Hospital report

report on hospital

1. GENERAL HOSPITAL A REPORT ON Submitted to : Latifa sultana Razia kamal

2. CONTENT Definition Classification Building attributes Departments General requirements Hospital functional relationship Program analysis Time saver standard analysis Case study: apollo hospital Case study: mitford hospital Site survey: Enam medical college & hospital Case study: Vivantes clinical center, berlin Reference

3. DEFINITION of hospital hos·pi·tal an institution providing medical and surgical treatment and nursing care for sick or injured people. ----- google a ​place where ​people who are ​ill or ​injured are ​treated and taken ​care of by ​doctors and ​ nurses. ------- Cambridge dic. A hospital is a health care institution providing patient treatment with specialized staff and equipment . ------ Wikipedia

4. DEFINITION of hospital Use over time of hospital

5. Classification of hospital Type of hospital Owner wise Specialty wise Function level wise Size wise System wise

6. Classification of hospital Hospital System Size Function Owner Specialty Allopathic Homeopathy Ayurvedic Unani Siddha Naturopathy Yogic 50 150 200 250 1000 1500 above Primary Care Secondary Care Tertiary care Govt. Private Volun. General Specialist Super specialist Teaching Research

7. BUILDING ATRIBUTES Good hospital design integrates functional requirements with the human needs of its varied users . The basic form of a hospital is, ideally, based on its functions : Bed-related inpatient functions Outpatient-related functions Diagnostic and treatment functions Administrative functions Service functions (food, supply) Research and teaching functions

8. outpatient Admin Diagnostic & treatment Research and teaching Inpatien t service General hospital relationship BUILDING ATRIBUTES

9. Departments / units Departments are: 1.Out patent department 2. Emergency department 3.Intensive care unit 4.Critical care unit 5.General surgery unit 6.Orthopedic department 7.Urology 8.Phyciatry unit 9.Medicine 10.Cardilogy 11.Pediatrics unit 12.Neurology 13.Gastrenterology 14.Gynaecology 15.Dentistry 16.ENT 17.Nutrition and dietetics 18. Radiology and imaging

10. GENERAL requirements HOSPITAL’s

11. GENERAL requirements The following general requirements are to be obtained : Environment: A hospital and other health facilities shall be so located that it is readily accessible to the community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants, disposal plants. II. Occupancy: A building designed for hospital / healthcare facility shall be used only for this purposes.

12. GENERAL requirements III. Safety: A hospital and other health facilities shall provide and maintain a safe environment for patients, personnel and public. Accurate patient identification PATIENT SAFETY Effective caregiver communication Secure medication administration Reduce infection risk Identify inherent population risk Stop pressure ulcers Active personal & family involvement Protect fragile patient Reduce FLU and PNU Access & share medication Information

13. GENERAL requirements IV. Security: A hospital and other health facilities shall ensure the security of person and property within the facility. Security risk analysis Software implementation Staff training Patient communication Response plan New threat Awareness

14. GENERAL requirements V. Accessibility: All areas, both inside and out should: It should be designed so as to be easy to use by the many patients with temporary and permanent handicaps. Ensuring grades are flat enough to allow easy movement and side walks and corridors are wide enough for two wheelchairs to pass easily. Circulation routes for transferring patients from one area to another shall be available and free at all times. Corridors for access by patient and equipment shall have a minimum width of 2.44 meters.

15. GENERAL requirements Corridors for access by patient and equipment shall have a minimum width of 2.44 meters. Corridors in areas not commonly used for bed, stretcher and equipment transport may be reduced in width to 1.83 meters.

16. GENERAL requirements A ramp or elevator shall be provided for ancillary, clinical and nursing areas located on the upper floor . A ramp shall be provided as access to the entrance of the hospital not on the same level of the site .

17. GENERAL requirements Exits shall be restricted to the following types: door leading directly outside the building, interior stair, ramp, and exterior stair. Minimum of two (2) exits, remote from each other, shall be provided for each floor of the building. Exits shall terminate directly at an open space to the outside of the building.

18. GENERAL requirements VI. Lighting: All areas in a hospital and other health facilities shall be provided with sufficient illumination to promote comfort, healing and recovery of patients and to enable personnel in the performance of work.

19. GENERAL requirements VII. Ventilation: Adequate ventilation shall be provided to ensure comfort of patients, personnel and public. VIII. Auditory and Visual Privacy: A hospital and other health facilities shall observe acceptable sound level and adequate visual seclusion to achieve the acoustical and privacy requirements in designated areas allowing the unhampered conduct of activities. IX. Water Supply: A hospital and other health facilities shall use an approved public water supply system whenever available. The water supply shall be potable, safe for drinking and adequate, and shall be brought into the building free of cross connections.

20. GENERAL requirements X. Waste Disposal: Liquid waste shall be discharged into an approved public sewerage system. radioactive waste and others waste to be collected and treated in accordance to international rules.

21. GENERAL requirements XIV. Material Specification: Floors, walls and ceilings shall be of sturdy materials that shall allow durability, ease of cleaning and fire resistance. XV. Segregation: Wards shall observe segregation of sexes. Separate toilet shall be maintained for patients and personnel, male and female.

22. GENERAL requirements XVI. Fire Protection: There shall be measures for detecting fire such as fire alarms in walls, Peepholes in doors or smoke detectors in ceilings. There shall be devices for quenching fire such as fire extinguishers or fire hoses that are easily visible and accessible in strategic areas.

23. GENERAL requirements XVII. Signage: There shall be an effective graphic system composed of a number of individual visual aids and devices arranged to provide information, orientation, direction, identification, prohibition, warning and official notice considered essential to the optimum operation of a hospital and other health facilities.

24. GENERAL requirements Emergency Patient parking Employee parking Patient parking Patient and visitors parking XVIII. Parking: A hospital and other health facilities shall provide a parking space.

25. GENERAL requirements XX. Aesthetics: closely related to creating a therapeutic environment (homelike, attractive.) It is important in enhancing the hospital's public image and is thus an important marketing tool. Aesthetic considerations include: Increased use of natural light, natural materials, and textures. Use of artwork. Attention to proportions, color, scale, and detail. Bright , open, generously-scaled public spaces. Homelike and intimate scale in patient rooms, day rooms, consultation rooms, and offices. Compatibility of exterior design with its physical surrounding

26. GENERAL requirements Outer zone Second zone Inner zone Deep zone Service zone Service zone The different areas of a hospital shall be grouped according to zones

27. GENERAL requirements Outer Zone – areas that are immediately accessible to the public: emergency service, outpatient service, and administrative service. They shall be located near the entrance of the hospital. lobby Main entry Outpatient dept. Em. entry admin/ office Emergency Dept.

28. GENERAL requirements Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy, and radiology. They shall be located near the outer zone. laboratory Main lobby radiology pharmacy

29. GENERAL requirements Inner Zone – areas that provide nursing care and management of patients: nursing service. They shall be located in private areas but accessible to guests. Deep Zone – areas that require asepsis to perform the prescribed services: surgical service, delivery service, nursery, and intensive care. They shall be segregated from the public areas but accessible to the outer, second and inner zones. Service Zone – areas that provide support to hospital activities: dietary service, housekeeping service, maintenance and motor pool service, and mortuary. They shall be located in areas away from normal traffic.

30. GENERAL requirements Second zone Inner zone Deep zone Service zone Outer zone

31. GENERAL requirements XX. Function: The different areas of a hospital shall be functionally related with each other; The emergency service shall be located in the ground floor to ensure immediate access. A separate entrance to the emergency room shall be provided. The administrative service, particularly admitting office and business office, shall be located near the main entrance of the hospital. Offices for hospital management can be located in private areas. The surgical service shall be located and arranged to prevent non-related traffic. The operating room shall be as remote as practicable from the entrance to provide asepsis. The dressing room shall be located to avoid exposure to dirty areas after changing to surgical garments.

32. GENERAL requirements The delivery service shall be located and arranged to prevent non-related traffic. The delivery room shall be as remote as practicable from the entrance to provide asepsis. The nursery shall be separate but immediately accessible from the delivery room . The nursing service shall be segregated from public areas. The nurse station shall be located to permit visual observation of patients. Nurse stations shall be provided in all inpatient units of the hospital . In wards the Rooms shall be of sufficient size to allow for work flow and patient movement . In wards the Toilets shall be immediately accessible from rooms . The dietary service shall be away from morgue.

33. GENERAL requirements Hospital Circulation Hospitals, like the small cities they are likened to, contain main circulation routes often described as hospital streets. The way, in which the different parts of the hospital are assembled, as a coherent whole but with the parts differentiated . The following circulations are usually considered in hospitals design and planning ; Patient Circulation Medical Staff Circulation Material Circulation Visitors Circulation Waste Circulation Support Staff circulation

34. GENERAL requirements certain areas shall be restricted for some circulation . For example: No visitors circulation shall be allowed in Operating Theater area, isolation rooms and laboratory workshop. Circulation of sterilized / clean and dirty materials in CSSD, Operating Theater must not have the same path. Staff & Patient circulation should be differentiate in Operating Theater.

35. GENERAL requirements general view of hospital circulation to main zones.

36. GENERAL requirements T he circulation for Outpatient Clinic

37. GENERAL requirements The designating areas for patient, staff and visitors (family) in Intensive Care Patient Room.

38. MAIN ENTRANCE PARKING DIAGNOSTIC EMERGENCY LOBBY OT, ICU, CCU, WARD. IPD PHARMACY NORMAL ENTRY SERVICE LOBBY. SERVICE LOBBY. SUBSTATION. OXYGEN PLANT. GARBAGE ROOM. SECURITY ROOM. FIRE FIGHTING equp.store . CENTRAL STORE. MORQUE. KITCHEN. WAITING. ADMISSION. RECORD ROOM. NURSING ROOM. DOCTORS ROOM. PATIENT TRANSFER AREA. TOILET MALE/FEMALE. REGISTRATION AREA. WAITING AREA. COSULTING ROOM. RECORDS ROOM. NURSE ROOM. CARDIOLOGY CINIC. TOILET MALE/FEMALE. C OVERED SPACE FOR AMBULANCE. LOBBY ,RECEPTION, WAITING. POLICE ROOM. RECORD ROOM. STRETCHER STORAGE. EXAM ROOM. NURSING STATION. MINOR OT. EQUIPMENT ROOM. AUTOCLAVE ROOM. DOCTOR’S AREA. EMERGENCY STORE. TOILET OPD CARDIAC CATH LAB. -ANGIOGRAM -GAMA RAY -ECG -ETT -ECO RADIOLOGY $ IMAGING DEPT. -X-RAY -ULTRASONOGRAM -CT ANGIOGRAM DEPT.OF MICROBIOLOGY. DEPT.OF BIOCHEMISTRY. DEPT.OF SERIOLOGY SERVICE ENTRY EMERGENCY ENTRY MAIN LOBBY ADMIN ZONE An efficient hospital layout should:

39. FUNCTIONAL relationship HOSPITAL’s

40. FUNCTIONAL relationship ADMITTING DEPARTMENT FUNCTIONAL FLOW CHART: PHYSICIAN REFERRED INDIVIDUAL DRUG DISPENSARY RESERVATION RECEPTIONIST PATIENT TRANSFER & DISCHARGE SCHEDULING FINANCIAL MANAGEMEN MEDICAL RECORDS SELF KEEPING PATIENT INTERVIEW IDENTIFICATION DEVICE INFORMATION DISTRIBUTION ESCORT ALL UNITS CONCERNED INPATIENT SERVICES OUT PATIENT SERVICES NURSING UNITS , MEDICAL SURGICAL.OBSTETRICS, PEDIATRIC,OTHER UNITS. NOTE: ·INFORMATION FLOW- ·ROUTING PATIENT FLOW ·EMERGENCY PATIENT FLOW ·FUNCTION WITHIN THE SHADED AREA ·FUNCTIONS OUTSIDE THE SHADED AREA AND WITHIN CIRCLE UNITS OR DEPARTMENT. DIAGNOSTIC X-RAY LABORATORY PHYSICAL THERAPY PUT PATIENT CLINICS PRE-ADMITTING INFORMATION

41. FUNCTIONAL relationship

42. HOSPITAL DESIGN FUNCTIONAL relationship

43. FUNCTIONAL relationship Sequence of activities within the operation theater

44. Theatre suit : double and single corridor alternatives Single corridor layout Single corridor Patients entrance anaesth Scrub up prep Patient exit Utility/disposa l theatre First corridor Patients entrance anaesthes Scrub up prep Patient exit Utility/dispos al theatre S econd corridor First corridor Patients entrance anaesth Scrub up prep Patient exit Utility/disposal theatre Second corridor

45. FUNCTIONAL relationship

46. Department of physical medicine Wards Out Patient department Phys. medicine Out Patient department Wards O.T Casualty and admission X-ray and Radiology Ultrasonogram Department of Diagnostic and X-ray O.T Wards Out Patient department pathology Mortuaary Casualty and admission Department of pathology

47. Consulting sites Day lounge Restaurant shops Patient arrival reception Ward Patient departure and treatment arrivals Diagnostic Otrasound X-Ray C.T scanner Imaging Treatment suites Tests clinical measurement Ambulatory and Diagnostic center (ACAD) functional clusters FUnctional relationship

48. GENERAL AREA Vertical and horizontal circulation Manager and customer service Payment and delivery both Toilet Prayer room Telephone opert . Smokes corner Pharmacy Waiting and reception Entry FUNCTIONAL relationship

49. GENERAL CIRCULATION Impatient area Pathological lab + Radio – diagnostic + Imaging zone) Administrative area General area Out patient area FUNCTIONAL relationship

50. Admission office Administrative section Conference room Waiting of office FUNCTIONAL relationship

51. PATHOLOGY Sample collection area and toilet Report preparation La boratory General corporate clients Waiting Pathologist room Shoe change and locker FUNCTIONAL relationship

52. RADIO–DIAGNOSTIC FACILITIES Film processing and storage room X - ray Control room Waiting Radiologists room FUNCTIONAL relationship

53. IN PATIENT AREA Cabin Female ward Child ward Male ward Waiting and information FUNCTIONAL relationship

54. O UT PATIENT AREA Consultants room Reception and registration Waiting area FUNCTIONAL relationship

55. O.T AND DAY CARE FACILITIES O.T in charge store O.T Dirty and clean utility room Change room Pre op. Post op. Auto clave FUNCTIONAL relationship

56. TIME SAVER STANDARD analysis

57. Fig :Single Bed ( Medium Size ) Fig : Single Bed ( Small Size) ROOM STANDARD 15’ 10’ 16’ 11’ STANDARD analysis

58. Fig: More than double bed Fig :Double Bed (Small Size Shared Toilet 18’ 20’-24’ 15’ 13’6” STANDARD analysis ROOM STANDARD

59. Fig :Double Bed ( Medium Size ) 20’ 12’ STANDARD analysis

60. Single room Double room Inner Wall Elevation STANDARD analysis

61. Emergency department STANDARD analysis

62. Administration department STANDARD analysis

63. Elevator dimensions STANDARD analysis Length: 7.6ft, Width: 3.6-4.3ft Length: 8.25 ft , Width: 3.96-4.95 ft

64. Length: 6.65 ft Width: 4.5 ft Elevator dimensions STANDARD analysis

65. Length: 3.6 ft Width: 4.6 ft Elevator dimensions STANDARD analysis

66. Examine room STANDARD analysis

67. STANDARD analysis Examine room

68. STANDARD analysis Examine room

69. STANDARD analysis Corridor dimension

70. STANDARD analysis

71. STANDARD analysis

72. STANDARD analysis Washroom dimension for disable

73. STANDARD analysis

74. Obstetrical department STANDARD analysis

75. Out patient department Laundry department

76. Ward size Area per bed comparison

77. PROGRAM analysis HOSPITAL

78. PROGRAM analysis PROGAMME A GENERAL HOSPITAL FOR 250 BED: OUT-PATIRNT CLINICS AND SERVICES WITH INTERNAL MEDICINE DEPT . SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS 1 2 3 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 Registration area Waiting area Consulting and exam Medicine Eye clinic ENT clinic Dermatology and allergy Orthopedic Neurology Nephrology Thoracic clinic Cardiology clinic 1 1 2 2 2 2 2 2 2 2 2 34 sq m 225 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 34 sq m 225 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 50 person 200 person

79. 3.10 3.11 3.12 3.13 3.14 3.15 3.16 4 1 2 3 3.1 3.2 4 4.1 Gen. surgery clinic Lungs function clinic Urology clinic Gastro-intestinal clinic Diabetes Mental health Dental clinic Nursing room Total 2 2 2 2 2 2 2 2 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 32 sq m 803 sq m OBSTETRICS AND GYNAECOLOGY DEPT. Registration area Waiting area Consulting & exam. room SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS 1 1 1 1 1 16 sq m 70 sq m 16 sq m 16 sq m 16 Sq m 16 sq m 70 sq m 16 sq m 16 sq m A6 sq m 25 person 100 person Ante natal care Post natal care Consulting and exam. Room Gynae . Internal medicine PROGRAM analysis

80. 4.2 4.3 4.4 5 5.1 5.2 5.3 6 7 8 9 9.1 9.2 10 10.1 11 Oncology Urology Endocrinology Ultrasound room Reception Waiting Technical staff’s room Colposcopy Laproscopy 1 1 1 2 1 1 1 1 1 1 1 1 1 1 16 sq m 16 sq m 16 sq m 12 sq m 10 sq m 14sq m 12 sq m 22 sq m 22 sq m 2 sq m 36 sq m 10 sq m 36 sq m 16 sq m 12 person 1 person R.T.I Lactation management cent. Counseling room Store Family planning Counseling room Nursing room Total 16 sq m 16 sq m 16 sq m 24 sq m 10 sq m 14sq m 12 sq m 22 sq m 22 sq m 2 sq m 36 sq m 10 sq m 36 sq m 16 sq m 406 sq m PROGRAM analysis

81. PEDIATRICS DEPT. SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS 1. 2 3. 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 4. 4.1 4.2 5. 5.1 5.2 Registration area Waiting area Consulting and exam. Room Pediatric surgery General pediatric Neonatology Gastro-intestinal Nephrology Neurology Cardiology Mental health Oral rehydration therapy Counseling room Store Expanded programe (E.P.I) Counseling room Treatment room 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 sq m 70 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 28 sq m 10 sq m 22 sq m 22 sq m 16 sq m 70 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 16 sq m 28 sq m 10 sq m 22 sq m 22 sq m 25 person 100 person PROGRAM analysis

82. 5.3 6 6.1 6.2 7 8 9. 9.1 9.2 9.3 9.4 Store Nutrition rehabilitation unit Counseling room Store Children play area Nursing room Social welfare Reception Waiting area Rooms for social worker Meeting room Total 1 1 1 1 1 1 1 1 2 1 10 sq m 28 sq m 10 sq m 60 sq m 16 sq m 12 sq m 18 sq m 11 sq m 14 sq m 10 sq m 28 sq m 10 sq m 60 sq m 16 sq m 12 sq m 18 sq m 11 sq m 14 sq m 486 sq m 22 person 8 person COMMON 0PD SERVICES Main OPD portico and foyer Main OPD lobby with recept. 1. 2 3 4 5 6 1 1 1 1 1 1 76 sq m 100 sq m 100 sq m 10 sq m 36 sq m 18 sq m 100 person 30 person Central waiting area for OPD OPD medical records room Admission section Public toilet (Male) 76 sq m 100 sq m 100 sq m 10 sq m 36 sq m 18 sq m PROGRAM analysis

83. Public toilet (Female) Pharmacy Waiting area Dispensing desk Pharmacist’s room Preparation room Medicine store Total 7. 8. 8.1 8.2 8.3 8.4 8.5 1 1 1 1 1 1 18sq m 18 sq m 8 sq m 12 sq m 16 sq m 28 sq m 18sq m 18 sq m 8 sq m 12 sq m 16 sq m 28 sq m 440 sq m 20 person DAYCARE OT COMPLEX SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Registration Waiting area OT Scrub up area Gowning area Equipment room Autoclave room Trolley prep. room Ante room 1 2 3 3.1 3.2 3.3 3.4 3.5 3.6 1 1 2 1 1 1 1 1 1 8 sq m 20 sq m 36 sq m 6 sq m 4 sq m 6 sq m 16 sq m 14 sq m 10 sq m 8 sq m 20 sq m 72 sq m 6 sq m 4 sq m 6 sq m 16 sq m 14 sq m 10 sq m 10 person PROGRAM analysis

84. Soiled utility wash Sluice Pre-operative room Post-operative room Nursing station Doctor’s locker (Male) Doctor’s locker (Female) Doctor’s toilet(Male) Doctor’s toilet(Female) Doctor’s lounge Doctor’s meeting room Staff’s locker ,changing room ( M) Staff’s locker ,changing room ( F) Staff’s toilet (Male) Staff’s toilet (Female) Total 3.7 3.8 4 5 6 7 8 9 10 11 12 13 14 15 16 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 8 sq m 6sq m 28 sq m 60sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 13 sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 50 sq m 8 sq m 6sq m 28 sq m 60sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 13 sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 307 sq m 50 sq m 6 person 6 person ACCIDENTS AND EMERGENCIES SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Portico and foyer PROGRAM analysis

85. covered space for ambulance Lobby and reception area Police room Waiting area Record room Stretcher storage Exam room (Male) Exam room (Female) Observation room (Male) Observation room (Female) Nursing station OT for minor operations Scrub up area Gowning area Equipment room Autoclave room Sluice Mobile X-ray Room for plaster application 2 3 4 5 6 7 8 9 10 11 12 13 13.1 13.2 13.3 13.4 13.5 14 15 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 18 sq m 52 sq m 14 sq m 22 sq m 10 sq m 12 sq m 14 sq m 14 sq m 56 sq m 56 sq m 10 sq m 36 sq m 6sq m 4sq m 6sq m 16 sq m 6 sq m 12sq m 16 sq m 36 sq m 52 sq m 14 sq m 22 sq m 10 sq m 12 sq m 14 sq m 14 sq m 56 sq m 56 sq m 10 sq m 36 sq m 6sq m 4sq m 6sq m 16 sq m 6 sq m 12sq m 16 sq m 10 person 5 stretchers 1 person 1 person 5 person 5 person 2 nurses PROGRAM analysis

86. Room for plaster removal Duty doctor’s room Duty doctor’s rest room Doctor’s lounge Doctor’s meeting room Nurses rest room with locker Emergency store Common toilet (Male) Common toilet (Female) Total 16 17 18 19 20 21 22 23 24 1 2 2 1 1 1 1 1 1 12 sq m 8 sq m 10 sq m 14 sq m 10 sq m 18 sq m 12 sq m 8 sq m 8 sq m 12 sq m 16 sq m 20sq m 14 sq m 10 sq m 18 sq m 12 sq m 8 sq m 8 sq m 566 sq m 8 person 6 person DIAGNOSTIC,RADIOLOGY AND IMAGING ,TREATMENT SERVICES SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS 1 2 3 3.1 4 4.1 4.2 Registration area Waiting Radiologist’s room Record room X-ray X-ray unit Change room 1 1 1 1 2 2 2 16 sq m 40 sq m 18 sq m 5 sq m 34 sq m 5 sq m 13 sq m 16 sq m 40 sq m 18 sq m 5 sq m 68sq m 10 sq m 13 sq m 25 person 60 person PROGRAM analysis

87. Dark room 4.3 1 13 sq m 13 sq m Control room Store room MRI ( Magnetic resonance imaging) MRI unit Control room Processing room CT scan CT scan unit Control room Processing room Mammography Mammography unit Control room ECG Ultrasonogram Endoscopy Room for technical staff Staff meeting room 4.4 4.5 5 5.1 5.2 5.3 6 6.1 6.2 6.3 7 7.1 7.2 8 9 10 11 12 2 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 10 sq m 8 sq m 36 sq m 10 sq m 14 sq m 34 sq m 10 sq m 4 sq m 34 sq m 10 sq m 14 sq m 12 sq m 12 sq m 5 sq m 10 sq m 10 sq m 8 sq m 36 sq m 10 sq m 14 sq m 34 sq m 10 sq m 4 sq m 34 sq m 10 sq m 28 sq m 12 sq m 12 sq m 5 sq m 10 sq m 4 person 6 person PROGRAM analysis

88. Common toilet (Male) Common toilet (Female) Total 13 14 1 1 14 sq m 18 sq m 459 sq m 14 sq m 18 sq m PATHOLOGY SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting for pathology Registration area Pathologist’s room Record room 1 2 3 3.1 4 5 5.1 5.2 5.3 5.4 5.5 5.6 6 7 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 6 sq m 16 sq m 18 sq m 5 sq m 18 sq m 10 sq m 10 sq m 10 sq m 10 sq m 10 sq m 10 sq m 10 sq m 7 sq m 30 person Sample collection area Laboratory- Serology Bacteriology Urinalysis Microbiology Hematology Biochemistry incubator Washing and sterilization 2 6 sq m 16 sq m 18 sq m 5 sq m 18 sq m 10 sq m 10 sq m 10 sq m 10 sq m 10 sq m 10 sq m 10 sq m 7 sq m PROGRAM analysis

89. Blood bank Store Space for technical staff Test room Blood donation room Recovery room Common toilet (Male) Common toilet (Female) Diagnostic report distribution Total 8 9 9.1 9.2 9.3 9.4 10 11 12 1 1 1 1 1 1 1 1 1 4 sq m 4 sq m 3 sq m 12 sq m 8 sq m 18 sq m 9 sq m 9 sq m 28 sq m 255 sq m 4 sq m 4 sq m 3 sq m 12 sq m 8 sq m 18 sq m 9 sq m 9 sq m 28 sq m 1 person 1 person 3 person PHYSIOTHERAPY SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Physiotherapy room Technical staff room Store Common toilet (Male) Common toilet (Male) Total 1 2 3 4 5 6 1 2 1 1 1 1 14 sq m 48 sq m 5 sq m 4 sq m 9 sq m 9 sq m 89 sq m 14 sq m 24 sq m 5 sq m 4 sq m 9 sq m 9 sq m 25 person 6 person 2 person PROGRAM analysis

90. AUDIOLOGY/AUDIOMETRY SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS 1 2 3 4 Waiting Sound proof audiometry room Physiotherapist room Store Total 1 2 1 1 11 sq m 28 sq m 18 sq m 4 sq m 61 sq m 11 sq m 14 sq m 18 sq m 4 sq m 20 person SPEECH THERAPY Waiting Therapy room Total 1 2 1 1 11 sq m 40 sq m 51 sq m 11 sq m 40 sq m 20 person OCCUPATIONAL THERAPY SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Occupational therapist room Therapy room Store Total 1 2 3 4 1 1 1 1 11 sq m 80 sq m 18 sq m 4 sq m 113 sq m 11 sq m 80 sq m 18 sq m 4 sq m 20 person PROGRAM analysis

91. SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA IN PATIENT CLINICS AND SERVICES FOR OT COMPLEX Common reception area Waiting Patient transfer area Common toilet (Male) Common toilet (Female) 1 2 3 4 5 2 2 2 2 2 26 sq m 52 sq m 84 sq m 18sq m 18 sq m 198 sq m 13 sq m 26 sq m 42 sq m 9 sq m 9 sq m CAESAREAN OT OT Scrub up area Gowning area Equipment room Autoclave room Trolley prep. room Ante room Soiled utility wash Sluice Genitor’s room 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1 1 1 1 1 1 1 1 1 1 36 sq m 6 sq m 4 sq m 6 sq m 16 sq m 14 sq m 10 sq m 8 sq m 6 sq m 6 sq m 36 sq m 6 sq m 4 sq m 6 sq m 16 sq m 14 sq m 10 sq m 8 sq m 6 sq m 6 sq m PROGRAM analysis

92. Anesthetist room Drug store Pre-operative room Post-operative room Nursing station Doctor’s locker (Male) Doctor’s locker (Female) Doctor’s toilet(Male) Doctor’s toilet(Female) Doctor’s lounge Staff’s locker and changing Staff’s toilet (Male) Staff’s toilet (Female) Total 2 3 4 5 6 7 8 9 10 11 12 13 14 1 1 1 1 1 1 1 1 1 1 2 1 1 11 sq m 13 sq m 22 sq m 44 sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 13 sq m 10 sq m 8 sq m 8 sq m 277 sq m 11 sq m 13 sq m 22 sq m 44 sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 13 sq m 5 sq m 8 sq m 8 sq m 4 person 6 person 2 nurses 16 person GYNAECOLOGY OT SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS OT Scrub up area Gowning area 1 1.1 1.2 1 1 2 36 sq m 6 sq m 8 sq m 36 sq m 6 sq m 4 sq m PROGRAM analysis

93. Equipment room Autoclave room Trolley prep. room Ante room Soiled utility wash Sluice Genitor’s room Anesthetist room Drug store 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2 3 4 5 6 7 8 9 10 11 12 13 Pre-operative room Post-operative room Nursing station Doctor’s locker (Male) Doctor’s locker (Female) Doctor’s toilet(Male) Doctor’s toilet(Female) Doctor’s lounge Staff’s locker and changing Staff’s toilet (Male) 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 6 sq m 16 sq m 14 sq m 20 sq m 8 sq m 6 sq m 6 sq m 11 sq m 13 sq m 22 sq m 44 sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 13 sq m 5 sq m 8 sq m 6 sq m 16 sq m 14 sq m 10 sq m 8 sq m 6 sq m 6 sq m 11 sq m 13 sq m 22 sq m 44 sq m 10 sq m 5 sq m 5 sq m 8 sq m 8 sq m 13 sq m 5 sq m 8 sq m 4 patient 6 patient 2 nurses 16 person PROGRAM analysis

94. Staff’s toilet (Female) Total GENERAL OT OT Scrub up area Gowning area Equipment room Autoclave room Trolley prep. room Ante room Soiled utility wash Sluice Genitor’s room Anaesthetist room Pre-operative room Drug store Post-operative room 14 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2 3 4 5 6 7 1 4 4 2 3 1 1 1 3 1 1 1 1 1 1 1 1 1 144 sq m 12 sq m 12 sq m 6 sq m 16 sq m 14 sq m 30 sq m 8 sq m 6 sq m 6 sq m 11 sq m 13 sq m 22 sq m 44 sqm 36 sq m 6 sq m 4 sq m 6 sq m 16 sq m 14 sq m 10 sq m 8 sq m 6 sq m 6 sq m 11 sq m 13 sq m 22 sq m 44 sqm 8 sq m 277 sq m 8 sq m 4 patient 6 patient 2 nurses Nursing station Doctor’s locker (Male ) 10 sq m 5 sq m 10 sq m 5 sq m PROGRAM analysis

95. Doctor’s locker (Female) Doctor’s toilet(Male) Doctor’s toilet(Female Doctor’s lounge Staff’s locker and changing Staff’s toilet (Male) Staff’s toilet (Female) Total 8 9 10 11 12 13 14 1 1 1 1 2 1 1 5 sq m 8 sq m 8sq m 13 sq m 5 sq m 8 sq m 8 sq m 5 sq m 8 sq m 8sq m 13 sq m 5 sq m 8 sq m 8 sq m 383 sq m 16 person LABOUR AND DELIVERY SUIT SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Eclampsia room with toilet Labour rooms with toilet Delivery rooms Scrub up area Gowning area Sub-sterilization area Recovery room Duty doctor’s room 1 2 3 4 4.1 4.2 4.3 5 6 1 1 4 2 1 1 1 1 1 22 sq m 18 sq m 52 sq m 32 sq m 6 sq m 4 sq m 4 sq m 28 sq m 7 sq m 22 sq m 18 sq m 13 sq m 16 sq m 6 sq m 4 sq m 4 sq m 28 sq m 7 sq m 2 patient 3 patient PROGRAM analysis

96. Doctor’s locker (Female) Doctor’s toilet(Male) Doctor’s toilet(Female Doctor’s lounge Staff’s locker and changing Staff’s toilet (Male) Staff’s toilet (Female) Total 8 9 10 11 12 13 14 1 1 1 1 2 1 1 5 sq m 8 sq m 8sq m 13 sq m 5 sq m 8 sq m 8 sq m 5 sq m 8 sq m 8sq m 13 sq m 5 sq m 8 sq m 8 sq m 383 sq m 16 person LABOUR AND DELIVERY SUIT SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Eclampsia room with toilet Labour rooms with toilet Delivery rooms Scrub up area Gowning area Sub-sterilization area Recovery room Duty doctor’s room 1 2 3 4 4.1 4.2 4.3 5 6 1 1 4 2 1 1 1 1 1 22 sq m 18 sq m 52 sq m 32 sq m 6 sq m 4 sq m 4 sq m 28 sq m 7 sq m 22 sq m 18 sq m 13 sq m 16 sq m 6 sq m 4 sq m 4 sq m 28 sq m 7 sq m 2 patient 3 patient PROGRAM analysis

97. Doctor’s locker (Female) Doctor’s toilet(Male) Doctor’s toilet(Female Doctor’s lounge Staff’s locker and changing Staff’s toilet (Male) Staff’s toilet (Female) Total 8 9 10 11 12 13 14 1 1 1 1 2 1 1 5 sq m 8 sq m 8sq m 13 sq m 5 sq m 8 sq m 8 sq m 5 sq m 8 sq m 8sq m 13 sq m 5 sq m 8 sq m 8 sq m 383 sq m 16 person LABOUR AND DELIVERY SUIT SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Eclampsia room with toilet Labour rooms with toilet Delivery rooms Scrub up area Gowning area Sub-sterilization area Recovery room Duty doctor’s room 1 2 3 4 4.1 4.2 4.3 5 6 1 1 4 2 1 1 1 1 1 22 sq m 18 sq m 52 sq m 32 sq m 6 sq m 4 sq m 4 sq m 28 sq m 7 sq m 22 sq m 18 sq m 13 sq m 16 sq m 6 sq m 4 sq m 4 sq m 28 sq m 7 sq m 2 patient 3 patient PROGRAM analysis

98. Duty doctor rest room, toilet Nursing station Nurses locker Nurses rest room with toilet Store Total 7 8 9 10 11 1 1 1 1 1 10 sq m 12 sq m 8 sq m 20 sq m 6 sq m 229 sq m 10 sq m 12 sq m 8 sq m 20 sq m 6 sq m 2 nurses MEDICINE WARD SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Patient area Isolation room Procedure room Linen Soiled utility room Clean utility room Equipment room Prayer room Pantry Duty doctor’s room 1 2 3 4 5 6 7 8 9 10 11 1 1 1 1 1 1 1 1 1 1 1 22 sq m 410 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 13 sq m 16 sq m 7 sq m 22 sq m 410 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 13 sq m 16 sq m 7 sq m 16 person 48 patient 1 patient 1 patient PROGRAM analysis

99. Duty doctor rest room ,toilet & locker Nursing station Nurses rest room with toilet & locker Common toilet Total 12 13 14 15 1 1 1 1 12 sq m 10 sq m 28 sq m 22 sq m 594 sq m 12 sq m 10 sq m 28 sq m 22 sq m 2 nurses I.C.U Waiting Patient area Soiled utility room Clean utility room Nursing station Duty doctor’s room Duty doctor’s rest room with toilet Common toilet (Male) Common toilet (Female) Total 1 2 3 4 5 6 7 8 9 1 1 1 1 1 1 1 1 1 13 sq m 102 sq m 6 sq m 6 sq m 10 sq m 7 sq m 12 sq m 11 sq m 11 sq m 178 sq m 13 sq m 102 sq m 6 sq m 6 sq m 10 sq m 7 sq m 12 sq m 11 sq m 11 sq m 10 person 12 patient 2 nurses OBSTETRICS WARD Waiting Patient area 1 2 1 1 22 sq m 156 sq m 22 sq m 156 sq m 16 person 18 patient PROGRAM analysis

100. Isolation room Procedure room Linen Soiled utility room Clean utility room Equipment room Prayer room Pantry Duty doctor’s room Duty doctor rest room toilet & locker Nursing station Nurses rest room with toilet & locker Common toilet Total 3 4 5 6 7 8 9 10 11 12 13 14 15 1 1 1 1 1 1 1 1 1 1 1 1 1 15 sq m 15 sq m 6s sq m 6s sq m 6s sq m 6s sq m 13 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 22 sq m 327 sq m 15 sq m 15 sq m 6s sq m 6s sq m 6s sq m 6s sq m 13 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 22 sq m 1 patient 1 patient 2 nurses Gynecology ward Waiting Patient area solation room Procedure room 1 2 3 4 1 1 1 1 22 sq m 156 sq m 15 sq m 15 sq m 22 sq m 156 sq m 15 sq m 15 sq m 16 person 18 patient 1 patient 1 patient PROGRAM analysis

101. Linen Soiled utility room Clean utility room Equipment room Prayer room Pantry Duty doctor’s rest room Duty doctor’s room Nursing station Nurses rest room with toilet Common toilet Total 5 6 7 8 9 10 11 12 13 14 15 1 1 1 1 1 1 1 1 1 1 1 6 sq m 6 sq m 6 sq m 6 sq m 13 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 22 sq m 340 sq m 6 sq m 6 sq m 6 sq m 6 sq m 13 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 22 sq m 2 nurses PADIATRICS WARD Waiting Patient area Isolation room Procedure room Linen Soiled utility room 1 2 3 4 5 6 1 1 1 1 1 1 22 sq m 156 sq m 15 sq m 15 sq m 6 sq m 6 sq m 22 sq m 156 sq m 15 sq m 15 sq m 6 sq m 6 sq m 16 person 18 patient 1 patient 1 patient PROGRAM analysis

102. Clean utility room Equipment room Pantry Duty doctor’s room Duty doctor’s rest room Nursing station Nurses rest room with toilet Common toilet Total 7 8 9 10 11 12 13 14 1 1 1 1 1 1 1 1 6 sq m 6 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sw m 22 sw m 6 sq m 6 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sw m 22 sw m 2 nurses N.I.C.U Waiting Patient area Soiled utility room Clean utility room Nursing station Duty doctor’s room Duty doctor’s rest room Common toilet Total 1 2 3 4 5 6 7 8 1 1 1 1 1 1 1 1 13 sq m 86 sq m 6 sq m 6 sq m 10 sq m 7 sq m 12 sq m 11 sq m 151 sq m 13 sq m 86 sq m 6 sq m 6 sq m 10 sq m 7 sq m 12 sq m 11 sq m 10 person 2 nurses PROGRAM analysis

103. TODDLERS AND INFANTS WARD (29 DAYS-3 YEARS) SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Patient area Isolation room Procedure room Linen Soiled utility room Clean utility room Equipment room Duty doctor’s room Pantry Duty doctor’s rest room Nursing station Nurses rest room with toilet Common toilet Total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 1 1 1 1 1 1 1 1 1 1 1 1 1 22 sq m 102 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 11 sq m 262 sq m 22 sq m 102 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 11 sq m 16 person 12 patient 1 patient 1 patient 2 nurses PROGRAM analysis

104. SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS CHILDERN WARD(OVER 3 YEARS) Waiting Patient area Isolation room Procedure room Linen Soiled utility room Clean utility room Equipment room Pantry Children play area Duty doctor’s room Duty doctor rest room toilet , Nursing station Nurses rest room with toilet Common toilet (Male) Common toilet (Female) Total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 22 sq m 102 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 16 sq m 60 sq m 7 sq m 12 sq m 10 sq m 28 sq m 11 sq m 11 sq m 22 sq m 102 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 16 sq m 60 sq m 7 sq m 12 sq m 10 sq m 28 sq m 11 sq m 11 sq m 333 sq m 16 person 12 patient 1 patient 1 patient 2 nurses

105. PEDIATRICS SURGERY WARD SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Waiting Patient area Isolation room Procedure room Linen Soiled utility room Clean utility room Equipment room Pantry Duty doctor’s room Duty doctor rest room toilet , Nursing station Nurses rest room with toilet Common toilet (Male) Common toilet (Female) Total Cabin 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20 22 sq m 102 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 11 sq m 11 sq m 30 sq m 22 sq m 102 sq m 15 sq m 15 sq m 6 sq m 6 sq m 6 sq m 6 sq m 16 sq m 7 sq m 12 sq m 10 sq m 28 sq m 11 sq m 11 sq m 273 sq m 600 sq m 16 person 12 patient 1 patient 1 patient 2 nurses PROGRAM analysis

106. COMMON IPD SERVICES IPD medical records room Central waiting area for IPD Main IPD lobby with receptin Portico and foyer Admission section Public toilet (Male) Public toilet (Female) Total 1 2 3 4 5 6 7 1 1 1 1 1 1 1 76 sq m 76 sq m 32 sq m 10 sq m 36 sq m 18 sq m 74 sq m 322 sq m 76 sq m 76 sq m 32 sq m 10 sq m 36 sq m 18 sq m 74 sq m 80 person 25 person SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS DOCTOR FACILITIES Separate doctor’s cubicles Meeting room Study area Audio visual room Research lab Library Librarian Doctor and officer’s canteen 1 2 3 4 5 6 6.1 7 1 1 1 1 1 1 1 1 14 sq m 44 sq m 86 sq m 46 sq m 74 sq m 74 sq m 7 sq m 180 sq m 14 sq m 44 sq m 86 sq m 46 sq m 74 sq m 74 sq m 7 sq m 180 sq m 16 person 30 person 60 person PROGRAM analysis

107. Pantry Prayer space (Male) Prayer space (Female) Common toilet (Male) Common toilet (Female) Total 7.1 8 9 10 11 1 1 1 1 1 36 sq m 32 sq m 32 sq m 11 sq m 11 sq m 36 sq m 32 sq m 32 sq m 11 sq m 11 sq m 857 sq m ADMINISTRATION Reception Waiting Chairman’s room with toilet Chairman’s office P.A Record room M.D’s office M.D’s office with toilet Director’s Admin . office P.A Director’s Admin.Room, toilet P.A 1 2 3 3.1 3.2 3.3 4 4.1 4.2 5 5.1 5.2 1 1 1 1 1 1 1 1 1 1 1 1 20 sq m 24 sq m 22 sq m 7 sq m 6 sq m 22 sq m 7 sq m 20 sq m 7 sq m 20 sq m 24 sq m 22 sq m 7 sq m 6 sq m 22 sq m 7 sq m 20 sq m 7 sq m 25 person 1 person 1 person 1 person PROGRAM analysis

108. Record room General administration office Executive director’s office Executive director’s room P.A Record room Deputy Executive director’s P.A Record room Accounts and finance sectin Director accounts P.A Record room Chief accountant General account’s office Cash counter Cashier office Vault Internal audit section 5.3 5.4 6 6.1 6.2 6.3 6.4 6.5 6.6 7 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 8 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 6 sq m 42 sq m 20 sq m 7 sq m 6 sq m 16 sq m 7 sq m 6 sq m 20 sq m 7 sq m 6 sq m 20 sq m 42 sq m 20 sq m 10 sq m 7 sq m 6 sq m 42 sq m 20 sq m 7 sq m 6 sq m 16 sq m 7 sq m 6 sq m 20 sq m 7 sq m 6 sq m 20 sq m 42 sq m 20 sq m 10 sq m 7 sq m 1 person 1 person 4 person PROGRAM analysis

109. Auditor’s room Auditor’s office Record room Medical records office Medical record officer’s rom Medical records room Medical record assistant rom Purchasing dept. Purchasing officer Purchasing office Metron’s office Metron’s office Office room Record room Public relation office P.R.O officer’s room Office Meeting room Tea preparation 8.1 8.2 8.3 9 9.1 9.2 9.3 10 10.1 10.2 11 11.1 11.2 11.3 12 12.1 12.2 13 14 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 22 sw m 42 sq m 6 sq m 16 sq m 30 sq m 16 sq m 10 sq m 18 sq m 10 sq m 20 sq m 6 sq m 14 sq m 20 sq m 44 sq m 20 sq m 22 sw m 42 sq m 6 sq m 16 sq m 30 sq m 16 sq m 10 sq m 18 sq m 10 sq m 20 sq m 6 sq m 14 sq m 20 sq m 44 sq m 20 sq m 1 person 4 person 1 person 1person 1 person 2 person 1 person 2 person 16 person PROGRAM analysis

110. Photocopier ,documentation Common toilet (Male) Common toilet (Female) Total 15 16 17 1 1 1 5 sq m 11 sq m 11 sq m 698 sq m 5 sq m 11 sq m 11 sq m CLINICAL SUPPORT UNIT Staff locker room (Male) Nurses locker room Staff locker room (Female) Total 1 2 3 1 1 1 40 sq m 26 sq m 26 sq m 92 sq m 40 sq m 26 sq m 26 sq m DINING –OUT PATIENT Main dining Service counter Store Washing area Preparation Pantry Total 1 2 3 4 5 6 1 1 1 1 1 1 1 1 186 sq m 28 sq m 11 sq m 11 sq m 14 sq m 12 sq m 14 sq m 186 sq m 28 sq m 11 sq m 11 sq m 14 sq m 12 sq m 262 sq m 14 sq m 80 person KITCHEN- IN -PATIENT Dry storage PROGRAM analysis

111. Cold storage Washing area Preparation Cooking area Tray assambly Pantry Utensil store Chef’s room Dietician’s room office Common toilet (Male) Common toilet (Female) Kitchen staff’s room Staff’s canteen Pantry Total 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14 sq m 28 sq m 34 sq m 50 sq m 40 sq m 30 sq m 10 sq m 11 sq m 12 sq m 10 sq m 11 sq m 11 sq m 15 sq m 84 sq m 14 sq m 388 sq m 14 sq m 28 sq m 34 sq m 50 sq m 40 sq m 30 sq m 10 sq m 11 sq m 12 sq m 10 sq m 11 sq m 11 sq m 15 sq m 84 sq m 14 sq m 40 person CENTRAL STORE Central store(kitchen &food ) Store in charge 1 2 1 1 50 sq m 14 sq m 50 sq m 14 sq m 1 person PROGRAM analysis

112. Furniture store Total 3 1 50 sq m 114 sq m 50 sq m OTHER SERVICES SL NO . DESCRIPTION OF FUNCTION QUANTITY UNIT AREA TOTAL AREA REMARKS Service portico and foyer Service lobby Central sterile supply unit Distribution dept. Equipment store Repaired machineries Spare parts store Housekeeping Equipment maintenance offi Mortuary Refrigerator room for dead Washing room Store Post mortem room office 1 2 3 3.1 4 5 6 7 8 9 9.1 9.2 9.3 9.4 9.5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 40 sq m 50 sq m 70 sq m 28 sq m 20 sq m 20 sq m 18 sq m 40 sq m 13 sq m 36 sq m 8 sq m 5 sq m 18 sq m 10 sq m 40 sq m 50 sq m 70 sq m 28 sq m 20 sq m 20 sq m 18 sq m 40 sq m 13 sq m 36 sq m 8 sq m 5 sq m 18 sq m 10 sq m 3 person 1 person 1 person PROGRAM analysis

113. Fire and security Security office room Fire fighting system essential Telephone , communication PABX exchange line PABX operator’s Car parking Parking vehicles Maintenance shop Driver’s room Driver’s toilet Suction plant Oxygen plant Garbage Total 10 10.1 10.2 11 11.1 11.2 12 12.1 12.2 12.3 12.4 13 14 15 1 4 100 car 1 1 1 1 10 sq m 7 sq m 20 sq m 10 sq m 20 sq m 5 sq 85 sq m 100 sq m 36 sqm 10 sq m 7 sq m 2000 sq m 10 sq m 20 sq m 5 sq 85 sq m 100 sq m 36 sqm 2670 sq m covered LAUNDRY ,LINEN SERVICE Laundry Soiled linen Clean linen 1 2 3 1 1 1 60 sq m 18 sq m 18 sq m 60 sq m 18 sq m 18 sq m PROGRAM analysis

114. Store Office Total Ironing and tailoring room 4 5 6 1 1 1 24 sq m 8 sq m 10 sq m 138 sq m 24 sq m 8 sq m 10 sq m CLEANING,HOSPITAL WASTE DISPOSAL AND INCINERATION Standard 250 bed hospital Cleaning material room Cleaning personal room Total 1 2 3 1 1 1 80 sq m 10 sq m 12 sq m 102 sq m 80 sq m 10 sq m 12 sq m 2 person ENGINEERING AND MAINTENANCE Maintenance engineer room (Civil, Electrical, Mechanical) Diploma engineer’s room Workshop Store Total 1 2 3 4 1 1 1 1 30 sq m 25 sq m 20 sq m 28 sq m 103 sq m 30 sq m 25 sq m 20 sq m 28 sq m 2 person 3 person SUBSTATION 1.1 1.2 Generator Transformer 2 1 96 sq m 96 sq m 48 sq m 96 sq m PROGRAM analysis

115. AHU Air conditioning plant Boiler Controlling office /staff_ Pump room Electrical room Pent house, elevator machine Total Total area 35% circulation area of total area Grand total space 1.3 1.4 1.5 1.6 1.7 1.8 1.9 180 sq m 96 sq m 100 sq m 10 sq m 10 sq m 10 sq m 100 sq m 678 sq m 180 sq m 96 sq m 100 sq m 10 sq m 10 sq m 10 sq m 100 sq m 6 rooms 1 person 6 nos. 3 groups 1 1 1 1 1 6 Note-Other facilities / services may be included if necessary. 38 226 sq m 9 910 sq m 28 316 sq m PROGRAM analysis

116. MITFORD HOSPITAL Sir salimullah medical collage mitford hospital case study: 01

117. About It is affiliated with the University of Dhaka as a constituent college. Before 1854 it was a Dutch "kuthi" which was used for business purpose. became a medical college in 1962 MITFORD HOSPITAL

118. Location _ Google Map Sir Salimullah Medical College (SSMC) is a government medical school in bangladesh.It is located in the old part of the capital, Dhaka. It is affiliated with the University of Dhaka as a constituent college. It is located at 23.710556°N 90.401111°E Mitford Road, Babubazar, Dhaka, Bangladesh. MITFORD HOSPITAL

119. MITFRD HOSPITAL Schematic Master Plan Main Building Shondhani Blood Bank &Clinic Bahir bibhag Mosque Blood Bank Institute of nuclear medicine and sciences

120. Organization of the main building Ground floor North : M.R.I C T Scan ,C T Scan , Digital X-Ray , Ward master office ,Kitchen South : Emergency Department & Information , Casual ward , Physiotherapy Department First floor Administration block , Store , Canteen , Telephone North : South : Radiology and Imaging Department Second floor North : Orthopadedic , Orthopaedic post Operative , Surgery Ward (female) , ICU South : General Post Operative Word , General OT, Emergency OT , Gynae OT , Gynae po Ward Third floor North : Surgery Ward 1 (male) , Surgery Ward 2 (male) , Surgery Ward 3 (male) South : Gynae General Ward , Student cabin , Surgery seminar Ward MITFRD HOSPITAL

121. Ground Floor Plan Emergency Department Stair Kitchen Ramp Car Parking Lift Core MITFRD HOSPITAL

122. First Floor Plan Toilet Radiology & Imaging dept. Stair Ramp Lift Core MITFRD HOSPITAL Canteen office

123. Second Floor Plan OT Recovery Student Observation Room MITFRD HOSPITAL

124. Third Floor Plan Ward Master Office Ward Female Ward Office MITFRD HOSPITAL

125. Furth Floor Plan Female Ward Male Ward OT MITFRD HOSPITAL

126. Fifth & Sixth Floor Plan Sixth Floor Fifth Floor MITFRD HOSPITAL

127. 7 th , 8 th , 9 th & 10 th Floor Plan Cabin Ward 7,8 & 9 th Floor 10 th Floor MITFRD HOSPITAL

128. X-Ray Room Administrative Department Natural Light & Corridor MITFRD HOSPITAL

129. ICU (Third Floor) Conference Room Stair & Natural Light MITFRD HOSPITAL

130. Department of Obstetrics & Gynaecology Nose, Ear, throat Surgery Department MITFRD HOSPITAL

131. Kid Department Play Zoon Ramp MITFRD HOSPITAL

132. Urology Department (7 th floor) Orthopaedic Surgery & Plastic Surgery) Corridor MITFRD HOSPITAL

133. MITFRD HOSPITAL

134. Generator room MITFRD HOSPITAL

135. MITFRD HOSPITAL

136. MORGUE MITFRD HOSPITAL

137. APOLLO HOSPITAL CASE STUDY : 02

138. Area: 4 acres of land Built area: 4 lakh sq. ft. 450 bed APOLLO HOSPITAL CASE STUDY : 01

139. Its Accident & Emergency Department is staffed with UK-qualified physicians with 8 dedicated emergency beds and 21 beds for day care facility. The stat- of-the-art Radiology & Imaging Department includes 1.5 Tesla MRI, 64 Slice CT Scan Color Doppler, Ultrasound, and Gamma Camera. This is in addition to EEG, EMG, neurophysiology, ECG, stress test and pulmonary function test, matched by the state of the art Laboratory Services EMERGENCY UNIT APOLLO HOSPITAL

140. Ventilators and life support equipped Ambulance ERCP Services (2 Toyota & 2 Mercedes ICU Ambulances) 24 Hours Holter Monitoring Emergency Imaging and Laboratory Services 24 Hours Blood Pressure Monitoring Blood Bank Treadmill Text (TMT) Well Trained, Skilled & Experienced Doctors and Nurses Echocardiography (ECG) 8 Emergency Beds EEG 4 Triage Bed to Determine the Level of Priority EMG SERVICES APOLLO HOSPITAL

141. GROUND FLOOR PLAN APOLLO HOSPITAL

142. O.T Surgical I.C.U Inside the emergency unit E ntranc of emergency unit Entry EMERGENCY UNIT

143. X -Ray room EMG room CT scan room Mammography room MRI room Laboratory room RADIOLOGY DEPERTMENT

144. FUNCTIONAL FLOW APOLLO HOSPITAL

145. FUNCTIONAL ANALYSIS

146. FUNCTIONAL analysis

147. FUNCTIONAL ANALYSIS

148. FUNCTIONAL ANALYSIS

149. ENAM MEDICAL college ENAM MEDICAL COLLAGE AND HOSPITALL Site survey

150. Location _Google Map ENAM MEDICAL college site

151. Report Delivery Reception ENAM MEDICAL college

152. Dental Unit Digital X-Ray Lounge Stair & Natural Light ENAM MEDICAL college

153. ICU Microbiology Laboratory ENAM MEDICAL college

154. Endoscopic &Laser Urology OT Corridor Hand Wash zoon ENAM MEDICAL college

155. ICU Room ENAM MEDICAL college

156. Library Mosque Auditorium ENAM MEDICAL college

157. FORIGN CASE STUDY VIVANTES CLINICAL CENTER BERLINE

158. Construction measure: New building mother child center Builder owner: land berlin Period of realization: 2003-2005 Floor space: 63,613 sq.ft . Gross floor area: 132,456 sq.ft . Gross volume: 1,631,357 cu.ft . The clinic for gynecology and pediatrics. Won award in 2000. 92 beds and 14 children intensive care. 7 maternity ward. 2 division : 1. examination wings 2. treatment wings Two structure are linked with one another by means of the entrance hall as the main development axis and a central, 3 story rotanda with glass dome Accident and emergency area with its own entrance in west. 2 story examination and treatment wings Solar protected slats hung in front of it The semi circular shaped 2 story ward tract with 5 wards in an open design that fans out to wards the south accommodates the glazed patients room of the clinic for gynecology and pediatrics on the 2 story. FORIGN CASE STUDY

159. FORIGN CASE STUDY Detail view south patients room VIVANTES CLINICAL CENTER BERLINE PLAN:GROUND FLOOR 3D BED CIRCULATION

160. FORIGN CASE STUDY Patients ward and children intensive care 3 story rotunda Circulation Examination and treatment wings Emergency entrance Car parking PAGE NO 89

161. FORIGN CASE STUDY Circular rotunda circulation

162. 01.http ://hospitals.webometrics.info/about_rank.html Cassell's Latin Dictionary, revised by Marchant , J & Charles J., 260th. Thousand. 02.Risse , G.B. Mending bodies, saving souls: a history of hospitals. Oxford University Press, 1990. p. 56 Books.Google.com 03.a b Askitopoulou , H., Konsolaki , E., Ramoutsaki , I., Anastassaki , E. Surgical cures by sleep induction as the Asclepieion of Epidaurus. The history of anaesthesia : proceedings of the Fifth International Symposium, by José Carlos Diz , Avelino Franco, Douglas R. Bacon, J. Rupreht , Julián Alvarez. Elsevier Science B.V., International Congress Series 1242(2002), p.11-17. Books.Google.com 04.Time Saver Standards for building types,Joseph De Chiara & John Callender (3 rd edition). Mcgraw-hill international editions/architectural series(2008-2009). 05.Ernst & Peter Neufert Architectural Data(third edition), Bousmaha Baiche,Nicholas Walliman (2010) 05. Ahsan ullah hospital thesis report 2014 . ENAM MEDICAL college