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(Reaffirmed 2014) 
IS : 12433 (Part 1 ) - 1988
  2008)
(Reaffirmed
(Reaffirmed 2018)
(Reaffirmed 2013) 
Indian Standard
 
BASIC REQUIREMENTS FOR (Reaffirmed 2012) 
HOSPITAL PLANNING  
PART 1 UP TO 30 BEDDED HOSPITAL
(Reaffirmed 2011) 
( Third Reprint DECEMBER 2001 )
 

(Reaffirmed 2010) 
UDC 362.111-725.51
 

(Reaffirmed 2009) 

(Reaffirmed 2008) 

(Reaffirmed 2007) 

(Reaffirmed 2006) 

(Reaffirmed 2005) 

© Copyright 1988
BUREAU OF INDIAN STANDARDS
MANAK BHAVAN, 9 BAHADUR SHAH ZAFAR MARG
NEW DELHI 110002

Gr 8 November 1988
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IS : 12433 (Part 1) - 1988

Indian Standard
BASIC REQUIREMENTS FOR
HOSPITAL PLANNING
PART 1 UP TO 30 BEDDED HOSPITAL

0. FOREWORD
0.1 This Indian Standard ( Part 1 ) was adopted degree of specialization and larger bed
by the Bureau of Indian Standards on 20 July complements
1988, after the draft finalized by the Hospital
Planning Sectional Committee had been approved 0.6 While preparing this standard, assistance has
by the Consumer Products and Medical Instru- been derived from the following
ments Division Council Report of the hospital equipment standardi-
zation committee, issued by the Directorate
0.2 T h e Government of India is the signatory to General of Health Services, Government of
the Alma Ata declaration to achieve the objective India ( popularly known as 'Bajaj Commi-
of health lor all by the year 2 000 A D T h e ttee Report' 1980 )
country at present has nearly 7 000 hospitals with
over 500 000 beds with a bed population ratio Guide to Staffing Pattern for Hospitals,
of 0 7 bed per 1 000 population This bed com- issued by the N a n nal Institute of Health &
plement is inadequate and inequitably distributed Family Welfare, Government of India
and even inefficient National Health Policy
(1983) has laid guidelines towards comprehensive Delhi Nursing H o m e Registration ( 1953 )
and integrated approach to development and Act and Amendment to Rules (1965), issued
strengthening of national health care infrastruc- by the Delhi Administration
ture Primary health care has been adopted as the
principal instrument of action 0.6.1 Assistance has also been derived from
Project report on hospital planning prepared by
0.3 In order to accomplish the above objective, Dr A K Nagpal, Managing Partner of Hospital
therefore, it will be necessary to strengthen the Designs and Svstems, New Delhi
existing health care infrastructure and make it 0.7 This standard covers requirements mainly for
more efficient and responsive to the health needs 30 bedded hospital meant for community health
and priorities of our country centres However, a suitable scope has been
provided for further expansion
0.4 This standard comprises the following sections
describing five fundamental aspects ot hospital 0.8 The other paris of this Indian Standard
planning, namely which will be published in due course are as
follows
Section 1 Functional programme
Basic Requirements for Hospital Planning
Section 2 Functional and space requirements
Part 2 Up to 100 bedded hospital
Section 3 Manpower requirements
Part 3 Up to 250 bedded hospital
Section 4 Instruments and equipment
Part 4 Up to 500 bedded teaching hospital
Section 5 Building requirements
Part 5 Up to 500 bedded non-teaching
0.5 It is envisaged that the above requirements hospital
will not only serve as guidelines for planning of Part 6 Up to 750 bedded teaching hospital
30 bedded hospitals but also will form the basis of
further development in the field to structure speci- Part 7 Up to 750 bedded non-teaching
fic building standards for hospitals with higher hospital

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IS : 112433 ( Part 1 ) - 1988

1. SCOPE 1.2 It is envisaged that no single standard can


meet the requirements of different regions in our
1.1 This standard ( Part 1 ) covers basic require- country representing plains, islands and hilly
ments for planning a 30 bedded general hospital terrains with diverse geo-climatic variations How-
in respect to functional programme, functional ever, attempt has been made in this standard to
and space requirements, work-flow analysis, man- cover basic needs of a 30 bedded hospital which
power requirements, instruments and equipment could be suitably adjusted to meet specific needs
Certain essential requirements for building, and priorities of a particular region or a commu-
services and environment have also been covered nity

SECTION 1 FUNCTIONAL PROGRAMME

2. FUNCTIONAL PROGRAMME Code Nomenclature Including


2.1 A 30 bedded hospital should have the follow- 3 47
Medical social work
ing facilities grouped as under (optional)
Code Nomenclature Including 3 50 Nursing services
Group 1 : Medical and Allied Disciplines 3 55 Operating theatre Anaesthesia
technology (optional) technology
1 01 Anaesthesiology
3 60 Opthalmology
1 13 Community medicine Preventive and
social medi- 3 90 Sterilization and disin- CSSD techno*
cine fection technology logy
1 14.1 Emergency medicine Group 4 : Engineering and Allied Services
1 15 Dentistry (optional) 4 05 Building maintenance
1 29 General medicine Internal medi- 4 10 Electric supply Power genera-
cine tion and stabi-
1 30 General surgery lization
1 64 Obstetric and gynae- 4 15 Fire protection Alarm system
cology 4 25 Horticulture (optional) Landscaping
1 72 Paediatrics 4 35 LPG supply (optional)
1 74 Pathology (optional) 4 40 Mechanical transport Ambulance
1 88 Radio diagnosis Radiology service
Group 2 : Health and Allied Servicea 4 45 Medical gases supply Gas scavanging
and vacuum
2 20 Family welfare 4 47 Refrigeration
2 25 Health education 4 50 Sewage treatment and Sanitation and
2 45 Maternal and child disposal ( where drainage
health required )
2 50 Nutrition 4 52 Solar energy (optional)
2 70 School health 4 55 Solid waste disposal Incineration
Group 3 : Nursing Paramedical and 4 60 Telephone and commu-
Allied Servicea nication
3 05 Dental technology Dental hygiene 4 65 Water treatment and Plumbing
(optional) (optional) supply ( where
required )
3 10 Dietetics and therapeu- Catering
tics (optional) (optional) 4 70 Workshop (optional)
3 15 Drugs and pharmacy Group 5 : Administrative and Ancillacy
3 20 ECG technology Services
3 30.1 X-ray imaging 5 05 Audio-visual service Field publicity
3 30.2 Ultrasound imaging 5 35 General administration
3 35 Laboratory technology 5 40 House keeping
3 40 Laundry technology 5 45 Library
(optional) 5 55 Materials management Inventory con-
3 45 Medical record tech- trol
nology 5 75 Security
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IS : 112433 ( Part 1 ) - 1988

SECTION 2 FUNCTIONAL AND SPACE REQUIREMENTS


3. GENERAL However, for guidance an area of I acre or more
has been recommended lor 30 bedded hospital
3.1 This section covers functional and space
requirements for a 30 bedded hospital T h e hospi- 5. SITE PLANNING
tal building shall be divided according to the
5.1 Hospital sites which are prone to outside
functions discribed in Section 1 A typical work
noise should be avoided, but these may still be
flow analysis is given in Fig 1 T h e buildings
considered in view of other considerations, such as
requirements are covered in Section 5 of this
accessibility and availability of services T h e
standard
building should be so planned that sensitive areas,
4. TOTAL AREA such as wards, consulting and treatment rooms
and operation theatres are placed away from the
4.1 T h e total area to be provided for a hospital outdoor source of noise. White planning the
complex shall depend on the availability of land hospital building, the importance of landscape

FIG. 1 W O R K F L O W ANALYSIS, 30 BEDDED HOSPITAL


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IS : 112433 ( Part 1 ) - 1988

elements, such as open areas, horticulture to


increase the comfort conditions inside the build- TABLE 1 FUNCTIONAL AND SPACE
ing and also in the surrounding environment R E Q U I R E M E N T FOR 30-BEDDED HOSPITAL – Contd
should be kept in view Orientation of building
shall conform to provisions and recommendations ZONE FUNCTIONS AREA TOTAL
contained in IS 7662 ( Part 1 )-1974* PER AREA
BED m2
6. RESIDENTIAL ACCOMMODATION IN m
2

6.1 If adequate land is not available, residential (0 (2) (3) (4)


accommodation for essential staff only, which may Diagnostic zone 6 180
include resident medical officer, nurses and assist- (C) Pathology (optional)
ing staff, should be provided. —Laboratory
—Sample collection
6.2 Tor the relatives of patients some accommoda- —Bleeding room
—Washing/disinfection
tion like shelter/home may be provided —Storage
—Sub-waittng
6.3 Residential accommodation for a major por- Imaging (radiology, radio-
tion of nursing staff should be provided close to graphy, ultra-sound)
the hospital block in the form of a hostel. —Preparation
—Change
7. FUNCTIONAL AND SPACE —Toilet
REQUIREMENTS —Control
—Dark room (film deve-
7.1 The recommended functional and space loping & processing)
requirement for various functions shall be as —Treatment room
—Sub-watting
given in Table 1 ( set also Fig 1 ) Public utilities
Circulation space
*Recommendations for orientation of buildings Part 1
Non-industnal buildings

TABLE 1 FUNCTIONAL A N D SPACE Intermediate zone 25 750


(inpatient nurs- Nursing station
REQUIREMENT FOR 30-BEDDED HOSPITAL ing units) (D) —Nurses desk
( Clause 7.1 ) —Clean utility
—Treatment room
7 ONE FUNCTIONS AREA TOTAL —Pantry
PER AREA —Store
BED m2 —Sluice room
2
IN m —Trolley bay
Patient area
(1) (2) (3) (4) —Bed space
Entrance zone 2 60 —Toilets
(A) Reception & Registration —Day space
—Reception counter —Isolation
Record storage Ancillary rooms
Pharmacy —Doctor's rest room
—Issue counter —Nurses duty room
—formulations Public utilities
—Drugs storage Circulation space
Public utilities
Circulation space
Ambulatory zone 10 300 Critical zone 8 240
( O P D ) (B) Examination & workup (operation Patient area
—Examination room theatre/labour — Preparation
— Sub-waning room) (E) — Pre anaesthesia
Consultation —Post operative resting
—Consultation rooms Staff area
— Toilets —Changing
— Sub-waiting —Resting
Nursing station Supplies area
—Nurses desk —Trolley bay
— Clean utility —Equipment storage
— Dirty utility —Sterile storage
—Treatment rooms O T /L R area
Injection and dressing — Operating/labour room
ECG —Scrub and gown
—Sub-waiting — Instrument sterilization
Casualty/Emergency —Disposal
Public utilities Public utilities
Circulation space Circulation space

( Continued ) ( Continued )

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18 112433 ( Part 1 ) - 1988

TABLE 1 FUNCTIONAL AND SPACE TABLE 1 FUNCTIONAL AND SPACE


HEQUIREMENTS FOR 30 BEDDED HOSPITAL - Contd REQUIREMENTS FOR 30-BEDDED HOSPITAL—Contd
ZONE FUNCTIONS AREA TOTAL ZONE FUNCTIONS AREA TOTAL
PER AREA PER
2 AREA
BED m BED m2
2
IN m IN m
2

(1) (2) (3) (4) (1) (2) (3) (4)


Service zone (F) 7 210 Laundry
Dietary —Clean storage
—Dry store —Issue
—Day store Civil engineering
—Preparation —Building maintenance
—Cooking —Horticulture
—Delivery —Water supply
—Pot wash —Drainage and sanitation
—Utensil waih Electrical engineering
—Utensil store —Sub-station and genera-
—Trolley park tion
C S S D —Illumination
—Receipt —Ventilation
—Wash Mechanical engineering
—Assembly —Air-conditioning
—Sterilization —Refrigeration
—Sterile storage Other services
—Issue —Gas supply
Laundry —Telephone and intercom
—Receipt —Fire protection
—Weigh —Waste disposal
—Sluice/Wash —Mortuary
—Hydro extraction
—Tumble Administrative 2 60
—Calender zone (G) General administration
—Press General stores
Public utilities
Circulation space
(Continued) TOTAL 60 1800

SECTION 3 MANPOWER REQUIREMENT


8. MANPOWER REQUIREMENT Min
8.1 In the beginning when the hospital starts 8.1.3 Nursing Staff 1
working, it is recommended that the total Matron 1
strength should be based on two persons per bed Operating theatre nurse 1
but should increase to three persons per bed Labour room nurse 1
when the hospital is working to its full load General nurse 7
capacity Given below is the recommended Nursing aids 7
strength 8.1.4 Para-medtcal Staff
Min Pharmacist/Asst Pharmacist 1
8.1.1 Medical Staff Dietician/Asst dietician (optional) —
General medicine 1 Technologist/Technician EGG
General surgery (optional)
1
1
Obstetrics and Gynaecology 1 Technologist/Technical imaging
Paediatrics 1 Technologist/Clinical pathology 1
Anaesthestology 1 Haematology/Blood Bank 1
Dentist (optional) 1 Technologist/Laundryv (optional) 1
Pathologist (optional) — Technologist/Medical records 1
Radiologist (optional) — Technologist/C S S D 1
General duty medical officers 3 Technical aids 5
Community medicine 1 Technologist, Ophthalmology 1
Technologist, Dental 1
8.1.2 Health Staff
8.1.5 Engineering Staff
Female health assistant 1
Extension educator 1 Technologist/Technician, Elec 1
Nutritionist — Technologist/Mechanical/Plumbing 1
Public health nurse — Engineering aides 2
5
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IS : 12433 ( Part 1 ) - 1988

Min Win
8.1.6 Administrative and Ancillary Staff General attendants 2
Stenographer 1 Security attendants 4
Storekeeper 1 Sanitary attendants 5
Adminstration assistant 1
Trlephone operator/Telex operator 1
Driver 1 Grand Total 63

SECTION 4 INSTRUMENTS AND EQUIPMENT

9. INSTRUMENTS AND EQUIPMENT B AMBULATORY ZONE


9.1 The instruments and equipment required by B 1 EXAMINATION/CONSULTATION
various departments are as follows These may
conform to the relevant Indian standards indica- Bedsheet IS 175-1979
ted against each item However, the number of Bowls IS 3994-1980
these equipments shall be governed by the actual Chair, metal, office type IS 3199
local conditions (Part 1)-1985
Chairs, plastic moulded —
A ENTRANCE ZONE Doctor's towel IS 7057-1973
Dusters IS 859-1978
A-1 RECEPTION AND REGISTRATION IS 3777-l966
Diagnostic set ( as per the
Chair, metal, office type IS 3499 (Part 1)- clinics requirements)
1985
Chairs, plastic moulded — a) Ophthalmoscope IS 8257-1976
Fire fighting equipment — As — b) E N T speculum IS 3788-1966
per requirements of statu- IS 5377-1969
tory bodies c) Torch (flashlights) IS 2083-1978
Graphics and signature sys- d) Laryngoscope and IS 4113 1967
tems — Audio-visual display auroscope
e) Tongue Represser IS 7756-1973
Janitor's equipment —
—Floor scrubbers — Examination table/stretcher IS 4035-1967
—Brooms — with mattress IS 4037-l967
—Dusters, etc — IS
- 4787-1968
Notice board — Kidney trays IS 3992-19 82
Reception, registration desk/ — Screen stands IS 4458-1982
counter Step stool —
Table, metal, office/Counter IS 3498-1983 Sphygmomanometer IS 3390-1977
Trolley, patients IS 4036-1967 IS 7652-1975
Water cooler with 3/4 spouts IS 1475-1978 Stethoscope IS 3391-1965
IS 6571-1972 Stool, revolving IS 7081-1973
Wheel chairs • IS 7454-1974 Wash basin with liquid soap IS 2556
IS 8086-1976 dispenser and towel rail (Part 4)-1972
A-2 PHARMACY X ray viewers —
B-2 NURSING STATION
Chairs, metal, office type IS 3499
(Part 1)-1985 Chair, metal, office type IS 3499
Jugs for water, tumblers IS 3424-1985 (Part 1)-1979
Refrigerator IS 1474-1959 Dressing drum IS 3831-1979
IS 1476-1979 Tire fighting equipment ( as —
Sink unit with desk top work — per statutory requirements )
area Hot plates IS 365-1983
Storage racks IS 1883-1983 Nurses station counter/desk —
IS 7070-1973 Notice boards —
Table, metal, office type IS 3498-1983 Refrigerator IS 1474-1954
Wash basin IS 2556 .IS 1476-1979
(Part 4)-1972 Screen stands IS 4458-1967

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IS : 12433 ( Part 1 ) - 1988

Sink unit with instrument IS 2556 Pulp tester –


work area (Part 5)-1979 Scalers assorted IS 4714-1985
Stool, revolving IS 7081-1973 Scalers set sub-gingival —
Storage units — storage racks IS 1883-1983 Scalers ultrasonic
, I S 7070-1973 IS 3829
IS 3498-1983 (Part 1)-1978
Table, metal, office type IS 3829
IS 8126-1976
(Part 2)-1978
Trolley, dressing/instruments/ IS 4769-1968 Sterilizers
IS 3829
medicine I S 5631 1970 (Part 3)-l985
IS 7083-1975 IS 5022-1979
Trolley patients IS 4036-1967 IS 8462-1977
Wall clocks IS 5160-1969 Suction apparatus IS 4533-1978
Waste receptacles IS 6904-1973 Table, office IS 3498-1983
Wash basin with liquid soap IS 2556 Tray complete sets for eden- IS 9717-1980
dispenser and towel rail (Part 4)-1972 tulous and dentulour jaws
Water cooler IS 1475-1978 (perforated)
Washing machines IS 6390-1983 Trolley, patients IS 4036-1967
Wheel chairs IS 6571-1972 Wall clock IS 5160-1969
IS 7454-1974 IS 6571-1972
IS 8086-1976 Wheel chair IS 7454 1974
X-ray viewers IS 8086-1976

B-3 DENTAL EQUIPMENT AND INSTRU-
Wiring set for jaw fractures —
MENTS ( OPTIONAL ) C DIAGNOSTIC ZONE
Air motor C-1 CLINICAL LABORATORY

Air turbine IS 6846-1972 C-11 LABORATORY EQUIPMENT AND
Air viva — INSTRUMENTS
Biopsy kit —
Chair, dental IS 6116-1971 Haemoglobmometer, Sahli, IS 9430-1980
Chair, metal, office use IS 3499 complete
(Part 1)-1985 Blood and urine examination
Chair, revolving IS 3499 instruments
(Part 2)-1985 Tubes, glass for pathological
Dental unit, complete IS 5023-1969 work IS : 3740-1966
Dental X-ray unit and deve- — Tubes, sedimentation IS 3741-1980
loping facilities Pipettes, dilution for IS 3742-1980
haemocytometers
Desk for reception counter —
Dressing drum IS 3831-1979 Pipettes for haemoglobino- IS 4087 1980
Excavators IS 4715-1968 meters and blood pipettes
Extraction forceps See Appen- for biochemical work
dix 'A' Pipettes serological IS 4364-1967
Filling instrument set — Albuminometer (Esbach's) IS 6606 1972
Handpiece straight and contra — fiwith stopper, stand and
angle case
Cover, glass, haemocyto- IS 6943-1973
Minor surgery instruments — meter
IS 309-1974 T u b e culture, screw cap IS 7039-1973
Oxygen cylinder, trolley, IS 6207-1971 T u b e haemometer IS 9430-1980
gas I S 8198
(Part 12)-1982
Blood sedimentation rate –
stand for 6/12 tubes
Perio-surgical instruments — Test tubes IS 2618-1980
Volumetric flasks IS 915-1975
IS 3890 Beaker IS 2619-1971
Plastic filling instrument (Part 1)-1986
IS 3890 Urine collection j a r –
(Part2)-1967 Glass slides –
Calorimeter —
IS 10866 1984
Prosthetic laboratory a n d Centrifuge A C / D C 200 W IS 4092-1984
IS 11044-1984
denture processing instru- with 8 buckets IS 9578-1980
IS 11045-1934
ments IS 11317-1985 Centrifuge tubes (glass) IS 3740-1966
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IS : 12433 ( Part 1 )- 1988

Laboratory electric ovens IS : 6365-1971 IS : 6994-1973


Monocular microscope IS : 4328-1967 X-ray protection screen IS : 7064-1973
Needle, hypodermic, all sizes I S : 3317-1983 IS : 10554-1983
Needle, hypodermic, single use IS : 10654-1983
Sterilizer, steam IS : 3829
X-ray film processing tank —
X-ray film corner
(Parts 1,2
and 3)-1985 D. INTERMEDIATE ZONE
Sterilizer, steam, portable IS : 8462-1977 D-l. PATIENT AREA
type
Bedsteads (including 5 with IS : 5029-1979
Spirit lamp – railing)
Stop watch IS : 10996-1984
Syringes, all glass, all sizes IS : 3236-1980 Bedside lockers IS : 4266-1987
IS: 11400-1985 Back rests IS : 5336-1969
Syringes for single use IS : 10258-1982 Bed, Fowler's IS : 7081-1973
Water bath, serological IS : 6593-1972 Bed pans —
Wire gauze Buckets, stainless steel IS : 4768-1981

Sink unit with worktop area IS : 2556 Basins —
(Part 5)-1979 Screen stands IS : 4458-1967
Chairs, metal office type I S : 3499
Wash basin with liquid soap IS : 2556
(Part 1)-1985
dispenser and towel rail (Part 4)-1972 Chairs, plastic moulded
Chairs, easy

IS : 5974-1986
C-2. IMAGING Chamber pots —
Chart holder —
Aprons, lead rubber IS : 7352-1974 Diagnostic set :
Chemical mixing plunger — a) Ophthalmoscope IS : 8257-1976
Cassettes with intensifying IS : 6991-1973 IS: 3788-1966
screens IS : 10554-1985 b) E N T speculum
IS: 5377-1969
Chair, office type IS : 3499 c) Torch (flashlight) IS : 2083-1978
(Part 1)-1985 d) Percussion hammer
Chair, plastic moulded

I S : 4113-1967
— e) Laryngoscope and
Diagnostic X-ray unit 200/ IS : 7620-1975 auroscope
300 mA with automatic f) Tongue depresser IS : 7756-1975
device Dressing d r u m IS : 3831-1979
Diagnostic 60 mA X-ray — Enema can sets —
machine (portable) type Feeding cups with spout —
Dark room safe light — Forceps Cheattles IS : 4094-1967
Dark room timer Flit pumps IS : 3897-1978

Dark room adaption goggles — Fly swatters –
Film clips Fire fighting equipment (as
Film hanger and wall brackets

— per statutory requirements)
Hanger for X-ray film —
Gloves, lead rubber
a) Buckets with stand —
Lead numbers for marking
— b) Fire extinguisher IS : 2878-1976
— "IS: 1238-1985
X-ray film Hurricane lantern
IS : 9557-1980
Lead sheets — Hot plates IS : 365-1983
Mangifying glass IS : 5148-1969 Hot water bottles IS : 1867-1975
Multi-purpose ultra-sound — Holder, case, sheet —
scanner Ice box IS : 1869-1961
Multi-probe ultra-sound — Ice bags IS : 3867-1966
equipment on trolley Jugs, enamel —
Rack, steel IS : 1883-1983 Kindney trays IS : 3992-1982
Step stools Kettles IS : 367-1983
— Medicine cups IS : 3998-1982
Stool, revolving IS : 7081-1973
IS : 2480 Medicine trolleys IS : 7083-1973
T a n k thermometer
(Parts 1 and Mugs IS : 3995-1980
2)-1983 Mattresses for bedsteads IS : 7933-1975
Notice boards IS : 10405-1982
Trolley, patients IS : 4036-1967 Oxygen cylinders with "IS : 309 -1974
Wash basins with towel I S : 2556 (Part trollies and flowmeters IS : 6207-1971
rail/liquid soap dispenser 4)-1972 IS : 5355-1978
X-ray view box — Oxygen masks

8
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IS : 12433 ( Part 1 ) - 1988


Photo therapy equipment — D-2. NURSING STATION
Refrigerators IS : 1476-1979 Chair, metal, office type IS : 3449
Rack, storage IS : 1833-1983
IS : 7070-1973 (Part 1)-1979
Racks, test tube Dressing drum IS : 3831-1979
Room heaters

IS : 369-1983 Fire fighting equipment (As —
(radiators/convectors) per statutory requirements)
Screen stands IS : 4458-1967 Hot plates IS : 365-1983
Step stool Nurses station counter/desk —
— Notice boards —
Stool, revolving IS : 7081-1973
Spoons IS : 990-1982 Refrigerator IS : 1476-1979
Suction apparatus IS : 4533-1978 I S : 1474-1954
Sphyamomanometers I S : 3390-1977 Screen stands IS : 4458-1967
IS : 7652-1975 Sink unit with instrument IS : 2556
Stethoscope IS : 3391-1965 work area (Part 5)-1979
Sterilizer instruments IS : 5022-1979 Stool, revolving IS : 7081-1973
Scissors, general purpose I S : 989-1982 Storage units — storage racks IS : 1883-1983
Spirit lamps — IS : 7070-1973
Splints arm — Table, metal, office type IS : 3498-1983
Splints, Thomas — IS : 8126-1976
Table, metal, office type IS : 3498-1983
IS : 8126-1976 Trolley, dressing/instruments/ IS : 4769-1968
Trollies, linen and dirty linen IS : 4455-1967 medicine IS : 5631-1970
Table, examination IS : 4787-1968 IS : 7083-1975
Tray, food (stainless steel) IS : 3257-1980 Trolley, patients IS : 4086-1967
IS : 3424-1980 Wall clocks IS : 5160-1969
Tumblers (stainless steel) IS : 3424-1980 Waste receptacles I S : 6904-1973
Trolley, dressing IS : 4769-1968 Wash basin with liquid soap IS : 2556
Trolley, patients IS : 4036-1967 dispenser . and towel rail (Part 4)-1972
Thermometers, clinical IS : 3055 Water cooler IS : 1475-1978
(Part 1)-1977 Washing machines IS : 6390-1983
Thermometers, rectal — IS : 8086-1976
Waste receptacle IS : 6904-1973 Wheel chairs IS : 6571-1972
Wall clocks IS : 5160-1983 IS : 7454-1974
Water coolers with 3/4 spouts IS : 1475-1978 X-ray viewers —
Weighing machines IS : 2489-1963
IS : 1853-1961 E. CRITICAL ZONE
X-ray view boxes — E-l. OPERATION THEATRE EQUIPMENTS
Linen Furnishings Bowls, stainless steel I S : 3994-1980i
Basin, stainless steel —
Bed sheets I S : 175 -1979 Brush, nail
IS : 745 -1975 —
Buckets, stainless steel IS : 4768-1981
IS : 3776-1968 IS : 726-1972
Blankets I S : 855 -1979 Bucket with lid IS : 3730-1966
I S : 856 -1971 IS : 4768-1981
Curtains Catheter, rubber IS : 7523-1974
Draw sheets Diathermy machine IS : 7583-1974
— Dressing drum, all sizes, IS : 3831-1979
Dusters IS : 859 -1978
IS : 3777-1966 stainless steel
Lamps, shadowless:
Doctor's cots IS : 5029-1979 a) ceiling lamp
Doctor towels IS : 7057-1973 —
b) portable type —
Face sponges —
Mortuary sheets IS : 175-1979 Sink unit with work top area IS : 2556
I S : 745-1975 (Part 5)-1979
Mattresses Sterilizer:
IS : 7933-1975 a) Sterilizer hot and cold IS : 7454-1974
Mattress covers —
Pillows cases water
— b) Bowls and utensils IS : 5035-1969
Patient coats or jackets —
Patient pyjama Suction apparatus IS : 4533-1978
— Stand, I. V. IS : 5880-1970
Pillows —
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IS : 12433 ( Part 1 ) - 1988

Stool, revolving stainless IS : 7081-1973 Ophthalmoscope IS : 8257-1976


steel Probe, uterine IS : 7981
Stand with wheel for single IS : 4267-1967 (Parts 4 and
basin 5)-1976
Slippers — Pint measures —
Table, operation, hydraulic: Pelvic meter —
a) Major IS : 5291-1969 Shadowless lamp
b) Minor IS : 6106-1971 Sinks with liquid soap dis- IS : 2556
Table, instruments IS : 6905-1973 pensers (Part 5)-1979
Trolley, dressing drum IS : 7099-1973 Suction apparatus IS : 4533-1978
Trolley, patients IS : 4036-1967 Sound, uterine IS : 5829-1982
Trolley, instruments IS : 5631-1970 Stand:
Tube, Ryles — IS : 4267-1967
Urinals (male and female) IS : 2556 a) Basin
(Part 6/Sec b) I. V. IS : 5880-1970
4 to 6)-1974 c) Towel. —
d) Test tube —-
X-Ray view box – IS : 3391-1965
Wheel chairs IS : 6571-1972 Stethoscope
IS : 7454-1974 Syringes, single use and " I S : 3236-1980
IS : 8086-1976 reusable type IS: 10258-1982
IS:11400-1985
E-2. LABOUR ROOM INSTRUMENTS AND Slippers —
EQUIPMENT Scissors:
Aprons rubber a) Bandage, Lister's I S : 6252-1971
– b) Stitch cutting IS: 4513-1968
Wash-basin IS : 2556
(Part 4)-1972 c) Episiotomy I S : 7103-1973
Bowl for placenta, stainless d) Curved and straight IS : 9146-1979
steel
— Speculum, Sim's IS : 6112-1971
Bed pans, stainless steel – Step stool —
Bowls, stainless steel — Table:
Can, douche — a) Obstetric, labour IS : 6083-1971
Catheter, rubber and metal IS : 5680-1969 b) Examination IS : 4787-1968
Cradles, baby IS : 5630-1970 Trolley:
Chair, wheel IS : 7454-1974 a) Patients IS : 4036-1967
IS : 6751-1982 b) Dressing IS : 4769-1968
IS : 8086-1976 Torch (flash light) IS : 2083-1978
Cabinet, instruments IS : 6877-1977 Trays ' I S : 3992-1982
Craniotomy set — I S : 3993-1982
Dispensing measures I S : 1160-1957 Tubes:
Dressing drum IS : 3831-1979 a) Ryles —
Forceps: b) Foetus —
a) Artery IS : 3644-1966 Thermometer, rectal IS : 3055
b) Obstetric, wringles (Part 1)-1977
— Tubs, baby bath IS : 4120-1967
c) Obstetric, furguson —
d) Ovum IS : 6578-1972 Urinals IS : 2556
e) Sponge holding IS : 7735-1975 (Part 6/Sec
f) Dissecting IS : 3643-1966 4 to 6)-1974
g) Cheatles IS : 4094-1967 Vacuum extractor –
Wash-basin IS : 2556
Feeding cups — (Part 4)-1972
Fortuscope — Weighing machine, baby IS : 2489-1963
Hot water bottles IS : 1867-1975
Handle for surgical blades, IS : 3319-1985 Wheel chairs IS : 6571-1972
Bard Parker type IS : 7454-1974
Ice bags IS : 3867-1966 IS : 8086-1976
Wash-basin IS : 2556
Jug, stainless steel IS : 3424-1985 (Part 4)-1972
Jar, ointment, with cover IS : 3997-1982 X-ray view box
Kidney tray, stainless steel IS : 3992-1982 —
Laparoscope, single puncture E-3. ANAESTHESIA EQUIPMENT AND
— APPLIANCES
Mclntoch —
Mouth gag IS : 7625-1975 Airways, anaesthetic I S : 3392-1965
Needle holder I S : 7994-1976 Airways, Guedal, rubber –
Needle, lumber puncture IS : 7350-1974 Boyles apparatus —
10
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IS : 12433 (Part 1) - 1988


Cylinders: Bowls, wash IS : 3994-1980
a) Oxygen gas/trolley/ IS : 309-1974 Bottles, wide mouth –
IS : 6207-1971 Brush, nail –
cylinder Chairs, office type IS : 3499
IS : 8198
(Part 2)-1982 (Part 1)-1979
Catheter, rubber all sizes I S : 7523-1974
b) Nitrous oxide IS : 8198 IS : 5680-1969
(Part 2)-1982 Catheterisation sets —
Cans —
Catheter, oral, endotracheal – Cabinet, steel IS : 3312-1984
Catheter, endotracheal, nasal — Cabinet instruments IS : 6877-1977
Forceps endotracheal for IS : 8312-1977 Dressing sets:
introducing endotracheal a) Suture needles IS : 10104
tube (Part 1)-1981
Face masks I S : 6190-1971 b) Artery forceps IS : 3644-1966
Laryngoscope I S : 4113 IS : 3645-1966
(Part 1 and c) Scalpel blades IS : 3319-1985
2)-1986
Funnel IS : 1541-1978
Mouth gag, Mason IS : 7627-1975
Spray laryngeal, McIntoch IS : 7885-1975 IS : 10231-1982
type Forceps:
Tube endotracheal IS : 6581-1972 a) Artery IS : 3644-1966
F. SUPPORT SERVICES ZONF IS: 3645-1966
b) Dissecting IS : 3643-1966
F-l. KITCHEN EQUIPMENT
c) Allis IS : 7388-1974
Bowl, wash IS : 3994-1980 Gloves IS : 4148-1967
Chair, steel, office type IS : 3499 Gloves box –
(Part 1)-1979 Handle for Bard Parker IS : 3319-1985
Cans, 100 litre — blade
Clock IS : 5160-1969 Hypodermic needle:
Cooking range with oven I S : 4760-1979
Fryer (deep fat) IS : 10263-1982 a) Single use all sizes IS : 10654-1985
Gas burners (domestic) IS : 4246-1984 b) Reusable type all sizes IS : 3317-1983
Kitchen knife IS : 3546-1966 Hand towel IS : 855-1971
Plates for serving IS : 3258-1980 IS : 856-1971
Potato peeler — Hypodermic syringes:
Rack for utensils — a) Single use all sizes IS : 10258-1982
Refrigerator ' I S : 1476-1979 b) Reusable type all sizes IS : 3236-1980
IS : 1474-1979 IS : 11400-1985
Sink units with work top IS : 2556 I. V. sets (preferably single IS : 9824-1981
(Part 5)-1979 use type)
Spoons, stainless steel IS : 990-1982 Irrigation sets:
Strainers — a) Syringes IS :3237
Table with marble top — (Part 6)-1986
Table office type "IS : 3498-1983 b) Catheter IS : 5680-1969
I S : 8126-1976 Kidney tray IS : 3992-1982
Trolley for hot food IS: 10264-1982 Medicine glass
Table cloth IS : 858-1981 —
"IS : 1961-1968 Lumber puncture sets —
Tableware Needle:
IS : 9220-1979 a) Spinal IS : 7350-1974
IS : 855-1979 b) Sternal puncture
Towels IS : 856-1971 —
c) Liver biopsy IS : 7387-1974
Tumblers IS : 3424-1985 d) Aspirating —
Trays, food IS : 3258-1980 e) Aneurysm IS : 8340-1977
Weighing machine IS : 1853-1961 f) Sharpener —
g) Holder IS : 7994-1976
F-2. CENTRAL STERILE ROOM SUPPLY IS : 10599-1983
IS : 10615-1983
Buckets, stainless steel IS : 4768-1981
Basin, wash IS : 2556 Proctoscopes –
(Part4)-1972 Pint measure —
II
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IS : 12433 (Part 1) - 1988


Sink units with work area IS :2556 "IS : 3236-1980
tops (Part 5)-1979 Syringe and needles, single IS : 10258-1982
Stitch removing sets: use and reusable type IS : 11400-1985
a) Forceps IS : 3317-1983
— IS : 10654-1983
b) Scissors IS : 4513-1968
Sterilizer, steam (Autoclave) IS : 3829 Scalpel with blade IS : 3319-1985
(Parts 1,2 and Scissors, suture –
3) Spinal sheet with hole —
Sterilizer, hot air I S : 3119-1978 Tray with wrapper —
Towel IS : 855-1979
Scissors: IS : 856-1971
a) General type IS : 989-1982
b) Mayo's IS : 9146-1979 BABY TRAY
Sponge nylon — Bowl, stainless steel IS : 3994-1980
Screws clamp — Forceps:
IS : 3788-1966
IS : 5377-1969 a) Dissecting IS : 3643-1966
Speculum IS : 5906-1970 b) Artery IS : 3644-1966
Kidney tray IS : 3992-1982
I S : 6112-1971 Mucus suction with catheter
Suction apparatus IS : 4533-1978 Scissors, cord cutting IS : 7117-1973
Stop cock, three-way IS : 1996-1962 Thread for cord tying —
Rack, steel IS : 1883-1983
Tubes: RESUSCITATION TRAY FOR NEW BORN
BABIES
a) Foetus tube –
b) Stomach tubes — Mucus suckers –
c) Ryles tubes — Ambu bag IS : 5602-1970
d) Tracheostomy IS : 8432-1977 Oxygen mask IS ; 6190-1971
Trays Endotracheal tubes IS : 6581-1972
— Laryngoscope I S : 4113
Towel clip IS : 7893-1975
Trocar cannula (Parts 1 and
— 2)-1986
Trace dilators —
Trolley, closed and ordinary IS : 9133-1979 Suction catheters IS : 5680-1969
Table office type IS : 3498-1983
IS : 8126-1976 DELIVERY TRAY
Tracheostomy sets —
Venesection sets — Bowl for placenta –
Wrapper — Catheter rubber plain IS : 5680-1969
Waste paper baskets — Forceps:
EPISIOTOMY TRAY a) Artery IS : 3644-1966
b) Bowel —
Bowl, stainless steel IS : 3994-1980 Gynae sheet IS : 4135-1974
Forceps dissecting IS : 3643-1966 Kidney tray IS : 3992-1982
Scissors episiotomy IS : 7103-1973 Sponge holding forceps IS : 10638-1983
Sponge holder — Table, obstetric, labour IS : 6083-1971
IS : 3236-1980 Tray with wrapper —
IS : 3317-1983 FORCEPS TRAY
Syringes and needles IS : 10258-1982 Bowl, wash IS : 3994-1980
IS : 10654,1983 Brain crusher —
I S : 11400-1985 Forceps:
a) High with weight —
SUTURE TRAY b) Low —
c) Vacuum —
Forceps- d) Artery IS : 3644-1966
a) Dissecting IS : 3643-1966 IS : 3645-1966
b) Artery, mosquito type IS : 3644-1966 Gynae sheet IS : 4135-1974
Kidney tray IS : 3992-1982
Needle, suture IS : 10104 Sponge holding IS : 10638-1983
(Part 1)-1981 'IS : 4513-1968
IS : 7994-1976 Scissors IS : 9146-1979
Needle holder IS : 10599-1983 IS : 10414-1982
IS : 10615-1983 IS : 10984-1984

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IS : 12433 ( Part 1 ) - 1988

G R A N I O T O M Y SET Chairs, metal, office type IS : 3499


(Part 1)-1979
Cannula, Dreus Smith – Meat chopper IS : 3545-1982
Catheter, metal — Meat block
Forceps, high — M o p linger with water tank

Hook, embryotomy —
Perforator skull
— Table, metal, office type "IS : 3498-1983
— IS : 8126-1976
Scissors craniotomy — Trolley linen/housekeeping IS : 4455-1967
GENERAL I N S T R U M E N T S SET Washing machine for floor —
Forceps: cleaning
a) Artery, mosquito, straight IS : 3644-1966 F-4. H O S P I T A L W O R K S H O P
and curved Blacksmith tools
b) Kocher's pattern IS : 8040-1976 Carpentary tools see Appendix B
c) Allis, tissue IS : 7388-1974
Chairs, metal, office type IS : 3499
d) Peritonium, Bab-Cock's IS : 8584-1977
(Part 1)-1979
pattern
e) Hernia ring — Common spares for repairs —
f) Intestine holding, Dennis IS : 7579-1975 of trollies, wheel chairs and
Brown other traction equipment
g) Dissecting IS : 3643-1966 Spray machine for painting —
Handle for B. P. Blade IS : 3319-1985 Table, metal, office type IS : 3498-1983
IS : 7994-1976 IS : 8126-1976
Needle holder IS : 10599-1983 Trolley for general medical IS : 9133-1979
IS : 10615-1983 store
Needle aneurysm IS : 8340-1977 G. ADMINISTRATIVE ZONE
Retractors:
G-l. O F F I C E E Q U I P M E N T
a) Langenback's pattern IS : 8855-1978
b) Cerny's pattern IS : 8854-1978 Chairs, metal, office type IS : 3499
c) Morison's pattern — (Part 1)-1985
d) D u r h a m ' s pattern — Chairs, plastic moulded —
e) Volkman's pattern — File cabinets IS : 3313-1983
f) Deaver's pattern IS : 8965-1978 Jugs for water IS : 3424-1985
Suction nozzle, for suction — Office equipment:
apparatus a) Paper weight —
Sponge holding forceps IS : 10638-1983 b) Pen stands —
Scissors: "IS : 1883-1983
c) Racks IS : 7070-1973
a) Mayo's pattern straight IS : 9146-1979
and curved d) Stationery items —
b) Sharp and blunt Steel cabinets "IS : 3312-1984
— IS: 4116-1976
c) Wire cutting —
d) Metzemboum's pattern IS : 7972-1975 IS : 7760-1985
Towel clips IS : 7893-1975 Tumblers IS: 3424-1985
Typewriter —
LEPARATOMY SET Waste receptacles IS : 6904-1973
Clamp: G-2. C E N T R A L S T O R E S
a) Payr's, crushing IS : 7665-1975
b) Intestinal non-crushing Chairs, metal, office type IS ; 3499
— (Part 1)-1985
Forceps: Instruments cabinets ' I S : 7760-1985
a) Right angle — IS : 6877-1977
b) Allis pattern IS : 7388-1974 Step stools —
c) Artery IS : 3644-1966 Steel cabinets IS: 3312-1984
d) Peritonium, Bab-Cock's IS : 8584-1977 IS : 1883-1983
e) Dissecting (McIntoch's) IS : 3643-1966 Storage racks
IS : 7070-1973
f) Dissecting (Gillie's) IS : 3643-1966 Table, metal, office type IS : 3498-1983
F-3. H O U S E K E E P I N G E Q U I P M E N T Trolley for general medical IS : 9133-1979
store
Brooms, mops, etc — Waste receptacle IS : 6904-1973
Cabinet steel IS : 3312-1984 Weighing scales IS : 1853-1961

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IS : 12433 ( P a r t 1) - 1988

SECTION 5 BUILDING REQUIREMENTS


10. BUILDING REQUIREMENTS 11.2 Reception, Registration and Entrance —
The area serves as waiting area for the patients
10.1 Circulation Areas — Circulation areas, before getting registered and for the followers
such as corridors, entrance halls, and staircases, who wait for the return of the patients. Adequate
in the hospital buildings should not be less than toilet facilities may also be provided close to it.
30 percent of the total floor area of the building.
10.2 Floor Height — The height of all the rooms 11.3 Clinics for Various Medical Disci-
in the hospital should not be less than 3 00 m and plines — These clinics include general medicine,
not more than 3 65 m, measured at any point general surgery, dental (optional), obstetric and
from the surface of the floor to the lowest point of gynaecology, paediatrics and family welfare. The
the ceiling. The minimum head-room, such as cubicles for consultation and examination in all
under the bottom of beams, fans and lights shall clinics should provide for doctor's table, chair,
be 2.50 m measured vertical under such beam, patient's stool, follower's seat, wash basin, exami-
fan or light. nation couch and equipment for examination.
10.3 Room shall have, for the admission of light The medical clinic should have the facility for
and air, one or more apertures, such as windows cardiographic examination.
and fan lights, opening directly to the external
air or into an open verandah. The minimum
aggregate areas ( see Note ) of such opening, 11.4 Dental Clinic ( Optional) — The dental
excluding doors inclusive of frames, shall be not clinic may have facilities for dental hygiene, and
less than 20 percent of the floor area in case such room for patients recovery. Gonsultation-cum-
apertures are located in one wall and not less than examination room should serve as combined pur-
15 percent of the floor area in case such apertures pose room for consultation, examination, dental
are located in two opposite walls at the same sill surgery and treatment.
level.
N O T E — If a window it partly fixed, the openable 11.5 Obstetric and Gynaecological Clinic —
area shall be counted. The clinic should include a separate reception
and registration, consulting-cum-exaniination,
10.4 The architectural finishes in hospitals shall treatment and clinical laboratory. The clinic
be of high quality in view of maintenance of should be planned close to in-patient ward units
better hygienic conditions specially in sanitary to enable them to make use of the clinics at times
blocks. Flooring in sanitary blocks should prefer- for ante and postnatal care. The clinic should also
ably be done with marble or polished stone and be at a convenient distance from other clinics in
dado or glazed/ceramic tile finish given on wall. the OPD. Antenatal patients have to undergo
10.5 The design of building shall ensure control certain formalities prior to examination by the
of noise due to walking, movement of trollies and doctors. Therefore, clinical laboratory for the pur-
banging of doors, etc. Expansion joint should pose is essential. A toilet-cum-changing room
have a non-metallic beading finish. The doors close to treatment should also be provided.
should be openable on both sides in operation
theatre while inside at other places. 11.6 Paediatric Clinic — The clinic should
10.6 Sanitary Fitments — The requirements of provide medical care for infants ( including new
the sanitary fitments shall be in accordance born ) and children up to the age of 12 years.
with 17.1 of IS : 10905 ( Part 1 )-1984*. Owing to risk of infection it is essential to isolate
the clinic from other clinics. The clinic shall be
11. ENTRANCE AND AMBULATORY ZONE provided with a separate dressing, treatment and
immunisation.
11.1 Physical Facilities — The entrance and
ambulatory zone of the hospital should have the
following facilities: 11.7 Family Welfare Clinic — The clinic should
Reception and registration provide educative, preventive, diagnostic and
Clinics for various disciplines ( examination curative facilities for maternal, child health,
and work-up consultation ) school health and health education. Importance
of health education is being increasingly recogni-
Pharmacy zed as an effective tool of preventive treatment.
Nursing station People visiting hospital should be informed of
Casual ty / Emergency environmental hygiene, clean habits, need for
Supporting facilities taking preventive measures against epidemics,
*Recommendations for basic requirements of general
family planning, etc. Treatment room in this
hospital b u i l d i n g s : Part 1 Administrative and hospital clinic should act as operating room for IUGD
services department buildings. insertion and investigation, etc.

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IS : 112433 ( P a r t 1 ) - 1988

11.8 P h a r m a c y ( D i s p e n s a r y ) — T h e dispen- 12.1.1 Sample Collection Room — For quick


sary should be located in an area conveniently diagnosis of blood, urine, etc, a small sample
accessible from all clinics T h e size should be collection room facility may be provided.
adequate to contain 5 percent of the total clinical
visits to the OPD in one session at the rate of 12.1.2 Bleeding Room — Blood taking also
0 8 m 2 per patient T h e dispensary and compound- requires a comfortable reception with toilet.
ing room should have multiple dispensing Bleeding room should be quiet and not a tho-
windows, compounding counters and shelves. T h e roughfare and should be divided into cubicles for
pattern of arranging the counters and shelves privacy A rest room shall also be provided for
shall depend on the size of the room. T h e medi- donors to rest and take light refreshment before
cines which require cold storage and blood returning home.
required for operations and emergencies may be
kept in refrigerators. 12.2 I m a g i n g
12.2.1 General — T h e role of imaging depart-
11.9 N u r s i n g Station for Ambulatory ment should be radio-diagnosis Radiology is a
Z o n e — T h e nursing station shall be centered fast developing technique and the depaitment
such that it serves all the clinics from that place. should be designed keeping in view the future
T h e nursing station should be spacious enough to scope of expansion. T h e department should be
accommodate a medicine chest, a work counter located at a place which is easily accessible to
for preparing dressings, medicines, sinks, dress both O P D and wards and also to operation
tables with screen in between and pedal operated theatre department.
bins to hold soiled material. 12.2.2 As the department deals with the high
voltage, presence of moisture in the area should
11.10 C a s u a l t y / E m e r g e n c y — T h e emergency be avoided. Radiography is a device of making
cases may be attended by O P D during O P D pictorial records by means of X-ray on sensitized
hours and in inpatient units afterwards. film whereas fluoroscopy is direct visualization
through the medium of X-ray.

11.11 Supporting Facilities — Various clinics 12.2.3 Radiology and Fluoroscopy Room — The
under O P D required supporting facilities which size of the room shall depend upon the type of
include waiting spaces, medical records and injec- equipment installed. T h e room should have a
tion room. A social worker room to render service sub-waiting area with toilet facility and a change
to patients may also be provided. room facility, if required Fluoroscopy room shall
be completely cut off irom the direct light
through provisions of air-locks. T h e radiography
11.11.1 Waiting Spaces — General waiting per units should be operated from separate control
clinic and subsidiary waiting spaces are required room or behind a lead mobile protection screen
adjacent to each consultation and treatment room of 1 5 mm lead equivalent wherever necessary.
in all the clinics.
12.2.4 Film Developing and Processing Room —
Film developing and dark rooms shall be provi-
11.11.2 Medical Records — It is desirable to ded in the department for loading, unloading,
maintain the medical records of the out patients developing and processing of X-ray films. The
in continuation of registration area. room should be provided between a pair of
radiography rooms so that new and exposed
11.11.3 Injection Room — For administering X-ray films may be easily passed through the
injection to partients a central injection room cassette pan with 2 0 mm lead backing installed
in the wall in between. The room should be
shall be provided in conjunction with the dispen-
completely cut off from direct light through pro-
sary.
vision of airlock For ventilations, exhaust fans
shall be provided. The room shall have a loading
12. DIAGNOSTIC ZONE bench ( with acid and alkali resistant t o p ) ,
processing tank, washing tank and a sink Floor-
ing for the room shall be acid and alkali proof
12.1 Clinical Laboratory — T h e clinical labo-
ratory should be provided with 600 mm wide 12.2.5 Film Drying and Storing — There shall
a n d 800 mm high bench of length about 2 m be some space available for flim drying and
per technician and to full width of room for storting near the room of film developing.
pathologist incharge of the laboratory. Each
laboratory bench shall have laboratory sink with 12.2.6 Treatment Room — Treatment room ot
swan neck fittings, reagent shelving, gas and the department shall include space for the intra
power point and under-counter cabinet. T o p of X-ray and contact therapy apparatus which is ot
t h e laboratory bench shall be of acid alkali proof simple character, occupies little space and may
material. not need elaborate structural requirements.

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12.2.7 Ultra Sound — Ultra sound, a scanning 13.4.1 Nursing Station — It should be position-
device of imaging department, also requires a ed in such a way that the nurse can keep a
small room for use mainly by gynaecology a n d continuous watch over the patients T h e room
obstetric clinic shall contain a cupboard to hold materials which
might otherwise be placed in clean utility room,
13. INTERMEDIATE ZONE ( Inpatient a drug cupboard, sink, chair, small table a n d
nursing units ) space for call system points and records Separate
toilet facilities for nurses shall be provided.
13.1 General — Inpatients Nursing Units, that
is, ward concept is fast changing due to policy of 13.4.2 Treatment Room — Major dressing a n d
early ambulation and infact only a few patients complicated treatments should be carried out in
really need to be in the bed T h e basic considera- the treatment room to avoid the risk of cross-
tions in placement wards is to ensure sufficient infection
nursing care locating them according to the
needs of treatment in respective medical disci- 13.4.3 Ward Pantry— For collection and distri-
pline and checking cross infection In this case bution of meals and preparation of beverages, a
there should be two ward units, one for male and ward pantry shall be provided It should be
one for female fitted with a hot-water supply geyser, refrigerator
and a hot case and should have the facilities for
13.2 W a r d U n i t — In planning a ward, the
storing cudery, etc
aim should be to minimize the work of the nurs-
ing staff and provide basic amenities to the 13.4.4 Ward Store — A store shall be provided
patients within the Unit T h e distances to be for storing the weekly requirements of clothes,
travelled by a nurse from bed areas to treatment bed sheets, and other ward equipment
room, pantry, etc should be kept to be minimum
T h e ward unit may be made of desired number 13.4.5 Sluice Room — A room shall be provided
of beds at the rate of 7 m 2 per bed and should for emptying and cleaning bed pans, urine
be arranged with a minimum distance of 2 25 m bottles, and sputum mugs, disposing ot used dress-
between centre of two beds and a clearance of ing and similar material, storage of stool a n d
200 mm between the bed a n d wall In wards the urine specimen, etc
width of doors shall not be less than 1 2 m and
all wards should have dado to a height of 1 2 m 13.4.6 Day Space — For those patients who
Isolation unit in the form of one single bedded are allowed to sit and relax, a room shall be
rooms per ward unit may be provided to cater provided in the ward unit itself It should afford
for certain case requiring isolation from other an easy access to patients and supervision by the
patients An area of 14 m 2 for such room to nursing staff and should be provided with easy
contain a bed, bedside locker, easy chair for chairs, book shelves and small tables It may
patient, a chair for the visitor and a built in also serve as dining space
cupboard for storing clothes is recommended
This isolation unit should have separate toilet
facilities 13.4.7 The sanitary requirements of an Inter-
mediate Zone' are given below
13.3 T y p e of Ward — Wards may be either
nightingale or rigs type In the former, beds are Item Number Requited
arranged at right angle to the wall with the feet
towards the central corridor, and in the latter Water closets 2 ( for male ward )
4 to 6 beds are arranged parallel to the longitudi- 3 ( for female ward )
nal walls and each pair of beds facing each other
A rig type ward is recommended from socio- Ablution taps 1 for each water closet
environments stand point plus 1 watt r tap with
drainage arrange-
13.4 General Ward Facilities — Each ward ment in the vicinity
unit should have a set ot ward ancillaries as of water closets
given below
Urinals 2 ( for male ward )
a) Nursing station,
Wash Basins 2 ( each ward )
b) Treatment room,
c) W a i d pantry, Baths 2 ( for each ward )

d) Ward store, Gleaner's sinks and 1 ( for each ward )


sinks/slab for clean-
e) Sluice room, ing McIntoch
f) Day space, and Kitchen sinks and 1 ( for each ward in
g) Sanitary dishwashers ward pantry )

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IS : 112433 ( Part 1 ) - 1988

14. CRITICAL ZONE ( OPERATION closing devices. Natural lighting shall be provided
THEATRE/LABOUR ROOM with large windows and general illumination by
DEPARTMENT ) means ol fluorescent tubes. The operating room/
labour room should be normally arranged in
14.1 General — Operating suite/labour room is pairs with scrub-up and instrument sub-sterilizing
technically a therapeutic aid in which a team of room.
surgeons, anaesthtsists, nurses and sometime
pathologist and radiologist operate upon or care 14.7 Scrub-up — In this room the operating
for the patients. For optimum utilization of the team washes and scrub-up their hands and arms,
operation/labour room units, this department, put on their sterile gown, gloves and other covers
as a rule, should not be reserved rigidly for use before entering the operation theatre/labour room.
by a particular department. It should have a single leaf door with self-closing
device and viewing window to communicate with
14.2 C i r c u l a t i o n — Normally there are three the operation theatre/labour room. A pair of
types of traffic flow, namely (a) patients, (b) staff, surgeons sinks with elbow or knee operated taps
and (c) supplies. All these should be properly are required.
channelized.
14.8 I n s t r u m e n t Sterilization — It is a sub-
14.3 P a t i e n t s — Patients are brought from the sterilizing unit attached to the operation theatre/
ward and should not cross the transfer area in labour room limiting its role to operating instru-
their ward clothing which is a great source of ments on an emergency basis only. This room
infection Change-over of trolleys should be should be equipped with high pressure, quick
effected at a place which will link up both pre- sterilization apparatus. Instrument cupboard and
operative and post-operative rooms. a work bench with sinks are required.
14.3.1 Preparation Room ( Theatre Pack ) — It 14.9 D i s p o s a l — Theatre refuse, such as dirty
should be a work room for arranging for stret- linen, used instruments and other disposable/non-
chers, dressing and all other surgical items. disposable item should be removed to a room
14.3.2 Pre-operative Room — Patients are trans- after each operation. Non-disposable instruments
ferred from respective ward to this room for after initial wash is given back to instrument
premedication before operation. Segregation of sterilization unit and rest of the disposable items
male and female patients is to be taken care of. are disposed and destroyed. Dirty linen is sent to
T h e room should have toilet facility separately laundry through a separate exit. T h e room should
be provided with sink, slop sink, work bench and
for men and women.
draining boards.
14.3.3 Post Operative Resting — Immediately
after the operation, the patients are kept in a 15. SERVICES ZONE
room situated close to the operation theatre/ 15.1 Dietary Service ( Optional ) — T h e dietary
labour room until such time they arc found fit to service of a hospital is an important therapeutic
be taken to their parent ward. tool. Properly rendered, it shall be a clinical and
14.4 Staff — T h e doctors, nurses, technicians administrative means of stimulating rapid recovery
a n d assisting staff should enter from a separate of patients thereby shortening patients stay in the
route and through a set of change rooms and an hospital. T h e aim in hospital catering, therefore,
air lock. They should communicate through the should be to produce well cooked, appetizing and
nutritious food as economically as possible. T h e
sterile corridor. A shoe change and gowning
achievement of this objective shall depend on
space near the air lock shall also be provided.
administrative efficiencies of the staff, planning
Separate change rooms for doctors, nurses and
department, layout and equipment. T h e hospital
technicians shall be provided, with arrangement kitchen alone could be responsible for spreading
for lockers, bathing and toilet facilities. diseases if hygienic conditions are not maintained.
14.5 Supplies — All sterile goods should have a Use of cooking gas and electricity will definitely
separate entry point reaching the clean corridor improve the hygienic conditions of a hospital
independently; soiled material should be taken kitchen. Good natural light and ventilation is of
out by the exit only. Store rooms shall be provi- great importance.
ded for storing theatre supplies, such as stretcher,
trolley, sterile material, medical gas cylinders, 15.2 Central Sterilization and Supply De-
instruments and linen. p a r t m e n t ( CSSD ) — Sterilization, being one of
the most essential services in a hospital, requires
14.6 O p e r a t i o n Theatre/Labour R o o m — the utmost consideration in planning. Centraliza-
Operating room/labour room should be made tion increases efficiency, results in economy in
dust-proof, moisture proof, corners and junctions the use of equipment and ensures better supervi-
of walls, floor a n d ceiling should be rounded to sion and control. T h e materials and equipments
prevent accumulation of dust and to facilitate dealt in CSSD should fall under three categories:
cleaning. All doors should be two leaf type with a) those related to the operation theatre depart-
a minimum 1-5 m width and shall have self ment, b) common to operating and other

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IS : 12433 ( Part 1 ) - 1988

departments, and c) pertaining to other depart- 15.5.2 Illumination — For requirements and
ments alone. method for daylighting in hospital building refe-
rence may be made to IS : 2440-1975*. The
15.3 Laundry Services — Laundering of hospi- level of illumination for various visual tasks shall
tal linen shall satisfy two basic considerations, be provided in accordance with IS : 4347-1967†.
namely, cleanliness and disinfection. The hospital General lighting of all hospital areas except stores
could be provided with necessary facilities for and lavatory block shall be fluorescent. In other
drying, pressing and storage of soiled and clean- areas it is recommended to be of incandescent
ed linens. lamps. Electrical installation except for artificial
illumination, shall be in accordance with IS :
15.4 Civil Engineering 732 ( Part 2 )-1983‡ IS : 732 ( Part 3 )-1982‡
IS : 8030-1976§ and SP:30-1985||.
15.4.1 Budding Maintenance — An office-cum-
store should be provided to handle day to day
maintenance works of the hospital building
15.5.2.1 Shadowless light — Shadowless light
15.4.2 Horticulture — To maintain the hospital ( mountable type ) shall be provided in operation
landscaping, a room to store garden implements, theatres and operating delivery rooms whereas in
seeds, etc, should be provided. other areas, where operation of minor nature are
carried out shadowless ( portable type ) shall be
15.4.3 Water Supply — Arrangements shall be provided.
made to supply 10 000 litres of potable water per
day to meet all the requirements ( including
laundry ) except fire fighting Storage capacity 15.5.2.2 Emergency lighting — Emergency
for 2 da\ s requirements should be on the basis of portable light units should also be provided in the
the above consumption Round the clock water wards and departments to serve as alternative
supply shall be made available to all wards and source of light in case of power failure.
departments of the hospital. Separate reserve
emergency overhead tank shall be provided for
operation theatre. Necessary water storage over- 15.5.2.3 Lighting protection — The lighting
head tanks with pumping/boosting arrangement protective system of hospital buildings shall be in
shall be made. The laying and distribution of accordance with IS : 2309-1969¶.
the water supply system shall be according to the
provisions of IS : 2065-1983*. Gold and hot
water supply piping should be run in concealed 15.5.2.4 Call bells — Gall bell switches ( see
form embedded into wall with full precautions IS : 2268-1966** should be provided for all beds
to avoid any seepage in all types of wards with indicator lights and
location indicator situated in the nurses duty
15.4.4 Drainage and Sanitation — The design, room of the wards.
construction and maintenance of drains for waste
water, surface water, sub-soiled water and sewer- 15.5.3 Ventilation — Ventilation of hospital
age shall be in accordance with IS : 1742-1983†. buildings may be achieved by either natural
15.4.4.1 The selection, installation and supply and natural exhaust of air, or natural
maintenance of sanitary appliances shall be in followingandstandards
supply mechanical exhaust of air. The
of general ventilation are
accordance with IS : 2064-1973‡ The design and recommended for various areas of the hospital
installation of soil, waste and ventilating pipes building based on maintenance of required
shall be as given in IS : 5329-1983§. oxygen, carbon-doixide and other air quality
15.5 Electrical Engineering levels and for the control of body odours when
no products of combustion or other contaminants
15.5.1 Sub-Station and Generation — Electric sub- are present in the air or anaesthesia gases which
station and generating set to accommodate trans- are highly explosive are present:
former, HT/LT panel and generating set to meet
the electrical requirement of the hospital shall be *Guide for daylighting of buildings (second revision ).
provided Standby generators should be provided †Code of practice for hospital lighting
to generate power requirement for essential and ‡Code of practice for electrical wiring installations:
critical areas of the hospital such as OT/LR and Part 2 Design and Construction ( second revision )
Part 3 Inspection and testing of installations ( second
radiology department revision )
§Specification for luminaires for hospitals
*Code of practice for water supply in building ( second ||INational electrical code: Part 3 Electrical installation
recision ) in non-industrial buildings, Section 4 Medical establish-
†Code of practice for building drainage (second revision). ment
‡Code of practice for selection, installation and main- ¶Code of practice for the protection of building and
tenance of sanitary appliances ( first revision ) allied structure against lighting (first revision )
§Code of practice for sanitary pipe work above ground **Specification for electric call bells and buzzers for
for buildings (first revision ) indcor use ( revised ).

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IS : 12433 ( P a r t 1) - 1988

Space to be Ventilated Air changes per hour duties for patient care and all employees of the
hospital who are within the building in the event
Bathrooms/toilets 6 - 12 of emergency.
Wards 8 - 12
Kitchens 6-9 T h e alerting system shall be capable of being
operated from intercoms, telephones and the
Operation theatres 15 - 20 administrative office.
Other air-conditioned 8 - 10
spaces 15.7.3 Fire Protection
15.7.3.1 First-aid fire-fighting equipment —
15.5.3.1 T h e general principles of nautral ven- Adequate first-aid, fire-fighting equipment shall be
tilation shall be in accordance with I S : 3362-1977*. provided and installed in accordance with IS :
W h e r e adequate air changes cannot be obtained 2190-1979*.
by natural ventilation, mechanical ventilation
either by exhaust of air or by positive ventilation 15.7.3.2 Fire alarm — Manually-operated fire
( like fans and other equipment) or combination alarm facilities shall be provided in hospital build-
of two shall be provided. Fans and other equip- ings which sound an audible alarm in adminis-
ments for mechanical ventilation may be located trative department, engineering service, offices,
in convenient positions having regard to the fire office and such other locations where gongs,
intake of fresh air, accessibility for maintenance sirens, whistles or bells do not disturb the patients.
and noise control. Exhaust fans shall be provided Distinctive visual or audible alarm shall be insta-
in walls on one side or in the attic or roof. T h e lled at each nurses duty room, duty station and
exhausted air shall not find entry back into used for fire alarm purpose only. Hospitals may
hospital. also be equipped with Automatic fire alarm system
conforming to IS : 2189-1976†.
15.6 M e c h a n i c a l E n g i n e e r i n g
15.7.4 Waste Disposal System — T h e hospital
15.6.1 Air-conditioning and Room Heating — Air- shall be provided with one incinarator consisting
conditioning units shall be provided only for the of a burning chamber and chimney.
operation theatre and neonatal unit. However,
air-coolers or hot air convectors may be provided 15.7.5 Mortuary — Mortuary shall provide faci-
for the comforts of the patients and the staff lities for keeping of dead bodies and conducting
depending upon the local needs. autopsy. It should be so located that the dead
bodies can be transported unnoticed by the general
15.6.2 Refrigeration — Hospital shall be pro- public and patients. Relatives and mourners should
vided with water coolers and refrigerators ( see have direct access to the mortuary. T h e mortuary
IS : 1474-1959† ) in wards and departments, shall have facilities for walk in cooler, post
depending upon the local needs. mortem area, etc.
15.7 O t h e r Services 16. ADMINISTRATIVE ZONE
15.7.1 Gas Supply 16.1 G e n e r a l A d m i n i s t r a t i o n — T h e adminis-
tration department of hospital shall essentially
15.7.1.1 Medical gas — Medical gases com-
look after organised group of people, patients and
prise mainly of oxygen and nitrous oxide. T h e
resources in order to accomplish the task of provid-
cylinder supply should be made available. ing best patient care. It shall have two main sec-
15. 7.1.2 Cooking gas — For better hygienic tions, namely, general and medical records.
conditions use of LPG cooking gas ( liquefied General section shall deal with all matters relating
petroleum gas ) cylinders are recommended. to overall upkeep of the hospital as well as welfare
of its staff and patients. Medical records section
15.7.1.3 Laboratory gas — LPG ( liquefied shall function for professional work in diagnosis,
petroleum gas ) cylinders should be made avail- treatment and care of patients.
able for pathological lab. Alternatively, kerosine
stove may be made available where gas supply is 16.2 General S t o r e s — Hospital stores comprises
not available. stores needed for various hospital functioning and
should be grouped centrally in the service complex.
15.7.2 Telephone and Intercom — Wiring in con- T h e area for each type of stores should be utilized
duits shall be provided to give telephone outlet to the optimum by providing built in shelves at
points in room, wards and departments as desired different heights according to the type of stores.
by the authority. An intercom system may also be Adequate ventilations and security arrangement
provided in addition to the telephones. T h e com- shall be provided. Stores should also be provided
munication system should be adequately designed in with fire fighting arrangement.
hospitals for alerting all persons charged with
*Code of practice for selection, installation and main-
tenance of portable first-aid fire extinguishers ( second revi-
*Code of practice for natural ventilation of residential sion ).
buildings (first revision ). †Code of practice for installation of automatic fire alarm
†Specification for commercial refrigerators. system using heat sensitive type fire detectors (first revision).

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IS : 112433 ( P a r t 1 ) - 1988

APPENDIX A
(Clauses 9.1 and B-3 )
LIST OF INDIAN STANDARDS ON E X T R A C T I O N FORCEPS

IS : 4976-1987 Forceps, extraction, dental, upper anteriors, No. 1 and 2 (first revision )
IS : 4977-1968 Forceps, extraction, dental, lower molar, Hawk's Bill N o . 1
IS : 6824-1972 Forceps, extraction, dental, lower wisdom tooth
IS : 6825-1972 Forceps, extraction, dental, upper cuspids and bicuspids
IS : 6826-1972 Forceps, extraction, dental, lower incisors, cuspids and bicuspids, left
IS : 6827-1972 Forceps, extraction, dental, upper molars, left
IS : 6828-1972 Forceps, extraction, dental, upper molars, right
IS : 6856-1972 Forceps, extraction, dental, upper root, narrow beak
IS : 6858-1972 Forceps, extraction, dental, lower incisors, cuspids a n d bicuspids
IS : 6859-1972 Forceps, extraction, dental, upper root, wide beak
IS : 6866-1986 Forceps, extraction, dental, upper wisdom tooth (first revision )
IS : 6867-1972 Forceps, extraction, dental, upper root, medium peak
IS : 6868-1972 General requirements for forceps, extraction, dental
IS : 8044-1976 Forceps, extraction, dental, lower molar, children
IS : 8045-1976 Forceps, extraction, dental, lower incisors and canines, children
IS : 8046-1976 Forceps, extraction, dental, upper incisors
IS : 8047-1976 Forceps, extraction, dental, upper molar, children

APPENDIX B
[ Clause 9.1 (C-4) ]
BLACKSMITH AND CARPENTRY T O O L S

IS : 402-1974 Cold chisels ( second revision )


IS : 510-1986 Blacksmith's anvils ( second revision )
IS : 552-1965 Smith bits ( revised )
IS : 663-1980 Adzes ( second revision )
IS : 703-1966 Axes ( revised) (with Amendments No. 1 and 2)
IS : 841-1983 Steel hammers ( second revision )
IS : 842-1968 Smith swages ( first revision ) (with Amendment No. 1)
IS : 843-1968 Smith tongs (first revision )
IS : 844 (Part 1)-1979 Screw drivers : Part 1 Technical supply conditions ( second revision )
IS : 844 (Part 2)-1979 Screw drivers : Part 2 Dimension ( second revision )
IS : 844 (Part 3)-1979 Screw drivers : Part 3 Dimensions for screw drivers for recessed head screws
( second revision )
IS : 846-1968 Smith's flatters (first revision )
IS : 847-1968 Smith fullers (first revision )
IS : 2586-1986 Bench vices ( second revision )
IS : 2852-1964 Carpenter's augers (with Amendments No. I and 2)
IS : 3587-1989 Rasps ( second revision )
IS : 3650-1981 Combination side cutting pliers ( second revision )
IS : 4017-1967 Carpenter's squares
IS : 4057-1987 Carpenters' metal bodied bench planes
IS : 5169-1686 Hacksaw frames (first revision J
IS : 6891-1973 Carpenters' auger bits
IS : 6892-1973 Blacksmiths' bick-iron
IS : 7041-1973 Carpenters, ratchet brace
IS : 7958-1976 Head vices

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Bureau of Indian Standards


BIS is a statutory institution established under the Bureau of Indian Standards Act, 1986 to promote
harmonious development of the activities of standardization, marking and quality certification of goods and
attending to connected matters in the country.
Copyright
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without the prior permission in writing of BIS. This does not preclude the free use, in the course of
implementing the standard, of necessary details, such as symbols and sizes, type or grade designations.
Enquiries relating to copyright be addressed to the Director (Publication), BIS.
Review of Indian Standards
Amendments are issued to standards as the need arises on the basis of comments. Standards are also reviewed
periodically; a standard along with amendments is reaffirmed when such review indicates that no changes are
needed; if the review indicates that changes are needed, it is taken up for revision. Users of Indian Standards
should ascertain that they are in possession of the latest amendments or edition by referring to the latest issue
of 'BIS Handbook' and 'Standards: Monthly Additions'.

Amendments Issued Since Publication

Amend No. Date of Issue Text Affected

BUREAU OF INDIAN STANDARDS


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