Casestudy polyclinic

study

1. CASE STUDY OF DR. L.H. BIDARI’S ASHWINI HOSPITAL, BIJAPUR SUBMITTED BY : SAHID AKHTAR ARCHITECTURAL DESIGN M.S.I.A.A. BIJAPUR. GUIDE BY : AR. CHAHAT SAIKH

2. LOCATION OF SITE : THE SITE OF CASE STUDY IS SITUATED NEAR TO BLDE ROAD AT BIJAPUR. APPROACH TO THE SITE: SITE IS NEAR ABOUT 2.5 KM FROM BIJAPUR RAILWAY STATION AND 1 KM FROM BUS STAND. BUS STAND SITE RLY STATION CITY ROAD CONNECTING BIJAPUR BUS STAND TO THE CLINIC. NAME OF PROJECT : ASHWINI HOSPITAL, BIJAPUR CLIENT : Dr. L.H. BIDARI ARCHITECT : BERI ASSOCIATES INDIA KARNATKA BIJAPUR SITE YELLOW COLOUR SHOWING RAILWAY NETWORK.

3. SURROUNDINGS : N S W E COMMERCIAL AREA 12 M WIDE ROAD 9 M WIDE ROAD FOLLOWED BY RESIDENTIAL AREA COMMERCIAL AREA SITE IS SURROUNDED BY ROAD FROM BOTH NORTH AND SOUTH SIDE AND REST 2 SIDES ARE COMMERCIAL AREAS. MAGNITUDE OF PROJECT : ON THE BASIS OF : ( A ) LAND COVERING ------ % OF OPD - 25 ------ % OF IPD - 75 ON THE BASIS OF : ( B ) NO. OF PATIENT ------ AT OPD – 80 TO 85 PER DAY ------ AT IPD - 65 TO 70 PER DAY PATIENT SOCIAL STATUS : LOWER CLASS ------ 20 % MIDDLE CLASS ------ 50 % UPPER CLASS ------ 30 % PATIENT SOCIAL STATUS OPD VS IPD LAND COVERING PATIENT AT IPD PATIENT AT OPD AREA : 1749 SQ.M.

4. CIRCULATION PATTERN : LOWER GROUND FLOOR PLAN LOWER GROUND FLOOR PLAN UPPER GROUND FLOOR PLAN UPPER GROUND FLOOR PLAN FIRST FLOOR PLAN FIRST FLOOR PLAN PATIENT MOVEMENT PATIENT MOVEMENT PATIENT MOVEMENT STAFF MOVEMENT STAFF MOVEMENT STAFF MOVEMENT

5. REQUIREMENTS : LOWER GROUND FLOOR PLAN UPPER GROUMD FLOOR PLAN FIRST FLOOR PLAN OPERATION THEATER C T SCAN SERVICE AREA ELECTRICAL ROOM RELATIVES DORMITORY WAITING ROOM LABORATORY CHEMIST CANTEEN FLOATING PASSAGE OPEN TO SKY WARDS I.C.U TOILET CONSULTANT ROOM ARRIVAL O.P.D. CASULTY ROOM STAIRCASES WARDS N.I.C.U. SPECIAL ROOMS WAITING AREA SEMI SPECIAL ROOMS THE DIFFERENT REQUIREMENTS OF THE CHILDREN’S HOSPITAL ARE MENTIONED ABOVE USING COLOUR CODES WITH RESPECT TO PLANS AT THREE LEVELS.

6. LINEAR FORM A linear form can front on or define an edge of an exterior space or define a plane of entry into the spaces behind it. A liner form can be segmented or curvilinear to respond to topography, vegetation, views, or other features of a site. A linear form can serve as an organizing element to which a variety of secondary forms are attached. This form have good circulation and wide range of area gives good access. LINEAR ORGANIZATIONS A linear organization consists essentially of a series of spaces. Each space in the form along the sequence has an exterior exposure. Spaces that are functionally or symbolically important to the organization can occur anywhere along the linear. Linear organizations express a direction and signify movement, extension, and growth. An elaborate or articulated entrance, or by merging with another building form or the topography of its site. The form of a linear organization can related to other forms in its context.

7. PARKING ENTRY PARKING RECEPTION DOCTIRS CONSULTANCY ROOM LAB X-RAY CT-SCANE PHARMACY CANTEN ELECTRIC ROOM OXYZEN SUPPLY WATER SUPPLY BUBBLE DIAGRAM OF LOWER GROUND FLOOR  IPD & OPD HAS GOT SEPARATE ENTRY WHICH DIRECTS PATIENT WITHOUT CREATING COJECTION OF SPACE.

8. TOILET WAY TO UPPOER FLOOR OPD RECEPTION CASULATY OPEN TO SKY SAMI SPECIAL I.C.U FLOTING PASSAGES UPPER GROUND FLOOR BUBBLE DIAGRAM HENCE: - the site is in learner form which good for the polyclinic. A liner form can be segmented or curvilinear to respond to topography, vegetation, views, or other features of a site. it keep the good circulation of inpatient or out patient department with social services. this shape is the best for the light and air ventilation. PLANNING AND FUNCTIONAL ARRANGEMENT

9. PLANNING ASPECT OUTDOOR SITTING ARRANGEMENT IS HELPFUL TO DIVERT THE EXTRA PRESSUREOF PATIENTS AND RELATIVES. RECEPTION PROVIDED EXACTLY IN FRONT OF ENTRY IN BOTH THE OPD AND IPD IS CONVENIENT FOR PATIENTS. PROVISION OF MEDICINE SHOP AT EXTREME SOUTHERN PART OF THE BUILDING REDUCES THE EXTRA PRESSURE OF THE PATIENTS. PLACINGOF MAJOR OT, MINOR OT, RECOVERY AREA, ANESTHESIA, SCRUB UP, DOCTORS’S ROOM LABORATORY, MEDICINE SHOP, TOGETHER, FORMING A COMPLETE OPERATION UNIT AREA. CENTRAL COURTYARD IS NOT PROVIDING PROPER LIGHTING AND FRESH AIR DUE TO FULLY COVERED TOP. RECOVERY WARD IS PLACED ON THE WAY OF OPERATION THEATRE. FORM OF THE BUILDING IS LINEAR

10. LOWER GROUND FLOOR PLAN Social service Ct- scan Pharmacy Lab SOCIAL SERVICE CONTEXT & ELEVATION COMMERCIAL AREA 12 M WIDE ROAD 9 M WIDE ROAD FOLLOWED BY RESIDENTIAL AREA COMMERCIAL AREA N S W E

11. NATURE OF THE BUILDING The nature of the building is secular. STYLE OF THE BUILDING Local style has been adopted. SARROUNDING COMMERCIAL AREA 12 M WIDE ROAD 9 M WIDE ROAD FOLLOWED BY RESIDENTIAL AREA COMMERCIAL AREA FACING The building is facing east side.

12. LAYOUT : LOWER GROUND FLOOR PLAN ELECTRICAL SERVICE OXYGEN STORE ROOM STAIRCASE LEADS TO UPPER GROUND FLOOR CANTEEN WITH PROPER OUTDOOR SITTING ARRANGEMENT OPERATION THEATRE AREA MEDICINE SHOP C.T. SCAN CENTRE LABORATORY C.T. SCAN CHAMBER

13. PICU DOCTORS RESTING ROOM CASULTY PERGOLA AT ENTRANCE FLOATING PASSAGE WAITING AREA OPEN TO SKY OPEN TO SKY SITTING UPPER GROUND FLOOR PLAN

14. SPECIAL ROOM SPECIAL ROOM GENERAL WARDS MOTHERS STAYING AREA STAIRCASE LEADS TO TOP FLOOR OPEN TO SKY NURSE STATION DOCTOR’S ROOM INCUBATOR ROOM N.I.C.U. FIRST FLOOR PLAN

15. BACK SIDE PARKING OUTSIDE SITTING SITE MODEL MAIN ENTRY WITH PARKING FRONT PERGOLA ENTRY TO BUILDING SITE PLAN SECTION AT X-X’ SERVICE ROAD ELECTRICROOM LABORATORY OPEN TO SKY COURTYARD REST ROOM OPD ARRIVAL AREA OPD WARDS

16. RATIO OF BUILT VS OPEN : BUILT AREA 60% OF TOTAL LAND OPEN AREA 40% OF TOTAL LAND TOTAL SITE AREA STRUCTURAL SYSTEM : A SECTION OF BUILDING DETAIL AT A CLEARLY SHOWN FROM FIGURE BUILDING IS BASED ON FRAME STRUCTURE. TOTAL NUMBER OF FLOORS ARE 4. GROUND FLOOR FIRST FLOOR , SECOND FLOOR & UPPER FLOOR SERVICE : WATER SUPPLY : MUNICIPAL CO-OPERATION DRAINAGE SYSTEM : SEVER LINES ELECTRICTY : PROVIDED BY HESCOM AND IN CASE OF EMERGENCY SILENT GENERATOR IS ALSO AVAILABLE.

17. MERITS : 7. ENTRY, STAIRCASE, RECEPTION, WAITING, CENTRAL COURTYARD, AND TOILET ARE WELL CONNECTED TO EACH OTHER AND CREATING A CONVENIENT PATIENT ZONE. 2. OUTDOOR SITTING ARRANGEMENT IS HELPFUL TO DIVERT THE EXTRA PRESSUREOF PATIENTS AND RELATIVES. 3. INSTEAD OF STAIRCASE, USE OF RAMP IS GOOD FOR PROPER PUBLIC MOVEMENT. 4. RECEPTION PROVIDED EXACTLY IN FRONT OF ENTRY IN BOTH THE OPD AND IPD IS CONVENIENT FOR PATIENTS. 5. WAITING IN FRONT OF RECEPTION KEEPS THE PATIENTS ALWAYS IN TOUCH OF ATTENDENTS. 6. PLACING STAIRCAE AND LIFT NEAR TO THE EXIT / ENTRY IS A WISE DECISION, HELPFUL IN CASE OF EMERGENCY. 1. CLINIC IS VERY CLOSELY ATTACHED TO THE CITY ROAD THROUGH ITS NORTHERN AND SOUTHERN ROADS. 8. SEPARATE ENTRY FOR DOCTORS FROM THE NORTHERN FACE OF THE BUILDING IS GOOD. 9. A VERY WIDE AND ENOUGH SPACE FOR CANTEEN . 10. PROVISION OF MEDICINE SHOP AT EXTREME SOUTHERN PART OF THE BUILDING REDUCES THE EXTRA PRESSURE OF THE PATIENTS.

18. 11. PLACINGOF MAJOR OT, MINOR OT, RECOVERY AREA, ANESTHESIA, SCRUB UP, DOCTORS’S ROOM LABORATORY, MEDICINE SHOP, TOGETHER, FORMING A COMPLETE OPERATION UNIT AREA. 12. OPERATION UNIT NEEDS A COOLER PLACE SO PROVIDING IT AT LOWER GROUND FLOOR IS REALLY A WISE DECISION. 13. THE P.I.C.U. IS ARRANGED VERY HYGIENICALLY ALL NECESSARY EQUIPMENTS. 14. PLACING OF NURSE STATION IN FRONT OF P.I.C.U. IS GOOD FOR PROPER CARE TAKING. 15. ADEQUATE NUMBER OF CHILDREN CARE UNIT IS APPRECIABLE. DEMERITS : ENTRANCE HAS NO AESTHETHIC APPEAL. 2. NO PROPER SPACE FOR WASHED CLOTHS THEY ARE SPREADED AT ENTRY ITSELF. 3. LACK OF PARKING SPACE. 4. WAITING AREA HAS VERY LESS VENTILATION AND LIGHT. 5. CENTRAL COURTYARD IS NOT PROVIDING PROPER LIGHTING AND FRESH AIR DUE TO FULLY COVERED TOP. 6. RECOVERY WARD IS PLACED ON THE WAY OF OPERATION THEATRE. 7. BEHAIND THE OPERATION THETRE GENERATOR AND ELECTIC SERVICE ROOM CREATES NON TOLERABLE SOUND.

19. CONCLUSION : ADEQUATE ARRANGEMENT OF PARKING IS REQUIRED. MAIN ENTRANCE WITH ATTACHED RAMP IS A GOOD IDEA. WAITING AREA IN FRONT OF RECEPTION PROVIDES PATIENT FRIENDLY ENVIRONMENT. CENTRAL LOBBY SHOULD PROPER LIGHTING AND VENTILATION. NURSE STATION NEAR TO WARDS IS SAFER. STAIRCASE AND LIFTS SHOULD BE PLACED NEAR TO THE MAIN ENTRY. PLACING OF OPD AND IPD SHOULD BE PLACED SEPARATELY. PLACING OF CANTEEN AND FARMECY SHOP SHOULD BE WORKED OUT ACCORDING TO THE CROWDY ZONE. CLIMATIC CONSIDERATIONS SHOULD BE TAKEN WHILE PLANNING LIKE PLACING OF WARDS AND CONSULTENCIES. 10. OPERATION BLOCK, WARD BLOCK AND DOCTORS ROOM SHOULD BE WORKED OUT ACCORDING TO PROXIMITY CHART.