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INTRODUCTION

A hospital is a health care institution providing patient treatment by specialised staff and equipment.

PROJECT PROFILE:
Address: Guru Nanak Dev Charitable Hospital, Tarn-Taran, Punjab.
Client: Baba Jiwan Singh Baba Dalip Singh
Plot Area: 1,59,400 Sq. ft Started in: 2008
Architect: Ar.D.P Singh (Ludhiana).
ABOUT:
It is built in 1,59,400 area. This is the 250 bedded fully computerised
charitable hospital. Services provided in the hospital by the services
IT INCLUDES: SERVICE CONSULTANTS
block built near the hospital.
Emergency department Electrical: Samit
Climate of Tarn-Taran: IPD(Inpatient Department)Enterprises.
Tropical steppe ,semi-arid and hot climate. OPD(Outpatient DepartmentHVAC: Ambience,chd.
Average annual rainfall is 545mm. Fire Fighting: Cascade.
Temperature- 4.5˚C- 10˚C(winters) and 29˚C- 40.5˚C Structure: Er. Sukhdev
(summers). Singh Saggu.
LOCATION:
It is bounded by Amritsar district north,Kaputhala
Access road
district
 in east, Pakistan in the west and Ferozepur district in
the south.
SITE LOCATION:
It is 18 km away from the Amritsar city.
The site is very much near to Goindwal sahib road,
Dera Baba Jagtar Singh ji
Tarn taran ,Punjab
and is adjacent to Dera Baba Jagtar Singh ji. ACCESSIBILITY
By Road:
The is site is easily approachable and From ISBT, Amritsar to Tarn-Taran-25 min
can be seen from the highway. Total Distance – 35 km
SITE ANALYSIS: Site Plan
The plot measuring 156447.432 sq ft or 3.6 acres area
is a leved
ground and Is just adjacent to dera Baba Jagtar Singh
Out of this total plot, the area of 37,525 sq ft. is
ji.
earmarmarked for construction of multi-storeyed
hospital block, which includes all the departments i.e.
emergency, OPD,IPD,etc. SERVICE ROAD WASTEAGE

CONNECTIVITY B/W SERVICE BLOCK AND HOSPITAL

EMERGENCY ENTRANCE

Public access
Ambulance
Services

RAMP GOING DOWN FOR BASEMENT PARKING


OPD ENTRANCE
GROUND FLOOR PLAN • Separate area for wheel INFERENCES:
chairs stretchers provided • No separate recovery room provided.
• Emergency entrance is segregated from at the entrance. • No direct connection with major OT
the main entrance. It includes triage,
minor OT,CCU.
.
O.P.D. ENTRANCE
O.P.D. WING

DOUBLE HEIGHT ENTRANCE


WAITING

RECEPTION & PHARMACY

EMERGENCY
WING

Total area covered on ground floor=37,525 sq.ft


EMERGENCY WING
•13 BEDS ARE PROVIDED.
•NEXT TO CCU,MINOR OT IS PROVIDED.
•ALONG WITH NURSE STATION,DOCTORS DUTY ROOM,WASHROOM,DIRTY
UTILITY IS PROVIDE

RECEPTION DESK

The oxygen & suction pipes run at side of every


bed leading to the service block to the south
eastern side of the site.

Smoke detectors & water


sprinklers and A.C. ducts.

Fire escape
EMERGENCY ENTRANCE
FIRST FLOOR PLAN
•Strong Connectivity of O.T – gynaecology dept.– BLOOD BANK
ward and rooms
•Dirty utility is first washed and semi sterilization is
done near O.T then it is transferred to C.S.S.D
through Service lifts. MOTHER RECOVERY
CENTRE
•Blood bank is provided on the first floor. NATAL WARDS
•Access to gynae dptt. Is through lift.
BIO-CHEM. DEPT.

Corridor width= 8ft.


Waiting for every doctor cabin.

Total area covered on first floor=30,550 sq.ft

BIRTHING CENTRE

ADMIN. BLOCK
BIRTHING CENTRE
INFERENCES:
SCRUB AREA
ENTRY
• No direct access to the scrub
area from the changing room.
CHANGING ROOM SUB STERILE AREA • O.t.2 z not provided with
double cavity walls.
• C.U. & D.U. are provided for
recovery room and eclampsia.
NURSE STATION O.T. • No shoot shafts & dirty
corridors attached to o.t. area
for waste disposal.
• Corridor width 8ft

RECOVERY ROOM
Gynae and Maternal ward

KEY PLAN

Delivery room
O.T.
• WARDS AND POST NATAL ROOMS ARE
PROVIDED….NEAR THE N.I.C.U.

• DU AND CU PROVIDED NEAR THE OT, SO


THAT FROM THIS IT IS SEND TO CSSD.

INCUBATOR
SECOND FLOOR

MEDICAL I.C.U.

C.S.S.D.
Placed very next to the O.T. so as the easy
transfer of the sterile equipment.

CATH LAB NO SHOOT SHAFTS OR DIRTY


CORRIDORS PROVIDERD.
NO D.U. OR C.U. IN THE O.T. COMPLEX

O.T.

PARTION WALL PROVIDED INFRON OF THE W/R


OPERATION THEATRE
Wash basins at the scrub area

*LAMINATED FLOORING TO REMOVE


BLOOD STAINS
*O.T. FOR CARDIO WAS QUITE LARGE
AS COMPARED TO NORNAL O.T.
*NO MACHINARY ROOM IN O.T. COMPLEX
THIRD FLOOR
• Third floor contains the private rooms and
the general wards and the surgery wards
male/female.
I.P.D.

• Patients are shifted from the o.t. to the wards via


stretcher lift in the lobby.
• SEMI PRIVATE ROOMS ARE PROVIDED ON THIS
FLOOR.

VERTICAL CIRCULATION
1 MAIN STAIR CASE IS PROVIDED.
VERTIACL CIRCULATION IS THROGH RAMP AND IT ALSO
BECAME THE ELEVATION FEATURE.
RAMP,FIRE EXITS ARE UPTO FOURTH FLOOR.
FOR THE TOP FLOOR,MAIN STAIRS AND 4 LIFTS ARE
PROVIDED.
2 VISITORS LIFTS,2 PATIENTS LIFTS AND 1 SERVICE LIFT
ARE PROVIDED.

AHU UNITS ARE PROVIDED SO AS TO SERVE 4 OT’S ON THE SECOND FLOOR


TYPICAL FLOOR PLAN
FOURTH &FIFTH FLOOR PLAN
To laundry
DELUX ROOMS

PRIVATE ROOMS

• This floor contains the private rooms & deluxe rooms,


general wards with cafeteria

laundry
BASEMENTS
CT SCANAND MRI IS PROVIDED IN THE UPPER BASEMENT
PARKING IS PROVIDED LEAVING 30’ SPACE FROM THE SCAN
AREA BECAUSE HARMFUL RADIATIONS ARE EMITTED IN THAT
ZONE.

Physiotherapy department is provided


in the upper basement level which
leaves very less amount of natural light
and ventilation.

•SLOPE-1’-0”:10’-0”
•RAMP 22’ WIDE.
LOWER BASEMENT PLAN
CIRCULATION
RAMP
LIFTS (NORMAL/STRETCHER)
FIRE EXITS (STAIRS)
FIRE STAICASE 5’0” WIDE
STAIRCASE IS PROVIDED WITH
BOTH SIDE RAILING

KEY PLAN

VERTICAL CIRCULATION
1 MAIN STAIR CASE IS PROVIDED.
VERTIACL CIRCULATION IS THROGH RAMP AND IT ALSO BECAME THE ELEVATION FEATURE.
RAMP,FIRE EXITS ARE UPTO FOURTH FLOOR.
FOR THE TOP FLOOR,MAIN STAIRS AND 4 LIFTS ARE PROVIDED.
2 VISITORS LIFTS,2 PATIENTS LIFTS AND 1 SERVICE LIFT ARE PROVIDED.
SERVICE BLOCK
(Basement) (Ground Floor)

Hvac unit is placed in the basement Dg sets and electrical units ar
of service floor to control tha services on mid ground and ground flo
of the hospital. e the full back up for the hosp

These are the services and casing is


done on the pipe lines to lower down the From the main gas tank the liq
temperature gases are filled in these cylind
through which gases supplied
hospital.

Pumps the water up

(First & Second Floor)

Kitchen on first floor and


laundry on second floor is
provided
SERVICES IN THE BUILIDING:
The building is provided with
FIRE FIGHTING SYSTEM(WET RISER SYSTEM)
WATER SUPPLY DISTRIBUTION SYSTEM
SOIL AND WASTE DISPOSAL SYSTEM
ELECTRICITY SUPPLY AND DIESEL GENSETS
RAIN WATER HARVESTING SYSTEM AND
 UNDERGROUND WATER TANK
6” pipe up
1. Fire fighting services:
The Healthcare buildings have to comply with requirements for fire safety and means of escape: those for
hospitals are set out in Fire code published by the Department of Health.
RELATIONSHIP OF DEPARTMENTS BY FIRE CHARACTERISTICS
 The risk to human life is greatest in those areas where patients are confined to bed and especially
where they would be incapable, in the event of a fire, of moving to a place of safety without assistance.
Those areas are termed Normal Dependency called independent or Very High Dependency departments.
Such department include-I.P.D, I.C.U, DAY-CARE
Departments posing the fire threat are those such as supply zones, fuel stores and other materials
stores containing large quantities of flammable materials and those in which ignition is more likely such
as KITCHENS, LAUNDRIES, LABORATORIES AND BOILER HOUSES, MEDICAL GAS MANIFOLD
ROOM referred to as Hazard Departments.

Fire sprinklers at regular grid 10’ c/c Pumps from ugwt (7in num) are provided to pump up
the water req .
2. Sewage treatment & disposal
The system is designed as double stack single pipe system. Soil & waste is
carried in two separate pipes with vents, Soil pipe is provided with separate antis’
phone pipe to safeguard the water seal.
Soil pipes carrying wastes from water closets / urinal is directly connected to
inspection chambers / manholes where as waste pipes carrying waste from wash
basins, nahani traps in kitchens & toilets etc. is connected to inspection chambers
through Gully traps.
The external drainage system is comprise of network of stoneware glazed / RCC
(NP-2) pipes & inspection chambers / manholes. The sewerage system is
ultimately connected to STP through sewer trap.
All the biological/medical and other waste water is treated in STP(Sewage
treatment plant)
Both soil and waste pipes are carried throughDucts are taken
plumbing outside as if some problems occur in
shafts.
pipeline, one can make it clear from outside

3. Water supply and drainage:

U.G.T is located in basement and contains 6 types of


tank
Fire tank capacity 2000 cum
Rain water tank 1500 cum
Raw water tank capacity1500 cum
Portable capacity 400 cum
Recirculation 600 cum
Treated water 600 cum Water from bore well is
transferred to U.G.T. First fire tank is filled then other
MASSING

PROPOSED FRONT ELEVATION PROPOSED RIGHT SIDE ELEVATION

The blocking in the outer


façade plays the major
role in the over all
contemporary look of the
hospital.
The shafts are treated
well as they look
aesthetically pleasing
too.
SLOPE -1’0”:10’0”
22’ WIDE RAMP Section through the ramp- BASEMENT

Proposed open parking=260 cars


Basement parkin= 230 cars

VERTICAL CIRCULATION
SOME MORE INFERENCES
•PUBLIC LIFTS ARE NOT ADEQUATE
•MORTUARY IS NOT PROVIDED IN THE HOSPITAL.
•OT AND BLOOD BANK IS NOT ON THE SAME FLOOR
•CIRCULATION ON THE GROUND FLOOR IS EXCESS.
•SEWER IS FLOWING AN THE BACK SIDE OF THE HOSPITAL,SIGNIFY UNHYGENIC CONDITIONS
SURROUNDINGS THE HOSPITAL.
NO RAILING IS PROVIDED ON MAIN RAMP.
NO PUBLIC TOILETS IN MAIN RECEPTION AREA.

HOSPITAL BLOCK AND THE SERVICE BLOCK ARE


SEGREGATED,BUT STILL ARE INTERCONNECTED AND SERVE
AS ONE BUILDING.
•SITE LOCATION IS THE MAIN ADVANTAGE AND CAN
APPROACHED EASILY
•HIGHLY EQUIPED WITH MODERN FACILITY
•BYE LAWS AND CODES HAS BEEN FOLLOWED.
•SERVICE LIFTS AT THE BACK IS PROVIDED TO SERVE THE
HOSPITAL.
INFERENCES :
LIBRARY STUDY CASE STUDY

1. Circulation : Main corridor : 3M Main corridor : 2.4M


2. Lifts : Width provides for Two lifts on either side is
wheelchair : 1.3M provided one for patients
and other for staff : 1.8M
3. Ramps : It should not have a slope Slope provided : 1:10
greater than 1:12 Width of ramp : 6.7M
No railings were provided.
Flooring : stone
4. Fire exit :
- Staircase Minimum width :1.5M Width : 1.5M
Both sides railing
Total no. of fire exits : 4
5. Parking : Standard parking bay : 4.8M Total no. of cars –
x 2.4M Basement parking – 230
Open parking - 260
SPACE REQUIREMENTS AREA AREA

- Reception area 150 – 250 SQ. FT. 600 SQ. FT.

- Minor OT 350 SQ. FT 225 SQ. FT.

- Lab 200 SQ. FT. 144 SQ. FT.

- X Ray 80 SQ. FT. 144 SQ. FT.

-Recovery Room 80 SQ. FT./ bed

- Pre operative room 70 SQ. FT./bed

- Major OT 430-490 SQ. FT. 450 SQ. FT.

-Scrub Room 10-15 SQ. FT. 10 SQ. FT.


Minimum 2 sinks are 4 sinks are provided.
required.

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