DESIGN A LAYOUT PLAN FOR SPECIALITY UNITS

HOSPITAL

Hospitals are the most complex of building types. Each hospital is comprised of a wide range of services and functional units. These include diagnostic and treatment functions, such as clinical laboratories, imaging, emergency rooms, and surgery; hospitality functions, such as food service and housekeeping; and the fundamental inpatient care or bed-related function.

The basic form of a hospital is, ideally, based on its functions: bed-related inpatient functions outpatient-related functions diagnostic and treatment functions administrative functions service functions (food, supply) research and teaching functionsHospital design Bed Planning- About 85% bed occupancy is considered optimum Hospital size- as a very large hospital of 1000 beds or more becomes extremely unwidely to operate, and a small hospital of 50 or less are not profitable. Land requirements- rural and urban areas- in rural and semi-urban areas, plentiful land may be available permitting the hospital to grow horizontally, whereas in urban areas there will always be great premium on land and only avenue will be a vertical growth.Hospital design

No. of beds Land in acres Storey of building

50 beds 10 acres Single storey

100 beds 15-20 acres -do-

200 beds 20-25 acres Double storey

500 beds 55-70 acres 3-5 storey

700 beds 80-90 acres 4-6 storey

1000 beds 90-100 acres 9 storey

Public utilities: the national building code of ISI suggests 455 liters of water per consumer per day (LPCD) for hospitals up to 100 beds and 340 LPCD for hospitals of 100 beds and over. Electricity requirement is 1 KW per bed per day.

Approval of plan by the local authorities: once the detailed plan has been formulated, the local bodies are consulted and persuaded for approval of plans. Building AttributesRegardless of their location, size, or budget, all hospitals should have certain common attributes. Efficiency and cost-effectiveness Flexibility and Expandability Therapeutic Environment Cleanliness and Sanitation Accessibility Controlled Circulation Aesthetics Security and Safety Safe control of violent or unstable patients Sustainability

PHYSICAL LAYOUT OF INSTITUE OF NEPHROLOGY UNIT

INSTITUTE OF NEPHRO-UROLOGY (INU)Total bed strengths -150Ground floor includes: Reception and inquiry Waiting hall Administration office Doctors room Toilet Biochemistry Prof. & HOD of Nephrology Prof. & HOD of Urology Medical Superintendent Prof. & Asst. Professor Nursing Superintendent Medical social worker Radiologist Ultrasound X-ray Minor OT Emergency ward Major OT Dress changing room and Anesthesia roomFirst Floor includes: Transplantation ward Post operative ward Major OT General male surgery 1& General Female surgery 2 Duty doctors room Asst. DoctorSeminar Hall & LibraSecond Floor includes: Dialysis units Special ward General Preoperative ward 3 General Medical ward 4 Semi special room General Female Medical ward 5

Layout plan of Critical Care ICU in Sundaram medical foundation , Chennai

Sundaram medical foundation has an Intensive care ICU with 21 beds for critically ill clients

COMMUNITY CENTRESObjectives of Indian Public Health Standards (IPHS): The overall objective of IPHS is to provide health care that is quality oriented and sensitive to the needs of the community. Community Health Centre (CHC)- 30 beds Primary Health Centre (PHC)- 6 beds Sub centre The Primary health care infrastructure has been developed as a three tier system and is based on following population norms.Community Health Centers (CHCs), constituting the First Referral Units (FRUs) and the district hospitals. The CHCs were designed to provide referral health care for cases from the primary level and for cases in need of specialist care approaching the centre directly

Centre

Plain area Hilly/Tribal area

Village health post Sub centres Primary Health Centre Community Health Centre 1000 1000 5000 3000 30,000 20,000 1,20,000 80,000

PHYSICAL LAYOUT OF CHC

Physical layout/Rooms Inquiry and reception Gyane and Obstetrics OPD Pediatric OPD General Medical OPD Toilets Staff room Treatment room Operation theatre 1 Operation theatre 2 Labour room Ward Dressing room Emergency ward Radiology department Pharmacy Laborator

Primary Health CentreIn order to provide optimal level of quality health care, a set of standards are being recommended for Primary Health Centre to be called Indian Public Health Standards (IPHS) for PHCs. The launching of National Rural Health Mission (NRHM) has provided this opportunity.

Physical layout/rooms Admission room Labour room Staff rooms 1 Staff rooms 2 Immunization room Dressing room OPD Toilet Laboratory Pharmacy Operation theatre Store roomSub centre:In the public sector, a Sub-health Centre is the most peripheral and first contact point between the primary health care system and the community. It provides interface with the community at the grass-root level, providing all the primary health care services.PHYSICAL LAYOUT OF SUBCENRE

Physical layout/Room Dressing room Injection room Staff room Toilet Office1