HOSPITAL SERVICES : Mortuary CASE STUDY

AREA STATEMENT

STANDARDS

Mortuary exit / Service entry Biomedical dept. - 32 SQ.M

BASEMENT PLAN (lvl -3150m)
DIAGNOSTIC SERVICE
Housekeeping dept. - 840.7
HOSPITAL SERVICE
SQ.M
MRD- 26.6 SQ.M
Pharmacy store- 28S Q.M
HOSPITAL SERVICE ENGINEERING SERVICE General store- 34.4 SQ.M
Bulk store - 57.4 SQ.M
Material receipt - 9.5 SQ.M
HOSPITAL SERVICE
ENGINEERING SERVICE Mortuary -16.11 SQ.M
HOSPITAL SERVICE
Medical gas manifold store - 26.9 SQ.M
Surgical and dressing - 63 SQ.M
Linen and livery - 28 SQ.M
Stationery and printing - 28 SQ.M
Chemical and glassware- 28 SQ.M
Sanitation and mist - 28 SQ.M
Furniture - 63 SQ.M
Issue - 28 SQ.M
Trolley park - 21 SQ.M
Awaiting condemnation -21 SQ.M
Staff accommodation - 56 SQ.M
Stores offIcer
Secretarial staff
Store keepers
Total - 364 SQ.M

Size:
200 bedded hospital, at least three body capacity
Covered access or portico:
18 SQ.M
Contains storage room and post-mortem rooms
There must be a coffin store, refrigerated storage for
corpses
Area for laying out and undertakers , changing facilities
for pathologists
Entrance must clearly be mark for relatives and a short
drive in entry point fornthe undertakes.
Corpses are initially laid out in cubicles in a mortuary.
There are separated by partitions to ensure privacy for
mourning relatives, who can
view the body through airtight glass panes Pros
Usual dimensions of cubicle are 2.2m x 3.5m , 2.5m x The mortuary is kept in basement which is at -3.1m below ground level approached with a different entry way
3.75m , 3m x 3.5m Away from contamination with other departments
Coffin sizes are variable depending on size of the corpse Easy vehicular access
but trolley are generally 2.2m x 1.o8m Easily accessible from the labs (pathologist)
Body brought from various departments -transported through service lift - a 25m travel to the mortuary
Adjacent to housekeeping, biomedical department, laundry and CSSD

Cons
No sufficient waiting space, toilet provided
the mortuary opens directly to the service portico
no suffient windows for natural ventilation
only one common duct provided for rain water, drinking line, plumbing and flushing main
INFERENCES:

Partical hour can be alocated for the mortuary departure (working 8hr a day)
Flow of patient to avoid the traffic during service delivery
from various department llike emer- Shouldnot be in view to the public
gency unit, inpatient, critical care, OT Inproximity to the service core but not close to it
through the corridor body is taken to Avoid common ducts that can contaminate other department
the mortuary Proper ventilation, such that the wind direct and the flow of odour donot disturb other departments
Exits through mortuary
Staff area for police and inspection

DONE BY,

MIMS KOTTAKKAL - CASE STUDY SAI SRI HARSHA NISHITHA P

ARCHITECTURAL DESIGN & FIELD TRIP - VII MODEM RAGHAVENDRA K NAWFAL NAYEEM
JAYAVARMA J RANDEEP K
K APARNA SIDDARTH BENOI
HOSPITAL SERVICES : Mortuary Floors:
Hard and durable
Lighting:
Tungsten or fluorescent lighting
Material- easily cleaned and moisture resistant Postmortem room - special lighting to ensure adequate illumiilation of
postmortern tables and dissecting benches.
Walls: Fluorescent lighting - advantage - can be arranged centrally above and
Permanent, durable construction and scope for future expansion in parallel to the axis of the table but care to ensure lighting is satisfactory
view of increase in workload. for colour identification.
Finish - impermeable and washable light fittings - avoid glare, easy to clean and maintain
Switches in wet areas such as postmortem rooms and body store where
Ceilings: walls and floors are hosed down should be of the hose proof type.
Materials- easy to clean Special consideration - lighting in viewing rooms.
Height - not be less than 3m (principal rooms) and need not exceed Sufficient hose proof 15 amp socket outlets- on the walls at a height of
2.45m (ancillary rooms) 1.52 m - damp areas like PM room and body store.
Junctions between the walls and floors should be suitably covered
Heating and ventilation:
Doors: Conventional heat radiators / convectors -wall mounted - pipes carrying
Sliding or double doors of adequate width -between the principal wires - well concealed with easy access for maintenance.
rooms to allow easy passage to trolleys, portable X-ray etc, in the Temperature for heating in various areas of the mortuary - 10°C - 18°C.
postmortem room. Natural ventilation - fly screened windows and fresh air inlet grills - ex-
cept in postmortem rooms with mechanical exhaust system
Windows: Fans - variable speed type - to produce upto 10 air changes per hour.
Natural day lighting by windows Air discharged shouldnot reach adjacent areas
preferable on the northern side. Should not be in direct communication with a lift shaft or any service
Opaque glass and opening side with external fly proof screens ducts with openings on other floors.
Windowsills - not below height of 1.52m from floor. Deodorizing equipment may be provided in the postmortem room
AMBULANCE STRETCHER - Dimensons

MORTUARY - layout Corridors: Hot and cold water supply:

wide enough to allow passage of trolleys ( Postmortem tables - with individual water hoses.
Width - not be less than 2.4m All taps - elbow-operated type.

Drinking water facility:

Provision of drinking water in.the mortuary complex

Communication:
functions under overall co-administrative control of Forensic expert -
communication between the department and mortuary, hospital adminis-
tration and mortuary , police and other public agencies.
both internal as well as external telephone line.

Air-conditioning:
A system that does not recirculate air is recommended.

Fire alarms and fire fighting equipment:

Fire fiihting equipment , fire exit routes - clearly identified and marked
with red paint - well illuminated.

Refrigeration: The temperature of cold room - between 5.5 °C to 6.5 °C

Positive temperature +2/+4°C (the most common type),
Negative temperature -15°C/-25°C (bodies not yet been identified)
Facilities to enable the chambers not in use to be switched off

POSTMARTEM TABLE - dimensions

DONE BY,

MIMS KOTTAKKAL - CASE STUDY SAI SRI HARSHA NISHITHA P

ARCHITECTURAL DESIGN & FIELD TRIP - VII MODEM RAGHAVENDRA K NAWFAL NAYEEM
JAYAVARMA J RANDEEP K
K APARNA SIDDARTH BENOI
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HOSPITAL SERVICE CHANGE ROOM LAUNDRY
Laundry is located on the southern side of the building. Laundry
service is constructed to provide an adequate, clean and constant supply of
linen to all users
Change rooms were constructed on northern side of the building. It is
constructed to create changing areas to nurses and staff of hospital people and LAUNDRY
seperate lockers were provided in the changing room It includes the process

SPACES RELATION
COLLECTION

IP WARDS DRYING
PREWASHING &
DISENFECTION
DIRTY UTILITY ROOM
Space Dimension Area Standards (IN 2,3,4,5 FLOORS)

SERVICE LIFT / DUMB WAITER

(in mm) (in metre square) (in metre square)
HYDRO
Female change room 5400 x 5500 29.7 28 EXTRACTION
OT (in first floor)
Male change room 6150 x 4250 25.6 28
TO ALL DEPARTMENTS IN
Security room 3150 x 4100 12.7 11 GROUND AND FIRST FLOOR
Toilet 1050 x 1500 1.5 1.0 REPAIR OF
DAMAGE
LAUNDRY

PRESSING CSSD

Space Dimension Area Standards

(in mm) (in metre square) (in metre square) STERILE STORE
• Change rooms were constrcuted at the staff entrance side of the site
• Security room is constructed to ensure only staff people to enter DRYING Laundry 13600 X 14250 193 182
• Two change rooms Sterile storage 8050 X 4308 34.6 21
Male change room Cssd office 4090 X 3900 15.6 17.50
Female change room Decontamination 6700 X 3850 24.5 17.5
• Toilets in female change room - 4 ASSEMBLING &
PACKING Store 4100 X 3600 14.7 10.5
• Toilets in male change room - 3
• There is a small office area located in the male change room
• Security cabin is designed to accomodate 2 people
DISTRIBUTION

• Terrace area in second floor is used for drying

• To carry washed clothes all the way to second floor a service lift is used which is
near to the laundry

DIRTY UTILITY ROOM

(IN 2,3,4,5 FLOORS)

STERILE STORE
(IN OT IN FIRST FLOOR)

Dumb waiter

STERILE STORE
(IN BASEMENT)
Staff circulation Horizantal circulation
Nurse circulation Vertical circulation
HOSPITAL SERVICES : Laundry CASE STUDY
AREA STATEMENT

STANDARDS

Laundry - 193.8 SQ.M Entrance - 21 SQ.M

BASEMENT PLAN — Lockers
DIAGNOSTIC SERVICE
— Staff change
HOSPITAL SERVICE
Dirty receipt - 14 SQ.M
Sorting/Weighing - 21 SQ.M
Sluicing - 14 SQ.M
HOSPITAL SERVICE ENGINEERING SERVICE Washing - 35SQ.M
Hydro-extraction - 28 SQ.M
Tumble drying - 21SQ.M
HOSPITAL SERVICE
ENGINEERING SERVICE Flat work ironing - 21 SQ.M
Hand pressing - 14 SQ.M
Clean storage -14 SQ.M
HOSPITAL SERVICE
Mending - 14 SQ.M
Delivery/Distribution- 21 SQ.M
Trolley wash - 14 SQ.M
“Staff accommodation
— Laundry supervisor
— Laundry staff - 14 SQ.M
Staff conveniences - 35 SQ.M
Total 301 SQ.M

Hospital Laundry
It shall satisfy cleanliness and disinfection
Manual/electric laundry can be provided with
necessary facilities for drying, pressing and
storage of soiled and cleaned linens.
INFERENCES:
Air change in land~ area maybe 10 times per hour.
Hours of Operation
The Linen Handling Unit will typically operate up to 12 hours per day, 7 days per week.
Air change in laundry area - 10times per hour
Proper space allocation for drying clothes
Making barriers between the clean linen area and dirty linen area
Separate path for clean and dirty linens to avoid contamination

Pros
Easily accessed from the sterile store,CSSD,service lift and mortuary
Open terraces are used for drying of clothes

Cons
The dirty linens are collected either from the dumbwell in the sterile store or through the service lift
A separate path could have been allocated for the same

Barrier to avoid contamination

DONE BY,

MIMS KOTTAKKAL - CASE STUDY SAI SRI HARSHA NISHITHA P

ARCHITECTURAL DESIGN & FIELD TRIP - VII MODEM RAGHAVENDRA K NAWFAL NAYEEM
JAYAVARMA J RANDEEP K
K APARNA SIDDARTH BENOI
HOSPITAL SERVICES : Catering Service CASE STUDY
AREA STATEMENT

Visitors cafeteria - 9700m x 12435m STANDARDS

17 x 4 seaters
Kitchen - 30 SQ.M Outdoor deck - 12 x 4 seaters Staff Din- Entrance - 21 SQ.M
BASEMENT PLAN Cash counter ing Area - 48 seaters - Lockers
DIAGNOSTIC SERVICE
Dish wash - 6.48 SQ.M Staff change
HOSPITAL SERVICE
Cooking counter 7300m x 1202m Bulk storage- 21 SQ.M
Service counter Wash basin Day store - 14 SQ.M
Mixing Pre-preparation - 14 SQ.M
HOSPITAL SERVICE ENGINEERING SERVICE Preparation area Doctors lounge -2500m x 4534m Preparation - 28 SQ.M
Canteen Library- 4 seaters -2 couch Cooking / Baking - 62 SQ.M
Pot wash 6.36 SQ.M Loading/Distribution - 21 SQ.M
HOSPITAL SERVICE
ENGINEERING SERVICE Verandah - 3.8m x 1.5m Washing - 35 SQ.M
Service entry Trolley wash - 21 SQ.M
Pantry -7.8 SQ.M Utensil and pot wash
HOSPITAL SERVICE
Pot store - 3.15 SQ.M Utensil storage - 21 SQ.M
Dry store - 2100m x 2240m Trolley park - 21 SQ.M
Veg store - 2460m x 2450m Staff accommodation - 35 SQ.M
Hand wash - 3000m x 2650m Dietitian/staff
Toilet -2 Staff conveniences - 14 SQ.M
Total - 307 SQ.M

INFERENCES:

Hospital Kitchen should have minimum areas as follows:

Up to 1200mm clearance in front of storage areas with a sliding door.
1200mm x 1200mm clearance in front of other rooms with swinging or folding doors (i.e.
dining room/service doors).
Between work surfaces 900mm.

DONE BY,

MIMS KOTTAKKAL - CASE STUDY SAI SRI HARSHA NISHITHA P

ARCHITECTURAL DESIGN & FIELD TRIP - VII MODEM RAGHAVENDRA K NAWFAL NAYEEM
JAYAVARMA J RANDEEP K
K APARNA SIDDARTH BENOI
 EMERGENCY ACTIVITY
INTRADEPARTMENTAL RELATIONSHIP SCHEME SIGNAGE

Patients coming in private/public vehicle may not have an idea of the location of
the department.

CASE STUDY

STANDARD

PATIENT
DOCTOR
NURSE
VISITORS

AMBULANCE ENTRY

STRETCHER
LOOADING/UNLOADING : 5.2m x 5.5m
TOTAL SPACE REQ: 5.5m x 8m

CRITICAL CARE UNIT

 STANDARDS in m sq
CRITICAL CARE UNIT
— Nurses desk
Window (3 nos Waiting - 9 seating Reception 2
— Clean utility
person
—ECG room
Emergency reception
— Pantry
Toilet
— Reception
Drinking water
— Medico-legal specimen and record
Emergency. Counseling - 4.05m x 3m
— Emergency lab
Treatment procedure/ minor
— Mobile X-ray
Open 4.25 x 3.5
— Stores" 301
Closed 4.1 x 3.5
"Exam/Resuscitation 6 beds
Toilet 1
— Waiting
Casualty in charge 2 x 4 W
— Social worker
Nurse station
— Police/Legal recording
Clean utility 4.1m x 1.5m
— Drug dispensing
Observation 5.3m x 6.2m (4 beds)
— Examination cubicles294
Operation theatre- at a corner , without window
"Operating suite
Pre up hold
— Emergency OT
Reception - 1 person
— Scrub/Gowning
Changing room 4.1m x 3m + toilet
— Instrument sterilization
Waiting-day surgery 4.6m x 6.25m - 4 waiting
— Dirty utility
Day surgery - 4bed - 7.8m x 6.5m
— Anesthesia
Treatment - 3 bed
— Plaster room
— Treatment room" 238

PEDIATRICS
STANDARDS in m sq
Reception counter - 3 person
Waiting area - 13 seater + common toilet
Nursing station 77
Play room - 4.6m x 2.38m - separated by glass
Patient beds 49
Immunity room - 4.8m x 2.05m - 1bed
Patient beds 30
Gynecology. Room x2 - 4.85m x 3m - 1 doctor, 2
Staff accommodation 28
seater 1 bed, 1 wash
Ultrasound - 4.85m x 4.1m - 1bed, 1 person counter
Procedure room - 3.9m x 3m - 1 bed
Pediatric- 3.9m x 3m - 1 doctor, 2 seater 1 bed ,1
wash - w1

STANDARDS in m sq
OPD
Module -25.0
Waiting area
“Entrance Lobby
Op reception - 5 person
STANDARDS — Trolley park
Waiting - 66 seater - 11.6m x 22.65m
PROXIMITY ANALYSIS AND — General waiting
OPD
ZONING — Public utilities” 98
Room 1
“Reception
Corridor - 2.4m wide
— Enquiry counter
General medicine x2 - 4.95m x 3m - 1 doctor, 2 seater,
— Admission/discharge
1 bed
— Cash counter
Family medicine F.H.C - 4.95m x 3m - 1 doctor, 2
— Queuing track
seater, 1 bed
— Staff accommodation” 140
Procedure room - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
“Arcade
Dermatology - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
— Chemist “
Cardiology - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
— Gift, book shop
Specialty OP-1 - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
— Snack counter
Endoscopy - 4.6m x 4.75m - changing area, attached
“ 70
toilet
“Control Room
Procedure room - 4m x 3.5m - 1 staff, 1 bed
— Security/fire
T.M.T/Echo - 4m x 3.2m
— Ambulance station” 42
E.E.G (electroencephalogram) - 4m x 3.2m
Gift shop - 4m x 4.1m
MEETING/ CONFERENCE ROOM STANDARDS in m sq
- Administrative Approaching administration 98
Corridor - 2.4m wide general administration 168
Meeting room - 6-8 seater - 3.1m x 4.1m - attached toilet hospital information 63
VIP security/fire 35 INFERENCES
Waiting lounge - 3.1m x 4.5m mobile transport 35
Conference hall - .1m x 6m - 10-12 seater house keeping 35
Med. Dir. Room - 3,.1m x 4.5m hospital administration 196
medical records 140
There are two main entrances to the hospital
Chairman's room - 3.4m x 4.5m
Rest room - 3.05m x 3.8m -attached toilet It includes
Secretary seating - 1 person
Xerox/fax counter *Lobby
Pantry - 4.1m x 1.65m - attached toilet x 2
Workstation - 6.35m x 4.05m - 7 people *Pharmacy
Cabins x 3 - 2.4m x 2.2m - 2 persons
Common toilet - approached from corridor
Exec. Reception counter - 1 person *Sample collection room at each block
Exec. Waiting area - 13 person
Magazine rack *0% of the out patient department lies in this floor
Exec. Consul. Room - 3.2m x 4.5m - 1 doctor, 2 seater 1 bed
*Gynecology op

RADIOLOGY - DIAGNOSTIC STANDARDS in m sq *Emergency department

Reception (diagnostic) — Enquiry/Registration
Corridor - 2.4m wide — Queuing track
— Records
*Radiology department
Waiting - 16 seaters - facing courtyard
Exit — Sub-waiting”-126
Main Doorway - 1.8mx 2.1m - swings into diagnostic dept “General X-ray *This area has good patient flow and yet there is a lack of enough waiting areas.
Offset- 1.2m -since next to reception — Radiography room
counter — Control room *The size and type of services to be provided in pharmacy unit will depend upon the type of
Radiologist - 2.4m x 3.25m - 1doctor - 2 chairs — Change room drug distribution system used.
Report typing room - 4.5m x 3.95m - 5 person - window -2.4m — Sub-waiting -126
x1.38m “Special X-ray
CT scan - 6.35m x 5m - changing room - 1.5m x 1.35m — Radiography room *The number of patients to be served and extent of shared or purchased services
Console - 3.95m x 2.4m - window - 1.5m x 1.35m — Control room The pharmacy unit shall be located for convenient access staff control,and security.
Equip - 2.5m x 2.25m — Change room
X ray — Barium preparation
Room 1 - 5.9m x 4.15m — Sub-waiting -175
Room 2 - 5.45m x 4.15m “Ultrasound
Ultrasound — Ultrasound
Room 1 - 3.7m x 4.05m - 1 doctor, 2 chairs, 1 bed - window - — Change room
1.5m x 1.35m — Sub-waiting”-70
Room 2 - 3.85m x 3.6m - 1 doctor, 2 chairs, 1 bed “support
Common toilet - 1.85m x 2.05m — Dark rooms
Staff toilet - accessed from corridor — Film/Chemical store
Changing room x2 - 1.425mx 2.4m — Reporting
processing/printing - 2.45m x 3m — Archive/Record”-105
Sample collection- 4.8m x 4.1m
STANDARDS in m sq
"Entrance lobby
ENTRANCE — Trolley park
Waiting - 44 seating — General waiting
Visitors - 2 lift - 1.9m x 2m ww - Public utilities" 98
Reception - 5 seating "Reception
Pro room - 2.m x 2.4m — Enquiry counter
1 officer- 2 person — Registration counter
Back office - 5 person — Queuing tracks
Pharmacy — Records
Pick up 3 nos — Stafl’accommodation" 126
Cash 2 nos "Dispensary
Orders 1 — Issue counter
2 fridge — Queuing track
I.p / emergency counter - 2 person — Drugs store
Staff toilet — Staff accommodation" 126
 MONITORING EQUIPMENT
Cardiorespiratory monitor with strip recorder
Defibrillator with pediatric and adult paddles (4.5 cm and 8 cm) or corresponding adhesive pads
Pediatric and adult monitor electrodes
Space activity flow
Pulse oximeter with sensors and probe sizes for children
Thermometer or rectal probe*
Sphygmomanometer
Doppler blood pressure device
Blood pressure cuffs (neonatal, infant, child, and adult
Method to monitor endotracheal tube and placement +
Stethoscope
AIRWAY MANAGEMENT
Portable oxygen regulators and canisters
Vertical circulation Clear oxygen masks (standard and nonrebreathing — neonatal, infant, child, and adult)
Waiting area Oropharyngeal airways (sizes 0-5)
Nasopharyngeal airways (12F through 30F)
x ray Bag-valve-mask resuscitator, self-inflating (450- and 1,000 mL sizes)
Nasal cannulae (child and adult)
Treatment room Endotracheal tubes: uncuffed (2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5, and 6.0 mm) and cuffed (6.5, 7.0, 7.5, 8.0, and 9.0 mm)
Check up rooms Stylets (infant, pediatric, and adult)
Laryngoscope handle (pediatric and adult)
Corridors Laryngoscope blades: straight or Miller (0, 1, 2, and 3) and Macintosh (2 and 3)
Magill forceps (pediatric and adult)
Nasogastric/feeding tubes (5F through 18F)
Suction catheters — flexible (6F, 8F, 10F, 12F, 14F, and 16F)
Yankauer suction tip
Bulb syringe
Chest tubes (8F through 40F)**
Laryngeal mask airway (sizes 1, 1.5, 2, 2.5, 3, 4, and 5)
VASCULAR ACCESS
Butterfly needles (19-25 gauge)
Catheter-over-needle devices (14-24 gauge)
Rate limiting infusion device and tubing ** %
PEDIATRICS Intraosseous needles (may be satisfied by standard bone needle aspiration needles)
Reception counter - 3 person Arm boards‡
Waiting area - 13 seater + common toilet Intravenous fluid and blood warmers**
Play room - 4.6m x 2.38m - separated by Umbilical vein catheters** # (size 5F feeding tube may be used)
Seldinger technique vascular access kit**
glass
MISCELLANEOUS
Immunity room - 4.8m x 2.05m - 1bed
Infant and standard scales
Gynecology. Room x2 - 4.85m x 3m - 1 doc- Infant formula and oral rehydration solutions**
tor, 2 seater 1 bed, 1 wash Heating source (may be met by infrared lamps or overhead warmer**
Ultrasound - 4.85m x 4.1m - 1bed, 1 person Towel rolls, blanket rolls, or equivalent
counter Pediatric restraining devices
Procedure room - 3.9m x 3m - 1 bed Resuscitation board
Pediatric- 3.9m x 3m - 1 doctor, 2 seater 1 Sterile linen ++
bed ,1 wash - w1 Length-based resuscitation tape or precalculated drug or equipment list based on weight
SPECIALIZED PEDIATRIC TRAYS
Tube thoracotomy with water seal drainage capability**
STANDARDS in m sq Lumbar puncture
Pediatric urinary catheters
Nursing station 77 Obstetric pack
Patient beds 49 Newborn kit**
Patient beds 30 Umbilical vessel cannulation supplies**
Staff accommodation 28
Venous cutdown**
Needle cricothyrotomy tray
Surgical airway kit (may include a tracheostomy tray or a surgical cricothyrotomy tray)**
FRACTURE MANAGEMENT
Cervical immobiliation equipment**##
Extremity splints**
Femur splints**
 STANDARDS in m sq
CRITICAL CARE UNIT
— Nurses desk
Window (3 nos Waiting - 9 seating Reception 2
— Clean utility
person
—ECG room
Emergency reception
— Pantry
Toilet
— Reception
Drinking water
— Medico-legal specimen and record
Emergency. Counseling - 4.05m x 3m
— Emergency lab
Treatment procedure/ minor
— Mobile X-ray
Open 4.25 x 3.5
— Stores" 301
Closed 4.1 x 3.5
"Exam/Resuscitation 6 beds
Toilet 1
— Waiting
Casualty in charge 2 x 4 W
— Social worker
Nurse station
— Police/Legal recording
Clean utility 4.1m x 1.5m
— Drug dispensing
Observation 5.3m x 6.2m (4 beds)
— Examination cubicles294
Operation theatre- at a corner , without window
"Operating suite
Pre up hold
— Emergency OT
Reception - 1 person
— Scrub/Gowning
Changing room 4.1m x 3m + toilet
— Instrument sterilization
Waiting-day surgery 4.6m x 6.25m - 4 waiting
— Dirty utility
Day surgery - 4bed - 7.8m x 6.5m
— Anesthesia
Treatment - 3 bed
— Plaster room
— Treatment room" 238

PEDIATRICS
STANDARDS in m sq
Reception counter - 3 person
Waiting area - 13 seater + common toilet
Nursing station 77
Play room - 4.6m x 2.38m - separated by glass
Patient beds 49
Immunity room - 4.8m x 2.05m - 1bed
Patient beds 30
Gynecology. Room x2 - 4.85m x 3m - 1 doctor, 2
Staff accommodation 28
seater 1 bed, 1 wash
Ultrasound - 4.85m x 4.1m - 1bed, 1 person counter
Procedure room - 3.9m x 3m - 1 bed
Pediatric- 3.9m x 3m - 1 doctor, 2 seater 1 bed ,1
wash - w1

STANDARDS in m sq
OPD
Module -25.0
Waiting area
“Entrance Lobby
Op reception - 5 person
STANDARDS — Trolley park
Waiting - 66 seater - 11.6m x 22.65m
PROXIMITY ANALYSIS AND — General waiting
OPD
ZONING — Public utilities” 98
Room 1
“Reception
Corridor - 2.4m wide
— Enquiry counter
General medicine x2 - 4.95m x 3m - 1 doctor, 2 seater,
— Admission/discharge
1 bed
— Cash counter
Family medicine F.H.C - 4.95m x 3m - 1 doctor, 2
— Queuing track
seater, 1 bed
— Staff accommodation” 140
Procedure room - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
“Arcade
Dermatology - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
— Chemist “
Cardiology - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
— Gift, book shop
Specialty OP-1 - 4.95m x 3m - 1 doctor, 2 seater, 1 bed
— Snack counter
Endoscopy - 4.6m x 4.75m - changing area, attached
“ 70
toilet
“Control Room
Procedure room - 4m x 3.5m - 1 staff, 1 bed
— Security/fire
T.M.T/Echo - 4m x 3.2m
— Ambulance station” 42
E.E.G (electroencephalogram) - 4m x 3.2m
Gift shop - 4m x 4.1m
MEETING/ CONFERENCE ROOM STANDARDS in m sq
- Administrative Approaching administration 98
Corridor - 2.4m wide general administration 168
Meeting room - 6-8 seater - 3.1m x 4.1m - attached toilet hospital information 63
VIP security/fire 35 INFERENCES
Waiting lounge - 3.1m x 4.5m mobile transport 35
Conference hall - .1m x 6m - 10-12 seater house keeping 35
Med. Dir. Room - 3,.1m x 4.5m hospital administration 196
medical records 140
There are two main entrances to the hospital
Chairman's room - 3.4m x 4.5m
Rest room - 3.05m x 3.8m -attached toilet It includes
Secretary seating - 1 person
Xerox/fax counter *Lobby
Pantry - 4.1m x 1.65m - attached toilet x 2
Workstation - 6.35m x 4.05m - 7 people *Pharmacy
Cabins x 3 - 2.4m x 2.2m - 2 persons
Common toilet - approached from corridor
Exec. Reception counter - 1 person *Sample collection room at each block
Exec. Waiting area - 13 person
Magazine rack *0% of the out patient department lies in this floor
Exec. Consul. Room - 3.2m x 4.5m - 1 doctor, 2 seater 1 bed
*Gynecology op

RADIOLOGY - DIAGNOSTIC STANDARDS in m sq *Emergency department

Reception (diagnostic) — Enquiry/Registration
Corridor - 2.4m wide — Queuing track
— Records
*Radiology department
Waiting - 16 seaters - facing courtyard
Exit — Sub-waiting”-126
Main Doorway - 1.8mx 2.1m - swings into diagnostic dept “General X-ray *This area has good patient flow and yet there is a lack of enough waiting areas.
Offset- 1.2m -since next to reception — Radiography room
counter — Control room *The size and type of services to be provided in pharmacy unit will depend upon the type of
Radiologist - 2.4m x 3.25m - 1doctor - 2 chairs — Change room drug distribution system used.
Report typing room - 4.5m x 3.95m - 5 person - window -2.4m — Sub-waiting -126
x1.38m “Special X-ray
CT scan - 6.35m x 5m - changing room - 1.5m x 1.35m — Radiography room *The number of patients to be served and extent of shared or purchased services
Console - 3.95m x 2.4m - window - 1.5m x 1.35m — Control room The pharmacy unit shall be located for convenient access staff control,and security.
Equip - 2.5m x 2.25m — Change room
X ray — Barium preparation
Room 1 - 5.9m x 4.15m — Sub-waiting -175
Room 2 - 5.45m x 4.15m “Ultrasound
Ultrasound — Ultrasound
Room 1 - 3.7m x 4.05m - 1 doctor, 2 chairs, 1 bed - window - — Change room
1.5m x 1.35m — Sub-waiting”-70
Room 2 - 3.85m x 3.6m - 1 doctor, 2 chairs, 1 bed “support
Common toilet - 1.85m x 2.05m — Dark rooms
Staff toilet - accessed from corridor — Film/Chemical store
Changing room x2 - 1.425mx 2.4m — Reporting
processing/printing - 2.45m x 3m — Archive/Record”-105
Sample collection- 4.8m x 4.1m
STANDARDS in m sq
"Entrance lobby
ENTRANCE — Trolley park
Waiting - 44 seating — General waiting
Visitors - 2 lift - 1.9m x 2m ww - Public utilities" 98
Reception - 5 seating "Reception
Pro room - 2.m x 2.4m — Enquiry counter
1 officer- 2 person — Registration counter
Back office - 5 person — Queuing tracks
Pharmacy — Records
Pick up 3 nos — Stafl’accommodation" 126
Cash 2 nos "Dispensary
Orders 1 — Issue counter
2 fridge — Queuing track
I.p / emergency counter - 2 person — Drugs store
Staff toilet — Staff accommodation" 126
 Canteen is positioned in the basement Rooms Dimensions Area Standards Area
Ventilation – through the cutout steps to
ground floor
Areas provided - Staff dining area, Kitchen ,
Canteen Kitchen 3800 x 1500 57 10.50 Sq.m
Entries- Service entry, From ground floor., entrance
from corridor
No of seats in canteen: 116 seats 29 tables Storage 2100 x 2400 50 10.50 Sq.m
Kitchen – Verandah, Pot wash, Serving
counter, Dish wash area
Kitchen area– 7700 x 5220 Washing area 2400 x 2700 64 17.50 sq.m
No of seats in staff dining area - 48 seats 13
tables
Pantry room 4350 x 1795 Cooking area 4750 x 5220 244 31 Sq.m
Washroom – pantry room
Handwash and washrooms in canteen – 4
wash basins 1 washroom Pantry 4350 x 1795 73 21 sq.m

Change room 3150 x 4000 124 21 sq.m

Entry from
Ground floor
Heavy traffic
area at
Service entry entrance • Canteen is accessed from the outside, OPD, and the other
departments in the basement
• Canteen is a busy area. So it is places far away from the
departments on the top floors.
• There is a outer place at the canteen where people take
snacks if seats are filled inside. Standing portals are
installed outside.
• Service vehicle serves the supplies from the kitchen to
pantry which is difficult for chefs
• Change room is near the staff dining because mostly staff
visits in times of break. Hence they use change room.
• Meeting room is also places in the basement near the
canteen. And food can be served easily from kitchen to the
meeting room.
• Doctors lounge is near the canteen so that they can relax and
eat at break time without interrupting the public space.

Staff dining Free area at Open area

entry kitchen door
 OPD
Entry – from the outside
No of seats – 82
No of OPD’s – 15
Extra rooms - Gift shops and Procedure rooms
Washrooms – 2 washrooms and 1 pd for ladies, 5 urinals, 2 washrooms and 1 pd for men.
Wash basins – 3 for each.
Staff washrooms – 2 bathrooms and 2 washbasins for Men

Way to Canteen Way out Traffic area

Rooms Dimensions Area Standards Area

ENT 4450 x 3000 132 77 Sq.m

Audiometry 4450 x 3000 132 77 Sq.m

Orthopedics 4450 x 3000 132 56 sq.m

Plaster room Ortho 5200 x 2400 124 56 Sq.m

Dermotology 4950 x 3000 147 63 sq.m

21 sq.m

Rooms Area
Waiting Area 21 x 10 m
Reception 40 sq.m
Wheel chair and trolley bay
Registration counter 30 sq.m
Dressing/Plaster room 5.2 x 2.4 m
TOILETS
Procedure room 4 x 3.5 m
Lobby Pharmacy Sample collection Radiology dept Labs 4x4m
Radiology 4 x 3.5 m
 UNRESTRICTED AREA

CONVINIENT RELATIONSHIP WITH OTHER DEPARTMENT

2,3,4 Floor

IP WARDS
SEMIRESTRICTED AREA
SURGICAL WARD CSSD ICU
First Floor

ICU

RADIOLOGY
OPERATION THEATRE
Ground Floor

RADIOLOGY

BLOOD BANK EMERGENCY

Basement Floor
STANDARD BLOOD BANK
RESTRICTED AREA
CSSD
STANDARD

CASE STUDY

PATIENT
DOCTOR
STAFF

OPERATION THEATRE