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The emergency department should have at least 145m2 of total internal area for a 100-bed hospital. It requires immediate access to critical care areas like the operating theatre, intensive care unit, blood bank, and laboratory. The emergency department entrance must be clearly marked and separate from the main hospital entrance. It should open into a spacious lobby with a porch to protect patients arriving by ambulance from the weather. Clinical areas of the emergency department should be located on the ground floor for easy accessibility.
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- 1. Emergency department- • A serious, unexpected, and often dangerous situation requiring immediate action . • AREA- the total internal area of the emergency department, should be at least 145m2(1560sqft) for 100 beds hospitals • Medical emergency is situation when patient requires urgent and high quality medical care to prevent loss of life or limb to initiate action for the restoration of normal healthy life. General requirements- • Entrance for patients arriving by ambulance, other modes of transportation, or conveyances. • Separate from main hospital entrance. • Porch outside the lobby to protect the unloading of the patients from rain and sunlight. • Approach to lobby should be in the form of ramp and steps and it should be appreciate to use by the disabled. • The emergency department entrance mostly red and white sign is clearly visible. Interface with other clinical areas- • The ED must have ready access to those critical care areas and diagnostic facilities necessary from morden emergency medicine to be practiced. • Clinical areas which should be adjacent to the ED include. • OT • ICU • BLOOD BAMCK • LABORATORY • OPD • MORTUARY • CCU • Many sub-depts like OT, diagnostic LOCATION OF THE EMERGENCY DEPARTMENT- • ED needs to be placed in an area of the hospitals that is accessible to emergency vehicles entering the site. • Ed clinical areas should be on the ground floor. • Located adjacent to OPD.
- 2. FLOW CHART FOR THE ED- DOCTORS ROOM POLICE ENQUIRY STORAGE FOR WHEEL CAIR STRETCHER PORTICO 60SQM AMBULANCE BAY 2 NOS OF 60SQM RECEPTION AND BULLING COUNTER NOS- 8SQM TOILET FOR STAFF 6SQ.M NURSE ROOM ISOLATION CUBICLES OBSERVATIO N WARD - 6NOS OF BED RESUSCITATION AND TRAUMA- 4NOS OF BED= STORAG E 8SQM PLASTER ROOM- 20SQM TRIAGE ROOM NURSE STATION- 4SQM TOILETS FOR PATIENTS- 6SQM DIRTY UTILITY - 8SQM GYNEA.AND OBSTETRICS ROOM 10SQM TOILET FOR STAFF 6SQM LOBBY WAITING AREA 2SQ.M
- 3. ENTRANCE DETAILS- • Separate from main hospital entrance. • Should be well marked and illuminated. • It should open into spacious lobby. • Porch outside the lobby to protect the unloading of the patients from rain and sunlight. • Approach to lobby should be in the from of ramp and steps. PORTICO- AMBULANCE BAY:-
- 4. CIRCULATION DETAILS- Corridors- • Corridors provide patent, relative and staff access to all parts of the emergency department, as well as access to service areas of the emergency department, to storage , and access to equipment that is needed frequently or urgently. • Clinical areas- the minimum must be to allow 2 trolleys/ wheelchairs to pass easily with associated equipment e.g.. • A minimum width of 3m is recommended Staircase and ramp details- • Width of the staircase and ramp is min. 1500mm. • Riser – 120mm • Tread- 300mm.
- 5. CIRCULATION DETAILS- RAMP- • The slop ratio for the ramp 1:10. • And the width of the ramp also 1500mm. HANDRAIL DETAILS- • The handrails are provided where the steps and ramp used. • And also handrail provide for disable people.