HOSPITAL ENGINEERING SERVICEHospital Engineering Services and installations is a veryimportant component considered to be life line for a smoothfunctioning hospital. The engineering service can broadly be classified asunder. CIVIL ELECTRICAL SERVICES SERVICES ENGINEERING SERVICES OTHER BIO-MEDICAL SERVICES SERVICES
CIVIL SERVICES PUBLIC HEALTH BUILDINGS & ENGINEERING VENTILATIONINFRASTRUCTURE WATER SWEARAGE SUPPLY SYSTEM CIVILHORTICULTURE NATURAL LIGHT
ELECTRICAL SERVICES ELECTRIC FILLINGS ELECTRIC NON-CONVENTIONAL & SUPPLY ENERGY INSTALLATIONS ELECTRIC AIR CONDITIONING STEAM & LIFTS & &HOTWATER SUPPLY FIRE PROTECTION REFRIGERATION
BIO-MEDICAL SERVICESThis includes all those equipments used for diagnosis and therapeuticservices in the hospital. It includes RADIOLOGY PATHOLOGY,X-RAY,MRI,CT, ENDOSCOPY MICROBIOLOGY,ULTRASOUND LAB. BLOOD BANK PULMONARY CATH LAB. BIO-MEDICAL LAB. OPERATION CENTRAL GASHYPERBERIC THEATERS PIPELINE CHAMBER ICU,CCU
MISCELLANEOUS SERVICES HOSPITAL LAUNDRY SANITARY INCINERATOR & SERVICES MICROWAVECOMMUNICATION SYSTEM MISCELLANEOUS TRANSPORT HOSPITAL SECURITY HOSPITAL WORKSHOP SYSTEM LAUNDRY
CIVIL ASSESTS A. LAND REQUIREMENTS LAND COST 50% OF SPACE 10,000 Sq mt/ CAPITAL COST 600-700 Sqft/Bed 25 Beds SERVICES WARD SUPPORTIVE LAND 35-45 15-20% ADMINISTRATION DIAGNOSTIC OPD 8-12% 18-22% 12-18% % of coverage= FAR = Total All floor Covered Area Total ground floor area x 100(Floor Area Ratio) Total Land Area TOTAL LAND AREA
B. SPECIAL BUILDING FEATURES1. Earthquake, Cyclone and Blast Resistant Buildings.2. Basic facilities as per norms and standard.3. BARC guidelines for Nuclear Medicine & Radiology Department.4. Lead lining, lead glasses for radioactive protection.5. Nuclear and Bio-Medical Waste Disposal as per norms.6. O.T modular, Laminar flow and electro conductive flooring.7. No sharp corners on walls, O.Ts, ICU.8. Sound proof room for audiometry in ENT.9. Dark room for refraction and funduscopy.10.No Drainage pipe to pass through O.T, Labour Room, Nursery, Kitchen ICU,CCU.11. Ramp and fire exit on external site.12.ENT Clinic to have sound proof Audiometry13.Eye clinic to have dark room for vision & Fundoscopy
C. WATER SUPPLYEXTERNAL SUPPLY RO INTERNAL SUPPLY (CORPORATION) SYSTEM BOREWELLPERIODIC WATER WATER STARAGE TESTING SUPPLY TANK CHLORINATION DISTRIBUTION OVERHEAD TANK TANKS & PIPELINES PUMPS MOTORS350-450 Liters/ Bed/ Day
WATER REQUIREMENTEQUIPMENTSSteam Boiler Patients 30 liters/daySolar Water HeaterGizzards OTs 5litres/table/dayWater coolers Physiotherapy 500 litres/day Labs 1000litres/day Kitchen 10litres/bed/day Laundry 50litre/bed/day Attendants 15 liters/bed/day This requirement is both for Cold and Hot water.
SWEARGE DISPOSALADEQUATE NO. CONTINUOUSOF LATRINES/ WATER SUPPLY TOILETS IN TOILETS SWEARGE EFFLUENT EFFLUENT TESTINGTREATMENT BEFORE DISCHARGE SWEARGE TANKSPLANT (ETP) TO MAIN STREAM & LINES
ELECTRIC SUPPLYA. ELECTRICITY ALTERNATE SOURCE MAIN SOURCE GENERATOR NON- CONVENTIONAL DUAL SUPPLY IN ESSENTIAL ELECTRICITY TRANSFORMERS AREAS CONTROL PANEL CVT/ VOLTAGE & STABLIZERPOWER CIRCUITS CABLES & SWITCHES
POWER AND VOLTAGE AS PER SIZESwitchgears & Control panels inside, in a shaded/dust free environmentEarthing should be goodAll essential areas like emergency , OT, ICU etc tohave dual supplyStandby DG sets ( Noise free) with SEB, SPCBapprovalOne electrical circuit for 10 lights/ fan pointsOne power circuit for two 15 amp sockets/ 1800wattsUse of Appropriate MCBSteel conduits tubes> than PVC tubesNo Socket/ Switches in anesthetic store roomHigh illumination in Adm. Offices, Nursing station,Dietary store, examination rooms Illumination Standards for different areas.
STRUCTURED CABLINGAs far as possible the following type of cables should pass through one gutter/ adequate diameter PVC pipe.Telephones linesCall bell linesComputer network linesPiped music systemPublic address systemCable TV networkTelemedicine network
LIFTSNEAR STAIN SELF OPERATED DIGITALLY CASE SLIDING DOOR CONTROL LIFTS SMOOTH PA WARMING SURFACE SYSTEM SYSTEM & FLOOR
AIR CONDITIONING AND REFRIGERATION AHUCENTRAL AIR WINDOW & CONDITION SPLIT ACs AIR CONDITION RO WATER COLD ROOMS SYSTEM COOLERS
AC PLANT REQUIREMENTSRefrigeration Unit Direct Expansion, one AHU Chilled Water System- Multiple AHUAHUAir DuctsCapacity—in tons( heat extraction capacity), one tonmeans 12000 BTU/hr1 ton sufficient for 12 sq. m.Power requirement: Huge, 2KVA/ TonMCB of G series of adequate capacity Fire dampers to be installed as air ducts are excellentconduit for spread of fire. They close the passage at thetime fire and prevent spread.
ENERGY SAVING•Lights switch off & On as perrequirement•Balance artificial & natural light•Adjust AC level as perrequirement, load•Security system•Close Circuit TV & Camera•Access control of persons inbuildings•Use of Solar Energy
AIR AND VENTILATIONNATURAL FORCED AIR AIR AIRNATURAL FORCEDEXHUST EXHUST AREA Air changes/hr OT 15-20 Wards 8-12 bathrooms 6-12 Kitchen 6-9 Laundry 10 Non AC areas 8-10
CENTRAL PIPELINES MANIFOLD COMPRESSED ROOM AIR TERMINAL PIPED GAS UNIT VACCUM COPPER ALARAM OXYGENPIPELINE SYSTEM SYSTEM
PREVENTION OF ENGINEERING HAZZARDS SAFE WORK ENGINEERING CONTROL PREVENTIVE PRACTICES (Standard Operating MAINTENANCE (Occupational Procedure) Diseases) PERSONAL ENGINEERING HAZZARD TRAINING OFPROTECTION KITS PREVENTION STAFF EMERGENCY SYSTEM TO TRACK PREPARATION IMPENDING HAZZARD ADMINISTRATIVE(Alternate Source -(Constant Monitoring CONTROL Of function) -Adverse Incident Reporting) -Regular Maintenance -Policies & Procedures -Periodic Med. Check up -Safety Methods
ORGANIZATION OF ENGINEERING SERVICES ENGINEER SERVICESCIVIL & ELECTRICAL BIO-MEDICAL WORKSHOPPUBLIC HEALTH BIO-MED.ENGG. CMO I/C S.E S.E ANNUAL DEALING ASSTT. E.E MAINTENANCE E.E CONTRACT CONTRACTORS A.EASSTT.ENGG. COMPREHENSIVE MAINTENANCE ELECTRIC AIR CONTRACTJUNIOR ENGG. CONDITIONING JE JEMAINTENANCE STAFFMASSION, CARPENTER,PLUMBER, SWEAGEMEN MAINTENANCE STAFF ELECTRICIANS, LIFT OPERATOR
PREVENTIVE MAINTENANCE PROGRAMME PREVENTIVE MAINTENANCE Introduction and implementation of various procedures and measures to predict, deter and avoid breakdowns before its adverse effect or breakdown. OBJECTIVE OF PREVENTIVE MAINTENANCE To detect early, any potential functional problems and to act in time to prevent such occurrence to run the system continuity smoothly.
ADVANTAGES OF PREVENTIVE MAINTENANCE INCREASE LONGIVITY ENSURES SAFETY OF THE SYSTEM AND PREVENT HAZZARDS ADVANTAGE PREVENT BREAK IN CONTINUITY OF THE PREVENT COSTLY SYSTEM EMERGENCY REPAIR
PEOPLE RESPONSIBLE FOR PREVENTIVE MAINTENANCE PROGRAMME WATER SUPPLY INFRASTRUCTURAL ELECTRICITY & AIR CONDITIONING MAINTENANCE (ELECTRICAL ENGG. DEPTT.) (CIVIL ENGG. DEPTT.) PREVENTIVE MAINTENANCE TRANSPORT EQUIPMENT MAINTENANCE MAINTENANCE (BIO-MEDICAL ENGG. DEPTT.(MECHNICS & TPT I/C) & USERSCOMMUNICATION &SECURITY SYSTEM SANITATION & CLEANLING I/C TELEPHONES (I/C SANITATION)
SERVICES UNDER MAINTENANCE SERVICE S CIVIL ELECTRICAL BIO MEDICAL SANITATION COMMUNICATIONSERVICES SERVICES SERVICES SERVICES• Buildings • Electrical • Equipments • Cleaning Equip. •Telephone• Water Supply •Power •Machineries • Incinerator • Wireless• Horticulture •Alternate Source • Paste Control • Microwave •Security System•Sanitary of Energy •Medical Gases • CSSD •ComputersEquip. •Air Conditioning • Laundry •Office Equip.•Plumbing • Deep Freezers •Fax •Lifts •Photostat •Fire
PHYSICAL ENVIRONMENTLIGHT-Maximum availability of day light.-Light control in patient rest area.-Sufficient illumination in varied floor area. COLOUR -Color should be smoothing but bright. -Match with nature of activity -Should not reflect the light. SOUND -Noise to be avoided -Smoothing, low volume music system TEMPERATURE -Temperature to be maintained within comfort level 22 to 320 C
BUILDINGBUILDING-High rising, multistoried-Earthquake and vibration resistant-Regular while washing & repair of cracks, seepage etcDOORS & WINDOWS-Windows and doors smooth flowing-Avoid rounds or noises-Door closer to be installed-Windows to have wire mesh, screens-Regular replacement of broken glasses-Hard wares like handles, bolts, locks be checked and repaired FLOORS -Floor should be slip resistant -Regular cleaning though dry mopping -Use of antiseptic and detergent -Elevations on floor to be avoided
ELECTRIC INSTALLATIONSELECTRIC SUPPLY-Avoid physical and mechanical pressure on cables.-Cables to be laid on trays to avoid direct pressure.-Joints and terminals must be tightly secured and sealed toavoid heating and sparking.-Circuit breaker be used to avoid high voltage serge-Loose connections, plugs must be regularly repaired.- Do not use bare wire into sockets.-Ensure proper earthing of all equipments.- Healing appliances, lights, fan & AC to be switched offwhen not in use.-Power grids, junction boxes, generators must be regularlyinspected and maintained.-Use UPS/ voltage stabilizer to ensure constant supply tosensitive gadgets.-There should not be any loose or hanging wires.
AIR CONDITIONING AND LIFTS ELEVATORS -Proper oiling and greezing of coils and doors. -Functioning of call bell system. -Floor, smooth and non slippery. -Switches to be checked regularly. -Smooth opening and closing of doors. WINDOW ACs -Regular cleaning of air filter -Cleaning & Washing periodically -Out let for drainage of water. -Capacity matching with room capacityCENTRAL AIR CONDITIONER-Regular maintenance of AC plants-Regular cleaning of AC ducts-Monitoring system for temperature control-Air filters-Vacuum exhaust to be cleaned properly to maintain temperature
PUMPS- All pumps should regularly be maintained. FIRE SAFETY -Smoke alarm to be tested regularly to find functional status. -Regular filling up of fire extinguisher. Fire safety drills. WATER SUPPLY -Periodic testing of water quality. -Chlorination before supply to overhead tanks. - Periodic cleaning of water tanks. -All tanks must have covers. -Maintenance of pipelines. -Water coolers and purifiers to be cleaned regularly.
COMMUNICATION SUPPLYA. TELEPHONES- Regular maintenance of telephones and inter- com system.- Wiring to be checked regularly.- There should not be loose and hanging wires.- The sets to be regularly cleaned of dust. • SECURITY GAZZETTES - Regular checking and maintain of security gazettes, cameras and lights.A. COMPUTERS- Regular maintenance of server room equipments.- Cable lines and modes.- Maintenance of LAN system.
HORTICULTURE-Ensures a good ambience around the buildings, roads etc.-Maintenance of lawns and watering system.-Regular pruning of trees.-Regular watering to maintain freshness and growth. SANITATION -Regular cleaning of floor with water and detergent. -Garbage bins to put the garbage. Toilets to be cleaned regularly. -Regular maintenance of sanitary equipments. -Brooms, mops to be cleaned and disposed properly. -Segregation, transportation and disposal of BMW. -Control of HAI
hospiad Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. DR. N. C. DAS