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CONNECTION OF DIFFERENT DEPARTMENTS

NURSING CARE UNIT

SERVICES
LAUNDRY
CSSD
DIAGNOSTIC SURGERY DELIVERY KITCHEN
STORE

OPD EMERGENCY ADMN.


EDUCATION AND
RESEARCH

DIAGNOSIS AND
TREATMENT
PATIENTS
VISITORS

OUT PATIENT AMBULANCE


STAFF

INPATIENT CARE AMBULATORY CARE

HOSPITAL SERVICE RELATIONSHIP ADMINISTRATION

SERVICES
OUT PATIENT DEPARTMENT

DIAGNOSTIC FACILITIES

DRUG DISPENSARY
TREATMENT

CONSULTANT’S OFFICE
DRESSING

HISTORY EXAMINATION STAFF LOCKERS

SOCIAL SER. ADMITTING


RECORD OUTPATIENTS
ROOM APPOINT. WAITING TOILETS
RECORD
The function of the department is to diagnose and to treat home based patients
and if necessary to accept them as inpatients. A good deal of the diagnostic and
treatment accommodation can be a general Nature used at different clinic
sessions by different specialists.
SURGICAL DEPARTMENT

PATIENTS
PATIENTS STAFF CLEAN SUPPLY OPERATING STAFF

USED SUPPLIES

STAFF CHANGING ROOM RECEPTION AREA


CSSD
TSSU (Theatre
OPERATING THEATRE SUITES CLEAN AND Sterile supply unit)
STERILE
SUPPLY
DISPOSAL CORRIDOR
FLOW DIAGRAM OF PATIENTS FOR EMERGENCY

SERIOUSLY INJURED PATIENTS AMBULANT PATIENTS

RECEPTION AND WAITING STAGE 1

RESUSCITATION EXAMINATION DIAGONOSIS AND


STAGE 2
TREATMENT…(X-RAY)

FURTHER TREATMENT STAGE 3

TRANSFER (INPATIENT,OUTPATIENT, STAGE 4


DISCHARGE,MORTUARY
CIVIL HOSPITAL, JALANDHAR
400 BED CIVIL HOSPITAL AT JALANDHAR

400 BED CIVIL HOSPITAL AT JALANDHAR


400 BED CIVIL HOSPITAL AT JALANDHAR

FACT FILE
BUILDING:- 400 BED DISTRICT
HOSPITAL AT JALANDHAR ,
PUNJAB . A WORLD BANK FUNDED
PROJECT.
CLIENT :- PUNJAB HEALTH
SYSTEM CORPORATION LIMITED.

ARCHITECTS :-SURINDER SAWHNEY


ASSOCIATES CHANDIGARH.
SITE AREA :- 15.80 ACRE.
BUILT UP AREA :-14000 SQ. MT.
PROJECT COST :- Rs. 12 CRORE
400 BED CIVIL HOSPITAL AT JALANDHAR

IT IS LOCATED NEAR RAINAK


BAZAR.
1 K.M. FROM AMBEDKAR STATUE.
2 K.M. FROM T.V. TOWER.
400 BED CIVIL HOSPITAL AT JALANDHAR

THE EXISTING CIVIL HOSPITAL AT


JALANDHAR WAS FIRST INAUGRATED ON
OCTOBER 25TH, 1909 BY HIS HONOUR ,
SIR LOUIS DANE THE THEN LIEUTENANT
GOVERNOR OF PUNJAB.
SUBSEQUENTLY OVER THE YEARS
NUMEROUS BUILDINGS WERE ADDED TO
THIS 15.80 ACRE SITE .
OVER A PERIOD OF TIME MOST OF THE
EARLIER BUILT STRUCTURES WERE
DECLARED UNSAFE FOR HABIATION.
IT WAS THUS PROPOSED TO
CONSTRUCT A MODERN HOSPITAL
BUILDING WHICH WOULD CATER TO THE SITE PLAN
FAST CHANGING TREND IN HEALTH CARE
FACILITIES IN DEVELOPING COUNTRIES.
400 BED CIVIL HOSPITAL AT JALANDHAR

1. MAIN HOSPITAL
9 2. PHYSIOTHERAPY
3. LAUNDARY
8 10 4. P.P UNIT

6 5. MATERNITY BLOCK
6. STAFF QUARTERS
5 7. C.M.O. RESIDENCE
7 8. NURSES HOSTEL
2 3 9. CLASS III STAFF
1
10. CLASS IV STAFF
4
11. C.M.O. OFFICE BLOCK

11
400 BED CIVIL HOSPITAL AT JALANDHAR

BUILDING PLANNING PROGRAMME:-


THIS HOSPITAL BUILDING DESIGNED AROUND A CENTRAL
COURTYARD
IS A FIVE STOREY STRUCTURE CONSISTING OF A BASEMENT AND
FOUR STORIES .

S.F. PLAN
G.F. PLAN F.F. PLAN
400 BED CIVIL HOSPITAL AT JALANDHAR

THIRD FLOOR PLAN

BASEMENT PLAN

SECTION
400 BED CIVIL HOSPITAL AT JALANDHAR

THE FUNCTIONS OF THE


VARIOUS ACTIVITY SPACES AND
THEIR LIGHT AND VENTILATION
ARE VERY CLEARLY DEFINED
THROUGH CAREFUL
JUXTAPOSITION OF THE FOUR
TOWER BLOCKS OF THE
BUILDING.
THE SERVICE CORES ARE PLACED
BETWEEN THESE BLOCKS
CONSISTING OF LIFTS, RAMPS,
STAIRCASES AND FACILITY
ROOMS. THE TWO MAIN TOILET
BLOCKS ARE PLACED
INDEPENDENT OF THE TOWER
BLOCK
400 BED CIVIL HOSPITAL AT JALANDHAR

THIS 400 – BED CIVIL HOSPITAL HAS BEEN DESIGNED KEEPING THE USER
GROUP IN THE FORE.
RESPONDING TO THE REQUIREMENTS OF THE PATIENT CARE , NEEDS,
CULTURES, CLIMATE, SITE AND BUDGET A PLAN FORM IS DEVELOPED
AROUND THE COURTYARD WHICH BROADLY SEGREGATES THE NURSING
ZONE , THE CLINICAL ZONE AND THE SUPPORT ZONE OF THE HOSPITAL.
SUPPORT ZONE
THIS HOSPITAL HAS BEEN DIVIDED INTO
THREE ZONES :- NURSES ZONE

CLINICAL ZONE – 55 %
CLINICAL ZONE
NURSES ZONE – 33 %
SUPPORT ZONE -12 %
NURSING ZONE:- THE NURSING UNITS OR MORE COMMONLY REFFERED TO
AS THE WARD BLOCKS HAVE BEEN DETAILED VERY MINUTELY.
THE PATIENT SPACE , STAFF SPACE & CIRCULATION SPACES HAVE BEEN
DISTINCTLY DEFINED AND JUXTAPOSED SUCH THAT EACH COMPLIMENTS
THE OTHER.
400 BED CIVIL HOSPITAL AT JALANDHAR

CLINICAL ZONE :-
ONE OF THE MOST SIGNIFICANT AREA OF THIS
HOSPITAL IS THE CLINICAL SKILLS.
IT INCLUDES:-
1. EMERGENCY UNIT
2. OUT PATIENT DEPARTMENT
3. RADIOLOGY UNIT
4. PATHOLOGY UNIT
5. OPERATION THEATRE COMPLEX
6. I.C.U. UNIT
SUPPORT ZONE :-
IT IS THE THIRD MAIN SECTION OF THIS HOSPITAL .
IT INCLUDES ADMINSTRATIVE AREA SUCH AS N.S
OFFICE BLOCK, M.S OFFICE BLOCK ; C.S.S.D UNIT.
ITS PURPOSE IS TO SATISFY ALL THE PHYSICAL ,
MATERIAL AND FUNCTIONAL NEEDS OF THE NURSING
400 BED CIVIL HOSPITAL AT JALANDHAR

CONCEPT
SEPARATE ALL DEPARTMENTS ,YET KEEP THEM ALL CLOSE
TOGETHER, SEPARATE TYPES OF TRAFFIC, YET SAVE STEPS FOR
EVERYBODY, THAT IS ALL THERE IS TO HOSPITAL PLANNING.
EMERSON GOBLE…..

COHESION OF PLAN FORM AT MACRO LEVEL


AND EXTENSIVE DETAILING AT MICRO LEVEL
ALONG WITH ECONOMY AND THE RESOURCE
MANAGEMENT ARE THE HIGHLIGHTS OF THIS
DESIGN.
THE HOSPITAL DESIGN IS A PERFECT EXAMPLE
OF DESIGN IN TROPICAL INDIA WHERE THE NEED
IS TO CUT OFF EXCESIVE SUNLIGHT AND PERMIT
FREE AND CROSS FLOW OF AIR.
400 BED CIVIL HOSPITAL AT JALANDHAR

PLANNING ARROUND AN OPEN CENTRAL


COURTYARD IS THUS THE BEST SOLUTION
EXPLOITED IN SUCH SITUATIONS FROM
THE TIME IMMEMORIAL.

FLOOR PLAN
CENTRAL COURTYARD

CREATING A MICRO CLIMATE FREE FROM DUST,


HEAT AND STORM.
400 BED CIVIL HOSPITAL AT JALANDHAR

A CONVENIENT
CIRCULATION PATTERN
HAS BEEN ADOPTED IN
THE PLAN WHICH
REVOLVES AROUND THE
CENTRAL COURTYARD .

 THIS FACILITATES
EASY ACCESS TO THE
VARIOUS
DEPARTMENTS OF THE
HOSPITAL AND HELPS
MAINTAIN EFFECTIVE
ADMINISTRATIVE
CONTROL
400 BED CIVIL HOSPITAL AT JALANDHAR

AREA STATEMENTS

TOTAL COVERED AREA – 14000


SQ.MT.
AREA COVERED ON:-
GROUND FLOOR – 4600 SQ.MT.
FIRST FLOOR – 4500 SQ. MT.
SECOND FLOOR – 4450 SQ.MT.
THIRD FLOOR – 3325 SQ.FT.
400 BED CIVIL HOSPITAL AT JALANDHAR

5 RADIOLOGY BLOCK
OPD
BLOCK 6 1. COURTYARD
2. RAMP
5
3. STAIRCASE
4. LIFT
6
4 5. FIRE
3 1 ESCAPE
3
2 STAIRCASE
4 6. TOILETS

2
OPD BLOCK

EMERGENCY BLOCK

5 2
MAIN ENTRANCE
400 BED CIVIL HOSPITAL AT JALANDHAR

X-RAY TREATMENT
ROOM MINOR ROOM
O.T.
MEDICO LAB
LEGAL

EMERGENCY
RECEPTION ENTRANCE
WARD
DUTY
ROOM
SEPARATE ENTRY TO THE
EMERGENCY BLOCK IS
CLEARLY VISIBLE FROM THE
MAIN ENTRANCE TO THE
EMERGENCY BLOCK HOSPITAL.
THE EMERGENCY BLOCK HAS
BEEN LOCATED ON THE
GROUND FLOOR WITH THE
EASYACCESS BOTH FROM
INSIDE AND OUTSIDE THE
HOSPITAL.
400 BED CIVIL HOSPITAL AT JALANDHAR

RECEPTION OF THE
EMERGENCY BLOCK.

PLACE WHERE EMERGENCY


PATIENTS ARE FIRSTLY
EXAMINED AND THEN TAKEN
FOR TREATEMENT.
400 BED CIVIL HOSPITAL AT JALANDHAR
OPD BLOCK (OUT PATIENT DEPARTMENT)

SURGICAL
PLASTER ROOM TREATMENT
SURGICAL
ORTHOPAEDIC OPD
SURGICAL
OPD
TREATMENT
ROOM WAITING

EYE
OPD MEDICAL
OPD
EYE MEDICAL
OPD OPD MEDICAL
EYE
OPD
OPD

THERE ARE 2 OPD BLOCKS ON GROUND FLOOR.


OPD BLOCK HAS BEEN PLACED CLOSED TO MAIN ENTRANCE ON
GROUND FLOOR.
MEDICAL OPD, EYE OPD, SURGICAL OPD, ORTHOPAEDIC OPD, PLASTER
ROOM,SURGICAL TREATMENT ROOM HAVE BEEN PROVIDED.
SEPARATE WAITING HALL HAS BEEN PLACED IN THE CENTRE.
400 BED CIVIL HOSPITAL AT JALANDHAR
OPD BLOCK (OUT PATIENT DEPARTMENT)

DENTAL PHARMACY
DENTAL
OPD DISTRIBUTION
OPD

PHARMACISTS
PLASTER
ROOM
ROOM
WAITING
ENT
OPD
SKIN
OPD
ENT PHYCHI- SKIN
OPD ATRY OPD
SKIN
OPD

DENTAL OPD, ENT OPD, PHYCHIATRY, SKIN OPD,


PHARMACISTS ROOM HAS BEEN PROVIDED.
SEPARATE WAITING HALL HAS BEEN PLACED IN THE
CENTRE.
400 BED CIVIL HOSPITAL AT JALANDHAR
RADIOLOGY BLOCK

CONTROL RADIOGRAPHY
ROOM CT DARK
ROOM DRYING
SCAN

RECEPTION
RADIO-
STORE
TECHNICIAN
GRAPHY ROOM
ULTRASOUND
ROOM
RADIOLOGIST
ROOM
THE ROLE OF RADIOLOGY DEPARTMENT IS RADIO-DIAGNOSTIC AND
RADIOTHERAPY . THE DIAGNOSTIC UNITS GENERALLY DEALS WITH
ULTRASOUND, CT SCAN ETC.
ITS FUNCTION IS TO PHOTOGRAPH , PROCESS THE FILM AND PROVIDE
FACILITIES FOR ITS INTERPRETATION AND STORAGE.
EASY ACCESSIBILITY FOR THE PATIENTS AND TO OTHER ACTIVITY AREAS
OF THE HOSPITAL GOVERNED THE LOCATION OF DIAGNOSTIC BLOCK.
400 BED CIVIL HOSPITAL AT JALANDHAR
5

PATHOLOGY
BLOCK 6
N.S. OFFICE 1. TERRACE
BLOCK
2. RAMP

5 3. STAIRCASE

4. 4. LIFT
6
3. 3. 5. FIRE
2. 4. ESCAPE
STAIRCASE
1.
5 1. 6. TOILET
C.S.S.D
BLOCK
M.S. OFFICE
BLOCK

FIRST FLOOR PLAN


400 BED CIVIL HOSPITAL AT JALANDHAR
C.S.S.D BLOCK

INCHARGE • THE PURPOSE OF CENTRALLY


ROOM STERILE SUPPLY DEPARTMENT IS
HOT TO CONCENTRATE THE SKILL AND
AIR WASHING & RESPONSIBILITY FOR THE SUPPLY
AVON CLEANING OF THE MATERIAL AND TO
TECHNICIAN REDUCE THE RISK OF ERROR.
ROOM • THE DEPARTMENT RECIEVES
CLEAN MATERIAL FROM
LAUNDARY AND NEW MATERIAL
FROM MANUFACTURER.
GLOVE
BULK PREP. STERILE • THE CLEAN ONE SERVING BULK
STORE STORE FOR NEW MATERIALS
STORAGE
SUCH AS TOWELS, MASKS ETC.

ASSEMBLY SET PACKAGING • THE DIRTY ONE SERVING


WASHING & CLEANING ROOM
WHERE REUSABLE GOODS
INCLUDING INSTRUMENTS AND
SYRINGES ARE WASHED,
CLEANED AND DRIED UP.
400 BED CIVIL HOSPITAL AT JALANDHAR
PATHOLOGY BLOCK

STAFF
RECORD
ROOM LAB LAB
ROOM

RECEPTION
WAITING

LAB LAB LAB LAB WAITING

IT IS CONCERNED WITH THE ANALYSIS OF DISEASED TISSUE OR


FLUIDS AND OTHER ELEMENTS IN THE BODY.
THE PATHOLOGY BLOCK IN THE HOSPITAL IS DIAGNOSTIC IN
FUNCTION.
IT INCLUDES MAINLY LABORATORIES.
400 BED CIVIL HOSPITAL AT JALANDHAR

RECORD
ROOM

LABORATORY
400 BED CIVIL HOSPITAL AT JALANDHAR
N.S. OFFICE BLOCK

NURSING
GENERAL SUPDT.
LECTURE
STAFF.
HALL

STAFF
ROOM

LECTURE LIBRARY RECORD


ROOM
HALL

ASTT.
SUPDT.

NURSE SUPERINTENDENT OFFICE BLOCK INCLUDES LECTURE


HALLS, LIBRARY , GENERAL STAFF ROOM , NURSING
SUPERINTENDENT ROOM, ASSISTANT SUPPERINTENDENT
ROOM, RECORD ROOM.
400 BED CIVIL HOSPITAL AT JALANDHAR
M.S. OFFICE BLOCK

ASSTT.
MEDICAL SECURITY
SUPDT. OFFICE
GENERAL
STAFF.
. ADMN. RECORD
OFFICE ROOM

CONFRENCE
ROOM. PURCHASE
ROOM
MEDICAL ACCOUNTANT
SUPDT.
ROOM

MEDICAL SUPERINTENDENT OFFICE BLOCK INCLUDES ADMINSTRATIVE


OFFICE, MEDICAL SUPERINTENDENT ROOM, ASSISTANT MEDICAL
SUPERINTENDENT ROOM, CONFRENCE ROOM, GENERAL STAFF ROOM ,
RECORD ROOM, ACCOUNTANT ROOM , SECURITY OFFICE.
400 BED CIVIL HOSPITAL AT JALANDHAR

WARD BLOCK
WARD
BLOCK

SECOND FLOOR PLAN

WARD
BLOCK

WARD BLOCK
400 BED CIVIL HOSPITAL AT JALANDHAR
WARD BLOCK

WARD
WARD WARD

DOCTOR’S ROOM

NURSES ROOM

TREATMENT
ROOM
WARD WARD
PANTRY

ALL THE FOUR WARD BLOCKS ON SECOND FLOOR HAVE SAME


FUNCIONAL PLANNING.
IT INCLUDES NURSES ROOM, DOCTOR’S ROOM , TREATMENT ROOM,
WARDS, NURSES STATION, PANTRY, SEPARATE LADIES & GENTS
TOILET.
400 BED CIVIL HOSPITAL AT JALANDHAR

O.T. BLOCK

I.C.U
BLOCK

THIRD FLOOR PLAN

WARD
BLOCK
400 BED CIVIL HOSPITAL AT JALANDHAR
O.T. BLOCK
PREPARATION
ROOM

NURSES
ROOM
OT
OT RECOVERY

SCRUB
STORE
OT CHANGE
DU OT
ROOMS INCHARGE
DOCTOR’S
ROOM ROOM

THE PLAN OF OPERATION THEATRE DEPARTMENT IS GUIDED BY THE DEMAND TO


COMBAT INFECTION.
THE SPACE IN OPERATION THEATRE DEPARTMENT IS CLASSIFIED INTO THREE
MAIN AREAS:- FIRST- PREPERATION & O.T INCHARGE ROOM ; SECOND –
RECOVERY , STERILE STORES. THIRD- OPERATION THEATRES, SCRUB UP, CHANGE
ROOM,STERILIZATION.
400 BED CIVIL HOSPITAL AT JALANDHAR
I.C.U.(INTENSIVE CARE UNIT) BLOCK

NURSES
ROOM
I.C.U. WARD

LAB
STORE PANTRY
DOCTOR’S LAB
WAITING
ROOM
ROOM

THE PURPOSE OF THIS UNIT IS TO GIVE


HIGHLY SKILLED CARE TO ILL
PATIENTS.
THE I.C.U. WARD IS ENTIRELY
DIFFERENT FROM OTHER WARDS. ALL
THE PATIENTS ARE CONNECTED TO
MONITORING AND LIFE SUPPORTING
SYSTEM.
400 BED CIVIL HOSPITAL AT JALANDHAR
I.C.U WARD

A SEPARATE WAITING ROOM HAS


BEEN PROVIDED .
I.C.U HAS BEEN LOCATED NEAR
I.C.U. WARD
O.T BLOCK.
IT IS FULLY AIR CONDITIONED .
400 BED CIVIL HOSPITAL AT JALANDHAR
BASEMENT PLAN

STORES BLOCK

WORKSHOP
TELEPHONE BLOCK
EXCHANGE

COMPACT
EARTH
FILLING

A.C / HVAC

MEDICAL
STORES
BLOCK
MACHINERY &
EQUIPMENT
BLOCK
400 BED CIVIL HOSPITAL AT JALANDHAR
CIRCULATION

 CONSIDERING THE TYPE OF OCCUPANCY ; LOBBIES,STAIRCASES ETC. HAS BEEN


DESIGNED SUFFICENTLY WIDE TO ENSURE EASY MOVEMENT OF TRAFFIC ALL THE
TIME AND TO PERMIT EASY AND ODERLY EVACUATION DURING EMERGENCIES .
TWO TYPES OF CIRCULATION :-
 HORIZONTAL CIRCULATION
 VERTICAL CIRCULATION
HORIZONTAL CIRCULATON :-
CORRIDORS :- DIRTY CORRIDORS
CLEAN CORRIDORS
STERILE CORRIDORS

SHOWING GENERAL
CORRIDOR.
400 BED CIVIL HOSPITAL AT JALANDHAR
O.T. BLOCK

 DIRTY CORIDORS :-
USED TO CARRY OUT THE WASTE FROM O.T.
WIDTH- 5’-6”
CLEAN CORRIDORS :-
 ENTRY OF GENERAL PUBLIC IS RESTRICTED.
 USED BY THE PATIENTS AND DOCTORS.

DIRTY
CORRIDOR

CLEAN
CORRIDOR
400 BED CIVIL HOSPITAL AT JALANDHAR

STERILE CORRIDORS :-
 IT LEADS TO THE OPERATION
THEATRE.
ENTRY OF GENERAL PUBLIC IS
RESTRICTED BECAUSE THIS IS THE
AREA WHERE MAXIMUM CLEANLINESS
IS REQUIRED. STERILE
CORRIDOR
WIDTH –10’ BECAUSE STRETCHER
MOVEMENT IS THERE.
THESE CORRIDORS ARE WIDE AND
STRAIGHT WITHOUT ANY HINDERANCE
FOR THE PROPER FUNCTIONING OF
THE HOSPITAL.
 VERTICAL CIRCULATION :-
STAIRCASES
ELEVATORS
RAMPS
400 BED CIVIL HOSPITAL AT JALANDHAR

 STAIRCASES :-
 IN THIS HOSPITAL STAIRCASES ARE DESIGNED SUFFICENTLY WIDE TO ENSURE EASY
MOVEMENT OF TRAFFIC.
 WIDTH-2000 MM, TREAD-300 MM, RISER-152 MM, NO.’S-24.
 THESE ARE PLACED IN SUCH A WAY THAT THESE ARE VISIBLE THROUGH A DISTANCE
AND ALSO SEPARATE THE TRAFFIC TO THE DIFFERENT BLOCKS.
 THERE IS ONE FIRE ESCAPE STAIRCASE IN EACH BLOCK.
 WIDTH-1200 MM, TREAD-270 MM, RISER-166 MM, NO.’S- 22.

FIRE ESCAPE
STAIRCASE FROM
OUTSIDE.
400 BED CIVIL HOSPITAL AT JALANDHAR

 ELEVATORS :-
 ELEVATORS ARE THE MECHANISM INSTALLED FOR THE VERTICAL ASCEND
AND DESCEND OF PEOPLE AND GOODS.
 A TOTAL OF FOUR ELEVATORS ARE PROVIDED IN THE BUILDING WITH THE
TWO GROUPED TOGETHER IN THE MAIN CIRCULATION AREA.
 THE SIZES –2350 MM X 3000 MM & 1700 MM X 3000 MM .
400 BED CIVIL HOSPITAL AT JALANDHAR

 RAMP :-
 IT PROVIDES CONVENIENT CIRCULATION TO INHOUSE PATIENTS.
 THE WIDTH OF RAMP IS 2470 MM .
 CHECKERED TILES WHICH ARE ANTI-SKIT HAS BEEN USED AS THE FLOOR
FINISH OF THE RAMP.

RAMP BLOCK
FROM OUTSIDE
400 BED CIVIL HOSPITAL AT JALANDHAR
ELEVATION

FRONT ELEVATION

SIDE VIEW

FRONT VIEW
400 BED CIVIL HOSPITAL AT JALANDHAR

THERE ARE TWO ENTRANCE PORCHES TO THE HOSPITAL.


 ONE HIGHLIGHTS THE ENTRANCE TO THE EMERGENCY BLOCK AND OTHER
TO THE MAIN WAITING HALL OF THE HOSPITAL.
BOTH OF THE PROMINENT ENTRANCES ARE DECKED UP IN RED SAND
STONE GRIT WASH THAT HELPS THE OUTSIDER TO FIND THEIR WAY EASILY.

MAIN ENTRANCE

EMERGENCY
ENTRANCE
400 BED CIVIL HOSPITAL AT JALANDHAR

SHOWING MAIN
ENTRANCE.
400 BED CIVIL HOSPITAL AT JALANDHAR

THE EXTERIOR FAÇADE OF THE BUILDING HAS BEEN FINISHED IN SANDSTONE


GRIT WASH AND COATED WITH SILICON.
 THE FINISH IS ONLY 30% OF THE COST OF NATURAL STONE AND IS EASY TO
CAST ON SITE AND REQUIRES MINIMAL MAINTENANCE.
THE AESTHETIC IMPACT IS EQUALLY PLEASING.
400 BED CIVIL HOSPITAL AT JALANDHAR

TOP PARAPET +17130

WARD TERRACE +16015


I.C.U 3RDFLOOR +12355
WARD
WARD 2NDFLOOR +8695
PATHOLOGY
N.S OFFICE 1ST FLOOR +5035
O.P.D
RADIOLOGY G.FLOOR +1375
MEDICAL STORES
LINEN STORE BASEMENT –2350

LONGITUDINAL SECTION
400 BED CIVIL HOSPITAL AT JALANDHAR

 HOSPITAL WASTE MANAGEMENT :-


HOSPITAL WASTE MANAGEMENT MEANS THE MANAGEMENT
OF WASTE PRODUCED BY HOSPITALS USING SUCH
TECHNIQUES THAT WILL HELP TO CHECK THE SPREAD OF
DISEASE THROUGH IT.
FACILITIES PROVIDED BY HOSPITAL WASTE MANAGEMENT
ARE LIKE:-
 INCINERATOR.
 AUTO CLAVE.
 CHEMICAL TREATMENT.
 MICROWAVE RADIATION.

 INCINERATOR :-
o IT IS THE BEST METHOD OF ELIMINATING ANY INFECTIOUS ORGANISMS THAT ARE
PRESENT IN MEDICAL WASTE.
o INCINERATION HAS BEEN ECONOMICAL BECAUSE IT REDUCES THE VOLUME TO BE
DISPOSED OF IN A LANDFILL.
o WASTE IS BURNT AT VERY HIGH TEMPERATURES.
400 BED CIVIL HOSPITAL AT JALANDHAR

 AUTO CLAVES:-
o IN AUTOCLAVES, THE EFFECTS OF HEAT FROM SATURATED STEAM AND INCREASED
PRESSURE DECONTAMINATE MEDICAL WASTE BY INACTIVATING AND DESTROYING
MICROORGANISMS.
o PRE- VACCUM AUTO CLAVE HAS BEEN USED.
 CHEMICAL TREATMENT :-
o IN CHEMICAL TREATMENT SYSTEMS, AN ANTI-MICROBIAL CHEMICAL, SUCH AS
SODIUM HYPOCHLORITE, CHLORINE DIOXIDE, OR PERACETIC ACID,
DECONTAMINATES THE MEDICAL WASTE.
MICROWAVE RADIATION :-
IN MICROWAVE RADIATION, MEDICAL WASTE ENTERS THE SYSTEM BY
CONTINUOUS MODE, WHERE IT IS WETTED WITH STEAM OR WATER AND
HEATED BY MICROWAVE RADIATION AT DE-CONTAMINATING
TEMPERATURES.
DISPOSAL OF PATHOLOGICAL WASTE :-
PATHOLOGICAL WASTE (BODY PARTS, RESEARCH ANIMALS, ETC.)
CANNOT BE DISPOSED OFF BY AUTOCLAVING. FOR DISPOSAL OF SUCH
WASTE, EITHER CREMATORIA (BURNING OF THE BODY) OR BURIAL SHOULD
BE PERFORMED.
SERVICES
400 BED CIVIL HOSPITAL AT JALANDHAR

 FIRE FIGHTING :-
FIRE FIGHTING REMAINS THE MOST IMPORTANT SERVICE OF THE BUILDING
WITHOUT WHICH A BUILDING WOULD BE HANDICAPPED, IT INCLUDES:-
 FIRE PUMP & ACCESSORIES.
 FIRE HYDRANT AND WET RISER SYSTEM.
 AUTOMATIC SPRINKLER SYSTEM.
 PORTABLE FIRE EXTINGUISHERS.
 FIRE HYDRANT & WET RISER SYSTEM:-
o IN THIS THE HYDRANT RING MAIN FROM FIRE PUMPS WILL RUN ALL AROUND
PROPOSED BUILDINGS WITH YARD HYDRANTS AT SUITABLE INTERVALS. WET
RISERS SHALL BE TAPPED FROM RING MAIN AND RUN ALONG THE SHAFT.
o FIRE HOSE CABINET ARE PROVIDED ON ALL FLOORS WITH ACCESSORIES.
o THIS SYSTEM CONSISTS OF:
--FIRE RING MAIN WITH YARD HYDRANTS.
--WET RISERS SERVING ALL LEVELS WITH SINGLE HEADED LANDING
VALVES,FIRST AID FIRE HOSE REEL AND OTHER ACCESSORIES.
400 BED CIVIL HOSPITAL AT JALANDHAR

 AUTOMATIC SPRINKLER SYSTEM


o SPRINKLER SYSTEM IS PROVIDED IN BASEMENT AND UPPER
FLOOR AREAS EXCEPT ELECTRICAL ROOMS.
o THE WATER SUPPLY TO ALL THE SPRINKLERS IS FROM
OVER-HEAD TANK AS WELL AS THE UNDERGROUND WATER
STORAGE TANK.IN THE BUILDING THE SPRINKLERS ARE
PLACED IN THE CEILING WHEREAS IN THE ROOMS THEY ARE
PLACED IN THE WALLS AS THERE IS NO FALSE CEILING.
o THE SPRINKLER SYSTEM CONSISTS OF:- SPRINKLER VALVE
•INSTALLATION CONTROL VALVES
•SPRINKLER WET RISERS,DRAIN PIPES,INSPECTION TESTING
ASSEMBLY.
•FLOW INDICATING SWITCHES,BRANCH PIPING WIRING.
•AUTOMATIC SPRINKLER HEADS WITH QUARTZIED BULB.

FIRE EXTINGUISHERS :-
o PORTABLE TYPE CLASS A,B & C FIRE EXTINGUISHERS
ARE PROVIDED AT ALL FIRE SENSITIVE PLACES WHOSE
LOCATIONS ARE DECIDED ON FLOOR AREA BASIS.
400 BED CIVIL HOSPITAL AT JALANDHAR
 AIR CONDITIONING:-

o AIR CONDITIONING IS PERHAPS A VERY IMPORTANT ASPECT OF SERVICES.


oTHIS HOSPITAL IS NON -A.C BUT O.T DEPARTMENT & I.C.U ‘S ARE FULLY A.C.
oTHE MECHANICAL VENTILATION SYSTEM IS ALSO PROVIDED .
o AC PLANT HAS BEEN LOCATED IN THE BASEMENT.
oTHE BASEMENTS CONTAIN A NUMBER OF VENTILATION ROOMS, FRESH AIR
AND EXHAUST AIR SHAFTS ETC.
o AIR HANDLING UNITS (A.H.U’S) ARE INSTALLED ON EACH FLOOR.

VENTILATION FAN ROOM A.C DUCTS IN BASEMENT


400 BED CIVIL HOSPITAL AT JALANDHAR
 ELECTRICAL LAYOUT :-

o THE ELECTRICAL SERVICES ARE IN THE


BASEMENT FOR E.G THE TRANSFORMER(16’-
3”X16’-3”),D.G SETS AND PANELS.
o TOTAL COST OF INTERIOR AND EXTERIOR
ELECTRICAL LAYOUT COMES OUT TO BE RS
2.50 CRORES.
o TRANSFORMERS ARE 2 IN NUMBER BOTH
WORKING.THEN ARE THE D.G SETS(34’-3”X25’-
3”) WHICH ARE 3 IN NUMBER BUT ONE IS KEPT
AS A STAND BY DURING EMERGENCY.THEN ARE
THE 3PANELS HT BOARD.

TOTAL LOAD
LIGHTING & POWER 300 KW
A/C - 550 KW
LIFTS 100 KW
APPROXIMATELY 1000 KW
CONSUMPTION.
400 BED CIVIL HOSPITAL AT JALANDHAR

 WATER SUPPLY :-
WATER SUPPLY NEEDS OF THE BUILDING ARE CATERED BY:-
a) AN UNDERGROUND TANK OF 1,00,000 LITRES CAPACITY.
b) AN OVERHEAD TANK OF 20,000LITRES CAPACITY
o THE UNDERGROUND WATER TANK CONSISTS OF 2 EQUAL
SIZED COMPARTMENTS.50% OF THE TOTAL WATER IS USED
FOR DOMESTIC PURPOSES AND THE OTHER 50% IS USED
FOR FIRE FIGHTING PURPOSES.
o THE OVERHEAD TANK IS EXCLUSIVELY FOR FIRE FIGHTING
PURPOSES I.E. FOR EMERGENCY PURPOSES WHEN POWER
FAILS IN CASE OF FIRE.
o WATER REQUIREMENTS OF A HOSPITAL INCLUDE FILTERED
HOT WATER SUPPLY TO FACULTY ROOMS,O.T.S ETC.HOT
WATER IS SUPPLIED BY A BOILER PLACED IN THE
BASEMENT.

THE BUILDING IS ALSO EQUIPPED WITH HYDROPNEUMATIC


SYSTEM OF WATER SUPPLY.IN THIS SYSTEM WATER IS SUPPLIED
BY THE PUMPS AT A CONSTANT PRESSURE.THE PRESSURE
REMAINS CONSTANT UPTO 1 HOUR OF POWER FAILURE
400 BED CIVIL HOSPITAL AT JALANDHAR
RAIN AND STORM WATER DISPOSAL:-

RAIN WATER FROM ROOF IS DRAINED THROUGH VERTICAL DOWN -TAKE PVC
PIPES.
o THESE VERTICAL DOWN PIPES ARE LOCATED AT SUITABLE LOCATIONS INSIDE
THE SHAFTS.
o RAIN WATER KHURRAS HAVE BEEN PROVIDED AT ROOF LEVEL WITH 200 DIA.
RAIN WATER PIPE INLET THAT LETS VERTICAL DOWN TAKE OF RAIN WATER.
o RAIN WATER VERTICAL DOWN TAKE OF PVC PIPES ARE LEFT 75MM ABOVE
FINISHED GROUND LEVEL WITH ELBOW SPOUTS.
o UNDER THESE SPOUTS THERE ARE STORM WATER CATCH BASINS 300X300X275
TO DISCHARGE RAIN WATER DIRECTLY WITHOUT FLOODING IN SURROUNDINGS
AREAS.
oTHE CATCH BASINS ARE CONNECTED TO THE MAIN STORM WATER DRAINAGE
SYSTEM.
400 BED CIVIL HOSPITAL AT JALANDHAR
RAIN WATER HARVESTING:-

RAIN WATER HARVESTING PROVES TO BE ECONOMIC AS UNLIKE SURFACE


WATER IT REQUIRES LESS TREATMENT,FREE OF PATHOGENIC ORGANISM
AND MORE ECONOMICAL TO USE.
RAIN HARVESTING SYSTEM EMPLOYED IN THIS CASE HAS THE FOLLOWING
MAIN COMPONENTS-

 CATCHMENT-THE SURFACE WHICH DIRECTLY RECEIVES THE RAINFALL.. IN


THIS CASE THE CATCHMENT AREAS ARE PAVED AREA AND TERRACE.

 CONDUITS- THESE ARE THE PIPELINE OR DRAINS WHICH CARRY


RAINWATER FROM THE CATCHMENT TO THE COLLECTION CHAMBER. IN THIS
CASE PVC RAIN WATER PIPES FROM TERRACE AND BALCONIES TO THE
COLLECTION BLOCKS .
 COLLECTION BLOCKS- COLLECTION BLOCKS OF SIZE 450 X 650 MM WITH
GRATING ON THE TOP TO PREVENT DEBRIS FROM ENTERING THE BLOCK
THESE ARE PROVIDED THROUGHOUT THE SITE TO COLLECT WATER FROM
FROM PAVED AREA OF THE SITE.IN THE CITY SQUARE 450 WIDE DRAIN WITH
A SLOPE 1:450 RUNS ALL ALONG THE SITE PERIPHERY AND DISCHARGE INTO
THE TWO RAIN WATER HARVESTING WELLS.
COMPONENTS AND SPACE REQUIREMENTS

 The major units of the proposed


hospital would be as follows.
 OPD Block
 Diagnostic & Treatment block including
OT’s.
 Ward Block
 Faculty & Research Block
 Administration
 Library
 Service Block
 Mortuary
 Recreation facilities
 Parking
COMPONENTS AND SPACE REQUIREMENTS

5. Residential Complex
 Directors Bungalow AREA REQUIREMENT
 Housing (Type A, Type B, Type C, Type
D)
AREA IN SQM.
 Hostels for Nurses HOSPITAL COMPLEX 57,000
 Hostels for Doctors
 Hostels for Senior Residents TEACHING COMPLEX 14,500
 Hostels for Students (Boys & Girls)
 Public Accommodation (eg. Guest AUDITORIUM 3,500
House & Sarai)
RESIDENTIAL FACILITIES 35,000
6. Services
 Electrical sub-stations and DG sets PUBLIC UTILITIES 6,000
 HVAC plant room
 Water Supply systems TOTAL 1,16,000 SQM
 External drainage and rain water
harvesting
 Waste management yards and disposal
 Sewerage lines and treatment plant
COMPONENTS AND SPACE REQUIREMENTS
•DEPARTMENTS

OPD
 Entrance Lobby  Office
 Waiting  Department Office
 Reception  Consultants
 Registration  Housekeeping / Store
 Record Room  Administrative Section
 Computer Room  Admission / Discharge
 Medical Social Worker  Cashier
 Pharmacy  Public Utilities
 Telephone Booth
COMPONENTS AND SPACE REQUIREMENTS
Medical Disciplines

General Medicine
 Consultant Psychiatry
 Examination & Workup  Consultant
 Treatment Room  Examination & Workup
 Nurses Room  Nurses Room
 Demonstration room
 Waiting area

Dermatology & Venereology


Consultant
Examination & Workup
Treatment Room
Nurses Room
Superficial therapy
Demonstration room
Waiting area
COMPONENTS AND SPACE REQUIREMENTS
Surgical disciplines

Surgery Orthopaedics
 Consultant  Consultant
 Examination & Workup  Dressing Room
 Dressing Room  Reduction Room
 Minor Operation Theatre  Plaster Room
 Scrub and gown  Xray Room
 Preanaesthesia  Dark Room
 Sterilization  Viewing
 Clean Utility
 Dirty Utility
 Preparation
 Nurses Room
COMPONENTS AND SPACE REQUIREMENTS

Ophthalmology Dentistry
 Consultant •Consultant
 Examination •Examination & Workup
 DarkRoom •Dental X-ray
 Optometry •Prosthesis lab/ workshop
 Flusescence Angiography
 Fluosescence Angiography Obstetrics & Gynaecology
 Intra-Ocular eye co-agulation
 Ophthalmic Laser •Consultant
•Examination & Workup
Otorhinolaryngology •Minor Procedures
•Consultant •Nurses Room
•Examination & Workup •Toilets
•Audiometry (Soundproof) •Samples & Record (Antenatal)
•ERA
•Ultrasound room
•Treatment/ Minor Surgery
COMPONENTS AND SPACE REQUIREMENTS

Paediatrics
•Consultant
•Examination & Workup
•Treatment Room
•Nurses Room
•Children Play Room
Speciality Clinics
(Time Sharing with others)

Other Common Areas


Demonstration Rooms for Teaching
Waiting Areas
Public Utilities/Toilets
Closets for cleaning materials
COMPONENTS AND SPACE REQUIREMENTS
CASUALTY

 Entrance Lobby
 Relative Waiting  X-ray
 Doctors Room  CT Scan
 Strecher Parking
 Registration
 Plaster Room
 Office  OT
 Police Post
 Observation/Treatment Area
 Change Room
 Male Doctors Rest Room  Preparation
 Male Doctors Toilet
 Female Doctors Rest Room
 Scrub
 Female Doctors Toilet  Resuscitation Beds
 ICU
 Nursing Station
 Emergency Beds
 Clean Utility  Nurses Station
 Dirty Utility
 Ultra Sound Room
 Emergency Lab
COMPONENTS AND SPACE REQUIREMENTS
LABORATORIES

• Laboratory • Reception
• Cytopath Lab • TMT Holter
• Metabolic Lab • Cadiologist
• Radiaisotope Lab • Record Room
• Waiting • Echo
• Cardiology ICUs • Cath Lab
• Change Room For Nurses • Console
• Dirty Utility • Store
• Clean Utility • Change Room
• Waiting • Scrub
• Urine/Stool Collection • ECG
• Record • Lift Lobby
• Path • AHU
• Laboratory • Waiting Areas
• Store • Public Utilities for Dr’s,Nurses Staff,
Patients
COMPONENTS AND SPACE REQUIREMENTS
DIAGNOSTIC ICU & DIALYSIS

•Waiting •Reception
•Record Room •Change Room
•MMR •ICU
•Reception •Staff/Support Rooms
•Reporting Room •Urology/Uro Dynamics
•Doctors Room System
•Lift Lobby •Staff Support Room
•Toilets •Reception
•MRI •Change Room
•Waiting •Tech. Room
•X-ray 2 Nos •Doctors Room
•Console •Toilets
•Change Room •Dialysis Units
•Dark Room & Auto Processor •Duty Room
•Light Lock •Nursing Station
•Ultra Sound •R.O.Plant & Dializer Reuse
•Change Room •Kidney Washer
•CT Scan •Electrical Room
•Console •AHU
COMPONENTS AND SPACE REQUIREMENTS
OT COMPLEX

• Operation Theatre - 4 Nos. •H.S.Sterliser


• Air Lock •Lift Lobby
• Doctors Lounge •AHUs
• Anesthesia Room •Electrical Room
• Change Room •Portable X-ray room
• Store •Space for Frozen Section
• Staff Support Room •Anaesthesists Room
• Entrance Looby •Trolley Park
• Pre-operative •Matrons Room
• Post Operative •Patients Relatives Waiting
• Sterile Corridor Space with Toilets
• Srcub Station
• Preparation
• Disposable Corridor
• Snack Bar
COMPONENTS AND SPACE REQUIREMENTS

WARDS ( Typical)

•Discussion Room
•Isolation
•Nursing Station
•Clean Utility
•Dirty Utility
•Nurses Rest Room
•Doctors Room
•Class IV Room
•Pantry
•Toilet
•Nursing Areas (Bed Area)
•Electrical Room
•AHU
COMPONENTS AND SPACE REQUIREMENTS
MATERNITY PAYING WARDS

Lobby •Reception & Waiting Area


•Labour Room •Toilet
•Toilet •Doctors Room
•Eclampsia •Nurses Room
•Nursing Station •Pantry
•Dirty Utility •Nursing Station
•Clean Utility •Dirty Utility
•Nursery •Clean Utility
•Feeding Room •Nursing Rooms(Bed Area) with
•Ultra Sound Attached Toilet
•OT •Electrical Room
•Sterlization •AHU
•Delivery Suites
•Post Operative
•Doctors Change Room
•Nurses Change Room
•Toilets
•AHU
•Electrical Room
COMPONENTS AND SPACE REQUIREMENTS
BLOOD BANK SERVICES

CSSD
•Waiting •Decontamination Room
•Reception •Soiled store
•Record Room •Inspection, Wrap & Pack Area
•Store •Sterile store
•Laboratory •Sterile Despatch
•Bleeding •Office for Supervisor
•Recovery •ETO Room
•Doctors Room •Linen pack
•Staff Room •Steam sterliser
•Elisa •Equipment Wash
•Cold Storage •Change Room
•Washing/Sterlization •Toilet
•Pantry
•Electrical Room
•AHU
COMPONENTS AND SPACE REQUIREMENTS
SERVICES
 

KITCHEN LAUNDRY
Unloading Platform •Lobby
Changing Room •Distribution Area
Dietician •Clean Linen Store
Dish Wash •Laundry
Pantry •Receiving
Dry Store •Sewing Room
Manager •Sterilization
Meat Prep Area •Ladies Change Room
Veg Prep Area •Gents Change Room
Toilet •Ladies Toilet
Special Diet Room •Gents Toilet
Cold Store/ Veg.Store •Manager
Large Utensil Washing Area •Store
Trolley Bay
Trolley Washing Area
COMPONENTS AND SPACE REQUIREMENTS
SERVICES

MEDICAL GAS (MANIFOLD ANIMAL HOUSE


ROOM ) •Animal Rooms
•Supervisor Room •Laboratory
•Cylinder Bank Room
•Operation
•Equipment Room (Reservior,
Compressor, Alarm etc.)
•Office
•Toilets •Conference
•Cylinder Storage Room PURCHASE, STORES &
•Liquid Oxygen Tank/Oxygen MAINTENANCE
Concentrator Area •Purchase & Store Manager
MORTUARY •Maintenance Manager
Lobby •Bio-Medical Engg. Office
Entrance Verandah
Mortuary
•House Keeping Office
Dead body Storage •Bulk Storage
Post Martum •Despatch
Prayer •Maintenance Workshop
Washing
Staff
Electrical
AHU
COMPONENTS AND SPACE REQUIREMENTS
PUBLIC AREAS

DOCTORS CANTEEN
•Doctors Canteen
•Kitchen
•Male Change
•Ladies Toilet
•Gents Toilet
 PUBLIC CANTEEN
•Public Canteen
•Kitchen
•Male Change
•Ladies Toilet
•Gents Toilet
CONFERENCE
FACILITIES
•Conference Room
•Ladies Toilet
•Gents Toilet

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