CASE STUDY:

FORTIS ESCORTS ,
AMRITSAR
SUBMITTED BY-
Punjab , India RAKESH KUMAR
Overview of the Hospital :
 Fortis Escorts hospital , Amritsar (FEHA) is a
part of Asia’s largest health care group – Fortis
Health Care ,India.
 Fortis Escort hospital is a multi – specialty with

super – specialty in cardiac care . The hospital

emphasis to critical care which is crucial to
patients through advanced dedicated ICUs for
all specialties . The hospital has allocated
30%of its bed strength to critical care beds to
facilitate delivery of quality medical care .
 Site Location :

 The hospital is located at Bypass Road , 1km

from the verka chowk , Amritsar
 It was completed in 2003.
The 154 bedded, multispecialty hospital has
been designed to house the most advanced
medical technology and equipment.
A superficiality hospital with 4 operating theaters
and 133 operational inpatient beds, with installed
capacity for up to 154 beds
SITE

N
 SITE SERVICE OXYGEN
BLOCK GAS PLANT

MAIN
ENTRY

N MAIN
PARKING
HOSPITAL BLOCK
SITE CIRCULATION
EMERGENCY
PUBLIC
STAFF AND DOCTORS
SERVICES

N
MATERIAL GATE
ENTRY
Site brief :
 Main entrance is from North-East.
 Easily accessible and visible from the main

road .
 Separate entries for OPD, EMERGENCY AND

SERVICES
 There is common entry to casual and emergency

 There is no mixing up of the Hospital traffic and

the service traffic .

 Segregated entry for services and doctors; staff.
 PARKING
ARIAL
VIEW OF
PARKING

Parking lies towards the right hand side ,close to the in

patient unit and medical store leaving the traffic free area
for emergency entrance providing easy movement of the
ambulance .
The parking for the two wheelers and the 4 wheelers was
separate, 2 wheelers being on the extreme left hand side of
the site.
A separate parking was provided near the service entry.
 PARKING FOR TWO -
LAYOUT ON SITE WHEELERS

SERVICE PARKING
PARKING FOR FOUR WHEELERS.
Specialities of the Hospital :
a. Clinical Nutrition & Dietetics
b. Anaesthesia
c. Blood Bank
d. Cardiac Surgery
e. Cardiology
f. Dental
g. Emergency Medicine
h. ENT
i. Gastroenterology
j. Internal Medicine
k. General Surgery
l. Laparoscopic GI & GI Onco Surgery
m. Laboratory Services
n. Nephrology
o. Neurology
p. Neurosurgery
q. Obstetrics & Gynaecology
r. Oncology
 1. WAITING
GROUND 2.RECEPTION
3.CT SCAN
4. OPD
7. ICU
8. HEART STATION
9.DINNING
FLOOR PLAN 5.LAUNDARY 10.STAFF DINNING
6. EMERGENCY 11.UTILITIES
LOBBY 12.SECURITY OFFICE
13.LT ROOM
14. X-RAY
15.RENAL DIAGNOSTIC
13

10 9 8

4
5 7
2 3 14

1 15 1
1 6

N
 COMPONENTS OF GROUND FLOOR

9 OPDS
CHAMBERS
(4.2X4.3M)

OPD
CHEMIST LOBBY TOILETS
(8.6X6M)

RECEPTIO
ADMIN. WAITING
N

LOBBY
(14.6X6.6)

ENTRY
(1.7M WIDE)
 ICU

LAYOUT OF OPDS
CHAMBER
 ` OTS
LIFT BLOOD BANK

DIALYSIS UNIT
CSSD

ICU HEART CARE UNIT

FIRST FLOOR PLAN

N
COMPONENTS OF FIRST
FLOOR
BLOOD BANK

ENTRY STAFF AREA

ICU

RECEPTION
BEDS

BLOW UP OF DIALYSIS
AREA
 WARDS
STAFF AREA WARDS

LIFT LOBBY

SECOND FLOOR PLAN

N
STRUCTURE
Ground Floor Plan Showing Column placement and grid layout.
First Floor Plan Showing Column placement and grid layout.

N
Upper Floors

N
 The general Column grid spacing of 16’ x 11’ is
followed.

 Grid spacing is adequate as it provides ideal width

of corridors and rooms.
CIRCULATION
STAFF ENTRY Average Width of Corridor
10m
SERVICE ENTRY

DOCTOR’S ENTRY

OPD ENTRY
EMERGENCY
ENTRY MAIN ENTRY N Ground Floor Plan
OT OT

OT OT

OT RECOVERY CARDIO ICU DIALYSIS

N
First Floor Plan
 InPatient Department

N
Second/Third Floor Plan
 Staircases are ideally distanced throughout the hospital building

The provided number of elevators are insufficient.

Only one pair of bed-lifts are provided.

 Width of corridors is ideal for the average footfall.

 Access routes to different sections of the hospital are well connected.

 The busy circulation areas are kept away from noise sensitive areas of
the hospital such as the ICUs
SERVICES
WASTE DISPOSAL IN HOSPITALS
The management of waste must be
consistent from the point of
generation to the point of final
disposal . The path between these
two points can be segmented
schematically.
Handling, segregation, mutilation,
disinfection, storage, transportation and
final disposal are vital steps for safety.
To minimization and effective
management of biomedical waste is
segregation (separation) and identification
of the waste.
 The categories of biomedical waste are sorted into color coded
plastic bags or containers , usually are in white/blue , black , red
and yellow.

Biomedical waste should be transported within the hospital by

means of wheeled trolleys, containers . The trolleys have to be
cleaned daily.

Yellow plastic bags

Red disinfected container
Blue/white plastic bags/puncture proof container
Black incineration ash , discarded
medicine
BUILDING SERVICES

WATER SUPPLY
 In the building the main water supply is taken from
PWD and is stored at the backside of the hospital.
 All the water carrying pipes are G.I. Pipes and in
the O.T.s and I.C.U.s the pipes are of PVC so as to
minimize the chances of any leakage.

Sewerage
BUILDING SERVICES

OXYGEN SUPPLY
 There is a centralized supply of oxygen throughout the
Hospital that eliminates the use of individual cylinders at each
bed unit.
 The supply is distributed from the service block outside the
main Building.
 The supply is regulated by levers and control stations at various
levels of the hospital.

Sewerage
ELECTRICITY

lectricit
 With the mechanization of most of the activities it

becomes all the more important to have an uninterrupted

power supply.
 The hospital has a big UPS backup along with full

backup through two large diesel generator sets.

 There is a electric sub station at the site with transformer.

 High voltage lines come from the nearest power station

which are then lowered on the voltage by the step down

transformer there.
SEWERAGE
ewerag
 Waste from the linen room is removed in the form of
steam and soil water which is carried out of the
hospital in covered pipes.
 Waste from wash basins, kitchen sink etc. collected
separately by the waste pipes and from the gully traps
it goes into the manholes of external sewerage system.
 The external sewerage runs around the building
periphery having manholes in front of each shaft.
 AIR CONDITIONING UNITS
Ventilation and air-conditioning
 Air conditioning gets all the more important in hospitals

as a little mistake could cost the spread of air borne

diseases.
 ducts have to be properly insulated to avoid spread of

any infection.
 Air handling units i.e. AHU rooms are provided at

various levels of the hospital . The size of AHU room

was 5m2 .
INFERENCES
 Ground floor have OPD, emergency & diagnostics. Wards are placed on the
upper floors.
 There are separate entry for OPD and Emergency dept.
 Emergency have a separate entrance but no proper parking for ambulance.
 IPD & diagnostics have a clear & distinct circulation pattern.
 No concept of dirty and clean corridor.
 All used equipments are taken in trolleys to disinfectant room where they
are washed.
 Sterilized store room for equipments and supplies in OT.
 well planned landscape area in front of emergency area.
 Sprinklers have been provided with smoke and heat detectors and
hose-reels in public area.
 Planning is done in such a way that all the departments are well
segregated and yet kept together.
 Separate parking for services and public area.
 Emergency and fire exits are provided.
 The ICU was planned in such a way that a single nurse station can
monitor all the beds around it.
 The sill level of windows in the ICUs is designed at 1.8m ht so that
required equipment could be installed behind the bed.
 STP was located in the corner of the site.
 In the IPD section, hand rail support was provided to aid the
patients for movement.
 Windows on the western façade were tinted to filter sun glare.
THANK YOU….