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Case study

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Case study

  1. 1. CASE STUDY OF HOSPITAL FORTIS HOSPITAL SUBMITTED BY:- ANJALI, AYUSH, GUNJAN, HEMU, SHRISTI
  2. 2. INTRODUCTION OF FORTIS HOSPITAL , GURGAON Fortis Memorial Research Institute Location : sector 44, Gurgaon Site area : 43,303 sq. m. Built – up area : 65,961 sq.m. FAR : 1.52 Principal Architect : Ar. Rajinder kumar, Rajinder Kumar Associates, New Delhi  Fortis Memorial Research Institute, Gurgaon (FMRI) is a flagship hospital of the Fortis Healthcare Limited.  FMRI is a multi super-speciality, hospital.  FMRI is a set on an 11 –acre campus.  It has 430 functional beds, with a further planned increase in beds to 1000.  FMRI is accessible easily by road, It can also be reached using Delhi Metro, as the hospital is located opposite to the HUDA city metro station DEPARTMENTS -  Minimal Access, Bariatric & GI Surgery  Plastic Surgery  Ophthalmology  Pulmonology  Plastic Surgery  Dental Sciences  Internal Medicine  Cosmetic & Plastic Surgery  Invasive Cardiology  Paediatrics  Minimal Assess Surgery (Gynae)  C-DOC  Neonatology  IVF  Liver Transplant, GI & Hepato Pancreato Biliary Surgery  Mental Health & Behavioural Science  Radiation Oncology  Radiology  Rheumatology  ENT  Gastroenterology & Hepatobiliary Sciences NO. OF BEDS- 430 FACILITIES- TUMMY LUCK A multi-cuisine food court General care beds: 250 ICU beds : 100 OPD chamber- 80 CRECHE A day care and an activity centre for children. MEDITORIUM An auditorium for knowledge sharing programme R & R LOUGE Rest options with recliners, private cubicles, shower, and locker facilities for attendants. HEALTH4U Preventive programme with lifestyle Interventions including tailor-made health screenings. FORTIPLEX Movie lounge The main aim of hospital is creating a environment not to give feeling of a boring hospital.
  3. 3. HARYANA INDIA GURGAON APPROACH AND CONNECTIVITY SATELITE VIEW OF THE SITE
  4. 4. FORTIS HOSPITAL 30 M WIDE SECTOR MAIN ROAD NETAJI SUBHASH MARG SECTOR 44 ROAD ROAD WITHIN SECTOR GURGAON BUS STAND 6.6 KM VIA MEHRAULI –GURGAON ROAD HUAD CITY CENTRE 400 M VIA SECTOR ROAD RAILWAY STATION GURGAON RAILWAY STATION 9.7 KM HUDA CITY CENTRE BUS STOP HUDA CITY CENTRE BUSTOPS 120 M NEAREST GURGAON BUS STAND NEAREST METRO STATION ROAD CONNECTIVITY MAP NEAREST AIRPORT NEAREST RAILWAY STATION NEAREST BUS STOP INDIRA GANDHI INTERNATIONAL AIRPORT 120 KM 30 MIN APPROCHES TO THE HOSPITAL FORTIS HOSPITAL MAX HOSPITAL PARAS HOSPITAL MEDANTA HOSPTAL SHEETLA HOSPITAL ARVY HOSPITAL UMKAL HOSPITAL NEAR BY HOSPITALS
  5. 5. NEARBY AREAS OF THE HOSPITAL Metro Amity School Oyster Park Vivanta RESIDENTIAL FORTIS HOSPITAL FORTIS HOSPITAL
  6. 6. TERI GRIHA RATING  Air- conditioned area : 26,254 sq.m  Non- Air- conditioned area : 44,612 sq.m  Energy consumption reduction : 33% reduction in energy consumption compared to TERI GRIHA benchmark  EPI : 154 KWh/ sq.m/year  Renewable energy installed on site : Rated capacity of solar PV installed on site is 25 KWp  TERI GRIHA provisional rating : 4 stars The following strategies were adopted to reduce the building impact on the natural environment :  Sustainable site planning  Top soil from the site, which was not very fertile was stacked, preserved, made fertile with the addition of manure and re- laid on the landscape areas.  Consolidation of all site services along the transportation corridors minimizes the site disturbances.  Surface parking is provided with 100% grass pavers reduce the heat island effect on site.  Sufficient plantation done at the site reduces the noise levels considerably and enhances exterior environmental quantity.  Reduction in water consumption (compared to GRIHA benchmark) :  Low flow plumbing fixtures used to minimize the building water consumption reduction by 63%.  Drip Irrigation system adopted on the site along with native plant species to cut short the landscape water consumption by 50%.  100% Treated water from sewage treatment plant is reused for cooling towers and irrigation purposes.  Reduction in energy consumption (compared to GRIHA benchmark) while maintaining occupant comfort :  For achieving visual comfort  Ingress of daylight in patient areas & Waiting areas.  Landscape in sync with the Architectural spaces to provide visual comfort.  For achieving thermal comfort  Use of AAC blocks, Double Glazing & Roof insulation.  Renewable energy technologies installed on site :  Solar Photovoltaic Panels for 25 K Wp are installed at site.  Solar Water heaters for 8000 litres are also installed to meet the surplus hot water requirement after heat recovery system.  Use of low energy materials :  Autoclaved Aerated Concrete blocks are used for the construction of building.  Cement with sufficient percentage of fly ash had been used for the construction.  Low embodied energy construction materials and finishes have been used in the hospital interiors. Non-Air-conditioned areaAir-conditioned area
  7. 7. VERTICAL DISTRIBUTION OF SPACES - Typical Floor Third Floor (patient beds 67) Service floor Second floor (surgical floor 10 OT. ICU BEDS 92) First floor (maternity ICU 62 beds, wards, ICU relatives Upper ground (maternity, atrium lobby) Lower ground (diagnostics, OPD, ER) Basement (parking, plant rooms) DISTRIBUTION OF SPACES FLOOR-WISE PLOTBOUNDARY
  8. 8. SITE PLAN- Service Yard -8800 -2750 Oxygen plant Service- entry/exit Maternity entry/exit Maternity ward drop off Maternity ward Parking (71 cars) Emergency drop off Emergency entry/exit Oncology drop off OPD Entry/exit Main OPD drop off Emergency parking (36 cars) Ramp up and down for parking Service entry drop off Emergency parking (36 cars) FORTIS HOSPITAL Site area : 43,303 sq.m Built-up area : 65,961 sq.m FAR : 1.52 Surface parking : 143 cars +1500 -2750 Total no. of entry/exit in the building-  OPD entry- at lower ground floor to the OPD  Main entry- at upper ground floor  Emergency entry- at lower ground floor  Service entry- at upper ground floor  Oncology OPD entry- at upper ground floor Total no. of entry/exit in the site-  OPD entry- at lower ground floor  Maternity entry- at upper ground floor  Emergency entry- at lower ground floor  Service entry- at upper ground floor E W S N
  9. 9. Service Yard -8800 -2750 Service- entry/exit Maternity entry/exit Emergency entry/exit OPD Entry/exit +1500 -2750 E W S N EAST SOUTH WEST SUN DIAGRAM BUILDING ORIENTATION STUDY  The main Façade of the building is facing North-West Direction  The service areas are provided in the South-East Direction  The bed tower extending up to G+5 is providing shade to the rest portion of the building from sunrays coming from south direction.  The Atrium in the center of the building is receiving diffused light from north direction .  Healing gardens are provided in North direction shaded all the time from sunrays.  Heavy plantation is done at site boundaries to absorb most of the noise coming from the vehicles outside.
  10. 10. BASEMENT PLAN LINAC (Radiation therapy) used for treatment of oncology has 1 to 1.5 meters thick wall Total parking in the basement- LINAC (Radiation therapy)  280 cars parking  51 two wheeler parking E W S N Admin area Service yard Mechanical therapy Radiation therapy Lifts and services HVAC Plant Room Water Supply And Fire Fighting Pump D.G.Room LT Panel Room BASEMENT IS USED FOR-  The basement is used for engineering services plant room like HVAC, LT panel room, DG room, Pump rooms etc.  And it is also used for radiation therapy used in oncology treatment.  And for parking and HR department and staff areas.
  11. 11. LOWER GROND FLOOR LOWER GROUND FLOOR IS USED FOR  OPD  Oncology OPD  Laundry  CSSD  Radiology  Emergency  Physiotherapy department Total area of lower ground floor – 7864.890 SQ.M. E W S N Laundry CSSD Emergency Entry Swimming pool Physiotherapy Gym OPD entry Lower G.F. Laundry Radiology OPD Physiotherapy Oncology
  12. 12. UPPER GROUND FLOOR UPPER GROUND FLOOR IS USED FOR-  Maternity ward  SPA  kitchen  Food court  Finance department  Shop arcade  Health check-up area Total area of lower ground floor – 7864.890 SQ.M. E W S N SPA Food court Finance Deptt. Maternity ward Kitchen Shops Health check-up Kitchen Finance deptt. Waiting Maternity Ward Food Court Health check-ups SPA Shops Shops SPA Waiting Food Court Reception
  13. 13. FIRST FLOOR FIRST FLOOR IS USED FOR -  Maternity Surgical & LDR  Chemo and dialysis  Auditorium  General wards  Blood bank/Lab Total area of first floor – 6828.190 SQ.M. Auditorium General ward Maternity surgical Blood bank/lab chemo/Dialysis E W S N Ward Blood bank & LAB Maternity Surgical & LDR Chemo & Dialysis Auditorium WARD WARD AUDITORIUM BLOOD DONAR DIALYSIS
  14. 14. SECOND FLOOR FIRST FLOOR IS USED FOR-  Surgical suite  ICU  Cath labs Total site area of second floor- 6828.190 SQ.M. CATH LAABS ICU OT area Cath labs E W S N ICU Cath Labs OT Area OT OT POST OT
  15. 15. SINGLE PATIENTROOM DOUBLE PATIENTROOM LIFT AND STAIRCASE Third and fourth floor are used for- THIRD AND FOURTH FLOOR  Single patient room  Double patient room Total area of third and fourth floor- 1944 SQ.M. Total no. of beds on both floor – 140 DOUBLE PATIENT ROOM SINGLE PATIENT ROOM CORRIDORS RR LOUNGE E W S N Single Patient Room Double Patient Room RR Lounge
  16. 16. NURSE STATION& CU/DU MANAGEMENT AMINSTRATION SUITE DELUX PATIENT ROOM LIFT AND STAIRCASE FIFTH FLOOR Total area of third and forth floor- 1808 SQ.M. Total no. of beds on both floor- 140 E W S N DELUXE ROOM PRESIDENTIAL SUITE SUITE ROOM PRESIDENTIAL SUITE Suite Room Deluxe RoomPresidential Suite
  17. 17. PENUMATIC CONTROL SYSTEM PENUMATIC CONTROL SYSTEM  Pneumatic tubes (or capsule pipelines; also known as pneumatic tubes Transport or PTT) are systems that propel cylindrical air or by partial vacuum.  They are used for transporting solid objects, as opposed to conventional pipelines, which transport fluids. SENDING STATION RECEIVING SYSTEM
  18. 18. SECTIONS -
  19. 19. FIRE FIGHTING FIRE FIGHTING INSIDE THE BUILDING- In case of fire Smoke detector detect the fire and raise the alarm Then the sprinklers get activated having access from overhead tank (if it fails) Then the sprinklers jockey pump get activated If it is not sufficient then second sprinklers jockey pump starts FIRE FIGHTING OUTSIDE THE BUILDING- In case of fire Hydrant pumps get activated If it is not sufficient second hydrant pump gets activated IF electricity is switched down then diesel pump starts the hydrant pump If electricity is switched down then diesel tank starts the pump Fire tank capacity - 1.5 lakh litre Sprinklers used are with red colored bottle FIRE CONTROL SYSTEM- Fcs Tells In Which Zone Fire Is Spread And Raise The Alarm Installed In Every Floor Pipelines To Carry Water During Fire Connected From U.G. Tank Control Panel Pump Fhc Outlets Are Given On The Periphery Of The Site Exhaust Ducts To Carry Smoke Above If it is also not sufficient then FHC is used  FHC Is Operated Manually By Fire Man Only.  It Is Also Having Water Access From Under Ground Fire Tanks

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