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SUBMITTED BY

• A. PRANAY KUMAR REDDY • BHANU CHANDRA REDDY


• 11909909 • 11907035
• GROUP 1 • A1904
• ROLL.NO 08 • GROUP 1
• A1903 • ROLL.NO 12
Emergency Department:

EDs need to be placed in an area of the hospital that is


easily accessible to Emergency vehicles entering the site. Typical ED layout:
The situation must allow ease of access and egress from
the department. Emergency department needs to be
essentially situated on ground floor, as near as possible or
in front of entrance gate of the hospital.

A full fledged emergency department has the


following areas of care:
EMS (Ambulance) Coordination Center

Triage

Resuscitation Area

Major Trauma / Medical Areas

Consultation Rooms

Patient Waiting Area

Minor Procedure Rooms

Major Operating Room

Observation Units

Injection Room

24 hour Pharmacy

Prayer Room

Library and Reading Rooms Source:


Doctors Restroom NABH standard's
Cafeteria Emergencymedicine.in
24 hour internet access to online journals and medical Images are from secondary
information source

literature study
Reception area
•ED should have a dedicated Reception are
• EMS (Ambulance) Coordination Center: a
• The Emergency Medical Services (Ambulance services) of the hospital is the community's main •Seats for waiting patients must be an
access to the hospital in an emergency and is also the most visible part of the emergency appropriate distance from the reception
department to the public eye. desk. It is advisable for the reception area
and waiting areas to be separate.
• Entrance & Reception Area •A wheel-chair accessible reception booth
should be provided and considered in the
• Signboards with proper direction should be displayed at the entrance gate of the compound & design.
also at the entrance of casualty.

• BIS has recommended 1.75 sq.m per hospital bed for the reception area
• Each triage/ assessment cubicle should have;
• It should be clearly visible & reachable without blocking human or trolley traffic. - A service panel
- Examination light
• Entrance to casualty area should be broad enough to permit two ambulances. - Desk
- Chair on wheels
• Waiting Area
- Patient chair
• There must be facilities available such as adequate sitting accommodation, drinking water, - Trolley
toilets, telephones, public address system to call relative of patient to inform about patient’s - Computer console with nearby printer access
condition etc. - Ophthalmoscope / otoscope
- Equipment for physiological measurement
• Minimum floor area:The waiting area should measure at least 4.4 m2 (vital signs, oxygen saturation, temperature, near-
patient blood sugar testing)
• 20 sq ft per person for small seats
- Sharps containers
• Triage: - A foot stool
- Waste bins
• Every emergency department has a triage or triaging area to sort incoming patients. - Access to a weighing scale
- Hand-washing facilities
• The minimum acceptable floor area per Triage/Assessment Cubicle is 16meter sq. - Storage for wound dressings etc.
- Access to paper-based documentation, if used.
• Minimum floor area:the minimum combined Reception and Triage area must be 1.8 meter sq.

Source:
NABH standard's
Emergencymedicine.in
Images are from secondary source

literature study
M ajor Trauma / M edical Area

• All priority II patients are managed here. This area will have dedicated EM
physicians (along with EM nursing staff) looking after the patients directed
here. M ajority of the ED admitted patients are assessed and managed here.

• M inimum size for single bed resuscitation room is 25m2

•Consultation Rooms
•Since majority of the patients coming to an ED do not have an emergent problem,
they are assessed and treated on outpatient basis in the consultation rooms.

Minor Procedure Room


Procedures like washing, dressing & suturing of wounds, reduction & splinting of
fractures & dislocations, and other minor surgical procedures are done here.

Major Operating Rooms


-Any major emergency surgery can be conducted here by the operating team.
Emergency physicians are usually not involved in any major surgery, even though they maybe qualified in
that field.
Source:
-the area requirednfor a operating room in 28 – 46 m2 NABH standard's
Emergencymedicine.in
Images are from secondary source

literature study
• Observation Units

• Each treatment are required 15 sqm .Patients who need to be admitted and observed for less than 24 hours are placed here. Suc h patients are
those with non cardiac chest pain, acute asthma, vague abdominal pain, minor head injury, acute depression, febrile convulsions, dehydration,
etc. Dedicated staff from emergency medicine look after these patients.6 to 8 beds are required .

Nursing work station :


-The staff station must be at least 10m2
-Desk area of minimum 1.2m wide by
600mm deep ,per individual work desk

24 hour internet access


A 24 hour internet access is a must to any ED since patients with
unknown and difficult diagnoses must be dealt with in short spans of Clinical Areas:
time. Internet provides access to online journals, poison and Patient access:
toxicological information, other emergency departments and various Amubulance facilities
reading material. Amubulance entrance
Amubulance equipment storage area
Decontamination area
Walking entrance
Reception area
Patient care areas:
Triage area isolation rooms
Amubulance Patient Triage area treatment area / majors area / urgent area
Source:
Waiting room special function treatment rooms NABH standard's
Paediatric waiting room ambulatory care area / minors area Emergencymedicine.in
Sub-waiting area nurse practitioner area Images are from secondary source
Resuscitation area patient toilets

literature study
• CORRIDORS:
• Access corridors 1.5 m wide
• Patients corridors 2.25 m wide
• DOORS:
• Normal door 2.2m
• Vemhicale entrance 2.5m
• Transport entrnce 2.8 m
• STAIRS:
• Width 1.5 -2.5 m
• Step height 170mm
• Tread depth 280mm

Source:
NABH standard's
Emergencymedicine.in
Images are from secondary source

literature study
Outdoor Patient Department

• What does OPD mean?

• OPDstands forOutdoor Patient Department

• Outpa tient Department An OPD i s a hospital


department designed to be a first contact point
between the patient and the hospital staff. A
Pa tient who goes first time to the hospital, he
di rectly goes to OPD and then the OPD decides to
whi ch department a patient s hould go.

A full fledged OPD has the following areas of care:

RECEPTION AND ENQUIRY


WAITING AREA
NURSING SERVICES Source:
CLINICS
PHARMACY UNIT NABH standard's
Emergencymedicine.in
Images are from
secondary source

literature study
• Reception CLINICS
PATIENT AMENITIES A medical clinic is a type of facility that’s
The hospital is a strange place for an
Potable drinking water focused on outpatient services. Being an
outpatient. He may be frightened and need
reassurance and guidance. Function and clean toilets with running water outpatient means that you can go home
Enquiry Desk Seating arrangement as per load of patient` after you receive care.
The Enquiry area should have all the Medical clinics can be operated publicly,
information pertaining to the hospital and privately, or by the government.
public services You often need to make an appointment to
go to a medical clinic, although some clinics
may also accept walk-ins. Generally
speaking, you can go to a medical clinic for
the following types of health-related
services:
• routine medical care
• preventive care
NURSING SERVICES • medical attention when you’re sick
The personnel consists of nursing superintendent,
assistant nursing superintendents, head nurses
WAITING AREA and staff nurses. All of these are registered
In hospital emergency department waiting areas, nurses, other personnel who
patients are triaged by a nurse, and they are seen function in the nursing service department may
by the doctor depending on the severity of their include the auxiliary personnel nurse aids and
medical condition. domestics who handle the non-nursing services.

PHARMACY UNIT
Pharmacy is the clinical health science that links
medical science with chemistry and it is charged
with the discovery, production, disposal, safe and
effective use, and control of medications and
drugs.

literature study
INPATIENT DEPARTMENT
(IPD)
As an in-patient of the Indian Spinal Injuries
Centre, you have the right to receive considerate,
respectful and compassionate care in a safe
setting. You also have the right to ask your
attending doctor to explain your diagnosis and the
line of treatment. For seeking admission to the
hospital you would need to follow the procedure
outlined below.

Forms of Inpatient Ward:


difference between OPD and IPD in hospitals
Availing Healthcare An inpatient There are different types of ward design
department or IPD is a unit of a hospital or a
healthcare facility where patients are admitted for 1.Open ward or Nightingale Ward
medical conditions that require appropriate care 2.Rig's Pattern Ward (Unilateral or Bilateral)
and attention. An Inpatient 3.Modified Rig's Pattern Ward
Department of the hospital is equipped with beds, 4. "T" and 'Y" Shaped Ward
medical equipments, round the clock availability 5. L', 'H', 'E" Shaped Ward.
of doctors and nurses.

Function of Inpatient Department


To provide highest possible quality of medical
and nursing care.
To make a provision of essential equipment,
Drugs, and other material required for patient
care.
To provide comfortable and desirable
environment to patient on temporary
substitution of home.

literature study
• Nightingale Ward
Components of ward unit
• This type of ward was designed in 1770 by Frenchman, Later it was adopted by Primary Accommodation: It consists of single bedroom or multiple bedroom for patients and a
Florence Nightingale and is known by her name. The characteristics of Nightingale nursing station.
ward is: Patient Bed in two row at right angle to the longitudinal wall. Ancillary accommodation: service for direct support of treatment. Eg: portable x-ray, side
lab,Pantry, Dietician service in ward, mobile pharmacy.
• It may have side rooms for utilities and perhaps one or two side rooms, that can be
used for patient occupancy when patient isolation or patient privacy is important. -Primary accommodation:
Factors Affecting/Influcencing ward
-Aim of ward design:
Design
-General ward:Healthy
Hospital policy and plan
-Environment
Function and location
-Pediatric/ psychiatric ward- Safety
Relationship with other departments
-Geriatric ward- Safety/comfort
Staffing pattern
-Obs/Gyne ward - Privacy
Disadvantage of Nightingale ward Workflow
-ICU- Nursing Care
Communication
-OT-Infection control
Noisy and no privacy for patient Safety issue
-Size of ward :depending upon type of patient, kind of nursing and manpower.
Risk of cross infection Emergence of hospital infection
-NHS, UK recommends 24 bed/ward
Fatigue of Nurses Dignity and privacy of patient
-Traditionally it's 32(+/-)10 beds/ward
Space between bed reduced -Area of ward :90 -110 sq.feet /bed (8-10 sq.meter)
Physical Facilities -Distance between center of two bed -2.25 -meter,not less than 2 meter.
Rigg's Ward Location :Away from parking and crowd -Distance between two bed -1.25 meter
It was first made in Rigg hospital in 1910 in area, adjacent to support and diagnostic -Width of corridor -2.4 meter
Copenhagen. services, should be away from mortuary. -Distance between bed end and wall-0.25m
Ward unit is divided into small compartments Circulation: Vertical or -Distance between bed wall and bed nearest to side wall-0.65 meter.
separated from each other. Each compartments horizontalVertical circulation can be
having 4-6 or more beds arranged parallel to the arranged with less space with central
longitudinal wall. Bed may be on one side or both vertical spine for lifts, conveyers and stairs
side of nursing station. Isolation room (1 or 2) can and pipe lines. Reduces patient errors and
be kept in ward. cross infections.
Horizontal circulation: eliminates
Disadvantage of RIG'S ward include
requirement of expensive vertical
Communication between patient and nurse is
transportation system, suitable for inpatient
more difficult
up to 300 bed strengths.
Direct observation of patient is difficult. Authors
More staffing required Pattison HM, Robertson CL.
Costly and difficulty to maintain than Open Source
ward. Journal of advaneed nursing 23:1 1996 Apr pg
820-6

literature study
• Ceiling Height: at least 3 meter., Height of suspended ceiling fan -at least
2.6 meter.
Other Facilities
• Windows: if only in one wall then it should be 20% of floor area, if Water & electricity supply :300 ltr water /bed/day round the clock supply
multiple windows then 15% of floor area.

• Corridors: the width of corridor recommended is 2.4 m to faciliate


movement of trolley,bed ,stretchers

• Door: should not be less than 1.2 meter wide and 2.25 m tall.

• Bed side locker/cupboard-must

• Chair sofa/sofa cum bed- for visitors For electricity, Point should be carefully designed with every cubicle having
• Other facilities-depending upon rooms(private/semiprivate/deluxe/semi switches / one industry switch for machine like portable x ray/ natural lights
deluxe) should be planned / provision of night light
Communication: There should be effective communication source between
• Nurse station: should not be less than 60 sq. feet with nursing table,sisters nurse and patient and nurse and other units.
room and build in cup board. with provision of large glass window for Fire safety: there must be provision for fire extinguisher,with fire exit stairs
observation is possible. with ramp

• Auxiliary Accomodation

Doctors room :120 sq ft

• Nurse room :120 sq feet • Sanitary accomodation

• Space for stretcher trolley 21 sq ft • Toilet with washroom/bathroom & WC-50-70 sq ft Janitors closet -7 sq ft

• Store room :200 sq ft • Only WC -4-5 sq ft

• Clean utility room -80 sq ft • Only shower -6.5 sq ft Ramp width-1.5 meter (1:12 feet) ( (4.8 degree angle; 8.3% grade)
Hot and cold water supply
• Sluice room -120 sq ft • Dirty utility -120 sq ft Nurse call system
Clock
• Recommended- urinal (1 for 16 bed ) WC- (1 for 8 bed) bathroom (1 Oxygen cylinder/suction pipe /thermometer holder.iv stand etc.
for 12 bed) wash basin (1 for 10 bed)

literature study
PUNJAB INSTITUTES OF MEDICAL SCIENCES PIMS
INTRO DUCTIO N PIMSHAST HREE ENTRANCES: PLAY GROUNDS
• MULT I SPEECIALITYHOSPITAL AND MEDICAL INSTITUTE. • T O EMERGENCY. ZONING
• DESIGNED BYAR. GAUT UM SHAH. RESIDENCIAL FLATS ARE
OFFICE BUILDING LOCATED ON THE BACK
AHEMDABAD AND NANDI & ASSOCIATES, EMERGENCY BLOCK/ SIDE OF COMPLEX
JALANDHAR. O.T BLOCK HAVING SEPARATE
WARDS APPROACH ROAD 12 M
• CONST RUCT IONCOMPANY LARSENAND WIDE FROM THE
T OUBRO. HOSPITAL ENTRANCE MAIN ROAD.
SERVIC E RAMP
• CONST RUCT ION INITIATED ONOCT 2001. • T O OPD. THE MAIN HOSPITAL
• ELEMENTS: PARKING
SERVIC E YARD
BUILDING IS PLACED IN
✓ MEDICAL COLLEGE FRONT OF THE
COMPLEX.
✓ HOSPITAL OPD ENTRANCE EMERGENC Y WARD
✓ OFFICE BUILDING PARKING AREA
PEDESTRIAN ENTRANcE
✓ RESIDENT IAL BUILDINGS OPD BLOCK
✓ HOST EL •T O INSTITUTION ANDHOSPITAL.
✓ AUDIT ORIUM
✓ CLUB HOUSE PARKING
✓ ANIMAL HOUSE
EMERGENCY ENTRANCE •T HE TOTAL CAR SPACE FOR 460 CARS FOR T HE VISIT ORSHAVE
MAIN ENTRANCE MAIN ROAD 100 FT WID BEEN PROVIDED IN THE SITE.
• LOCAT ION DIFFERENT PARKING SPACE FOR EMERGENCYANDSTAFF IS
• IT ISLOCATED IN THE CENTER OF PUNJAB ( ie. JALANDHAR). ALSO PROVIDED.
• IT ISIN T HE CLOSE PROXIMITY WITH MAJOR CITIESLIKE LUDHIANA, •T HE PARKING AND ENTRANCE PORCHESARE STRATEGICALLY
AMRIT S ARE CONNECTED WITH NATIONAL HIGHWAY-1. SERVICERELATED TO SITE PLACED ANDTHERE ISPROPER
•LOCATED INTHE HEART OF JALANDHAR CITY ON GARHA ROAD •SERVICE ROADSAND RAMPSARE STRATEGICALLY PLACED
FLOW OF T HE TRAFFIC. THISMAKESTHE SPACE USER
AT WALKING DISTANCE FROM BUSST AND. WHICH DO NOT HINDERST HE MAIN ROADS.
FRIENDLYANDRESULTED IN
• MAIN APPROACH ROAD IS100 M WIDE. •SERVICE RAMPSARE MADE TOAPPROACH THE BASEMENT TO
T HE WORKED
SERVICE YARD FOR THE TRUCKST O WORK PROPERLY IN THE OUT AND EFFICIENT DECISIONS.

PARKING

SEPARATE DOCTOR’S PARKIN


G FOR 40 CARS.
SITE LAYO UT
EXTERNAL CIRCULATION
MAIN PARKING LOT NEXT
•MAIN APPROACH ROAD IS30 M WIDEAND INTERNAL ROADSARE 12 M TO EMERGENCY/O.T
WIDE.
•2.5 TO 3 M WIDE PEDESTRIANPATHSARE PROVIDEDALONGTHE
APPROACH
ROAD AND INTERNAL ROADS.
•SEPARATE ROADSHAVE BEEN PROVIDED FOR OPD BLOCK AND
EMERGENCY

PARKING FOR OPD


VISIT ORS.

Case study
ZO NING (HOSPITAL)

INTERNAL CIRCULATION
VERTICAL CIRCULATION
O PERATION THEATRE CIRCULATION
• A T OT AL NUMBER OF 16 ST AIRCASESAND 16 LIFTSHAVE BEEN PRO
VIDED
T HROUGHOUT THE
•A MAIN CORRIDOR RUNST HROUGH THE WHOLE COMPLEX CONNECTING THE HOSPIT AL AT EASILY ACCESSIBLE DIST ANCE.
SERVICE YARD IS LOCATED ON THE SIDE OF
THE COMPLEX HAVING SEPARATE ACCESS WHICH IS
VARIOUSSECT IONS • ALL FLOORSARE
NOT LINKED WITH MAIN TRAFFIC. OF T HE HOSPITALS. CONNECT ED VERT ICALLY THROUGH CENTRALLY LOCATED RAMP.
• FURT HER MAIN CORRIDOR DIVIDED INTO 3 PA • T HE OPERATION THEATRE CONSIST SOF SEPARAT
10 M
WIDE RAMP
1. CLEAN CORRIDOR E INT ERNAL ST AIRCASE FOR DOCTORSAN
FOR SERVICE Y WARDS 2. ST ERILE CORRIDOR NURSES.
ARD ENTRY. 3. DIRT Y CORRIDOR

SEPARATE DOCTOR’S PAR NO. WIDT NO. NO. O


KING FOR 40 CARS
OF ST H​ OF LI F LIF
12 M STERILE CORRIDOR
AIRS​ FT C TS​
WIDE ROAD
FOR SERVICE A CLEAN CORRIDOR ORES​
ND DOCTOR’S P
ARKING
MAIN CORRIDOR 16​ 2M​ 4​ 16​
MAIN BUILDING

ARCHITECTURAL CHARACTER
ARCHITECTURAL FO RM
T HE ARCHITECTURAL FORM DIRECTLY
FOLLOWS
T HE FUNCTIONWITHAVERY SIMPLE AND ST RAIGHT LINE
BUILDING FAÇADE.
•T HE FAÇADE ISSIMPLE ACCORDING TO THE
FIRE ESCAPE ST AIRCASE
PLANNING OF SPACES, AND NO SPECIAL EFFORTSHAVE 3MM WIDE CENTRALLY
BEEN INCORPORATED TOHIGHLIGHT THE FORM OFTHE OPD CORRIDOR EMERGENCY CORRIDOR
BUILDING.
•T HE FRONT FAÇADE COMPRISES OF FIVE FLOOR
•ONE ABOVE THE OTHER CATERING TOTHE MAJOR
•FUNT IONAL AREASOF T HE HOSPITAL AND MEDICAL
COLLEGE WHILETHE SIXTH
FLOOR HAS BEEN RECESSED FROM T HE BUILDING LINE WHICH
COMPRISESOF T HE ADMINISTRATIVE

EMERGENCY BLOCK LIFT SCORE (2X 3.2 M)


BASEMENT
CORRIDOR
CORRIDOR

Case study
MAIN BUILDING
GROUND FLOOR
•GROUND FLOOR AREA: 22122.33 SQ.M.
• CIRCULATION : 3500 SQ.M. KITCHEN DINNINGMEDICALCOLLEGE ANIMAL HOUSE
• OPD PAVILLION : 1100 SQ.M.
• BLOOD BANK : 230 SQ.M.
• 4 OPD’S : 2300 SQ.M.
• EACH OPD : 575 SQ.M. COM. MED
ORTHO AUDITORIUM
GRO UND FLOOR
DG SET
• T HE GROUND FLOOR ISBROADLY DIVIDED INTO4 PARTS:
1. OPD RAMP
2. EMERGENCY BLOCK
3. DIAGNOST ICSBLOCK
4. MEDICAL COLLEGE

INT ERIOR VIEW OF GALLERY.


AT RIUM 7.2 M WIDE.

VIEW OF OPDAND RECEPTION


X-RAY
PSYCHIATRIC
MRI/CT SCAN
LECTURE HALL
PHARMACY STORE GEN MED
( 7.2 X 21 M ) OPPOSITE PHARMACY STORE
T O CAFETERIA. ( 7.2 X 21 M )
EMERGENCY
FAMILY PLANNING OPD ENTRANCE OPD PAVILLION
VIEW OF T HE CAFETERIA. ( 7M WIDE ) ENTRANCE OPD ( 35 X 28 M)
VIEW OF HOSPIT AL ENTRANCE.
14 M WIDE MAIN ENTRANCE.

Case study
FIRST FLOOR
• FIRST FLOOR AREA : 16009.66 SQ.M.
• CIRCULATION : 2800 SQ.M.
• ICU : 495 SQ.M. TOILETS STAIRCASEMEDICAL PSYCHOLOGY
• EMERG WARD : 490 SQ.M.
COLLEGE
• 6 OPD’S
: 4000 SQ.M.
• MINOR OT
: 600 SQ.M.
DENTAL AUDITORIUM
FIRST FLOOR
FIRST FLOOR COMPRISES OF : SURGICAL GENERAL
• EMERGENCY ICU’S ( 10 ICU BEDS + WARDS WARDS
SUPPORT ROOMS ).
• EACH ICU BED IS PROVIDED WITH
SPACE OF 3 X 2.5 M AREA.
RAMP
• OT COMPLEX IS ISOLATED FROM ICU
AND VISITORS.
• OT CONTAINS 4 BED IN NUMBER. OPD
• THE 2 OT’S ARE PLACED IN 2.5 GRID i.e.
EACH OT OF 7.2 X 7.2 M SHARES THE
PREPARATION, SCRUB AND SOIL AREAS.
• THE WARD AREA IS DIVIDED INTO 5
SECTIONS WHERE EACH SECTION IS 5
BEDDED IN NO.
WITH TOTAL INTAKE OF 25 PERSONS AT SKIN
A TIME. OPD
CHEST
EMERGENCY OPD LECTURE HALLS
1. SKIN OPD. WARDS
2. SURGECA L AND EYE. ENT PEDIC
3. ENT OPD.
4. CHEST OPD.
5. DENTAL
OPD.

6. PEDIATRIC OPD.

Case study
SECOND FLOOR
•GROUND FLOOR AREA : 16298.13 SQ.M.
• CIRCULATION : 2400 SQ.M.
• OT COMPLEX : 2100 SQ.M.
• MINOR OT : 500 SQ.M. TOILETS LIBRARY
: 625 SQ.M.
STAIRCASE
• RECOVERY
• LABOUR ROOM : 350 SQ.M.

SECOND FLOOR RECOVERY


SURGERY
SECOND FLOOR COMPRISES OF :
• 10 OPERATION THEATRES. WARD
• OUT OF THESE 2 ARE FOR FUTURE USE.
• THE WHOLE COMPLEX IS DIVIDED INTO THREE TYPE OF RAMP
CORRIDORS.
1. CLEAN OT COMPLEX
2. STERILE
3. DIRTY
• VISITORS ARE NOT ALLOWED TO GO BEYOND STERILE
CORRIDOR.
• STERILE CORRIDOR CONSIST OF OT’S AND 2 SEPTIC
OT’S.
• CLEAN CORRIDOR IS THE AREA WHERE
PATIENT’S BED IS PREPARED FOR OPERATION BIO MED
AND THEN TAKEN TO OT. LAB MEDICAL
• THIS AREA CONSIST OF ANESTHESIA ROOM AND WORK
ROOM. COLLEGE
• DIRTY CORRIDOR IS TO CARRY SOIL FROM THE LECTURE HALLS
OT TO THE BASEMENT FOR DISPOSAL.
• THERE ARE 2 SEPTIC OT’S IN THE FRONT CONSISTING
OF PREPARATION, SCRUB AND SOIL AREAS.
• LIBRARY, SURGERY WARDS, OT’S ARE ON THIS FLOOR. LABOUR ROOMS MICROBIOLOGY MED
LAB COLLEGE

Case study
OPERATION THEATRE
•A MAIN CORRIDOR RUNS THROUGH THE WHOLE COMPLEX CONNECTING
THE VARIOUS SECTIONS
STERILE CORRIDOR
OF THE HOSPITALS.
• FURTHER MAIN CORRIDOR DIVIDED INTO 3 PARTS :
1. CLEAN CORRIDOR DIRTY CORRIDOR
2. STERILE CORRIDOR
3. DIRTY CORRIDOR

CLEAN CORRIDOR
MAIN CORRIDOR

RECEPTION AERA
(3X7.2 M).

CORRIDOR WIDTH 3.5

WARD (6X6 M) STAIRCASE


WIDTH 2 M

Case study
THIRD FLOOR
• GROUND FLOORAREA : 11411.21
SQ.M.
• CIRCULATION : 2400 SQ.M.
• PEDIA WARDS STAIRCASE TERRACE
: 400 SQ.M LIBRARY
•NEO-NATAL : 350 SQ.M.
RECOVERY
SURGERY
TERRACE WARD

RAMP

FORENSIC MED LAB


LECTURE HALLS

NEO-NATAL
PEDIATRIC SECTION PHARMACOLOGY
MED COLLEGE

Case study
PIMS
PUNJAB INSTITUTES OF MEDICAL SCIE
FOURTH FLOOR
• GROUND FLOOR AREA : 9896.21
SQ.M.
TERRACE
• CIRCULATION : 2400 SQ.M.TOILETS STAIRCASE
• GYNEC WARDS : 400 SQ.M.
• DERMATOLOGY : 350 SQ.M.

ORTHOPEDIC
WARD
Click to add text
RAMP

PATHOLOGY COMMON MED


GYNEC LAB LAB TERRACE
WARDS
DERMATOLOGY
BASEMENT ( SERVICE AREA )

•ALL THE MAJOR SERVICE AREAS WERE


GAS SUPPLY

IN THE BASEMENT : SERVICE RAMP


✓ RECEIVE STORE
✓ CSSD

✓ LAUNDRY
INCINERATOR
✓ MEDICAL GASES ROOM

✓ ELECTRIC ROOM
✓ INCINERATOR
PARKING AREA
✓ BOILER
✓ WATER TANKS
✓ AC PLANT.
•THERE WAS ASEPARATE ENTRANCE
RAMP FOR LARGE TRUCKS TO
ENTER
SERVICE YARD
•THERE WERE TOTAL 9 STAIRS LEADING
TO DIFFERENT PARTS OF BUILDING.
• THE BASEMENT IS
BASEMENT PLAN

Case study
ELEVATIONS

EMERGENCY
MAIN BUILDING
LECTURE HALL
AUDITORIU

OPD ENTRANCE
FRONT ELEVATION

MAIN BUILDING MEDICAL COLLEGE


EMERGENCY

ANIMAL HOUSE

SERVICE YARD
NORTH-WEST ELEVATION SOUTH-EAST ELEVATION

PUBLIC CORE PUBLIC CORE


RAMP

REAR ELEVATION

Case study
Circle Reading Hospital / Text description provided by the
architects.
Brydenwood Circle Reading hospital is the second
project delivered by Circle Health, a
private healthcare provider. The
10,100m² facility provides elective
surgery through GP referral both on a
private basis and as part of the expansion
of patient choice within the NHS. Patient
experience is very important to Circle
and a lot of attention has been paid to the
architecture, interior design and the
overall patient experience. They aim to
provide the experience of a hotel rather SITE PLAN GROUND FLOOR PLAN FIRST FLOOR PLAN
HOSPITAL
than a hospital.
• Save this picture!
READING, UNITED KINGDOM
Architects: Brydenwood The hospital is located in Reading, on a
Area: 10100 m²Area: 10100 m² site that was designated for a four storey
photographs: Jocelyn hospital development in the area
LowPhotographs: Jocelyn Low masterplan. It sits on the transition
between new residential development
blocks, an existing commercial area and
the busy A33 into Reading. The hospital
is read in two distinct parts. To the east
side, a two storey brick element contains
the services areas and operating theatres,
relating in size, material and scale to the
surrounding housing. Set back from the
edge of the site, it is screened from the
housing opposite by a wild flower
meadow and trees.
SECOND FLOOR PLAN THIRD FLOOR PLAN

Case study
The more striking part of the building is
to the west of the site and relates in scale The double height
to the commercial development to the atrium acts like the
south and to the west. The large scale and main street of the
distinctive glass cladding is visible from hospital, creating a
the A33 and signals the presence of the hub around which
hospital from afar. Two storeys of glass consultation and
curtain walling form the podium above treatment rooms,
SEACTION BB
which the inpatient bedroom block floats. patient recovery, NORTH ELEVATION
Expressed as a simple box, it is clad in a BWL are a multi-disciplinary practice
imaging department, admin areas
glass “basket-weave” cladding. The and were appointed to create a building
faceted glass surface creates a high level and restaurant are located. A
grand staircase and lift rises from the system that can be adapted to different
of animation, one of contrasts between sites. Circle Reading was to be the
atrium to serve the upper levels, views
light and dark with an interplay of demonstration building for this new
are afforded back into the atrium
reflections of the sky and the immediate approach. Through our fully integrated
wherever possible to help orientate the
environment. SOUTH ELEVATION service (comprising architectural design,
visitor. The main entrance to the building
is through the south elevation into structural, mechanical, electrical and
All bedrooms face inwards to an internal the atrium. public health engineering) we were able
courtyard which features an intensive to approach the design in a new way.
Bryden Wood used the project to develop Almost 50% of the cost of a new hospital
green roof, providing a peaceful and
a set of processes, components and is spent on services. We knew by making
green outlook, aiding patient recovery.
standard construction techniques that is EAST ELEVATION the services distribution as rational as
The interior is clad in western red cedar
being adopted across the rollout of possible it would be possible to
shingles, which provide a softer, more
Circle’s hospitals. dramatically reduce the volume of the
intimate scale to the interior of the box.
From this courtyard, light floods into the building and therefore reduce build costs.
top lit atrium below through clerestory
windows and rooflights.

SEACTION AA

Case study
circulation of hospital :
➢ The hospital consists of area r esidences,
offices, workshops, laboratories and many
other parts. The main circulation is often nursing resid
Gamming
described as "the way" in t he hospital. T he ence
Doctors residence area
road made intertwined and The hospital is
the type of buildings that have a lot of users parking
to be met needs future
➢ Supplies and stores also arrive on expansio
n area
handcarts, pushcarts, rickshaws and other ambul
nursing
vehicles. Patients, their attendants and residence
ance

visitors come to hospitals in a


station
IPD
variety of transport. Therefore, appropriate
areas have to be earmarked for scooter, car, Parking
rickshaw and bicycle parking facilities for ED OPD general
patients, visitors and staff. parking
➢ The patient arrives on-time to their
appointment and if needed, the patient can
be transported back to his/her home after
the appointment. Circulation has a 91%
patient on-time rate and reduces no-shows
by 68%, on average.
LSAD
SOIL TYPOLOGY WIND DIRECTION DESGIN APPLICATION COURSE CODE

SITE LOCATION PUNJAB ALLUVIAL SOIL MAXIMUM WIND FLOWS IN NORTH EAST AND - LANDSCAPING ON THE SITE TO ABSORB EXCESSIVE ARC 311
WEST DIRECTION HEAT
SITE AREA 12.89 Acres(52163.979sq.m) - PREFERABLE DECIDIOUS TREES ON SOUTH
WESTERN SIDE.
TRANSPOTATION SERVICES NEAR BY SITE
COORDINATES 31°14'26.4''N, 75°46'25.6''E N NEAREST RAILWAY STATION: PHAGWARA RAIWAYSTATION 10.6 KM
- LESS BUILT UP AREA AND TREES ON NE AND WEST
SIDE FOR PROPER CIRCULATION OF WIND
ORIENTATION NEAREST AIRPORT: AMRITSAR AIRPORT 117KM
TITLE

SITE ANALYSIS

NOTES

PRODUCED BY AN AUTODESK STUDENT VERSION


DATE SCALE

site
12.8 acres
NEAR BY PLACES ORIENTATION
- BABA DEEP SINGH AYURVEIC N
- MR. FAMILY REATAURANT
- GURUDWARA GURU GRANTH SAHIB JI

TEMPERATURE ANALYSIS REMARKS


HOTTEST MONTH: JULY
MAX TEMPERATURE :44°C
COLDEST MONTH: DECEMBBER AND JANUARY
MIN TEMPERATURE:5°C
AVG TEMPERATURE:10°C

RAINFALL ANALYSIS
RAINFALL MONTH: AUGUST
AVG RAINFALL : 225.9MM

WIND ANALYSIS SUBMITTED BY


MAX WINDSPEED: 22 KMPH SWOT ANALYSIS A pranay kumar
AVG WIND SPEED : 5.5 KMPH STRENGTH reddy
EASILY ACCESSIBLE ON SITE NURSERY 11909909
CLOUD,HUMIDITY ANALYSIS A1903
WEAKNESS Roll.no 08
AVG CLOUDY MONTH AND PERCENTAGE: IRREGULAR SITE Group 1
JULY , 42%
AVG HUMIDITY MONTH AND PERCENTAGE: OPPORTUNITIES
MANY NEAR BY FACILITIES
AUGUST , 83%
HUGE SITE(AREA CAN BE UTLIZED IN FUTURE EXPANSION
PRESSURE ANALYSIS THREAT SHEET NO
AVG PRESSURE MONTH AND MB:
JANUARY , 1019.5MB
LANDSCAPE AND AGRICULTURE LAND CAN BE
AFFECTED 3
ZOONING
Site area: 12.89 Acres
(52163.979sq.m)
(52163979.284sq.mm)

G
LSAD
P

P
G
National highway

Natio
nal

EXIT
h ig hway 3

COURSE CODE: ARC311


44

EMERGENCY IPD

RESIDENTIAL
AREA
OPD
GATE 1 TITLE :
ENTRY
G

NOTE :

Agricultural land
ALL THE DIMENSIONS
ARE IN MM

GATE 2 REMARKS:

ENTRY
AREA
RESIDENTIAL
P

FUTURE
EXPANSION
AREA
P
National highway 344

SUBMITTED TO :
Adjacent ro

SUBMITTED BY :
EMERGENCY 1200SQ.FT A PRANAY KUMAR REDDY
Adjacent ro

11909909
ad

IPD 1300SQ.SF
1903
OPD 2600SQ.FT
GROUP 1
P - PARKING
ad

ROLL.NO : 08
G - GREEN AREA
Site area: 12.89 Acres
(52163.979sq.m)
(52163979.284sq.mm)

LSAD
G
PARKING
PARKING
National highway

Natio

EXIT
na

COURSE CODE: ARC311


l h ig

EMERGENCY
hway

IPD
44 3

RESIDENTIAL
AREA
OPD

TITLE :
GATE 1 E

ENTRY E
E

NOTE :
ALL THE DIMENSIONS
ARE IN MM
GATE 2 Agricultural land
ENTRY
REMARKS:

RESIDENTIAL
AREA

PARKING
FUTURE
EXPANSION
AREA

PARKING

SUBMITTED TO :
National highway 344

SUBMITTED BY :
A PRANAY KUMAR REDDY
11909909
Adjacent ro

1903
GROUP 1
EMERGENCY 1200SQ.FT
Adjacent ro

ROLL.NO : 08
ad

IPD 1300SQ.SF
OPD 2600SQ.FT
ad

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