Hospital Literature Study & Case Study - Fortis Mohali

1. LIBRARY
AND CASE
STUDY
OF
HOSPITAL

3. HOSPITAL
OPERATIONAL AREAS
ADMINISTRATION
EXAMINATION TREATMENT
SUPPLY
DISPOSAL
SERVICE AREA

15. PRINCIPLES OF HOSPITAL DESIGN
TOTAL AREA
SITE PLANNING
Landscape elements such as open areas , horticulture to increase
the comfort conditions inside the building and also in the
surrounding environment should be kept in view.
ORIENTATION
STRUCTURAL GRID
LANDSCAPING
The total area to be provided for a hospital shall depend on
availability of land , however an area of 1 hectare for every 25
beds is recommended.
Sensitive areas like wards , consulting and treatment rooms &
operation theatres are placed away from the outdoor sources of
noises.
The most suitable orientation for treatment and operating rooms is
between N-W & N-E.
For nursing wards facades south to south-east is favourable ;
pleasant morning sun , minimal heat built up little requirement for
sun shading , mild in the evenings.
East and West facing rooms have comparatively deeper sun
penetration , through less winter sun.
Then constructional grid must provide a precise guide as well as
allowing for differentiation of areas for the main functions ,
support functions and vehicular traffic.
Then variation operations centres can be planned most
appropriately with a column grid spacing of 7.2m or 7.8m smaller
construction grids are problematic because large rooms (eg.
operating theatres) which must be free from internal columns are
more difficult to accommodate.

16. HOSPITAL RELATIONSHIPS :

17. LIBRARY STUDY

18. WHEELCHAIR DETAIL
MOVEMENT SPACE TURNING RADIUS
SIZE OF WHEELCHAIR
LANDING SPACE
CONSIDERATION

19. STRETCHER DETAIL

20. CASE
STUDY
LIBRARY
STUDY
SITE SELECTION
LOCATION :
ORIENTATION :
SITE ANALYSIS :
SURROUNDINGS :
ENTRANCES :
Located in sector 62, Phase VIII, S.A.S. Nagar, Mohali (Distt.
Ropar), Punjab, India - just 7kms , from Chandigarh.
Very near to the bus stand - Thus comfortable to the patients
coming from out of city.
It is 14kms from the airport, 9kms from bus stand (sec 17) &
12kms from the railway station.
The approach to the site is from a 24m wide road running
all around the site.
It has PSEB building on one side & the Punjab Urban
Planning & Development Building opposite to it and a
proposed market behind it.
The building faces north-west, the most favourable
orientation.
Care has been taken to place the curved surface of the
building out to that direction to get the maximum exposure
to glare-free light.
The linear proportions of the site 3:1 have brought out the
linear plan of the hospital building , the two entrances
being on the longer side.
Spread over 8.22 acres.
Rectangular plot : 344 x 110m
1 There are 3 entrances to the site -
a) Main entrance for OPD & IPD,
b) For emergency and
c) At back for services
2) Main entrances leads to public parking (120 cars, 60
scooters) on the left.
3) Roads run along periphery of the site.
4) Seperate parking for emergency.

21. LIBRARY
STUDY

22. CASE
STUDY
LIBRARY
STUDY
ZONING
ZONING :
Location of the building should be
convenient to the people it serve i.e the
public zone should be in front . Effective
zoning is required.
Public zone , clinical zone & staff zone.
Privacy and confidentiality are
important.
Security and supervision in the
premises will be necessary.
Emergency should have separate
entrance. Mortuary should be linked
with service road.
Land must not be contaminated.
ZONING (SITE LEVEL)
1. The first one : The most chaotic being public area comprising of entry/exit and
parking.
2. The second : The rehabilitation building which has less traffic.
3. The third : The main hospital building approached by patients , their visitors, the
staff & doctors.
4. The Service dock at the back & basement parking form the fourth zone.
5. Last the beautiful landscaping spread all over the site.
ZONING (BUILDING LEVEL)
The main hospital building has
been divided into 4 blocks:
BLOCK A : Emergency area ,
with seperate gate and
entrance.
BLOCK B : Inpatient
Administration with traffic
restricted to patients admitted
& their visitors.
BLOCK C : Diagnostics and
Labs.
BLOCK D : OPD &
Rehabilitation centre , closest
to parking as OPD has
maximum public traffic.

23. CASE
STUDY
MASTER PLAN

24. CASE
STUDY
LIBRARY
STUDY

25. CASE
STUDY
LIBRARY
STUDY

26. LIBRARY
STUDY

27. BASEMENT PLAN
BLOCK A & B
LVL. = -3.15 m
It provides staff parking for about 85 cars 75 scooters.
Block A also houses the waste disposal storage
It also has public toilets & a lift lobby.
Block B also has a mortuary & prayer room.
ADVANTAGES
1. Ample loading / unloading space
2. Services provided in the basement
3. Fire exits provided at ends
DISADVANTAGES
1. Indirect accessibility for medical supplies

28. BASEMENT PLAN
BLOCK C & D
BLOCK C
It has main kitchen, a pharmacy, medical record
room, laundry , CSSD, bio-medical engineering
workshop, carpentry unit ,stores, EDP
(electronic data processing unit), UPS room,
electricity panel room, diesel generator sets
room, janitor, toilet pump room.
BLOCK D
Consists of staff rooms with toilets, 2 lift
lobbies, building automation unit =s, panel
rooms, HVAC services, public health services,
store & some spaces for future expansion.
Laundry placed next to the CSSD for
convenience in sterilizing clean clothes & linen.
KITCHEN
Consists of storage areas, has a receiving bay, a
bakery, a confectionery, a cold & deep freezer,
an area for parking & washing trolleys & a
special cage lift.
LAUNDRY, CSSD & MEDICAL RECORDS
Laundry placed next to the CSSD for
convenience in sterilizing clean clothes &
linen
The whole area is very efficiently planned
for ease of receiving,washing & drying,
ironing with special clean area & dispatch.

30. BLOCK C (DIAGNOSTICS) BLOCK D (OPD)
The diagnostics wing consists of various labs and the radiology dept with
separate walking areas, toilets and changing rooms. Kitchen is at the extreme
corner of block with pantry in basement.
Merit - easy approach to lab and OPD
● It consists of the main OPD area with the Rehabilitation Centre.
● Main reception with enquiry counter.
● Consultant rooms (4-6) with examination rooms
● Inspection rooms
Merit - the circulation core is easily visible.
Waiting areas are provided in the form of clusters
Satisfies the required standards.

31. BLOCK A & B
LVL +4.65M
It basically consists of single rooms on one side & double on
the other
Single bed - 3.415m * 4.5m. Placement of the bed is such that
the room gets sufficient daylight.
Double bed - 3.415 * 6.0m. There are two beds with a low ht.
Partition, distance between two beds - 1.5m
Double deluxe - double the size of the usual double bedded
room, without any partition, 1 attached toilet, 2 beds for0
visitor/accomplices.
MERIT - the rooms receive sufficient daylight;
Less distance to be travelled from nurse room to the
IPD.
DEMERITS - no visitors lobby/waiting area.

35. CASE
STUDY
LIBRARY
STUDY

36. CASE
STUDY
LIBRARY
STUDY
Water Supply :
There are 6 water storage tanks in hospital, which have been, constructed underground :
Fire – water tanks – 3 nos.
Treated water tanks – 2 nos.
Raw water tanks – 1 no Raw water is treated pumped to elevated storage tanks, distribution
to different inlets at different floors. Estimate of quantity of water ( laundry) = 450 L per head
per day.
Water requirement for hospital
The minimum requirement of water supply for any
hospital
Shall be in accordance with building code (NBC)
● No. of beds not exceeding 100 = 340l/head/day
● No. of bed exceeding 100 = 450/l/head/day
● Nurses / medical staff quarters = 135l/head/day
● Minimum hot water requirement = 45l/head/day

37. CASE
STUDY
LIBRARY
STUDY

38. ELEVATIONS
SOUTH EAST ELEVATION
NORTH WEST ELEVATION

39. North Side View
West Side View
Aerial View -Fortis Mohali

40. MATERIALS
KOTA STONE
PVC
DHOLPUR STONE ACOUSTIC CEILING TILE AAC BLOCK DOUBLE GLASS UNIT

41. Building materials and finishes used in hospitals are selected based on a variety of factors including their durability, cleanliness, and ability to
reduce the spread of infection. Some common building materials and finishes used in hospitals include:
1. Flooring: Hospital floors should be easy to clean, slip-resistant, and non-porous to prevent the growth of bacteria. Common flooring materials
include vinyl, rubber, and terrazzo.
2. Walls: Hospital walls should be easy to clean, impact-resistant, and have a smooth surface. Common wall materials include painted gypsum
board, solid surface panels, and ceramic tiles.
3. Ceilings: Hospital ceilings should be easy to clean, resistant to moisture, and able to withstand impact. Common ceiling materials include
acoustical ceiling tiles, painted gypsum board, and solid surface panels.
4. Doors: Hospital doors should be easy to clean and disinfect, and able to withstand impact. Common door materials include stainless steel,
fiberglass, and painted steel.
5. Countertops: Hospital countertops should be non-porous and easy to clean. Common countertop materials include solid surface materials, such
as Corian, and stainless steel.
6. Bathroom fixtures: Hospital bathroom fixtures should be durable, easy to clean, and resistant to bacterial growth. Common materials include
stainless steel and solid surface materials.
7. Paint: Hospital paint should be durable, easy to clean, and able to resist the growth of bacteria. Paints that contain antimicrobial additives may
be used in high-risk areas such as operating rooms and intensive care units.
Vinyl flooring Gypsum board
Rubber flooring
LIBRARY
STUDY
Terrazzo flooring
Ceramic tile
Ceiling tile
Stainless steel
Antti bacterial paint

42. Pros
1. Four Separate entrances.
2. Vertical Circulation separate for all blocks- a
combination of ramps, lifts and staircases.
3. Lush green courtyards and cafes.
Cons
1. Traffic problem outside and inside the hospital due to
less parking near OPD entrance.
2. No washrooms are provided near the OPD area.
3. Corridor width is less than 3 meters in some areas
which is less than the standard requirement
4. Height of the handrail is less than the standard
requirement.
5. Number of lifts provided are
INFERENCES
1. A unique feature of this hospital is its usage of space.
2. Separate entry for OPD, IPD, Emergency and Service zone: thus segregating the traffic flow.
3. A flexible & modular approach imbibed to impart adaptability to the future changes & modifications.
4. The OPD has been kept on the ground and first floor: thus providing easy accessibility for patients and
their attendants.
5. OPD placed next to diagnostic: easy access.
6. The CSSD has been placed below the OT area hence direct connection via dumbwaiters.
7. A very long well-landscaped courtyard has been placed in the centre, thus providing natural light in
corridors.
8. Waiting areas for all OPDS are provided in the form of small clusters.
9. Vertical circulation in the form of stairs and lifts is separate for all blocks.
10. The shafts provided for maintenance are narrow, thus leading to inconvenience.
11. Administration is provided on the third floor which is too far from the scope of visitors.
12. Basement entrance is on the rear side and cannot be approached from one chance.
13. Reception and cafeteria in the I.P.D. Block are quite near to each other which causes lot of confusion
near the entrance.
CASE
STUDY