 20
O.T (Major) 2 35 70
O.T (Minor) 2 30 60
Sterilization Room 2 10 20
Scrub Up 2 10 20
Anesthesia Room 1 15 15
Dirty Utility 2 10 20
Janitors Closet 1 6 6
445
6.2 DELIVERY SUITE
Examination & Preparation Room + Toilet 1 14 14
Doctors Change Room 1 10 10
Nurses Change Room 1 10 10
Sterile Storage 1 14 14
Maternity Ward (8 Beds) 1 145 145
Recovery Room 1 20 20
Labour Room 2 21 42
Delivery Room 2 21 42
Operating Delivery Room 2 28 56
Sterilizing & Scrub Up 1 10 10
Baby Wash 1 12 12
Dirty Utility 1 10 10
Janitors Closet 1 4 4
Waiting Space + Toilet 1 20 20
409
6.3. I.C.U
Waiting Area + Toilet 1 20 20
Nurse Station + Toilet 2 18 36
Doctor Room + Toilet 2 18 36
General I.C.U. (20 Beds) 1 160 160
Trolley Bay 1 10 10
Janitors Closet 1 4 4
NICU (05 Beds) 1 120 120
PICU (05 Beds) 1 120 120
Gynecology ICU (5 Beds) 1 90 90
596
INTERMEDIATE ZONE
7.
7.1 WARDS
General Ward 1 - Medical (Including allied specialty) 30 Beds
General Ward 2 - Surgical (Including allied specialty) 30 Beds
Four Sharing Room 40 Beds
Private Ward (AC and Non AC) 15 Beds
VIP – Suite Room 05 Beds
Maternity Ward 10 Beds
Pediatrics Ward 05 Beds
Nurse Station

Duty Doctor Room

Gynecology ICU (5 Beds) 1 90 90


NICU (05 Beds) 1 120 120
PICU (05 Beds) 1 120 120
General I.C.U. (20 Beds) 1 160 160

7.2 Central Sterile Supply Department


Store room 1 14 14
Reception and wash-up area 1 21 21
Checkups and assembly 1 21 21
Autoclave preparation room 1 21 21
Storage and issue section 1 14 14
Sterile storage 1 14 14
Distribution and collection 1 14 14
Cleaning drying and packing 1 14 14
Sterilization unit 4 10 40
Staff room+ toilets 1 20 20
193
8. SERVICE ZONE
8.1 SERVICES
Manager's Office 1 9 9
Maintenance Room 1 12 12
House Keeping/Clean Linen Supply 1 15 15
Dirty Linin 1 15 15
Laundry 1 100 100
Stitching 1 10 10
Kitchen + Store 1 100 100
Store ( Provision & Fuel) 1 12 12
Dietitian Room 1 10 10
Dining AS
REQUIRED
283
8.2 MECHANICAL SERVICES 0
Electrical Room 1 16 16
Mortuary 1 15 15
Transformer Room 1 300 300
Oxygen Storage 1 15 15
Autopsy 1 15 15
Waste Disposal 1 50 50
Water Management 1 100 100
Chiller Plant 1 100 100
Air Handling Units As per
requirement
s
611
8.3 Central Administration department
Medical Director 1 35 35
Medical Superintendent 1 35 35
Hospital Management Unit 1 25 25
Residential Medical Officer 1 20 20
Nursing Superintendent Office 1 20 20
Office Stationary Store Room 1 15 15
Board Room/ Conference Room 1 30 30
Pantry 1 8 8
188

9 RESIDENTIAL ZONE
Medical Director/Dean Villa 1
Deputy director Villa 2
Management Officer Villa 4
Chief Doctor’s quarters(10 Nos.) 1
Officer’s quarters 1
Apartments/Flats for Residential Doctors 1
Apartment for staffs 1
Apartment for supporting staffs 1
Design Methodology:

(i) Understanding of the Project and Data Collection: To Explore, understand and
critically examine the parameters involved in varied setting including urban
patterns/ways of life and needs, demographics, socio-cultural aspects, densities, land
use, etc., Students will be delivered lectures and presentations on various ideologies of
health infrastructures, community living, recreational spots. During this stage, each
student should present in butter sheets about each functional space along with
requirements in detail with proper understanding of spatial standards at the end of two
weeks.

(ii) Case studies and Site Analysis: Literature studies are to be undertaken by the students
with various urban contexts at national and international studies. Students will be taken
to live study. This will require detailed study of the built space of the selected projects
with the clear idea along with the standardized utility, form and structure, aesthetics of
the space and premises and recording of all data and inferences. Depending on various
topics viz., harmonious living; design from promoter’s, architect’s and users’
perspective; formulation of program; grouping of apartments; health centre’s function;
entrance zone; ambulatory zone; emergency zone; diagnostic zone; critical zone;
intermediate zone; service zone; residential zone; amenities; landscape, parking and
driveways, students must deliver a seminar within a group comprising on four members
each. With reference to the case study analysis, the proposed site should be analyzed by
factors of site inventories.

(i) Design Analysis&Development: To develop image ability of respective place making


through conceptual sketches with creative thinking. Looking at the output for the end
user in a urban setup, the factors for inclusive design spaces include
a. End-user demand
b. Practical planning with vehicular and pedestrian learning
c. Reasoning for orientation of functional spaces
d. Integration of hospital services.
e. Transformation of the skyline of the urban setup.

With this as the focus, ideas and strategies need to be evolved and translated specific to
the context. Students will be asked to present their conceptual ideas in three dimensional
form or using other related modes and techniques.

(ii) Design Detailing: The design needs a holistic approach towards design integrating
function, structure, interaction spaces and conscious choice of materials. The exercise
would make the students respond appropriately to the chosen character of the area,
landscape setting and surroundings.Outcome: Technical drawings - Plans, Sections,
Elevations, Detail Drawings. Presentation: Effective presentation of an Architect’s
vision through drawings (2D and 3D) Site plan, floor plan, roof plan, façade (elevation),
section highlighting the strengths of the design & models.
Site details :
The site is about 15 acres.

Design project standards and requirements:

1. Following rules apply to the site:


 FSI – 2.5 %
 Maximum plot coverage ‐ 50 %
 Maximum height permitted ‐.3 6 m
 Setbacks on all sides as per Developmental Regulations of CMDA.
2. Parking
 Parking space for two wheelers and four wheelers shall be decided as per the
standards.
 Separate parking facility shall be provided for Doctor and Admin.
 Dedicated ambulance parking is mandatory.

3. General Guidelines
 All the vehicular entry and exit shall be minimum 7m wide (2 Lane).
 Students are required to refer DCR for the prevailing regulations.
 Pedestrian entry shall be given separately and minimum width of it shall be 1.5m.
 Separate entry for the ambulance shall be given.
 Dedicated parking for the doctors and admin shall be provided.
 Taxi waiting zone shall be designed.
 All the corridors shall have a minimum width of 1.5m and above.
 Fire escape staircase and rescue balcony shall be provided as per the standards.
 Interactive spaces like open courtyards, seating areas, water ponds and so on shall
be integrated to create a better environment.
 Wheel Chair, Trolley Area has to be provided.

Tentative Schedule:

Design Phase Date Submission required


Understanding of 3rd July Introduction of Hospital project
project and data 7th July Presentation of understanding about topic and standards,
collection Identification of literature case examples
11th July Site Visit, site study
19th July Live study
24th July Presentation of datas, literature study with case examples

Case study and site 7th Aug Submission of live study report
analysis 11th Aug Site Analysis, Zoning

Design analysis 18th Aug Design concept


and development 25th Aug Stage 1 Ideation with schematic sketch
1st Sep Stage 2 single line sketch of all areas
8th Sep Stage 3 complete design development master planning
15th Sep Stage 4 double line planning

Design detailing 22nd Sep Final design


29th Sep Final detailed site plan
6th Oct Detailed floor plans
20th Oct Sections and elevations

References:

 Kate Nesbitt, 'Theorizing a New Agenda for Architecture', Princeton Architectural Press,
1996.
 Neil Leach, 'Rethinking Architecture', Routledge, 2000.
 Harry Francis Mallgrave and David Goodman, 'An Introduction to Architectural Theory-
1968 to the Present', Wiley Blackwell, 2011.
 Stephen A. Kliment, Editor 'Building Type Basics' Series, Wiley.
 Mitchell WJ, 'Imagining MIT: Designing a campus for the 21st century', MIT Press, 2007.
 Himanshu Burte, 'Space For Engagement', Seagull Books, 2008.
 Mark Garcia, 'The Diagrams of Architecture', Wiley 2010.
 Bjarke Ingels, 'Yes is More', Taschen, 2009.
 Steven Holl, Juhani Pallasmaa, Alberto Pérez Gómez, 'Questions of perception:
 Phenomenology of Architecture', William Stout, 2006.

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