literature study (3)
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literature studyhospitalTRANSCRIPT
LITERATURE STUDY OF HOSPITAL
TREATMENT AREAS The requirement for treatment areas in the past few years has increased tremendously , the treatment areas should face north and have a central access. OBSTETRICS
This department apart from looking after deliveries has to keep in mind the complications during pregnancy and child birth therefore it is essential to have a treatment room right next to the delivery rooms. ROOM PLANNING Among the central delivery rooms is an observation room with large glass windows as well as waiting and admission areas with ‘contraction rooms’. With this there should be a clean workroom(12 sq.m) , a non-clean workroom(12 sq.m) , a mid-wives workstation(20 sq.m) and a staff rest room (15 sq.m) and a staff and patient WCs.
INTERNAL MEDICINE TREATMENT AREAS Depending upon the size of the hospital , there can be : cardiology,angiology,pulmonilogy,endocrinology and gastroenterology. The basic facilities comprises examination rooms (25 sq.m), An administration office (15-20 sq.m) between the senior physician’s room (12 sq.m) and the chief physician’s room (20-25 sq.m) , an archive room and patient waiting areas . Staff stand – by rooms (15 sq.m.) should also be provided.
RADIOLOGY
It includes special areas like X-ray diagnosis , radiotherapy and nuclear medicines. The radiology department should always be close to ambulance entrance and because of the great weight of the equipments (upto 14 ft.) it is sensible to plan such areas on the ground floor. The rooms of the individual disgnostic areas must be so arranged as to minimise the distance between them . A connecting corridor which can be used simultaneously as a store , dictating room and a switchroom. The size of the room depends upon the use of the room and what the room contain : for example , sonography,mammography, and jaw X-ray and admission rooms which need to be 20-30 sq.m. WCs should be installed in the X-ray rooms for stomach and intestinal inspections. The admission room for computertomography(CT) must be 35 sq. m. The walls , ceilings and floors must be sheilded with lead sheeting.
LABORATARIES ;FUNCTIONAL DIAGNOSIS
The laboratory department is concerned mostly with the preparation and processing of blood , urine and faecal samples . It is often separated from the treatment and nursing areas , the connection to the other departmnets being through a special pneumatic tube dispatch system. The laboratory itself should be in a large room with built in work surfaces (standing work places) to offer a high level of flexibility. Specialist laboratories are added on a separate rooms. Subsidiary rooms include rinsing rooms , sluice rooms , disinfection rooms , cool rooms , rest rooms and WCs for staff.
FUNCTIONAL DIAGNOSIS
It is playing an increasingly important role in hospitals due to advances in heart and thorax research and the rising number of patients with heart , lung and circulation problems. Flexibility in the design is absolutely essential to accommodate the wide range of techniques and equipments used in such departments. A direct connection with the laboratory department is beneficial , but not essential. A data link to the the radiology, radiotherapy and surgical departments is necessary to allow combined monitoring (e.g analysis of X-ray results together with ongoing assessmnet of the vital functions).
INSHA SONI
SITE PLAN OF MAX HOSPITAL GURGAON
Satellite view of the hospital
MAX HOSPITAL MAIN BUILDING
HUDA CITY METRO STATION
RESIDENTIAL AREA SUSHANT LOK B BLOCK
TOWARDS IFFCO CHOWK
CASE STUDY
ENTRACE TO THE HOSITAL
AUTOCAD PLAN OF THE HOSPITAL WITH THE SURROUNDINGS
PARKING
EMERGENCY
The hospital is situated in Sushant Lok , Gurgaon. Closest metro station is : Huda
City Centre and is connected via the iffco chowk road as the main connectivity for the building.
Generators and bio medical waste plants
Main road
Site showing the basic road network and the green belt around the site of the selected hospital
GOUND FLOOR PLAN OF MAX HOSPITAL , GURGAON CASE STUDY
RECEPTION ADMISSION/DISCHARGE PHARMACY
BLOCK A
BLOCK B
BILLING (OPD) REPORT COLLECTION
GENERAL OPDs
DENTAL
RADIOLOGY
EMERGENCY
ENTRY TO THE HOSPITAL
CAFETARIA
Red arrows depicting the circulation on the ground floor from the main entrance of the hospital. Green depicting the Service areas of the hospital
INTRODUCTION
Primary healthcare is delivered in the community at the first contact point between members of the public and health workers . In the past , people would see their general practitioners either at their homes or in the doctor’s surgery. The advantages for the patients are shorter waiting times and a greater possibility of being to receive a diagnosis and treatment without having to be referred to another doctor.
Some basic planning bubble diagrams showing the pattern of the design in a general hospital .
The main core of the primary care service is the general medical practice , with the emphasis on the general practitioner , modern healthcare centres increasingly comprise nursing and other professional staff of primary and community healthcare team.
A primary halthcare centre therefore provides a range of medical services including : consultations , treatment diagnosis , minor surgery and health education . These centres can offer great flexibility and tend to serve an average population of between 10,000 to 30,000 people.
TYPES Hospitals may be subdivided into the following categories : smallest (up to 50 beds), small (up to 150 beds), standard (up to600 beds) and large hospitals.
PLANNING CONCEPTIONS Location : the site should offer sufficient space for self –contained residential areas and hospital departments. Orientation: the building should be between north-west and north-east. For nursing ward facades , south to south-east is favourable :pleasant morning sun , minimal heat build –up , little requirements for sun-shading , mild in the evening.
TABULAR PRESENTATION OF EACH ACTIVITY ON DIFFERENT FLOORS CASE STUDY – MAX HOSPITAL GURGAON
BASEMENT B1 BASEMENT B2 GROUND FLOOR
FIRST FLOOR
SECOND FLOOR
THIRD FLOOR
STAFF CANTEEN
CHILLER PLANT
RECEPTION NURSERY GYNAECOLOGY DIABETICS
IT LABS LAUNDRY DENTAL ICU WARDS IVF CENTRE
ACCOUNTS DEPARTMENT
HOUSE KEEPING
CHEMIST ENDOCOPY PATIENTS ROOMS
OPTHAMOLOGY
LT-PANEL AC PLANT ADMISSION /DISCHARGE
DIALYSIS SPECIAL ROOMS
WARDS
CSSD- CLOSING AND MAINTAINCE
PUMP ROOM EMERGENCY, PANTRY, CAFETARIA
OT COMPLEX
OBSTETRICS -OT COMPLEX
MANAGEMENT
COMPRESSOR PAEDRITICS WAITING LOUNGE
DOCTORS ROOM
LASIK TREATMNET
RADIOLOGY WARDS DAY CARE
CARDIOLOGY
PSYCHOLOGY