Beruflich Dokumente
Kultur Dokumente
THESIS BY :
PRACHI GUPTA
GUIDED BY :
AR. K.K. ASTHANA
SUBMITTED TO :
2014 2015
CERTIFICATE
To
The Chairman,
Board of Examination, IIA,
Navi Mumbai
This is to certify that Ms. Prachi Gupta (Reg. No. IV 791) with Roll No. 817, student of Part IV
(Group B) (Scheme 2004) IIA Examination scheduled to be held in January 2015 has done
her thesis on the project entitled 350 bedded General hospital under my guidance, and that, it
is her original work.
Date:
Place:
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
ACKNOWLEDGEMENT
I would like to express my sincere gratitude to my thesis guide Ar. K.K. Asthana, for his concern, support and
guidance throughout my thesis. He sorted out all my problems and queries and gave valuable suggestions to
benefits my project.
I am grateful to our thesis coordinator Ar. Manoj Kumar for his unending and unritiring support
provided to me at all stages of my thesis. His invaluable knowledge was shared for my thesis.
Secondly I would like to thanks all those people who have been associated with this assignment and
have helped me in this project and made it a worthwhile experience.
Finally, I would also like to thank my parents and friends who helped me a lot in finishing this project
within the limited time. And also a big thanks to the various people who have shared their opinions and experiences
through which I received the required information beneficiary for my project.
Thank you!
PRACHI GUPTA
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
INTRODUCTION
The hospital is an integral part of a social & medical organization, the
function of which is to provide for the population complete health care, both
curative and preventive, and whose outpatient services reach out to the
family and its home environment, the hospital is a center for the training of
health workers and biosocial research.
WHO definition of Hospital
Hospital is a premise medical facilities of general or specialized nature for
treatment of indoor and outdoor patients. A hospital is a place which delivers
health services to the people and where the patients are cared for nurse and
treated. It is an integral part of social and medical organization, the function
of which is to provide for the population complete health care, both curative
and preventive. The modern concept goes beyond the conventional idea of a
hospital as place for treatment of the sick. It visualize as hospital is one of
comprehensive system of preventive and curative medicine and as an
institution devoted not only to patients treatment but also to a ambulatory and
domiciliary care.
A hospital building is something difficult that is difficult to change when it has
been constructed. The methods of looking after the patients, nursing and
treatment however continually and rapidly due to the development of medical
science hence its challenge job for an architect to design such a building.
Indias Public Health System has been developed over the years as a 3-tier
system, namely primary, secondary and tertiary level of health care. Health
System is the fundamental basis for implementing various health policies,
delivery of healthcare and management of health services for defined
geographic area. Hospital is an essential component of the health system
and functions as a secondary level of health care which provides curative,
preventive and promotive healthcare services to the people.
TYPES OF HOSPITALS
1. TEACHING / RESEARCH HOSPITALS
2. GENERAL HOSPITALS
3. TERTIARY CARE SPECIALTY HOSPITALS
FEATURES
1. Orientation
2. Planning of traffic & Circulation (Patients, Staffs, visitors, Service
deliveries, Garbage & Waste removal)
3. Easy traffic movement & promote efficiency of operation.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
OBJECTIVE: WHAT?
The thesis will try to achieve the following objectives:
a)
b)
c)
d)
a)
b)
The study of the context to the city, its original architecture and the
modern implementation.
c)
PROJECT BRIEF:
350 bedded General Hospital is proposed at Sushant Golf city,
Lucknow by Ansal Developers.
Hospital Building is situated at 45 mt wide service road adjacent to
Amar shaheed path road. It will be design to provide quality healthcare
and efficiency to apply and share new technology.
Project will be designed to make it functional by adjoining each and
every department wiith each other..
METHODOGY: HOW?
The hospital will be provided with designed suites for patients and their
families coming from long distances for medical treatment.
b)
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
SITE LOCATION
HOSPITAL BLOCK
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
SITE AREA
5 Kms.
Amausi Airport
13 Kms.
SGPGI
13 Kms.
350 BEDDED
HOSPITAL BLOCK
9 Kms.
Vidhan Sabha
6 Kms.
BYE LAWS
30.0 MT. WIDE ROAD
COMMERCIAL
206.81 m
244.82 m
63.14 m
Site is allotted for health care facilities by Ansal Infrastructure pvt. Ltd.
225.41 m
50909.37
Sq. mt.
12.58
Acres
5.09
Hectares
30 %
15272.81
Permissible FAR
Sq. mt.
2.5
127,273
Sq. mt.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
PROPOSED
SITE
ABADI
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
SITE CONSIDERATION
APPROACH: Site is approached by 45.0 mt. wide
service road from front side adjacent to Amar
shaheed path road. Amar Shaheed Path is an
elevated road, and connects traffic from Kanpur to
Rae Bareli, Sultanpur and Faizabad, or vice versa.
The road starts at Faizabad Road passes through
Sultanpur Road (near Gomti nagar extension), Rae
Bareli Road and ends at Kanpur road, spanning a
stretch of approximately 23 km.
SURROUNDING:
Green park in north west side.
Muzhaffar nagar ghuswal village at south east side.
Commercial land on north east side.
30 mt wide road in west direction.
24.0mt. wd road
30.0mt. Wd road
Commercial land
45 mt. wd service road
DRAINAGE:
The rainfall water will be disposed-off in two
ways, one is through Internal drainage system,
which will carry rooftop water to recharge pit
and second External Drainage system, in
which the overflow from recharge pit will be
carried by drainage line proposed by ansal city
and ultimately terminating to the existing
natural pond.
POWER SUPPLY:
11 KV H.T. line is available from Ahemamau,
substation.
9.0mt. wd road
WATER SUPPLY:
TELEPHONE:
Telephone line underlying by the telephone
department.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
ORIENTATION:
The prevailing flow towards the south
east direction through major part of the
year.
The building should be oriented in such a
way that a maximum no. of opening should
get the natural north light so, max. number
of opening should be north side.
ANNUAL RAINFALL
WIND DIRECTION
Winds
Hot and dusty during summer
Dry and cold winds from in winter north east
Winds in monsoon from south east
Relative humidity:
Dry period 20-55%
Wet period 55-95%
CLIMATIC INFERENCES:
Building should be designed to provide comfort, any
building surface such as window, walls and roof that is
exposed to sun can admit solar radiation, to avoid the
inwards flow of heat. either direct or indirect, The
surface on which the sun rays fall must be protected,
besides preventing direct radiation of sun as efficient control
system should take into consideration the following:
Maximum of solar heat entering room in winter.
Protection against and wind and rain
Provision of adequate ventilation at all times.
Control of insects ,dirt ,dust.
Adequate exterior vision.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
ORIENTATION ACCORDING
TO SUN
ORIENTATION ACCORDING
TO WIND
MOST SUITABLE
ORIENTATION
Submitted By:
SUN MOVEMENT DIAGRAM
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
OPD
IPD
SERVICES
-Emergency/
casualty
-Consultancy
services
-Diagnostic
facilities
-Physiotherapy
-Pharmacy
-CSSD
-Laundry & Linen
-Stores
-Diet Kitchen
-Bio-medical
REGISTRATION/
MEDICAL RECORD
RECPTION/ ENQUIRY
WAITING AREA
WAITING AREA
ENTRANCE AREA :
There can be 4 access points to the site, in order to
segregate the traffic.
1.Emergency: for patient in ambulances and other
vehicles for emergency department.
2.Service: for delivering supplies and collecting
waste.
3.Service: for removal of dead.
4.Main : for all others.
ENTRANCE
EMERGENCY
SERVICE
DELIVERY
ADMITTING OFFICE
HOSPITAL INPATIENT
CONSULTATION/EXAMINATION
MINOR TREATMENT AND
PROCEDURE
X-RAY
LAB
DISPENSING PHARMACY
SERVICE
FOR DEAD
ENTRANCE DIAGRAM
OUT PATIENT
INJECTION DRESSING
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
EMERGENCY SERVICES :
LOCATION:
Should be located on the ground floor.
Easy access for patient and ambulances.
It should preferably have a distinct entry independent
of OPD main entry so that a very minimum time is lost
in giving immediate treatment to causalities arriving in
the hospital.
Should be marked with proper lighting and signs, and
should be easily visible.
Since it becomes the main entrance for the hospital
at night, it must relate to public and vehicular
transportation.
Close proximity to the radiology unit is essential to
facilitate the movement of accident cases and save
every precious minute.
DIAGNOSTIC FACILITIES:
DIAGNOSTIC AREA
IMAGING SERVICE
RADIOLOGY
ULTRA SOUND
C.T SCAN
LABORATORY
RECEPTION
RECORD
CLINICAL LAB
X RAY ROOM
DESIGN OF EMERGENCY:
Entrance to emergency should be sheltered to protect
ambulance patients from the weather while unloading.
Adequate reserved parking for ambulance and cars of
patients and medical staff.
Ambulance entrance should be large enough to admit
one or more negotiating with stretchers.
ULTRASOUND
CT SCAN
M.R.I
Submitted By:
Functional Relationship Diagram
Emergency Unit
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
PHISIOTHERAPY:
The department is more frequently visited by outpatients but should be located at a place which may
be at convenient access to both outdoor and indoor
patients with privacy. It should also have a physical
and electro-therapy rooms, gymnasium, office, store
and toilets separate for male and female.
OPERATION THEATRE
PATIENT WARDS
I.C.U.
Post Operative
recovery
ELECTROTHERAPY
Operating rooms
TSSU
CSSD
Srub up
Anaesthesia room
Doctors
change
room
Nursess
change
room
PHARMACY:
Pharmacy should have component of medical store
facility for indoor patients and separate pharmacy
with accessibility for OPD patients.
Instrument
store
CSSD
Patients
Doctors
Nurses
PREPARATION ROOM
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
INSTRUMENT STORE
I.C.U
LOCATION
This unit should be located close to operation theatre
department and other essential departments, such as,
X-ray and pathology so that the staff and ancillaries
could be shared.
FACILITIES
Nurses Station
Clean Utility Area
Equipment Room
PATIENT
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
TOXICOLOGY
BACTERIOLOGY
BLOOD BANK
MICROBIOLOGY LAB
VIROLOGY LAB
SEROLOGY LAB
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
WARD BLOCK:
SERVICES:
CENTRAL STERILIZATION AND SUPPLY DEPARTMENT
(C.S.S.D):
ICU beds
Floor space for each ICU
bed
The sterilisation process may be carried out entirely or partially onsite, the latter relying on an external supply source to regularly
restock the hospital sterile goods store/s. The scale of operation can
be small or large, dependent upon the requirements of the serviced
departments, for example, an Operating Unit requires the services of
a Theatre Sterile Supply Unit (TSSU) or a full Central Sterile Supply
Unit (CSSU), whereas an Acute Inpatient Unit requires only a basic
sterile supply service.
Location:
The cssd should be close to the casuality, operation theatre.In
multistoried buildings cssd may be planned in the lower floor right
under the operation theatre where vertical movement will be the
quickest possible movement of the material.
a. 1 OT for every 50
general in patient beds.
b. 1 OT for every 25
surgical beds.
= 5 to 10 % of total beds
= 25 to 30 sqm (this
includes support
services)
LAYOUT OF CSSD
Submitted By:
GENERAL WARD
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
LAUNDRY:
Medical Air:
MEDICAL RECORDS:
It should be close to the administration block.
It should be conveniently close to the corridor leading
to doctors lounge so that the staff can be
conveniently stop by and complete their records.
MEDICAL GASES:
Oxygen :
As oxygen is essential for life, events leading to
hypoxic situation for the patient have to be treated
immediately and carefully. Oxygen is given for
treatment and prevention of a variety of a variety of
cardiac, pulmonary and other diseases.
A GAS SYSTEM
ENTRY
Carbon Dioxide:
Carbon dioxide is used for varoius medical purpose
such as insfflation gas for minimal invasive
surgery(laparoscopy,endoscopy,arthroscopy)to
enlarge and stabilize body cavities for better visibility
of the surgical field.Carbon dioxide inliquid phase
temperature as low as -76degree and may therefore,
be used for cryotherapy or for local analgesia by
external application into the skin surface.
Vaccum Suction:
VACUUM SUCTION
C
O
R
R
I
D
O
R
N0 MANFOLD
O MANFOLD
EMERGENCY EXIT
OFFICE
TOILET
EMPTY
CYCLINDER
COMPRESSOR
FOR MEDICAL
AIR
LIQUID O TANK
ENTRY
Nitrous oxide :
This gas is used in general anesthesia in hospital all
over the world. Due to analgesic effects,nitous oxide
is also used in amixture with oxygen for analgesia in
painful interventions in hospital environment(obstetric
wards, dental surgery
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
HVAC SYSTEM:
TEMPERATURE(DEGREE)
OPERATING THEATRE
21-25
DELIVERY ROOM
21-25
RECOVERY ROOM
24
NURSERY
24-26
INTENSIVE CARE
24-26
S.NO.
FITMENTS
I.P.D (M/F)
O.P.D .MALE
O.P.D FEM.
ADMIN (M)
ADMIN (F)
1.
W.C
1 FOR 6 BED
1 PER 100
2PER 100
1 PER 25
1 PER 15
2.
WASH BASIN
1/24PERSON &
1/24 BED
1 PER 100
1 PER 100
1 PER 24
1 PER 25
3.
BATH WITH
SHOWER
1 PER EVERY 6
BED
1 PER FLOOR
1 PER FLOOR
4.
BED PAN
5.
------
------
1PER 6BED
WARD
-------
-------
CLEANER SINK
1 PER EACH
WARD
1 PER FLOOR
6.
KITCHEN SINK
1 PER EACH
WARD
7.
URINALS
------
1 PER FLOOR
------------
------
-------
1 PER FLOOR
------
1 PER FLOOR
-----
1/20PERSON+2.
5%
1/20PERSON+2.
5%
ELECTRICAL SERVICES:
Electricity service should be available 24 hour a day. There should be power back up
system as per requirement.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
BIOMEDICAL WASTE:
Black Bag :
This bag is used for collecting dry waste material
which is not infectious. Materials like paper, plastics,
cardboard boxes, and other dry waste generated in
hospital office or in the wards are disposed in this bag.
This is not biomedical waste.
Red Bag :
This bag is used for the disposal of plastics collected
from ots, icus and wards.
Yellow Bag :
This bag is used for highly infectious items like
pathological waste, human anatomical waste such as
body parts, amputated parts/organs, tumors,
placentas, aborted or dead fetuses ,blood soaked
cotton bandages, animal tissues, organs, carcasses
etc.
Lead containers:
These containers are used for collecting radioactive
wastes
This waste is to be disposed as per the guidelines
provided by bhabha atomic research centre (barc),
mumbai.
Radioactive wastes, especially cobalt needles used
for brachy treatment must be returned to barc.
Cytotoxic waste can be stored in sturdy cardboard
boxes and later can be incinerated.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
COLOUR CODING AND TYPE OF CONTAINER FOR DISPOSAL OF BIO-MEDICAL WASTES
STAIRCASE:
Stair case minimum width should be 1.5m and
maximum 2.5mtr. Height of step 170mm permissible
and tread width shall be minimum 288mm.Ratio of
rise/tread should be 150:300.
LIFT:
Lift transport people ,medicines,laundry,meals and
hospital beds between floors, and for hygiene and
aesthetic reasons separate lifts must be provided for
some of these.In buildings in which care ,examination
or treatment areas are accommodated on upper floors
atleast two lifts suitable for transporting beds must be
provided.The elevator cars of these lifts must be of a
size that allows adequate room for a bed and two
accompanying people.Lift shaft must be fire resistant.
One multipurpose lift should be provided per 100 bed
witth minimum of two smaller hospitals
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
About hospital :
The 550 bedded hospital spread on an area of 27 acres, is planned to
offer services in more than 52 specialities, super specialties and
diagnostic modalities under one roof complete diagnostic solution.
Approach to hospital :
Distance from railway station is 9km.,Distance from Hazratganj is
7.2km.
Project brief :
Location
: Haniman Chauraha ,Gomti Nagar, Lucknow.
Client
: Sahara india Parivar
Architect
: Architect Hafeez Contract. Archimedes cons. Pvt. Ltd.
Site area
: 27 acres
Built up area
: 74000 Sqmtr
Cost of project : 400 Crores+
No. Of beds
: 550
Completion
: 2008
Site surrounding :
Site is located in gomti nagar, a newly developed area in lucknow.
On the west there are institutes.
On the east is the residential belt.
On the north is a stretch of commercial land.
On the south runs a railway line and further back is the residential
stretch.
Railway line
24 mtr wide main road
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
Entry for
emergency
Entry for opd
Entry for service
Exit for opd
Acess to block :
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
Parking :
Basement parking is provide for 350 cars.
Basement parking is underneath the large and open green
space and is accessed by means of 2 ramps on either ends.
Parking is categorized as follows :
1.Ambulatory 5 in nos. At the emergency exit
2.Staff/vip behind the linear block on the surface.
3.Visitor at basement
Circulation :
Entry is provided from the middle of the parking site.
Public is restricted to a certain extent in the building so as to
prevent them from interfering in the privacy of staff, nurse and
doctors.
Horizontal circulation is done through corridors.
Vertical circulation by means of lifts and staircase.
Design consideration :
The l shaped storeyed high block houses the diagnostic zone
in one arm and OPD in another.
The 16 storeyed high tower is the patients tower rises from
the center and is fronted by a double height lobby, which
functions as the entrance foyer for all the zones.
Two organically shaped double height atrium emerge from
this main foyer.
The interiors are highlighted by the sunny vistas, closeness to
nature and soothen materials.
The service block is separate and linked by a bridge.
More green area is left for better environment i.e about 75 %
area is green area.
Sales
GREEN AREA
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
About function:
Entrance to the site is from north east as
well as from south east.
The site is almost of a 1:2 proportion;
diagonally and the portion that makes up the
foreground caters to the adequate landscape
elements with underground parking beneath it.
The main hospital structure is located in the
second notional portion of the site i.e. on the
back ground stretching towards the south
west.
The service block is located in the south
west corner of the site.
Provision for morgue has also been provided
next to service block on the extreme south
west corner.
Provision has been made for patient relative
accommodation on the northwest region of the
site.
A connecting bridge connecting the service
and the tower block is also present.
Site zoning :
EMERGENCY
ENTRY
DIAGNOSTIC
IPD TOWER
EMERGENCY/
TRAUMA
OPD
ENTRY
RECEPTION
ATRIUM
SERVICE
BLOCK
ENTRANCE
LOBBY
O.P.D
GREEN AREA
ATRIUM
SERVICE
APARTMENT
SERVICE
ENTRY
About planning :
Ground floor :
Diagonostic :
Two entries ,one main and one from the wing perpendicular to O.P.D.
Multi entries to all the daignostic areas.
Linear block consists of three zones in ground floor that are :
1.Emergency O.T , triage rooms ,plaster rooms ,physiotherapy ,dialysis
and consulting rooms.
2.Diagnostic radiology ,ct scan
3.Pathology labs , administration.
All the above areas have separate entries
connected via an atrium and are inter connected
by 2.4 m doubly loaded corridor.
All the wings are connected with 2.4 mtr
corridor.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
10
IPD
DIAGNOSTIC
ENTRANCE
LOBBY
IPD
OPD
ENTRANCE
LOBBY
LIFT LOBBY
RECEPTION WAITING
ORTHOPAEDIC ROOM 5
NEORO SURGERY CONST. 3
NEURO PHYSICIAN3
RECEPTION BACK SIDE
MAIN ENTRY
OPD
EMERGENCY ENTRY
11
12
13
14
13
MAIN ENTRY
14
EMERGENCY ENTRY
EMERGENCY:
Emergency is 12 beded in which 6 are for critical
patient,
6 are for observation, two are triage.
One O.T is there with plaster room and procedure
room.
It has one nurse station and pharmacy store.
It has one counseling room.
It has one linen room attached with equipment room.
O.P.D :
Front block of 4 tier structure houses O.P.D block.
Simple in both planning and service than I.P.D and
diagnostic block.
Main entry is from the parking area.
Directly connected to the atrium and having its own
reception.
Distribution in all four floors are similar in design.
GROUND FLOOR
INTERNAL MEDICINE
ORTHO
CARDIO
BRONCHIOLOGY
PULMONARY
PLASTIC SURGERY
NEURO
PLASTER ROOM
FIRST FLOOR
OPTHAMOLOGY
OBSTETRICS
ENDOCRINEOLOGY
PAEDIATRIC
OPTICAL SHOP
SECOND FLOOR
GATRO
AYUVEDIC
DERMATOLOGY
UROLOGY
NEPHROLOGY
E.N.T
PHYCHIATRIC
OPD
THIRD FLOOR
AROMA THERAPY
PANCH KARMA
Submitted By:
O.P.D (specialty
facilities per floor):
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
First floor :
Facilities provided in first floor:
Operation Theatre
Pre operative room
Surgical I.C.U
Staff area
C.S.S.D
Day Care Unit
H.D.U
Private Wards:
15 storeyed tower houses the I.P.D and Consists of a patient room with attached toilet and pantry.
general ward ,placed on the junction of Bed is totally remote control.
Deluxe room:
the blocks.
Single deluxe ,deluxe and semi deluxe suit are located in
Compact square is adopted
Patient and visitor entry is from the the center with all the services in central core.
Rooms with attached toilet ,balconey and sofa cum bed
same corridor of width 2.4m.
Nurse station ,service lifts are placed in is alloted.
the same corridor.
Beds are placed along the periphery to
OT
PRE OPERATIVE S.I.C.U
C.C.U
have maximum ventilation and light.
CATH LAB
Piped oxygen and suction is provided in
OT
STAFF
each ward.
AREA
WAITING
CSSD STAFF TRANS.I.C.U
WAITING
Spacious rooms are separated from the
AREA I.C.U
OT
other rooms.
DAY
HDU
Two nursing station are provided .Six
CARE
bedded general wards placed in tower of
FIRST FLOOR PLAN (O.T ZONE)
two floors.
Units are inter connected with the toilet
ISOLA
GENERALTION
GENERAL
at the end.
DELUXE DELUXE
DELUXE DELUXE
WARD
WARD
For privacy curtains are used.
GENERAL WARDS
150
SEMI PRIVATE
WARDS
70
PRIVATE WARDS
30
SEMI DELUXE
DELUXE
I.C.U
I.C.U
15
5
30
30
GENERAL
WARD
GENERAL
WARD
GENERAL
WARD
GENERAL
WARD
SEMI
PRIVATE
WARD
SEMI
PRIVATE
WARD
SEMI
PRIVATE
PRIVATE
WARD
WARD
SEMI
PRIVATE
PRIVATE
WARD
WARD
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
HOSPITAL
GENERAL MEDICINE
BED
O.T
CONSULT.
80
2
8
60
2
6
60
2
6
Services:
Water supply :
Total water tank 7 that are :
1.25 lakh ltr 5 tank and
2 tank of 2 lakh ltr.
Note : 2 tank of 2 lakh ltr capacity are for
fire.
Water treatment plant :
2 for filtration of capacity 15000 ltr.
2 for boiler of capacity 15000ltr.
2 for raw water
2 for cosmetic
2 for soft water
Hydro pneumatic system :
3 set of two pump.
Note : 8 pump other to above are for fire.
E.N.T
CARDIO
40
1
1
40
2
4
Drainage:
Electrical :
Total consumption 15 kw for
emergency.
Ups :300 kva (2) 200 kva (2)
Dg set : 1500kva 3 set 2000 kva 2 set
Electicity load:
1300 amp in winter
1700 amp in summer
H.V.A.C ;
LAUNDARY
OT
OT
PRE OPERATIVE
CSSD
OT
S.I.C.U
C.C.U
S.I.C.U
C.C.U
CATH LAB
STAFF
AREA
CATH LAB
TRANS.
I.C.U
I.C.U
DAY
CARE
HDU
BIO.WASTE
SERVICE ENTRY
MEDICAL GAS
OT
Submitted By:
CSSD
TRANS.
I.C.U
I.C.U
DAY
CARE
HDU
Medical oxygen
Nitrous oxide
Vacum suction
Carbondioxide
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
BOILER
ROOM
HT PANEL
HT PANEL
MEDICAL
STORE
STAFF LOCKER
L.T PANEL
OFFICE
STORE
STAFF DINING
D G SET
KITCHEN
A.C PLANT
GAS PLANT
BIO.WASTE
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
SITE PLAN
PROPOSED ONCOLOGY
DEPARTMENT
EMERGENCY
ENTRY
MAIN BLOCK
MAIN
ENTRY
SERVICE
BLOCK
SERVICE
ENTRY
GAS STORAGE
AREA
DIESEL STORAGE
AREA
BASEMENT PARKING
BELOW PARK
MEDICAL GAS
STORE
MAIN
EXIT
DOCTOR/NURSE
QUATER
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
INFERENCES :
Adequate waiting area in all departments
Atrium houses a large number of visitors and has different accesses to different departments thereby restricted the flow of visitors to this areas only.
The service block forms the major hub for hospital functions, without the interference of the main stream of the hospital.
Segregation of visitor, staff and service entry.
Separate service lift for food, linen, staff, visitors and patient help to avoid congestion.
Flexibility for the future so that any floor could be converted from wards to rooms and vice versa.
Toilets are designed according to the needs of patient.
Emergency evacuation is not catered for since there is no provision of a ramp.
Lack of natural light and ventilation in lower floors.
No dirt disposal corridor in the O.T. complex.
Increase in the cost because of introduction of service floors in the building.
Service floors create better floors usability as area in services is segregated on floors.
Service floors gives design flexibility as services considerations in design are reduced.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
Introduction
Ram Manohar Lohia combined hospital is located in
Vibhuti Khand, Gomti Nagar.
Access is from 30m wide road which further joins to the
60m wide main road.
In front of its main entry is the Punjab National Bank
Institute, Mandi Parishad and UPRNN head office.
In front of its OPD entry is the rear side of WAVES
multiplex.
The hospital serves as a referral centre for the population
of Lucknow and populations from adjacent districts as well
as belt of Eastern U.P.
The diagnostic services at the institute are state of art in
health care and the Department of
Pathology and
Microbiology have been upgraded to State Referral Centre
for Laboratory Investigation.
Department of Radiology has high-end facilities with a
comprehensive 64 slice CT scan, 3 Tesla MRI, BMD,
mammography etc.
The hospital is networked by a all-inclusive web-based
HIS system which provides electronic records from
registration to discharge.
The administrative wing comprises of the Director,
Finance controller and Engineers in Engineering divisions
and Joint Director Material Management.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
About Planning :
The basic planning of Ram Manohar Lohia Hospital is
the concept of placement of various functions space
along the two corridor.
Along one corridor OPD , Diagnostic facilities,
Pathology Services, Emergency, ICUs, OTs are
placed whereas along second IPD blocks are placed.
These two corridors are separated by open spaces
between them .
Ramps are projected out in these open spaces.
There is separate entrance for individual blocks but
interconnected through straight running corridors.
All services are clubbed together and placed at rear
end.
Patient relatives blocks are also provided to
accommodate the relatives of patients and also
manage the crowd of hospital.
Ample space is left for landscaping but not fully
developed by the authority.
Building is north-south oriented according to the
composite climate of Lucknow.
OPD BLOCK
Double height waiting area in centre and
consultant examination room at side
Every OPD have its individual space.
Registration counter in front of the entrance
hence clearly visible.
Space for making queue is provided in front of
the counter.
Separate entrance for OPD provided from side
road.
Skylight in the central waiting space for light and
ventilation.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
MAIN BLOCK
Main entrance to the hospital is through
central wing.
It has administration the first, second floor
and entrance at the ground floor through spiral
staircase the left side of the entrance lobby.
Entrance lobby is of double height.
Left side of the central wing is the radiology at
the ground floor and pathology at the first floor.
This not been constructed yet.
At the right side is the maternity deptt. On
ground floor and ICCU, ICU at the first floor.
DIAGNOSTIC BLOCK
Physiotherapy deptt. is places at the ground
floor and dialysis at the first floor.
Ample waiting space in front of the deptt.
The deptt. is equipped with latest
equipments.
Has corridor running on its two sides, one
leads to the ward and the other leads to the
main entry.
Three hospital lifts are present, no passenger
lift, as it is only storey.
Toilets ventilated in open court and placed
along the long straight corridor running across
the whole hospital.
There are 3 IPD blocks, one contains pay
wards and other two are general wards.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
Emergency / Casuality
Adjacent to ICCU, ICU unit is emergency block.
it has separate entrance and at the rear end of
the hospital beside service block.
As Pathology and Radiology department is not
constructed, temporary pathology is in emergency
block.
Two CTs are in emergency block at ground
floor.
Emergency Block
OT Complex
Separate entrance for doctors and patient.
Visitors entry is prohibited in OT complex.
There are 6 OTs with dirty corridor running
along its periphery.
This dirty corridor then join to the staircase
which leads to the ground floor directly without
creating any cumbersome within the hospital area.
The dirty contain disposable bay which is shared
by two OTs.
it has post operative room outside the OT
complex and pre operative inside of it.
Nurses station is located as such , that nurses
can look after all patients.
Doctors and nurses enter into OT through their
changing room.
Doctors and nurses lockers are also present.
O.T. View
Supply of gases
Submitted By:
To open the door ,to enter in O.T.
touch pad.
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
Circulation spaces
Horizontal circulation is prominent and main feature
of the hospital.
The corridor of 3 mt. width run across the various
departments.
Vertical circulation is through staircase, lifts and
ramps.
2 hospital and 3 passenger lifts are provided.
Service staircase is separately provided.
2 ramps of 1:10 slope is provided.
Services
Electric supply from power corporation limited, UP.
As a stand by there is one DG set of 125kv
capacity.
Water stored in underground tanks by using 2 bore
wells.
There are 3 hand pumps to supply drinking water to
the patient relatives and other visitors.
All services are placed at rear end and connected to
hospital through corridors.
Structural analysis
Column grid of 6.4m x 6.4m in all blocks.
Floor to floor height is 3.6m at each floor.
Beam depth is 600 mm.
ELECTRICAL SUPPY
STERLIZING OF EQUIPMENTS
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
PARKING
Parking in front of every block entry.
Separate parking for staff and patient and visitors provided.
All parking is on surface.
MATERIAL
Washed grit finish in white cement and marble chip in exterior.
The exterior finish is maintenance free.
Floor finishes by Kota stone in the circulation spaces and mosaic
tile in the remaining spaces.
Wall finishes is provided by plain plaster with white wash.
INFERENCE
All the spaces should be connected to each other.
Every deptt. should have natural light and ventilation.
Submitted By:
TO DISINFECT THE EQUIPMENT
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
CONCEPT
1.
O.P.D
O.P.D
DIAGONOSTIC
EMERGENCY
KITCHEN
PHISIOTHERAPY
SERVICES
SERVICES
STAFF &
DOCTORS
ENTRY
O.P.D ENTRY
BASEMENT
GROUND FLOOR
WARDS
WARDS
I.C.U
O.P.D
FIRST FLOOR
O.T.
EMERGENCY
ENTRY
O.P.D
LABORATORY
9.0mt. wd road
N.I.C.U
SERVICES
ENTRY
MATERNITY
30.0mt. Wd road
SEGREGATION OF MOVEMENTS
Commercial land
SECOND FLOOR
TYPICAL FLOOR
O.T.
MATERNITY
WARDS
O.T
SERVICES
WARDS
EMEREGCY
SERVICES
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
ORIENTATION
PARKING
S
WARDS
30.0mt. Wd road
Commercial land
I.C.U
N.I.C.U
LABORATORY
KITCHEN
DIAGONOSTIC
WARDS
9.0mt. wd road
O.T.
MATERNITY
GREEN PARK
O.P.D
BLOCK CONNECTIVITY
Diagnostic is placed as it is closer to both
O.P.D & Emergency.
Emergency, maternity, O.T, complex and
wards are placed one above another in
sequence so that to make better vertical
connectivity through lifts.
Services are placed in basement and
separate lifts are provided so that a quick
services can be provided without any
hindrance.
O.P.D
EMERGENCY
GROUND FLOOR
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
PLANNING CONCEPT
GROUND FLOOR
EMERGENCY BLOCK
Proceeding further from entrance hall towards front with 7.0 mt. wide
corridor.
This corridor also act as main corridor which connect each block with
one another.
Moving further on this corridor at left side emergency block is placed.
Emergency block is provided with separate entry on north side of site
plan.
So, that a minimum time is loss.
At entry to emergency a reception, nurses station and doctors on duty
is placed in front so that a quick service can be provided.
Further a triage followed by x ray, emergency lab, and plaster room.
If patient is in very critical condition then can be directly taken to
emergency O.T. which is provided in emergency block.
O.P.D BLOCK
OPD block is provided on both side of entrance hall.
In OPD block each consult room room is provides as below layout pattern.
DIAGNOSTIC BLOCK
It is provided in front of emergency block.
Diagnostic block is placed in such a way so that it remain in direct
connected with emergency and OPD block.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
FIRST FLOOR
O.P.D. block is provided as below in ground floor.
MATERNITY COMPLEX
LABORATORY BLOCK
DOCTORS, NURSES
& STAFF CHANGE
ROOMS
PATIENT LIFT
SECOND FLOOR
O.T. BLOCK
DELIVERY
ROOM
POST LABOUR
& NURSERY
LABOUR O.T.
DIRTY CORRIDOR
NURSES STATION
& DOCTORS ON
DUTY
WAITING AREA
SERVICE LIFT
RECEPTION
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
I.C.U BLOCK
DOCTORS,
NURSES & STAFF
CHANGE ROOMS
CONFERENCE
ROOM
PATIENT LIFT
SERVICES
POST
OPERATIVE
DIRTY CORRIDOR
O.T. BLOCK
NURSES
STATION &
DOCTORS ON
DUTY
TYPICAL FLOOR
PRE
OPERATIVE
WARD BLOCK
Al above floors are provided with wards.
SERVICE LIFT
RECEPTION
WAITING AREA
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
RAMP
There is one ramp is provided in hospital at centre place with slope 1:15 and width of
3.0 mt.
LIFT
Separate lift are provided for doctors, ward patients, visitors, services and O.P.D.
INPATIENT
WARD LIFT
SERVICE LIFTS
VISITORS
LIFT
DOCTORS LIFTS
FLOOR HEIGHTS
O.P.D LIFTS
STAIRCASE
Staircase is provided with 2.0 mt. width.
All staircase are provided at periphery and open outside at ground
floor with 2.0 mt. wd. FHC, fire proof door.
FHC is also provided with each staircase.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
BIBLIOGRAPHY
BOOK REFERED:
1.
2.
3.
4.
I.P.H.S
N.B.C
NEUFERT
HOSPITALS, facilities planning and
management G. D. KUNDERS
5. MODERN TRENDS in planning and
designing of hospitals S.K GUPTA.
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW
THE END
THANK YOU
Submitted By:
Prachi Gupta
Roll No. - 817
IIA Part-IV-Group-B (2014-15)
350 BEDDED GENERAL HOSPITAL AT SUSHANT GOLF CITY, LUCKNOW