THESIS PREPARATORY200 BEDDED GENERAL HOSPITAL

SUBMITTED BY : GAURAV JAIN 2011UAR1401

THESIS GUIDE : AR. NAND KUMAR

INTRODUCTION

A HOSPITAL is a health care institution providing patient treatment with specialized staff and equipment. The best-known type of hospital is the general hospital, which has an emergency department.

A General hospital is set up to deal with many kinds of disease and injury, and normally has an emergency department to deal with immediate and urgent threats to health. Larger cities may have several hospitals of varying sizes and facilities. Some hospitals have their own ambulance service.

Modern hospital buildings are designed to minimize the effort of medical personnel and the possibility of contamination while maximizing the efficiency of the whole system. Hospital building provides a hygienic as well as healing environment for the people.

INTRODUCTION

PRINCIPLES & DESIGN THEORY

PRINCIPLES & DESIGN THEORY

Morphology & Design : Hospitals are most complex of building types. Each hospital is comprised of a wide range of services and functional units. These include diagnostic & treatment functions, such as clinical laboratories, imaging, emergency rooms & surgery, hospitality functions such as food service and housekeeping and the fundamental inpatient care or bed related function.

Functional Zoning : The form and layout of hospital facilities have to meet the criteria for sterility, segregation of workflow, un-obstruction of emergency routes, nurse observation, patient and staff safety.

Master planning : Schemes must respond to their local environment ifthey are to be adopted by local communities. Successful design solutions will stem from a full consultation with statutory authorities and a detailed site analysis (existing patterns of built heritage, topography, sun paths, flood risk, noise etc).

PRINCIPLES & DESIGN THEORY

Hospital Space Programming : Over-sizing the hospitalcost unnecessary expences, both capital and running. Under-sizing leads to operational problems & deficiencies. Plam should arrive through calculations, at right-size of the facilities and functional units such as number of operating rooms, clinics, etc.

Planning inpatients & outpatients wards :Outpatients areas are the busiest of hospital areas While inpatients areas needs to be more silent – need of providing a more comfortable and healing ambience for the patient’s stay.

PRINCIPLES & DESIGN THEORY

Planning Operating Department : The surgical suite has been the most studied department over other areas. The primary design criteria is to segregate the soiled from sterile traffic.Planning Delivery Department : Delivery Suite must be separated from other departments , reason being that it is a place for family to rejoice the newborns and not to recover from illness. It should be designed as homely as possible without compromising clinical needs.Planning Other Departments :In subsequent sections, the planning and design principles of other principal department in the hospital must be examined including- EMERGENCY, RADIOLOGY, ENDOSCOPY, CSSD, PHARMACY

PRINCIPLES & DESIGN THEORY

CONCEPTS IN HOSPITAL PLANNING : Healthcare Organisation, medical and pharmaceutical advances , and medical technology departments and patient expectations are continuously changing at fast pace. The implications of these changes on the planning and design of healthcare facilities are direct and evident and the design response to them manifests itself in emerging planning concepts and ideas. Following concepts must be focused on- HEALING HEALTHCARE ENVIRONMENTS - PATIENT FOCUSED DESIGN -PATIENT HOTELS - THE UNIVERSAL PATIENT ROOMS - THE DIGITAL HOSPITAL

Advances in medical technology are very fast paced. Their implications and impact on the design of hospital facilities are needed to consider.

SPACE STANDARDSSOURCE: IPHS (Indian Public Health Standards)

SPACE STANDARDSSOURCE: IPHS (Indian Public Health Standards)

The number of beds requiredfor a district having a population of 10 lakhs will beas follows:

The total number of admissions per year =10,00,000 x 1/50 = 20,000Bed days per year = 20,000 x 5 = 100,000

Total number of beds required whenoccupancy is 100% = 100000/365 = 275

Total number of beds required whenoccupancy is 80% = 100000/365 x 80/100

An area of 65-85 m2 per bed has beenconsidered to be reasonable.

ClinicsThe clinics should include general, medical, surgical, ophthalmic, ENT, dental, obsetetric and gynaecology, paediatrics, dermatology and venereology, psychiatry, neonatology, orthopaedic and social service department. The clinics for infectious and communicable diseases should be located in isolation, preferably, in remote corner,provided with independent access. For National Health Programme, adequate space be made available.

SPACE STANDARDSSOURCE: IPHS (Indian Public Health Standards)

CONNECTION BETWEEN AREASAdministrative Block:Administrative block attached to mainhospital along with provision of MS Office and other staff will be provided.

Circulation AreasCirculation areas like corridors, toilets, lifts, ramps, staircase and other common spaces etc. in the hospital should not be more than 55% of the total floor area of the building.

Floor HeightThe room height should not be less thanapproximately 3.6 m measured at any point from floor to floor height.

SPACE STANDARDSSOURCE: IPHS (Indian Public Health Standards)

Area and Space norms of the hospital Land Area

Minimum Land area requirement are as follows: Upto 100 beds = 0.25 to 0.5 hectare Upto 101 to 200 beds = 0.5 hectare to 1 hectare 500 beds and above = 6.5 hectare (4.5 hectare for hospital and 2 hectare for residential)

Following facilities/area may also be considered while planning hospital. (Desirable)(i) Operation Theatre a. One OT for every 50 general in-patient beds b. One OT for every 25 surgical beds(ii) ICU beds = 5 to 10 % of total beds (iii) Floor space for each ICU bed = 25 to 30 sqm (this includes support services)(iv) Floor space for Paediatric ICU beds = 10 to 12 sq m per bed(v) Floor space for High Dependency Unit (HDU)= 20 to 24 sqm per bed

(vi) Floor space Hospital beds General)= 15 to 18 sqm per bed(vii) Beds space = 7 sq m per bed.(viii) Minimum distance between centres of two beds = 2.5 m (minimum)(ix) Clearance at foot end ofeach bed = 1.2 m (minimum)(x) Minimum area forapertures (windows/Ventilators opening in fresh air) = 20% of the floor area (if on same wall)= 15% of the floor area (if on opposite walls)

SPACE STANDARDSSOURCE: IPHS (Indian Public Health Standards)

SPACE STANDARDSSOURCE: IPHS (Indian Public Health Standards)

SPACE STANDARDSSOURCE: IPHS (Indian Public Health Standards)

PROJECT BRIEF

The proposed project is the Construction of 200 bedded Govt. hospital.

SITE LOCATION : Hastsal, Vikaspuri, Tehsil-Patel Nagar,District West Delhi, New Delhi

SITE AREA : 15139.15 sqm (3.74 Acres).

DEVELOPER : Delhi State Industrial & Infrastructure Development Corporation Ltd. ( DSIIDC )

PROJECT COST: 197 Crore

PROPOSED SITE PLAN BY THE DEVELOPER

LAND USE - APPROVED BY DDA

Site is three side open to roads – Front road (30 m wide ), North – 13.5 m wide, South- 6m wide. An extra 9m wide road is proposed on west side.

Proposed site shares boundary with existing Kendriya Vidhalya. The nearest railway station is Delhi Cantt Railway Station is at ~ 10.5 km.New Delhi Railway Station is at ~ 17 km. Metro station Janakpuri and Uttamnagar are at ~4.0 km W and E directions, respectively. Indira Gandhi International Airportis approximate 20 km.

Maximum FAR permissible : 2Height Restriction : 30 mFront Setback : 15mRear Setback : 12mSides Setback : 12mParking Requirement = 2 E.C.S./100sqm

PROJECT DETAILS

CASE STUDY

1. MAHARAJA AGRASEN HOSPITAL

West Punjabi Bagh , New Delhi-110026

CASE STUDY

2. BHAGWAN MAHAVIR HOSPITALPitam Pura, Delhi-110034.