Bo)» Cr Mee recta ic erect nee nO araEMERGENCY DEPARTMENT: + EMERGENCY -A serious, unexpected, and often dangerous * ERR [7 situation requiring immediate action. baile La * AREA - The total internal area of the emergency department, should be at hespital, + Medical emergency is a situation when patient requires urgent & high quality medical care to prevent loss of life or limb and/or to initiate action for the restoration of normal healthy life.GENERAL REQUIREMENTS : * Entrance for patients arriving by ambulance, other modes of transportation, or conveyances. * Separate from main hospital entrance. * Porch outside the lobby to protect the unloading of the patients from rain & sunlight. * Approach to lobby should be in the form of ramp & steps and it should be appropriate to usage by the disabled. * The emergency department entrance mostly red and white sign is clearly visible. + Liaison with courts & police ina medico-legal cases.INTERFACE WITH OTHER CLINICAL AREAS: * The ED must have ready access to those critical care areas and diagnostic facilities necessary for modern Emergency Medicine to be practiced. Clinical areas which should be adjacent to the ED include. * OT + ICU Blood bank Laboratory ‘OPpD Mortuary Some authorities recommend a close relationship with CCU as well Many sub-depts. like OT, Diagnostics etc. may be required in the dept itself eer el Rem a yuli cl oka bela) * EDs need to be placed in an area of the hospital that is easily accessible to Emergency vehicles entering the site. + ED clinical areas should be on the ground floor. * Located adjacent to OPD.‘GROUPING OF GENERAL HOSPITALS: + For the purpose of this standard the hospicals have been divided into, O The following five categories: = Category A - 25 to 50 Reds. = Category B- 51 to 100 Beds. * Category C = 101 to 300 Beds, * Category D - 30! t0.500 Beds. * Category E - 501 to 750 Beds In hospitals of category C, D and E je should be an independent department working round the clock like a mini hospital. + ‘In hospitals of category A and’B it Should again be indépendent but may be scheduled to function outside working hours of other clinics in OPD. + Ir should be located in the complex of the OPD for reasons of easy accessibility and sharing medical facilities with the OPDCase ee The following data’s are based on the NABH standards. * The minimum No. of beds for the hospital — 25 Nos. Number of beds in the emergency department should be as per following criteria: TOTAL NO. OF HOSPITAL BEDS MINIMUM BEDS REQUIRED IN ED Up to 50 beds 02 beds 51-100 beds 04 beds 101-200 beds 06 beds 201-350 beds 08 beds. More than 350 10 bedsToilet For reac Staff - Cry Silat LOBBY - Depends on the Funct. Police Enquiry —h RECEPTION & Storage For Billing counter Wheel Chair, StretcherENTRANCE DETAILS: PORTICO: STRETCHER * Separate from main hospital entrance. * Should be Well marked & illuminated, SPACE FOR WEATHER Nw Whee PROTECTION 2 a5 \ + It should open into spacious lobby. ; eS \ + * Porch outside the lobby to protect the : unloading of the patients from rain & sunlight. fist gy Amautance * Approach to lobby should be in the form of ramp & steps. t Vom ALL aes ‘ut AMB * The bay for 2 Nos of & ambulance. ALL ARE I AMBULANCE BAYpet erie rae CORRIDORS : * Corridors provide patient, relative and staff access to all parts of the Emergency Department, as well as access to service areas of the Emergency Department, to storage, and access te equipment that is needed frequently or urgently. * Clinical areas - the minimum must be to allow 2 trolleys/wheelchairs to pass easily with associated equipment e.g. |V stands. A WIDTH FOR WHEEL CHAIR MOVEMENT minimum width of 3m is recommended, a = STAIRCASE & RAMP DETAIL: \ c Hoh + Width of the stair & ramp is Min. : | ~ = Tae 1500mm. on + 120 i ‘ALL ARE IN ‘mn * Riser - 120mm. : 7 Tread - 300mm. geo ALLARE IN ‘mm! STAIRCASE DETAILpe oN lel ee) ae aes RAMP: FS Level | + The slope ratio for the ramp 1:10. * And the width of the ramp also 1500mm. et ia Allen HANDRAIL DETAIL : 3 i + The handrails are a provided where the steps Ae ten Gain oaneas & ramp used. Ee + And also handrails are to be provide for disabled people. my. be panossanen— aaCIRCULATION DETAIL : ‘STRETCHER DETAIL :fee ara ee WHEELCHAIR DETAIL : \MOVEMENT SPACE: TURNING RADIUSRECEPTION AREA: ey ete He + Entrance should open in to a large open space with reception desk in front. + It should be adjacent to triage area. * Should be close to waiting area. * Should have communication links such as telephones, Worship room, grief room, flower, chemist & book shop. * Space for medico-social worker, toilets, registration & records. + BIS has recommended 1.75 sq.m per hospital bed for the reception area.WAITING SPAC * Should provide sufficient & comfortable space for waiting patients & relatives/escorts. * Area should be easily observed from reception & triage areas. * Should be appropriately furnished with visual displays on health education & hospital related information. + Should cater for facilities such as drinking water, ladies & gents toilets, television & channel music. * The space should be facilitate with e—————— 222 en —_____,NURSING WORK STATION: * Centrally located to enable staff to monitor patient care areas. * Desk areaGfiminimum |.2m wide by 600mm deep, per individual work desk. The staff station(s) must be at least |0m2 (108 #2) in size. + Aspects to be factored in include ergonomics, such as computer monitors being 800mm from eyes and at correct height. + Bench space around computers must be adequate to allow for papers to be on the desk. Desk height is ideally adjustable. DOCTORS WORK AREA: + Centrally locate for facilitating response to an emergency. * Should provide privacy. * Locate such that doctors & nurses able to view central cardiac monitoring station.EXAMINATION & TREATMENT AREAS: TRIAGE AREA: + A separate area or lobby may be used. + A triage area is designed for the initial clinical assessment of patients and allocation of an urgency.XAMINATION & TREATMENT AREAS: ACUTETREATMENT AREA : onset oni * Utilized formanagement of patients with agence acute illnesses Peete + Should be able to fit a standard mobile bed 3, ee with ample storage & usage space L AREA = tae * Area should include a service panel, ris examination light, wall mounted ‘Sphygmomanometer, emergency call Facilities. + 2.4m of clear floor space between beds. + Each treatment area requires space of 15 sqm. doors at least |.3m wide. I ‘00 a gu “leoe _ PART To Covrsin / sates) FEST see SecuRESUSCITATION & TRUAMA CARE: * Resuscitation and treatment of critically ill or injured patients like heart attack. * Should have space to accommodate specialized resuscitation bed, allow 360 degrees access to all parts of the patient for facilitating procedures & monitoring, * Minimum size for a single bed resuscitation room is. 25m? (270 sq ft). * Imaging facilities should include: O Overhead X-ray. O Lead lining of walls & partitions between beds C Radiolucent resuscitation trolley with cassette trays O X-ray viewing/digital electronic imaging system + An OT light should be made available * All electric power should be on ‘emergency stand-by circuits vt | « ee See =) + ae Pee to |) ose - | 2 | ak Access | tN i fans seo gla i —{—. PART Tent Caresins / Seneas’) FES te sreeISOLATION ROOM: * Isolation: of; potentially highly infectious patients. + Isolation rooms may also be used to treat patients with conditions that require separation from other patients. * eg, patients who require privacy for clinical conditions, or who are a source of visual or auditory distress to others. PLASTER ROOM: The Plaster room allows for the application of Plaster of Paris (POP) and other splints for the closed reduction under sedative or regional anesthesia, of displaced fractures or dislocations. * Te must be at least 20 m2 (215 ft2) in size, excluding crutch or splint storage areas,DIRTY UTILITY/DISPOSAL ROOM: * The dirty utility/disposal room is used for the disposal of clinical ‘and Gther wastes and sailed linen; for testing and disposal of patient specimens; for decontamination and storage of patient utensils sich as pans, urinals and bowls; for cleaning and holding of used equipment for collection and sterilisation elsewhere. * This foom should be a minimum of f2m2. OBSERVATION WARD : + Utilized for patients who have been evaluated & need extended treatment, observation, re-evaluation or time consuming procedures Stabilized patients. * A6to 8 bedded ward is recommended Needs supervision. SPECIAL FUNCTION TREATMENT ROOMS: + Designated room for ENT examination with full ENT set, head light, tuning forks, endoscopes, ENT chair etc. * Quiet rooms (see below) + Ophthalmology assessment room with slit-lamp, black-out capability, Snellen chart ete Private room for gynaecology. + Plaster application room, with appropriate waste disposal Procedure room with operating theatre standard lighting for suturing and wound care.FLOORING: The flooricovering in all patient care areas and corridors should have the following characteristics, + Non slippery surface * Impermeable to water, body fluids * Durable * Easy to clean * So, we use LVT (luxury vinyl tile) flooring for the hospital interior. ROOFING: * The roofing with MINERAL FB E: + Easy to install, + Maintenance free. + Easy to fit the lightings: * Easy to cleanAMBULANCE: + Length =5.4m + As per IPHS, For the 300 bed hospital 3 no's of ambulafice's are necessary . + Width =1.9m * Based on our design problem you should - Hea ees provide 2no’s Turning Radius =6.5m