Casestudy hospital taran taran

1. INTRODUCTION
A hospital is a health care institution providing patient treatment by specialised staff and equipment.
PROJECT PROFILE:
Address: Guru Nanak Dev Charitable Hospital, Tarn-Taran, Punjab.
Client: Baba Jiwan Singh Baba Dalip Singh
Plot Area: 1,59,400 Sq. ft Started in: 2008
Architect: Ar.D.P Singh (Ludhiana).
ABOUT:
It is built in 1,59,400 area. This is the 250 bedded fully computerised
charitable hospital. Services provided in the hospital by the services
block built near the hospital.
Climate of Tarn-Taran:
Tropical steppe ,semi-arid and hot climate.
Average annual rainfall is 545mm.
Temperature- 4.5˚C- 10˚C(winters) and 29˚C- 40.5˚C
(summers).
IT INCLUDES:
Emergency department
IPD(Inpatient Department)
OPD(Outpatient Department
Electrical: Samit
Enterprises.
HVAC: Ambience,chd.
Fire Fighting: Cascade.
Structure: Er. Sukhdev
Singh Saggu.
SERVICE CONSULTANTS
LOCATION:
It is bounded by Amritsar district north,Kaputhala
district
 in east, Pakistan in the west and Ferozepur district in
the south.
It is 18 km away from the Amritsar city.
The site is very much near to Goindwal sahib road,
Tarn taran ,Punjab
and is adjacent to Dera Baba Jagtar Singh ji.
The is site is easily approachable and
can be seen from the highway.
SITE LOCATION:
Dera Baba Jagtar Singh ji
Access road
By Road:
From ISBT, Amritsar to Tarn-Taran-25 min
Total Distance – 35 km
ACCESSIBILITY

2. SITE ANALYSIS:
The plot measuring 156447.432 sq ft or 3.6 acres area
is a leved
ground and Is just adjacent to dera Baba Jagtar Singh
ji.
Out of this total plot, the area of 37,525 sq ft. is
earmarmarked for construction of multi-storeyed
hospital block, which includes all the departments i.e.
emergency, OPD,IPD,etc.
CONNECTIVITY B/W SERVICE BLOCK AND HOSPITAL
EMERGENCY ENTRANCE
SERVICE ROAD WASTEAGE
OPD ENTRANCERAMP GOING DOWN FOR BASEMENT PARKING
Site Plan
Public access
Ambulance
Services

3. O.P.D. ENTRANCE
DOUBLE HEIGHT ENTRANCE
WAITING
EMERGENCY
WING
RECEPTION & PHARMACY
GROUND FLOOR PLAN
O.P.D. WING
• Emergency entrance is segregated from
the main entrance. It includes triage,
minor OT,CCU.
.
Total area covered on ground floor=37,525 sq.ft
INFERENCES:
• No separate recovery room provided.
• No direct connection with major OT
• Separate area for wheel
chairs stretchers provided
at the entrance.

4. EMERGENCY WING
EMERGENCY ENTRANCE
•13 BEDS ARE PROVIDED.
•NEXT TO CCU,MINOR OT IS PROVIDED.
•ALONG WITH NURSE STATION,DOCTORS DUTY ROOM,WASHROOM,DIRTY
UTILITY IS PROVIDE
RECEPTION DESK
The oxygen & suction pipes run at side of every
bed leading to the service block to the south
eastern side of the site.
Smoke detectors & water
sprinklers and A.C. ducts.
Fire escape

5. BIRTHING CENTRE
MOTHER RECOVERY
CENTRE
NATAL WARDS
ADMIN. BLOCK
BIO-CHEM. DEPT.
FIRST FLOOR PLAN
BLOOD BANK•Strong Connectivity of O.T – gynaecology dept.–
ward and rooms
•Dirty utility is first washed and semi sterilization is
done near O.T then it is transferred to C.S.S.D
through Service lifts.
•Blood bank is provided on the first floor.
•Access to gynae dptt. Is through lift.
Total area covered on first floor=30,550 sq.ft
Corridor width= 8ft.
Waiting for every doctor cabin.

6. NURSE STATION
RECOVERY ROOM
BIRTHING CENTRE
ENTRY
CHANGING ROOM
SCRUB AREA
SUB STERILE AREA
O.T.
INFERENCES:
• No direct access to the scrub
area from the changing room.
• O.t.2 z not provided with
double cavity walls.
• C.U. & D.U. are provided for
recovery room and eclampsia.
• No shoot shafts & dirty
corridors attached to o.t. area
for waste disposal.
• Corridor width 8ft

7. Delivery room
KEY PLAN
INCUBATOR
• WARDS AND POST NATAL ROOMS ARE
PROVIDED….NEAR THE N.I.C.U.
• DU AND CU PROVIDED NEAR THE OT, SO
THAT FROM THIS IT IS SEND TO CSSD.
Gynae and Maternal ward
O.T.O.T.

8. MEDICAL I.C.U.
SECOND FLOOR
PARTION WALL PROVIDED INFRON OF THE W/R
C.S.S.D.
Placed very next to the O.T. so as the easy
transfer of the sterile equipment.
NO SHOOT SHAFTS OR DIRTY
CORRIDORS PROVIDERD.
NO D.U. OR C.U. IN THE O.T. COMPLEX
O.T.
CATH LAB

9. Wash basins at the scrub area
OPERATION THEATRE
*LAMINATED FLOORING TO REMOVE
BLOOD STAINS
*O.T. FOR CARDIO WAS QUITE LARGE
AS COMPARED TO NORNAL O.T.
*NO MACHINARY ROOM IN O.T. COMPLEX

10. THIRD FLOOR
• SEMI PRIVATE ROOMS ARE PROVIDED ON THIS
FLOOR.
VERTICAL CIRCULATION
1 MAIN STAIR CASE IS PROVIDED.
VERTIACL CIRCULATION IS THROGH RAMP AND IT ALSO
BECAME THE ELEVATION FEATURE.
RAMP,FIRE EXITS ARE UPTO FOURTH FLOOR.
FOR THE TOP FLOOR,MAIN STAIRS AND 4 LIFTS ARE
PROVIDED.
2 VISITORS LIFTS,2 PATIENTS LIFTS AND 1 SERVICE LIFT
ARE PROVIDED.
• Third floor contains the private rooms and
the general wards and the surgery wards
male/female.
• Patients are shifted from the o.t. to the wards via
stretcher lift in the lobby.
I.P.D.
AHU UNITS ARE PROVIDED SO AS TO SERVE 4 OT’S ON THE SECOND FLOOR

11. TYPICAL FLOOR PLAN
FOURTH &FIFTH FLOOR PLAN
DELUX ROOMS
PRIVATE ROOMS
To laundry
• This floor contains the private rooms & deluxe rooms,
general wards with cafeteria
laundry

12. CT SCANAND MRI IS PROVIDED IN THE UPPER BASEMENT
PARKING IS PROVIDED LEAVING 30’ SPACE FROM THE SCAN
AREA BECAUSE HARMFUL RADIATIONS ARE EMITTED IN THAT
ZONE.
BASEMENTS
LOWER BASEMENT PLAN
•SLOPE-1’-0”:10’-0”
•RAMP 22’ WIDE.
Physiotherapy department is provided
in the upper basement level which
leaves very less amount of natural light
and ventilation.

13. CIRCULATION
RAMP
LIFTS (NORMAL/STRETCHER)
FIRE EXITS (STAIRS)
VERTICAL CIRCULATION
1 MAIN STAIR CASE IS PROVIDED.
VERTIACL CIRCULATION IS THROGH RAMP AND IT ALSO BECAME THE ELEVATION FEATURE.
RAMP,FIRE EXITS ARE UPTO FOURTH FLOOR.
FOR THE TOP FLOOR,MAIN STAIRS AND 4 LIFTS ARE PROVIDED.
2 VISITORS LIFTS,2 PATIENTS LIFTS AND 1 SERVICE LIFT ARE PROVIDED.
FIRE STAICASE 5’0” WIDE
STAIRCASE IS PROVIDED WITH
BOTH SIDE RAILING
KEY PLAN

14. SERVICE BLOCK
Hvac unit is placed in the basement
of service floor to control tha services
of the hospital.
(Basement)
These are the services and casing is
done on the pipe lines to lower down the
temperature
Pumps the water up
(Ground Floor)
Dg sets and electrical units ar
on mid ground and ground flo
e the full back up for the hosp
From the main gas tank the liq
gases are filled in these cylind
through which gases supplied
hospital.
(First & Second Floor)
Kitchen on first floor and
laundry on second floor is
provided

15. The building is provided with
FIRE FIGHTING SYSTEM(WET RISER SYSTEM)
WATER SUPPLY DISTRIBUTION SYSTEM
SOIL AND WASTE DISPOSAL SYSTEM
ELECTRICITY SUPPLY AND DIESEL GENSETS
RAIN WATER HARVESTING SYSTEM AND
 UNDERGROUND WATER TANK
1. Fire fighting services:
The Healthcare buildings have to comply with requirements for fire safety and means of escape: those for
hospitals are set out in Fire code published by the Department of Health.
RELATIONSHIP OF DEPARTMENTS BY FIRE CHARACTERISTICS
 The risk to human life is greatest in those areas where patients are confined to bed and especially
where they would be incapable, in the event of a fire, of moving to a place of safety without assistance.
Those areas are termed Normal Dependency called independent or Very High Dependency departments.
Such department include-I.P.D, I.C.U, DAY-CARE
Departments posing the fire threat are those such as supply zones, fuel stores and other materials
stores containing large quantities of flammable materials and those in which ignition is more likely such
as KITCHENS, LAUNDRIES, LABORATORIES AND BOILER HOUSES, MEDICAL GAS MANIFOLD
ROOM referred to as Hazard Departments.
SERVICES IN THE BUILIDING:
6” pipe up
Fire sprinklers at regular grid 10’ c/c Pumps from ugwt (7in num) are provided to pump up
the water req .

16. 2. Sewage treatment & disposal
The system is designed as double stack single pipe system. Soil & waste is
carried in two separate pipes with vents, Soil pipe is provided with separate antis’
phone pipe to safeguard the water seal.
Soil pipes carrying wastes from water closets / urinal is directly connected to
inspection chambers / manholes where as waste pipes carrying waste from wash
basins, nahani traps in kitchens & toilets etc. is connected to inspection chambers
through Gully traps.
The external drainage system is comprise of network of stoneware glazed / RCC
(NP-2) pipes & inspection chambers / manholes. The sewerage system is
ultimately connected to STP through sewer trap.
All the biological/medical and other waste water is treated in STP(Sewage
treatment plant)
Both soil and waste pipes are carried through plumbing shafts.Ducts are taken outside as if some problems occur in
pipeline, one can make it clear from outside
U.G.T is located in basement and contains 6 types of
tank
Fire tank capacity 2000 cum
Rain water tank 1500 cum
Raw water tank capacity1500 cum
Portable capacity 400 cum
Recirculation 600 cum
Treated water 600 cum Water from bore well is
transferred to U.G.T. First fire tank is filled then other
3. Water supply and drainage:

17. MASSING
PROPOSED FRONT ELEVATION PROPOSED RIGHT SIDE ELEVATION
The blocking in the outer
façade plays the major
role in the over all
contemporary look of the
hospital.
The shafts are treated
well as they look
aesthetically pleasing
too.

18. Section through the ramp- BASEMENT
SLOPE -1’0”:10’0”
22’ WIDE RAMP
VERTICAL CIRCULATION
Proposed open parking=260 cars
Basement parkin= 230 cars

19. •PUBLIC LIFTS ARE NOT ADEQUATE
•MORTUARY IS NOT PROVIDED IN THE HOSPITAL.
•OT AND BLOOD BANK IS NOT ON THE SAME FLOOR
•CIRCULATION ON THE GROUND FLOOR IS EXCESS.
•SEWER IS FLOWING AN THE BACK SIDE OF THE HOSPITAL,SIGNIFY UNHYGENIC CONDITIONS
SURROUNDINGS THE HOSPITAL.
NO RAILING IS PROVIDED ON MAIN RAMP.
NO PUBLIC TOILETS IN MAIN RECEPTION AREA.
SOME MORE INFERENCES
HOSPITAL BLOCK AND THE SERVICE BLOCK ARE
SEGREGATED,BUT STILL ARE INTERCONNECTED AND SERVE
AS ONE BUILDING.
•SITE LOCATION IS THE MAIN ADVANTAGE AND CAN
APPROACHED EASILY
•HIGHLY EQUIPED WITH MODERN FACILITY
•BYE LAWS AND CODES HAS BEEN FOLLOWED.
•SERVICE LIFTS AT THE BACK IS PROVIDED TO SERVE THE
HOSPITAL.

20. INFERENCES :
LIBRARY STUDY CASE STUDY
1. Circulation : Main corridor : 3M Main corridor : 2.4M
2. Lifts : Width provides for
wheelchair : 1.3M
Two lifts on either side is
provided one for patients
and other for staff : 1.8M
3. Ramps : It should not have a slope
greater than 1:12
Slope provided : 1:10
Width of ramp : 6.7M
No railings were provided.
Flooring : stone
4. Fire exit :
- Staircase Minimum width :1.5M Width : 1.5M
Both sides railing
Total no. of fire exits : 4
5. Parking : Standard parking bay : 4.8M
x 2.4M
Total no. of cars –
Basement parking – 230
Open parking - 260

21. SPACE REQUIREMENTS AREA AREA
- Reception area 150 – 250 SQ. FT. 600 SQ. FT.
- Minor OT 350 SQ. FT 225 SQ. FT.
- Lab 200 SQ. FT. 144 SQ. FT.
- X Ray 80 SQ. FT. 144 SQ. FT.
-Recovery Room 80 SQ. FT./ bed
- Pre operative room 70 SQ. FT./bed
- Major OT 430-490 SQ. FT. 450 SQ. FT.
-Scrub Room 10-15 SQ. FT.
Minimum 2 sinks are
required.
10 SQ. FT.
4 sinks are provided.