CASE STUDY AND LIBRARY STUDY ON ESCORTS, FORTIS HOSPITAL c a AMRITSAR SIIRMMreEDP R'duction to hospital de Types of hospitals fn According to speciality General: (which is set up to deal with many kinds of disease ar normally has an emergency department to deal with immediat threats to health) Specialized: (hospitals for dealing with specific medical needs psychiatric problems, certain disease categories such as.cardic or orthopaedic problems) Teaching: (combines assistance to patients with teaching to m and nurses and often linked to a medical school. nursina schoIntroduction to hospita According to health care level Primary care hospitals: (health care that is provided at a basie le an initial approach to a doctor) Secondary care hospitals: (service which is provided by medical usually provided by cardiologists, urologists and dermatologists Tertiary care hospitals: (specialized consultative health care, ust inpatients) According to ownership Government Privatea duction to nospital de as Overview Initially, Hospitals are the most complex of building types. Each hospital is comprised a wide range of services and functional units. These include diagnostic and treatment functions, such as clinical laboratories, ima in emergency rooms, eee = eeAccessibil ityi uction to hospita Efficiency > Minimizing distance of necessary travel between frequently used » Allow easy visual supervision of patients by limited staff. > Provide sufficient no. of elevators, staircases etc. >» Include all needed spaces and sharing services, but no redundan >» Provide optimal, functional adjacencies, such as locating the sure unit adjacent to the operating suite Flexibility > Follow modular concepts of space planning and layout as possibl > Served by modular, easily accessed,and easily modified mechanic systems ge NE aeIntroduction to hospita Interior Design Aesthetics > Every effort should be made to make the hospital stay as unthr nir comfortable and stress-free as possible. A > Usage of artwork. Using cheerful and varied colors for interior finishes and used linens. > Provide views of the outdoors from every patient bed and elsewhere 7 Cleanliness and easy maintaining >» Proper, durable finishes for each functional space. > Careful detailing of such features as doorframes, casework and transiti dirt-catching and hard to clean crevices and joints. > Adequate and appropriately located housekeeping services.Maine > Main entrance should be clearly visible, identifiable and easily accessible, preferably with a covered setting—down point froma. Reception: > The reception area should be visible from thi entrance. > Allow 1.5m counter length for each reception and space in front of the counter for patien: without encroacaing on circulation routes. >» Counter design should be open but providini protection for the staff. > Provision for people with disabilities should incorporated.» Waiting area should be visible from reception area > 6 seats should be allowed for each consulting and treatment wf room (1.4 square metre for each) > This can be reduced for large premises, parti¢ when appointment systems are operated. > Arrangements can be made to screen off part area to provide space for other activities at 4 when it is not all required for waiting > Patients should not wait in corridors nor outs ig consulting or treatment room doors. > Pram storage and WCs need to be near the re plea man Batesta yeaah hs enteredEmergency Depa » The primary role of emergency department is to deal with serious casualties and accidents so it Should be located on ground floor > Separate emergency entrance with minimum vehicle headroom 3.5: > Clear slanposting to the drive-in entrance is important J >» There should be a separate approach, other than the OPD with a spacious arking area for cars and cycles. \ > It should be located just adjacent to the OPD so the sources can be pooled in case of major disaster. Functional spaces in ER Space requirements: Triage foam) Reception area = 150-250 Examination room SOFT Treatment room Resuscitation room(CPR) Examination area = 100 SQFT Plaster room Dearie’Emergency Departme PS eeEm Public sector Areas + Entrance for patients arriving by ambulance , other modes of transportation, or conveyances + Entrance for walk-in patients + Control station * Public waiting space with appropriate public amenities e okt Treatment Facilities * Patients’ observation room + Treatment cubicles * Examination rooms> The entry to the emergency should be shielded from the main hospital entrance preventing general patients from being a witness to ghastly sights or to tattered limbs > In planning the Emergency Activity, particular attention must be paid to movements of people (patients and staff) and material (equipment and supplies) > Supportive services such as laboratory, diagnostic x-ray, electrocardiographic and pulmonary function facilities will FIONA ADMINISTRATIONEmergency De Treatment cubicles have curtains for privacy, if necessary, and are equip| to handle examinations and minor treatments . More severe injurig™%e treated in critical care rooms which are of two sizes. For a coronary patient, the emergency team may consist of a number of specialists using numerous kinds of portable equipment: therefore, large space is required to accommodate both . The cast room, used for closed reduction of fractures, is equipped simila to a treatment cubicle with the addition of a plaster sink and trap. A blood bank should be accessible by the shortest route within the IABSFACOAr there should be direct access - by separate entrance if necessary - the x-ray department for Beet diagnosis. Alternatively separate x-ray facilities can be separate X= aia Tayt TEE Fue € pro’ vided TPrarererticiry eve sae ceeCRITICAL CARE GR ITILAL CARE Sane) Fea 1OUT PATIENT DEPARTMENTPURPOSE: Patients who do not need overnight » hospitalization are admitted in the Outpatient Department. Surgical, dental and nursing care is provided to patients in Outpatient Department ACCESS REQUIREMENTS: PEDESTRIAN AND AMBULANCE ACCESS LOCATION: MAIN RECEPTION AND WAITING AREA USUALLY GROUND FLOOR BUT MAY BE ON THE OTHER LEVELS. RELATIONSHIP: FRACTURE CLINIC TO A PCIE RIT PRAOCMAMTAARTAIT) ORAAN/SAIICAITRELATIONSHIP DIAGRAM x-ray pharmacy department dispensary area medical records accident ¢ | fracture emergency dept clinicEYE TREATMENT :25MSQ g TREATMENT CHAIR, EXAMINATION AND DIAGNOSTIC INSTRUMENTS, AN EXAMINATION COUCH,A WASH BASIN ANDjaéEN! TREATMENT PURPOSE: EAR,NOSE AND THROAT TREATMENT AREA:25-30 MSQ AREA REQUIREMENTS: TREATMENT TABLE FOR EXAMINATIONS,A TREATMENT CHAIR, STERLIZER , A SINK AND A WASH BASIN,STORAGE SPACES FOR PORTABLE EQUIPMENTS. ‘ 2 =e uw = , wt.‘TEETH ,GUMS ETC. TREATMENT :25-30 MSQ A TREATMENT CHAIR WITH DENTA UNIT. A DESK, A WASH BASIN, X-RAY, ANAESTHETIC EQUIPMENT, AUROLOGICAL TREATMENT : X-RAY DIAGNOSIS OF KIDNEYS AND UTERUS : 25-30M SQ : CLOSE TO SURGICAL DEPTT. : EXAMINATION AND TREATMENT TABLE EQUIPPED WITH WASH BASIN,SUSPENDED IRRIGATOR,FLOOR DRAINAGE, 10 ST aaa W.C.,INSTRUI i»C) SURGICAL DEPARTMENT ‘* FUNCTION AND LAYOUT * SHOULD BE CLOSE TO THE INTENSIVE CARE DEPARTMENT , THE RECOVE ROOM AND THE CENTRAL STERILISATIONAREA BECAUSE OF EXTENSIVE INTERACTION BETWEEN THESE DEPARTMENTS . ** LOCATION * BEST LOCATED CENTRALLY IN THE CORE AREA OF HOSPITAL WHERE THI ARE EASY TO REACH . *THE RECEPTION AREA FOR EMERGENCY CASES MUST BE AS CLOSE AS POSSIBLE TO THE SURGICAL AREA SINCE SUCH PATIENTS OFTEN NEED TO MOVED INTO SURGERY IMMEDIATELY. “ORGANISATION OF THE SURGERY DEPARTMENT“+ MAIN SURGICAL «A RA QMS ize woutn Be 6.50x6.50M A. 3 + A CLEAR HEIGHT OF 3M AND AN EXTRA 4@ HEIGHT ALLOWANCE OF ROUGHLY 0.70M FOR AIR CONDITIONING AND OTHER SERVICES . + OPERATING THEATRE SHOULD BE DESIGNED & AS SQUARE AS POSSIBLE TO ALLOW WORKING = OF IS AEUER BY REGNIG THEE FO BLGASTHETIC ent lobby J wash: ext bby ROBNEBRYARGE ROOM, A WASH ROOM, STERILE [Hi | ROOMS VIA ELECTRICAL SLIDING DOOR OPERATE! BY FOOT FOR HYGIENE PURPOSE. > ANAESTHETICS ROOM + ROOM SHOULD BE APPROXIMATELY 3.80X3.80M_IN SIZE. Ze CEC ARUN SO UUEETE bh BEE: BOMEMIVENETEOREINTERT EF GEERT EERE RET RERI OIE: Ete sterile ‘goods store sterile corridor» STERILE GOODS ROOM *THE SIZE OF THIS ROOM IS MORE FLEXIBLE BUT THERE MUST BE SUFFICIENT SHELF AND CUPBOARD SPACE AND IT MUST BE ACCESSED DIRECTLY FROM THE OPERATION THEATRE . * ONE ROOM OF ROUGHLY _10MSQ IS REQUIRED PER OPERATION THEATRE. + A ROOM SIZE OF 20MSQ IS REQUIRED FOR EQIPMENT ROOM »SUBSTERILISATION ROOM -IT CONTAINS A NON CLEAN AREA FOR NON STERILE MATERIAL AND A CLEAN AREA FOR PREPARED STERILE ITEMS. IT CONTAINS A SINK, STORAGE SURFACE , WORK SURFACE AND STEAM STERWASERELIARY FUNCTIONS «THE ROOMS FOR AUXILIARY FUNCTIONS DO NOT NEED TO BE IN THE IMMEDIATE AREA OF THE OPERATING THEATRE,NURSES LOUNGE . *THE DIMENSION OF THIS ROOM DEPENDS ON THE SIZE OF THE SURGICAL DEPARTMENT.> NURSES WORKSTATIONS + THESE SHOULD BE LOCATED CENTRALLY AND SHOULD HAVE VISUAL CONNECTION WITH THE WORKING CORRIDOR. >» PHARMACY A 20MSQ PHARMACY CAN SUPPLY A COMBINATION OF ANAESTHETICS AND SURGICAL MEDICATION AND OTHER MATERIALS. CLEANING ROOM A SIZE OF 5MSQ IS SUFFICIENT FOR CLEANING ROOMS . THEY SHOULD BE CLOSE TO THE OPERATING THEATRE SINCE CLEANING AND DISINFECTION ARE CARRIED OUT AFT! > LIGHTING sLIGHTING IN OPERATION THEATREOINTENSIVE CARE_AREA | >ARRANGEMENT “THE INTENSIVE CARE DEPARTMENT MUST BE A SEPARATE AREA ,AND ONLY ACCESSIBLE THROUGH LOBBIES . + THE CENTRAL POINT OF AN INTENSIVE CARE UNIT MUST BE AN OPEN NURSES WORKSTATION FROM WHICH IT IS POSSIBLE TO OVERSEE sEVERORPRMENT S PER UNIT SHOULD BE BETWEEN SIX TO EIGHT TO AVOID QVARRANMSEMENT OF BEDS *THE BEDS MAY BE PLACED IN AN “i 3 OPEN CLOSED OR COMBINED ARRANGEMENT | eat fmIsOe Or > AUXILIARY FUNCTIONS jell 3||° + FOLLOWING AREAS SHOULD ALSO BE | IN . MINOR OPERATING THEATRE(25-30) . LAB SPACES ~ KITCHENETTE . STERILISATION(20 Msq) . DUTY DOCTOR’S ROOM . SANITARY FACILITIES cloakroom ID} ly and disposal workroom OuAWN= Visitors’ balcony Orduty station’ 60 —+— 360-4QC) CARE AREAS > FUNCTION AND ~GIEURUGOUAR Are AREAS IN A HOSPITAL ARE ATTACHED TO THE SPECIFIC MEDICAL _FACULTIES(SURGERY, MEDICAL, ACCIDENT, AND EMERGENCY ETC)AND THEREFORE NEED TO BE PLANNED AS SEPARATE UNITS . + THEY CATER THE PATIENTS WHO STAY IN HOSPITAL FOR OBSERVATION OUT OR RBY HROOMS SHOULD BE ACCESSED FORM THE MA HICH IS EASILY SUPERVISED FROM NURSE WORKSTATION TO PREVENT UNAUTHORISED ENTRY.> SIZE OF THE PATIENT ROC *PATIENT’S BED MUST BE ACCESSIBLE FROOM THREE SIDES. SIZE OF SINGLE BED- ROOM =10M'5 @ ee © men *FOR TWO OR THREE BED ROOMS MIN OF 8M SQ AREA PER BED SHOULD BE ALLO\ pass coor to ext room if required room with service panel LOEv PATIENT aOR RO OMout 5.5 MSQ SHOULD BE ALLOCATED TO BATHROOMS. YWET CELLS + NO. OF SHOWERS OR z BATHS AND WCS ARE KEPT (@) Patient bathroom © Etevation + @) TOGETHER KNOWN AS WET , LAYOUT PLAN AND SELEAN WORKROOM ELEVATION OF BATHROOM *AREA APPROX. 10 M SQ. *EQUIPPED WITH FIXED SHELVES 600 MM DEEP. *USED FOR STORAGE.>NURSING TEAM + EACH STATION IS SERVED BY INDEPENDENT NURSING TEAM . AS TH NURSES WORKSTATION HAS TO BE CONSTANTLY OCCUPIED ,ITISTO BE ! LINKED TO NURSES KITCHENETTE AND REST ROOM. + SHOULD BE SITUATED IN A CENTRAL >» POSITION. + REQUIRES AREA OF 25-30M SQ. >STAFF REST ROOM /KITCHENETTE ROUGHLY 15M SQ AREA SHOULD BE AILLOCAELN COD CTAACEL PPLCAYTINE Hane» STATION DOCTOR *PROVIDED WITH A 16-20 M SQ ROOM *INCLUDES DESK ,SHELVES,AN EXAMINATION COUCH. 7.00 7.00 [ stretcher (1 puttour tabie Xray ‘sink instrument workroom table ‘treaunant (T= 10 work surtace |! cupboardsCENTRAL NURSE SINGLE PATION ROOM BATHROOMS six BeDRoog | j : {obo SIX BEDROOMQO) TREATMENT AREAS > TREATMENT AREAS INCLUDE : *RADIOLOGY *RADIOTHEARPY *INTERNAL MEDICINE TREATMENT AREA *RADIOLOGY INCLUDES |. XRAY ROOM +ADMISSION ROOM(25-30 MSQ AREA) Il. SONOGRAPHY (12-18 M SQ) Ill. MAMMOGRAPHY (12-18 M SQ) IV. CT SCAN ROOM VC (35 M SQ) V. ANGIOGRAPHY ROOM Vl CLIANITIRIT DARN[CROSS SECTIONAL IMAGING GENERAL X-RAY*RADIOTHERAPY FUNCTION. CONDITIONS DIGNOSED IN RADIO THERAPY DPT. ARE TREATED HERE INCLUDES: 1. RECEPTION +WAITING AREA 2. DOCTORS ROOM (18 SQM) . LOCALISATION ROOM (25 SQM ) . SERVICE ROOM - FILM DEVELOPING ROOM (10 SQ M) STORE . TREATMENT ROOM(CHANGING ROOM) (15 SQ M) . LAB (15-18 SQM) PNANAW *INTERNAL MEDICINE TREATMENT AREALABORATORY DEPTT.PURPOSE : The lab deptt. is concerned mostly with the preparation and processing of blood urine and faecal samples. LOCATION: Often separated from treatment and nursing areas. AREA REQUIREMENTS :Lab itself is a Large room with built-in work places to offer a high level of flexibility. waiting fo blood Say to) sink gabe Tal | tab || room | | ab |] ]X-RAY DEPARTMENT SE: X-RAY OF THE PATIENTS ‘USUALLY GROUND FLOOR WAITING AREA, EXAMINATION ROOM,DARK ROOM : ACCIDENTosc UNCTIQNAL DIAGNOSIS accommodate wide range of techniques and equipments. RELATIONSHIP:A direct connection with the laboratory department is beneficial. A data link to the radiology , radiotherapy and surgical departments is necessary to allow combined monitoring. é Z + functional diagnosis 2 heart monitoring 3 equipment 4 preparation ls sq] 6 sf] 7{] {je 5 sonograph 6 current records 7 dopoler 8 echocardiography 8 9 clean workroom: | CNA a oanSERVICESSUPPLY AND DISPOS/ L ROUT!SERVICE YARD PURPOSE: SUPPLY AND DISPOSAL OF HOSPITAL GOODS,EMERGENCY ELECTRICAL GENERATORS, SPRINKLER CONTROL ROOM, OXYGEN DISTRIBUTION SYSTEM. LOCATION: BASEMENT ACCESS:ACCESSIBLE VIA RAMP WITH A SLOPE OF 15BIO MEDICAL WASTE chi SPOSAL provided in every department for the disposal. Incinerators should also be provided for the burning up of the waste. Segregation of Vvaste in color coded Bags EMmtsr CARBOY Deed peaVentilation and gases: The ventilation equipment is best situated near to the open air. During planning, the horizontal and vertical ventilation ducts should be tested against technical fire protection criteria. It is necessary to provide medical gases for the surgical, intensive care and radiology departments, and special supply rooms are required. The pumps for oxygen, carbon dioxide, vacuum and compressed air should be duplicated so as to provide a backup in case of failure. An additional technical requirement is an emergency electrical supply system Electrical systems The power supply is taken from the national grid: 220-240V standard voltage and 380V high voltage. The low voltage system is controlled from the distributor room which requires at least two free-standing transformer cell units. Sufficiently wide doors (at least 1.30m clear width) and good ventilation must be provided and all relevant VDE and professional associationLaundry provision Figures for the amount of dirty dry washing generated per bed per day vary between 0.8 and 3.0kg. The following sequence of work is preferred in the laundry: receipt, sorting, weighing, washing, spinning, ing, beating out, mangling or drying (tumble dryer), pressing (if possible high pressure steam connection), ironing, sewing, storage, issue. The laundry hall consists of a sorting and weighing arpa (1B m2) laundry enllastian ranm undar lnundn, nhianSTERLIZATION *Surgical deptt and sterlisation unit should be situated close together. «the central store for drugs and instruments must be closely linked to the central sterlisation unit. DISPENSARY *Consists of a work and dispensing room(25 m sq) which is directly accessed from the main circulation corridor. + fitted out with the desk , washing facility,Parking can be provided in 3 ways > Short term parking: should be such placed that they. can be used by visitors. Can be provided on the ground floor. >» Long term parking: provided for people working in offices and , can be provided in the basement or on theparking space arrangement area/space | possible no. of | possible no. of (ine. open | spaces/100m? | spaces/100m of doors) area road (one side only) @ 0° - parallel to read. Entry 2 a4 7 and exit to parking bay difficult Suitable for narrow roads “ @) 30° -angle to access road. 26.3 38 2 Easy entry to parking bay and exit. Uses a large area + @ 45° -angle to access road. 20.3 49 31 Good entry to parking bay and exit, Relatively small area/parking space. Normal type of layout 2) 60" angle to access road. 19.2 52 37 ively good entry and exit to parking Day; small area/parking space. Arrangement often used guinea biome aeain bameeiedee ‘ees de ea aaaParkindWidth of ai . ae i 90° parking 13" for 45° parkin SE BS Eyal! aa ENE HN: ! 3 Buu Bum FE te SS |ParkindRadii for one-way straight ramps, minimum width is 12 ft(3 .66m); for two-way straight ramps, where *Ramp Slopes The maximum ramp slope s' dk 20 percent. rs For slopes over 10 percent , a transition at least 8 ft long should | provided at each end of the ramp'a one half the slope of the ramp itsel farp Slope cutPedestrian areas : *Pedestrian space serves two functions : 1. Movement & circulation 2. Relaxation areas. - They must be busy & colorful, exciting & stimulating, must make walking enjoyable. - Trees, fountains, sculptures, murals, as well as architecture of free standing structures are a vital part of the overall scheme Ramps +A ramp when provided shall not have a slope greater than ] °° 12. Laraer slones shall be provided for snecial uses butCirculation a Corridors: > Must be designed for the maximum expected circulation flow. >» Generally, access corridors must be at least 1.50m wide. > Corridors in which patients a pe transported on trolleys should hay minimum effective width of 2 > Suspended ceiling in eee sy be installed up to 2.40m. > The effective width of the corridors must not be constricted by projections, columns or other building elements.Circulation a > If ramps change direction at landings, the mini-mum landing size shall be60 inches by 60 inches . A ramp shall have a non- slip surface. res) > Each ramp shall have at least 180 cm of straight clearance at Can te OotyStairs: The minimum width of a staircase other thai a fire escape shall be as follow: > Business, industrial storage, hazardous buildings (a) Low Rise -1.5 (b) High Rise -2.0 %, Assails hat '§ineting?Pe. hospital) (a) Upto 10 beds -1.5 (b) Over 10 beds -2.0 => Step heights of 170mm are permissible f > Minimum required tread depth is 280mm. > It is better to have a rise/tread depth ratio of 150:300mm > Doors must not constrict the useful width of the landings ahd in accordance with hospital regulations, doors to the staircases must o| in the direction of escape.+The user entering or exiting the lifts, even those carrying hand gé do not get in each other’s way Largest loads to be carried by the lift in question for eg: prams, wheal chairs,etc can be maneuvered i in and out without risk of injuring people « damaging ‘= Sa FIC.29 TE uaiee, x nein:Escalators: > Installed at an angle of 30 degrees f > _Installations are generally 2 speed-with the higher speed (120 fpm) utilized during rush hours and the lower (90 fpm) at off.hour » Moving stairways are generally available in widths of 32” and 48", measured at hip level between the balustrades.40” can carry 2 persons/tread > 32” has a tread width of 24” and 48” width has 40” tread. > All treads have a rise of 8” and 16” depth. 32” wide SCP ae 000 Ba ee UE with a speed of 90 fpm, and 6, passengers/hour with a speed of 120 fpm.> The first aspect that hospital cafeterias mus} address is design. > Cafeteria should include high windows that look out upon sunset and other natural sc@ > Paint in bright, warm colours and avoid usi fluorescent light and install bright but war toned lights. » Vary the light fixtures, rather than relying o! > standard overheads. Seating >» Seats should be arranged to foster intimacySITE ANALYSIS + ESCORTS FORTIS + CLIENT: FORTIS HOSPITALS + ARCHITECT: ARVID GUPTAAND ASSOCIATES,NEW DELHI + LOCATION: AT BYPASS ROAD, 1KM) + FROM VERKACHOWK, AMRITSAF + COMPLETED: 2003 « i, = *SITE IS 135X120M IS AT SET BACK FROM MAIN ROAD.EMERGE? PUBLIC STAFF AND DOCTC SERVICE SITE CIRCULATIONBUILDING LEVEL: >» THREE MAIN ENTRANCE IN FRONT FOR EMERGENCY , IPD , OPD. » REAR ENTRY FOR > STAFF, KITCHEN SERVICES, TWO FIRE SS |ZONING : » AT MACRO LEVEL SITE IS DIVIDED INTO THREE ZONES: >» 1.PARKING » 2.LANDSCAPING » 3.BUILDING BLOCK » AT MICRO LEVEL: > MAIN RIT DING RILOCK IS EIIRTHER ZONED IN-HORIZONTAL CIRCULATION: » THE MAIN SPINAL CHORD OF HOSPITAL CIRCULATION IS 2.1MTS WIDE CORRIDOR. VERTICAL CIRCULATION: *TWO STAIR CASE LOBBIES. *ONE LIFE FOT IPD VISITORS. -TWO BED LIFTS *ONE STAFF LIFTS ALL STAIRCASES1.8 MTS WIDE, ENCLOSED IN WALLAREA STATEMENT AREA STATEMENT GROUND FLOOR CIRCULATION= 933.47 sqn DIAGNosTICs SERVICES= 716.99 sqm a EMERGENCY= 411.12 sqm OPDS= 164.5 sqm TOILETS= 82.65 sqm DIAGNOSTICS= 333 sqm OTHER= 26% (ABOUT 930 si (ADMIN, KITCHEN, DINNING, PANTRY, ETC)CONCEPTUAL SECTION: IPD CIRCULATION CORE OPD CIRCULATION CORE WITH STAFF TILL SECOND FLOOR. CIRCULATION AT BACKI. SEES 7 7.1Cl GROUND SEED Ear anon FLOOR PLAN, 2tioar (3810 bonne 12.SECURITY OFFICE LOBBY 13.LT ROOM 14, X-RAY 15.RENAL DIAGNOSTICCIRCULATION STAFF ENTRY Average Width of Corridor 1 SERVICE ENTRY ‘Om DOCTOR’S ENTRYJ} voror's ENTRAN PATIENT ENTRANCEBLOOD BANK oTs LIFT DIALYSIS UNITCOMPONENTS OF FIRST FLOOR BLOOD BANK STAFF AREA IcuRECOVERY CSSD AREA OPERATION THEATER BED LIFTSTHIRD AND FOURTH FLOOR PLAN we STAFF AREA > WARDS __—> CORIDORBIO MEDICAL ROOM: =ALL THE BIO MEDICAL WASTE IS COLLECTED MANUALLY FROM THE HOSPITAL IN THIS ROOM. =THE LABORATORIES OF BIO MEDICAL WASTE HENCE COLLECT IT FROM HERE. MANIFOLD ROOM: =10 CYLINDERS PER BANK i.e. LEF AND RIGHT BANK. =2 CYLINDERS OF NO2 AIR CONDITIONINGWATER STORAGE: "WATER STORAGE TANKS ARE PLACED ON THE TERRACE. *EACH TANK HAS. A CAPACITY OF 10000 LT COMPRESSED LIQUID OXYGEN: =CENTRAL SUPPLY THROUGHOUT THE HOSPITAL. =CAPACITY 2000 LTS WATER TREATMENT: DOMESTIC WATER IS TREATED *CHLORINATION =REVERSE OSMOSIS PLANTFIRE FIGHTING: =MAIN HYDRANT AND SPRINKLER PUMP. =TERRACE FIRE PUMP. ="AUTOMATIC SPRINKLER SYSTEM. =MANUAL FIRE ENTINGUISHERS. =FIRE HYDRANTS AROUND BUILDING PERIPHERY. POWER GENERATORS: "2 DIESEL GENSETS "2 TRANSFORMERSVACUUM SYSTEM: 2 NO OF VACUUM PUMP WITH 2000 LT. CAPACITY VACUUM TANK. COMPRESSION AIR SYSTEM: 2 NO. 100 CFM TAILOR:LAUNDRY: =STRATEGICALLY PLACED BELOW IPD. =FLOW OF LINEN : RECEIVING AREA - WASHING AND DRYING - IRONING - CLEAN AREA - DISPATCH AREA = TROLLEY IS USED FOR TRANSFER OF LINEN THROUGH BED LIFT 1 *OT’s BLUE LINEN IS RECEIVED THROUGH DUMBWAITER VIA CSSD, AND AFTER WASHING IT IS RESENT TO CSSD FOR STERILIZATION. =SEPARATE WASHING MACHINE IS USED FOR NORMAL LINEN AND OT’s LINEN. KITCHEN: TROLLEY IS USED FOR SUPPLYING FOOD THROUGH BED LIFT 1 VIA DUMBWAITER. RAW MATERIALS ARE BROUGHT INTO THESTRUCTURE SYSTEM AND MATERIAL USED IN THE HOSPITAL IT HAS A COLUMN BEAM STRUCTURE. MATERIAL USED : CORRIDORS : MARBLE UDAIPUR GREEN , JAISLMER YELLOW STAIRS : KOTA STONE, GROUND TO SECOND FLOOR - UDAIPUR GREEN MAIN LOBBY : UDAIPUR GREEN , OMANI MALWA eR Se ac bere: “eeeeLIGHTENING AND FLOW OF MOVEMENT FAST AND EASY MOVEMENT OF PATIENT IS ACHIEVED THROUGH PROPER CORRIDOR WIDTHS AND PROPER MEANS OF VERTICAL CIRCULATION. DIFFERENT VISITOR’S AND PATIENT LIFT LOBBY IS APPRECIABLE. SERIES OF DOORS USED TO FILTER = THE FLOW OF MOVEMENT BETWEEN VARIOUS DEPARTMENTS.+ SEPARATE CIRCULATION PATTERN ACHIEVED BY DOUBLE LEAF DOORS THE REQUIRED PLACES. + SEPARATE CIRCULATION CORES FOR IPD AND OPD STAFF. + INSUFFICIENT SPACE AND CENTRALIZED SUB WAITING AREA IN OPD CREATING MORE CHAOS AND NUISANCE. ADEQUATE AND SPACIOUS WAITING SPACE IN IPD SECTION IS WELCOMING.ARCHITECTURAL EXPRESSION: » SIMPLE FACADE WITH CUBICAL FORM OF OUTLOOK. » PLASTERED FINISH WITH 2 PROJECTING OUT YELLOW SANDSTONE MASSING. » HOIZONTAL AND VERTICAL BANDS OF SAME ARE USED AS HIGHLIGHTERS IN ALL THREE MAIN ENTRANCE. ( isINFERENCES FOOD SERVICE FROM THE BED ELEVATOR. IN THE LOBBY AREA THERE IS NO NATURAL LIGHT. OVERALL CHAOS IS CREATED NEAR TH AREA OF THE OPD. “EEE SEGREGATION OF VEHICULAR AND tis PEDESTRIAN MOVEMENT AS PARKING | FURTHER INTERVENTION OF VEHICLES |, 1] INTO THE SITE. els] EMERGENCY, VISITORS AND STAFF —_——» NO PLINTH PROVIDED IN THE BUILDING. » PROPER DISPOSAL OF BIO-— -MEDICAL WASTE. » WASTE COLLECTION DONE MANUALLY MAY CAUSE HARM. » SECURITY OF THE BUILDING IS PROPER FIRE ALARMS, SPRINKLERS , CAMERAS = ARE COVERING EVERY SINGLE AREA OF THE BUILDING.THANK YOU :D