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hospital planning and layout

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Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion – PowerPoint PPT presentation

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Title: hospital planning and layout


1
Location Layout Of Hospital
Submitted By Sandeep Singh 1st sem mha Guru
nanak dev university
SUBMITTED TO Dr. Shelly
2
DOES COMMUNITY NEED A HOSPITAL ?
  • There are two methods to estimate the need for
    hospital in a population
  • Analytical method Taking feedback and analysis
    of data collected through survey e.g.
    distributing questionnaire.
  • Estimation method

3
Planning
Planning (also called forethought/forecasting) is
the process of thinking about and organizing the
activities required to achieve a desired goal.
For
4
Planning involves six Questions
  • What we expect to do?
  • Why it will be done ?
  • Where will it be done ?
  • When we expect to do it?
  • Who all are going to do it ?
  • How will it be done ?

Excellent firms dont believe in excellence
only in constant improvement and constant change
Tom Peters
5
Factors in hospital planning
  • Community interest over individual interest
  • Preventive services over curative services
  • Services catering to the weaker sections of the
  • community
  • Rural over Urban
  • Regionalized Planning

6
Data required in Planning the Hospital
  • Geographic Data
  • Morbidity Mortality Status
  • Need Demand
  • Details of existing Facilities
  • Financial Feasibility
  • Demographic Details
  • Population Strength
  • Sex Age Ration
  • Social Status
  • Educational level

7
Hospital must meet two basic fundamental needs
  • 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

8
Basic Objectives which are to be Met by the
Hospital
  • Sound architectural plan
  • Economic viability
  • Effective community orientation
  • Quality patient care

9
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)

10
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

11
Bed planning-
Bed Population A x S x 100
365 x PO
A number of inpatient
admissions/1000 population/year S average length
of stay PO percentage occupancy
12
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.

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14
Hospital project staging-
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16
Equipment planning-
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18
Operation program
19
Intensive critical care unit (ICCU)-
  • 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

20
Design and Layout of ICCU
Design should take into consideration the
integration and smooth functioning of three
areas 1. The Patient Area 2. The Staff
Area 3. The Support Area
Total area ranges from 350 to 500 sq. feet per
bed which includes 1. Circulation Area 2.
Nursing Station 3. Sanitary and Ancillary
Accommodation
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23
Quality Quantity Temperature
Ancillary Support Services It should be
centrally air conditioned. Overall lighting
Requirement in ICCU is for subdued illumination
for the patient bed with capacity for increasing
it in case of need. Main light at the bed head
should be fitted with dimmer switch. A high
intensity emergency light or spot focusing light
should also be provided. Emergency buzzer switch
connected to central buzzer and location panel at
central nursing station. Multiple electrical
gadgets required. Stand by generator is also
required. Diagnostic Support Should have round
the clock access to Laboratory
services Radiology Imaging Physiotherapy. Equipmen
t maintenance Visitor Lounge
24
Space requirements of some basic departments-
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26
Hospital Noise Control   
Hospital administrators and staff have an ongoing
concern with controlling unwanted noise in their
facilities.  Patient comfort, employee
satisfaction and environmental concerns are
always at the forefront in the continuous design
and maintenance of a wide array of systems that
keep a medical facility running efficiently.  
27
Hospital Equipment Furniture Choice
  • Quantity
  • Price
  • Source
  • Quality

28
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.

29
A hospital is a living organism, made up of many
different parts , having different functions, but
all theses must be in due proportion and relation
to each other and to the environment to produce
the desired result - Dr S Billings
30
THANK YOU
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