The document discusses the design of outpatient departments (OPDs) and day care centers in hospitals. It notes that OPDs are the first point of contact for patients and should comprise 12-18% of the total hospital area. Key considerations for OPD design include waiting areas that can accommodate 1/3 of daily patients, and adequately sized consultation and examination rooms. Day care centers provide day services and care. An ideal design includes parking, entrance areas, circulation spaces, activity rooms, staff areas, toilets, storage, and outdoor space. Proper design of these areas can maximize efficiency, services, and revenue for hospitals.
Hospital standards
Planning concept
Orientation and placement of spaces
Hospital relationships
Pathways ramps lifts corridors parking
OPD
Emergency
Flowcharts
OT
ICU
Services
Fire safety
Lighting
Electrical
Gas supply
Information and communication technology
Water supply system
HVAC
Waste management
OPERATION THEATRES ARE THE HEART OF A HOSPITAL
these must be well planned and well maintained
THIS PRESENTATION IS AN ATTEMPT TO COMPILE ALL THE DATA AVAILABLE ON INTERNET VARIOUS PRESENTATIONS INTO ONE AND SUMMARISE THE SALIENT FEATURES
This PPT is about the litrature study of A dental Clinic. Here you can learn about the complete details of Dental Clinic. I wants to disclosed that i am 2nd year student of architecture. So please remember and understand of my knowledge level. For more details please refers more ppt and books for your assignment and notes. Thanks
"Developing an infrastructure master plan is essential to guide increasing healthcare capacity and making sure that the sector meets the rising demand for quality services and facilities"
Gleaning Insight from Information: A Strategy for Understanding Customer ValueEric Peabody
Lean design is predicated on identifying and delivering customer value. These values are deeply rooted within an individual or an organization and difficult to extract, by people trained in the design and construction but not in understanding the complexities of human behavior. To address this need, Taylor Design has evolved its model of practice by teaming a staff of strategists trained in the social sciences with its staff of architects and designers in the delivery of design services.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptx
Designing of OPD and day care services
1. Designing of OPD and Day
Care Services
PRESENTED BY:
SIDDHARTH SINGH
PGDM (HEAD) INLEAD
2. Hospital Designing
Design is the creation of a plan or convention for the construction of an
object, system or measurable human interaction (as in architectural
blueprints, engineering drawings, business processes, circuit diagrams
A functional design can promote skill, economy, conveniences, and
comforts; a non-functional design can impede activities of all types, detract
from quality of care, and raise costs to intolerable levels.
Good hospital design integrates functional requirements with the human
needs of its varied users.
5. Building Attributes
Efficiency and cost-effectiveness.
Flexibility and expandability.
Therapeutic environment.
Cleanliness and sanitation.
Accessibility.
Controlled circulation.
Aesthetics.
Safety and security.
Sustainability.
6. OPD (Out-Patient Department)
It is first point of contact between a hospital and patients.
It is also known as the shop window of the hospital.
7. OPD Designing
12-18% of total hospital area.
60% of the OPD area should be waiting area and corridors.
Seats for 1/3 of daily attendance @ 8 sq. ft./pt.
Consultation room – 150 sq. ft.
Attached examination room – 80 sq. ft.
8.
9.
10.
11.
12.
13. Parking and Entrance Enquiry Desk,
Reception Station
Waiting Area
• Main entrance gentle
sloping ramps to facilitate
movement
• Entrance should have a
double door with a width
of 1500 mm
• Wheelchairs should be
readily available at the
entrance
• Staff and patient entrance
should be separate
• Parking should be close to
entrance
• Height of counter should
be adapted to need of
wheelchair patients
• To ensure privacy,
reception should have
counters
• Space recommended is
square meter per patient
for one third of average
daily patients attending
OPD in one session
• Sub-waiting areas may be
shared between the
various consultation
rooms.
• Distance from waiting
to the consultation room
should be short
• Toilets should be close
14. Day Care Center Designing
A new single storey building used by a local authority to provide day care
seven days a week (15 patients max per day).
A community room in a sheltered housing scheme used as a day center for
one day each week (12 patients max per day).
Sometimes it is purpose built, which is attached to a private or local
authority residential home.
A mobile day care team, providing day care at different locations on
different days of the week.
15. Day Care Center features and spaces
required
Features Minimum Desired
Parking Space for one vehicle with
outside lighting Area approx. 3 x
6 m
Parking for five vehicles or more
with covered route to front door
Area approx. 12 x 6 m plus
circulation
Front Entrance Access ramp for wheelchairs
Entrance lobby Area approx. 2.0
x 2.5 m, say 5 sq.
Entrance hall Area variable
Internal Circulation Space Internal circulation spaces, with
safety precautions Areas variable
Rooms Main room for general activities
Area approx. 6 x 8m = approx.
50 sqm.
Office (for occasional use for
counselling) Area approx. 2.5 x 3
m = approx. 8 sqm.
Staff room Area approx 3 x 3.5
m = approx 11 sqm
16. Features Minimum Desired
Toilets 2 Toilets Area each approx. 1.5 x
2 m = 3 sqm. Say 6 sqm. for 2
toilets
1 Staff toilet Area approx. 1.5 x 2
m = approx. 3 sqm.
Storage Storage cupboards or spaces
•occupational therapy
equipment •linen and spare
clothing •medicines and
equipment •wheelchairs •office
materials Total area say 8-10
sqm
Storage rooms Total area
approx. 15-20 sqm.
Cleaner’s Cupboard Cleaners’ cupboard Area
1 x 2m = approx. 2 sqm
Cleaners’ room with sink Area
approx. 2 x 2 m = approx. 4
Garden Small courtyard or garden Area
variable, say 15 sqm (minimum)
Garden with space for clients to
wander with safety Area
e.g.s 6 x 15 m = approx. 100
17. Inference
A well-designed and well-organized outpatient department can be high
revenue generating area of the hospital.
By limiting the number of outpatient consulting rooms and support
services facilities, the hospital promoters fail to realize the full potential in
terms of efficient and quality service and revenue generation.
Designing of a Day Care Center is done according to the specialization (it
is a process driven approach).
