IPD Hospital

IPD (In-patient Department)

1. IPD IN-PATIENT DEPARTMENT BY: ABSHIR ABDIRZAK JANHAVI GUPTA 06 SEM Sharda University Greater Noida

2. introduction Patient stay at hospital for day or more are considered IPD case. IPD patients are unstable or patients who need special medical attention. Inpatient Department consists of a wards with Nursing Station, Beds, and all other facility & services necessary for good patient care. It is one of the important aspects of hospital as every ratios and calculation for hospital planning and designing process is based upon the no. of bed it consists.

3. function To provide highest possible quality of medical and nursing care. To make a provision of essential equipment, Drugs, and other material required for patient care. To provide comfortable and desirable environment to patient on temporary substitution of home. To provide facilities for visitors. To provide suitable atmosphere for highest possible degree of job satisfaction among healthcare personal and high level of patient satisfaction. To provide opportunity for education, Training and research.

4. location Should be at the backside of hospital complex to avoid traffic flow and congestion. Have direct access from OPD and Emergency and OT. Single door entrance to ward complex to restrict the traffic and visitors. Good intramural transportation systems like wide corridors, lifts etc.

5. The IPD forms 33%-50% of the structure of hospital. Most of the equipment and staffs are in this department with maximum amount of patient care, training, medical teaching and research concentrated in this department .

6. Components of ward unit Primary Accommodation: It consists of single bedroom or multiple bedroom for patients and a nursing station . Ancillary accommodation: service for direct support of treatment. EG: portable x-ray, side lab , Pantry , Dietician service in ward, mobile pharmacy . Auxiliary accommodation :Service in indirect support of treatment . E.g. : Store , housekeeping, doctor’s room, nurse’s room, seminar –teaching room . Sanitary accommodation : Consists of WC, Bathroom, Janitor’s room ,sluice room.

7.   • Inpatient wards. 11.5m2/bed – 8m2/bed . • Nursing station. Not less than 12m2 for 30 patients . • Treatment rooms. 10-15m2 for 60 patients. • Day rooms. 0.7m2/bed and not less than 15m2 • Nurses’ Lounge . Not less than 12m2 Doctor room. 15m2 • Storage. 8-12m2 • Kitchen. 12m2 WCs . The most suitable beds in the hospital is 20-40 patient / unit.

8. Standard size   The size of the ward depends on – 1. Type of patient to be served A. Critical care units like ICU, CCU, Post op, burn have small wards where constant attention is required 20 to 30 beds. B. Patient requiring frequent attention, intermediate ward size 40-50 beds. C. For chronic long duration stay patients the size may be 70-90 beds. D. Availability of Nursing and other staff. E. Positioning of Nursing Station i.e. central, lateral. F. Close or open ward.

9. NIGHTINGALE WARD : IS A TYPE OF WARD WHICH CONTAINS LARGE ROOM without subdivisions for patient occupancy. Nightingale wards contain about 24 to 34 beds usually arranged along the sides of the ward.

10. RIG’s WARD :

11. CENTRAL SPINE ZIGZAG PARTITIONED SINGLE BED BAYS

12. AREA OF BED & CLEARENCE

13. IPD DESIGN LAYOUT

14. 1. Ceiling Height : at least 3m. 2. Height of suspended ceiling fan –at least 2.6m. 3. Windows: if only in one wall then it should be 20% of floor area , if multiple windows then 15% of floor area. 4 . Corridors: the width 3.2 m to facilitate movement of trolley, bed ,stretchers. 5. Door : should not be less than 1.2m wide and 2.25m tall. Standard area

15. INFECTION CONTROL INDOOR AIR QUALITY . Positive-pressure room control for protection from airborne infectious agents

16. Electricity and water 24 hrs. Water supply 300 Lt / bed. For electricity, Point should be carefully designed with every cubicle having switches / one industry switch for machine like portable x ray/ natural lights should be planned / provision of night light free of glare FANS AND SUCTI0N AIR CONDITION/COOLER Communication: There should be effective communication source between nurse and patient and nurse and other units.

17. Fire safety The importance of fire fighting equipment and accessories is indispensable one to ensure maximum protection against fire. T here must be provision for fire extinguisher ,  fire detection systems. Emergency Lights are put in required places like the patient room, corridors etc. with fire exit stairs with ramp. Ramp width-2.5 m ( (4.8 degree angle; 8.3% grade)

18. Thank You ! Do You Have Any Questions?