NAME: SYED AMASH BANOORI

ROLL NO: 18
BATCH: 19
ARCHITECTURE DESIGN IV
SEMESTER: 5th
INTRODUCTION
Health care architecture refers to the design
and planning of healthcare facilities, such as
hospitals, clinics, and nursing homes. The
primary goal of health care architecture is to
create a healing environment that promotes
patient well-being, safety, and comfort while
supporting the delivery of high-quality care
by medical staff

HEALTH CARE
ARCHITECTURE
HISTORY• In the Middle Ages, hospitals were built near monasteries, and were
MI usually simple structures that provided basic medical care. However,
during the Renaissance, the design of hospitals began to change.
DDL Hospitals were no longer just places for the sick to receive care, but
E also places for medical education and research.
AG
ES • In the 18th and 19th centuries, hospitals became more
18 institutionalized and were designed to accommodate large numbers
of patients. The development of germ theory led to changes in
AND hospital design, with the emphasis on cleanliness and ventilation
19
CENT
URY
• The 20th century saw significant advancements in health care
architecture, particularly in the United States. The Flexner Report of
1910, which called for higher standards in medical education, led to
20 the construction of modern teaching hospitals.
CENT
URY
Hospital Lariboisiere,
The fi rst was Hôpital
Lariboisiere, built between 1839
and 1854 in Paris by M.P.
Gauthier
Florence Nightingale (1820-1910) was a very influential
figure in nursing following the Crimean war in 1854 and is
lauded for her intuitive, observational approach.
 HOSPITAL
• A place where people who are ill or injured are treated and taken care of
by doctors and nurses
• A hospital is a health care institution providing patient treatment with
specialized medical and nursing staff and medical equipment.
• The best-known type of hospital is the general hospital, which typically
has an emergency department to treat urgent health problems ranging
from fire and accident victims to a sudden illness

• TYPES OF HOSPITAL
HEALTH CARE SYSTEM IN PAKISTAN
GENERAL CLINICS

BHU
SPECIAL-
TEACHING Tertiary
IZED RHC THQ DHQ
Care
DISP
DISTRICT OTHERS
Primary Secondry Tertiary
HOSPITAL SPACES
(LAYOUT,DESIGN CONSIDERATIONS &
STANDARDS)

• IPD • SERVICES

PHARMACY
OT

DIAGNO ADM
STICS IN

• OPD • EMERG
ENCY
CLASSIFICATION OF HOSPITALS
According to the size of the hospital:
A. Mini size hospital; <50 bed.
B. Mid size hospital; 50-250 beds.
C. Big hospital; 250-500 bed.
D. Huge hospital; >500 bed.

According to the owners of the

hospital:

a. Private hospitals.

b. Public hospitals;

a. university hospitals
General hospital

• A general hospital is a type of medical facility which is set up

to deal with many kinds of disease and injury.
Out Patient Department (OPD)
The Examination Room should be close to the nurses
The OPD has station and the consultation room.

facilities for Consultation Room is mostly used when lengthy

conversation is involved between the doctor and the patient.
screening,
counseling, Clinical Department of OPD includes clinics which can use
standard accommodation, general medicine, surgery, etc.

clinical Types of clinics: surgical, orthopedic, medical, pediatric,skin,

examination, ophthalmic, ENT, dental, chest, psychiatric, cardiology clinic.

treatment and OPD for the surgical department should be located on the
ground floor and near the emergency with direct access to it.
referral.
Minor Surgery Room may be used as a cast room, ECG
room, minor operations. It should have a separate entrance.
It consists of the
following: Support services includes clinics which can use standard
accommodation, general medicine, surgery, etc.
IN Patient Department (OPD)

Inpatient- means Isolation unit- An area of 14m2 for such rooms to contain a
bed, beside locker, etc and separate toilet facilities.
that the
Wards for the particular specialties, should be located closer
procedure to their respective department, self contained centers.
requires the
Ward unit shall comprise 24-36 beds. Isolation rooms
patient to be should be present for 15% of the patients in a hospital.
admitted to the
Aim is to minimize the works of the nursing staff and provide
hospital so that basic amenities to the patients with in the unit.

he can be
Orientation of rooms should face south-east or south for the
closely adequate day lighting in the wards
monitored
Size- Width of the doors > 1.2 m, dado to a height of 1.2 m.
during the Effective corridor width of 2.40 m up to 3.10 m.
procedure and
Size- Area of 7 m2 per bed is recommended, arranged with a
afterwards for minimum distance of 2.25 m between centers of two beds.
recovery.
Emergency

Renders services right from the elementary first

aid to sophisticated management of surgical and
medical emergencies and full scale trauma care.
1
Should be located on the ground floor with separate access for the
patients and ambulances, away from the outpatient entrance
2
Should be well marked with proper lighting and signs and should
be easily visible and accessible from the street
3
Raised platform for ambulance discharge, ramps provided for
wheelchair and pedestrian access
4
Close to admission, medical records, cashier’s booth, laboratory
services, and the blood bank
5
Proximity to elevators is also important in order to proceed to
surgery without loss of time.
RADIOLOGY

Radiology includes the specialist areas which use ionizing

radiation for diagnostic and therapeutic purposes. This includes
X-Ray diagnosis, radiotherapy and nuclear medicine
1
Should always be close to the ambulance entrance and because of
the great weight of the equipment should be on ground floor.
2
A connecting corridor which can be used simultaneously as a store,
dictating room and switch room for staff is desirable.
3
Sonography, mammography and jaw X-ray require about 12-18 sqm.
Whereas standard X-ray and admission rooms need to be 20-30 sqm.
4
The access route for the patients should be through 2 changing cubical.

5
WC’s should be installed in the X-ray room used for
stomach/intestinal inspection.
OPD
Freedom from noise and
disturbances.
Independent of general
traffic movement from
rest of the hospital.
Adequate glare free natural
light is required which has OT
psychological impact. Hence
north light is desirable.
Freedom from noise and
disturbances.
Freedom from contamination
and possible cross infection.
Correct & convenient
relationship with ICU, CSSD,
Radiology & Pathology Lab.
Most present day operations
use artificial light, but good
light and ventilation are of
added advantage.
Temperature range should be
between 23 to 24 deg C.
Operation Theatre
Min. width – 1.8m. For each OT there
should be 3 non-splash wash basins
with foot controls.
Size of room – 3.8x3.8m. Electric
sliding door of clear width 1.4m. Room
should be equipped with a refrigerator,
draining sink, rinsing line, cupboards, Size of roughly 10 sqm.
connections for anesthesia Washroom Must be directly
equipments and emergency power.
Sterile accessed by the OT.
Anesthetics goods
room room
Attachment
S Equipment
Plaster
For hygiene reasons this is not Size of approximately 20
room room
located in the surgical zone but in
the outpatient area. In emergencies
Sub- sqm. Should be as close as
possible to the OT.
the patient must be channeled sterilisation
through lobbies in order to get to
the OT.
room
It contains a non-clean area for non-sterile
material and a clean area for prepared sterile
items. Should be equipped with a sink,
storage surface, work surface and steam
sterilizer.
Flow Chart of X-Ray Department

X-Ray Room Dark Room

Toilet Reading &

Interpretation
(Radiologist)
Changing
Room
Doctor’s
Viewing
Waiting

File Collection&
Reception Storage
Control
 TYPES OF USERS:
PATIENTS OF SPECIFIED CANCER OR TUMOR

ATTENDENT WITH PATIENT

.
SPECIALISTS DOCTORS

ADMINSTRATION STAFF

. WORKERS

NURSCES

TECHNICIANS
 .

.
ARCHTECT BRIEF:

EMERGRNCY
PORCH 20X 20 400 sqft .
Equipment store 14x14 196 sqft
Reception+waiting 25x20 500 sqft
Registration 10x12 120 sqft
Treatmrnt Room 16x16 (2 ) 512 sqft
Test room 12x14 168 sqft
Sterliazition room 12x12 144 sqft
Doctor room 12x12 (3) 432 sqft
Nursing room 12x12 (2) 288 sqft
Wards 25x25 (2) 1250 sqft
Pharmacy 14x16 224 sqft

WCS
Male 5x6 (4) 120 sqft
Female 5x6 (4) 120 sqft
TOTAL 4942 Sqft
Circulation 40% Total 6918.8 sqft
 OPD
Reception+waiting Area 40x40 1900 sqft
Registration 10x12 144 sqft
Assistant Room 12x10 120 sqft
Examination room 14x16 (4) 836 sqft
Treatment room 12x12 (2) 288 sqft
Staff room 16x16 256 sqft
Procedure 18x20 360 sqft
Physiotherapy 10x12 120 sqft
Kitchen 10x8 80 sqft

WC
. Male 5x6 (4) 240 sqft
Female 6x6 (4) 288 sqft

TOTAL 4392 Sqft

Circulation 40% 1756.8 sqft
TOTAL 6149 sqft
. RADIALOGY
DIAGNOSTIC
Radiologist 30x14 420 sqft
X- ray Room 14x18 252 sqft
Waiting area 12x18 120 sqft
ULTRASOUND 16x20 320 sqft
Waiting area 10x12 120 sqft
MRI UNIT 14X20 280 sqft
Waiting area 10x12 120 sqft
CT SCAN 14x12 168 sqft
Waiting area 12x10 120 sqft
ECG 12X14 168 sqft
Waiting area 10x12 120 sqft
EEG 12X14 168 sqft
Waiting area 10x12 120 sqft

PATHALOGY
Waiting area 12x10 120 sqft
Pathalogist room 12x12 144 sqft
Simple collection 10x10 100 sqft
Cytology lab 10x10 100 sqft
Histology 10x10 100 sqft
Microbiology lab 10x10 100 sqft
Haemtology 10x10 100 sqft

BLOOD BANK
Record room 10x10 100 sqft
Blood test room 14x10 140 sqft
Blood donor bed 16x16 256 sqft
Store 10x14 140 sqft
 IPD
ORTHOPEDIC
Waiting 20x20 400 sqft
Registration 14x12 168 sqft
Phystherapy room 12x14 168 sqft
Procedure room 16x12 192 sqft
Wards 35x25 (2) 1500
sqft
Isolation room 10x12 120 sqft
Doctor room 12x12 (3) 432 sqft
WCS
Male 5x6 (4) 90 sqft
Female 6x6 (4) 108
.REHEBLATION
Waiting
CENTER
12x10 120 sqft
Physiothrapsit 12x12 168 sqft
Pain control room 10x8 80 sqft
Stamulaztion room 10x8 80 sqft
Manager room 10x10 100 sqft
Staff room 16x16 256 sqft
 ICU\CCU IMT
Wards 20x20 400 Nurses room 16x16 256
sqft sqft
Preparation room 14x14 196 Utility room 16x16 256
sqft sqft
Isolation room 10x12 (2) 120
Recovery room 18x20 720
sqft
sqft Metrinity section 16x16 256
Waiting 12x12 144 sqft
sqft Dirty linen 10x10 100
OT 18x20 (2) 1440 sqft
sqft Clean linen 10x10 100
Surgeon room 14x14 196 sqft sqft
Anthesist room 14x14 196 sqft WCS
Medical staff room 16x18 288 sqft Male 5x6 (2) 60
. Changing room 6x4 (3) 72 sqft
sqft
Female 5x6 (2) 60
sqft
TOTAL 4824 sqft
Circulation 1929 sqft Total
6754 sqft
GENERAL SERVICES

Washing area 12x12 144 sqft

Ironing 10x10 100 sqft
Store 12x18 216 sqft
Pantry 12x16 192 sqft
Cssd 10x10 100 sqf
Oxygen Supply 14x12 168 sqft
Office equip 10x10 100 sqft
Pharmcy store 16x12 192 sqft
 CASESTUDY

AYUB HOSPITAL COMPLEX:

FOUNDATION: STONE
LAID BY:LT. FAZAL-E-HAQ
HI(M)S BT.
GOVERNER: N.W.F.P
ON JUNE 10 1982
• Geography
Location: Abbottabad, Khyber Pakhtunkhwa, Pakistan
( 120 acres scenic location surrounded by hills of the Himalyan range

Coordinates 34°12′15″N 73°14′19″E

• Organization
Care system Tertiary care
Funding Ministry of National Health Services
Khyber Pakhtunkhwa Department of Health
Hospital type Teaching
Affiliated university Ayub Medical College
• Services
Beds 1500 ( 50 beds per ward)
Helipad 1
• History
Founded 1998
• STRUCTURE : Frame Structure with expansion joints
• WORKERS : 2000
• SECURITY : 150 (175-180) CAMERAS
• 12 – 15 DEAD BODIES STORAGE
MASTER PLAN
OPD
 CIRCULATION
PROPOSED OT
EMERGENCY CIRCULATION
 CORRIDOR CIRCULATION
NURSING WARD
INTERNAL CIRCULATION
WASHROOM
ICU

WASHROOM
 SUN LIGHT FROM ROOF
CORRIDOR 10’ WIDE

OXYGEN PIPE STAIRS

Coriduor Blood bank medical ward burn ward
WARD
LABORATORY
 1. FILTER CLINIC
2. MEDICAL
3. SURGICAL
4. ENT
5. EYE
6. ORTHOPEDIC
7. PAEDIATRICS
8. DERMETOLOGY AND
VENERAL DISEASE
9. UROLOGY AND
NEUROLOGY
10.CARDIOLOGY
11.PSYCHIATRIC
12.GYNAECOLOGY AND
ABSTETRICS
13.DENTISTRY
14.T.B. AND CHEST DISEASE
OPD DEPARTMENT : 15.DISPENSARY
16.CANTEEN
DIAGONSTIC + TREATMENT DEPARTMENT :
1. CASUALITY
2. BLOOD BANK STAFF RESIDENCE
3. RADIOLOGY
4. RADIO THERAPHY ACCOMODATIONS
5. PATHOLOGY FROM GRADE 1-21
6. PHYSIOTERAPHY

OPERATION THEATERS :
OPERATION THEATER
1. SURGICAL GENERAL
2. SURGICAL ENT & EYE
3. SPECIAL CARE UNIT
4. CORONARY CARE
UNIT
5. GYNAECOLOGY