HOSPITAL DESIGN: CASE STUDY
ARCHITECTURAL DESIGN 7
THSEMESTER
4
OUT-PATIENT DEPARMENT
REVATHI,PARVATHY
POOJA,SHRETIKA
INTRODUCTION
COLUMBIA ASIA
Columbia Asia offers OPD services for the following
departments
ENT surgeon
General surgeon
Obstetrics and gynaecology
Ophthalmologist
Orthopaedic surgeon
Paediatrics
Physician
Gastroenterologist
Dermatology
Allergist and immunology
Neurosurgery
Plastic surgeon
Vascular surgery
Psychiatrist
Endocrinology
Cardiology
Pulmonologist
Urology
With working hours of 8AM to 8PM on all
weekdays and Saturdays there are a total of 20
consultation rooms
OPD
OPD
Columbia Asia receives
800 patients on the weekdays
1200 patients on the weekends
LOCATION OF
DEPARTMENT
COLUMBIA ASIA
Radiology
and
diagnostics
Labs
Waiting
area
Waiting
area
OPD
OPD
Administration
Entry
Emergency
Pharmacy
Layout of OPD department
IPD
EMERGENCY
IPD
CAFÉ
ADMIN
EMERGENCY
OPD
Vertical arrangement seen from
the entrance of the hospital
Vertical arrangement as seen from
the right side of the hospital
The whole OPD is spread out on the
ground floor
The OPD can also be accessed from
the emergency department
The patients are confined to a
particular area of the hospital and
does not interact with the IPD
PATIENT ACTIVITY
MOVEMENT
COLUMBIA ASIA
New users
Old users
Administration
OPD
Waiting area
LABS
DIAGNOSTICS
New patients are the
users coming to the
hospital without a
appointment or a
medical record
Patients who have a
appointment and
medical records move
directly to the waiting
room
In the waiting area the
nurses station keeps the
movement of patients into
the consultation rooms
under control
Taking of appointments, asking for
information and payment occurs
here
The doctor can ask for further
investigations for which the patient
goes to the lab or the diagnostic
centre
PATIENT MOVEMENT
COLUMBIA ASIA
Radiology and
diagnostics
Labs
Waiting area
Waiting area
OPD
OPD
Administration
Entry
Emergency
Pharmacy
New patients without
appointments go to the
administration department to get
an appointment
Upon getting it they move to the
waiting area
From here they are called by the
nurse to the respective
consultation room
The doctor may advice them to do
further test which leads them to
the labs and diagnostic centres
PLACEMENT OF DEPARTMENTS
COLUMBIA ASIA
Radiology and
diagnostics
Labs
Waiting area
Waiting area
OPD
OPD
Administration
Entry
Emergency
Pharmacy
Administration department
• placed on the right side to the
entrance into the hospital
•Function-handles the
administration and appointment
making for the OPD
Advantage
•easy access for patients coming
through the main entrance
•Acts as a help desk as well as a
security (the desk is manned at all
hours)
Disadvantage
•Creates a bottle neck situation
for users going the OPD
ADMINISTRATION AREA
COLUMBIA ASIA
Admin area
Area of admin and
WAITING AREA
COLUMBIA ASIA
Radiology and
diagnostics
Labs
Waiting area
Waiting area
OPD
OPD
Administration
Entry
Emergency
Pharmacy
•Common waiting area for the
consultation rooms
•Two separate waiting clusters
connected by a single corridor
•Each waiting area was equipped with
its own nurses station which helped in
managing the consultations
Total number of seats-88 seats
Area per seat-0.65msq
Area for the waiting area-57.2msq
Measured area-354.606
Taking 800 patients
Area for seating -0.6 x 800
= 480msq
WAITING AREA
COLUMBIA ASIA
Advantages
•Patients consulting several doctors do not
have to travel to different waiting areas
•Common waiting area helps in segregating the different
users such as the IPD visitors, emergency visitors etc
•Placement of public facilities such as toilets and
drinking water becomes combines rather than dispersed
Waiting
area
PLACEMENT OF
AREA-WAITING AREA
COLUMBIA ASIA
Disadvantage
•Large number of people in a single area can
cause confusion and high amounts on noise
Seat arrangements
•A single nurses station
servers each of the waiting
areas
FACILITIES IN THE WAITING
AREA
COLUMBIA ASIA
Labs
Waiting
area
Waiting
area
OPD
Entry
-PLAY PEN
Age group- 3 to 6 years
Security – closed of on 3 sides and one side opening
directly into the main circulation passage
Designing for the children-soft flooring with different
colour patterns and also a TV displaying cartoons also
present
CONSULTATION ROOM
COLUMBIA ASIA
LAYOUT OF CONSULTATION ROOM
Furniture and fittings present
•Doctor’s table and workstation
•Chairs for the doctor, patient and attending
•Examination bed with a step
•A sink for the doctor to wash
•X-ray viewing box
•Cabinets for storage
Advantage-circulation space for the
doctor and patient to move to and from
the examination bed
CONSULTATION ROOM
COLUMBIA ASIA
1.2
1.2
1.2
Services required
•electrical and water supply
•data cable for computers
•smoke detectors for fire protection
•nurse call bell
SIGNAGES
COLUMBIA ASIA
Signs with consultation room
number along with name of doctor
given
Name of doctor on a temporary
removable board thereby allowing
flexibility in the use of the
consultation room.
Signage with names of doctors and theirs
specialisation placed at the entrance of
the OPD section of the floor
LIGHTING AND
VENTILATION
COLUMBIA ASIA
Lighting in waiting area– use of diffused lighting in the
seating area
Direct lighting in areas of circulation
Lighting in consultation
room-light directly above the
consultation table and the
examination bed
MATERIALS
COLUMBIA ASIA
Waiting
area-Seats places on carpeted area while
circulation space is tiled
Carpeted area becomes difficult to
clean and the tiled areas may
become slippery.
Consultation
room-Vinyl flooring
Easier to clean in an area
where cleanliness is a must.
FIRE EMERGENCY
COLUMBIA ASIA
Radiology and
diagnostics
Labs
Waiting area
Waiting area
Administration
Entry
Emergency
Pharmacy
During an emergency the evacuation route for the OPD
users go through the emergency room.
The path covers the OPD, waiting area, labs and diagnostic
areas
Maximum distance to be covered
for the emergency evacuation is
70.55m
WINDOWS AND
DOORS
COLUMBIA ASIA
Opaque blinds used in areas in rooms where
the light can effect the tests conducted on the
patient
Temporary blinds that can be
used when required
INTRODUCTION
VIKRAM HOSPITAL
Vikram’s Hospital offers OPD services
for the following department
ENT Dermatology
General Sciences Allergist and immunology Obstetrics gynaecology Neurosurgery Ophthalmology Cardiology Orthopaedic Pulmonologist Paediatrics Urology Physician Gastroenterology Nephrology
VIKRAMS HOSPITAL -200 bedded hospital.
The hospital is built across 8 floors with the first three floors comprising of the Emergency, OPD and Diagnostic department. The rest of the floors comprise of the OT’s, ICU,IPD and the food court.
Vikram’s Hospital is a multispecialty hospital which caters to various departments
Cardiology, Gastroenterology, Gynecology, Nephrology etc.(about 15 departments)
The OPD foot fall is 230-250 patients per day
--3000 new patients per month --avg of 7000 patients per month
The hospital refers injured patients to the emergency even in the case of OPD patients.
Staff No. in OPD –(100-115 people.. Including doctors, secretaries,
nurses and other employees)
USERS
-
Patients & their accompanying families-Children -Adults
Older People
Physically and Mentally Challenged People
-Doctors & Nurses -Administration Staff -Cleaning Staff
SITE PLAN AND ENTRANCE
LAYOUT
VIKRAM HOSPITAL
ENTRANCE
RECEPTION
-MAIN RECEPTION ACTIVITY-CREATION OF APPOINTMENTS
RECEPTION II
-SECONDARY RECEPTION ACTIVITY-MAINTAINING APPOINTMENTS OF EVERY DEPT. APPOINTMENT TAKEN CONSULTATION BY DOCTOR EXAMINATION ROOM DOCTOR PERFORMS PHYSICAL EXAMINATION DIAGNOSIS TESTS TAKEN BY PATIENTS/RESULTS SENT TO DOCTORS CASH COUNTER PAYMENT OF BILL EMERGENCY CRITICAL CONDITION OF OPD PATIENT TREATMENT ADMITTED TO IPD ICU
LABS
EMERGENCYOPD
OPD
OPD
DIAGNOSTIC
CARDIOLOGY OTS
OTS AND IPD
ICU AND IPD
---FOOD COURT
-
Pathology lab on first floor a later developmentOPD with diagnostic dept.-easy access for patients
No OPD on ground floor. Only lift and stair case access.
Emergency and Day Care
connected to OPD with IPD lifts for treatment of patients in
PROCEDURE ROOM
MINOR ACTIVITY PERFORMED BY DOCTOR & NURSES
SITE PLAN AND ENTRANCE
LAYOUT
VIKRAM HOSPITAL
ROUTE FOR EXTERNAL ACCESS-EXIT FOR VEHICLES
PARKING FOR AMBULANCES FOR EASY AID
ENTRANCE TO OPD EMERGENCY ENTRANCE VISITORS ENTRANCE SERVICES
No entrance from
front provided. A side
access provided for
OPD patients
SERVICE ENTRY
IPD
LIFTS
SITE AND ENTRANCE LAYOUT
VIKRAM HOSPITAL
Very less frontage space led to a side entry. The valet parking people help with parking services at the entrance.
Cars park their vehicles at the side or at some other place by hospital authorities The side entry was narrow, a walkway with
illustration describing the various departments were put up leading the visitors to the entrance. Other than that no Feature marks the entry to the hospital
The side entry is not pedestrian friendly. Patients tend to move to the sides giving their way to the vehicles.
The frontal part of the site is given away for two wheeler parking for staff and a few visitors. The front entry is sealed off as it is used by the pathology department which was a later
development
Hospital
Building
VERTICAL ZONING
VIKRAM HOSPITAL
sketch
OTHER OPD’S &CONSULTATION ROOMS
WAITING AREA LOCATED IN THE CENTER
FACILITATING ALL OPD’S-EASIER ACCESS
CONSULTANCY ROOM AROUND THE WAITING AREA SPECIALISING IN CARDIO.
GENERAL WAITING AREA FACING MAIN ROAD WITH
CURTAIN WALL FOR MAX. NATURAL LIGHTING
LOBBY
VERTICAL
TRANSPORTATION AT CENTER FOR ACCESS TO EACH DEPT.
MORGUE LOCATED ON GROUND
FLOORWITH AN OUTDOOR ACCESS
OTHER OPD’S & CONSULTATION ROOMS PLACED ON THIS FLOOR RESEARCH LABS LOCATED ON GROUND FLOOR RADIOLOGY LOCATED IN THE END WHICH FACILITATES ALL OPD’S
SAMPLE
TE
STI
NG
DIA
GNOSIS
SECOND FLOOR
FIRST FLOOR
GROUND FLOOR
ADMINISTRATION
VIKRAM HOSPITAL
The entrance lobby contains the security desk and the help desk. The side wall bears the directory board which guides the patients to the other departments
SECURITY DESK ENTRANCE LOBBY
WAITING AREA,
RECEPTION & ACCESS TO OPD
WAITING AREA
Help Desk
Security desk placed near the entrance to guard & record staff entry
The lobby leads the patient/visit or to the lifts and staircase. Master health check up counter which further leads you to the opd
Signage's guiding patients to respective departments- sign ages important near main transportation since all people enter from this point
Main reception counter for OPD
Individual reception desks for each department for appointments, system records
Individual receptions works-No token System Each department with one reception desk reduces work load on main reception desk and conveys instructions to patients faster
-Main reception need not have been so huge-wastage of space-The executive lounge and a part of waiting space could have been used to make common waiting space or minor
WAITING AREA
VIKRAM HOSPITAL
WAITING AREAS –FIRST FLOO
R
Glass panels around the lounge for visual connectivity The ambience in thewaiting area is unlike other hospitals. It is designed like a lounge to give a sense of comfort to the visitors and patients
The main waiting area has a seating capacity of about 35-40 seats.
The waiting and processing time for each patient is about 1-1 1/2 hours.
The first floor receives about 10-12 patients per hour.
Area of the waiting area is about 50 m2
which is sufficient enough to accommodate the people.
7.2m
7.
7
m
2
The executive waiting area is about 28-30m2
According to
standard the waiting area is 0.65 m 2 per
person with 15% circulation.
(0.65*40=26m2)
+(0.15*26=3m2 )
Therefore the waiting area is more than enough provided for the first floor.
The lighting is recessed and the waiting area is provided with a speaker for light music to keep the ambience pleasant
Executive
lounge area
The waiting area is carpeted which is a lot of maintenance. It could have been separated with another type of flooring
Executive waiting area The executive area is for privileged people, VIPs as per decided by hospital authorities. It appears first before the main OPD waiting area.
The No. of patients for the
executive lounge are very less on a day to day basis-about 5-8
CLUSTER CONCEPT
VIKRAM HOSPITAL
CARDIOLOGY OPD OPD WAITING AREA DIABETOLOGY /INTERNAL MEDICINE CARDI OLOGY OPD CARDIOLOGY OPDThe hospital adopted a cluster concept where there would be clusters for each department and each cluster had 2-3 consultation rooms with one staff toilet. They also had one room in the cluster (if required by that department) for any tests or laser surgeries to be done.
Doctor’s movement is through the normal visitors' passage-no privacy for the doctor. Situations of visitors interrupting the
doctor’s activity may occur.
WAITING AREA CONSULTATION
ROOMS
No vision barrier created between the OPD patients and the doctors working at the consultation rooms.
Doctor’s movement across the floor
-Each cluster has its own reception
A set of 2- 4 doctors work in the cluster at a time
If the required dept needs a surgery or treatment room it is included inside the cluster itself
A TYPICAL CONSULTATION ROOM
Round
consultation room-removes the
psychological
barrier between the Doctor and Patient. The layout also gives provision for the patients' family to be a part of the discussion. Examination Bed Doctor’s Workstation(space for storage, computer ,stethoscope and other requirements
The door opens to the view of the round table which addresses the doctor giving a sense of belonging.
Each consultation room has one fire alarm and sprinkler.
Sprinkler diameter-5m
(sufficient for one consultation room)
1
ST
FLOOR PLAN
VIKRAM HOSPITAL
The consultation rooms are arranged around the waiting area with separate reception for each cluster.
-Easy approach to the patient and doctor
v
EXECUTIVE WAITING AREA DIAGNOSTIC DEPARTMENTOPD
CARDIO TEST CENTER LIFTSFire Escape route
CONSULATION CLUSTERS OPD WAITING AREA DIAGNOSTIC DEPARTMENT FIRE ESCAPE CORRIDOR
Max run from the farthest point to fire exit is 24 meters
TOILETS
One set of toiletVIKRAM HOSPITAL
facilities providednear the diagnostic centre.
Only one toilet
provided near the OPD department. Common for all.
It doesn’t prove
comfortable for Indian public and insufficient according to standards Toilet services provided near the entrance of the diagnostic department.
The toilet facility at the diagnostic department suffices the requirement. But as it is placed away from the main waiting area. It is not known to a lot of people unless the visitors pass through the connecting passage.
All toilets are provided with a handle but not completely barrier free.
The door almost opens on to the WC which is not ethical for the physically challenged . Toilet dimensions – (1.5*2)m2 A screen is provided at the base of the door to help any patient in case of a situation
MATERIAL AND FINISHES
VIKRAM HOSPITAL
A carpet flooringseparates the waiting areas and corridors.
Too much maintenance
Granite flooring used in corridors and other places except waiting areas.
Polished granite would not be safe for patients with physical ailments
Grey color granite stone does not show up dirty spots well.
Granite also used to suit the color and theme of the hospital interiors
Vinyl flooring used on the sides and used for skirting as well.
The central part of the corridor was marked of by a running stretch of unpolished granite which would be patient friendly and easy for the movement of stretchers and wheelchair holding the patient
Matt finish walls-cream color walls used which gives a calm serene effect to the patients.
Mono color laminates used throughout the hospital gives an identity to the ambience
Crash guard used all along the corridor as a handle and to prevent the stretcher from barging into the wall.
OPD DEPARTMENTS
VIKRAM HOSPITAL
CARDIOLOGY AND DIABETOLOGY and
GYNAECOLOGY
Cardiology
The cardiology had altogether three clusters with a total of 12 consultation rooms and three reception desks.
The cardiology consultation room exactly look like the typical consultation room of the hospital
The doctors have been provided with a blood pressure equipment to check the health of the patient.
The test rooms for cardiology are located on the same floor as the clusters are located.
Total area of one cardiology cluster is –45.5m2
Rooms-(4*9)=36
Lobby and reception-7.2m2
Toilet-2.5m2 24m distance from the staircase
Diabetology
The dialectology cluster is same as the cardiology.
-No examination bed provided though given in the drawings. The department receives about 10 patients per day.
Total area of the diabetology cluster -45m2
No wash basin provided.
No provision for curtain-also because the consultation room doesn’t open out to the waiting area.
Gynecology
One consultation room
-No of patients per day-10 on avg.
-consulation room same size as typical room
Curtain provided as the rooms opens out to the corridor
2
ND
FLOOR
VIKRAM HOSPITAL
DIALYSIS
WAITING
AREA
UROLOGY
OPD
ONCOLOGY
&BARIATRIC
OPD
OTHOPEADIC &
PHYSIOTHERAPY
NEURO
OPD
DERMATOLOGY
ENT/PULMONOLGY/AU DIOMETRYThe second floor of the hospital contains the opd and renal dialysis department.
The opd departments consist of the –urology-nephrology- neurology- orthopedic-
ENT-WAITING
AREA
WAITING AREA
The max. run to the nearest
fire staircase is 24 metres on
the 2
ndfloor
FIRE ESCAPE
ROUTE
WAITING AREA
VIKRAM HOSPITAL
The waiting area comprises of 70-80 waiting capacity. The 2nd floor has a footfall of about 180 patients per
day.
The average waiting time for the opd patients varies a lot in each department.
-The seating capacity although suffices the requirement and is sufficient enough even for peak hours
.
The average waiting space is 0.65m2
The first waiting area is 49m2.
The other waiting area is about 35m2. Therefore
(0.65*90=58.5m2)+(0.15*58.5+ 0.15*35) =72m2.
(49+35=84m2)-suffices.
The ambience is same as the waiting area below Carpeted floor for waiting area-high maintenance.
Waiting areas.
The waiting floor above also has no partitionThe Doctors move through the normal patient/visitor corridor.
The ambience is set as per the other floors. The space gives a psychological comfort to patients and improves their mood
UROLOGY DEPARTMENT
VIKRAM HOSPITAL
UROLOGY OPD
The no. Of consultation rooms are two
The no. Of patients the
department receives are 15-20 per day
Age group visiting 20 to 50 years -65% Above 60 years -35% WAITING AREA UROFLOWMETRY ROOM UR O D YNA MI CS CONSULTATIO N ROOM LITHOTRIPS Y ROOM
Furniture in the consultation room-•Informal seating
•Doctors work space •Xray viewing box •Hand washing sink Advantage of layout
•Combining of similar departments allows easier management
•Uro dynamics and uroflowmetry place in same cluster for easier access for patient and doctor
Advantage of location
-The lithotripsy room is located in the urology cluster thereby allowing easy access for the patients and doctors
-The patient is made to lie on a bed where an over head emitter emits radiation to break kidney stones
The lithotripter machine is adjusted in a room which is just little more than the size of the consultation room. There is hardly any space for the doctor to move around the lithotripter machine bed.
NEURO SCIENCES
VIKRAM HOSPITAL
TREATMENT LAB-EEG AND NERVE CONDUCTIONCON SULTATION
ROOMS
TREATMENT
LAB
The Neuro sciences department receives about 10-12 patients per day.
Special treatment for certain patients was done in the day care.
The age group comprised more of children
People suffering from Epilepsy and Fits are treated here. 2- consulation rooms
2-treatment rooms
Most of the patients are children but no provision for their comfort has been done
The Nerve Conduction and EEG machine
All the reports are studies through computer devices and treatment inferences are prepared in the Treatment lab itself
The dark room for other type of EEG readings
ENT & AUDIOMETRY ROOM
VIKRAM HOSPITAL
The ENT dept receives about 30 patients per day. The dept receives all age groups ,but specifically infants and babies which comprise 20
patients of the total
The Nephrology room receives about 15patient per day. It has a typical layout with an addition of a wash basin.
This department is located right in front of the reception desk.
ENT
room
Audiometry
room
Nephrology
room
No examination bed has been provided.
A patient seat and a ENT workstation occupies the space.
Instead of the round table a seats for the patients' family has been
provided
ENT
work
station
Surgical
chair
The surgical chair, ent
workstation, working cabinet and the doctors' chair was concentrated on one side crowding up the area
The Nephrology room and Audiometry room had a similar layout as of a typical room layout. No labs concerning these departments were attached to the respective departments above. The hospital only gives minor services in the above departments.
FORTIS
Fortis Healthcare Limited is an established chain of super speciality hospitals .
They include multi-specialty hospitals and super-specialty centers Provide tertiary and quaternary healthcare to patients in areas like : • cardiac care,
• orthopedics
• neurosciences & oncology • renal care, gastroenterology • mother and child care.
It is a 250 bed hospital. Commenced in 1999
VERTICAL ZONING
CARDIOLOGY OPD PEDIATRIC – DENTAL -GYNACOLOGY ORTHOPEDIC-NEUROLOGY – OPD PHARMACY UROLOGY-NEPHROLOGYLEVEL 3
LEVEL 2
LEVEL 1
LEVEL -1
GENERAL OBSERVED FEATURES
• Fortis planners have grouped OPDs considering the physical condition of patients in mind.
• Every doctor has a room to himself. • Doctors take shifts on a daily basis. • 2-3 departments are clubbed on a level
• Every OPD has a common lobby and reception.
• Most consultation rooms are centrally air conditioned. • OPD’s have their own diagnostic services.
• Examination space is combined with the consultation rooms.
Fortis has arranged their OPDs as a vertical complex considering ease of patient access in mind.
Lack of natural ventilation is observed
INTRODUCTION
USERS
FORTIS
Patients - (childern /adults/senior citizens) 300/day
Patient escort - mother/friends ..etc Visitors - (children/students/adults) Staff : 1. Medical 2.Admin 3.Service Other services : laundry
raw food materials - loading unloading
ACTIVITIES
ENTRANCE LOBBY
• To the left is the reception & billing section. • On the right side wall is an information board
with the names of all the departments and their concerned specialists.
• The lobby provides no seating spaces for the users, which was seen as a necessity. (CON)
• An OPD pharmacy is present in the same space. • The lobby then directs patients towards the health
check and Out Patient Department.
• Other major activities are :
• Vertical circulation • Lab test procedures • Physical health checks • Dietary activities
• Patient care – stretchers, wheelchairs • Waiting areas
• Visual surveillance
• Food and dining cafeteria
• Examination and Recovery spaces
LOCATION OF THE OPD COMPLEX
ENTRANC E FOYER OPD LEVEL 2 LEVEL 1 LEVEL 3 OPD The OPD location starts
at ground floor and can be easily located and accessed.
Access to OPD can be from main entrance or through the 2 fire exits, one to the left and other far in-front of the OPD.
FORTIS
CONNECTIVITY
The OPD complex is located next to the elevators and one of the 3 fire exit stairs.
One can get direct access to the BONE & JOINT – BRAIN & SPINE department through the entrance lobby – in less than
2 MINS
The hospital has no provision of ramps
.
(CON
)
- They substitute ramps with more number of
elevators.
- Can cause difficulty during emergency / fire
Spaces are vast and grouped commonly for
departments.
FORTIS
ORTHOPEDIC-NEUROLOGY
DEPARTMENT
LOCATION : Ground floor.
USER : patients with joint/bone pain or spine/nerve
condition.
patient has difficulty in moving from place to place.
ACTIVITY : Registering
waiting
consulting/examination
OBSERVATIONS
• Combined waiting lobby with reception. • 35 – 40 waiting seats
• Isolated consultation chambers doubly loaded on a 1.5m corridor .
• EEG room & ECG room 3 x 2.5 sq.m.
• 9 orthopedic and 5 neurology consultation rooms observed.
• According to the staff these rooms may be temporarily used by doctors on daily shifts. nameplate outside also changeable.
• Restrooms : 1 Male & 1 Female
Consultation rooms are
designed flexibly and
not department specific
except dental
Narrow corridors
leading to
consultation
rooms. No visual
connectivity for
patients
FORTIS
COMPONENTS OF A ROOM
• DOCTORS DESK + CHAIR • PATIENTS CHAIRS
• EXAMINATION BED + STEPS • SIDE SHELF • X RAY VIEWER • TABLE LAMP • COMPUTER SYSTEM • CABINET • BOOK SHELF
DOORS AND WINDOWS
Main door is double opening type. for stretchers need be
The consultation room doors are: 80cm wide
2.1m in height.
Off white in color to compliment the soothing peach walls Doors open into the room.
Windows are rarely seen in the rooms lack of peripheral spaces
or inner courtyards (open to sky)
2-3 rooms have natural ventilation.
PROPORTION OF SPACES
• Consultation room = 3.5 x 2.5 = 8.75 A • Waiting + reception + circulation = 41.5 sq. m.
4.5A
• ECG/EEG = 5.2 sq. m. 0.6A
• Entire department = 206.91 sq. m. 24A
CPWD
• No ramps present in the hospital. eats up space
• OPD has level surface.
• Corridors not ideally designed for wheelchairs
( required 1.5m present 1.2 m) • No special railings seen.
FORTIS
MATERIAL & FINISHES
• Flooring : Vinyl sheets
Anti Static & Anti Bacterial
for hospital
• Walls : peach color, smooth finish
• Skirting is COVED with the floor. ease of cleaning corners • Paintings hung on the walls in intervals.
• Thick glass name plates used for doctors chambers.
SERVICES
Lighting : due to lack of natural light A/C : Lack of natural ventilation Plumbing : For wash basins
LIGHT & VENTILLATION
• Recessed lighting used .
• Natural ventilation & light hardly seen. • Centrally Air conditioned throughout.
STRUCTURAL GRID
Columns are 6 m apart
PEDIATRIC- DENTAL - GYNACOLOGY DEPARTMENT
FORTIS
LOCATION : Level 2
USERS : children & parents, women, dental patients ACTIVITIES :
waiting
taking care of babies
consulting with the doctors
PEDIATRIC DEPARTMENT
• 5 Pediatric rooms
• Glass for doors and walls used (waiting area consult. Room)
This department leads
patients first into the
pediatric & gynecology
spaces and then moves
onto dental at the back.
Creates
chaos
as all 3
departments share same
common waiting space
No play area disadvantage.
5 x 5 = 25 pediatrics 3 x 7= 21 dental
6 x 7 = 42 gynecology
Total waiting area reqd = 88 sq m
Feeding
room –
translucent
glass
FORTIS
GYNACOLOGY DEPARTMENT
DENTAL DEPARTMENT
3 consultation rooms + examination rooms Equipment :
dental chair x-ray viewer doctors desk
patients waiting chairs wash space storage units
Gynecology
department to the
left.
Combined
consultation –
examination rooms.
Ped-Gyno-Dental
grouping with no
separate waiting
or recovery for
dental patients
CARDIOLOGY DEPARTMENT
FORTIS
LOCATION : 3rd level
USER : heart patients, cardiac staff, visitors ACTIVITIES:
waiting consulting watching tv
This department has its own spaces for: ECG
TMT (tread mill test)
PFT (pulmonary function test) ECHO tests
60 waiting spaces observed.
LOCATION PLAN
Proportion of spaces
• Consultation room = 6.5 sq. m. A • Waiting Area = 78.3 sq. m. 12AA
Other Features
Rooms arranged in a peripheral layout Corridors are not more than 1.8m Provision of minor test services (x-ray)
Lighting & Ventilation
No windows Centralised A/C Artificial lighting recessed
Department has its
own diagnostic spaces,
sample rooms
FORTIS
OPD PHARMACY
OPTHALMOLOGY DEPARTMENT
KEY PLAN – LEVEL 1
LOCATION : Ground floor, entrance lobby
USERS : OPD patients, pharmaceutical staff
ACTIVITIES :
storage of medicines attending to patient prescriptions
payment & bill
Approximate dimension : 4.5 m x 5m
LOCATION : Ground floor, in the Health Check Division
USERS : Eye Patients, doctors,
receptionist, accompanying persons ACTIVITIES:
Waiting in lobby
consulting with doctor undergoing visual tests waiting after medication
2.5 x 6 sq. m. Minimum 2.5m between patient and reader board 20 waiting spaces 1 Sonography room
SIGNAGES
FORTIS
LEVEL/ FLOOR DIRECTORY
ROOM INFORMATION
OVERALL DIRECTORY - LEVELS
BUILDING DIRECTORY
DOOR DETAILS
Signages are informative
but may not be legible to
the less literate.
Less number of pictoral
signages.
INTRODUCTION
MANIPAL HOSPITAL
MANIPAL Hospital is an established chain of super speciality hospitals . They include multi-specialty hospitals and super-specialty centres
Provide tertiary and quaternary healthcare to patients in areas like : dentistry,
neurology dermatology
diabetes and endocrinology paediatrics
.
It is a 800 bed hospital
.
USERS
Patients - (children /adults/senior citizens) 300/day Patient escort - mother/friends ..etc
Visitors - (children/students/adults)
Staff : 1. Medical 2.Admin 3.Service Other services :
laundry
raw food materials - loading unloading
the floor beneath the wards is for services alone social work centre
Xerox centre
GENERAL OBSERVED FEATURES
• Manipal planners have spread out the OPDs in 4 floors 2 basements and 1st floor and ground floor considering the
physical condition of patients in mind. • Every doctor has a room to himself. • Doctors take shifts on a daily basis. • No departments are clubbed on a level
• Every OPD has a common lobby and reception.
• Most consultation rooms are centrally air conditioned. • OPD’s have their own diagnostic services.
Location :
MANIPAL HOSPITAL
The hospital is
connected directly
to the main road.
Secondary road
Main road
Drop off area
Drop off area
DROP OFF LANE
MAIN
LOBBY
TOILETS
LIFTS
&S
D&E
PHAR MACY DENTISTRYR
Drop off areaPublic spaces (Toilets, Lobby, Lifts and Staircases) Administration/ Reception(R)
Fire escape staircases Pharmacy
Diabetes and Endocrinology OPD
R
L
ZONING – GROUND FLOOR
• Patients and staff membersenter from the main lobby after they are dropped at the drop off lane.
• Patients enter into the main lobby and are directed to the reception.
• Main lobby has directive and textual signages that aid people to identify the location of
different departments. Ground floor
T
T
s
Ground floor 1st floor 2ndfloor 3rdfloor 4thfloor 56thfloor thfloor 7thfloor 8thfloor 9thfloor 10thfloor Basement -1 Basement -2MANIPAL HOSPITAL
FIRST FLOOR LAYOUT
MAIN
LOBBY
T
TOILETS
LIFTS
&S
s
s
PHAR MACYR
R
LT
Ground floor to first
floor circulation layout
T
LIFTS
&S
T
Ls
s
Ophthalmology OPDNeurology and Neuro sciences OPD General medicine OPD
Circulation
Drop off lane Entrance
Administration/ Reception(R) Fire escape staircases
Pharmacy
Diabetes and Endocrinology OPD Drop off area
Public spaces (Toilets, Lobby, Lifts and Staircases) • The users from the entrance lobby
use lifts or staircase to reach the first floor.
• The departments in the first floor are accessed through a common corridor.
First floor
Dermatology OPD
Ground floor
DENTAL
MANIPAL HOSPITAL
PHARMACY2.5
M
2M
X RAY VIEWE RMAIN
ENTRY
WAITING AREA,18 SEATS DENTAL MACHINE DENTAL CHAIR MANA GERS ROOM EMERG ENCY ROOMSPACE FOR WHEEL CHAIR
GLASS WINDOW FOR MORE
dentistry
LOCATION _GROUND FLOOR
PHARMACY
ROOM
AREA
STAFF ROOM EMERGENCY ROOM CLEANSING+XRA Y ROOM CONSULTATION SPACE CONSULTATION ROOM E RAY VIEWERS ROOM Total 4SQM 5SQM 10.5+5SQM 8SQM 6.25SQM 3SQM120sqm LIGHT AND VENTILATION
1.5m
Consultation space RAMP LEADING INTO THE DEPTSPECIAL FEATURES
MANIPAL HOSPITAL
WHEEL CHAIRS FOR THE OLDERLY
STORAGE SPACES
SPECIAL
EQUIPMENTS
MANIPAL HOSPITAL
MAIN ENTRY
X RAY CONE
Kept in the x-ray room
X ray and
cleansing
room
equipments
SUCTION TUBES in the CLEANERS ROOM Dental machine of size 1.5m *1mSpit on
Suction machine
ULTRASONIC CLEANER MACHINE IN CLEANING AND X RAY ROOMWaste
bins
A SMALL FRIDGE INSTALLED NEXT TO THE CONSULTATION AREACONSULTATION
AREA
EQUIPMENTS
DIABETES AND ENDOCRINOLOGY
1. LOCATION : Ground floor
2. PHARMACY : Common pharmacy
located at the ground floor.
3. TOILETS : Common toilets outside the
OPD for both doctors and patients
MANIPAL HOSPITAL
D AND
E
MAIN ENTRY
UTILITY ROOM WAITING AREAPHARMACY
MAIN LOBBY
CONSULTATION ROOM RECEPTION CHECK UP AREA CONSULTATION ROOM EXAMINA TION ROOM CRWAITING
AREAS
RECEPTION
NO. OF CONSULTATION ROOMS = 4
•No of doctors = 4 consultants and 3 juniors
•AREA = 4.5x5sq.m
•SHARING/SINGLE = single
8. NO OF PATIENTS / DAY= 70-100 MAX
CONSULTATION ROOM
PLAN OF THE
DEPARTMENT
MANIPAL HOSPITAL
WAITING
AREAS_2
SEPERATE
GLUCOMETER
CEC
ENTERTAINMENT
PRACTICES
AMBIENCE
CEILING
TREATEMENT
EQUIPMENTS
USED IN CHECK
UP AREA
DERMATOLOGY
CONSULTANT ROOM CONSULTANT ROOM MICROSC OPE ROOM STORE ROOM PROCEDURE ROOM DUTY DOCTORS ROOM AESTH ETIC LASER ROOM PROCED URE ROOM CONSULTANT ROOM LIBRARY MICROSCOPE ROOM STORE ROOM 2 SETS OF WAITING AREASTV
Dermatology is the branch of medicine dealing with the skin and its diseases, a unique specialty with both medical and surgical aspects'
,
dermatology
LOCATION_FIRST FLOORFIRST FLOOR
GENERAL
MEDICINE
NEOROLOGY
USERS =100 PER DAY ACTIVITIES
1.CONSULTATION 2.waiting in the waiting area which is next to the reception 3.PATIENTS COMING IN FOR HAIR REMOVAL
WAITING AREA
RECEPTION
MANIPAL HOSPITAL
DERMATOLOGY GENERAL MEDICINE NEOROLOGY OPTHAMOLOGY LIFTS CIRCULATIONPROPORTION
MANIPAL HOSPITAL
EQUIPMENTS USED IN THE STORE ROOM
CO2 LASER
ENDIAC USED FOR
TATTOO REMOVAL
ROOM S
AREAS
1. PHOTOTHERA
PY ,AESTHETIC
2. STORE ROOM
3. CONSULTANT
ROOM ,3
4. DUTY DOCTOR
ROOM
5. PROCEDURE
ROOM ,2
6. MICROSCOPE
ROOM
7. LAB
8. CIRCULATION
AND WAITING
SPACE,REC
1. TOTAL
_6SQM(6%)
16SQM(14%)
9SQM(24%)
9SQM(8.27%)
6.25SQM(11.46
%)
9SQM(8.27%)
5SQM(5%)
30SQM(22.9%)
109SQM
ALMA LASER USED
FOR HAIR
REMOVAL
EQUIPMENTS
KEPT IN STORE
ROOM
1.CO2 LASER 2.ALMA LASER 3.ENDIAC 3.DPN 4.SUCTION MACHINE 5.SHR_SUPERFICIAL HAIR REMOVALOPHTHALMOLOGY
Lifts
s L
First floor
ophthalmology
Lifts and staircase Common corridor
Consultation and examination room Fire escape staircase
Waiting area and circulation zone 1. LOCATION : 1stfloor
2. NO. OF ENTRANCES : One 3. PHARMACY : Common OPD
pharmacy located at the ground floor and a has an eye care shop at the entrance.
4. TOILETS : Common toilets outside the OPD for both doctors and patients
5. RECEPTION
:-• COMMON/SEPARATE = separate
• NO. OF COUNTERS = one counter and one nurse station • TOKEN SYSTEM (YES/NO)= No
6. WAITING SPACES = capacity of 33 seats 7. NO. OF CONSULTATION ROOMS = 6
• No of doctors = 9 • AREA = 3x3 sq.m
• SHARING/SINGLE = single
• The consultants worked in shifts and the rooms were occupied by the doctor according to the shift timings. 8. NO OF PATIENTS/DAY = 90-100max
9. WAITING HOURS = 15-30 mins
• PATIENTS WITH APPOINTMENT = No waiting time
•
Examination chair
Dr’s desk
Reception
Entry
Entry
3*2.5 sq.m
2.25s q.m Dr’s circulation Patients’Desk
Chair
Examination
chair
Equipments used Optic shopMANIPAL HOSPITAL
Ophthalmology
Diagnostic room Field roomcr
cr
cr
cr
cea cr
cr
L
R
cr
sr
Cr- Consultation room Sr- staff roomCea- collie eye anomaly R- refraction room L- Laser room
• Main entrance double door 1.5m wide
• Consultation room door- 1.0-1.2m wide
• Rooms were lit by artificial lights and had AC outlets.
• The floors were covered with vinyl sheets that are easy to maintain. • Walls were painted with calm
peach or white colours to avoid any kind of anxiety.
Consultation room layout
3.
0m
Lifts and staircase Common corridor
Fire escape staircase Waiting area and circulation zone
1. Dr’s desk 2. Chairs 3. Computer 4. X ray machine
3.0m
Consultation & staff room33 seats
• LIGHTING
MOSTLY ARTIFICIAL LIGHTING
APPROX. 1 LIGHT FIXTURE ABOVE EACH BED/CHAIR (1.5M- 2M APART)
WINDOWS PROVIDED IN ROOMS HAVING AN EXTERIOR FACE – SLIDING/FIXED
• VENTILATION
CENTRAL A/C SYSTEM
FEW ROOMS HAVE BEEN PROVIDED WITH AN ADDITIONAL SPLIT A/C Proportion of spaces
Consultation room= Corridor space= Examination rooms=
Pros and cons
PROS
THE OPD DEPARTMENTS WERE IN THE GROUNDFLOOR ,FIRST FLOOR AND THE 2 BASEMENTS WHICH WAS HIGHLY CONVENIENT FOR THE PATIENTS.
THE OPD PHARMACY WAS PLACED IN THE GROUND FLOOR WHICH WAS EASILY ACCESSIBLE TO THE PATIENTS USING THE OPD DEPARTMENTS.
THERE WERE CANTEENS AND BOOKSTORES INSIDE THE HOSPITAL PREMISES FOR ALL KIND OF USERS. PROPER USAGE OF DIRECTIONAL SIGNAGES MADE THE USER FLOW CONVENIENT AND NON CONJUSTED.
EVERY DEPARMENT HAD ITS OWN SPACE AND PRIVACY ,NONE OF THE 2 OPD DEPARTMENTS WERE TOGETHER. THERE WERE SEPARATE WAITING AREAS FOR EACH DEPARTMENT AND HENCE REDUCED ANY KIND OF
CONFUSION OR CONGESTION.
THEY EMPLOYED THE USE OF TOKEN SYSTEM TO AVOID CONFUSION DURING HEAVY CROWDING.G
Pros and cons
CONS
THE TOILETS PROVIDED WERE USED COMMONLY BY STAFF AS WELL AS THE PATIENTS .
THERE IS NO IMMEDIATE CONNECTION BETWEEN THE INPATIENT DEPARTMENT AND THE
OUTPATIENT DEPARTMENT.
THE OPD DEPARTMENTS WERE ARRANGED NOT IN A ORDERLY MANNER .IT WAS SPREAD OUT
THROUGHOUT THE BASEMENT ,GROUND FLOOR AND FIRST FLOOR .THE PAEDIATRIC
DEPARTMENT WAS MIXED UP WITH A ADMINISTRATIVE SECTION.
THE ROOMS WERE GETTING CLUSTERED AS A RESULT OF EXPANSION OF SERVICES PROVIDED BY
THE HOSPITAL
.
INTRODUCTION
NARAYANA
HRUDAYALAYA
The main block of narayana hospital is specialized in cardiology opd’s.
The multispecialty hospital of narayana has other opd’s like dermatology,opthamology,orthopaedic etc
.
Narayana hrudayalaya initially started as a multispecialty clinic. Later ,as the number o cardio patients started increasing they decided to expand the department and make it the foundation .
The main wing of the hospital contains only out-patient departments related to cardiology.
USERS
PATIENT
VISITORS
STAFF
ADMIN
DOCTORS
MAINTENANCE
ADULT
CHILD
ACTIVITY
WAITING
CONSULTATION
PHARMACY
CHECK OUT
DROP OFF ENTRY
pa
rki
ng
Way to multi
specialty
hospital
MAIN
LOCATION
The cardiology opd is accessed from the
main drop off area .
Doctors enter from the main
Entry.
They have been allotted specific
parking space—this will include
at the side and at the rear.
LOCATION
The cardiology OPD department is in two floors.
the general opd is accessed from the main entry ie at the drop off point.
There are 3 double door entry’s.
The executive cardiology OPD is accessed from the waiting area of the general opd.
The executive opd is accessible from 2 lifts and a staircase around it OPD Ground floor-GENERAL First floor-EXCECUTIVE
ENTRANCE
6m
Pharmacy--General -Opd patients -A part of future developmentThe pharmacy being outside is difficult as
visitors and patient have to comeback to the doctor sometimes
RAMP-2
RAMPS OF
1m WIDTH
MAIN
ENTRY
DROP OFF
KEY PLAN
SECURITY
KIOSK
GROUND FLOOR
The ground floor contains opd for cradiology,pediatric and dental.
It is approached by 3 double door entries
CARDIOLOGY PEDIATRIC DENTAL
OPD
Key plan Verandah seating Common waiting – 21x3(2 sets)- 126 seats AREA=0.5X0.8X126=50.4sqm Travel desk provided forpatient convenience
• Toilets –at 1 level down • 5 w/c • 3 wash basin • 1 storage PATIENT CIRCULATION Column size-300x600mm Grid-8.5x4.6 Pre-operative cell Reception Reception cash cash MAIN RECEPTION AND WAITING IDOL IN THE FRONT -AESTHETICALLY PLEASING
PLAN
LEGEND ENTRYGROUND FLOOR
• THE OPD ACTIVITY IS RESTRICTED TO THE FRONT
• THE IPD AND OTHER DPARTMENTS START AFTER THE BRIDGE
• PROPER BUFFER
SPACES
BETWEEN MAIN
ENTRY WAITING
AND
SUBWAITING
• EACH CONSULTATION ROOM HAS A WINDOW-NATURAL LIGHT • USE OF COURTYARDS • BARRIER FREE•
OPEN PLAN AND GOOD
CONNECTION TO OUTSIDE
CARDIOLOGY OPD
Key plan CARDIOLOGY DEPARTMENT(HOSPITAL)--11 cardiologists
7 critical care 10 anesthesiologists ONLY THE CARDIOLOGISTS AND CARDIAC SURGEONS HAVE CONSULTATION ROOMS IN THE OPD DEPARTMENT
Working hours –9am-5pm
Each doctor has a private secretary seated outside
NO OF PATIENTS PER DAY=50-60
Waiting
2 sets of 9 chairs each on
both sides
Total-162seats
ARA=0.5X0.8X162=64.8sqm
Consultation
rooms-3mx3.9m
Grid -4.4X4.5
PLAN
CARDIOLOGY OPD
Key plan Number of consultation room=18
PROPER BUFFER SPACES BETWEEN MAIN ENTRY WAITING AND SUBWAITING
main
entry
OPEN PLAN
USE OF COURTYARD— NATURAL LIGHT AND VENTILATION
EACH CONSULTATION ROOM HAS A
CARDIOLOGY
TYPICAL CONSULTATION ROOM
Services-sink-plumbing, A/C , switches. Luminaire over consultation bed and doctors desk
Centralized A/C for the entire OPD through ventilation ducts through false ceiling. Curtain rails X ray viewer
Windows facing outside with venetian curtains for controlled lighting in consultation rooms.
Typical consultation room consists of Consultation desk Consultation bed 3 chairs 1 sofa X-ray viewer Computer
Each doctor had a private secretary seated outside that controls the flow of patients
Window dimensions-2x1.5m Venetion blinds
PEDIATRIC OPD
Total of 7 doctors
The pediatric department has a small play area for the children
The pediatric department is specialized in cardiology It has a total of 25 seats-0.8x0.5x25=10sqm
Rooms-consultation rooms-7 Feeding room
Number of patients per day– 50-70
Key plan Play area Aesthetically pleasing
RECEPTION
Consultation room
Consultation rooms
PEDIATRIC OPD
Key plan TYPICAL CONSULTATI ON ROOM-PEDIATRICDuct—for the
toilets in the
wards above
WAITING-XRAYSIGNAGES
List of departments and labs in
the main entry waiting
Directional signage
Info desk at the entry
Consultation
room(cardiology)-Doctors name
Room no
GROUND FLOOR
FIRST FLOOR
Fire exit
Consultation
room(cardiology)-Doctors name
Room no
Registration and
cash
FIRST FLOOR
The first floor consists of executive opd’s
It is accessed by 2 lifts and a stair around them The executive opd is for the private patients It is approached by a glass partition.
Lift lobby-coffee kiosk Chairs-12
Round tables of 1.5m diameter RESTROOMS
2 w/c,1 handicapped toilet,3 wash basin,1 dustbin
EXCECUTIVE
OPD
(CARDIOLOGY)
•12 DOCTORS •10 CONSULTATION ROOMS •TMT ROOM •ECG ROOM •SPECIMEN COLLECTION•XRAY ROOM,ELECTRO ROOM
•STAFF TOILETS •REGISTERATION AND CASH
FOR GENERAL AND CORPORATE
•INTERNATION DIVISION
FIRST FLOOR
TO IPD
-ACCESIBLE TO DOCTORS AND STAFF
The executive opd is visited by
scheme patients .
It is for fast consultation
• THE CHAIRS FOR COFFEEE KIOSK OUTSIDE IS LESS COMPARED TO THE NO OF WAITING SPACES INSIDE • LIFT LOBBY IS SMALL
COMPARE TO THE DENSITY OF PEOPLE 35 GENERAL WAITING Area =35X0.5X0.8=14sqm 13 seats SPECIMEN COLLECTION each consultation
room has a window
12x3 seats +9x3 +9+7=79 seats
Area =0.8X0.5X79=31.6
Coffee kiosk
7 18:10=GENERAL OPD :EXECUTIVE OPD
NO OF PATIENTS=60-70
TOTAL NO OF
• ENTRY TO IPD FOR DOCTORS AND STAFF • RAMPED APPROACH
• DOUBLE DOORS
• ALSO FIRE EXIT. • GRANITE FLOORING
• WOODEN PANELLEND CEILING SIGNANGES AHU GROUND FLOOR-2 FIRST FLOOR -1 COVE LIGHTING
BASEMENT
• The restrooms for the main entrance and for opd patients is 1 level down
• This is accessed by stairs near the lift for the executive opd
• The stairs are almost 0.9m which is narrow for the amount of people.
• The basement also has a store room and a cloakroom converted office which also use the same stairs for access.
• The buffer space at the end of the stairs is really crowded • Women toilet • 5 w/c,3washbasin,1 storage • Gents toilet • 6 toilets Key plan • Converted to office • Medical records room
• the restroom area is crowded as it is near the office and medical records of ipd and the stairs are very narrow due to the addition of the stairs leading to the executive opd
FIRE ESCAPE PLAN
21.2 m approx
51 m approx
45 m approx
23
m a
pp
ro
x
RAMP
STAIR
STAIR
INTRODUCTION
NARAYANA
HRUDAYALAYA-MULTI
SPECIALITY
Narayana Hrudayalaya, headquartered in the city of Bengaluru, India, is one of India's largest multi-specialty hospital chains. The Bangalore cardiac unit of Narayana Hrudayalaya is one of the world's largest pediatric heart hospitals. Narayana Hrudayalaya also receives patients from outside India, and it has created a record of
performing nearly 15,000 surgeries on patients from 25 foreign countries. It has 5,000 beds (as of 2012) and it is building large hospitals across India totaling 30,000 beds, to enable it to gain large economies of scale and bargain down the cost of supplies to the hospitals.
Apart from cardiology, the hospital also offers treatments in the area of Neurosurgery, Pediatrics, Neurology,
Gastroenterology, General Surgery, Dental, Nephrology, Urology, Transplants, Nuclear Medicine, Medical Imaging and Radiology. It also houses a Blood bank and
Laboratory. With the help of ISRO, Narayana Hrudayalaya has pioneered some of the aspects of Telemedicine.
Front elevation of the Multi-Speciality hospital
The Main Lobby of the Hospital with the Main Reception and the seating
Emergency Entry
Patient’s Entry
Service Entry
Hospital Entry from Main Road
Hospital Entry from Main Road
USERS/ACTIVITIES
Activity Movement for Patients
Activity Movement for Doctors
Activity Movement for Nurses
• Number of doctors – 130 • Number of nurse – 1,200
• Number of patients each day – 1500+
WAITING LOBBY
VERTICAL TRANSPORT
1. OPD for General Medicine, etc.
2. OPD for dental, urology, prosthetics, etc.
3. OPD for Neurology, Gastrology.
4. OPD for Oncology,
Pediatrics, Chemotherapy. I.C.U. EMERGENCY A.H.U. Room ADMINISTRATION CASH COUNTER PHARMACY TOILET CHEMOTHERAPY
LEGEND
LOCATION
NARAYANA
LAYOUT OF DEPT.
• Every department has 3-4 consultation rooms depending on the number of doctors and patients. • Some departments have a Minor OT attached to it. • A number of 6-7 nurses are appointed for each
department.
• Oncology – 3consultation rooms 1 minor OT
Endoscopy room
• Pediatric – 4 consultation rooms 1 triage (emergency)
Connectivity with other
Dept.
• 4 main hospital buildings connected to 1 lab
building.
• Each floor of the OPD is connected through a series of Ramps and staircases. Central Registration Out-Patient Registration Consultation Investigation Laboratory Radiology Consultation
• Flow of patients from within an OPD – from central registration to consultation.
NARAYANA
CIRCULATION
NARAYANA
HRUDAYALAYA-MULTI
SPECIALITY
COMPONENT OF A ROOM
Each Room Contains :
• A desk with computers, doctor’s accessories, etc.
• One chair for doctors, 2 more for patients and associates.
• A bed with curtains hanging from ceiling.
• A washbasin.
• Cupboards on wall for storage.
A diagram of a general consultation room with dimensions.
Doors And Windows
Each Room Contains :
• Most of the consultation rooms contain 1 main door for both doctor and patients entry.
• Some consultation rooms have two separate entry doors.
• Most consultation rooms contain one large window with either venetian curtain with transparent glass or normal curtains with
trasclucent glass.
Proportion of spaces
Desk&Chair Bed Store Equipments Open Space 41.22% 19.0% 15.11% 12.67% 12% • Distance between to columns = 1. 10m 2. 8m 3. 5m• Various Sizes of columns =
1. 1.2mX1.2m 2. 0.8mX0.3m 3. 0.6mX0.3m
MATERIAL AND FINISH
• Corridor –
1. Walls – White washed, Dadoeing, Crash Guard with hand rails.
2. Ceiling – White washed with false ceiling, lighting and ventilation ducts.
3. Floor – White Marble. • Consultation Rooms –
1. Doors & Window – Wooden doors and aluminum cased windows with translucent glass panels, for viewing.
2. Walls – Painted with light colours. 3. Desks and chairs – wooden.
Dado work on walls White Marble Floor Aluminum cased Windows
BARRIER FREE ARCHITECTURE
• Ramps going through the vertical height of the entire building.
• Separate Toilets for physically disabled. • Handrails on the walls along corridors
and ramps. Provision of hand rails in corridor Provision of wheel chairs Provision of hand rails along ramp Provision of ramps
NARAYANA HRUDAYALAYA
LIGHT/VENTILATION
• Glass curtain wall through the entire height of the building in the lobby.
• Lobby lighting through artificial ceiling lighting. • Natural lighting some waiting spaces and
consultation rooms.
• Consultation rooms – ceiling lights, translucent panels on doors and walls in some.
• Central A/C for all consultation rooms, examination rooms, waiting spaces, etc.
Glass curtain wall for natural lighting in waiting spaces with a dynamic view of the outside Seating Area
Centralized A/C for the entire OPD through ventilation ducts through false ceiling.
1 AHU room in each floor.
Ceiling Lights Along corridors and in Consultation Rooms Windows facing outside with venetian curtains for controlled lighting in consultation rooms.
Large windows for maximum lighting in staircases.