Design Guidelines for the Private Hospitals Investors V2

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“Design Guidelines for the Private Hospitals Investors”

Kingdom of Saudi Arabia.

Ministry of Health.

Prepared by:

Projects General Department

Studies and Designs Department

1437/2016

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Ministry of Health.


Studies and Designs

1437/2016

Preamble:

The Ministry of Health considers the hospitals construction investors in the private sector

as success partners of providing excellent medical services to the patients. Since the

private and public hospital as buildings offers almost the same services, we have prepared

this guidebook to stand for standard criteria toward achieving the quality of offered

services. Furthermore, it also describes the general and technical specifications to ease

the design and drawings procedures for the investors. Hoping this will help creating

perfect environment needed for the high quality of the medical services.

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Tables of Contents 1. Drawings Submittal Requirements: ........................................................................................................... 5

1.1 Drawing submittal requirements for the initial approval: .................................................................. 5

1.2 The drawings final approval requirements.......................................................................................... 6

1.3 Important Note: ................................................................................................................................... 6

2. Site Requirement ........................................................................................................................................ 8

2.1. General Site Requirements: ................................................................................................................. 8

3. The Architectural and medical planning requirements: .......................................................................... 11

3.1. Preamble ............................................................................................................................................ 11

3.2. The medical sections: ........................................................................................................................ 12

3.3. Nursing Care Departments: .............................................................................................................. 21

3.4. The logistics departments (Medical and non-Medical): .................................................................. 25

3.5. The Administration offices: ............................................................................................................... 29

3.6. The general spaces and design elements .......................................................................................... 29

3.7. The Finishing: ..................................................................................................................................... 31

4. The Structural and Civil Requirements. ................................................................................................... 38

4.1. Structural and Civil General Requirements: ...................................................................................... 38

5. The Sanitary and Mechanical Requirements. .......................................................................................... 41

5.1. General Requirements for the Sanitary Works: ................................................................................ 41

5.2. The M.E.P system needed in the hospital as per the universal codes. ............................................. 42

5.3. The Sanitary and M.E.P Drawings, needed approval: ....................................................................... 44

6. The Electrical Works Requirements: ........................................................................................................ 47

6.1. The Electrical Works Requirements: ................................................................................................. 47

6.2. The electrical system drawing which needs approval: ...................................................................... 55

7. The medical and non-medical equipment and furnishing requirements. .............................................. 59

7.1. The approval requirement for the medical and non-medical furniture ............................................ 59

8. The Safety Requirements: ........................................................................................................................ 61

8.1. The General Safety Requirements ..................................................................................................... 61

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First Section:

Drawings Submittal

Requirements

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Studies and Designs

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1. Drawings Submittal Requirements:

1.1 Drawing submittal requirements for the initial approval:

1.1.1. The drawing scale should be at least 200:1 for the Master Plan, and 100:1 for any detailed or

partial drawing, using A0 or A1 paper and must be legible for review purposes.

1.1.2. The official stamp of the design consultant office should be placed.

1.1.3. The drawings should include the names, dimensions, scales and all other project related info

like the project name, owner, and designer….etc.

1.1.4. There should be a drawing to describe the project name, the beds capacity, address, the owner

name, and the design consultant office.

1.1.5. There should be a drawing to describe the each floor total area, and a table containing the

number of parking lot and how they are distributed in the basement and ground level. And

another table to describe the number of the beds in each floor.

1.1.6. A special drawing for the Master Plan

1.1.7. The surrounding roads, hospital entrances, and exits should be highlighted. As well as the

internal roads.

1.1.8. The Columns should be places on the architectural drawings.

1.1.9. Submit the basement drawings, in addition to side section for the floor level.

1.1.10. Submit all architectural drawings for all plans. Each floor should be on one drawing.

1.1.11. These drawings should highlight all details, dimensions, and names of the rooms and sections.

Further to identifying and detailing the beds quantity of each department.

1.1.12. Defining the initial medical furniture.

1.1.13. The external façade plans should identify the elevations and the external finishing.

1.1.14. The sections should include the elevations, vertical relations, and specifying the levels in case

the level of the same floor is different.

1.1.15. Attach 3D drawing for the building.

1.1.16. All drawings of the car parking building should be attached.

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1.1.17. Attach the land deed or lease contract if applicable

1.1.18. Attach the Municipality approval to use the land for hospital use.

1.1.19. Submit a soft copy of all drawings which need approval (AUTOCAD format, version 2010)

♦ The initial approval of the drawings does not mean building license approval. This only

applicable after getting the final approval.

1.2 The drawings final approval requirements.

1.2.1 All drawings which include (architectural, mechanical and electrical) should be approved and

stamped by the Design Consultant office, and these drawing should highlight the names,

dimensions, and other details.

1.2.2 The system drawing should be independent, each system on one drawing. It is not allowed to

merge two or more systems in one drawing.

1.2.3 The final submitting of the drawing should meet what has been approved during the initial

approval process.

1.2.4 The requirements of The Saudi Central Board for Accreditation of Healthcare Institutions

(CBAHI), NFPA requirements, and the Civil Defense instructions.

1.2.5 Submit the design principles manual and a soft copy of all drawings which need approval with

AUTOCAD format (Version 2010).

1.3 Important Note:

The Ministry will not re review the project due to any comments on the drawings from the

Municipality, governorate, or region offices. Accordingly, the Design Consultant office has to make

sure these drawings are approved by the Municipalities, and include all construction conditions and

requirements during the initial approval phase.

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Second Section:

The Site Requirements.

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2. Site Requirement

2.1. General Site Requirements:

2.1.1 Choosing appropriate land for the hospital (Total area and proper location). Taking into

account that the total area of the hospital should be calculated according to the number of

the beds: 150 M2 to each bed.

2.1.2 Consider the Ministry of Municipal and Rural Affairs requirements (Constructing Codes), and

the design should be developed based on these requirements. For example: (The floors

numbers, the TBA, buildings setbacks, car parking, entrances, and façades…etc). Further to

considering the Saudi Construction Code.

2.1.3 Consider the Civil Defense requirements for the easy access to the site.

2.1.4 Two care parking lots for each bed should be considered inside the site, regardless of the

external parking.

2.1.5 Develop a proper environment in the site, like landscaping and nice scenes, which could

improve the patients moods and help of healing.

2.1.6 Develop a complete and easy access of all facilities for the disability and special needs.

2.1.7 The traffic study should include suitable solutions inside and outside the project. Especially for

emergency uses.

2.1.8 No currents buildings planned to convert to hospital will be reviewed, since this is against the

requirements of The Saudi Central Board for Accreditation of Healthcare Institutions.

2.1.9 For the big hospitals (More than 200 beds), there should be a helipad constructed and

designed as per the GACA (General Authority of Civil Aviation) requirements.

2.1.10 Provide a building to contains all electrical and mechanical services of the hospital

2.1.11 Coordinate with medical equipment suppliers to provide services starting from the execution

phase.

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2.1.12 It is better to appoint a special Contractor for the designing and executing the parks of the

general site.

2.1.13 There should be Lighting columns in the roads and parks.

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Third Section:

THE ARCHITECTURAL &

MEDICAL PLANNING REQUIREMENTS.

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3. The Architectural and medical planning requirements:

3.1. Preamble

3.1.1 It is necessary to appoint a special consultant office for the medical planning, with a good

experience in designing the medical facilities. Having experience in planning of the private

and governmental hospitals. This office should have already designed hospitals with 200

beds or more. The office should submit a list of all projects they have designed attached

to the project file submitted for approval. In this way, the drawings approval process will

be faster, and could save cost for the maintenance and Operating in future.

3.1.2 F.G.I guidelines should be followed in each hospital department. As well as NFPA

requirements for the safety and general instructions of the design and built the medical

facilities. Moreover, the requirements of the Ministry of Health, Civil Defense, The Saudi

Central Board for Accreditation of Healthcare Institutions, easy access of all facilities for

the disability and special needs, American Disability Association Code, and the Saudi

Construction Code.

3.1.3 The total area of each bed is 150 M2, and the total area of the hospital should be

calculated according to the number of the beds.

3.1.4 For getting the approval of the hospital design, the following should be provided:

3.1.4.1 The Design requirements and conditions for the different engineering systems.

3.1.4.2 The scope of works, and the hospital field of specification.

3.1.4.3 The total of each hospital department and the total area of the project.

3.1.4.4 The concept design (Idea).

3.1.4.5 The detailed designs.

3.1.4.6 The designs bases of all systems and equipment.

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3.1.5 No currents buildings should be converted to hospital; this is as the Ministerial circular

note No. 40-1-4292 dated 14/01/1437 regarding the ban to convert the current buildings

into hospitals.

3.1.6 In case of hospital expansion, the following should be taken into account:

3.1.6.1 The first way to develop a completely new medical building, and connect it to the

current hospital building. Without making any modifications to the already approved

building and its operation. Further to provide the proper parking and suitable design

solutions.

3.1.6.2 The second way is to expand through additional floors. In this case, should make sure

the building can adapt theses extra loads and to taking into consideration the patients

safety during the construction works, however, the owner will be responsible for any

resulted issues. Furthermore, all design should meet the F.G.I requirements.

- Some of the instructional requirements to design the hospitals:

The following requirements are only for information; however, the reference codes

mentioned above should be followed to achieve the complete requirements and conditions:

3.2. The medical sections:

1. The Emergency;

3.2.1.1 Dedicate a special entrance for the Emergency department. This entrance should be

shaded, air isolated, equipped with sloop according to universal access standards.

3.2.1.2 It is better to independent the ambulance entrance or to have backside entrance.

3.2.1.3 Provide a special parking lot for the ambulance

3.2.1.4 Provide area for the Wheel chairs and trollies.

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3.2.1.5 Provide reception area

3.2.1.6 Provide a resuscitation room, with at least two beds.

3.2.1.7 Provide a splinting room with a store

3.2.1.8 Provide a triage room

3.2.1.9 Provide treatment room including all services. Should independent men and women.

3.2.1.10 Provide an examination room. Men, women and children.

3.2.1.11 Provide observation room

3.2.1.12 Provide small operation room including all services

3.2.1.13 Provide isolation room

3.2.1.14 Provide a small lab

3.2.1.15 Provide sentinel physician room

3.2.1.16 Provide security office

3.2.1.17 Provide personnel break room

3.2.1.18 Provide waiting areas for men and women, plus Toilet

3.2.1.19 Easy access to the operation department, ICU, and radiology department.

3.2.1.20 Provide services room in the department (Cleaning materials room, dirty materials room,

medical equipment room and cleaning room)

3.2.1.21 Refer to the proper codes to know the rooms dimensions, quantity, department area,

relations with other sections, design standards, supporting services, and any other spaces

not mentioned here.

2. Outpatient Clinics

3.2.2.1 Should provide enough specialty clinics according to the capacity and operation plan.

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3.2.2.2 Provide hand sink inside the clinics.

3.2.2.3 Provide vital signs room

3.2.2.4 Provide samples collection room

3.2.2.5 Easy access to the lab and radiology department

3.2.2.6 Link the department with the main pharmacy

3.2.2.7 The corridors width in the outpatient should be from 1.60M to 1.80 M, which could allow the

passing of one person and wheel chair at the same time.

3.2.2.8 Provide waiting areas, especially for the mental illness patients.


3.2.2.10 Provide nurse station and archiving room



3.2.2.12 Refer to the proper codes to know the rooms’ dimensions, quantity, department area,


not mentioned here.

3. Operations Section:

3.2.3.1 The number of the OR depend on the way to operate the hospital, in general there should

be one room for each 25 beds.

3.2.3.2 The entrance should be independent and air isolated.

3.2.3.3 Easy access to the patients coming from the emergency department or the Inpatient

sections.

3.2.3.4 Specify the redline area in the operation department, to receive and exit the patients.

3.2.3.5 Provide a room to prepare the patient before admitting the operating room. This room

should have a W.C, and it is better to independent women and men.

3.2.3.6 The OR dimensions should be at least 6.10M X 6.10M.

3.2.3.7 The OR height should be 3 M minimum

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3.2.3.8 The height of the OR should take into account the proper standards, and consider the

medical equipment installation, their easy use and not hinder the moves inside the OR.

3.2.3.9 Set a well-organized and specific track to enter the clean materials.

3.2.3.10 Set a well-organized and specific track to exit the contaminated materials and tools.

3.2.3.11 It is better to allocate an elevator from the OR to the Sterilization department

3.2.3.12 Provide sterilized corridor inside the operating department

3.2.3.13 Provide nurse station, archiving room and medicine store.

3.2.3.14 Provide anesthesia room with its special store.

3.2.3.15 Provide a room for the anesthesiologist

3.2.3.16 Provide a room for the medical equipment and tools

3.2.3.17 Provide sterilization sink in front of the OR.

3.2.3.18 Provide Nursing station with medicine rooms.

3.2.3.19 Make sure no shafts or mechanical services floor above the OR.

3.2.3.20 Provide changing room, Toilet and showers for the medical staff located before the

sterilization corridor.

3.2.3.21 Provide break room for the doctors (male and female)

3.2.3.22 Provide recovery room including all services. (1.5 beds for each OR).





not mentioned here.

4. Obstetrics Section

3.2.4.1 This department should be independent department and equipped with all necessary

services and tools.

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3.2.4.2 Provide enough normal delivery rooms

3.2.4.3 Provide pre birthing ward.

3.2.4.4 Each delivery bed should be independent in one room equipped with all necessary services.

3.2.4.5 Provide cesarean operation room including all necessary services.

3.2.4.6 Link the OB department with the ICU and the newborn section.

3.2.4.7 Provide nurse station, archiving room and medicine store






not mentioned here.

5. Dialysis Unit:

3.2.5.1 Should be independent unit equipped with all necessary services and tools.

3.2.5.2 Provide enough dialysis chairs for the male and female section


3.2.5.4 Provide checkup room

3.2.5.5 provide a room for the processing and treatment station

3.2.5.6 waiting areas and toilets

3.2.5.7 Nursing station, archiving room and medicine store

3.2.5.8 Provide changing room, Toilet and showers for the medical staff and doctors.


medical equipment room and cleaning room).

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not mentioned here.

6. Outpatient Operation Section


3.2.6.2 The patients in this department is not considered among the clinical capacity.

3.2.6.3 This department should be divided into 3 sections: Public area, semi restricted zone, and

restricted zone.

3.2.6.4 Provide Endoscopy unit as per the related standards

3.2.6.5 Provide special room to prepare the patients before the operation.

3.2.6.6 Locate a recovery room

3.2.6.7 Provide inpatient room to use after the operation

3.2.6.8 Consider to connect the operating room with the sterilization department

3.2.6.9 waiting areas and toilets







not mentioned here.

7. Cardiac-Catheterization Unit:


3.2.7.2 Link this unit with the coronary care unit (CCU).

3.2.7.3 Cardiac-Catheterization room should be according to the related standards

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3.2.7.4 Provide control room

3.2.7.5 Provide preparation room before the catheterization

3.2.7.6 Provide recovery room

3.2.7.7 Provide checkup room for the doctors







not mentioned here.

8. In Vitro Fertilization (IVF):

3.2.8.1 Should be independent unit equipped with all necessary services and tools

3.2.8.2 Provide minimum two rooms for the usual procedures.

3.2.8.3 Provide a special lab.

3.2.8.4 The procedures room should be attached to the lab and having air isolated window.

3.2.8.5 Provide a room to prepare the patients.

3.2.8.6 Provide checkup room for the doctors.






relations with other sections, design standards, supporting services, and any other spaces not

mentioned here.

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9. Radiology Section.


3.2.9.2 Connect this department to the Emergency and outpatient clinics.

3.2.9.3 Provide waiting area for men and women

3.2.9.4 Provide nursing station with archiving room

3.2.9.5 Provide X-Ray rooms including all services, with proper area.

3.2.9.6 Provide Ultrasound waves room with proper area and toilet

3.2.9.7 Provide CT scan room including all services with proper area.

3.2.9.8 Provide Magnetic Resonance Imaging (MRI) room, as per the operation plan and hospital

standards, including all services with proper area.

3.2.9.9 Make sure the MRI is away from the elevators.

3.2.9.10 Provide a recovery room after the MRI

3.2.9.11 Provide a tools room attached to the MRI room

3.2.9.12 Provide breast screen room.

3.2.9.13 Provide fluoroscopy room including all services with proper area and toilet

3.2.9.14 CTA room as per the operation plan and hospital standards, including all services with proper

area.

3.2.9.15 Changing room for each radiology room

3.2.9.16 Control room for each radiology room

3.2.9.17 Insulate the walls in the radiology department, to reduce the risks of radios. In addition to

operate a test after finishing the insulation

3.2.9.18 A room for producing the reports

3.2.9.19 Provide a Bacs room

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3.2.9.20 Offices for the doctors and technicians

3.2.9.21 Changing room, toilet, and break room for the staff





mentioned here.

10. The Laboratory.


3.2.10.2 Connect this department to the Emergency and outpatient clinics.

3.2.10.3 Provide waiting area for men and women

3.2.10.4 Provide nursing station with archiving room

3.2.10.5 Prepare a window to receive the samples

3.2.10.6 Samples collection room

3.2.10.7 Hematology lab

3.2.10.8 Biochemistry lab

3.2.10.9 Microbiology lab

3.2.10.10 Prepare an airlock entrance for the microbiology lab

3.2.10.11 Pathology lab

3.2.10.12 Serology lab

3.2.10.13 Hormones lab

3.2.10.14 A room to wash the glasses




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3.2.10.17 Could use the tube transport system to transfer the samples and reports between the

sections.



mentioned here.

11. Physical therapy Section.


3.2.11.2 Easy access to this department form the inpatient department

3.2.11.3 Easy access to this department form outside the hospital

3.2.11.4 Independent women and men

3.2.11.5 Changing room with toile and showers.

3.2.11.6 Checkup clinics

3.2.11.7 Physical therapy halls

3.2.11.8 hydrotherapy bath (As per the operation plan and standards)






mentioned here.

3.3. Nursing Care Departments:

1. Inpatient Section.


3.3.1.2 The number of beds should match the stated capacity

3.3.1.3 Every inpatient ward should not exceed 25 beds with one nursing station

3.3.1.4 Every inpatient ward should be independent.

3.3.1.5 The maximum number of beds in each room is 2

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3.3.1.6 The minimum total area of the inpatient room should not be less than 11.15 M2 for the single

beds room, and the total area of each bed in the double bed room should not be less

than 9.29 M.

3.3.1.7 Provide a proper entrance to the room

3.3.1.8 The area of the toilet should be according to the standard, and should allow the move of a

wheelchair 360 degree.

3.3.1.9 The width of the patient room door should not be less than 130 cm with the frame to allow

enter and exit the bed. The toilet door width should be at least 90 cm to allow the easy use of

the disability persons and elderly people.

3.3.1.10 All door opening direction should be outswing.

3.3.1.11 Locate a hand washing sink in each room

3.3.1.12 Provide the proper lighting to each room

3.3.1.13 It is better to locate the patient room on the façades and not facing the shafts inside the

buildings

3.3.1.14 Provide a good area and furniture for the patient sitters.

3.3.1.15 Provide isolation rooms with one Airlock for each ward.

3.3.1.16 Provide Negative and positive pressure isolation rooms.

3.3.1.17 Provide a toilet equipped with helping facility and services in each room

3.3.1.18 It is better to locate the wardrobes inside the walls of the inpatient rooms.

3.3.1.19 Provide nursing station, medicine room and archiving room

3.3.1.20 Provide complete nursing call system with indicators above the doors and canceling buttons

near the beds and near the door…etc.

3.3.1.21 Provide a break room for the staff

3.3.1.22 Provide checkup rooms.

3.3.1.23 Provide waiting areas (men and women), plus toilets

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3.3.1.24 In case there is a special room for the heavy persons, please refer to the related standards

as per the proper codes.





mentioned here.

2. ICU, CCU and PICU.


3.3.2.2 The total number of the beds should not be less than 10% of the total capacity

3.3.2.3 The total area should not be less than 18.58 M2 for each bed

3.3.2.4 The empty space width of each bed should not be less than 3.96 M

3.3.2.5 Provide airlock on the department entrance

3.3.2.6 Provide minimum of one hand washing sink to each 3 beds

3.3.2.7 Provide the proper lighting

3.3.2.8 Provide Negative and positive pressure isolation rooms

3.3.2.9 The victors area should accommodate at least 2 persons for each bed

3.3.2.10 The nursing station should be visible from each bed. In addition to provide medicine room

and archiving room

3.3.2.11 In case there is a burn treatment center, please refer to the related standards as per the

proper codes.

3.3.2.12 Provide changing room, toilets, and break rooms for the doctors and other staff.

3.3.2.13 Provide waiting areas (men and women), plus toilets near the department

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3.3.2.14 The ICU should be connected to the operations department with easy access





mentioned here.

3. Newborn Section.


3.3.3.2 Provide incubators

3.3.3.3 Provide NICU


3.3.3.5 Apply the security rules and procedures for entering and exit the incubators

3.3.3.6 A room for the breastfeeding

3.3.3.7 A room for bathing the newborns

3.3.3.8 A room to prepare the Bottle Feeding.

3.3.3.9 The nursing station should be in a location to watch the incubators, plus providing medicine

room and archiving room


3.3.3.11 Provide waiting areas for men and women, toilets and proper place to observe the newborn

from the parents.





mentioned here.

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3.4. The logistics departments (Medical and non-Medical):

1. The internal pharmacy:


3.4.1.2 Provide the proper area for the medicine store

3.4.1.3 A proper area to receive and give the medicine

3.4.1.4 Provide a secure store for the Narcotic drugs




not mentioned here.

2. Central sterile services department:


3.4.2.2 Should be linked to the operation section and the outpatient operation section.

3.4.2.3 Use a proper mechanism to transfer the dirty and clean materials.

3.4.2.4 Locate a proper area to receive the materials

3.4.2.5 Locate a proper tools and are to wash the materials

3.4.2.6 Locate a proper are to wash the trolleys

3.4.2.7 Locate a proper to wash the big size tools and equipment

3.4.2.8 Provide a sterilizing machine between the washing area and the wrapping area.

3.4.2.9 Provide proper wrapping area and should be isolated

3.4.2.10 Ability to return the materials from the wrapping area to the washing machine.

3.4.2.11 Locate the sterilizing machine between the wrapping area and the sterilized store.

3.4.2.12 The sterilized materials store area should be isolated

3.4.2.13 Provide a proper area to receive the sterilized materials

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3.4.2.14 Provide changing room, toilets, and break rooms for the doctors and other staff





mentioned here.

3. The laundry.


3.4.3.2 Should be linked to the Central sterile services department

3.4.3.3 Separate the dirty laundry from the clean one

3.4.3.4 Provide proper area to receive and give the laundry

3.4.3.5 Provide sewing room

3.4.3.6 It is better to use washing machine which opens from both sides and put them between the

dirty and clean laundry

3.4.3.7 Stores for the washing and cleaning materials




mentioned here.

4. The Kitchen:


3.4.4.2 Provide a proper are to receive the materials from outside

3.4.4.3 According to the civil defense regulation, it is not allowed to locate the kitchen in the

basement floors.

3.4.4.4 Prepare a place to receive and sort the materials.

3.4.4.5 Prepare rooms for the refrigerators as per the food type (meats, vegetables..etc).

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3.4.4.6 Provide a dry store.

3.4.4.7 A proper area for the food making, as per the food types.

3.4.4.8 Proper Cooking area.

3.4.4.9 Food preparation and distributing area.

3.4.4.10 Dishwashing room

3.4.4.11 A room to wash the trolleys

3.4.4.12 Administration offices for the nutrition specialists




mentioned here.

5. Mortuary:


3.4.5.2 The transferring mechanism should be placed properly.

3.4.5.3 This unit should be located inside the hospital or connected through a corridor

3.4.5.4 The number of mortuary should be enough.

3.4.5.5 A room to wash the dead bodies

3.4.5.6 A room to see and recognize the dead bodies

3.4.5.7 Waiting room for the dead family

3.4.5.8 A room for the mortuary in charge

3.4.5.9 Security office

3.4.5.10 Cleaning room and store

3.4.5.11 Provide a proper exit for the dead bodies, in addition to the parking


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mentioned here.

6. Logistic services spaces

3.4.6.1 Provide the medical and non-medical stores which should not be located in the basement, as

per the civil defense instructions

3.4.6.2 A maintenance workshop for the equipment and tools. Should not be located in the

basement.

3.4.6.3 Medical Waste Disposal Unit as per the following:

3.4.6.3.1 Provide a cold room with freezer for keeping the biological waste

3.4.6.3.2 Easy access to the waste trucks of the Contractor.

3.4.6.3.3 Cleaning room

3.4.6.3.4 Office for the in charge employee

3.4.6.4 Food court for the doctors and staff

3.4.6.4.1 Should have link to the kitchen

3.4.6.4.2 Separate women and men

3.4.6.4.3 Provide a reception counter

3.4.6.4.4 Toilets (Men and Women)

3.4.6.4.5 Cleaning room and medicine store

3.4.6.5 Outpatient pharmacy linked to the outpatient clinics and can be reached from outside the

hospital

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3.5. The Administration offices:

1. The higher management office (The hospital manager, deputies, meeting room, and the

secretaries)

2. The medical administration offices

3. The financial administration offices

4. Office to register the duty time in and out

5. Insurance reception offices

6. Medical records

7. Infection control offices

8. The pharmacy administration offices

9. Special halls for the workshops and lectures

10. Stationary stores

11. Servers rooms

12. security offices

13. Employee toilets

14. Break rooms for the employees

3.6. The general spaces and design elements

1. The general spaces

3.6.1.1 The main entrance hall should be spacious, having the reception counter, the insurance

offices, and the Office to register the duty time in and out.

3.6.1.2 The main hall should have waiting areas and public toilets

3.6.1.3 Should have a cafeteria for drinks and snacks

3.6.1.4 Within all floors, there should spaces to have public toilets

3.6.1.5 It is better to have kids play area near to the children clinics and inpatient wards

3.6.1.6 Provide a praying area in each floor

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3.6.1.7 Take into consideration while designing, the psychological side of the patients, employees

and the visitors

3.6.1.8 It is allowed to have small shops for flowers

3.6.1.9 Usually there are 3 entrances for the hospitals (The main entrance, emergency, and

outpatients). These entrances should be separated and provide by Airlock, and should be

shaded. In addition, there should be employees entrance, kitchen services entrance, the

pharmacy and others….etc.

3.6.1.10 During the initial design, define electrical room, and mechanical room. The walls and

doors of these rooms should be fire resistant.

3.6.1.11 The spaces for the services shafts should be enough and equipped with doors and

lighting in each floor.

3.6.1.12 Provide the main electrical room for the use of the Saudi Electrical Company, and should

be located on the outside fence of the hospital

2. The Circulation Routes:

3.6.2.1 The horizontal move (Corridors)

3.6.2.1.1 The minimum width of the hospital main corridors is 2.4 M, which

allows to pass two beds at the same time

3.6.2.1.2 The corridors width in the clinics should be from 1.60M to 1.80 M,

which could allow the passing of one person and wheel chair at the

same time

3.6.2.1.3 Take into consideration the disability needs while performing the

finishing.

3.6.2.1.4 Curving the right angles with semi rounded shapes, or use coatings.

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3.6.2.1.5 It is better to remove any obstacles from the corridors like the

columns and furniture bulges, the edges of the fire extinguisher

boxes…etc.

3.6.2.2 The Vertical routes (Stairs, elevators, slopes…etc.)

3.6.2.2.1 The locations of the elevators should be according to their functions (patients

elevators, service, workers, visitors, sterilization if any). With enough quantity.

3.6.2.2.2 Provide a proper space in front of the elevators, minimum of width is 3 M and 3.6 M

for the length. This space will be used for turning the beds for example.

3.6.2.2.3 The cabinet of the beds elevators should be 1.73 M width and 2.74 length

3.6.2.2.4 The cabinet of the visitors elevators should be 1.30 M width and 1.40 length

3.6.2.2.5 Take into consideration the disability needs

3.6.2.2.6 The stairs should be designed according to their functions: like the main stairs and

escape stairs. The escape stairs should follow the instructions of the civil defense

regarding the spaces and the door for example.

3.6.2.2.7 The stairs width should be at least 1.30 M

3.6.2.2.8 No empty spaces should be left under the stairs, and they should be filled

architecturally.

3.6.2.2.9 There should be slopes on the main entrances, emergency entrance, outpatient clinics

entrance, as wells as on the area used to load and receive the materials and the tools.

3.6.2.2.10 Refer to the proper codes to know the percent of the slopes.

3.7. The Finishing:

1. The finishing materials should match the codes used in the hospital sections and rooms.

Usually these materials is made from suitable materials and valid to use.

2. Expansion joints on the roof should be made of durable aluminum including the EPDM

rubber.

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3. The internal walls of the isolation rooms and fire areas should reach the ceiling.

4. Provide handles in the toilets and bathrooms

5. Spacious windows with roll shutters.

6. Special finishing for the spaces between the walls and fixtures inside.

7. Insulate the external walls, double glass for the windows, and insulate the ceilings.

8. Iron doors for the services rooms.

9. Salient glass curtains

10. The windows should close in perfect way, to keep the air condition good.

11. The curtain should be blackout curtains with Velcro stick with the other side.

12. PVC for the walls.

13. Use non Lead paints

14. Artificial marble for the works surfaces and metal or aluminum cabinet.

15. The cabinet skirting tiles should be movable for easy cleaning.

16. Signboards, plates for the rooms number, directions signboards, guided panels in front of

the elevators and the stairs…etc.

17. All external walls and ceiling should be insulated to preserve energy consumptions during

the operation. In addition to performing the waterproofing and thermal proofing for the

ceilings, and insulate the rooms walls.

18. If there is any need to install marbles for the walls, this should be done mechanically.

19. Applying screed down to the vinyl, taking into account the slopes.

20. Aluminum paintings with 10 years of guarantee.

21. The external doors should be frameless of any proper.

22. The radiology doors should be compacted and insulated, as well as the floor and the ceiling

if there is need.

23. The fire resisting doors should have metal identification card on them.

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24. The glass windows should have sun protection (medium grade for the externals windows),

and transparent for the internal windows

25. stainless steel baluster, and for the escape stairs should have powder coated pipes

26. The beds curtains should be fire resisting.

27. The faience and tiling should be done by plasterwork.

28. The ceramics, faience, and the granite should be decorated.

29. If there is need to use porcelain, granite tiles, or ceramics should be non-sliding.

30. The aid bath should be acrylic

31. Anti-static vinyl for the rooms and corridors, and conductive vinyl for the operation room

32. All the doors lock should have master key feature

33. Distribute the master key and sub master key, and use the construction key method during

the construction key method

34. The toilet floor skirting tiles is the same type of tiles used for the walls, and paintings

around the sinks.

35. Concrete walls and ceilings for the public toilets.

36. Lighting signboards for the emergency exits and the hospital entrances …etc.

37. Provide the proper insulation and fire resisting (Producing No Gas Emissions) for the walls.

38. It is not allowed to use the metal boards, and better to use aluminum boards, or boards

with 20 cm. or any other proper material.

39. It is better not to do the finishing under the false ceiling.

40. The service room doors should be iron and the floor is epoxy.

41. The support of lowering floor is a must everywhere.

42. Install marble pieces where needed in the wet areas.

43. Armstrong ceiling tiles (Mineral fiber), sound protected or gypsum ceiling board or

aluminum

44. Some ceilings made by gypsum boards with service ventilations.

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45. Filling the Expansion joints in the ceiling with proper materials, and cover them with

aluminum for resisting the fire.

46. The vision opening in the fire doors should be made of fire resisting and strong glass.

47. Power coated paintings for the aluminum or any proper thermal paints

48. The fire resisting doors should be made of metal to resist the fire for at least 2 hours.

49. Thermal tempered glass for the windows. The glass width should be at least 6 mm.

50. Frameless glass for the reception counters, with certain openings

51. Using the proper gypsum sections as per the location (Fire resisting or damp proofing).

52. Apply two layers of insulation. (Mineral wool or plasterboard cement, or any other good

materials internationally used for the insulation).

53. The roof should be covered with pebbles (Small stones), with certain beams for the

maintenance works.

54. The waterproofing should be performed with proper layers and provide 10 years of

warranty.

55. Non-directional vinyl with some decoration.

56. Provide supporting panels on the doors to protect from trolleys.

57. The patient lockers should be made of Plywood and laminate cover.

58. Metal lockers for the workers clothes.

59. Identify and highlight the pray direction in each room.

60. Choose the best match for the glass (colors, clear, any color…etc.)

61. Install door closer for the patient rooms and other room if needed.

62. The fire doors equipped with glasses should be unbreakable.

63. If there is glass in the external and internal doors, this glass should be unbreakable.

64. Provide washable curtains in the aid toilet.

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65. Numbering the beds and the rooms. In addition, provide guide for the hospital and the

floors.

66. It is better to equip the shower cabinet with complete opening door without touching the

floor. Alternatively, having waterproofing curtain instead.

67. Provide clothes hangers behind the doors and in the toilets.

68. The fire doors should stamped with UL standards.

69. Using the accessories for the stainless steel toilets.

70. Provide undercut for the doors.

71. Provide expansions joints for the concrete floors, or concrete tiling floor.

72. Performing the doors metal frames taking into consideration the wet areas and provide

soundproof tape.

73. The internal and external signboards should meet the standards of the British system

DHSS.

74. On the wet areas, all electrical outlet and switches should be damp proofing.

75. Using magnetic door handles with the fire alarm system.

76. Using special hardware for the doors, and UL hardware for the fire doors.

77. It is better to use the door with laminate cover and strong wooden frame.

78. It is better to use granite than porcelain in the kitchens.

79. Using special non-sliding granite on the kitchen floor.

80. Epoxy floor in the service rooms and utility building.

81. Instead of using polyurethane paints, use the antibacterial paints in the OR, delivery

rooms, ICU, recovery room, labs, resuscitation room, burns treatment room or any other

rooms needed.

82. It is better not to use the wooden decoration or laminate covers on the wall to help fighting

the fire in care it happens.

83. All sinks should have shelves, mirror, tissues dispenser, and soap stainless steel holder.

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84. It is better not to use the false ceiling in the rooms.

85. The handrails and PVC should be made of metal with vinyl cover.

86. Protecting the doors by adding kick plate, push plate and trolley plates.

87. The ceilings, sinks, and the sterilization area of the kitchen should be aluminum tiles.

88. Vinyl flooring + polyurethane for the kitchen floor. (Roll not tiles)

89. Using special colors, lines, and signboards for each department for further notice and

identification.

90. The fire stairs step is painted of epoxy, and thermal paints for the handrail.

91. Using fire resistant textile, fabrics and furniture. As well as the finishing materials.

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Fourth Section:

THE STRUCTURAL AND CIVIL

REQUIREMENTS.

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4. The Structural and Civil Requirements.

4.1. Structural and Civil General Requirements:

4.1.1. Abide with the standards and specifications for buildings modification prepared

before by the Ministry of Public Works.

4.1.2. Setting the emergency assembly points as per the universal standards and link them

with the escape stairs.

4.1.3. The helipad requirements: Every elevator should have its concrete shafts from all

side and should be separate from other elevators.

4.1.4. The project design should provide proper structural system for the columns

locations, this has to be considered since the concept design stage. Moreover,

provide modular grids for the structural design taking into account the space

between the columns is 8.40 M.

4.1.5. The minimum floor height is 4.30 M, to allow the air ducts, A.C, MEP system..etc.

these works usually located under the false ceiling.

4.1.6. The Earthquake consideration and soil investigation reports should be taken into

account, while performing the structural design.

4.1.7. Provide proper dimensions for the shafts for locating the MEP services, and taking

the structural considerations. Moreover, provide the proper lightings and needed

floor for the maintenance works.

4.1.8. Using special expansion joints with metal covers.

4.1.9. The design and construction should take into account the soil investigation report.

4.1.10. The Earthquake requirements as per the area should also be taken into account.

4.1.11. All test and investigations of the project should be done by the special labs and

experts.

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4.1.12. Provide suitable way to store the needed clean water for two days at least, and

potable water for two days. Further to provide a special tank for the firefighting use.

4.1.13. When using the Plywood, apply special material to prevent the absorbing of

concrete water. While performing the Concrete Formwork, it is not allowed to use

the non-polished wooden plates 2.5cm thickness.

4.1.14. Provide the Termite treatment in the project site.

4.1.15. It is better not to use the hollow block slabs in the ceilings, since they are not enough

for the pipes loads, which are hanged on the bottom of the roof slabs. It is good to

use other structural system slabs, like the solid slabs.

4.1.16. Provide expansion joints for the concrete floors

4.1.17. Provide expansion joints for the ceiling beams and the general site beams

4.1.18. It is better not to use the Hollow block slabs for the ceilings design, since it is not the

optimal use for the pipes loads which hanged at the bottom of the ceiling beams. It

is good to use special beams for the structural systems like the solid slabs.

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Fifth Section:

THE SANITARY AND

MECHANICAL REQUIREMENTS.

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5. The Sanitary and Mechanical Requirements.

5.1. General Requirements for the Sanitary Works:

5.1.1. If the municipality water is not available, should do analysis for the available water in order to

provide desalination unit.

5.1.2. The treated water will be used to irrigate the landscaping areas, any other extra treated water

should discharged to the sewage networks if available, or discharge outside.

5.1.3. In the water feeding lines, install the shock absorbers.

5.1.4. Install automatic vent valve in the proper areas (Water feeding lines)

5.1.5. Take into account the discharging process of the rainwater to outside.

5.1.6. Equip the water and fuel tanks with levels indicators to observe the volume of liquid inside

these tanks. Further to link them with the control system.

5.1.7. The approved standards for execution is IEC.

5.1.8. It is necessary to number all cables and electrical wires used in the internal and external

networks, to ease the maintenance works and checkup. The same thing is necessary for the

sanitary and water pipes.

5.1.9. The best sanitary pieces are white color.

5.1.10. Provide a closing valve in each toilet, and angle stop valve for each fixture.

5.1.11. Provide toilet valve. It is better to use wall toilet chairs (medical type).

5.1.12. P trap for the sinks and basins.

5.1.13. Grease trap in the kitchen.

5.1.14. Install sensors to turn off the bathroom lights and public places.

5.1.15. Toilet paper dissolve in water.

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5.1.16. All water faucets in the public places should have turn off sensors.

5.1.17. New tank for the toilets could be stopped when discharging the wastes.

5.2. The M.E.P system needed in the hospital as per the universal codes.

5.2.1. The central air condition and ventilation system should match the ASHREA and SMANCA

5.2.2. The A.C system should be equipped with infection control feature, and designed for the

hospital use.

5.2.3. The internal and external sewage network should meet the International Plumbing Codes.

5.2.4. The hot and cold water feeding system for all areas as per the International Plumbing Codes

5.2.5. Fire Fighting system matching the NFPA and the international fire codes.

5.2.6. The medical gas network and the Oxygen tanks should meet HTM 2022 standards, the Civil

Defense instructions, and National Gas Company instructions.

5.2.7. The LPG network should match the international gas codes.

5.2.8. Provide steam system for the 3.4.2 Central sterile services department and laundry.

5.2.9. The elevator systems (Patient elevators and services elevators ...etc.)

5.2.10. Water Treatment Plant (RO)

5.2.11. Sewage treatment plant (STP if any)

5.2.12. The irrigation network if any, should match the international plumbing codes

5.2.13. Water boilers

5.2.14. The iron pipes (schedule 40 seamless black pipe).

5.2.15. It is necessary to clean all fixtures and pipes after tests, and perform the sterilization by gases

before the initial operation.

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5.2.16. Stainless fire cabinet and another one for the fire extinguisher (30 M + 10 KG, ABCE).

5.2.17. Distribute the fire extinguishers for all floors and departments.

5.2.18. Using FM 200 seamless black pipes.

5.2.19. The cold water, UPVC type 5.

5.2.20. The hot water, CPVC schedule 80.

5.2.21. The sewage network UPVC type 5.

5.2.22. Galvanized- steel pipes for the fuel.

5.2.23. Link the following item with the fire alarm: the gas tank, all warning tools, the leaking sensors,

and the stopping valves.

5.2.24. The gas pipes should be designed for the medical use.

5.2.25. Using the seamless black pipes for LPG.

5.2.26. The boiler should be “Three-Pass Firetube design with stress relieving "Wetback".

5.2.27. The hot water pipes should be insulated and coated by aluminum cladding.

5.2.28. The hot steam pipes should be insulated and coated by aluminum cladding.

5.2.29. Install softener unit for the Water softening.

5.2.30. Install chemical dosage unit for the air conditioning water.

5.2.31. Apply the FCU for water sound and vibration balancing, with electrical heating.

5.2.32. On all air ducts and pipes, install anti leaking tools made of acrylic and silicon, and should be

fire resisted.

5.2.33. The chillers pipers should be seamless black steel pipe schedule 40, with insulation and

aluminum cover.

5.2.34. Sprinkles in all rooms and firefighting systems.

5.2.35. SS scrub up with 3 basins, with SS shelves.

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5.2.36. Provide the steam humidifiers.

5.2.37. The elevators should have intercom systems for the security room and control room.

5.2.38. Install heat detectors.

5.2.39. Install smoke detectors.

5.2.40. Install flames detectors.

5.2.41. The fire cabinet should be designed inside the wall, made from stainless steel. And another

cabinet for the fire extinguisher.

5.2.42. Certain units above the inpatients beds, ICU beds, recovery beds, PICU beds and emergency

beds.

5.2.43. Perform certain periodic sterilization works for the operation department, and bacteria test.

5.3. The Sanitary and M.E.P Drawings, needed approval:

5.3.1. HVAC systems

5.3.2. Fire Fighting Drawings

5.3.3. ANCALARY Buildings Drawings.

5.3.4. Medical Gases Plant Drawings

5.3.5. LPG system drawings.

5.3.6. Steam System Drawings

5.3.7. Chilled Water Piping System Drawings

5.3.8. Irrigation System Drawings.

5.3.9. All details drawings related to all systems and fixtures like (Boilers, Chillers, AHU, FCU, Medical

Gases Room, RO Unit).

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5.3.10. Water Supply System Drawings

5.3.11. Drainage System Drawings

5.3.12. Fire pumps rooms details, and ground water tanks.

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Sixth Section:

THE ELECTRICAL

WORKS REQUIREMENTS.

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6. The Electrical Works Requirements:

6.1. The Electrical Works Requirements:

6.1.1. Follow the instructions of the NEC (National Electrical Code) during the design period.

6.1.2. Follow what has been mentioned in the Saudi Buildings Code.

6.1.3. Saudi Building Code.

6.1.4. Consider the requirements of F.G.I

6.1.5. Facility Guidelines Institute

6.1.6. Follow the guidelines of IEC.

6.1.7. International Electro technical Commission

6.1.8. Consider the Requirements of CBAHI

6.1.9. The Saudi Central Board for Accreditation of Healthcare Institutions.

6.1.10. All tools, equipment, devices, appliances should meet the standards of CE and UL

6.1.11. Consider tow power sources for the project. In case of these sources is stopped, the other will

be working as a stand by units. This should be done according to the SEC requirements, and

Ministry of Water and Electricity Requirements.

6.1.12. All devices and equipment should be working on 230/400 volts and 60 hetz (Cycle/Second). As

per the circular note form the Ministry of Water & Electricity, as well as the SEC.

6.1.13. The medium voltage for the project is 13.8 Kilovolt or 33 kilovolt (Depend on the location of

the Project, and the available resources from SEC). All electrical design should take into

consideration this item.

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6.1.14. Provide a separate buildings to contain all electrical services needed for the hospital.

6.1.15. Special Contractors with prior experience in the hospitals project should do the Electrical works.

And they should be aware of all international standards and criteria of the hospitals.

6.1.16. Study the electrical outlets drawings by coordinating with the medical furniture drawings.

6.1.17. Coordinate with the medical equipment suppliers to do the following:

6.1.17.1. Provide all recommendations and data for these equipment to be taken into

account with the electrical loads and works.

6.1.17.2. Calculate the electrical loads to be taken into consideration within all needed

electrical loads of the project.

6.1.17.3. Perform all needed services of these equipment from the beginning.

6.1.18. The above item should be applied also on the MEP devices, and A.Cs.

6.1.19. There should be extra electrical feeding (Power) for the extra loads (+20%), produced by

electrical generators in case the power main supply is off. This will be done by using (Automatic

Transfer Switch – A.T.S) as per the codes: NFPA 99, NFPA 101, and NFPA 110.

6.1.20. The standby electrical generators should work for at least 3 hours.

6.1.21. The design of all systems and equipment loads should be 120%

6.1.22. Consider the Energy demand management, by providing power saving devices like: light-

emitting diode, high efficiency for the devices or equipment….etc.

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6.1.23. All electrical systems needed for the project should be taken into consideration during the

design period like:

6.1.23.1. Electrical power systems: Convertors, Stand by Generators, Automatic Transfer

Switches, uninterrupted power supply units, medium voltage activities, low voltage

activities, control boards…etc.

6.1.23.2. The lighting systems (Internal, external…etc)

6.1.23.3. Low voltage systems: fire alarms & detectors, internal call system, voice system in the

mosque, nursing call system, IT network, telephone network, CCTV, Clock network,

gases detectors, video and audio systems….etc.

6.1.24. Provide the uninterruptable power supply system (400-400/230 Volt), Three-phase, 4 wires, 60

hertz, with stand by batteries to feed the operation department ICU, PICU, and emergency unit

for at least 30 minuets in case the main power supply is off. This should be done according to

the Code NFPA 110

6.1.25. Provide the uninterruptable power supply system (400-400/230 Volt), Three-phase, 4 wires, 60

hertz, with stand by batteries to feed the low voltage system like: IT network, fire alarm, CCTV,

gases detectors, ….etc. for at least 30 minuets in case the main power supply is off. This should

be done according to the Code NFPA 110.

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6.1.26. The operation department should be supplied with the needed power through Surgical Facility

Panels, which include 4 earthing power outlets (Double) 230 volt with adapter 5 kilovolt

ampere, one main switch, 6 sub switches, radio display screen, jack, audio operating unit

(Optional), with LIM screen. Taking into account to perform the work as per the NFPA 110.

6.1.27. The ICU should be provided by electricity (Power) through using Surgical Location Panel. This is

similar to the surgical Facility Panels mentioned in the above point regarding the components

and installation. Taking into account to perform the work as per the NFPA 110.

6.1.28. The lighting design works should be done according to the code:

6.1.29. Illuminating Engineering Society IES.

6.1.30. The LUX calculations in all needed department of the hospital should be done according to the

code: ANSI/IESNA RP-29

6.1.31. Using anti moisture lighting units in the wet areas like (Kitchen, toilets..etc.)

6.1.32. The lighting units in the patients’ rooms should include the general & night lighting and the

ability to reduce the lighting from the room.

6.1.33. At least one lighting unit should be located in the patients room. Better to hang this unit on

the walls or near entrance in order not to disturb the patient.

6.1.34. Near the bed, should be lighting units with lower arm.

6.1.35. Provide emergency lighting unit working on batteries for 3 hours at least.

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6.1.36. Provide hygienic lighting unit in the operation rooms.

6.1.37. Provide operating rooms lightings taking into account to separate the power feeding lines of

them.

6.1.38. Provide guiding lighting units with batteries working at least for 3 hours, in the corridors and

main entrances and emergency.

6.1.39. Provide a backup power feeding line to the lighting units used outside, by using the street

lighting units, which are working through solar panels. This is in the parking, outside fences, main

entrances, main reception areas, and the security places.

6.1.40. In the wet areas like kitchen and toilets, the lighting units and the switches should be anti-

moister. As per the code NFPA 99

6.1.41. The electrical distribution boards should be located in separate electrical dry rooms with

appropriate ventilation. The room should be away from the mechanical tools and drainage, and

nobody should be allowed to enter this room except the qualified and specialized technicians.

This should be done according to the code NFPA 70

6.1.42. The electrical distribution boards should work with high quality in the temperature of its

room. Taking into account to have a spare switches about 20 %, and all works should be done

according to the code NFPA 70

6.1.43. Provide strong duplex earthing outlets in the hospital corridors. The space between each

outlet and the other should be at least 15 meter. Taking into consideration to provide an

emergency power line (Red line), and the works should be done according to the code NFPA 70

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6.1.44. Provide strong duplex earthing outlets in the patients rooms, either on the beds or on the

opposite walls which feed the beds motors. and the works should be done according to the code

NFPA 70

6.1.45. The electrical power outlets should come from three different resources (Normal, emergency

and uninterrupted), as per the location and its use. Each group should have different color and

the work should be done according to the code NFPA 70.

6.1.46. The units above the patient beds should have all needed electrical services like: headlights,

lower lights, earthing power outlets from two sources (normal and emergency), telephone port,

nursing call buttons, ground jack, internet port (optional) and these works should be done

according to the code NFPA 70.

6.1.47. Using vertical unit system in the ICU, recovery, ER, and operating rooms. The above head

units should not be used in these areas. These works should be done according to the code NFPA

70.

6.1.48. The same numbers for the feeding circles should number all electrical cables and wires used

in the internal and external works. This is to ease the checkup and maintenance works.

6.1.49. The operating and testing certificate for the devices and tools should be submitted, and the

supplier test them in the site after installing and operation.

6.1.50. There should be an option to control the warning voices and calls in the clinics, in order to

provide more comfort the patients.

6.1.51. All sounds coming from the backup generators should be insulated.

6.1.52. The magnetic field strength in the MRI room should be around 5 Gauss

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6.1.53. The IT and telephone network design should be IP and the used code is UL 1069, 1863

6.1.54. The nursing call should be complete system, gives warning audio/video alarm, with call and

address by two directions. The system is to reach the nursing station, patients rooms, toilets,

break rooms, and the supervision room. Above the doors, there should be signs for this system,

and the cancel buttons should be located near the doors and near the beds. The proper code

for this is OSHA

6.1.55. The fire alarming system should be titled and linked with the civil defense, as per the code NFPA

72

6.1.56. Using firefighting wires and pipes as per the code NFPA 72

6.1.57. Install smoke detectors inside the air con ducts and linked with the main control unit for the

fire alarming system, as per the code NFPA 72

6.1.58. The systems of (Elevators, A.C, Building Management, Public call, magnetic door holders)

should be linked to the main control units for the alarming system, as per the code NFPA 72

6.1.59. The capacity of the fire alarming system should be as the latest version of NFPA 72

6.1.60. Provide the public call system and link it with the fire system

6.1.61. Refer to the code UL 1069 and NFPA 72

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6.1.62. It is better to provide security system for some important areas of the hospital like (labs, low

current systems room, operating section, ICU, newborns…etc). This system uses the fingerprint

or electronic cards. As per the codes NFPA 70, UL 983, UL 813

6.1.63. Provide the internal and external CCTV system, as per the codes NFPA 70, UL 983, UL 813

6.1.64. Provide the internet service in the room (Optional)

6.1.65. Provide the proper earthing and lightning protection systems for the project. It is also necessary

to provide a separate earthing for the low current system and the medical equipment. The

Codes are (NFPA 78, NFPA 70 and NEMA 25)

6.1.66. Provide the master clock system as per the code: UL

6.1.67. It is better to provide TV and satellite outlets as per the code: NFPA 70, UL 1410, UL 813

6.1.68. Provide the video conference call system in the meeting rooms and halls (optional). As per the

code NFPA 70 and UL 1410

6.1.69. Provide the building control and management system (BMS) as per the code NFPA 70

6.1.70. Using PVC cables and wires as per the code NEMA WD 6

6.1.71. Getting the Civil Defense approval for the fire alarming system

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6.1.72. All electrical extension should be tested before the locking process

6.1.73. Using main switches (busbar trucking)

6.1.74. Provide special hygienic lighting for the operating rooms with batteries working for at least 3

hours and charger for the mirror lighting

6.1.75. Provide emergency lighting unit

6.1.76. Provide cables trays

6.1.77. Using metal pipes in the fire alarming system

6.1.78. The charger in the lighting with batteries should be electronic ballast.

6.1.79. Study the electronic outlets distribution drawings with the water and drainage networks

drawing and other, and coordinating with the medical equipment and furniture suppliers and

drawings.

6.1.80. Not using the Volt convertors in the equipment, devices and others.

6.2. The electrical system drawing which needs approval:

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Seventh Section:

THE MEDICAL AND NON MEDICAL

EQUIPMENT and FURNISHING REQUIREMENTS.

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7. The medical and non-medical equipment and furnishing requirements.

7.1. The approval requirement for the medical and non-medical furniture

7.1.1. Mention the room name and department in the drawings

7.1.2. Give the serial numbering for the rooms and floor, the number should start with the floor

number then the room number

7.1.3. The drawing should include the primary and secondary furniture of all rooms in the project

7.1.4. All devices, equipment, appliances, tools ….etc should work on 220/380 – 60 cycle

7.1.5. The data sheet for each equipment/devices should be made of metal, fixed permanently,

and the info should be engraved on it

7.1.6. The owner has to fix his logo on all devices, equipment, furniture, tools and others. And this

should be done using metal plate with log and fixed on these product by using rivets. And

provide the proper barcode for the stockpiling works

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Eighth Section:

The Safety Requirments

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8. The Safety Requirements:

8.1. The General Safety Requirements

8.1.1. Follow all conditions and requirements mentioned in the attached regulation for the fire

safety and protection in the hospital issued by the Civil Defense

8.1.2. Getting the approval of the civil defense for all drawing after the initial and final approval

8.1.3. Considering the civil defense condition for the universal easy access

8.1.4. Follow the FGI instruction in all hospital departments

8.1.5. Follow the NFPA code for the safety regulation and instructions related to the hospital

construction

8.1.6. It is not allowed to locate the kitchen in the basement as per the civil defense requirements, it

is also necessary to take all needed precautions for the firefighting especially when using gas.

8.1.7. The stairs will be designed according to its function (Middle vertical stairs, escape stairs..etc).

Taking into account to have the proper space for the escape stairs as per the civil defense

requirements, and having doors for the fire alarm

8.1.8. The hospital should be designed and divided into departments, according to the firefighting

zones, NFPA codes, and civil defense requirements.

8.1.9. The fire exits should be opened with the fire alarms, with manual hands.

8.1.10. Taking all necessary precautions when installing the underground gas and fuel tanks, or above

the ground, as per the civil defense requirements.

8.1.11. Provide all safety systems in the kitchen

8.1.12. Taking into consideration the disability needs in the whole project.

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8.1.13. Using firefighting fabrics and paintings.

8.1.14. The fire stairs should be paint with epoxy, and the hand rail should be paint with thermal

paints

8.1.15. Using the magnetic door hands with the fire alarm system.

8.1.16. The doors of all buildings should be equipped with the Master Key system. The Master and

sub master keys are to be distributed for all administration department. On the other hand the

Construction Key system have to be used during the construction period.

8.1.17. All fire doors should be stamped with (Matching the UL Code)

8.1.18. The glass of the fire doors should be unbreakable, as well as any other glass door used.

8.1.19. The earthquake resistant precautions should be taken into account, as per the area

specifications.

8.1.20. The medical gas and oxygen tanks should be installed as per the code HTM 2022 and the

instructions issued by the civil defense and the Saudi Medical Gas Company.

8.1.21. In the general site of the project, provide a water feeding connection for the fire apparatus to

be used by the civil defense trucks.

8.1.22. Provide the evacuation plan drawing for all rooms.

8.1.23. Periodically perform the safety test for all devices and equipment.

Design Guidelines for the Private Hospitals Investors V2

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Transcript of Design Guidelines for the Private Hospitals Investors V2