 MAIN DESIGN OF HOSPITAL SHOULD POSSES WITH FLEXIBILTY DESIGN,

BUILDING STRUCTURE SHOULD BE SIMPLE TO EXTEND AT DIFFERENT

POINTS & SHOULD BE ABLE TO COPE WITH INTERNAL DISPLACEMENT.
 FLEXIBILTY- USAGE – CHANGING THE USE WITHOUT INNOVATION.
 DISPOSAL POSSIBILTY –waste treatment.
 INTERNAL FLEXIBILTY-POSSIBILITY OF
INTERCHANGING HOSPITAL FUNCTIONS INDEPENDENT OF
SUPPORTING STRUCTURE.
 EXTERNAL FLEXIBILTY- NURSING, DIAGNOSTIC& TREATMENT
DEPARTMENTS CONCENTRATED IN ONE MAIN CORE.
 PHARMACY ,LABS ,STOREROOMS& KITCHEN LOCATED IN SERVICE
BUILDING AT A DISTANCE FROM MAIN CORE.
 EACH PATIENT FLOW DIFFERS FROM OTHERS IN TERMS OF
ATMOSPHERE ,ORGANIZATION ,PLANABILITY, POSITION OF
PROFESSIONALS, RELATIONSHIP WITH REFERRERS & FOLLOW UP
CARE & BUILDING ASPECT LIKE- ACUTE CARE , ELECTIVE CARE ,
URGENT CARE, CHRONIC CARE.
 ACTIVITES RELATED TO PATIENTS CAN BE TRANSLATED INTO
SPATIAL FACILITIES – THAT CAN BE DIVIDED INTO ‘ BLOCKS’.
 (a) PATIENT RELATED FACILITIES ( PATIENTS PRESENT THEMSELVES)
 Nursing- special care , general nursing, pediatric, nursing,
maternity( delivery rooms), geriatrics & day nursing.
 Diagnostics- outpatient appointment department , investigating,
imaging , diagnostics, nuclear medicine, outpatient treatment ,
operative unit, emergency unit & physiotherapy.
 Special- dialysis, rehabilitation, day treatment unit or radiology
unit.
 (c) GENERAL & TECHNICAL SUPPORT SERVICES – STAFF FACILTY (
KITCHEN , LINEN SERVICE, RESTAURANT & TECHNICAL SERVICES ,
FACILTY FOR MANAGEMENT & TRAINING.
 THERE SHOULD BE 3 MAIN TYPES OF ENTRANCES
 MAIN ENTRY AND EXIT
 EMERGENCY ENTRY( PARKING BESIDE IT)
 OUTPATIENT ENTRANCE.
 THERE SHOULD BE BEDS IN LABOUR AREAS , OUTPATIENT AREA( SHORT
EXAMINATION & EMERGENCY AREAS, BEDS IN DIAGNOSTIC &
THERAPEUTIC DEPARTMENTS & ANAESTHESIA RECOVERY BEDS & BEDS
IN INFIRMARY.
 PRIVATE- 1/ ROOM
 SEMIPRIVATE- 2-3/ ROOM
 GENERAL WARDS- ~20/ROOM
 SPACE REQUIREMENTS
 AREA GROSS SQ-FT/BED
 ADMINISTRATION 30-35
 EMERGENCY 10-15
 OUTPATIENT 10-15
 SOCIAL SERVICE 1
 ADMITTING & DISCHARGE 2
 CLINICAL LAB/ PATHOLOGY 25-30
 DELIVERY SUITE 12-15
 DIAGNOSTIC/ RADIOLOGY 30-40
 DIETARY & FOOD SERVICES 25-30
 EMPLOYEE FACILITY 5-8
AREA GROSS SQ-FT/BED
 EDUCATION / AUDITORIUM 5-10
 SPEECH & LEARNING THERAPY 1
 HOUSE KEEPING 4-5
 MATERIALS MANAGEMENT 4-5
 CENTRAL STORE 25-35
 PURCHASING 2
 LAUNDRY 10-15
 MEDICAL RESEARCH 5-8
 MEDICAL STAFF FACILITY 2-3
 MAINTENANCE 50-60
 NUCLEAR MEDICINE
4-5
 NURSERY 4-5
 PERSONNEL 3-4
 PHARMACY 4-6
 PUBLIC SPACE 10-15
 PULMONARY FUEL 1-2
 RADIATION THERAPY 8-10
 PHYSICAL THERAPY 10-12
 OCCUPATIONAL THERAPY 3-5
 SURGERY 35-
50
 CIRCULATION 100-
150
 NURSING UNITS 250-
300
 HIGH QUALITY PATIENT CARE.
 EFFECTIVE COMMUNICATION ORIENTATION
 ECONOMIC VIABILITY
 SOUND ARCHITECTURAL PLANS.
 FACTORS AFFECTING BED DISTRIBUTION
 EXISTENCE OF SPECIALITY HOSPITALS IN NEIGHBOURHOOD OR
SPECIALIST DOCTORS ON STAFF OF HOSPITAL.
 HOSPITAL GIVING ½ SERVICES ( CARDIOVASCULAR SURGERY )
ETC AS SPECIALLY CENTERPIECES.
 OLD THUMB RULE
 30-40% BEDS FOR SURGICAL & MEDICAL PATIENT.
 10-15% BEDS FOR OBSTETRICS
 7-10% BEDS FOR PAEDIATRICS
 9-15% FOR EYES, EAR , NOSE & THROAT.
 HOSPITAL DESIGN MUST PROVIDE INTERCHANGEABILITY OF PATIENTS ROOM
& AREA FOR CLINICAL DEPARTMENTS WITH FLUCTUATING CENSUS.
 HOSPITAL SITE
 ACCESSIBILITY TO TRANSPORTATION & COMMUNICATION LINES.
 PARKING FACILITIES.
 AVAILABILITY OF PUBLIC UTILITIES.
 PROPER ELEVATION FOR GOOD DRAINAGE & GENERAL SANITARY
MEASURES.
 FREEDOM FROM NOISE, SMOKE, VAPOURS & OTHER ANNOYANCES.
 FUTURE EXPANSION.
 DRAINAGE AND SEWERAGE FACILITY, POTABLE WATER AVAILABILITY.
 POPULATION CONCENTRATION.
 DETERMINING SIZE OF HOSPITAL ADEQUATE FOR VARIOUS SERVICES ,
ADMINISTRATIVE & FUNCTIONAL NEEDS OF DEPARTMENTS & PATIENT CARE &
TREATMENT.
 RECOGNISING THE IMPORTANCE OF ESTABLISHING TRAFFIC PATTERNS FOR
MOVEMENT OF PHYSICIANS , HOSPITAL PERSONNEL , PATIENT VISITORS &
EFFICIENT TRANSPORTATION OF FOOD ,LINEN , DRUGS& OTHER SUPPLIES.
 DESIGN THAT AVOID DUPLICATION OF SERVICES BUT AT THE SAME TIME
PROVIDE FLEXIBILTY & INTERCHANGEABLE OF PATIENT ROOMS FOR CLINICAL
DEPARTMENTS WITH FLUCTUATING CENSUS.
 PAYING ATTENTION TO SPECIAL SERVICES LIKE OUTPATIENT INTENSIVE CARE ,
OBSTETRICS, OPERATING ROOMS, MEDICAL & SURGICAL , SPECIALITIES & TO
SUCH CONCEPTS AS INFECTION CONTROL , DISASTER PLANNING.