Must meet the needs of the patient it is going to serve adequately.
It must be in a size and proportions which the owners or promoters will be able to build and operate.
3 Basic objectives which are to be met by the hospital-
Sound architectural plan
Effective community orientation
Quality patient care
4 Principles of hospital planning-
Protection from unwanted and unnecessary disturbances in order to help speedy recovery
Separation of dissimilar activities
Control the nurses station should be positioned strategically to enable proper monitoring of visitors entering and leaving the ward infants and children should be protected from theft and infection etc.
Circulation- all the departments of a hospital must be properly integrated.
(separate all departments yet keep them all together separate types of traffic yet save steps for everybody that is all there is to hospital planning Emerson Goble)
5 Selection of site-
Needs of the community
Ease of accessibility
Range of services offered
Availability of specialists
Availability of technology
Study of existing hospital(if any)
Requirements of staff and services
6 Type of hospital-
Public charitable trust
7 Bed planning-
Bed PopulationA S 100
A number of inpatient admissions/1000 population/year
S average length of stay
PO percentage occupancy
8 Planning of finances-
Funds required for constructing furnishing and equipping the hospital.
Operating funds- salaries loans and interest other maintenance expenses.
Arranging financial assistance-patient fees bed charges and other modes of revenue generation process.
9 Equipment planning- 10 (No Transcript) 11 Operation programme- 12 Planning of departments-
In patient department-
Patient room- These may be private/semi private rooms or multibed general wards. They should be designed to be safe and aesthetically pleasing so as to assist in quick recovery of patient. They must contain space for equipments staffs and various need of the patient.
Nurses control station- should be located and designed in such a way that the nurses can observe the patient room.
The work area- related to handling materials necessary for patient care maintaining communication and records etc.
High quality patient care
Comfort to the patient
Efficient operation of the unit
Meeting the needs of the visitors
14 Facilities and space required-
Examination and treatment room with wash basin etc.
Cupboard for clean linen.
Basket for soiled linen with sink waste receptacles.
Equipment storage room for walkersIV stands etc
Space for storing stretchers and wheel chairs
Lockers for staff personal belongings
15 Out patient department-
Preferably on the ground level with a separate entrance and adequate parking facilities.
It should be close to admitting area MRDemergencyradioogy /lab services and pharmacy.
Attention should be paid to circulation which results in the smooth flow of various traffic lines Traversing the department.
16 Emergency department-
Should be located on the ground floor with easy access for patients and ambulances
Separate entrance for the department
Well marked with proper lighting and signs.shoud be easily visible and accessible from the street.
Should be close to the admitting department medical records and cashiers booth radiology department lab services blood bankelivators and wards
17 Intensive care unit-
Should preferably be located on the ground floor with convenient access from the operation theatre suit and emergency department and easy accessibility for wards.
It consists patient area staff area support area.
Four basic requirements-
Direct observation of the patient by nursing and medical staff
Surveillance of physiological monitoring
Provision and efficient use of routine and emergency diagnostic procedures and interventions.
Recording and maintenance of patient information.
19 Obstetrical unit-
The obstetrical unit should ideally be located close to the labour and delivery room as also to the nursery to avoid the exposing the bodies to infection.
A room for patient education and group discussions is essential with cheerful decoration is desirable
20 Newborn unit-
An area of 30sq.ft/ infant with a space of at least three feet around is recommended
All partition should be made of clear glass to permit observation.
Furnishing in the full term nursery include a bed side cabinetincubatorutility table wash basin waste receptacles outlets for oxygen and suction facilities for examination etc.
21 Pediatric unit-
Equal space should be provided for beds.
If patients are allowed to stay with the parents provision must be made for toilets sleeping and storage of personal belongings
Separate provision for examination and treatment of infants.
Each pediatric unit have isolation room with other necessities like washing facilities and sterile gowns and masks.
Single room for critically ill and uncontrollable patients
Recreation or play room
Storage space for toyslinenrecreational materials
Walls between patient room and the corridor should have glass panels for viewing
Lighting decoration and equipment must create a cheerful atmosphere.
22 Psychiatric unit-
Consultation area containing staff offices for individual and family care sessions.
Conference therapy area for group therapy session.
Inpatient area for hospitalizing patients
Activities area for occupational recreational therapy.
The number of beds should be between 20-24 I order to permit proper observation and treatment and private rooms are preferred.
One room for the management of violent patients are desirable.
There should be no object which can be used to hurt one self.
23 Radiology and laboratory services-
Should be easily accessible to the OPD casualty and the inpatient wards.
Preferably be sited on the ground floor.
Adequate reception and registration area
Convenient patient flow with minimization of criss cross traffic.
Adequate waiting area
Separate entrance for accident and emergency cases in busy hospital
Provision of room for technical functioning
Flexibility expandability and upgradability need to be kept in mind while siting the department.
Out patient should have ready access to the hospital pharmacy to collect prescription.
Staff of wards and department can access it without having to travel a long distance thorough other crowded areas.
Collection of indents and dispensing of prescription for inpatients can be carried out in a central dispensing area which is accessible to hospital staff when they come to consult the pharmacist or to obtain stocks for ward use.
Suppliers have an access to it from out side
Space required for-
Drugs storage including dressings
Cool and cold storage
Space for compounding and bulk preparation
25 (No Transcript) 26 (No Transcript) 27 Space requirements of some basic departments- 28 (No Transcript) 29 Project costing-
The most common method of estimating hospital construction costs has been the per bed methodi.e.if the total cost of a 100 beded hospital has been Rs.400 lakhsthe cost/ bed is Rs.4ooooo.
Break up of project cost-
Acquisition of site
Site survey investigation
Construction contact-building with fixed equipment
Supervision and inspection
Equipping the hospital-diagnostic and therapeutic equipment
Movable equipment furniture etc.
Site engineers fee
30 Phasing -
The necessity to bring facilities into use as quickly as possible for operational reasons.
The necessity to split a major project into a smaller units as a contractual consideration
The necessity of having certain departments ready before others
Limitation on availability of capital funds
Formation of commissioning team
Chief of clinical services
Bring the hospital building plant and equipment to a state of the operational readiness
Development operational system
Testing of equipments
Coordinate training of staff
Ensure good communication
32 Hospital project staging- 33 (No Transcript) 34 Conclusion-
Technology requirement must be met
Clinical needs must be considered
Safety is a major factor
Standards and Guidelines are essential
Importance of the role of Hospital Staff in construction and design.
35 THANK YOU
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