1.PIMS MULTI SPECIALITY HOSPITAL BY ARUN KUMAR G DAVIS RESHMA E R GAYATHRI S 2.INTRODUCTION Multi specialty hospital and medical institute. Designed by ar. Gautum shah. Ahmadabad and Nandi & associates, Jalandhar. Construction company Larsen and Toubro. Construction initiated on October 2001. Plot Area: 56 acres. Client: Government of Punjab. ELEMENTS : MEDICAL COLLEGE HOSPITAL OFFICE BUILDING RESIDENTIAL BUILDINGS HOSTEL AUDITORIUM CLUB HOUSE ANIMAL HOUSE 3.CONCEPTUAL PLAN 4.INTER PLANNING OF PIMS HOSPITAL 5.LOCATION It is located in the center of Punjab ( i.e. Jalandhar). It is in the close proximity with major cities like Ludhiana, Amritsar Connected with national highway-1. Located in the heart of jalandhar city on graha road at walking distance from bus stand. 6. SITE LAYOUT EXTERNAL CIRCULATION Main approach road is 30 m wide and internal roads are 12 m wide. 2.5 to 3 m wide pedestrian paths are provided along the approach ROAD AND INTERNAL ROADS. Separate roads have been provided for OPD block and Emergency 7.PIMS HAS THREE ENTRANCES 8.SITE LAYOUT 9. SITE LAYOUT PARKING The total car space for 460 cars for the visitors have been provided in the site. Different parking space for emergency and staff is also provided. The parking and entrance porches are strategically placed and there is proper Flow of the traffic. This makes the space user friendly. 10. ORIENTATION The hospital is a south-west facing building. The O.T’s and treatment areas are located in the most suitable Orientation i.e. In North-west. General wards are facing north-east which just allows the morning Sun to Penetrate inside. Emergency wards are located in south and south-east direction Which is the Most suitable location for wards. •No rooms are placed in east and west direction which helps in Avoiding deep sun 11 ZONING 14. PART 1-2-3 BASEMENT FLOOR The basement contains all services like: Receive store, CSSD, Laundry, medical gases, electric room, Incinerator, boiler, water –tanks, AC plant. 15. The basement is interconnected to all the ten parts through the connecting corridors. Total 9 stairs accesses the basement. Basement contains the service yard and loading dock which is open to sky. There is strong interrelationship between the loading dock and the receive store and the stairs for the vertical transportation of the goods which is very functionally placed. The remaining portion of the basement is kept unexcavated 16 . GROUND FLOOR 17. PART 1-GROUND FLOOR The part one consists of : 1)Porch 2) Emergency 3) Blood Bank It also have the three stairs for the vertical transportation and very strategically placed. STRUCTURE: The square structural grid is followed of 7.2mX7.2m The grid followed is typical standard grid which is generally used for a hospital. Staff parking and public parking is provided on the left of the building. 20. FIRST FLOOR PLAN 22 First Floor Part-1 EMERGENCY ICU’S ( 10 ICU BEDS

1. PIMS MULTI SPECIALITY
HOSPITAL
BY
ARUN KUMAR G
DAVIS RESHMA E R
GAYATHRI S

2.  Multi specialty hospital and medical institute.
 Designed by ar. Gautum shah. Ahmadabad and Nandi & associates,
Jalandhar.
 Construction company Larsen and Toubro.
 Construction initiated on October 2001.
 Plot Area: 56 acres.
 Client: Government of Punjab.
 ELEMENTS :
 MEDICAL COLLEGE
 HOSPITAL
 OFFICE BUILDING
 RESIDENTIAL BUILDINGS
 HOSTEL
 AUDITORIUM
 CLUB HOUSE
 ANIMAL HOUSE
INTRODUCTION

3. WARD BLOCK
DIAGONOSTIC
TREATMENT
EMERGENCY
/ OT BLOCK
RAMP
CENTRAL PEDESTRIAN SPINE
CROSS VERTICAL TRANSPORTATION
AND PUBLIC SERVICES
SERVICE
YARD O.P.D /MEDICAL
COLLEGE ADMIN
COLLEGE
O.P.D
PAVILION
CONCEPTUAL PLAN

4. v
GYNEAC WARD
NEO-NATAL WARD
LABOUR WARD
EMERGENCY WARD
EMERGENCY
MINOR OT
MINOR OT
OT COMPLEX
OPD
DIAGNOSTICS
AND
RADIOLOGY
FOURTH FLOOR
THIRD FLOOR
SECOND FLOOR
FIRST FLOOR
GROUND FLOOR
INTER PLANNING OF PIMS HOSPITAL

5.  It is located in the center of Punjab ( i.e. Jalandhar).
 It is in the close proximity with major cities like Ludhiana,
Amritsar
 Connected with national highway-1.
 Located in the heart of jalandhar city on graha road at walking
distance from bus stand.
LOCATION

6.  EXTERNAL CIRCULATION
 Main approach road is 30 m wide and internal roads are 12 m wide.
 2.5 to 3 m wide pedestrian paths are provided along the approach
 ROAD AND INTERNAL ROADS.
 Separate roads have been provided for OPD block and Emergency
SITE LAYOUT

7. PIMS HAS THREE
ENTRANCES
TO EMERGENCY
TO INSTITUTE
AND HOSPITAL
TO OPD

8. SITE LAYOUT
MAIN
ENTRANCE
EMERGENCY
BLOCK / OT BLOCK
PARKING
EMERGENCY
ENTRANCE
PEDESTRIAN ENTRANCE
MAIN ROAD
100FT WIDE
OPD
ENTRANCE
HOSPITAL
ENTRANCE

9. SITE LAYOUT
Separate doctor’s
parking for 40 cars.
Main parking
lot next to
Emergency/
OT block
Parking for OPD
visitors
 PARKING
 The total car space for 460 cars for the visitors have been provided in the site.
Different parking space for emergency and staff is also provided.
The parking and entrance porches are strategically placed and there is proper
Flow of the traffic.
 This makes the space user friendly.

10.  ORIENTATION
 The hospital is a south-west
facing building.
 The O.T’s and treatment
areas are located in the most
suitable Orientation i.e. In
North-west.
 General wards are facing
north-east which just allows
the morning Sun to
Penetrate inside.
 Emergency wards are
located in south and south-
east direction Which is the
Most suitable location for
wards.
 •No rooms are placed in east
and west direction which
helps in Avoiding deep sun
SITE LAYOUT
OPENABLE
GLASS
WINDOWS ARE
PROVIDED
SKYLIGHTS
ARE ALSO
ALONG SOME
BLOCKS

11. ZONING
PLAY GROUND
RESIDENTIAL FLATS
ARE LOCATED ON THE
BACK SIDE OF
COMPLEX HAVING
SEPARATE APPROACH
ROAD OF 12M FROM
THE MAIN ROAD
THE MAIN BUILDING IS
PLACED IN FRONT OF
THE COMPLEX
PARKING AREA OPD
BLOCK
OFFICE
BUILDING
WARD
SERVICE
RAMP
SERVICE
YARD
EMERGENC
Y WARD

12. ZONING
WARDS
SERVICE YARD IS LOCATED ON
THE SIDE OF THE OMPLEX
HAVING SEPARATE ACCESS
WHICH IS NOT LINKED WITH
MAIN TRAFFIC
10 M WIDE RAMP
FOR SERVICE
YARD ENTRY
SEPARATE 40
CAR PARKING
FOR
DOCTOR’S
12 M WIDE ROAD FOR
SERVICE AND
DOCTOR’S PARKING
MAIN BUILDING

13. SITE PLAN

14. The basement
contains all
services like:
 Receive store,
 CSSD,
 Laundry,
 medical gases,
 electric room,
 Incinerator,
 boiler,
 water –tanks,
 AC plant.
PART 1-2-3 BASEMENT FLOOR

15. ● The basement is interconnected to all the ten parts through
the connecting corridors.
● Total 9 stairs accesses the basement.
● Basement contains the service yard and loading dock which
is open to sky.
● There is strong interrelationship between the loading dock
and the receive store and the stairs for the vertical
transportation of the goods which is very functionally placed.
● The remaining portion of the basement is kept unexcavated
View of the exterior ramp internal view of courtyard

16. GROUND FLOOR
Medical
college
Animal
house
Auditorium
Lecture hall
Psychiatric
Pharmacy store
(7.2X21 m)
OPD Pavilion
OPD Entrance
Family planning
OPD
Gen med
Entrance
Emergency
Kitchen and
dining
DG
set
MRI/
CT
scan
X-Ray
Ramp
Com. Med
Ortho

17. The part one consists of :
● 1)Porch
● 2) Emergency
● 3) Blood Bank
● It also have the three stairs
for the vertical
transportation and very
strategically placed.
STRUCTURE:
● The square structural grid
is followed of 7.2mX7.2m
● The grid followed is typical
standard grid which is
generally used for a
hospital.
● Staff parking and public
parking is provided on the
left of the building.
PART 1-GROUND FLOOR

18. PART 2-GROUND FLOOR

19. PART 3-GROUND FLOOR

20. FIRST FLOOR PLAN
TOILETS
STAIRCASE
MEDICAL
COLLEGE
PSYCHOLOGY
AUDITORIUM
LECTURE
HALL
SKIN
OPD
PEDIC
CHEST
OPD
ENT
EMERGENCY
WARD
OPD
SURGICAL
WARD
DENTAL
RAMP
ICU
OT

21. FIRST FLOOR-PART-1

22.  EMERGENCY ICU’S ( 10 ICU BEDS + SUPPORT ROOMS ).
 EACH ICU BED IS PROVIDED WITH SPACE OF 3 X 2.5 M
AREA.
 OT COMPLEX IS ISOLATED FROM ICU AND VISITORS.
 OT CONTAINS 4 BED IN NUMBER.
 THE 2 OT’S ARE PLACED IN 2.5 GRID i.e. EACH OT OF 7.2
X 7.2 M SHARES THE PREPARATION, SCRUB AND SOIL
AREAS.
 THE WARD AREA IS DIVIDED INTO 5 SECTIONS WHERE
EACH SECTION IS 5 BEDED IN NO WITH TOTAL INTAKE
OF 25 PERSONS AT A TIME.
 THE OT AND ICU ARE RESTRICTED AREAS
First Floor Part-1

23. SECOND FLOOR PLAN
RECOVERY
ROOM TOILET STAIRCASE
LIBRARY
BIO MED LAB
MEDICAL
COLLEGE
LECTURE HALL
MICROBIOLOGY
MED LAB COLLEGE
LABOUR
ROOMS
OT
COMPLEX
RAMP
SURGERY
WARD

24. SECOND FLOOR-PART-1
LABOUR ROOM

25. The second floor consist mainly of the OT’s .
 In part one the labour and delivery with the gynecology department .
 The extreme right consist of the nursery and the aseptic gynecology
department .
 There are two septic OT’s in the front for the complicated cases with
there prep., scrub and soil.
 There are five bedded inpatient wards and five in number.
 The support facilities and the nurse station are strategically placed in
front of the wards and nursery too.
Second floor part –I
Services details in the ducts: trap
detail and waste water disposal
View of wards corridor View of details of hanging
of the sprinkler hanging in
the wards for fire fighting

26. SECOND FLOOR-PART-2 15 bed patient
holding
MAIN
CORRIDOR

27. ● Mainly the consists of all the operation theaters.
● Out of which the 2 OT’s are for future use.
● The whole complex is divided into three parts according to
the corridors :
1)the clean corridor;
2)the sterile corridor;
3)the dirty corridor.
● The visitors are not allowed to go beyond the sterile corridor.
● The clean corridor consist of patient holding where the
patient’s bed is prepared for the operation and then
taken to OT.
● It consists of anesthesia office and work room.
● The sterile corridor consists of OT’s.
● 2 OT’s shares the common scrub, trolley prep. And the soil.
● The dirty corridor is to take the soil from the OT to the
basement for the disposal.
● The dirty corridor is cantilevered and has the dimension
of 2.5 m wide
● The OT consists of the internal stairs for the doctor’s and
the nurses.
SECOND FLOOR PLAN-PART-II
VIEW OF THE
CANTILEVERED DIRTY
CORRIDOR

28. SECOND FLOOR-PART-3

29. ● The second floor is the most important area for the
hospital.
● Part three consists of the recovery beds.
● The recovery area is directly connected to the OT.
through the sterile corridor and the operated patient is
not brought into the common corridor.
● After then the patient is taken to the wards block through
the connecting corridor.
● The wards block consist of the repetitive plan.
● These typical floor consists of common wards and the
isolation beds and the two bedded wards too.
SECOND FLOOR-PART-3
View of the lift for the vertical
transportation
Part three consists of the core area which
contains the public toilets and the stairs
and lift lobbies.
These are the purely the public cores for
public facilities.
View of the vertical
shaft for the
plumbing.

30. TYPICAL FLOOR-PART-4

31. THIRD FLOOR PLAN
TOILETS
LIBRARY TERRACE
LECTURE
HALL
FORENSIC
MED LAB
PHARMACOLOGY MED
COLLEGE
NEO-NATAL
TERRACE
RECOVERY
SURGERY
WARD
RAMP
STAIRCASE

32. THIRD FLOOR-PART-1
NEO-NATAL

33. THIRD FLOOR-PART-2

34. FOURTH FLOOR PLAN
TOILETS
STAIRCASE
TERRACE
ORTHOPEDIC
WARD
RAMP
COMMON MED
LAB
PATHOLOGY LAB
DERMATOLOGY
GYNEC WARDS

35. ELEVATION

38.  ENTRANCES:
PIMS has three entrances:
1)To emergency and hospital
2)To OPD
3)To institution, housing and hostels
A separate pedestrian entrance is provided to access and has no link to
the internal roads of the hospital complex.
 ROADS
The main approach roads are 12m wide, and some internal roads are
7.5m wide , with the service roads also of 12m wide, the roads accesses
the whole site all around.
 ROADS SECTION
The road side have lamps and good lighting in the parking area.
The trees are along the road sides and proper drains along the road for the
rain water disposal .
 Pedestrians
● Footpaths are made for the pedestrians of 2.5m and 3m wide along the
approach roads.
 Service related to site
Service roads and ramps are strategically placed which do not hinders
the main roads. Service ramps are made to approach the basement to
service yard for the trucks to work properly in the space ,keeping in mind
the turning radius and clear height .

39.  PARKING:
The parking is the main problem which is generally faced by the user of the building but
the parking space for 450 cars for the visitors are provided in the site. Different parking
space for the emergency and the staff are also provided.
The parking and entrance porches are very strategically placed and there is proper flow
of the traffic. This makes the space user friendly and resulted in the worked out and
efficient design.
Separate parking for the ambulance is provide for the provided , and is placed around
the entrance porch.
Water body at rear side
View of the OPD pavilion from
the emergency entrance
Drains for the rain water
disposal at the parking

40. ● Separate roads have been provided for OPD and
emergency, which provides the complete segregation of
traffic.
● Total parking space for 450 cars of visitors have been
provided
● Parking of service yard has been strategically placed
such that it has direct access through service lane.
● There are total 9 stairs leading to different parts of the
building.
● CSSD does not has DIRTY DUMB WAITER, all the dirty
goods are carried manually.
● Wires have been laid on stainless steel trays.
● No refuse Shute has been provided in the hospital.
● Fire doors are lead coated to to make them fire-resistant.
● Water sprinklers and smoke detectors have been
provided after every 3m distance(approx.)
● CSSD has been provided near to emergency.
● Open able glass windows have been provided for
adequate ventilation.
INTERNAL

41.  Architectural form directly follows the functional
aspect in the straight line building façade.
 Façade comes out acc. To planning of spaces and
no special efforts have been made to design the
form of the building
 Entrance lobby of the OPD has quarter cylindrical
form, which is fully glazed, and breaks the
monotony of the whole structure. But this also
causes sharp western glare in the evening
 Overall building has been finished in stucco finish
 Glazing is done in bronze-grey aluminum frame,
with use of green tinted glass
 False-ceiling of metal sheets has been done.
 Marble has been used for flooring.
ARCHITECTURAL CHARACTER

42.  AIR CONDITIONING:
 A chill water system for the air conditioning is installed.
 4 no’s water cooled centrifugal chiller of 450 TR capacity each to
 provide chilled water supply to AHU. 3no’s hot water generator of 400 kw capacity
 each to supply the hot water for winter space heating . The plant room is
 located in the basement.
 Chiller (condenser) rejects heat to condenser water turn are cooled in 3 no’s cooling tower of 520 TR
capacity each located on the terrace.
 There are 4 (1 stand by ) no’s constant speed chilled water pumps for circulating chilled water to different
AHU’s.
 There are 4 no’s condenser water pumps and 3 no. shot water pumps located in the plant room.
 OPERATION THEATRES:
● Following low side system is used for the OT’s:
● All OT supply 100% outside conditioned air . There is one AHU supplying air to two OT’s however 2 no’s
OT’s have individual AHU. 2 NO’s OT’s on first floor and 2 no. OT on second floor are served by HRW
inbuilt TFA units.
● Aluminum ducts are used for supplying conditioned air and exhausting used from OT’s.
● Closed cell nitrite are used as insulating material on all supply air ducts for OT’s and exhaust air ducts
outside OT’s ; however up to heat recovery wheel s are isolated with glass wool as an insulating
material.
● High Efficiency Particulate Air (HEPA) filters are installed before supply air terminates in OT.
● Electric reheaters are provided in supply air after cooling coil for humidity control during high humidity
condition.
● Electric pan type of humidifier are used for humidification during counter space heating
SERVICES

43. Difference in the AC ducts used in
ICU’s and in the normal areas
● ICU AHU are provided with electric pan type of humidifier for humidification during winters space
heating. This area as in OT are also maintained at +ve pressure with respect to surrounding area.
● Conditioned area other than OT are taken from AHU through GI ducting.
● All AHU are double skinned type and provided with 2 way modulating control valve at the cooling
/heating coils with compatible thermostat.
 BASEMENT VENTILATION:
● The air exhausted out using ceiling mounted grills , GI ducting and centrifugal fans.
● The basement is ventilated @ 10-15 air change / hr . Fans are used for forced exhaust and
● forced fresh air supply.
● A/C plant room , laundry , boiler room and autopsy morgue are served through air washer.
 NOISE CRITERION:
● All air conditioning equipments and materials are selected , designed and installed in such a
manner that the system is free from vibration and disturbing sound.
● The noise level in conditioned space due to all air conditioning equipments will not exceed 50 db
at 125 Hz when measured at ant point in the occupied space less than 1.5 m above the ground
level and not closer than 1.5 m from any supply air register or 60 cm from any return air grill.

44. ● A TOTAL NUMBER OF 16 STAIRCASES AND 16 LIFTS HAVE BEEN
PROVIDED THROUGHOUT THE HOSPITAL AT EASILY ACCESSIBLE
DISTANCE.
● ALL FLOORS ARE CONNECTED VERTICALLY THROUGH CENTRALLY
LOCATED RAMP.
VERTICAL CIRCULATION

45. ● Leak proof plumbing system to match the high quality standard of the hospital
building.
● Piping systems are planned to prevent contamination hazards and are located in a
accessible pipe ducts to ensure easy access for repair and maintenance.
● Assured 24 hrs safe water is stored for uninterrupted water supply.
● SANITARY FIXTURE:
● Plumbing fixture are of the highest quality , indigenous make appropriate to the high
standards required in the hospital.
● Fixture and showers for the patient are specially designed hospital fixture are infrared
operated taps and flushing system for no touch operation and water saving.
● Conventional sanitary fixture are used for all public and staff
● toilet. Fixture have good water pressure for optimal functioning.
● DRAINAGE SYSTEM:
● Sanitary drainage system are of cast iron pipes .
● The entire system is provided with traps and fully ventilated.
● Drain lines from the kitchen , laundry , laboratory and special areas using
● radioactive wastes have separate stream for pre treatment / neutralization before
disposal in city sewage system.
● Separate rain water disposal system based on the local rainfall data is also provided.
PLUMBING WORKS:
Traps showing
the sewage
disposal
in the wards.

46. ● Water supply to the hospital complex is safe and meets international standards for drinking water.
● The water is filtered and softened for general supply polishing softer (hardness commercial zero) is
done for water supply to sterilizer, autoclaves, boiler, and laundry and HVAC water.
● Supply to special equipments , labs, and other areas are deminerlised water or treated in the RO
plant.
● Estimated water requirement for 450 bedded + 1250 TR A.C plant
● Storage capacity for at least 24 hrs. Requirement and static fire storage.
 STEAM BOILERS:
● Steam boilers are provided to meet requirement of steam for sterilization , laundry, kitchen, winter
heating and hot water generation
● Boilers are oil filled and fully automatic.
● SCRUBBER:
● A wet scrubber is provided for reducing stack emission as per pollution control
● requirements
WATER SUPPLY AND TREATMENT

47.  INCINERATOR/COMPACTOR:
● Specially designed oil fired incinerator to dispose off hospital waste are provided.
● Waster compactor units to crush waste for compaction and disposal in approved manner.
 CENTRALISED MEDICAL GASES SUPPLY SYSTEM:
● The hospital is provided with the centralized medical gases supply system with supply of oxygen ,
nitrous oxide ,
● vacuum and compound air.
● Oxygen and nitrous oxide supplied from gas banks.
● Vacuum and compound air is supplied from the vacuum pump and air compressor to meet the
hospital standards.

48. ● For electrical services architecturally electrical rooms and
electrical panels are provided in the whole building.
● P.V.C. conduit pipes were laid by chiseling of walls and after lying
of conduits, the walls are plastered flushed to wall surface.
● Ceiling fans and concealed light boxes at the time of roof slab
casting.
● Special boxes are also laid in the floors of labs in order to provide
electrical and networking conduits.
● For data and networking CAT 5 cable is laid in separate conduits
which is connected to the main server room.
● Lightning conductor is also mounted on the top of Academic
Block
ELECTRICALS

49.  FIRE SUPPRESSION SYSTEM:
● The fire suppression system will comprise of:
● Underground static water tank.
● Overhead secondary reservoir for sprinkler system (on building terrace).
● Electric fire , sprinklers , jockey pump and diesel engine pump.
 SYSTEMS WET RISER HYDRANT
● Fire main permanently charged with water under pressure to the fire pumps ,
external ring main with stand post hydrants and hydrant station with valve ,hose
reels and accessories.
 SPRINKLER STSTEM:
● Sprinkler system is provided in the entire hospital complex including basement
and all other areas except the electrical LT room etc.
● The system use quick response sprinkler in all patient areas , pendant/upright
sprinklers in exposed location basement ceiling and in void above false ceiling
and semi recessed type sprinklers under false ceiling.
 SPECIAL PROTECTION:
● Oil filled power transformer installed in basement requires
● high voltage deluge system. Graphite dry type transformer
● does not require the protection. Carbon dioxide flooding system
● for main power LT and HT panels.
 FIRE EXTINGUISHERS:
● Fire extinguishers for different classes for specific usage to be
● installed throughout the building.

50.  Emphasis has been laid on the mix use
of hard and soft areas for Landscaping.
 Soft areas are in the form of small
square boxes which has been formed in
between hard areas having provision of
a tree in the center along with up
lighting. On one side of this box sitting
is also provided which allow people to
sit in open with a tree shading above
them.
 Floor has been given a material
difference
 ( washed concrete finish and stone )
which sets the movement pattern of the
space.
 All the electrical wires have been laid
underground.
LANDSCAPING

51. THANK YOU