OPD Department Layout and Design

4 OUT-PATIENT DEPARMENT
HOSPITAL DESIGN: CASE STUDY REVATHI,PARVATHY

POOJA,SHRETIKA
ARCHITECTURAL DESIGN 7TH SEMESTER
FACULTY OF ARCHITECTURE SURBHI,ELIZABETH
MANIPAL UNIVERSITY JULY 2013 RIYA,DIPAL
INTRODUCTIO COLUMBIA
NColumbia Asia offers OPD services for the following ASIA
departments
ENT surgeon
General surgeon
Obstetrics and gynaecology
Ophthalmologist
Orthopaedic surgeon
Paediatrics
Physician
Gastroenterologist With working hours of 8AM to 8PM on all
Dermatology weekdays and Saturdays there are a total of 20
Allergist and immunology consultation rooms
Neurosurgery
Plastic surgeon
Vascular surgery
Psychiatrist OPD
Endocrinology
Cardiology
Pulmonologist OPD
Columbia Asia receives
Urology
800 patients on the weekdays
1200 patients on the weekends
4. OUT-PATIENT DEPARTMENT
2
REVATHI, PARVATHY POOJA, SHRETIKA SURBHI, ELIZABETH RIYA, DIPAL HOSPITAL DESIGN: CASE STUDY ARCHITECTURAL DESIGN 7TH SEMESTER FACULTY OF ACHITECTURE 2013
LOCATION OF COLUMBIA
DEPARTM ASIA
IPD
ENT CAFÉ ADMIN EMERGENCY
OPD
Vertical arrangement seen from
Labs the entrance of the hospital
Waiting
area
Radiology
and OPD IPD
diagnostics
OPD
Pharmacy Waiting
EMERGENCY
area Vertical arrangement as seen from
the right side of the hospital
The whole OPD is spread out on the
Entry Administration Emergency ground floor
The OPD can also be accessed from
the emergency department
The patients are confined to a
Layout of OPD department particular area of the hospital and
does not interact with the IPD
3
PATIENT COLUMBIA
ACTIVITY ASIA
Old users
MOVEMENT
Patients who have a
New patients are the
New appointment and
medical records move
users coming to the users directly to the
hospital without a Waiting area waiting room
appointment or a
medical record In the waiting area the
nurses station keeps the
Administratio movement of patients into
the consultation rooms
n under control
Taking of appointments, asking for
information and payment occurs OPD
here DIAGNOSTICS
The doctor can ask for further
investigations for which the patient
LABS goes to the lab or the diagnostic
centre
4
PATIENT COLUMBIA
MOVEMENT ASIA
OPD New patients without
appointments go to the
administration department to get
an appointment
Labs Waiting area
Upon getting it they move to the
waiting area
Radiology and
diagnostics OPD From here they are called by the
nurse to the respective
Pharmacy consultation room
Waiting area
The doctor may advice them to do
further test which leads them to
the labs and diagnostic centres
Administration Emergency
Entry
5
PLACEMENT OF COLUMBIA ASIA
DEPARTMENTS Administration department
•placed on the right side to the
OPD entrance into the hospital
•Function-handles the
administration and appointment
Labs Waiting area making for the OPD
Radiology and Advantage

diagnostics •easy access for patients coming
OPD through the main entrance
•Acts as a help desk as well as a
Pharmacy security (the desk is manned at all
Waiting area hours)
Disadvantage
Administration Emergency •Creates a bottle neck situation
Entry for users going the OPD
6
ADMINISTRATION COLUMBIA
AREA ASIA
Area of admin and billing-

71.065sq m Admin area
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WAITING COLUMBIA
AREA ASIA
•Common waiting area for the
consultation rooms
OPD •Two separate waiting clusters
connected by a single corridor
Labs •Each waiting area was equipped with
Waiting area its own nurses station which helped in
managing the consultations
Radiology and
diagnostics OPD
Pharmacy Total number of seats-88 seats

Waiting area Area per seat-0.65msq
Area for the waiting area-57.2msq
Measured area-354.606
Entry Taking 800 patients
Area for seating -0.6 x 800
= 480msq
8
WAITING COLUMBIA
AREA ASIA
Advantages
•Patients consulting several doctors do not
have to travel to different waiting areas
Waiting
area
•Common waiting area helps in segregating the different
users such as the IPD visitors, emergency visitors etc
•Placement of public facilities such as toilets and
drinking water becomes combines rather than dispersed
9
PLACEMENT OF COLUMBIA
AREA- WAITING ASIA
AREA
Disadvantage
•Large number of people in a single area can
cause confusion and high amounts on noise
Seat arrangements •A single nurses station

servers each of the waiting
areas
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0
WAITING COLUMBIA
AREA ASIA
1
1
FACILITIES IN THE COLUMBIA
WAITING AREA ASIA
OPD
Labs Waiting
area
Waiting
area
Entry
-PLAY PEN
Age group- 3 to 6 years
Security – closed of on 3 sides and one side opening
directly into the main circulation passage
Designing for the children-soft flooring with different
colour patterns and also a TV displaying cartoons also
present
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2
CONSULTATION COLUMBIA
ROOM ASIA
Furniture and fittings present
•Doctor’s table and workstation
•Chairs for the doctor, patient and attending
•Examination bed with a step
•A sink for the doctor to wash
•X-ray viewing box
•Cabinets for storage
LAYOUT OF CONSULTATION ROOM

Advantage-circulation space for the
doctor and patient to move to and from
the examination bed
1
3
CONSULTATION COLUMBIA
ROOM Services required ASIA
•electrical and water supply
•data cable for computers
•smoke detectors for fire protection
•nurse call bell
1.2
1.2
1.2
Area of consultation room- 51.256463msq
1
4
SIGNAG COLUMBIA
ES Signs with consultation room ASIA
number along with name of doctor
given
Name of doctor on a temporary
removable board thereby allowing
flexibility in the use of the
consultation room.
Signage with names of doctors and theirs
specialisation placed at the entrance of
the OPD section of the floor
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5
LIGHTING COLUMBIA
AND ASIA
VENTILATION
Lighting in consultation room-

light directly above the
Lighting in waiting area– use of diffused lighting in the consultation table and the
seating area examination bed
Direct lighting in areas of circulation
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6
MATERIA COLUMBIA
LS ASIA
Consultation room-
Vinyl flooring
Easier to clean in an area
where cleanliness is a must.
Waiting area-
Seats places on carpeted area while
circulation space is tiled
Carpeted area becomes difficult to
clean and the tiled areas may
become slippery.
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7
FIRE COLUMBIA
EMERGENCY
During an emergency the evacuation route for the OPD ASIA
users go through the emergency room. Maximum distance to be covered
The path covers the OPD, waiting area, labs and diagnostic for the emergency evacuation is
areas 70.55m
Labs
Waiting area
Radiology and
diagnostics
Pharmacy Waiting area
Entry
1
8
WINDOWS COLUMBIA
AND DOORS ASIA
Opaque blinds used in areas in rooms where
the light can effect the tests conducted on the Temporary blinds that can be
patient used when required
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INTRODUCTION VIKRAM
Vikram’s Hospital offers OPD services
HOSPIT
VIKRAMS HOSPITAL -200 AL
bedded hospital.
The hospital is built across 8 floors with the first three floors comprising of
for the following department
Dermatology
the Emergency, OPD and Diagnostic department. The rest of the floors
ENT
General Sciences Allergist and immunology comprise of the OT’s, ICU,IPD and the food court.
Obstetrics
gynaecology Neurosurgery Vikram’s Hospital is a multispecialty hospital which caters to various
Ophthalmology Cardiology departments
Orthopaedic Pulmonologist Cardiology, Gastroenterology, Gynecology, Nephrology etc.(about 15
Paediatrics Urology departments)
Physician
Gastroenterology Nephrology
The OPD foot fall is 230-250 patients per day
--3000 new patients per month
USERS --avg of 7000 patients per month
-Patients & their accompanying
families The hospital refers injured patients to the emergency even in the case of
-Children OPD patients.
-Adults
Older People Staff No. in OPD –(100-115 people.. Including doctors, secretaries,
Physically and Mentally Challenged nurses and other employees)
People
-Doctors & Nurses
-Administration Staff
-Cleaning Staff
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SITE PLAN AND VIKRAM
ENTRANCE LAYOUT HOSPITAL
FOOD COURT
ENTRANCE
ICU AND IPD
RECEPTION RECEPTION II OTS AND IPD
-SECONDARY RECEPTION ACTIVITY-
-MAIN RECEPTION ACTIVITY- MAINTAINING APPOINTMENTS OF
CREATION OF APPOINTMENTS EVERY DEPT.
CARDIOLOGY OTS
APPOINTMENT
OPD
TAKEN
EMERGENCY DIAGNOSTIC OPD
CRITICAL CONDITION OF
OPD PATIENT
CONSULTATIO EMERGENCY OPD LABS

N BY
EXAMINATIO DOCTOR CASH
N ROOM COUNTER -Pathology lab on first floor a later
DOCTOR PERFORMS PAYMENT OF BILL ICU
PHYSICAL EXAMINATION TREATMENT development
PROCEDURE ADMITTED TO IPD OPD with diagnostic dept.-easy
DIAGNOSIS
ROOM TESTS TAKEN BY access for patients
MINOR ACTIVITY PATIENTS/RESULTS SENT
PERFORMED BY
DOCTOR & NURSES
TO DOCTORS No OPD on ground floor. Only lift
and stair case access.
Emergency and Day Care
connected to OPD with IPD lifts for
treatment of patients in
pain/trauma
2
1
SITE PLAN AND VIKRAM
ENTRANCE LAYOUT HOSPITAL
ROUTE FOR EXTERNAL ACCESS-EXIT FOR
VEHICLES
SERVICE
ENTRY
SERVICES ENTRANCE
TO OPD
IPD
LIFTS
EMERGENCY
ENTRANCE
VISITORS
ENTRANCE
PARKING FOR
No entrance from
AMBULANCES front provided. A side
FOR EASY AID access provided for
OPD patients
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2
SITE AND ENTRANCE VIKRAM
LAYOUT HOSPITAL
Hospital
Building Very less frontage space led to a side entry.

The valet parking people help with parking
services at the entrance.
Cars park their vehicles at the side or at
5m
some other place by hospital authorities
The side entry was narrow, a walkway with

illustration describing the various departments
were put up leading the visitors to the entrance.
Other than that no Feature marks the entry to the The frontal part of the site is given away for two
hospital wheeler parking for staff and a few visitors.
The side entry is not pedestrian The front entry is sealed off as it is used by the
friendly. Patients
pathology department which was a later
tend to move to the sides giving their way to the
development
vehicles.
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3
VERTICAL VIKRAM
ZONING HOSPITAL
OTHER OPD’S &
CONSULTATION
ROOMS
OTHER OPD’S &

WAITING AREA LOCATED CONSULTATION
IN THE CENTER sketc SECOND FLOOR ROOMS PLACED ON
DIAGNOSIS
FACILITATINGALL OPD’S- h THIS FLOOR
EASIER ACCESS
CONSULTANCY FIRST FLOOR RADIOLOGY LOCATED
TESTING
SAMPLE
ROOM AROUND IN THE END WHICH

THE WAITING AREA FACILITATES ALL
SPECIALISING IN OPD’S
CARDIO. LOBBY
GROUND FLOOR
GENERAL WAITING VERTICAL
AREA FACING MAIN TRANSPORTATION AT
ROAD WITH CENTER FOR ACCESS
CURTAIN WALL FOR TO EACH DEPT.
MAX. NATURAL
LIGHTING
RESEARCH LABS MORGUE LOCATED
LOCATED ON ON GROUND
GROUND FLOOR FLOORWITH AN
OUTDOOR ACCESS
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4
ADMINISTRATIO VIKRAM
N HOSPITAL
Signage's guiding patients to respective
departments- sign ages important near
main transportation since all people
enter from this point
The entrance lobby
contains the security
desk and the help desk.
The side wall bears the
directory board which
ENTRANCE LOBBY
guides the patients to
the Help Desk
other departments SECURITY DESK
Master health
The lobby check up counter
leads the which further
leads you to the
patient/visit opd
or to the
WAITING AREA lifts and
staircase. Security desk placed near the entrance
WAITING AREA, Individual receptions works-No token System
to guard & record staff entry
RECEPTION & ACCESS TO
OPD
Each department with one reception desk
reduces work load on main reception desk and
conveys instructions to patients faster
Main reception -Main reception need not have been so
Individual
counter for OPD huge- wastage of space-The executive lounge
reception desks
and a part of waiting space could have been
for each
used to make common waiting space or
department for
minor consultation rooms
appointments,
system records
2
5
WAITING Executive waiting area
VIKRAM
AREA
WAITING AREAS –FIRST
FLOOR
The executive area is for
privileged people, VIPs as per HOSPITAL
The ambience in the decided by hospital authorities. It
waiting area is
appears first before the main The executive waiting area
Executive unlike other
hospitals. It is OPD waiting area. is about 28-30m2
lounge area designed like a The No. of patients for the
lounge to give a executive lounge are very less on
sense of comfort to
the visitors and a day to day basis-about 5-8
patients people. Wastage of place
Glass panels
m2
7.7
around the
lounge for
visual
7.2m According to connectivity
standard the waiting
area is 0.65 m 2 per The lighting is recessed and the
person with 15% waiting area is provided with a
speaker for light music to keep the
The main waiting area has a seating circulation.
ambience pleasant
capacity of about 35-40 seats. (0.65*40=26m2)
The waiting and processing time for each +(0.15*26=3m2 )
patient is about 1-1 1/2 hours. Therefore the waiting
The first floor receives about 10-12 area is more than
patients per hour. enough provided for
Area of the waiting area is about 50 m2 the first floor.
which is sufficient enough to The waiting area is carpeted which is a lot of
accommodate the people. maintenance. It could have been separated with
another type of flooring
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6
CLUSTER CONCEPT VIKRAM
The hospital adopted a cluster concept where there would be
CONSULTATION
ROOMS
HOSPITAL
clusters for each department and each cluster had 2-3 consultation
rooms with one staff toilet. They also had one room in the cluster (if
required by that department) for any tests or laser surgeries to be
done. WAITING
AREA
No vision barrier created
between the OPD patients and
DIABETOLOGY theconsultation
doctors working at the
rooms.
/INTERNAL
MEDICINE Doctor’s movement is through
CARDIOLOGY the normal visitors' passage-no
Doctor’s movement across the
OPD privacy for the doctor. Situations floor
of visitors interrupting the
OPD doctor’s activity may occur.
WAITIN CARDI The door opens to the view
G AREA OLOGY A TYPICAL CONSULTATION ROOM of the round table which
CARDIOLOGY OPD addresses the doctor giving a
OPD sense of belonging.
-Each cluster has its own reception

A set of 2- 4 doctors work in the cluster at Doctor’s
a time Round
Workstation(space Examination
If the required dept needs a surgery or consultation room-
for storage, Bed
treatment room it is included inside the removes the
computer
cluster itself psychological
,stethoscope and
barrier between the
other requirements Doctor and Patient.
Each consultation room has one fire alarm The layout also
and sprinkler. Room height 2.75 m gives provision for
Sprinkler diameter-5m the patients' family
(sufficient for one consultation room) to be a part of the
discussion.
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7
1STFLOOR VIKRAM
PLAN HOSPITAL
Fire Escape route
The consultation rooms are
arranged around the waiting
area with separate reception
for each cluster.
-Easy approach to the
patient and doctor DIAGNOSTIC
DEPARTMEN
CARDIO
T DIAGNOSTIC
TEST DEPARTMEN
CENTER T
FIRE ESCAPE
LIFTS CORRIDOR
EXECUTIVE
WAITING AREA
OPD WAITING
AREA
OPD
CONSULATION
CLUSTERS Max run from the farthest point to fire
v
exit is 24 meters
2
8
TOILE One set of toilet VIKRAM
HOSPITAL
facilities provided
TS near the diagnostic

centre.
Toilet services
provided near
The toilet facility at the diagnostic
the entrance
department suffices the requirement.
of the
But as it is placed away from the
diagnostic
main waiting area. It is not known to
department.
a lot of people unless the visitors h
pass throug the connecting passage.
T
h
e
d
o
o
r
Only one toilet A screen al
provided near the OPD is m
o
department. Common provided st
for all. Toilet at the o
It doesn’t prove All toilets p
base of
comfortable for Indian dimensions – are
the door
e
provided n
public and insufficient (1.5*2)m2 to help s
with a o
according to any
handle but n
standards patient in
not to the WC which is not
case of a
completely ethical for the physically
situation
barrier free. challenged .
2
9
MATERIAL AND VIKRAM
FINISHES A carpet flooring
HOSPITAL
separates the
waiting areas and
corridors.
Too much
maintenance
Granite also used to suit the

color and theme of the
hospital interiors
Matt finish walls-cream color Granite flooring used in corridors and

walls used which gives a calm other places except waiting areas.
serene effect to the patients. Polished granite would not be safe
Mono color laminates used for patients with physical ailments
Vinyl flooring used on the sides throughout the hospital gives Grey color granite stone does not show
and used for skirting as well. an identity to the ambience up dirty spots well.
The central part of the corridor
was marked of by a running stretch Crash guard used all along
of unpolished granite which would the corridor as a handle and
be patient friendly and easy for the to prevent the stretcher from
movement of stretchers and barging into the wall.
wheelchair holding the patient
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OPD VIKRAM
DEPARTMENTS Diabetology HOSPITAL
The dialectology cluster is same as the cardiology.
-No examination bed provided though given in the drawings.
CARDIOLOGY AND DIABETOLOGY and The department receives about 10 patients per day.
GYNAECOLOGY
Cardiology
The cardiology had altogether three clusters with a total of
12 consultation rooms and three reception desks.
The cardiology consultation room exactly look like the Total area of the diabetology cluster
typical consultation room of the hospital -45m2
The doctors have been provided with a blood pressure No wash basin provided.
equipment to check the health of the patient. No provision for curtain-also because the
The test rooms for cardiology are located on the same consultation room doesn’t open out to
floor as the clusters are located. the waiting area.
Gynecology
24m
distance
from the
One consultation
staircase room
-No of patients
per
day-10 on avg.
Total area of one cardiology -consulation room same
cluster is –45.5m2 size as typical room
Rooms-(4*9)=36
Curtain provided as the
Lobby and reception-7.2m2
Toilet-2.5m2 rooms opens out to the
corridor
3
1
2ND VIKRAM
FLOOR HOSPITAL
The second floor of the hospital contains the opd and renal dialysis department.
The opd departments consist of the –urology-nephrology- neurology- orthopedic- ENT-
UROLOGY OTHOPEADIC &

OPD PHYSIOTHERAPY
DIALYSIS
WAITIN ENT/PULMONOLGY/AU WAITIN

G AREA DIOMETRY WAITING AREA G AREA
FIRE ESCAPE
NEURO
OPD ROUTE
ONCOLOGY
&BARIATRI DERMATOLOGY
C OPD
The max. run to the nearest

fire staircase is 24 metres on
the 2nd floor
3
2
WAITING VIKRAM
AREA HOSPITAL
The waiting area comprises of 70-80 waiting capacity.
The 2nd floor has a footfall of about 180 patients per
day.
The average waiting time for the opd patients varies a
lot in each department.
-The seating capacity although suffices the requirement
The average waiting space is 0.65m2 and is sufficient enough even for peak hours.
The first waiting area is 49m2. The waiting floor above also has no partition
The other waiting area is about The Doctors move through the normal patient/visitor
35m2. corridor.
Therefore
(0.65*90=58.5m2)+(0.15*58.5+
0.15*35) =72m2. The ambience is set as per the other floors. The
(49+35=84m2)-suffices. space gives a psychological comfort to patients
and improves their mood
The ambience is same as the waiting area below
Carpeted floor for waiting area-high maintenance. Waiting areas.
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3
UROLOGY VIKRAM
DEPARTMENT
The no. Of consultation rooms
are two
HOSPITAL
UROFLOWMETRY
The no. Of patients the
DYNAMICS
ROOM
department receives are 15-20
per day UROLOGY OPD
URO
Age group visiting
20 to 50 years -65% LITHOTRIPS
Above 60 years Y ROOM
-35% WAITING CONSULTATI
AREA O N ROOM
Advantage of layout
•Combining of similar departments allows
easier management
•Uro dynamics and uroflowmetry place in
same cluster for easier access for patient
Advantage of location and doctor
-The lithotripsy room is located in the Furniture in the consultation room-
urology cluster thereby allowing easy •Informal seating
access for the patients and doctors •Doctors work space
-The patient is made to lie on a bed where •Xray viewing box
an over head emitter emits radiation to •Hand washing sink
break kidney stones
The lithotripter machine is adjusted in a room which is just little more

than the size of the consultation room. There is hardly any space for the
doctor to move around the lithotripter machine bed.
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4
NEURO SCIENCES VIKRAM
The Neuro sciences department receives about 10-12
HOSPITAL
patients per day. The Nerve Conduction and
Special treatment for certain patients was done in the EEG machine
day care.
The age group comprised more of children Most of the patients are
People suffering from Epilepsy and Fits are treated here. children but no provision
2- consulation rooms for their comfort has been
2-treatment rooms done
CON SULTATION All the reports are studies

ROOMS through computer devices
TREATMENT LAB-EEG
AND NERVE
and treatment inferences are
CONDUCTION prepared in the Treatment
lab itself
TREATMENT The dark room for other

type of EEG readings
LAB
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5
ENT & AUDIOMETRY ROOM VIKRAM
The ENT dept receives about 30 patients per day. The dept receives all HOSPITAL
No examination bed has been
provided.
age groups ,but specifically infants and babies which comprise 20 A patient seat and a ENT workstation
patients of the total occupies the space.
The Nephrology room receives about 15patient per day. Instead of the round table a seats for
It has a typical layout with an addition of a wash basin. the patients' family has been
This department is located right in front of the reception provided
desk.
ENT Nephrology
room room
ENT
Audiometry work
room station
Surgical
chair
The Nephrology room and Audiometry room

had a similar layout as of a typical room layout.
No labs concerning these departments were
attached to the respective departments above.
The surgical chair, ent
workstation, working cabinet
The hospital only gives minor services in the and the doctors' chair was
above departments. concentrated on one side
crowding up the area
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6
VERTICAL ZONING
INTRODUCTIO FORT
N CARDIOLOGY OPD
IS
PEDIATRIC – DENTAL - LEVEL 3
LEVEL 2
GYNACOLOGY
ORTHOPEDIC-NEUROLOGY – LEVEL 1
OPD PHARMACY
UROLOGY-NEPHROLOGY LEVEL -1
Fortis Healthcare Limited is an established chain of super speciality
hospitals .
GENERAL OBSERVED FEATURES
They include multi-specialty hospitals and super-specialty centers
• Fortis planners have grouped OPDs considering the
Provide tertiary and quaternary healthcare to patients in areas like : physical condition of patients in mind.
• cardiac care, • Every doctor has a room to himself.
• orthopedics • Doctors take shifts on a daily basis.
• neurosciences & oncology Fortis has arranged • 2-3 departments are clubbed on a level
• renal care, gastroenterology their OPDs as a • Every OPD has a common lobby and reception.
• mother and child care. vertical complex • Most consultation rooms are centrally air
considering ease of conditioned.
It is a 250 bed hospital. patient access in • OPD’s have their own diagnostic services.
Commenced in 1999 mind. • Examination space is combined with the consultation
rooms.
Lack of natural ventilation is observed
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7
USERS • Other major activities are : FORT
Vertical circulation IS
Patients - (childern /adults/senior citizens) •
 300/day • Lab test procedures
Patient escort - mother/friends ..etc • Physical health checks
Visitors - (children/students/adults) • Dietary activities
The OPD location starts • Patient care – stretchers, wheelchairs
Staff : 1. Medical at ground floor and • Waiting areas
2.Admin can be easily located • Visual surveillance
3.Service and accessed. • Food and dining  cafeteria
• Examination and Recovery spaces
Other services :
laundry LOCATION OF THE OPD
raw food materials - loading unloading
COMPLEX
OPD
ACTIVITI OPD
ES
ENTRANCE LOBBY ENTRANC
E FOYER
• To the left is the reception & billing section.

• On the right side wall is an information board
with the names of all the departments and their
concerned specialists.
• The lobby provides no seating spaces for the LEVEL 1 LEVEL 2 LEVEL 3
users, which was seen as a necessity. (CON) Access to OPD can be from main entrance or through
• An OPD pharmacy is present in the same the 2 fire exits, one to the left and other far in-front
space. of the OPD.
• The lobby then directs patients towards the health
check and Out Patient Department.
3
8
CONNECTIVIT FORTIS
Y The hospital has no provision of ramps. (CON)
The OPD complex is located next to the elevators and one of
the 3 fire exit stairs.
- They substitute ramps with more number of
One can get direct access to the BONE & JOINT – BRAIN & elevators.
SPINE department through the entrance lobby – in less than
2 MINS - Can cause difficulty during emergency / fire
Spaces are vast and grouped commonly for

departments.
Many restricted areas à staff/patient only
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9
ORTHOPEDIC-NEUROLOGY OBSERVATIONS FORT
DEPARTMENT • Combined waiting lobby with reception. IS
• 35 – 40 waiting seats
LOCATION : Ground floor. • Isolated consultation chambers doubly loaded on a 1.5m
USER : patients with joint/bone pain or spine/nerve corridor .
condition. • EEG room & ECG room  3 x 2.5 sq.m.
 patient has difficulty in moving from place to • 9 orthopedic and 5 neurology consultation rooms
place. observed.
ACTIVITY : Registering Narrow corridors • According to the staff these rooms may be temporarily
waiting leading to used by doctors on daily shifts.  nameplate outside also
consulting/examination consultation changeable.
rooms. No visual • Restrooms : 1 Male & 1 Female
connectivity for Consultation rooms are
patients designed flexibly and
not department specific
except dental
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COMPONENTS OF A DOORS AND FORT
ROOM WINDOWS
Main door is double opening type. IS
 for stretchers need be
The consultation room doors are:

80cm wide
• DOCTORS DESK + CHAIR 2.1m in height.
• PATIENTS CHAIRS Off white in
• EXAMINATION BED + STEPS color  to
• SIDE SHELF compliment
• X RAY VIEWER are rarely seen in the rooms  lack of peripheral spaces
the soothing
Windows
• TABLE LAMP peach
or walls
inner courtyards (open to sky)
• COMPUTER SYSTEM Doors
2-3 openhave natural ventilation.
rooms
• CABINET into the room.
• BOOK SHELF
CPWD
PROPORTION OF SPACES
• No ramps present in the hospital.
• Consultation room = 3.5 x 2.5 = 8.75  A
 eats up space
• Waiting + reception + circulation = 41.5 sq. m.
• OPD has level surface.
 4.5A
• Corridors not ideally designed for
• ECG/EEG = 5.2 sq. m.  0.6A
wheelchairs
( required 1.5m  present 1.2 m)
• Entire department = 206.91 sq. m.  24A
5 x 14 = 70  required waiting area in sq m • No special railings seen.
4
1
MATERIAL &
FINISHES
SERVICE FORT
S
• Flooring : Vinyl sheets  Anti Static & Anti Bacterial IS light
Lighting : due to lack of natural
for hospital
• Walls : peach color, smooth finish A/C : Lack of natural ventilation
• Skirting is COVED with the floor.  ease of cleaning corners Plumbing : For wash basins
• Paintings hung on the walls in intervals.

LIGHT &
• Thick glass name plates used for doctors chambers. VENTILLATION
• Recessed lighting used .
• Natural ventilation & light hardly seen.
• Centrally Air conditioned throughout.
STRUCTURAL GRID
Columns are 6 m apart
Waiting area seating
4
2
PEDIATRIC- DENTAL - GYNACOLOGY DEPARTMENT FORT
LOCATION : Level 2
USERS : children & parents, women, dental patients IS
This department leads
patients first into the
ACTIVITIES :
waiting pediatric & gynecology
taking care of babies spaces and then moves
consulting with the doctors onto dental at the back.
Creates chaos as all 3

departments share same
common waiting space
PEDIATRIC
DEPARTMENT
• 5 Pediatric rooms
• Glass for doors and walls used No play area  disadvantage.
(waiting area  consult. Room)
Feeding
5 x 5 = 25  pediatrics room –
translucen
3 x 7= 21  dental
t glass
6 x 7 = 42  gynecology
Total waiting area reqd = 88 sq m
4
3
GYNACOLOGY DENTAL FORT
DEPARTMENT DEPARTMENT
Gynecology 3 consultation rooms + examination roomsIS
department to the
left. Equipment : Ped-Gyno-Dental
dental chair grouping with
Combined x-ray viewer no separate
consultation – doctors desk waiting or
examination rooms. patients waiting chairs recovery for
wash space dental patients
storage units
4
4
CARDIOLOGY DEPARTMENT FORT
LOCATION : 3rd level
USER : heart patients, cardiac staff, visitors
Other IS
ACTIVITIES: Features
Rooms arranged in a peripheral layout
waiting
consulting Corridors are not more than 1.8m
watching tv
This department has its Provision of minor test services (x-ray)
own spaces for: LOCATION
ECG PLAN
TMT (tread Lighting &
mill test) Department has its Ventilation
PFT (pulmonary function test) own diagnostic spaces, No windows  Centralised A/C
ECHO tests sample rooms Artificial lighting  recessed
60 waiting spaces observed.
treatment rooms
Proportion of spaces
• Consultation room = 6.5 sq. m.

A
A • Waiting Area = 78.3 sq. m.

 12A
4
5
OPTHALMOLOGY DEPARTMENFTORTIS
LOCATION : Ground floor, in the Health

Check Division
USERS : Eye Patients, doctors,

receptionist, accompanying persons
ACTIVITIES:
Waiting in lobby
KEY PLAN – LEVEL consulting with doctor
1 undergoing visual tests
waiting after medication
OPD PHARMACY
LOCATION : Ground floor, entrance
lobby
USERS : OPD patients, pharmaceutical

staff
ACTIVITIES :
storage of medicines
attending to patient 2.5 x 6 sq. m. Minimum 2.5m
prescriptions
between patient and reader
payment & bill
board
20 waiting
Approximate dimension : 4.5 m x 5m
spaces
1 Sonography
4. OUT-PATIENT DEPARTMENT room
4
6
SIGNAGE FORT
S IS
ROOM INFORMATION
LEVEL/ FLOOR DIRECTORY BUILDING DIRECTORY
Signages are informative

but may not be legible to
the less literate.
Less number of pictoral

signages.
OVERALL DIRECTORY - LEVELS DOOR DETAILS
4
7
INTRODUCTION MANIPAL
MANIPAL Hospital is an established chain of super speciality hospitals . HOSPITAL
They include multi-specialty hospitals and super-specialty centres
GENERAL OBSERVED FEATURES
Provide tertiary and quaternary healthcare to patients in areas like :
dentistry, • Manipal planners have spread out the OPDs in 4 floors 2
neurology dermatology basements and 1st floor and ground floor considering the
diabetes and endocrinology physical condition of patients in mind.
paediatrics • Every doctor has a room to himself.
• Doctors take shifts on a daily basis.
• No departments are clubbed on a level
. • Every OPD has a common lobby and reception.
• Most consultation rooms are centrally air conditioned.
• OPD’s have their own diagnostic services.
It is a 800 bed hospital. • Examination space is combined with the consultation
rooms.
USERS
Patients - (children /adults/senior citizens)  300/day

Patient escort - mother/friends ..etc
Visitors - (children/students/adults)
Staff : 1. Medical 2.Admin 3.Service
Other services :
laundry
raw food materials - loading
unloading
the floor beneath the wards is for services alone
social work centre
Xerox centre
health check up centre
4
8
Location MANIPAL
: HOSPITAL
Drop off area
Main road
parking
Secondary road
The hospital is
connected directly
to the main road.
Drop off area
4
9
ZONING – GROUND •
MANIPAL
Patients and staff members
FLOOR HOSPITAL
enter from the main lobby after
they are dropped at the drop off
lane.
• Patients enter into the main
lobby and are directed to the
reception.
• Main lobby has directive and
textual signages that aid people
to identify the location of
different departments.
TOILETS 10th floor

DENTISTRY
9th floor
8th floor
LIFTS 7th floor
6th floor
&S 5th floor
4th floor
PHAR 3rd floor
2nd floor
T T MACY
1st floor
Ground floor
Ground floor
Basement
s L -1
Basement -2
MAIN D&E
R
R Drop off area
LOBB Public spaces (Toilets, Lobby, Lifts and Staircases)
Y Administration/ Reception(R)
Fire escape staircases
Pharmacy
DROP OFF LANE Diabetes and Endocrinology
OPD
5
0
FIRST FLOOR MANIPAL
LAYOUTTOILETS • The users from the entrance lobby
use lifts or staircase to reach the
first floor.
HOSPITAL
• The departments in the first floor
LIFTS are accessed through a common
corridor.
&S
PHAR
T T MACY
s L
First floor
Ground floor
MAIN
R
s R LOBBY s LIFTS
&S
Entrance
Drop off lane
Ground floor to first T T
Ophthalmology OPD
floor circulation layout Neurology and Neuro sciences OPD
General medicine OPD s L
Circulation
Drop off area
Public spaces (Toilets, Lobby, Lifts and Staircases)
Administration/ Reception(R)
Fire escape staircases
Pharmacy
Diabetes and Endocrinology
OPD
Dermatology OPD
5
1
DENT MANIPAL
AL HOSPITAL
dentistry
DENTAL PHARMACY
MACHINE
PHARMACY
DENTAL CHAIR MAIN
ENTR
YSPACE FOR WHEEL
CHAIR
RAMP
LEADING
 LOCATION _GROUND FLOOR WAITING INTO THE
AREA,18
DEPT
ROOM AREA 2.5
SEATS
STAFF ROOM 4SQM M

EMERGENCY 5SQM MANA
ROOM 2M 1.5m GERS
CLEANSING+XRA 10.5+5SQM ROOM
Y ROOM EMERG
CONSULTATION 8SQM ENCY
SPACE ROOM
CONSULTATION Consultation
6.25SQM space
ROOM X RAY
E RAY VIEWERS VIEWE
ROOM 3SQM R
Total
120sqm
LIGHT AND VENTILATION
GLASS WINDOW FOR MORE
LIGHT INTO THE ROOM
5
2
SPECIAL MANIPAL
FEATURES HOSPITAL
SPECIAL
ROOM
WHEEL CHAIRS
FOR THE OLDERLY
STORAGE SPACES
5
3
EQUIPMEN MANIPAL
TS HOSPITAL X ray and
cleansing
CONSULTATIO room
N AREA equipments
EQUIPMENTS
Dental machine of
size 1.5m *1m
SUCTION X RAY CONE
TUBES in the Kept in the x-ray room
CLEANERS
ROOM
ULTRASONIC
CLEANER MACHINE
MAIN ENTRY IN CLEANING AND
Suction machine Spit on X RAY ROOM
A SMALL FRIDGE
INSTALLED NEXT TO
THE CONSULTATION
Wast
AREA
e
bins
5
4
DIABETES AND MANIPAL
ENDOCRINOLOGY HOSPITAL
PLAN OF THE
DEPARTMEN
T
PHARMACY MAIN ENTRY
RECEPTION
WAITING
MAIN LOBBY D AND AREAS
E RECEPTION
UTILITY EXAMINA
ROOM TION CR
1. LOCATION : Ground floor ROOM
2. PHARMACY : Common pharmacy
located at the ground floor.
3. TOILETS : Common toilets outside the
OPD for both doctors and patients
CONSULTATION ROOM
NO. OF CONSULTATION ROOMS = 4
• No of doctors = 4 consultants and 3
juniors WAITING CONSULTATION ROOM
CONSULTATION
•AREA = 4.5x5sq.m CHECK UP ROOM AREA
AREA
•SHARING/SINGLE = single
8. NO OF PATIENTS / DAY= 70-100 MAX
TV
5
5
ENTERTAINMENT MANIPAL
PRACTICES
HOSPITAL
EQUIPMENTS
USED IN CHECK
UP AREA WA TING
I
ARE AS_2
SEPE RATE
GLUCOMETER
AMBIENCE CEILING
TREATEMENT
5
6
DERMATOL MANIPAL
TV
OGY HOSPITAL
CONSULTANT  Dermatology is the branch
CONSULTANT DUTY
ROOM ROOM
DOCTORS PROCED of medicine dealing with
URE
ROOM
ROOM
the skin and its diseases, a
unique specialty with both
medical and surgical
STORE aspects'
LIBRARY STORE
ROOM
GENERAL ROOM
MEDICINE , LOCATION_FIRST
MICROSC FLOOR
MICROSCOPE
OPE USERS =100 PER
CONSULTANT ROOM
dermatology ROOMROOM DAY
ACTIVITIES
 1.CONSULTATIO
FIRST FLOOR NEOROLOGY N
 2.waiting in the
PROCEDURE
ROOM 2 SETS OF waiting area which is
WAITING next to the
DERMATOLOGY AREAS reception
 3.PATIENTS COMING
GENERAL MEDICINE
IN FOR HAIR REMOVAL
NEOROLOGY RECEPTION AESTH
ETIC
LASER
OPTHAMOLOGY ROOM CIRCULATION
LIFTS WAITING AREA
3.5 M MAIN ENTRY

5
7
PROPORTION EQUIPMENTS MANIPAL
KEPT IN STORE
ROOM S ROOM HOSPITAL
EQUIPMENTS USED IN THE STORE
AREAS ROOM
1. PHOTOTHERA _6SQM(6%) 1. CO2 LASER
2. ALMA LASER
PY ,AESTHETIC 3. ENDIAC
2. STORE ROOM 16SQM(14%) 4. DPN
5. SUCTION MACHINE
3. CONSULTANT 9SQM(24%) 6.SHR_SUPERFICIAL HAIR
ROOM ,3 REMOVAL
7. MICRO DURBO
4. DUTY DOCTOR
9SQM(8.27%) OPERATOR
ROOM
5. PROCEDURE 6.25SQM(11.46
%) ALMA LASER USED
ROOM ,2
FOR HAIR
6. MICROSCOP
REMOVAL
E 9SQM(8.27%)
ROOM 5SQM(5%)
7. LAB 30SQM(22.9%)
8. CIRCULATION
AND WAITING
ENDIAC USED FOR
SPACE,REC
109SQM TATTOO REMOVAL
1.
TOTAL
CO2 LASER
5
8
OPHTHALMOLOG MANIPAL
Y HOSPITAL
Reception
First floor
Entry
Lifts
ophthalmology
1. LOCATION : 1st floor Optic shop
s L 2. NO. OF ENTRANCES : One
3. PHARMACY : Common OPD Lifts and staircase
pharmacy located at the ground floor Common corridor
and a has an eye care shop at the
Consultation and examination room
entrance.
4. TOILETS : Common toilets outside Fire escape staircase
the OPD for both doctors and Waiting area and circulation zone
5. RECEPTION :- Equipments
patients
• COMMON/SEPARATE = separate used
• NO. OF COUNTERS = one counter and one nurse station
• TOKEN SYSTEM (YES/NO)= No
6. WAITING SPACES = capacity of 33 seats Dr’s Desk
7. NO. OF CONSULTATION ROOMS = 6
• No of doctors = 9
desk
• AREA = 3x3 sq.m 3*2.5 sq.m
• SHARING/SINGLE = single Chair
• The consultants worked in shifts and the rooms were Examination 2.25s
occupied by the doctor according to the shift timings. q.m Entry
8. NO OF PATIENTS/DAY = 90-100max chair
9. WAITING HOURS = 15-30 mins
• PATIENTS WITH APPOINTMENT = No waiting time Examination chair Patients’
Dr’s
• WALKING PATIENTS = 15-20 mins maximum
circulation
circulation
5
9
Ophthalmolo
Proportion of spaces
Consultation room= MANIPAL
Corridor space=
gy
Examination rooms=
HOSPITAL
• LIGHTING
MOSTLY ARTIFICIAL LIGHTING
Diagnostic APPROX. 1 LIGHT FIXTURE ABOVE EACH
room BED/CHAIR (1.5M- 2M APART)
WINDOWS PROVIDED IN ROOMS HAVING AN
Field room EXTERIOR FACE – SLIDING/FIXED
cr cr
• VENTILATION
CENTRAL A/C SYSTEM
FEW ROOMS HAVE BEEN PROVIDED
sr Cr- Consultation room WITH AN ADDITIONAL SPLIT A/C
cr R L cr Sr- staff room
Cea- collie eye anomaly Lifts and staircase
R- refraction room Common corridor
cr cr cea cr L- Laser room Consultation & staff room
• Main entrance double door 1.5m Fire escape staircase
3.0m wide
• Waiting area and
Consultation room door- 1.0-1.2m
circulation zone
wide
• Rooms were lit by artificial lights
3.0m
and had AC outlets.

• The floors were covered with vinyl
sheets that are easy to maintain.
• Walls were painted with calm
peach or white colours to avoid 33 seats
any kind of anxiety.
Consultation room 1. Dr’s desk
layout 2. Chairs
3. Computer
4. X ray machine
5. Storage desks
6
0
Pros and MANIPAL
cons HOSPITAL
PR

OS
THE OPD DEPARTMENTS WERE IN THE GROUNDFLOOR ,FIRST FLOOR AND THE 2 BASEMENTS WHICH WAS
HIGHLY CONVENIENT FOR THE PATIENTS.
 THE OPD PHARMACY WAS PLACED IN THE GROUND FLOOR WHICH WAS EASILY ACCESSIBLE TO THE
PATIENTS
USING THE OPD DEPARTMENTS.
 THERE WERE CANTEENS AND BOOKSTORES INSIDE THE HOSPITAL PREMISES FOR ALL KIND OF USERS.
 PROPER USAGE OF DIRECTIONAL SIGNAGES MADE THE USER FLOW CONVENIENT AND NON CONJUSTED.
 EVERY DEPARMENT HAD ITS OWN SPACE AND PRIVACY ,NONE OF THE 2 OPD DEPARTMENTS WERE
TOGETHER.
 THERE WERE SEPARATE WAITING AREAS FOR EACH DEPARTMENT AND HENCE REDUCED ANY KIND OF
CONFUSION OR CONGESTION.
 THEY EMPLOYED THE USE OF TOKEN SYSTEM TO AVOID CONFUSION DURING HEAVY CROWDING.G
6
1
Pros and MANIPAL
cons HOSPITAL
CON
S
 THE TOILETS PROVIDED WERE USED COMMONLY BY STAFF AS WELL AS THE PATIENTS .
 THERE IS NO IMMEDIATE CONNECTION BETWEEN THE INPATIENT DEPARTMENT AND THE
OUTPATIENT DEPARTMENT.
 THE OPD DEPARTMENTS WERE ARRANGED NOT IN A ORDERLY MANNER .IT WAS SPREAD OUT
THROUGHOUT THE BASEMENT ,GROUND FLOOR AND FIRST FLOOR .THE PAEDIATRIC
DEPARTMENT WAS MIXED UP WITH A ADMINISTRATIVE SECTION.
 THE ROOMS WERE GETTING CLUSTERED AS A RESULT OF EXPANSION OF SERVICES PROVIDED BY
THE HOSPITAL .
6
2
INTRODUCTIO NARAYANA
N
The main block of narayana hospital is specialized in cardiology
opd’s.
HRUDAYAL
The multispecialty hospital of narayana has other opd’s like AYA
dermatology,opthamology,orthopaedic etc.
Narayana hrudayalaya initially started as a multispecialty clinic.
Later ,as the number o cardio patients started increasing they

decided to expand the department and make it the foundation .
The main wing of the hospital contains only out-patient departments

related to cardiology.
USERS ACTIVITY
PHARMACY
PATIEN VISITORS STAF WAITING

T F CHECK OUT
CHILD CONSULTATION
ADUL ADMIN DOCTORS

T MAINTENANCE
ELDERLY
6
3
LOCATIO
TN
he cardiology opd is accessed from the
main drop off area .
Way to multi
specialty
Doctors enter from the main hospital
Entry.
They have been allotted specific
parking space—this will include
parking
at the side and at the rear.
ENTRY
DROP OFF
MAIN
ENTRY
6
4
LOCATIO
N
The cardiology OPD department is in two floors.
the general opd is accessed from the main entry ie at the
drop off point.
There are 3 double door entry’s.
The executive cardiology OPD is accessed from the OPD
waiting area of the general opd.
The executive opd is accessible from 2 lifts and a staircase
around it
Ground floor- First floor-
GENERAL EXCECUTIVE
6
5
ENTRANCE
RAMP-2 Pharmacy-
RAMPS OF -General
-Opd patients
1m
KEY PLAN -A part of future
WIDTH development
The pharmacy being
outside is difficult as
DROP OFF
visitors and patient have to
comeback to the doctor
sometimes
SECURITY
KIOSK
MAIN
ENTRY
6m
6
6
GROUND
OPD
FLOOR and dental.
The ground floor contains opd for
cradiology,pediatric
It is approached by 3 double door
entries DENTAL
PEDIATRIC
C
A
R
D
I
O
L
O
Verandah seating IDOL IN THE
G
Y Reception Reception FRONT
MAINdesk
RECEPTION -
Travel provided for
AND WAITING cash cash AESTHETICA
patient convenience
LLY
PLEASING
• Toilets –at 1 level Key plan
down
• 5 w/c Pre-operative cell
• 3 wash
basin Column size-300x600mm
• 1 storage Common waiting – 21x3(2 ENTRY Grid-8.5x4.6
LEGEND
sets)- 126 seats PATIENT
PLAN
AREA=0.5X0.8X126=50.4sqm CIRCULATIO
N
6
7
CONNECTI
VITY
6
8
GROUND
FLOOR
• THE OPD ACTIVITY IS RESTRICTED TO THE • OPEN PLAN AND GOOD
FRONT CONNECTION TO OUTSIDE
• THE IPD AND OTHER DPARTMENTS START
AFTER THE BRIDGE
• EACH
• PROPER BUFFER CONSULTATIO
SPACES N ROOM HAS
BETWEEN MAIN WINDOW-
A
ENTRY NATURAL
LIGHT
WAITING AND • USE OF
SUBWAITING COURTYARD
S
• BARRIER
4. OUT-PATIENT DEPARTMENT FREE
6
9
CARDIOLOGY
OPD
CARDIOLOGY DEPARTMENT(HOSPITAL)--11 cardiologists
7 critical care
10 anesthesiologists
ONLY THE CARDIOLOGISTS AND CARDIAC SURGEONS
HAVE CONSULTATION ROOMS IN THE OPD DEPARTMENT
Working hours –9am-5pm

Each doctor has a private secretary 9 : 18 =CONSULTATION ROOM :SEATING
seated outside
NO OF PATIENTS PER DAY=50-60
Consultation
rooms-
3mx3.9m
Key plan
Waiting
2 sets of 9 chairs each on
both sides
Total-162seats
PLAN ARA=0.5X0.8X162=64.8sqm
Grid -4.4X4.5
approx.
7
0
CARDIOLOGY
OPD
Number of consultation room=18
OPEN PLAN
USE OF COURTYARD—
NATURAL LIGHT AND
VENTILATION
main
entry
EACH CONSULTATION Key plan

ROOM HAS A
WINDOW
PROPER BUFFER SPACES
BETWEEN MAIN ENTRY
WAITING AND SUBWAITING
CONCEPTUAL PLAN
7
1
CARDIOLOGY Typical consultation room consists of
TYPICAL CONSULTATION ROOM Consultation desk
Consultation bed
3 chairs
1 sofa
X-ray viewer
Computer
Each doctor had a private secretary seated outside that
controls the flow of patients
Window dimensions-2x1.5m
Venetion blinds
sink
Windows facing outside with

Services-sink-plumbing, A/C , switches. venetian curtains for controlled
lighting in consultation rooms. X ray viewer
Luminaire over consultation bed and
doctors desk
Centralized
A/C for the
entire OPD
through
ventilation
ducts
through false Curtain rails
ceiling.
7
2
PEDIATRIC
OPD
Total of 7 doctors
The pediatric department has a small play area for the
children
RECEPTION
The pediatric department is specialized in cardiology
It has a total of 25 seats-0.8x0.5x25=10sqm
Rooms-
consultation rooms-7
Feeding room
Number of patients per
day– 50-70
Key plan
Play area
Aesthetically pleasing
Consultation rooms Consultation room
7
3
PEDIATRIC
OPD
WAITING-
XRAY
Duct—for the
toilets in the Key plan
wards above
TYPICAL
CONSULTAT
I ON
ROOM-
PEDIATRIC
7
4
SIGNAG
ES GROUND FLOOR
FIRST FLOOR
Fire exit
Info desk at the entry
Directional signage Consultation

room(cardiology)-
Doctors name Consultation
Room no room(cardiology)-
Doctors name
Room no
List of departments and labs in Registration and

the main entry waiting cash
7
5
FIRST
FLOOR
The first floor consists of executive opd’s
It is accessed by 2 lifts and a stair around them
The executive opd is for the private patients
It is approached by a glass partition.
Lift lobby-coffee kiosk
Chairs-12
Round tables of 1.5m diameter
RESTROOMS
2 w/c,1 handicapped toilet,3
wash basin,1 dustbin
EXCECUTIVE
OPD
(CARDIOLOGY)
Key plan
•TMT ROOM • REGISTERATION AND CASH • STAFF TOILETS

•12 DOCTORS •ECG ROOM FOR GENERAL AND
•10 CONSULTATION •SPECIMEN COLLECTION CORPORATE
ROOMS •XRAY ROOM,ELECTRO ROOM •INTERNATION DIVISION
7
6
FIRST
FLOOR
The executive opd is visited by
scheme patients .
It is for fast consultation 13 seats
each consultation
TO IPD
room has a window
-ACCESIBLE TO SPECIMEN
18:10=GENERAL OPD :EXECUTIVE OPD
DOCTORS COLLECTION
NO OF PATIENTS=60-70
AND STAFF
TOTAL NO OF
7
SEATS=79+35+4+13=131
35 GENERAL WAITING
Area =35X0.5X0.8=14sqm
Coffee kiosk
• THE CHAIRS FOR COFFEEE

KIOSK OUTSIDE IS LESS
COMPARED TO THE NO OF
WAITING SPACES INSIDE
• LIFT LOBBY IS SMALL
COMPARE TO THE DENSITY
OF PEOPLE 12x3 seats +9x3 +9+7=79 seats
PLA Area =0.8X0.5X79=31.6
N
7
7
• ENTRY TO IPD FOR DOCTORS AND STAFF
• RAMPED APPROACH
• DOUBLE DOORS
• ALSO FIRE EXIT. • GRANITE FLOORING
• WOODEN
PANELLEND CEILING
SIGNANGES
AHU
GROUND FLOOR-2
FIRST FLOOR -1
COVE LIGHTING
7
8
BASEMEN
T
• The restrooms for the main entrance and
for opd patients is 1 level down
• This is accessed by stairs near the lift for
the executive opd
• The stairs are almost 0.9m which is narrow
for the amount of people.
• Converted to • The basement also has a store room and a
office
cloakroom converted office which also use
the same stairs for access.
• The buffer space at the end of the stairs is
really crowded
• Medical • Women toilet

records
room • 5 w/c,3washbasin,1 storage
• Gents toilet
• 6 toilets
• the restroom area is crowded as it is near the office and medical

records of ipd and the stairs are very narrow due to the addition of
the stairs leading to the executive opd Key plan
• not sufficient restroom compared to waiting ratio

• Stair width-0.9 m
7
9
FIRE ESCAPE
PLAN
RAMP
21.2 m approx
STAI
R
23 m approx
45 m approx
STAI
R 51 m approx
8
0
INTRODUCTION NARAYANA
Narayana Hrudayalaya, headquartered in the city of
HRUDAYALAYA-
Bengaluru, India, is one of India's largest multi-specialty
hospital chains. The Bangalore cardiac unit of Narayana
MULTI SPECIALITY
Hrudayalaya is one of the world's largest pediatric heart
hospitals. Narayana Hrudayalaya also receives patients
from outside India, and it has created a record of
performing nearly 15,000 surgeries on patients from 25
foreign countries. It has 5,000 beds (as of 2012) and it is
building large hospitals across India totaling 30,000 beds,
to enable it to gain large economies of scale and bargain Emergency Entry
down the cost of supplies to the hospitals.
Apart from cardiology, the hospital also offers treatments
in the area of Neurosurgery, Pediatrics, Neurology, Patient’s Entry
Gastroenterology, General Surgery, Dental, Nephrology,
Urology, Transplants, Nuclear Medicine, Medical Imaging
and Radiology. It also houses a Blood bank and
Service Entry
Laboratory. With the help of ISRO, Narayana Hrudayalaya Hospital Entry
has pioneered some of the aspects of Telemedicine.
from Main Road
Hospital Entry from Main Road
Front elevation of the Multi- The Main Lobby of the Hospital with
Speciality hospital the Main Reception and the seating
areas.
8
1
USERS/ACTIVITIE NARAYANA HRUDAYALAYA
S
Activity Movement for Doctors
Activity Movement for Nurses
• Number of doctors – 130

• Number of nurse – 1,200
• Number of patients each day –
1500+
Activity Movement for Patients
Activity Movement for Admin.
8
2
LOCATIO NARAYANA HRUDAYALAYA-
MULTI SPECIALITY
N
LEGEND
WAITING LOBBY
VERTICAL TRANSPORT
1. OPD for General Medicine,
etc.
2. OPD for dental, urology,
prosthetics, etc.
3. OPD for Neurology,
Gastrology.
4. OPD for Oncology,
Pediatrics, Chemotherapy.
I.C.U.
EMERGENCY
A.H.U. Room
ADMINISTRATIO
N
CASH COUNTER
PHARMAC
Y TOILET
CHEMOTH
4. OUT-PATIENT DEPARTMENT ERAPY
8
3
NARAYANA
LAYOUT OF Connectivity with HRUDAYALAYA-
• DEPT. other Dept.
Every department has 3-4 consultation rooms
MULTI
depending on the number of doctors and patients. • 4 main hospital buildings SPECIALITY
• Some departments have a Minor OT attached to it. connected to 1 lab
• A number of 6-7 nurses are appointed for each building.
department. • Each floor of the OPD is
• Oncology – 3consultation rooms connected through a
1 minor OT series of Ramps and
staircases.
Endoscopy room
• Pediatric – 4 consultation Central Registration
rooms
1 triage
(emergency) Out-Patient Registration
Consultation
Investigation • Flow of patients from

within an OPD –
from central
Laboratory Radiology
registration to
consultation.
Consultation
8
4
CIRCULATIO NARAYANA
HRUDAYALAYA-
N MULTI SPECIALITY
8
5
COMPONENT OF A NARAYANA HRUDAYALAYA
ROOM Doors And
Windows
• Most of the consultation rooms
Each Room Contains :
contain 1 main door for both
doctor and patients entry.
• Some consultation rooms have
two separate entry doors.
• Most consultation rooms contain
one large window with either
venetian curtain with transparent
glass or normal curtains with
trasclucent glass.
Proportion of • Distance between to

A diagram of a general consultation room
with dimensions. spaces columns =
1. 10m
2. 8m
Each Room Contains : Desk&Chair 3. 5m
• A desk with computers, 19.0%
41.22% Bed
doctor’s accessories, etc. 15.11% • Various Sizes of columns
Store
• One chair for doctors, 2 more for =
patients and associates. Equipments 1. 1.2mX1.2m
• A bed with curtains hanging from 12.67% Open 2. 0.8mX0.3m
ceiling. 12%
Space 3. 0.6mX0.3m
• A washbasin.
• Cupboards on wall for storage.
8
6
MATERIAL AND FINISH NARAYANA HRUDAYALAYA
• Corridor – BARRIER FREE
• Ramps going through the vertical height
1. Walls – White washed, Dadoeing, Crash ARCHITECTURE
of the entire building.
Guard with hand rails.
• Separate Toilets for physically disabled.
2.Ceiling – White washed with false ceiling, • Handrails on the walls along corridors
lighting and ventilation ducts.
and ramps.
3. Floor – White Marble.
• Consultation Rooms –
1.Doors & Window – Wooden doors and
aluminum cased windows with translucent Provision of
glass panels, for viewing. hand rails in
corridor
2. Walls – Painted with light colours.
Provision of
3. Desks and chairs – wooden. wheel chairs
Dado work on
walls
Aluminum cased
Windows
White Marble Provision of

Floor hand rails
along ramp
Provision of
ramps
8
7
LIGHT/VENTILATION NARAYANA HRUDAYALAYA-MULTI
SPECIALITY
• Glass curtain wall through the entire height of
the building in the lobby. Centralized A/C for
the entire OPD
• Lobby lighting through artificial ceiling lighting. through ventilation
ducts through
• Natural lighting some waiting spaces and false ceiling.
consultation rooms. 1 AHU room in
• each floor.
Consultation rooms – ceiling lights, translucent
panels on doors and walls in some.
Ceiling Lights Along
• Central A/C for all consultation rooms, corridors and in
examination rooms, waiting spaces, etc. Consultation Rooms
Windows facing outside

with venetian curtains
Glass curtain
for controlled lighting in
wall for
consultation rooms.
natural
lighting in
waiting spaces
with a
dynamic view
of the outside Large windows for
maximum lighting
Seating Area
in staircases.
8
8
NARAYANA HRUDAYALAYA-
FIRE ESCAPE MULTI SPECIALITY
ROUTES
8
9
COMPARAT
IVE ANALYSIS
10. OPD.xlsx
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4 OUT-PATIENT DEPARMENT

HOSPITAL DESIGN: CASE STUDY REVATHI,PARVATHY

Radiology and Advantage

Area of admin and billing-

Pharmacy Total number of seats-88 seats

Seat arrangements •A single nurses station

LAYOUT OF CONSULTATION ROOM

Lighting in consultation room-

Pharmacy Waiting area

-Doctors & Nurses

CONSULTATIO EMERGENCY OPD LABS

Building Very less frontage space led to a side entry.

The side entry was narrow, a walkway with

OTHER OPD’S &

ROOM AROUND IN THE END WHICH

-Each cluster has its own reception

TS near the diagnostic

Granite also used to suit the

Matt finish walls-cream color Granite flooring used in corridors and

UROLOGY OTHOPEADIC &

WAITIN ENT/PULMONOLGY/AU WAITIN

The max. run to the nearest

The lithotripter machine is adjusted in a room which is just little more

CON SULTATION All the reports are studies

TREATMENT The dark room for other

The Nephrology room and Audiometry room

• To the left is the reception & billing section.

Spaces are vast and grouped commonly for

Many restricted areas à staff/patient only

The consultation room doors are:

5 x 14 = 70  required waiting area in sq m • No special railings seen.

• Paintings hung on the walls in intervals.

Waiting area seating

Creates chaos as all 3

Total waiting area reqd = 88 sq m

• Consultation room = 6.5 sq. m.

A • Waiting Area = 78.3 sq. m.

LOCATION : Ground floor, in the Health

USERS : Eye Patients, doctors,

USERS : OPD patients, pharmaceutical

LEVEL/ FLOOR DIRECTORY BUILDING DIRECTORY

Signages are informative

Less number of pictoral

OVERALL DIRECTORY - LEVELS DOOR DETAILS

Patients - (children /adults/senior citizens)  300/day

Staff : 1. Medical 2.Admin 3.Service

Drop off area

Drop off area

TOILETS 10th floor

STAFF ROOM 4SQM M

LIFTS WAITING AREA

3.5 M MAIN ENTRY

and had AC outlets.

Later ,as the number o cardio patients started increasing they

The main wing of the hospital contains only out-patient departments

PATIEN VISITORS STAF WAITING

ADUL ADMIN DOCTORS

Working hours –9am-5pm

EACH CONSULTATION Key plan

Windows facing outside with

Consultation rooms Consultation room

Info desk at the entry

Directional signage Consultation