This document outlines the layout plan and design considerations for a hospital unit. It discusses the key divisions of a hospital including administration, outpatient care, diagnostic services, inpatient wards, and general services. For each division, it identifies the main components and provides guidance on location and typical space requirements based on hospital size. Zoning principles and types of circulation within the hospital are also covered. Design factors such as flexibility, accessibility, and future expansion are emphasized.
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
Emergency is the gateway to the hospital, patients with pain and agony, relative emotionally charged enter the emergency department at any hour of the day or night, expecting immediate treatment and solace.
Iphs For 101 To 200 Bedded With Comments Of Sub Groupguestc191261
India’s Public Health System has been developed over the years as a 3-tier system, namely primary, secondary and tertiary level of health care. District Health System is the fundamental basis for implementing various health policies and delivery of healthcare, management of health services for defined geographic area. District hospital is an essential component of the district health system and functions as a secondary level of health care which provides curative, preventive and promotive healthcare services to the people in the district.
Emergency is the gateway to the hospital, patients with pain and agony, relative emotionally charged enter the emergency department at any hour of the day or night, expecting immediate treatment and solace.
Iphs For 101 To 200 Bedded With Comments Of Sub Groupguestc191261
India’s Public Health System has been developed over the years as a 3-tier system, namely primary, secondary and tertiary level of health care. District Health System is the fundamental basis for implementing various health policies and delivery of healthcare, management of health services for defined geographic area. District hospital is an essential component of the district health system and functions as a secondary level of health care which provides curative, preventive and promotive healthcare services to the people in the district.
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
An operating theater is a facility within a hospital where surgical operations are carried out in an aseptic environment. Historically, the term "operating theatre" referred to a non-sterile, tiered theater or amphitheater in which students and other spectators could watch surgeons perform surgery.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
2. Important of this topic
•Hospitals are the most complex of building types.
• Each hospital is comprised of a wide range of services
and functional units.
•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.
3. Hospital design staff
Architect, Biomedical Engineer and Doctors
Biomedical engineer and Doctors responsible for:
Function, Proper Location, Utilities & Operating
Conditions of Medical Equipment.
Architect responsible for: studying information given
by the biomedical engineer and considering it for the
final design.
4.
5. Elements and divisions of the
hospital
The main division of the hospitals are:
1. Administration division
2. Outpatients’ division, includes;
• Outpatient clinics.
• Pharmacy.
• Emergency reception.
3. Diagnostic services division, includes;
• Laboratories.
• Radiology (diagnostic).
4. Therapeutic services division, includes;
• Physical Therapy.
• Radiology (therapeutic).
6. 5. Internal medical treatment division, includes;
.
• Operation Theatres
• Intensive Care unit.
• Maternity section.
• Central Sterilization
Department.
6. Inpatient division,includes;
• Patient wards.
• Nurses wards.
• Inpatient services.
7. General service
division, includes;
• Kitchen.
• Laundry.
• Storages.
• Workshops.
• Mechanical services.
• Mortuary.
• Security.
• Parking.
• Landscaping.
7.
8. GENERAL REQUIREMENT
The following general requirements are to be obtained:
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.
Occupancy:
A building designed for other purpose shall not be converted into a hospital.
Safety:
A hospital and other health facilities shall provide and maintain a safe
environment for patients, personnel and public.
9. Security:
A hospital and other health facilities shall ensure the security of person and property
within the facility.
Parking:
A hospital and other health facilities shall provide a parking space
Flexibility :
Follow modular concepts of space planning and layout as possible.
Served by modular, easily accessed, and easily modified mechanical and electrical
systems.
Open-ended design, with well-planned directions for future expansion; for instance
positioning "soft spaces" such as administrative departments, adjacent to "hard
spaces" such as clinical laboratories.
Accessibility:
All areas inside and outside the hospital should be designed to be easy to use by the
all kinds of patients with temporary or permanent handicaps.
10. ZONING
The different areas of a hospital shall be grouped according to zones as follows:
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.
Second Zone
Areas that receive workload from the outer zone: laboratory, pharmacy, and
radiology.
They shall be located near the outer zone.
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.
11. 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
12.
13. Design considerations
“District Hospitals: Guidelines for Development”, World Health
Organization, Geneva, 1992.
Recommendations and studies of large World Bank experts
“Building for Health Care: a Guide for Planners and Architects of
First and Second Level Facilities”, World Bank, 1996.
Recommendations and studies of the American architect and
planner of health care facilities ( E. Todd );“Hospital Design and
Function”, McGraw Hill, New York, 1964.
16. 1. Administration
division
Parts and components of the division:
• Reception hall.
• Waiting area.
• Registration.
• Treasury and Accounts.
• Staff offices.
• General manager office.
• Staff lounge.
• Nursing head office.
• WCs.
17. Location:
• Very close to main entrance of the hospital.
• Entrance area, registration, accounts should face the entrance, while
the manager office should be back for privacy.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 50 bed hospital area = 214 m2
• 100 bed hospital area = 363 m2
• 200 bed hospital area = 567 m2
2. World bank estimations (Hopkinson & Kostermans):
• 50 bed hospital area = 199 m2
• 100 bed hospital area = 328 m2
• 200 bed hospital area = 409 m2
21. 2. Outpatients’ division
External Outpatient Clinics:
Parts and components of the division:
• Consultation room.
• Examination room.
• Treatment room.
• Waiting area.
• Staff room.
• WCs.
22. Location:
• Very close to the main entrance of the hospital.
• Close to the diagnostic services (labs and x-ray).
• Close the pharmacy.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 50 bed hospital area = 215 m2
• 100 bed hospital area = 350 m2
• 200 bed hospital area = 540 m2
2. World bank estimations (Hopkinson & Kostermans):
• 100 bed hospital area = 345 m2
• 200 bed hospital area = 505 m2
26. Emergency reception:
Parts and components of the division:
• Entrance + waiting area.
• Registration.
• Staff room.
• Mini-surgery.
• Test room.
• Medical utilities.
• Mini sterilization room.
27. Location:
• Very close to the exit door of the emergency.
• Very close to the radiology.
• Close to the pharmacy, laboratories, and central sterilization.
• Direct access to the stairs and elevators.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 100 bed hospital area = 100 m2
• 200 bed hospital area = 215 m2
30. 3. Diagnostic services division
Laboratories:
Parts and components of the division:
• Work area.
• Waiting area.
• Sample room.
• Cleaning room.
• Staff offices.
The most important labs in the hospital are:
• Chemical lab.
• Bacteriology lab.
• Histology lab.
• Pathology lab.
• Serology lab.
• Hematology lab.
• Microbiology lab.
31. Location:
• Very close to the emergency department and external clinics.
• Easily accessible from internal division.
• Easily accessible from maternity and surgery departments.
• Accessibility from central storages.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 50 bed hospital area = 25 m2
• 100 bed hospital area = 60 m2
• 200 bed hospital area = 103 m2
Or area can be counted by the number of the beds, 0.7-0.8 m2 /
bed.
32. A. 50 bed hospital.
B. 100 bed hospital.
C. 200 bed hospital.
33. Radiology division:
Parts and components of the division:
• X-ray rooms.
• Control room.
• Waiting area.
• Staff office.
• Utility room.
• Dark room.
• Film view.
• Store.
34. Location:
• Very close to the emergency department and external clinics.
• Easily accessible from internal division.
• Ground floor is preferred.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 50-100 bed hospital area = 65-104 m2
• 200 bed hospital area = 220-240 m2
37. 4. Therapeutic services division
Physical therapy division:
Parts and components of the division:
• Waiting area.
• Office.
• Hydrotherapy.
• Exercise room.
• WCs.
38. Location:
• Close to the main entrance of the hospital.
• Easy accessible from external clinics.
• Easy accessible from internal division.
• Must be in the ground floor.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 50-100 bed hospital area = 65-104 m2
• 200 bed hospital area = 155-225 m2
40. 5. Internal medical treatment division
Operation theatre:
Parts and components of the division:
• Entrance.
• Storage.
• Preparation room.
• Access area.
• Staff clothes room + WCs.
• Operation theatre.
• Cleanup room.
• Sub sterilizing room.
• Supervision room.
• Staff lockers.
41. Location:
• Very close to the intensive care division and should be touchable
both of them.
• Very close to the central sterilization division of the hospital.
• Close to the inpatient wards.
• Can be easily accessible from the emergency division.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 50 bed hospital area = 185 m2
• 100 bed hospital area = 360 m2
• 200 bed hospital area = 550 m2
45. Intensive care unit:
Parts and components of the division:
• I.C.U space.
46. Location:
• Very close to the recovery room in the operation theatre.
• Can be easily accessible from the emergency division by elevator.
Area of the department:
Must be designed 1-2 % of
hospital beds.
47. Maternity division:
Parts and components of the division:
20-40 m2
26 m2
• Open room.
• Operation.
• WCs.
• Utilities. 8 m2
• Office. 15 m2
• Unclean room. 8 m2
• Cleanup room. 5 m2
• Storage. 10 m2
• Waiting area. 10 m2
• Corridors w = 2.2 m
48.
49. Central sterilization division:
Parts and components of the division:
• Work space.
• Receiving area.
• Washing area.
• Supplies storage.
50. Location:
• Very close to the operation theatre and maternity division.
• Can be easily accessible from the emergency division, laundry
and central storages.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 100 bed hospital area = 65 m2
• 200 bed hospital area = 110 m2
Or 0.6-0.9 m2/bed, 0.6 m2 for large hospitals and 0.9 m2 for small
hospitals.
53. 6. Inpatient division
Parts and components of the division:
• Inpatient wards. 11.5m2/bed – 8m2/bed.
• WCs.
• Nursing station. Not less than 12m2 for 30 patients.
• Treatment rooms. 10-15m2 for 60 patients.
• Day rooms. 0.7m2/bed and not less than 15m2
• Nurses’ lounge. Not less than 12m2
• Storage. 8-12m2
• Kitchen. 12m2
• Doctor room. 15m2
The most suitable beds in the hospital is 20-40 patient / unit.
54. A Nightingale ward is a type of hospital ward, which contains one
large room without subdivisions for patient occupancy.
Nightingale wards contain about 24 to 34 beds usually arranged
along the sides of the ward.
60. 7. General service division
Dietary division:
Spaces of the division:
• Storage room.
• Kitchen.
• Preparing and supply area.
• Cleaning.
61. Location:
• In the ground floor.
• Direct opening to the service entrance.
Area of the department:
1. Rosenfield
• 100 bed hospital area = 195 m2
• 200 bed hospital area = 355 m2
64. Housekeeping division:
Spaces of the division:
• Office.
• Dirty linen.
• Clean linen.
• Storage.
• Laundry.
• Mechanical room.
Location:
• In the ground floor.
• Close to central storages.
Area of the department:
1. U.S. Public Health Service (USPHS):
50 bed hospital area = 150 m2
100 bed hospital area = 180 m2
200 bed hospital area = 270 m2
65.
66. General Storages:
Spaces of the division:
• Medicine storage.
• Furniture storage.
• Food storage.
• Utilities storage.
• Achieve.
• General storages.
67. Location:
• In the ground floor.
• Close to housekeeping and dietary division.
• Direct access to the service entrance.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 100 bed hospital area = 260 m2
• 200 bed hospital area = 520 m2
Generally the area of the storages
is 2-2.6m2 /bed.
68. Mortuary division:
Location:
• In the ground floor or basement floor.
• Exit from emergency entrance or service entrance.
Area of the department:
1. U.S. Public Health Service (USPHS):
• 50 bed hospital area = 25 m2
• 100 bed hospital area = 45 m2
• 200 bed hospital area = 70 m2
69.
70. Maintenance workshops:
Location:
• In the ground floor or basement floor.
• Direct relation with service entrance.
Area of the department:
1. WHO experts:
• 50 bed hospital area = 65 m2
• 100 bed hospital area = 90 m2