Report on hospital design

Group - IV
Id - 1407206
1407217
1407219
1407222
a r e p o r t o n general hospital

DEFINITION
An institution providing medical and surgical treatment and
nursing care for sick or injured people.
A place where people who are ill or injured are treated and
taken care of by doctors and nurses.
------- Cambridge dic.
A hospital is a health care institution providing patient
treatment with specialized staff and equipment.
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USE OVER TIME OF HOSPITAL
1800 1850 1900 1950 2010 2015

TYPE OF HOSPITAL
System
wise
Function
Level wise
Specialty
wise
Owner
wise
Size
wise
Type of
hospital
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CLASSIFICATION OF HOSPITAL
system size function speciallyowner
hospital
Allopathic
Homeopathy
Ayurvedic
Unani
Siddha
Naturopathy
Yogic
50
150
200
250
1000
1500
above
Primary
Care
Secondary
Care
Tertiary
care
Govt.
Private
Volun.
General
Specialist
Super
specialist
Teaching
Research
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BUILDING ATRIBUTES
Good hospital design integrates functional requirements with the human
needs of its varied users.
The basic form of a hospital is, ideally, based on its
functions:
Bed-related inpatient functions
Outpatient-related functions
Diagnostic and treatment functions
Administrative functions
Service functions (food, supply)
Research and teaching functions
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GENERAL HOSPITAL RELATIONSHIP
Research &
teaching
Outpatient
Admin
Diagnostic
& treatment
Inpatient
Service
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Departments / units
Departments are:
1.Out patent department
2. Emergency department
3.Intensive care unit
4.Critical care unit
5.General surgery unit
6.Orthopedic department
7.Urology
8.Phyciatry unit
9.Medicine
10.Cardilogy
11.Pediatrics unit
12.Neurology
13.Gastrenterology
14.Gynaecology
15.Dentistry
16.ENT
17.Nutrition and dietetics
18. Radiology and imaging
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GENERAL requirements
The following general requirements are to be obtained :
I. Environment: A hospital and other health facilities shall be so located that it is readily
accessible to the community and reasonably free from undue noise, smoke,
dust, foul odor, flood, and shall not be located adjacent to railroads, freight yards,
children's playgrounds, airports, industrial plants, disposal plants.
II. Occupancy: A building designed for hospital / healthcare facility shall be used only
for this purposes.
III. Safety: A hospital and
other health facilities shall
provide and maintain a
safe environment for patients,
personnel and public.
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GENERAL requirements G
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V. Accessibility:
All areas, both inside and out should:
• It should be designed so as to be
easy to use by the many patients with
temporary and permanent handicaps.
• Ensuring grades are flat enough to
allow easy movement and side walks
and corridors are wide enough for two
wheelchairs to pass easily.
• Circulation routes for transferring
patients from one area to another
shall be available and free at all times.
• Corridors for access by patient and
equipment shall have a minimum
width of 2.44 meters.
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• Corridors in areas not commonly used for bed, stretcher and equipment transport
may be reduced in width to 1.83 meters.
• A ramp or elevator shall be provided for ancillary, clinical and nursing areas located
on the upper floor
• A ramp shall be provided as access to the entrance of the hospital not on the
same level of the site.
• Exits shall be restricted to the following types: door leading directly outside the
building, interior stair, ramp, and exterior stair.
• Minimum of two (2) exits, remote from each other, shall be provided for each
floor of the building.
• Exits shall terminate directly at an open space to the outside of the building.
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VI. Lighting: All areas in a hospital and other health facilities shall be provided with sufficient illumination to
promote comfort, healing and recovery of patients and to enable personnel in the performance of work
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VII. Ventilation: Adequate ventilation shall be provided to ensure comfort of
patients, personnel and public.
VIII. Auditory and Visual Privacy: A hospital and other health facilities shall
observe acceptable sound level and adequate visual seclusion to achieve the
acoustical and privacy requirements in designated areas allowing the
unhampered conduct of activities.
IX. Water Supply: A hospital and other health facilities shall use an approved
public water supply system whenever available. The water supply shall be
potable, safe for drinking and adequate, and shall be brought into the building
free of cross connections.
XIV. Material Specification: Floors, walls and ceilings shall be of sturdy
materials that shall allow durability, ease of cleaning and fire resistant.
XV. Segregation: Wards shall observe segregation of sexes. Separate toilet
shall be
maintained for patients and personnel, male and female.
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XVI. Fire Protection: There shall be measures for detecting fire such as fire alarms in walls,
Peepholes in doors or smoke detectors in ceilings. There shall be devices for quenching
fire such as fire extinguishers or fire hoses that are easily visible and accessible in
strategic areas.
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XVII. Signage: There shall be an effective graphic system composed of a
number of individual visual aids and devices arranged to provide
information, orientation, direction, identification, prohibition, warning and
official notice considered essential to the optimum operation of a hospital
and other health facilities.
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XVIII. Parking: A hospital and other health facilities shall provide a parking space.
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XX. Aesthetics:
closely related to creating a therapeutic environment (homelike,
attractive.) It is important in enhancing the hospital's public image and
is thus an important marketing tool.
Aesthetic considerations include:
Increased use of natural light, natural materials, and textures.
Use of artwork.
Attention to proportions, color, scale, and detail.
Bright, open, generously-scaled public spaces.
Homelike and intimate scale in patient rooms, day rooms, consultation rooms,
and offices.
Compatibility of exterior design with its physical surrounding
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The different
areas of a
hospital shall be
grouped
according to
zones
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Outer Zone – areas that
are immediately
accessible to the public:
emergency service,
outpatient service, and
administrative service.
They shall be located near
the entrance of the
hospital.
lobby
Main
entry
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Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy, and radiology. They
shall be located near the outer zone.
pharmacy
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Inner Zone – areas that provide nursing care and management of patients: nursing service. They
shall be located in private areas but accessible to guests.
Deep Zone – areas that require asepsis to perform the prescribed services: surgical service,
delivery service, nursery, and intensive care. They shall be segregated from the public areas but
accessible to the outer, second and inner zones.
Service Zone – areas that provide support to hospital activities: dietary service, housekeeping
service, maintenance and motor pool service, and mortuary. They shall be located in areas away
from normal traffic.
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Service zone
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XX. Function: The different areas of a hospital shall be functionally related
with each other;
1.The emergency service shall be located in the ground floor to ensure immediate access. A
separate entrance to the emergency room shall be provided.
2.The administrative service, particularly admitting office and business office, shall be located
near the main entrance of the hospital. Offices for hospital management can be located in
private areas.
3.The surgical service shall be located and arranged to prevent non-related traffic. The
operating room shall be as remote as practicable from the entrance to provide asepsis.
4.The dressing room shall be located to avoid exposure to dirty areas after changing to
surgical garments.
5.The delivery service shall be located and arranged to prevent non-related traffic. The delivery
room shall be as
remote as practicable from the entrance to provide asepsis.
6. The nursery shall be separate but immediately accessible from the delivery room.
7. The nursing service shall be segregated from public areas.
8. The nurse station shall be located to permit visual observation of patients. Nurse stations
shall be provided in all inpatient units of the hospital.
9.In wards the Rooms shall be of sufficient size to allow for work flow and patient movement.
10.In wards the Toilets shall be immediately accessible from rooms.
11.The dietary service shall be away from morgue.
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Hospital Circulation
Hospitals, like the small cities they are likened to, contain main circulation routes often described as hospital
streets. The way, in which the different parts of the hospital are assembled, as a coherent whole but with the parts
differentiated.
The following circulations are usually considered in hospitals design and
planning;
Patient Circulation
Medical Staff Circulation
Material Circulation
Visitors Circulation
Waste Circulation
Support Staff circulation
certain areas shall be restricted for some circulation.
For example:
No visitors circulation shall be allowed in Operating Theater area, isolation rooms and laboratory workshop.
Circulation of sterilized / clean and dirty materials in CSSD, Operating Theater must not have the same path.
Staff & Patient circulation should be differentiate in Operating Theater.
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General view of hospital circulation to main zones.
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The designating areas for patient, staff and visitors (family) in Intensive Care Patient Room.
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functional r e l a t i o n s h i p

Functional flow chart of A GENERAL HOSPITAL
ambulance Staff,patient,visitors Service& helpOut patientsPatients & staff
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Emergency Department
Out patient departmentAdministration department
Out patient
Staff,ptients,visitors
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Diagnostic facilities
Department of physical medicine
Department of diagnostic and X-ray Department of pathology
Out patients &
health center patients
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Obstetrical department Service facilities
Laundry department
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Admitting department f
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Nursing UnitSurgical Suite Unit
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TI M E S A V E R
standard a n a l y s i s

Double bedroom, small size Double bedroom, medium size
13’-6’’ 12’-0’’
15’-0’’ 20’-0’’
Double bedroom
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Single bedroom, small size Single bedroom, medium size
10’-0’’ 11’-0’’
15’-0’’ 16’-0’’
Single bedroom
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20’-0’’ to 24’-0’’
18’-0’’
Four bedroom t
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1. Over bed light
2. Nurses call
2A. Micro speaker in ceiling
3. Oxygen outlet
4. Suction outlet
5. Suction bottle bracket
6. Night light-switch outside room door
7. Double duplex outlet
8. Telephone,radio,TV jacks
Wall elevation of single room and double room
Single room double room
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Teletherapy room ( cobalt 60 room)
plan
location
section
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Ramp t
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The slope can be expressed as a percentage that results from the ratio between the height
to be overcome (h) and the length of the horizontal plane (d), multiplied by 100.
Slope expressed as a percentage = (h/d) x 100

Ramp t
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ADA recommends a 1:12 slope, which means that every 1" of vertical rise
requires at least 1' (12") of ramp length (5 degrees of incline).
Maximum slope for hand-propelled wheelchair ramps should be 1" of
rise to every 12" of length (4.8 degree angle; 8.3% grade).
Maximum slope for power chairs should be 1.5" rise to 12" length
(7.1 degree angle; 12.5% grade).
Minimum width should be 36" (inside rails) - (48" is ideal).

Elevator
3.96’-4.95’3’-6’’
7’-6’’ 8’-6’’
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Examine room t
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Wash zone t
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Pharmacy,OPD,Office,Examination room,X-ray uint t
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Delivary room, LAB, Office, Nursing unit t
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Surgical dept, OT, Dressing room, Injection room ,Minor OT
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Laundry room,WARD( nightangle and rigs ) t
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X-ray,pathology,Blood bank t
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HOSPITAL
• OUT PATIENT DEPARTMENT
• EMERGENCY DEPARTMENT
• DIAGNOSTIC, RADIOLOGY AND IMAGING DEPARTMENT
• INPATIENT DEPARTMENT
• O.T. COMPLEX
• DOCTOR’S FACILITIES
• ADMINISTRATION
• SERVICE FUNCTION
-CLINICAL SUPPORT UNIT
-INPATIENT KITCHEN
-OUTPATIENT CAFETERIA
-CENTRAL STORE
-OTHER SERVICES
-LOUNDRY AND LINENSERVICES
CLEANING, HOSPITAL WASTE AND DISPOSALINCINERATION
ENGINEERING and MAINTENANCE
SUBSTATION
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Sl. no. Description offunctions Quantity Unit areain
sqm andsft
Total areain
sqm andsft
Remarks
OUT PATIENT DEPARTMENT
OUT PATIENT SERVICES
1. Main OPDportico andfoyer 1 50– 535 72 –800
2. Main OPDlobby with reception 1 50 - 535 100 –1000
3. RegistrationArea 1 10 - 107 18 –200 5 person
4. Waiting Area (forregistration) 1 50 - 535 70 –775 60 person
5. Waiting Area (for OPDClinic) 1 150 - 1605 140 –1550 200 person
6. Public Toilet (male) 1 24 –265 24– 265 6 fixture
7. Public Toilet (female) 1 24 –265 24– 265 6 fixture
8. Admission Section 1 36 –400 36 –400
9. Medical RecordRoom 1 10 –107 10 –107
Total 594sqm –
5362sft
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OUT PATIENTCLINICS
1. Internal Medicine Clinic
1.1 Doctor’s Chamber with Checkup
Facility
2 18 –200 36 –400
1.2 CommonNurse Station(for
internal medicine, ENTand
Dermatology)
1 9 –100 9 –100
2. OphthalmologyClinic
2.1 Optician’s Chamber 1 13.5 –150 13.5 –150
2.2 ExamRoomwith facilities 1 18 –200 18 –200
3. Otolaryngology or ENTClinic
3.1 ENTspecialist’sChamber 1 18- 200 18 –200
3.2 Audiology Room 1 9 –100 9 –100
3.3 ProcedureRoom 1 13.5 –150 13.5 –150
4. Dermatology and AllergyClinic
4.1 Doctor’s Chamber with Checkup
Facilities
1 18 –200 18 –200
5. OrthopedicClinic
5.1 Doctor’s Chamber 2 13.5 –150 27 –300
5.2 PlasteringRoom 1 13.5 –150 13.5 –150
5.3 Plaster preparationRoom 1 9 –100 9 –100
6. Neurology Clinic
6.1 Neurologist’s Chamberwith
Checkup Facilities
1 18 –200 18 –200
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neurology, thoracic andneurology clinic)
9 –100 9 –100
7. Urology Clinic
7.1 Urologist’s Chamber with Check
up Facilities
1 18 –200 18 –200
8. Cardiology Clinic
8.1 Nurse Station 1 9 –100 9 –100
8.2 Cardiologist’s Chamber 1 13.5 –150 13.5 –100
8.3 StressTestand ECG 1 9 –100 9 -100
9. Gastroenterology
9.1 Gastroenterologist’s Chamber
with Checkup Facilities
1 18 –200 18 –200
gastroenterology,Endocrinology, Lungs
Function and General Surgeryclinic)
1 9 –100 9 –100
10. Dental Clinic
10.1 Nurse Station 1 9 –100 9 –100
10.2 Dentist’s Chamberwith Checkup
Facilities
2 18 –200 36 –400
Total 333sqm–
3650sft
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Obstetrics and GynecologyClinics
1. Obstetrics Clinic
1.1 Nurse Station 1 9 –100 9 –100
1.2 Doctor’s Chamber 2 18 - 200 18 –200
1.3 Consulting and ExaminationRoom
for Ante Natal Patient(M.O.) 1
18 –200 18 –200
1.4 Consulting and ExaminationRoom
for PostNatal Patient(M.O.)
1 18 –200 18 –200
2. Lactation CounselingRoom 1 36 –400 36 –400
Total 99sqm–1100sft
Family Planning & CounselingClinic
1.1 Doctor’s Chamber 1 23.5-250 23.5-250
1.2 Nurse Station 1 13.5-150 13.5-150
Total 37sqm-400sft
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PediatricsClinic
1. Nurse Station 1 13.5 –150 13.5 –150
2. Specialist’sand Doctor’s
Consulting Chambers
2 18-200 36-400
3. ImmunizationProgram Centre
3.1 CounselingRoom 1 36 –400 36 –400
3.2 TreatmentRoom 1 18 –200 18 –200
3.3 Store 1 9 –100 9 –100
4. Nutrition RehabilitationUnit
4.1 CounselingRoom 1 36 –400 36 –400
4.2 Store 1 9 -100 9 –100
5. Waiting & Children PlayArea 1 83.5 –900 83.5 –900
Total 241 sqm–2650sft
Total Functional Space 1304sqm–13162
sft
Total Circulation Space 392 sqm -3949sft
Grand Total 1696 sqm -
17075sft
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1. Portico andFoyer 1 36 –400 36 –400
2. CoveredSpacefor Ambulance 2 13.5 –150 27 –300
3. StretcherStorage 1 9 –100 9 –100
4. Lobby, Reception Area&Waiting 1 45 –500 45 –500
5. RecordRoom 1 9 –100 9 –100
6. Police Room 1 18 –200 18 –200
8. CommonToilet (male,female) 1 13.5 –150 13.5 –150
9. Examination Room(for male,
female)
2 18 –200 36 –400 4 person
10. Observation Room(for male,
female)
2 36 –400 72 –800 8 person
11. Nurse Station 1 9 –100 9 –100 2 nurse
12. Store and Medical RecordRoom
(for nurses)
1 9 –100 9 –100
13. Nurses RestRoomwith Toilet 1 13.5 –150 13.5 –150
14. Medicine Store Room 1 4.5 –50 4.5 –50
EMERGENCY DEPARTMENT
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15. O.T.Complex for Minor Operations
15.1 O.T. 2 36 –400 72 –800
15.2 Scrubup Area 1 18 –200 18 –200
15.3 Equipment Room 1 9 – 100 9 –100
15.4 Autoclave Room 1 13.5 –150 13.5 –150
15.5 Sluice 1 4.5 –50 4.5 –50
16. Mobile X-RayRoom 1 9 - 100 9 –100
17. Plaster Facilities 1 9 - 100 9 –100
18. Critical CareRoom 1 9 – 100 9 –100
19. Resident surgeon’s Chamber 2 18 - 200 18 –200
20. Resident surgeon’s Restroom
with Toilet
2 18 - 200 18 –200
21. Duty Doctor’sRoom 1 18 - 200 18 –200 2 doctors
22. StaffAmenities 1 18 - 200 18 - 200
Total Functional Space 504sqm-5500sft
Total Circulation Space 152sqm -1650sft
Grand Total 656 sqm -7150sft
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DIAGNOSTIC, RADIOLOGY AND IMAGINGDEPARTMENT
1. Registration andReport
Delivery Area
1 18 - 200 18 –200
2. Lab.RecordStorage 1 9 - 100 9 –100
3. Waiting 1 63 - 700 63 –700 90 person
4. Toilet (male,female) 2 6.25 - 75 13.5 –150
5. Staff Toilet (male,female) 2 6.25 - 75 13.5 –150
6. Doctor’s Toilet (male&
female)
1 6.25 - 75 13.5 –150
7. Doctor’s Lounge 1 18 - 200 18 –200
Total 148.5sqm–
1650sft
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Radiology and ImagingSection
1. X-Ray
1.1 X-RayUnit 2 22.5 - 250 45 –500
1.2 Change Room 2 4.5 - 50 9 –100
1.3 DarkRoom 1 13.5 - 150 13.5 –150
1.4 Control Room 2 9 - 100 18 –200
1.5 StoreRoom 1 9 - 100 9 –100
1.6 Technician’s Room 1 9 - 100 9 –100
2. M.R.I. (Magnetic ResonanceImaging)
2.1 MRI Unit 1 28 - 300 28 –300
2.2 Control Room 1 9 - 100 9 –100
2.3 ProcessingRoom 1 13.5 - 150 13.5 –150
3. CTScan
3.1 CTScanUnit 1 28 - 300 28 –300
3.2 Control Room 1 9 - 100 9 –100
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3.3 ProcessingRoom 1 13.5 - 150 13.5 –150
4. Ultra sonogram
4.1 Ultra sonogramUnit 1 18 - 200 18 –200
4.3 Scrub 1 4.5 –50 4.5 –50
4.4 Change Room 1 9 – 100 9 - 100
5. ECG
5.1 ECGUnit 1 45 –500 45 –500
5.2 Change Room 1 9 –100 9 –100
8. Radiologist’s Chamber(with
units)
6 18 –200 108 –1200
Total 425sqm –4700sft
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Diagnostic Section
1. Pathology
1.1 Pathological Lab. 1 36 - 400 36 –400
1.2 Media Prep. and AirLock 1 9 - 100 9 –100
1.3 Lab.Store 1 13.5 - 150 13.5 –150
1.4 Sterile Wash 1 4.5 - 50 4.5 –50
1.5 Technician’s Room 1 9 – 100 9 –100
1.6 Pathologist’s Chamber 1 18 - 200 18 –200
1.7 Exam& testroom 1 9 – 100 9 –100
1.8 Specimen toilet 1 9 – 100 9 –100
1.9 Hematology 1 9 – 100 9 –100
1.10 Urinalysis 1 9 – 100 9 –100
1.11 Histology 1 9 – 100 9 –100
1.12 Serology 1 9 – 100 9 –100
1.13 Bacteriology 1 9 – 100 9 –100
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2. Microbiology
2.1 Microbiology Lab. 1 36 - 400 36 –400
2.3 Lab.Store 1 13.5 - 150 13.5 –150
2.4 Sterile Wash 1 4.5 - 50 4.5 –50
2.6 Microbiologist’s Chamber 1 18 –200 18 –200
3. Biochemistry
3.1 BiochemistryLab. 1 36 - 400 36 –400
3.3 Lab.Store 1 13.5 - 150 13.5 –150
3.4 Sterile Wash 1 4.5 - 50 4.5 –50
3.6 Biochemist’s Chamber 1 18 - 200 18 –200
4. SampleReceiving Room
(male)
1 9 - 100 9 –100
5. Samplereceiving Room
(female)
1 9 - 100 9 –100
Total 341 sqm–
3900sft
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BLOOD BANK
1. Registration andInformation
Desk
1 9 - 100 9 –100
2. Waiting Area 1 13.5 - 150 13.5 –150 20 person
3. Toilet (male & female) 2 6.25 - 75 13.5 –150 2 fixture
5. Blood Donation Cubicle
(male, female)
2 9 - 100 18 –200 2 person
7. Blood Bank 1 18 - 200 18 –200
8. Blood Specimen 1 4.5 - 50 4.5 –50
9. Technician’s Room 1 13.5 - 150 13.5 –150
Total 90sqm–
1000sft
Total Functional Space 1004.5sqm-
11250sft
Total Circulation Space 302 sqm -3375sft
Grand Total 1306.5sqm
14625sft
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INPATIENT DEPARTMENT
1. Medicine Ward
1.1 Pantry 1 9-100 9-100
1.2 Ward(male) 1 18.5-200 1110-11947 60 person
1.3 Ward(female) 1 18.5-200 1110-11947 60 person
1.4 Toilet (male) 1 9-100 9-100
1.5 Toilet (female) 1 9-100 9-100
1.6 V.I.P.CabinFacilities 6 30.8-331.5 308-3315 10 person
1.7 Duty Doctors Roomwith
Facility
1 18-200 36-400
1.8 Duty Nurses Roomwith
Facility
1 18-200 36-400
1.9 Store 1 9-100 9-100
1.10 Isolation Room 2 30-330 60-660
1.11 Checkup Room 2 9-100 18-200
Total 2590qm-
27942sft
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2. SurgeryWard
2.1 Pantry 1 9-100 9-100
2.2 Ward(male) 1 16.5-177 990-10620 60 person
2.3 Ward(female) 1 16.5-177 990-10620 60 person
2.4 Toilet (male) 1 9-100 9-100
2.5 Toilet (female) 1 9-100 9-100
Facility
2 18-200 36-400
Facility
2 18-200 36-400
2.9 Store 1 9-100 9-100
2.10 Isolation Room 2 30-330 60-660
2.11 Checkup Room 2 9-100 18-200
Total 2350sqm-
25289sft
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3. Pediatric Ward
3.1 Pantry 1 9-100 9-100
3.2 Ward 1 19.3-186.2 1158-11172 60 person
3.3 Toilet 1 9-100
Facility
1 18-200 18-200
Facility
1 18-200 18-200
3.6 Store 1 9-100 9-100
3.7 Isolation Room 1 30-330 30-330 2 person
3.8 Checkup Room 1 9-100 9-100
3.9 LactationRoom 1 9-100 9-100
3.10 Child Play Area 1 18-200 18-200
Total 1278sqm-
12502sft
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NICU
3.13 Pantry 1 9-100 9-100
3.14 Waiting Area 1 9-100 9-100
3.15 Information Booth/Reception 1 4.5-50 4.5-50
3.16 Nurse Desk 1 4.5-50 4.5-50
3.17 Duty Doctor Roomwith
facility
1 18-200 18-200
3.18 Duty Nurse Roomwith facility 1 18-200 18-200
3.19 Ward 1 50-538 1000-10760 20 person
3.20 DressingRoom 1 9-100 9-100
3.21 Utilization Room 1 9-100 9-100
3.22 ConsultationRoom 1 13.5-150 13.5-150
3.23 StoreRoom 1 9-100 9-100
3.24 WashRoom 1 6-64 6-64
Total 1109.5sqm-
11942.5sft
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4. Gynecology Ward
4.1 Pantry 1 9-100 9-100
4.2 Ward 1 18.5-200 555-6000 30 person
4.3 Toilet 1 9-100 9-100
facility
1 18-200 18-200
4.7 Store 1 9-100 9-100
4.9 Checkup Room 1 9-100 9-100
Total 983sqm-
10545sft
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5. EyeWard & ENT
5.1 Pantry 1 9-100 9-100
5.2 Ward(male) 1 18.5-200 277.5-3000 15 person
5.3 Ward(female) 1 18.5-200 277.5-3000 15 person
5.4 Toilet (male) 1 9-100 9-100
5.5 Toilet (female) 1 9-100 9-100
facility
1 18-200 18-200
5.8 Duty NurseRoomwith facility 1 18-200 18-200
5.9 Store 1 9-100 9-100
5.10 Checkup Room 1 9-100 9-100
Total 944sqm-
10161sft
6. Diarrhea
6.1 Pantry 1 9-100 9-100
6.2 Ward(male) 1 62-673 62-673 7person
6.3 Ward(female) 1 62-673 62-673 7person
6.4 Toilet (male) 1 9-100 9-100
6.5 Toilet (female) 1 9-100 9-100
facility
1 18-200 18-200
6.7 Duty NurseRoomwith facility 1 18-200 18-200
6.8 Store 1 9-100 9-100
Total 196sqm-
2146sft
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7. I.C.U
7.1 Pantry 1 9-100 9-100
7.2 Waiting Area 1 9-100 9-100
7.4 Nurse Desk 1 4.5-50 4.5-50
facility
1 18-200 18-200
7.7 Ward 1 50-538 1000-10760 20 person
7.8 DressingRoom 1 9-100 9-100
7.10 Consultation Room 1 13.5-150 13.5-150
7.11 StoreRoom 1 9-100 9-100
7.12 WashRoom 1 6-64 6-64
Total 1124.5sqm-
12104sft
8. C.C.U
8.1 Pantry 1 9-100 9-100
8.2 Waiting Area 1 9-100 9-100
8.4 Nurse Desk 1 4.5-50 4.5-50
facility
1 18-200 18-200
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8.7 Ward 1 50-538 1000-10760 20 person
8.8 DressingRoom 1 9-100 9-100
8.10 ConsultationRoom 1 13.5-150 13.5-150
8.11 StoreRoom 1 9-100 9-100
8.12 WashRoom 1 6-64 6-64
Total 1109sqm- 11937sft
9. Prison cell
9.1 Pantry 1 9-100 9-100
9.2 Police Campwith Facility 1 18-200 18-200
9.3 Ward 1 54-578 54-578 6 person
9.4 Toilet 1 9-100 9-100
facility
1 18-200 18-200
9.7 Store 1 9-100 9-100
Total 135sqm-1478sft
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10. Oncology Ward
10.1 Pantry 1 9-100 9-100
10.2 Ward 1 18.5-200 277.5-2986 15 person
10.3 Toilet 1 9-100
Facility
1 18-200 18-200
Facility
1 18-200 18-200
10.6 Store 1 9-100 9-100
10.8 Checkup Room 1 9-100 9-100
Total 379.5sqm-
4084sft
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11 Obstetrics Ward
11.1 Pantry 1 9-100 9-100
11.2 Ward 1 27.75-298 416.25-4480 15 person
11.3 Toilet 1 9-100
11.4 Duty Doctors Roomwith Facility 1 18-200 18-200
11.5 Duty Nurses Roomwith Facility 1 18-200 18-200
11.6 Store 1 9-100 9-100
11.8 Checkup Room 1 9-100 9-100
Total 518.25sqm-5578sft
Total Functional Space(IPD) 12716.25sqm136876sft
Total Circulation Space(IPD) 3814 sqm-41053sft
Grand Total(IPD) 16530.25sqm 177930sft
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O.T.COMPLEX
1. General OTComplex
1. RegistrationArea 1 18 –200 18 -200
2. RecordRoom 1 13.5-150 13.5-150
3. Waiting Area 1 14 -160 14 -160
4. General SurgeryOT 4 31.5-350 126-1400
5. Scrubup and GowningArea 5 18 -200 90-1000
6. Equipment Room 5 13.5-150 67.5-750
7. Autoclave Room 1 18 -200 18 -200
8. Medicine Storage 1 13.5-150 13.5-150
9. Soiled Utility Room 1 9 -100 9 -100
10. Sluice 1 9 -100 9 -100
11. Anesthesia Room 2 9-100 18-200
12. Anesthesia’s Doctor Room 1 9-100 9-100
13. Pre-operativeRoom 1 45-500 45-500
13. Nurse Station 1 9 -100 9 -100
15. RecordRoomwith Nurse
Station
1 9 -100 9 -100
16. Doctor’s Lounge,Change,
Locker
1 45 -500 45 -500
17. Staff Lockerand Changing
Room
1 45 -500 45 -500
Total 576.5sqm-
6410sft
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Obstetrics and Gynecology OTComplex
1. RegistrationArea 1 18-200 18-200
2. RecordRoom 1 9-100 9-100
3. Waiting Area 1 14 -160 14 -160
4. CaesareanOT 1 31.5-350 31.5-350
5. Recovery Room 1 18-200 18-200
6. PreLabor Room 1 36-400 36-400
7. Labor Room 2 36 -400 72-800
8. Scrubup and GowningArea 3 18 -200 54-600
9. Equipment Room 3 13.5-150 40.5-450
10. Autoclave Room 1 18 -200 18 -200
11. Medicine Storage 1 13.5-150 13.5-150
12. Soiled Utility Room 1 9 -100 9 -100
13.. Sluice 1 9 -100 9 -100
14. Pre-operativeRoom 1 139 -1540 139 -1540
15. Post-operative Observation
Room
2 139 -1540 278-3080
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16. Nurse Station 1 9 -100 9 -100
17. RecordRoomwith Nurse
Station
1 9 -100 9 -100
18. Doctor’s Meeting Room 1 18 -200 18 -200
19. Doctor’s Lounge, 1 27 -300 27 -300
Room(male)
1 36 -400 36 -400
Room(female)
1 36 -400 36 -400
22. Staff Toilet (male) 1 13.5-150 13.5 -150
23. Staff Toilet (female) 1 13.5-150 13.5 -150
Total 921.5sqm-
10230 sft
Total Functional Space(O.T.) 1498 sqm -
16640sft
Total Circulation Space(O.T.) 450 sqm -
4992sft
Grand Total(O.T.) 1948 sqm -
21632sft
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DOCTOR’SFACILITIES
1. Meeting room 1 45 –500 45 –500 16 persons
2. Study area 1 90 –1000 90 –1000 30 persons
3. Audio visual room 1 22.5 –250 22.5 –250
4. Library 1 54 - 600 54 - 600
5. Doctor’s and officer’scanteen 1 180 –2000 180 –2000 60 persons
6. Pantry 1 36 –400 36 –400
7. Prayer space(Male) 1 31.5 –350 31.5 –350
8. Prayer space(Female) 1 31.5 –350 31.5 –350
9. Commontoilet (Male) 1 13.5 –150 13.5 –150
10. Commontoilet (Female) 1 13.5 –150 13.5 –150
517.5sqm–
Total Functional Space 5750sft
Total Circulation Space
156 sqm -
1725sft
Grand total 673.5 sqm -
7475sft
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ADMINISTRATION
1. Reception 1 20 –216 20 –216
2. Waiting 1 24 –256 24 –256 25 persons
3. Toilet (male,female) 2 6.25 –75 13.5 –150
4. Chairman’s office
4.1 Chairman’s room with toilet 1 20 –216 20 –216 1 person
4.2 P.A 1 6 – 64 6 – 64
5. M.D’s office
5.1 M.D’s office with toilet 1 20 –216 20 –216 1 person
5.2 P.A 1 6 – 64 6 – 64
6. Executive’s office
6.1 Executive’s room 4 10 –108 40 - 432 4 person
7. Accounts and financesection
7.1 Recordroom 1 6 – 64 6 – 64
7.2 Chief accountant 1 20 –216 20 –216 1 person
7.3 General account’s office 1 9 – 100 9 –100 4 persons
7.4 Cashcounter 2 9 – 100 18 –200 2 person
7.5 Cashieroffice 1 10 –108 10 –108 1 person
7.6 Vault 1 7 – 73 7 – 73
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8. Medical recordsoffice
8.1 Medical recordsofficer’s
room
1 10 –108 10 –108 1 person
8.2 Medical recordsroom 1 25 –270 25 –270
8.3 Medical recordsassistant’s
room
1 6 – 64 6 – 64 1 person
9. Purchasingdept.
9.1 Purchasingofficer 1 9 – 100 9 –100 1 person
9.2 Purchasingoffice 1 18 –200 18 –200 2 persons
10. Matron’s office
10.1 Office room 1 18 –200 18 –200
10.2 Recordroom 1 6 – 64 6 – 64
11. Public relationoffice
11.1 Office 1 18 - 200 18 - 200 2 persons
11.2 Meeting room 1 40.5 - 450 40.5 - 450 16 persons
Total Functional Space
344sqm –
3651sft
Total Circulation Space
104 sqm
1096sft
Grand total 448sqm -
4747sft
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CLINICAL SUPPORT UNIT
1. Nurse LockerRoomand
Toilet
1 36 –400 36 –400
2. Staff LockerRoomwith
Toilet
(male)
1 36 –400 36 –400
3. Staff LockerRoomwith
Toilet
(female)
1 36 –400 36 –400
Total 108 sqm –
1200 sft
INPATIENT KITCHEN
1. Dry storage 1 13.5 –150 13.5 –150
2. Cold storage 1 13.5 –150 13.5 –150
3. Washingarea 1 13.5 –150 13.5 –150
4. Cookingarea 1 50 –535 50 –535
5. Pantry 1 18 –200 18 –200
6. Commontoilet
(Male, Female)
1 13.5 –150 13.5 –150
7. Kitchen staff’s room 1 15 –170 15 –170
8. Staff’scanteen 1 75 –800 75 –800 30 persons
Total 212sq
m–
2305sft
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OUTPATIENTCAFETERIA
1. Main diningspace 1 90 –1000 90 –1000 40 persons
2. Service counter 1 13.5 –150 13.5 –150
4. Washingarea 1 9 – 100 9 –100
5. Preparation 1 13.5 –150 13.5 –150
6. Pantry 1 13.5 –150 13.5 –150
Total
139.5sqm–
1550sft
Total Functional Area(Facility)
459.5sqm -
5055sft
Total Circulation Space(Facility)
138 sqm -
1517sft
Grand Total (Facility) 597.5 sqm -
6572sft
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CENTRAL STORE
1. Central generalstore
(kitchen & food)
1 36 –400 36 –400
2. Store in charge 1 9 – 100 9 – 100 1 person
3. Furniture store 1 45 –500 45 –500
Total 90sqm–
1000sft
OTHER SERVICES
1. Service portico andfoyer 1 27 –300 27 –300
2. Service lobby 1 36 –400 36 –400
3. Central sterile supplyunit
(C.S.S.U)
1 50 - 560 50 - 560
7. Housekeeping 1 36 –400 36 –400
8. Equipment maintenance
office
1 13.5 –150 13.5 –150 1 person
9. Mortuary
9.1 Refrigerator room for
dead
bodies
1 36 –400 36 –400
9.2 Washingroom 1 9 – 100 9 – 100
9.3 Store 1 4.5 –50 4.5 – 50
9.4 Postmortem room 1 18 –200 18 –200
9.5 office 1 9 – 100 9 – 100 1 person
10. Fire and security
10.1 Security officeroom 1 9 – 100 9 – 100 at main
gate
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11. Telephoneand
communication
11.1 PABXexchangeline
11.2 PABX operator’s 4 6- 64 24 - 256
12. Car parking
12.1 Parkingvehicles 10 cars 115 – 1250 115 – 1250 Covered
12.2 Maintenance shop 1 9 – 100 9 – 100
12.3 Driver’s room 1 18 –200 18 –200
12.4 Driver’s toilet 1 4.5 –75 4.5 – 75
13. Suction plant 1 45 –500 45 –500
14. Oxygenplant 1 90 –1000 90 –1000
15. Garbage 1 27 –300 27 –300
Total 580.5sqm–
6441sft
LOUNDRY AND LINENSERVICES
1. Laundry 1 27 –300 27 –300
2 Soiled linen 1 13.5 –150 13.5 –150
3. Clean linen 1 13.5 –150 13.5 –150
4. Ironing and tailoring room 1 13.5 –150 13.5 –150
5. Store 1 9 – 100 9 – 100
6. Office 1 9 – 100 9 – 100
Total 85.5sqm–950sq.ft
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CLEANING, HOSPITALWASTE AND DISPOSALINCINERATION
1. Standard incineration for150
bed hospital
1 40 –400 40 –400
2. Cleaning material room 1 10 –108 10 –108
3. Cleaning personnel room 1 12 –126 12 –126 2 persons
Total 62 sqm –
634sft
ENGINEERING andMAINTENANCE
1. Maintenanceengineer’s
room (Civil,Electrical,
Mechanical)
1 27 –300 27 –300 2 persons
2. Diploma engineer’s room 1 13.5 –150 13.5 –150 3 persons
3. Workshop 1 18 –200 18 –200
4 Store 1 18 –200 18 –200
Total 76.5sqm–
850sft
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SUBSTATION
1. Generator 2 27 –300 54 –600
2. Transformer 1 48 –560 48 –560
3. AHU 3 27 –300 81 –900 6rooms
4. Air conditioning plant 1 48 –560 48 –560
5. Boiler 1 90 –1000 90 –1000
6. Controlling office/staff_ 1 9 – 100 9 – 100 1 person
7. Pumproom 1 9 –100 9 –100
8. Electrical room 6 9 – 100 54 –600 6 nos.
9. Elevator machineroom 45 –500 45 –500
Total 438sqm –4920
sft
TOTALFUNCTIONAL SPACE (SERVICE) 1332.5sqm
14795sft
TOTALCIRCULATION SPACE
(SERVICE)
400 sqm
4439sft
GRAND TOTAL (SERVICE) 1732.5 sqm
19234sft
GRAND TOTALAREA 25588.25sqm- 275429sft
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Name No. of bed Surface in m² per bed Surface in
m²total
Surgery 120 16.5 2220
Internal medicine 120 18.5 2220
Gynecology 30 18.5 555
Obstetrics 30 27.75 833
Pediatric 60 17.3 1038
Oncology 30 18.5 555
ENT 30 18.5 555
VIP 60 30.8 1848
IC 20 50 1000
Subtotal wards 500 10824
500 BED GENERAL HOSPITAL
PROGRAMME PROPOSAL
WARDS
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Name Surface in m² per bed Surface in m²total
Operating Department 2.2 2200
Emergencies .4 200
Obstetrics
Nuclear medicine .4 200
X-ray department 1.8 900
Outpatient department 5 2500
Physio-therapy 1 500
Central sterilisation .4 200
Laboratories 2 1000
Pharmacy 1.5 750
Mortuary .8 400
Subtotal medical services 15.5 7750
MEDICAL SERVICES
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LOGISTIC SERVICE
Name Surface in m² per bed Surface in m²total
Administration 2 1000
Reception 1.5 750
Archives .6 300
Staff accommodation 1.1 550
kitchen 1.2 600
Laundry .6 300
Stores 1 500
Technical services 4 2000
Subtotal logistic services 12 6000
Circulation 5 2500
TOTAL 53.75 26875
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Out -patient Department (OPD)
a) Entrance and waiting space 1 -2 m²
a) Consulting rooms
Operation
Medicine
E.N.T.
Eye
Dentistry
Gynecology
Pediatric
Orthopedic
Mental
Family Planning
Venereal diseases
skin
3m x 4m
a) Office 3m x 4m
a) Emergency 4m x 5.5m
a) Dispensary 4m x 5m
a) Sanitary block
Description Male Female
W.C. 1 for
100
2 for 100
Urinals 1 for
50
Wash-basins 1 for
100
1 for 100
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Operation Theatre
Operation Theatre 4.2 m x 5.5m
Sterilization room 2.75m x 3.6m
Doctor’s room 3m x 4m
Nurse’s room 3m x 3m
Waiting space 3m wide
Circulation space
Sanitary block
Wards
The different wards are: Medicine, Operation Theatre, Gynecology, Female, Children and Infectious Diseases
a) Ward 8-10 m²/bed
a) Circulation space
a) Nurse’s room and Dispensing room 3m-4m
a) Sanitary block
W.C.
Bath room
Wash basins
1 for 8 beds
2 for one ward
1 for 30 beds
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• Sir salimullah medical collage Mitford hospital
• Rangpur Medical Collage Hospital
• M Abdur Rahim Medical College and Hospital
• Shaheed Ziaur Rahman Medical College
• Shaheed Ziaur Rahman Medical College
• Arif Medical College -Sialkot
case study a n a l y s i s

Sir salimullah medical collage Mitford hospital
It is affiliated the university of Dhaka as a constituent collage . Before 1865 it was a Ducth “kuthi” which was used for business
purpose . Become a medical collage in 1962.
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Location of Sir salimullah medical collage hospital
Sir Salimullah Medical College
(SSMC) is government medical
school in Bangladesh. It is
located in the old part of the
capital, Dhaka. It is affiliated with
the University of Dhaka as a
constituent college. It is located
at 23.710556°N 90.401111°E
Mitford Road, Babubazar,
Dhaka, Bangladesh.
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Schematic master plan
Mosque
Outpatient
Main building
Shondhani blood
Bank and clinic
Blood bank
Institute of nuclear
Medicine and Sciences
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Organization of the main building
North :M.R.I C T Scan ,C T Scan , Digital X-Ray , Ward
master office ,Kitchen
Ground floor
South :Emergency Department & Information ,
Casual ward , Physiotherapy Department
First floor
North : Administration block , Store , Canteen , Telephone
South : Radiology and Imaging Department
Second floor
North : Orthopadedic , Orthopaedic post
Operative , Surgery Ward (female) , ICU
South :General Post Operative Word , General OT, Emergency OT , Gynae OT , Gynae
po Ward
Third floor
North :Surgery Ward 1 (male) , Surgery Ward 2 (male) , Surgery Ward 3 (male)
South : Gynae General Ward , Student cabin , Surgery seminar Ward
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Ground Floor
Plan
KitchenEmergency
dept
Stair
Lift
Ramp
Core
Car parking
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OPD

First floor plan
Toilet
Stair
Lift
Ramp
Core
CanteenOffice
Radiology
and
Imaging
dept
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Second floor plan
OT
Student observation
Room
Recovery
core
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Third floor plan
Female ward
Male ward
Office
Ward
Master
office
Office
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Fourth floor plan
OT
Female
ward
Male ward
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Typical floor plan(5th to 10th )
Ward Cabin
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Natural Light & Corridor
X-Ray Room Administrative Department
Conference Room
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Stair & Natural Light
ICU (Third Floor)
Ramp
Outpatient department
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Rangpur Medical Collage
Hospital

To meet the growing needs of modern medicine the government established a medical
college in Daph, Rangpur (on the property of Pandit family of Rangpur) in 1970 with a 500-
bed teaching hospital. The first batch of 50 students were admitted to Rangpur Medical
College, affiliated with Rajshahi University, in 1971. Currently, the yearly intake has been
increased to one hundred and seventy five. 41th batch is doing intern duty. And most recent
batch of 2018 is 47th.
Location:
Dhap,Rangpur,Bangladesh
25.7667’N 89.2342’E
The campus of Rangpur Medical
College is located in the northwest
area of Rangpur, Bangladesh. It is
210 kilometres from the Rajshahi
District and 330 kilometers
from Dhaka and is located next to
the inter-country highway that
connects India to Nepal.There is a
three-storey college building and a
five-storey residential building with
875 beds
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Master plan
Hospital
building
Out door
parking
Playground
Boys hall
Collage building
Nurses training
center
Female hostel
Nurses hostel
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Ground floor plan
Core(lift, stair,
lobby)Emergency
Surgical out door
Medical outdoor
treatmentGynae Obstetric(children OPD)
Clinical and pathological
Administration indoor &
outdoor
Dental, E.N.T, EYE
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First floor plan
CORE(LIFT, STAIR,
LOBBY)
PHISIO
THERAPYOPERATION
THEATER(OT)
OPERATION THEATER(OT)
SKIN, V.D, PSYCHOLOGY
X-RAY DIAGONESTIC
ANAESTHESIA RECOVARY & CENTRAL
STARILISAION
PATHOLOGY
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Second floor plan
CORE(LIFT, STAIR,
LOBBY)PAYING
PATIENTCABIN
LABOUR ROOM SUIT
WARD
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Third floor plan
CORE(LIFT, STAIR, LOBBY)
WARD
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Library
corridor
General ward
Out patient
department
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M Abdur Rahim Medical College
M Abdur Rahim Medical College, Dinajpur (MARMC) is a government medical school in
Bangladesh, established in 1992. It is located in the Dinajpur District of Rangpur Division.
It is affiliated with Rajshahi University. It was renamed from Dinajpur Medical College and
Hospital to M Abdur Rahim Medical College and Hospital after M. Abdur Rahim

M. Abdur Rahim medical college Hospital is one of the largest hospitals in the Northern part of
Bangladesh. It is a 500-bed teaching hospital. There are 17 operation theatres in the hospital, of which,
12 are general, two emergency, one labour and two daily. The hospital has introduced some new
departments, including cancer, urology and radiotherapy. The hospital building has an underground car
parking facility. It has the ability to accommodate above 1000 patients. The present government has
decided to open 20 bed burn unit in this medical college hospital.
PGT trainings are also given in the
hospital. This Medical college is
affiliated by Bangladesh College of
Physicians and Surgeon for
undertaking any post graduate
training and Postgraduate courses.
Many facilities like academics, research
and residency are available hereLocation: Dinajpur is a city situated
in northern part of Bangladesh. It
was founded in 1786 . It is located
413 km north-west of Dhaka in
Bangladesh. It is situated in 25°37′
N. latitude and 88°39′ E longitude on
the eastern bank of the river
Punarbhaba. It is bounded on the
north by Suihari, Katapara, Bangi
Bechapara, Pulhat, Koshba on the
south, on the east of Sheikhupura
and by the river Punarbhaba on the
west.
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Hospital building
Morgue
Boys hostel
Staff quarter
Academic building
Mosque
Master plan
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Nurse hostel

Emergency
Ramp
Stair and lift
Stair and lift
OPD
Fair stair
Common space
Corridor
Ground floor
plan
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Service block
Cafeteria
Ward
Office
Office
Therapy
Therapy
First floor
Stair lift
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Second floor
OT
OT
Ramp
Ward
Ward
Conference room
Stair &lift
Toilet
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OPD
EMARGENC
Y
Labour and gynae
ward
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CorridorRamp
Fair Stair
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Shaheed Ziaur Rahman Medical College
Shaheed Ziaur Rahman Medical College is a government medical school in Bangladesh,
established in 1992. It is located in Bogra town. It is affiliated with the University of Rajshahi

Shahid Ziaur Rahman Medical College Hospital (SZMCH) is a Public (Government) medical
college and hospital of Bangladesh. it established in 1992. It was named on the basis of
Shaheed President Ziaur Rahman. It was initially started as a medical college collaborating
with Mohammad Ali Hospital, Bogra. Later it has shifted to the newly constructed campus
on 31st August 2006 with its well-constructed and well-equipped 500 bedded teaching
hospital within the campus. It has 5 years MBBS Course and 1 year internship after
graduation.
Location: Location of
SZMCH is in south-western
location of Bogra just
beside the Dhaka-Rangpur
national highway. And
opposite to Hotel Naz Garden.
24.8302’N 89.3528’E
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CORRIDOR WITH NATURAL LIGHT
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OUT PATIENT DEPARTMENT
Stair
Ramp
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Arif Medical College –Sialkot
(Sialkot is a city in Punjab, Pakistan )
Total Area : 18 Acres
Area for Medical College : 10 Acres
Area for Factory : 8 Acres
The Project Includes
 Hospital
 Medical College
 Nursing College
 Staff Residences
 Auditorium
 Hostels
 Admin
 Medical collage
 Factory
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 Factory
Site and Zoning
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SITE PLAN
(PROPOSED)
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Lower Ground floor
Plan
Dental
OPD
OPD
Services
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Ground floor Plan
Radiology
Emergenc
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OPD
Main
lobby
Cafe
General
Ward
Pharmacy
Office
Teaching
Ramp
stair
Corridor
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stair

First floor Plan
Stair
Ramp
Stair
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Second floor Plan
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Bed calculation
SR HOSPITAL NO OF
BED
DENTAL CHAIRS
1 LOWER GROUND 5 80
2 GROUND 124
3 FIRST 204
4 SECOND FLOOR 167
TOTAL 500 80
FACILITIES NO OF BEDS
EMAEGENCY 22
RADIOLOGY 02
IN PATIENT WARD 386
PRIVET ROOM 12
DELIVERY ROOM 07
OPERATION THEATERS 07
PREPARATION 12
RECOVARY 12
TREATMENT ROOM 05
ICU/CCU 36
NURSERY 20
DENTAL CHAIRS 80
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