Design A Layout Plan For Speciality Units To Print 2012

DESIGN A LAYOUT SPECIALITY UNITS

PLAN

FOR

HOSPITAL Hospitals are the most complex of building types. Each hospital is comprised of a wide range of services and functional units. These include diagnostic and treatment functions, such as clinical laboratories, imaging, emergency rooms, and surgery; hospitality functions, such as food service and housekeeping; and the fundamental inpatient care or bed-related function. The basic form of a hospital is, ideally, based on its functions:  bed-related inpatient functions  outpatient-related functions  diagnostic and treatment functions  administrative functions 1

 service functions (food, supply)  research and teaching functions Hospital design  Bed Planning- About 85% bed occupancy is considered optimum  Hospital size- as a very large hospital of 1000 beds or more becomes extremely unwidely to operate, and a small hospital of 50 or less are not profitable.  Land requirements- rural and urban areas- in rural and semi-urban areas, plentiful land may be available permitting the hospital to grow horizontally, whereas in urban areas there will always be great premium on land and only avenue will be a vertical growth. Hospital design No. of beds

Land in acres

Storey of building

50 beds

10 acres

Single storey

100 beds

15-20 acres

-do-

200 beds

20-25 acres

Double storey

500 beds

55-70 acres

3-5 storey

700 beds

80-90 acres

4-6 storey

1000 beds

90-100 acres

9 storey

 Public utilities: the national building code of ISI suggests 455 liters of water per consumer per day (LPCD) for hospitals up to 100 beds and 340 LPCD for hospitals of 100 beds and over. Electricity requirement is 1 KW per bed per day.  Approval of plan by the local authorities: once the detailed plan has been formulated, the local bodies are consulted and persuaded for approval of plans. Building Attributes Regardless of their location, size, or budget, all hospitals should have certain common attributes. 2

 Efficiency and cost-effectiveness  Flexibility and Expandability  Therapeutic Environment  Cleanliness and Sanitation  Accessibility  Controlled Circulation  Aesthetics  Security and Safety  Safe control of violent or unstable patients  Sustainability

PHYSICAL LAYOUT OF INSTITUE OF NEPHROLOGY UNIT

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INSTITUTE OF NEPHRO-UROLOGY (INU) Total bed strengths -150 Ground floor includes:  Reception and inquiry  Waiting hall  Administration office  Doctor’s room  Toilet  Biochemistry  Prof. & HOD of Nephrology  Prof. & HOD of Urology  Medical Superintendent  Prof. & Asst. Professor  Nursing Superintendent 6

 Medical social worker  Radiologist  Ultrasound  X-ray  Minor OT  Emergency ward  Major OT  Dress changing room and Anesthesia room First Floor includes:  Transplantation ward  Post operative ward  Major OT  General male surgery 1& General Female surgery 2  Duty doctor’s room  Asst. Doctor Seminar Hall & Libra Second Floor includes:  Dialysis units  Special ward  General Preoperative ward 3  General Medical ward 4  Semi special room  General Female Medical ward 5

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Layout plan of Critical Care ICU in Sundaram medical foundation , Chennai

 Sundaram medical foundation has an Intensive care ICU with 21 beds for critically ill clients

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COMMUNITY CENTRES Objectives of Indian Public Health Standards (IPHS): The overall objective of IPHS is to provide health care that is quality oriented and sensitive to the needs of the community.  Community Health Centre (CHC)- 30 beds  Primary Health Centre (PHC)- 6 beds  Sub centre The Primary health care infrastructure has been developed as a three tier system and is based on following population norms. Community Health Centers (CHCs), constituting the First Referral Units (FRUs) and the district hospitals. The CHCs were designed to provide referral health care for cases from the primary level and for cases in need of specialist care approaching the centre directly

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Centre

Plain area

Hilly/Tribal area

Village health post

1000

1000

Sub centres

5000

3000

Primary Health Centre

30,000

20,000

Community Health Centre

1,20,000

80,000

PHYSICAL LAYOUT OF CHC

Physical layout/Rooms  Inquiry and reception 10

 Gyane and Obstetrics OPD  Pediatric OPD  General Medical OPD  Toilets  Staff room  Treatment room  Operation theatre 1  Operation theatre 2  Labour room  Ward  Dressing room  Emergency ward  Radiology department  Pharmacy  Laborator

Primary Health Centre In order to provide optimal level of quality health care, a set of standards are being recommended for Primary Health Centre to be called Indian Public Health Standards (IPHS) for PHCs. The launching of National Rural Health Mission (NRHM) has provided this opportunity.

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Physical layout/rooms  Admission room  Labour room  Staff rooms 1  Staff rooms 2  Immunization room  Dressing room  OPD  Toilet  Laboratory  Pharmacy  Operation theatre 12

 Store room Sub centre: In the public sector, a Sub-health Centre is the most peripheral and first contact point between the primary health care system and the community. It provides interface with the community at the grass-root level, providing all the primary health care services. PHYSICAL LAYOUT OF SUBCENRE

Physical layout/Room  Dressing room  Injection room  Staff room  Toilet  Office

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