CONTENTS

 ABOUT THE HOSPITAL

 LITERATURE STUDY

 LITERATURE STANDARDS

 CASE STUDIES-

• LIVE CASE STUDY 1- JNMCH, ALIGARH

• LIVE CASE STUDY 2- ASIAN, FARIDABAD

• VIRTUAL CASE STUDY- APOLLO, NEW DELHI

 SITE STUDY & ANALYSIS

 CLIMATE ANALYSIS

 INFERENCES

 ZONING

 REQUIREMENTS
 INTRODUCTION
ABOUT TO HOSPITAL:
• HOSPITAL IS A PREMISE PROVIDING MEDICAL FACILITIES OF
GENERAL OF 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.

HOSPITAL CLASSIFICATION:
INDIAN STANDARD PROVIDE FUNCTION PLANNING NORMS FOR
HOSPITAL BUILDING CAN BE CLASSIFIED IN A VARIETY OF WAY. IN
FIVE CATEGORIES OF HOSPITAL A TO E WHICH RANGE FROM:
ACCORDANCE WITH THE NATURE OF THE HEALTH CARE PROVIDE,
CATEGORY A: 25-50 BEDS
• PRIMARY CARE FACILITIES
CATEGORY B: 51-100 BEDS
• SECONDARY CARE FACILITIES
CATEGORY C: 101-300 BEDS
• TERTIARY CARE FACILITIES
CATEGORY D: 301-500 BEDS
• QUATERNARY CARE FACILITIES
CATEGORY E: 501-700 BEDS
 NETWORK OF PRIMARY HEALTH CARE FACILITIES SUPPORT UP TO 6 LEVELS OF MEDICAL CARE
SUB-CENTRES OR FIELD UNITS, CREATING TO A POPULATION OF
ABOUT 1000000 PEOPLE.
LEVEL OF CARE MEDICAL FACILITY LEVEL OF DECISION
 SECONDARY HEALTH CARE FACILITIES PROVIDE TO THE PATIENT MAKER
REFERRED FROM PRIMARY HEALTH CARE FACILITIES. THESE ARE 1. PRIMARY DISPENSARY, PRIMARY GENERAL PRACTITIONER,
HEALTH CENTRE OR MEDICAL ASSISTANT &
GENERALLY DISTRICT LEVEL HOSPITAL.
SUB CENTRE. MULTIPURPOSE
WORKER.
 TERTIARY MEDICAL CARE PROVIDES SUPERIOR LEVEL, SUPER
1. SECONDARY DISTRICT HOSPITAL MOSTLY GENERAL
SPECIALITIES TO THE PATIENT REFERRED FROM SECONDARY LEVEL
(INTERMEDIATE) OR PRACTITIONER, PARTLY
FACILITIES. SUPER SPECIALIZE INCLUDE CARDIAC CARE, NEURO-
EQUIVALENT. SPECIALIST ETC.
SCIENCE FACILITIES ETC.
1. TERTIARY PROVINCIAL OR SIMILAR SPECIALISTS ETC.
HOSPITAL (REGIONAL)
1. QUATERNARY INSTITUTE OF RESEARCH AND SUPER SPECIALISTS,
HIGHER TRAINING. RESEARCHERS ETC.
STANDARDS
CORRIDORS
corridors must be designed for the maximum expected circulation flow. generally, access corridors must be at least 1.50m wide. corridors in
which patients will be transported on trolleys should have a minimum effective width of 2.25m. the suspended ceiling in corridors may be
installed up to 2.40m. windows for lighting and ventilation should not be further than 25m apart. the effective width of the corridors must not be
constricted by projections, columns or other building elements. smoke doors must be installed in ward corridors in accordance with local
regulations

DOORS
WHEN DESIGNING DOORS THE HYGIENE REQUIREMENTS SHOULD BE CONSIDERED. THE SURFACE COATING MUST WITHSTAND THE LONG
TERM ACTION OF CLEANING AGENTS AND DISINFECTANTS, AND THEY MUST BE DESIGNED TO PREVENT THE TRANSMISSION OF SOUND,
ODORS AND DRAUGHTS. DOORS MUST MEET THE SAME STANDARD OF NOISE INSULATION AS THE WALLS SURROUNDING THEM. A
DOUBLE-SKINNED DOOR LEAF CONSTRUCTION MUST MEET A RECOMMENDED MINIMUM SOUND REDUCTION REQUIREMENT OF 25DB. THE
CLEAR HEIGHT OF DOORS DEPENDS ON THEIR TYPE AND FUNCTION:

NORMAL DOORS 2.10-2.20

VEHICLE ENTRANCE, OVERSIZED DOORS 2.50M
TRANSPORT ENTRANCES 2.70-2.80M
MINIMUM HEIGHT ON APPROACH ROADS 3.50M
LIFTS
ONE MULTIPURPOSE LIFT SHOULD BE PROVIDED PER 100
BEDS, WITH A MINIMUM OF TWO FOR SMALLER HOSPITALS.
IN ADDITION THERE SHOULD BE A MINIMUM OF TWO
SMALLER LIFTS FOR PORTABLE EQUIPMENT, STAFF AND
VISITORS:

CLEAR DIMENSION OF LIFT CAR: 0.90 X 1.20M

CLEAR DIMENSION OF SHAFT: 1.25 X 1.50M
STANDARDS
STAIRCASES
MINIMUM WIDTH = 1500 MM FOR FIRE ESCAPE STAIRCASE
MAXIMUM RISER = 150 MM MINIMUM WIDTH = 1500MM
MINIMUM TREAD = 300 MM MINIMUM TREAD = 300MM
RAILING HEIGHT = 900 MM MINIMUM WIDTH OF EXIT DOOR = 1500MM
THERE SHOULD NOT BE MORE THAN 12 STEPS IN A SINGLE FLIGHT MINIMUM HEIGHT OF EXIT DOOR = 2000MM
MINIMUM WIDTH OF CORRIDOR = 2400MM
RAMPS
MAXIMUM SLOPE = 1:10 TO 1:12
MINIMUM WIDTH = 2500 MM
TURNING RADIUS = 3000 MM
LANDING SPACE = 3000 MM (FOR TURNING OF STRETCHERS)
RAILING HEIGHT = 900 MM
FLOOR SHOULD BE NON-SLIPPERY

FIRE FIGHTING
FIRE FIGHTING INSTALLATIONS ARE DONE AS RECOMMENDED
SPRINKLER PROTECTION, STAND PIPES, PUMPS AND STORAGE,
PRESSURE TANKS.
SPRINKLERS:
USED IN BASEMENT, ANY ROOM EXCEEDING 500 SQM
CO2:
USED IN ELECTRIC FIRE, WHERE WATER CANNOT BE USED.
FOAM IS FORMED WITH SODA ASH.
SMOKE DECTORS:
USED WHERE TEMPERATURE RISES BETWEEN 0 -380C.
(O.T., I.C.U. LOBBIES, DIAGNOSTIC DEPT. ETC)

PARKING NORMS:
THE STANDARDS SHOULD BE GIVEN EQUIVALENT CAR SPACE (E.C.S.) IT
INCLUDES
PARKING FOR ALL TYPES OF VEHICLES I.E. CARS, SCOOTERS, CYCLES ETC.
• FOR HOSPITAL BUILDINGS:1.33 E.C.S/100SQM OF F.A.
• FOR RESIDENTIAL COMPONENTS:1.33 E.C.S./100SQM OF F.A.
• FOR THE PROVISION OF CAR PARKING SPACE STANDARDS SHALL BE
AS UNDER:
• FOR OPEN PARKING:23.0SQM PER E.C.S.
• FOR GROUND FLOOR COVERED PARKING:28.0SQM PER E.C.S.
• FOR BASEMENT PARKING:32.0SQM PER E.C.S.
EMERGENCY RECEPTION:
PARTS AND COMPONENTS OF THE DIVISION: • LOCATION:
• ENTRANCE + WAITING AREA. VERY CLOSE TO THE EXIT DOOR OF THE EMERGENCY.
• REGISTRATION. • VERY CLOSE TO THE RADIOLOGY.
• STAFF ROOM.
• MINI-SURGERY. • CLOSE TO THE PHARMACY, LABORATORIES, AND
CENTRAL STERILIZATION.
• TEST ROOM.
• MEDICAL UTILITIES. • DIRECT ACCESS TO THE STAIRS AND ELEVATORS
• MINI STERILIZATION ROOM

INTERNAL MEDICAL TREATMENT DIVISION

OPERATION THEATRE: PARTS AND
COMPONENTS OF THE DIVISION : LOCATION :
• ENTRANCE. • VERY CLOSE TO THE INTENSIVE CARE DIVISION
• STORAGE. AND SHOULD BE TOUCHABLE BOTH OF THEM.
• PREPARATION ROOM. • VERY CLOSE TO THE CENTRAL STERILIZATION
• ACCESS AREA. DIVISION OFTHE HOSPITAL.
• STAFF CLOTHES ROOM + WCS. • CLOSE TO THE INPATIENT WARDS.
• OPERATION THEATRE. • CAN BE EASILY ACCESSIBLE FROM THE
• CLEANUP ROOM. EMERGENCY DIVISION.
• SUB STERILIZING ROOM.
• SUPERVISION ROOM.
• STAFF LOCKERS.

OPERATION THEATRE AND INTENSIVE CARE UNIT:

PARTS AND COMPONENTS OF THE DIVISION:
I.C.U SPACE.
OPERATION THEATRE
POST OPERATION WARD
LOCATION:
VERY CLOSE TO THE RECOVERY ROOM IN THE
OPERATION THEATRE.CAN BE EASILY ACCESSIBLE FROM
THE EMERGENCY DIVISION BY ELEVATOR.

AREA OF THE DEPARTMENT:

MUST BE DESIGNED 1-2 % OF HOSPITAL BEDS
DIAGNOSTIC SERVICES DIVISION
LABORATORIES: LOCATION:
PARTS AND COMPONENTS OF THE DIVISION: • VERY CLOSE TO THE EMERGENCY
• WORK AREA. DEPARTMENT AND EXTERNAL CLINICS.
• WAITING AREA. • EASILY ACCESSIBLE FROM INTERNAL DIVISION.
• SAMPLE ROOM. • EASILY ACCESSIBLE FROM MATERNITY AND
THE MOST IMPORTANT LABS IN THE HOSPITAL ARE: SURGERY DEPARTMENTS.
• CHEMICAL LAB. • ACCESSIBILITY FROM CENTRAL STORAGES.
• BACTERIOLOGY LAB.
• HISTOLOGY LAB.
• PATHOLOGY LAB.

RADIOLOGY DIVISION:
PARTS AND COMPONENTS OF THE DIVISION: LOCATION:
• X-RAY ROOMS.
• VERY CLOSE TO THE EMERGENCY DEPARTMENT
• CONTROL ROOM. AND EXTERNAL CLINICS.
• WAITING AREA.
• STAFF OFFICE. • EASILY ACCESSIBLE FROM INTERNAL DIVISION.
• UTILITY ROOM.
• GROUND FLOOR IS PREFERRED.
• DARK ROOM.
• FILM VIEW.
• STORE
CASE STUDY -1 : JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL

ACESSIBILITY TO SITE –
• MEDICAL ROAD : PRIMARY ROAD CONNECTING THE JNMCH PRESENTLY
WITH ALIGARH CITY.
• UNIVERSITY ROAD : UNIVERSITY ROAD THAT CONNECTS THE JNMCH WITH
UNIVERSITY
• HADI HASAN ROAD : ROAD THAT BRINGS TRAFFIC FROM DOHRA TO
JNMCH.
• ALIGARH BYPASS : ROAD PRPOSED TO DIRECTLY CONNECT THE JNMCH.
• THE JNMCH IS ACCESSIBLE FROM AN 8M WIDE ROAD FROM WESTERN AS
WELL AS SOUTHERN SIDE

ORGANIZATIONAL SETUP

• CHIEF MEDICAL SUPERINTENDENT

• MEDICAL SUPERINTENDENT
• DEPUTY MEDICAL SUPERINTENDENTS
• TEACHER INCHARGES OF VARIOUS SECTIONS
• NURSING SUPERINTENDENTS
 LOCATION - MEDICAL ROAD,NEAR ZAKARIYA MARKET ,ALIGARH • ASSISTANT FINANCE OFFICER
• PARAMEDICAL STAFF
 ESTABLISHMENT - 1962
• MULTI TASK STAFF
 OWNER - ALIGARH MUSLIM UNIVERSITY
 DESIGN TEAM - HAFFEZ CONTRACTOR AND ARSHAD ANKOLKAR
 TOTAL SITE - 86.03 ACRES (OR 348151 MT.SQ.)
 NO OF BEDS - 1300 BEDS
 CONNECTIVITY - MEDICAL COLLEGE, HADI HASAN

 BACKGROUND -
• TO BE PERCEIVED AS A LEADING TERTIARY CARE CENTRE IN THE
COUNTRY.
• TO IN CORPORATE THE LATEST SCIENTIFIC & TECHNOLOGICAL
ADVANCES IN HEALTH CARE.
• TO BE A CENTRE OF EXCELLENCE WHICH OFFERS SAFE &
QUALITY HEALTH CARE THROUGH A HUMAN APPROACH
• TO MAINTAIN THE HIGHEST POSSIBLE STANDARD IN ALL
ENDEAVOURS.
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL DEPARTMENTS

HOSPITAL STATISTICS  PRE-CLINICAL—

• • ANATOMY
THE HOSPITAL HAS AN EVER INCREASING ATTENDANCE OF 6,52,223 PATIENTS IN 22 OPDS IN 2016. • BIOCHEMISTRY
• AN AVERAGE OF 2,000 TO 2500 PATIENTS PER DAY • PHYSIOLOGY
• MALE PATIENTS IN OPDS WERE 3,23,458 WHEREAS 3,28,765 WERE FEMALE/YEAR  PARA-CLINICAL—
• 55,127 PATIENTS WERE ADMITTED IN 22 WARDS OF THE HOSPITAL. • PATHOLOGY
• MICROBIOLOGY
• A TOTAL OF 15,803 OPERATIONS WERE PERFORMED AT THE HOSPITAL.
• PHARMACOLOGY
• THE ADMINISTRATIVE DUTIES OF THE EMERGENCY SECTION ARE PERFORMED BY THE CASUALTY • FORENSIC MEDICINE
MEDICAL OFFICER WHEREAS THE CLINICAL MANAGEMENT IS BY THE DOCTORS OF RESPECTIVE  CLINICAL—
UNITS OF THE CLINICAL SPECIALITIES/DEPARTMENTS ON ROTATION BASIS. • OPHTHALMOLOGY
• THERE WERE NEARLY 43,000 PATIENTS TURNING UP IN THE EMERGENCY SECTION. • OTO-RHINO-LARYNOLOGY
• (E.N.T.)
• 6,63,040 LABORATORY INVESTIGATIONS WERE DONE FOR PATIENTS SUFFERING FROM VARI-
• COMMUNITY MEDICINE
-OUS DISEASES/CONDITIONS. • MEDICINE
• PAEDIATRICS
• INVESTIGATIONS WERE DONE AT THE X-RAY AND RELATED SECTIONS. IT IS NOTE WORTHY • T.B.&PSYCHIATRY
THAT OUT OF THESE WERE DONE FREE OF COST(AFTER FOLLOWING THE LAID DOWN • DERMATOLOGY
RULES AND PROCEDURES OF THE HOSPITAL)TO THE POOR AND NEEDY PATIENTS WHO
• SURGERY
COULD NOT AFFORD TO PAY BED OCCUPANCY RATE. • ORTHOPAEDIC SURGERY
• OBST
GENERAL LAYOUT • GYNAECOLOGY
• PLASTIC SURGERY
THE COLLEGE HAS ORTHOGONAL PLANNING WITH THE INTERNAL ROADS MEETING • ANAESTHESIOLOGY
AT THE RIGHT ANGLES. THE WIDTHS OF INTERNAL ROADS ARE 6M TO 8M WIDE. THE • RADIODIAGNOSIS
WHOLE CAMPUS CAN BE DIVIDED IN TO THE FOUR MAIN PARTS : • RADIOTHERAPY

i) COLLEGE BLOCK
ii) ADMINISTRATIVE BLOCK
iii)TRAUMA CENTRE
iv) HOSPITAL BLOCK

• OPD BLOCK
• IPD BLOCK
• EMERGENCY
• DIABETES BLOCK
• SUPER SPECIALITY BLOCK
OPD BLOCK
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL
 A : STORE
GROUND FLOOR PLAN
 OPD-1: COMMUNITY MEDICINE

 OPD-2 : RADIOTHERAPY

 B : INJECTION ROOM
 C : INCHARGE ROOM
 D : REGISTRATION COUNTER
 E : NEONATAL SECTION
 F : ANC COUNCELOR’S ROOM

 OPD-9 : ANC

 G : ANC CONNECTION
 H : RECEPTION TABLE
 I : RAMP
 J : 3M WIDE CORRIDOR
 K : WASHROOMS

 OPD-3: PAEDEATRICS

• a- registration
• b-waiting
• c-injection
• d-doctors room
• e-lab
• f-teaching hall
• g,h,i-examination room

 OPD-4 : SPECIALITY CLINIC

• A - DOCTOR’S ROOM
• B - DRESSING ROOM
ENTRANCE LOBBY
• C – PASSAGE
(DOUBLE HEIGHT WAITING LOUNGE)
 OPD-5 : ORTHOPAEDIC
 OPD-6 : ANAESTHESIOLOGY
 OPD -7 :MEDICINE
 OPD-8 : GYNAECOLOGY
 OPD BLOCK :
PROS OF THE DESIGN
• PROPER LIGHT AND VENTILATION IN THE COMPLEX DUE TO PUNCTURES AND COURTYARD
• THE RECEPTION LOBBY IS SUFFICIENT IN HEIGHT AND VOLUME
• THERE WAS A BARRIER FREE ENVIRONMENT DUE FOR PHYSICALLY CHALLENGED PEOPLE.
• SIMPLICITY OF THE DESIGN MADE EVERY OPD EASILY ACCESSIBLE.
• LOCATION OF THE OPD IS VERY APPROPRIATE FOR THE PATIENT TO ACCESS

CONS OF THE DESIGN

• PROBLEM OF PARKING WAS THERE AS THERE IS NO SEPARATE PARKING FOR THE OPD COMPLEX
• THERE IS NO TOILET FOR THE ON DUTY DOCTOR IN THE OPD’S.
• OPD’S ARE NOT SPECIFICALLY PLANNED & HENCE PARTITION WAS DONE IN WAITING AREAS.
• NO PROVISION FOR FUTURE EXPANSION IN OPD’S.
• THERE IS NO SPECIFIC WAITING SPACE FOR THE OPD’S IN ENTRANCE LOBBY.
• SITTING PACE IN THE OPD’S WAS NOT SUFFICIENT.

OPD -1 : COMMUNITY MEDICINE

S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS

1. • INJECTION ROOM • 60-70 • DIRECTLY • NO
• MORTUSE TEST PATIENTS/DAY CONNECTED RECEPTION NO TOILET IN
• T.B. TEST WITH • UNDEFINED CONSULTANT’S ROOM
ENTRANCE WAITING
LOBBY LOUNGE

OPD -2 : RADIO THERAPY

S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • CONSULTANT’S ROOM • 25-30 • FOR CONSULTING • DIRECTLY • NO
PATIENTS/DAY CANCER PATIENTS CONNECTED RECEPTION
WITH • UNDEFINED
ENTRANCE WAITING
LOBBY LOUNGE
WAITING SPACE IS COMPROMISED
BY SUCH AFTERWARD PLANNING
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL
GROUND FLOOR PLAN
OPD -3 : PAEDEATRICS
S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • REGISTRATION ROOM • 150-200 • FOR • JUNIOR DOCTOR • NO TOILET IN
• WEIGHING MACHINE PATIENTS/D CHILDREN ROOM CONSULTANT’S
• WAITING AREA AY TREATMENT • CONSULTANT ROOM FOR THE
• REGISTRATION ROOM USE OF DOCTOR.
COUNTER • COUNCELLING • NOTE : IT
• B.C.G.,POLIO,DPT ROOM SHOULD BE
VACCINATION • MINIMIZATION CONNECTED TO
• URINE TEST CLINIC GYANAECOLOGY
• PATH LAB. OPD’S HAS SUFFICIENT LIGHT VENTILLATION

OPD -4 : SURGERY
S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • REGISTRATION • 150 • FOR • MINOR OT • OPD’S HAS
• WAITING LOUNGE PATIENTS/D SPECIALISED • STOMA CARE SUFFICIENT
• STOMA AY TREATMENT CLINIC LIGHT VENTILLATION
• RECHECKING OF OLD • STOMA • SPECIAL CLINIC • SITTING SPACE IN
PATIENTS THERAPY • FOLLOW UP WAITING LOUNGE IS
CLINIC FOR OLD NOT SUFFICIENT
PATIENTS
• BREAST CLINIC
• DRESSING ROOM
• TOILETS-
(M)-3WC+2UR+1B
(F)-3WC+1B
OPD -5 : ORTHOPAEDIC
S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • REGISTRATION ROOM • 150-200 • FOR • ORTHOPAEDIC • NO SPACE FOR
• WAITING ROOM WITH PATIENTS/D CHILDREN WORKSHOP WAITING.
STRECHER FACILITY AY TREATMENT • 1-CONSULTANT • CORRIDOR
• REGISTRATION ROOM WAITING .
COUNTER • PLASTER ROOM
• CLINICAL TEACHING • INJECTION ROOM
• ULTRASOUND • DIATHERMY ORTHOPAEDIC WORKSHOP
THERAPY ROOM
• MACHINES • .X-RAY & PATH
LAB
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL

GROUND FLOOR PLAN

OPD -6 : ANAESTHESIOLOGY
S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • REGISTRATION • 30-40 • TO CHECK • 2-CONSULTANT NO TOILET IN
COUNTER PATIENTS/D ANAESTHESIA ROOM CONSULTANT’S ROOM FOR
• WEIGHING MACHINE AY BEFORE • PAIN CLINIC THE USE OF DOCTOR.
• ANAESTHESIA OPERATION • WAITING
CONSULTANCY • INJECTION ROOM

OPD -7 : MEDICINE
S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • WAITING AREA • 400 • ALL THE • 2-CONSULTANT NO TOILET IN
• CHIEF CONSULTANT PATIENTS/D GENERAL OPD ROOMS CONSULTANT’S ROOM FOR
• LADIES & GENTS AY COMES UNDER • OFFICE THE USE OF DOCTOR.
CONSULTANTS MEDICINE • LABORATORY
PHYSICIAN • DISPENSARY
• A.R.T. CENTRE (HIV)

OPD -8 : OBSTETRICS & GYNAECOLOGY ANAESTHESIOLOGY OPD LACKS IN WAITING AREA

S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS

1. • REGISTRATION • 150 • FOR GYNAE • PATHOLOGY LAB • NO MINOR OT
• CONSULTANTS PATIENTS/D PROBLEM (FOR • PHYCOSOCIAL CLINIC • NO
• CLINICAL TREATMENT AY FEMALES ) • PATHOLOGY LAB ARRANGEMENT
• WAITING AREA • INFERTILITY CLINIC FOR TB PATIENTS
• PATHOLOGY LAB • 2 COUNCELLOR ROOM • CONNECTED TO
• EXAMI ROOM ANC
• MICROBIOLOGICAL LAB

OPD -9 : ANC ( ANTI NATED CARE )

S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • REGISTRATION • 150 • CARE OF IFANT • LACTION CLINIC • NO WAITING OPD -8
• CONSULTANTS PATIENTS/D DURING • 1-CONSULTANTS RM • NO RECEPTION
AY PREGNANCY • 1-COUNCELLOR’S RM.
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL
FIRST FLOOR PLAN
OPD -10 : PSCHIATRY
S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • WAITING AREA • 80-90 • TO TREAT • REGISTRATION THE LAYOUT OF ALL OPD’SIS
• CONSULTATION CH.— PATIENTS/DAY PSCHIATRIC CHAMBER ALMOST SAME
--INTERNS PATIENTS • 3-CONSULTANTS
--SENIOR RESIDENT ROOMS
--TEACHING AREA • PSYCOSOCIAL UNIT
CONSULTATION

OPD -10 : PSCHIATRY

OPD -11 : SKIN
S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • WAITING AREA • 300 • TREATMENT • COSMO LASER NO WASHROOM
• CONSULTATION CH. PATIENTS/DAY OF ALL SKIN THERAPY ROOM
• REGISTRATION DISEASES • SURAKSHA CLINIC
• PHOTOTHERAPY • STORE
• PHOTOTHERAPY
ROOM
• SKIN LAB
• STORE
• SKIN OPD
• DEMONSTRATION
ROOM
• EXAMINATION
ROOM OPD -11 : SKIN
• MINOR OT

OPD -12 : ENT

S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • WAITING AREA • 250 • ALL THE • SPEECH ROOM NOT SUFFICIENT WAITING
• REGISTRATION PATIENTS/DAY GENERAL OPD • MICROSCOPY AREA
• SPEECH ROOM COMES UNDER ROOM
• MICROSCOPY MEDICINE • 3-CONSULT. ROOM
PHYSICIAN • POST OP.-2BED
• MINOR OT
(ENDOSCOPE)
• AUDIOMETRY
ROOM
OPD -11 : ENT
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL
FIRST FLOOR PLAN

OPD -13 : EYE

S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS
1. • VISION TEST • 200 • TO TREAT EYE • MINOR OT NOT PLANNED
• REFRACTION PATIENTS/DAY PATIENT • COMPUTER ROOM PROPERLY
• COMPUTER EYE TEST • SEMINAR ROOM
• EXERCISE • WASHROOM-2WC+1B
• THERAPY OF OPTICS • 3-CONSULTANCY
CHAMBER
• ORTHOPTIC CLINIC
• SPECIALITY CLINIC
OPD -13 : EYE EXERCISE ROOM

OPD -14 : T.B. AND CHEST

S.NO FACILITIES INTAKE FUNCTION CONNECTIVITY REMARKS

1. • CONSULTATION • 200-300 • TO T.B. • 2-CONSULTATION LOCATION IS
• PFT LAB PATIENTS/DAY PATIENTS CHAMBER UNAPPROPRIATE
• AFB – ACID FAST BASILIDE • PATH LAB
• PATH TEST • DOTS ROOM
• DOTS ROOM

OPD -13

T.B. AND CHEST

JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL
ICU

 FACILITIES
• LOCATED ON FIRST FLOOR BESDIDE OPD  REMARKS
• 8 BED + 2 STEP DOWN + DAILY • CRITICAL CARE UNIT MEDIUM
• 3 CONSULTANTS ROOM • ALL DEPTT. PATIENTS
• STORE • MAIN ICU – VENTILATOR ONLY
• ICU LAB • SEPARATE FOR CARDIAC PATIENTS
• NURSE ROOM
• STEP DOWN ROOM
LAB
• DIALYSIS ROOM
• MAIN ICU CORRIDOR TO OPD
• TOILETS
• CHANGING ROOMS
STEP DOWN

OTHER FACILITIES-GENERAL STERLISATION ROOM

 PURPOSE
• USED FOR RECYCLING OF INTRUMENTS
USED IN BLOOD BANK
• INSTRUMENTS ARE CLEANED IN
AUTOCLAVING ROOM AND THEN
KEPT IN STERILE ROOM TO LET IT DRY

 FACILITIES
• AUTOCLAVING ROOM
• STORE ROOM ICU
• STERILE ROOM
• CENTRAL RECORD ROOM
• WASHING AND PACKING ROOM

FIRST FLOOR PLAN

STERLISATION ROOM
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL
IPD BLOCK :
THERE ARE TWO DIFFERENT BLOCKS FOR IPDS
1.SURGICAL IPDS
2.MEDICINAL IPDS
•THE SURGICAL IPDS ARE LOCATED WITHIN THE PAEDIATRIC AND T.B. AND
RESPIRATORY WARD ARE LOCATED WITHIN THE MEDICINAL BLOCK ALONG WITH
R.D.A.

PROS OF THE DESIGN

•THE CIRCULAR PLANNING MAKES IT EASIER FOR 2 NURSES TO KEEP AN EYE ON THE
PATIENTS.
•THE ENQUIRY AND RECEPTION OF THE WARD WAS PROPERLY DESIGNED AND
MAINTAINED
VERTICALITY OF THE DESIGNED MADE THE ACCOMMODATION OF THE PATIENTS
EASY

CONS OF THE DESIGN

•DUE TO CIRCULAR PLANNING THERE ARE A LOT OF NEGATIVE SPACES.

•A LOT OF CONFUSIONIS ALSO CREATED DUE TO THIS TYPE OF PLANNING. PLAN
•ACCOMODATION OF THE RELATIVES OF THE PATIENTS IS AGAIN AN ISSUE HERE.
•PARKING IS IN SUFFICIENT TO THE DEMAND.
•KITCHEN IS LOCATED IN AN ENTIRELY SEPARATE BLOCK.
•STAFF PARKING IS NOT USED BY THE STAFF AND FUNCTIONS AS TEMPORARY STAY
GROUND FOR THE RELATIVES.
•THERE IS NO FOCUS ON NATURAL HEALING AS THERE IS NO GREEN SPACE DEVELOPED FOR THE PATIENTS.

PARKING IS A MAJOR ISSUE NO GREEN SPACE DEVELOPED FOR THE PATIENTS IN SUFFICIENT SPACE IN THE IPDS
JNMC- RAJIV GANDHI CENTRE FOR DIABETES AND ENDOCRINOLOGY TEACHING BLOCK
OPD BLOCK-
• ADMINISTRATION
• DOCTOR’R CABIN • SEMINAR
• CONSULTANT’S • CONFERENCE
ROOM • LIBRARY
• CLASSROOMS
LABORATORY BLOCK- COMMON SERVICES

• SAMPLE & REPORT • REGISTRATION

COLLECTION • WAITING LOBBY
• DOCTOR’S CHAMBER
• DECCA SCAN
• VASCULAR
ASSESSMENT LAB
• METABOLIC LAB
• TREATMENT LABS

JNMC- EMERGENCY BLOCK

EMERGENCY OT-
WARD BLOCK-
• ORTHO & SURGERY OT
• GENERAL WARDS- 12 NOS.- 8
• SCRUB AREA
BEDDED & 7 BEDDED
• CHANGING ROOM
• STAFF WARDS- 2 NOS.- SINGLE
• NURSE’S STATION
BED EACH
• STUDENT WARDS- 2 NOS.-
SINGLE BED EACH
• INJECTION ROOM DIAGNOSIS-
• MINOR OT
• NURSE’S STATION • X-RAY
• RECORDS • ULTRASOUND
JNMC- OPERATION THEATRE BLOCK

• OT’S- • PRE-OT
• RECOVERY ROOM –
GENRAL POST OT
SURGERY
CTVS
OPHTHALMIC • CHANGING ROOM
SURGERY • SCRUB AREA
ENT • STERILIZERS
NEURO-SURGERY • NURSE’S STATION
ENDOSCOPY
ORTHOPAEDIC

• CONNECTING SURGEON’S ROOM AND NURSE’S INCHARGE

ROOM
• FROM OT PATIENT’S CAN DIRECTLY BE TAKEN TO ICU
• NO LAUNDARY ROOM
JAWAHARLAL NEHRU MEDICAL COLLEGE HOSPITAL

OTHER SERVICES

CHILLER PLANT

KITCHEN
JNMC- AREA ANALYSIS (PER 100 BEDS)
S.NO ITEM JNMC S.NO ITEM JNMC S.NO ITEM JNMC
. . .

18. TB & respiratory 11.46 37. Central gas plant 22.5

1. OPD - Community 22.22
medicine diseases 38. Gas manifold room 13.5
2. OPD - Radiotherapy 52.2 19. Dialysis Ward 39. Air plant 24.75

OPD - Injections 40.53 20. Emergency 708.34 40. Chiller plant 43.05
21. Emergency OT 875.5 41. WTP softener and 18
3. OPD - Paediatrics 48.78
filtration plant
22. Pathology lab (for out 30
4. OPD – Surgery ward 63.922 42. WTP pump room 18
patients)
5. OPD - Orthopaedic 23. Pathology lab (for in 24 43. Light supply room 315
patients)
6. OPD - Anaesthesiology 44. Fire pump room 18
24. Renal lab
7. OPD - Medicine 39.064
25. Microbiology lab 4.8x5
8. OPD – Obstetrics & 31.36
26. ECG lab 38.88
Gynaecology
27. EEG lab 11
9. OPD - ANC 15.473
28. Parasitology lab 90
10. OPD - Psychiatry 79.41
29. Sterilization room
11. OPD - Dermatology 60.00 m2
30. Main ICU
12. OPD - ENT 65.45 m2
31. General X-ray
13. IPD 700
32. Emergency X-ray
14. Paediatrics 1146.1
33. General Ultrasound
15. CCU 1146.1 34. Emergency Ultrasound
16. Brachytherapy (Dept. - 35. OT
of radiology)
36. Blood bank
17. Radiotherapy (Dept. of 1146.1
radiology)
CASE STUDY – 2 :ASIAN INSTITUTE OF MEDICAL SCIENCES,FARIDABAD,

 LOCATION - CENTRALLY LOCATED IN SECTOR-21A, BADKAL FLYOVER ROAD,

FARIDABAD
 TYPE - SUPER SPECIALITY TERTIARY CARE HOSPITAL
 ESTABLISHMENT - 2010
 OWNER - DR. NK PANDEY
 DESIGN TEAM - MNM BUILDERS
 TOTAL SITE - 16.03 ACRES
 NO OF BEDS - 350 BEDDED
 ACCESSIBILITY - EASILY ACCESSIBLE FROM:
# NEW DELHI AIRPORT
# NEW DELHI RAILWAY STATION
# NEW DELHI INTERSTATE BUS STAND (VIA BADKAL FLYOVER ROAD)

INTRODUCTION :
 Asian Institute of medical sciences is super speciality tertiary care hospital.It provide preventive , diagnostic, therapeutic, rehabilitative, palliative.
 It is a 350 bedded hospital, offering state-of-the-art clinical services in the fields of Cardiology, Oncology, Neurology, Nephrology, Orthopaedics, Urology, Multi-Organ Transplants,
Gynaecology, Paediatrics, Cosmetic Surgery and Emergency Care to name a few.
 Asian hospital,Faridabad is at the forefront of medical technology and expertise and provides a complete range of the latest diagnostic, medical and surgical facilities for the care of
its patients.
 24 hrs. Emergency service, which includes a trauma centre, head injury department, poison unit, and a blood bank.
In total hospital is 9 storied – 2 basements and g+7 floors.
Each floor serve different facility.
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
GROUND FLOOR
FACILITIES
DIAGNOSTIC LABS
LABORATORIES - WELL DEFINED ENTRANCE AREA
- OPD PHARMACY- TWO ENTRIES
- OPD BILLING COUNTERS- 8
COUNTERS
- OPD MANAGER ROOM
- INTERNATIONAL PATIENT’S
LOUNGE
- HELPDESK FOR INTERNATIONAL
PATIENTS ENTRANCE LOBBY
OPDs - LABORATORIES FOR
- IMAGING
- ULTRASOUND
- ENDOSCOPY TESTS
- BONE DENSITOMETRY
- X RAY
LOUNGES
- CR CONSOLE ROOM
- MAMMOGRAPHY
CAFETERIA
- CT SCAN ROOM
- MRI
OPD CASH COUNTER
- OPDs FOR
- Neurology INTERNATIONAL PATIENTS LOUNGE
ENTRY
- Physiotherapy
- Gastrology
OPD - Urology
- Ophthalmology
OPD - Ent
- Surgery
OPD
- Orthopaedics
OPD - Internal Medicine

OPD

WAITING AREA FOR EACH OPD

 Asian has well defined entry with spaciuos entrance lobby.As we enter inside,there are 3 corridors :--
• Left one will take you towards cafeteria and international patient lounge and general lounges also.
• Right one takes you towards OPD cash counter and then to the OPDs.
• Front corridor will take you towards OPDs, Diagnostic Lab and other laboratories after going through all the formalities at OPD cash counter.
 It has 2 normal staircase and 1 fire exit and each staircase is 1.8m wide.
 Each and every staircase has 2 lifts in front of it.
 In total there were 8 lifts ,i.e. 2 for doctors,4 for patients and the other 2 were service lifts.
 Dimension of pessenger lifts were 1.8m X 2.5m.
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
GROUND FLOOR- FLOW CHART

MAIN ENTRANCE TO
OPD OPD BILLING/ OPD

PHARMACY
ORTHOPAEDIC OPD

UROLOGY
RECEPTION OPD
SAMPLE
OPD INTERNAL
COLLECTION
MANAGE MEDICINE
R REPORT
COLLECTIO ENT
WAITING
N
AREA
WAITING
LOUNGE
OPHTHALMOLOGY
TOILET
INTERNATIONAL
PATIENT LOUNGE
CENTRE FOR
NEUROSURGERY
GASTROCENTROLOG
Y

CAFETERIA
SURGERY

GROUND - FLOOR
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
FIRST FLOOR
FACILITIES
GEN WARD GENERAL WARD
SEMI CABINS - ONCO OPD
- CANCER CENTRE
- TUMOUR BOARD ROOM
- OPDs FOR-
ONCO OPD - PREVENTIVE HEALTH
- CHECKUPS
- CARDIOLOGY
- CARDIAC SURGERY
- DENTAL CANCER CENTRE
AUDITORIUM - NEPHROLOGY
220 SEATS - NEUROLOGY/DERMATOLOGY
- DIETETICS
- DIABETES
- RESPIRATORY MEDICINE
- ONCOLOGY
OFFICES
- ENDOCRINOLOGY
- COSMETIC SURGERY

OPD

PFT LAB
ENTRANCE LOBBY OF ONCO OPD
OPD
OPD

OPD

OPD

OPD

SEGREGATION OF
BIOCHEMICAL WASTE

• RED - INFECTED PLASTICS

• Onco OPD is for the treatment of cancer patients. • BLUE - UNBROKEN GLASS WAITING AREA OF RADIATION ONCOLOGY
• First floor provide the facility of cardiology,cardiac • YELLOW- ANATOMICAL &
surgery,dental,nephrology,neurology/dermatology,dietetics,diabetes,respiratory PATHOLOGY LAB WASTE
medicine,oncology,endocrinology,cosmetic surgery. • BLACK - GENERAL WASTE
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
FIRST FLOOR- FLOW CHART

RECEPTION
CORPORATE
OFFICES
PREVENTIVE WAITING
DOCTORS’CH ONCOLOGY
HEALTH LOUNGE
AMBER
CHECKUP
REPORT ROOM

TOILET
CARDIOLOGY
AUDITORIUM OPD
DENTAL
LIFTS 3 & 4 OPD
STAIRCASE NEPHROLOGY
CANCER OPD
G+1
RECEPTION NEUROLOGY/
DERMA OPD
DIETETICS

DIABETIC OPD

RESPIRATORY
ONCOLOGY MEDICINE OPD
OPD CONSULTATION
ROOMS
ENDOCRINO
CLEAN UTILITY LOGY OPD
SEMI CABINS(4 ROOM
WARDS- DOUBLE COSMETIC
SEATED) SURGERY
STORE ROOM
OPD
GENERAL
WARD(3)
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
SECOND FLOOR

FACILITIES
• CENTRE FOR MOTHER AND
CHILD
• PAEDIATRICS OPD
GENERAL WARDS • OBSTETRICS AND
GYNAECOLOGY OPD
• KIDS PLAY AREA
• ADMISSION LOUNGE FOR
DOCTOR’S DUTY ROOM PATIENTS WHEN WARDS NOT
READY
• GENERAL WARDS FOR BPL
PEOPLE
AUDI BELOW • IVF CENTRE-100-150 PATIENTS
PER MONTH
• PEDIATRIC ICU

GYNAE OPD

KIDS PLAY
PEDIATRICS OPD

LABOUR ROOM ART CENTRE

PAEDIATRIC DEPTT. CORRODOR IS DECORATED
WITH ATTRACTIVE PAINTINGS TO MAKE IT
AESTHETICALLY PLEASING FOR SICK CHILDRENS

 Second floor is basically for gynae and paediatrics.

 It is designed in such a way so as to attract childrens by making attractive paintings on the walls all around.
 Phsychologically when a child who is sick see something aesthetically appealing of his own world , he would feel better.
 In the semi circular portion on the left hand side there was a childen zone with all the entertainment equipments and swings were also there.
 Labour room was also there on second floor attached to gynae OPD.
 IVF – In Vitro Fertilization is the most common and effective Type of assisted reproductive technology (ART) to help women to become pregnant
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
SECOND FLOOR- FLOW DIAGRAM

IVF CENTRE PAEDIATRIC

OPD
GYNAECOLOGY
OPD
PAEDIATRIC NEONATAL
ICU ICU
PSYCHOLOGY MEDICAL
SURGERY OPD TRANSCRIPTION
PSYCHIATRY LABOUR
ROOM
OPD ROOM
CHILDREN’S PLAY WAITING(36)
AREA
LDR SUITS(1- DOCTOR’S
3) CHAMBER(7)

G+2
CANTEE
N

ADMISSION DELIVERY+ LABOUR+

LOUNGE ANTENATAL WARD
PAEDIATRIC DOCTOR’
SURGERY S DUTY
OPD ROOM
GENERAL
WARDS(50 BEDS)
PROCEDURE
WARDS(2)
ROOM +
CONSULTATION
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
THIRD FLOOR

FACILITIES
IMCU 1
• ICUs- 18 BEDS
• IMCU 1- 17 BEDS
• IMCU 2- 10 BEDS
• 10 OPERATION THEATRES
IMCU 2 • HOLD ROOM (PRE OT)- 6 BEDS
• RECOVERY ROOM ( POST OT)-
10 BEDS
ICU 1 • AHU
AHU

ICU 2

OT

ICU

OT

 Icu-intensive care unit

 ICU has 18 beds.
 IMCU-intermediate care unit
 Imcu-1 has 17 beds and imcu-2 has 10 beds OPERATION THEATRE
 Hold rooms are the room for waiting before going to operation theatre
 Recovery rooms are post operation rooms used after operation for the recovery of the patient.
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
THIRD FLOOR - FLOW CHART

JANITOR
AHU
CHANGING
ROOMS
ROOM M/F
IMCU( 12
IMCU- II
BEDS)

DIRECTOR CHAMBER

DIRTY UTILITY

G+3 RECEPTION

RECOVERY ROOM(
10BEDS)

OPD
ROOMS CARDIAC OT’S (10)
INCLUDING KIDNEY
PATIENTS HOLD( 5
CTVS/ SICU TRANSPLANT
BEDS)
PAC ROOM
RECEPTION
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
ASIAN- FOURTH FLOOR
FACILITIES
• DAY CARE WARDS
BLOOD BANK • 24 BEDS
DIALYSIS • NURSE STATION
• DISPATCH COUNTER
• C/C SPACE BETWEEN
TWO BEDS- 2 M
• A SMALL PRAYER AREA
• AHUs WERE PROVIDED
DIRECTLY ABOVE THE
OPERATION THEATRES TO
DAY CARE WARDS SERVE EACH OT
SEPERATELY DAY CARE WARDS

CSSD

AHUs FOR Ots BELOW

DISPATCH ROOM
 Day Care wards are those where young people can have chemotherapy,othersimilar treatments
 Patients in day care ward have full access to all the facilities in that unit.
 There were 24 beds in day care wards.
 Nurse station is an area of health care facility in which nurses takes care of the patient
 Dispatch counter is the counter where anybody keeps their important records.
 Centre to centr space between 2 beds is 2 metres.
 A small prayer area is provided in day wards.
 Ahu’s were provided directly above the OT .
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
FOURTH FLOOR FLOW CHART

INCHARGE
ROOM CSSD
DECONTAMINATION PROCESS ROOM+
ROOM+ AHU’S STERILE ROOM
CSSD( DAY
CARE WARDS)
CHANGE
ROOMS
M/F
PRIVATE
ROOMS
WAITING WARDS(20
LOUNGE BED)
ADMIN WASHING
G+4 OFFICE+ AREA
STAFF ROOM
TOILETS

STORE

WAITING
LABORA BLOOD
DIALYSIS ISOLATION
TORY BANK RECEPTION
ROOM

LOCKERS

PROCEDURE
ROOM
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
FIFTH FLOOR
FACILITIES
• MALE GENERAL WARD
(10 BEDDED)
• FEMALE GENERAL
WARD (10 BEDDED)
MALE GENERAL WARD
MALE GENERAL WARD PRIVATE
PRIVATE WARDSWARDS • 15 SEMI CABINS
• PRIVE WARDS WITH 1
ATTACHED WASHROOM GOODS/SERVICE LIFTS
• AHU
FEMALE GENERAL WARD
FEMALE GENERAL WARD • WASHROOMS
• 8 LIFTS:
--2 SERVICE LIFTS
AHU
--4 PATIENTS LIFTS
AHU
--2 DOCTORS LIFT
• FIRE EXIT

AHU INSIDE VIEW

PRIVATE WARDS

PRIVATE WARDS

PRIVATE WARDS

 Fifth floor is for general wards ;both male and female general wards
 Male general wards are 10 bedded SEMI CABINS
 Female general wards are10 bedded
 15 semi cabinS were there with a partition between 2 bed with all the facilities available.
 Private wards has 1 attached washroom
 AHUs were there.
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
ASIAN- FIFTH FLOOR FLOW CHART

SURGICAL SEMI-
WING CABINS(
8)
GENERAL
ROOMS(25)

WARDS(2)

LIFTS
3&4
G+5
SLEEP
STUDY
ROOM
FIRE EXIT
STAIRS
GENERAL WARDS
M/F( ATTACHED
TOILETS)
ADMISSION 10 BEDS EACH
LOUNGE LIFTS 1&2(
NURSE STAFF/
STATION PATIENTS)
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
BASEMENT-1
FACILITIES
• CAR PARKING 8M GRID
RECORDS SECTION • RECORDS SECTION
X-RAY
• X-RAY
• EMERGENCY
• EMERGENCY WARDS
• WASHROOMS
• FIRE EXIT

EMERGENCY

CAR PARKING

EMERGENCY

 Emergency is provided in basement.

 Separate x-rayroom is provided for emergency
 Record section is also provided in basement-1
 Basement -1and basement-2 hasdifferent entry and exit.
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
ASIAN- BASEMENT - 2

FACILITIES
MARKETING AND HR • 500 CARS PARKING 8M GRID
KITCHEN LAUNDARY • LAUNDARY
• KITCHEN
• MARKETING AND HR
• HVAC
• RADIOTHERAPY
• STAFF CAFETERIA
HVAC • LOUNGES
• STORE
• IPD BILLING
• DEPTT. OF ONCOLOGY
STAFF CAFETERIA ACCOUNTS DEPARTMENT
• NUCLEAR MEDICINE
• DNB LIBRARY
RADIOTHERAPY • SERVICE DEPARTMENT
• IPD PHARMACY
• ACCOUNTS DEPARTMENT
• MARKETTING ROOM
• WASHROOMS
• FIRE EXIT

MARKETING ROOM
LOUNGES

EQUILIBRIUM

 In laundary clothes were washed in huge washing machines

 Kitchen was very neat and clean
 Huge Hvac plant was there
 Stores were there in the basement – 2
 Marketting rooms were also there.
 Ipd pharmacy were provided in the basement-2
 500 car parking was provided FIRE EXIT
CASE STUDY – 2 : ASIAN INSTITUTE OF MEDICAL SCIENCES , FARIDABAD
BASEMENT -2

HVAC PLANT KITCHEN LAUNDARY MAIN STORE ROOM

DNB LIBRARY BASEMENT-2 EXIT

UPS ROOM

INFERENCES
 Entrance lobby is too spacious and have proper light ventillation
 Adequate waiting area in all department.
 Cafeterias were also provided at appropriate location.
 All the storage is done in basement so it doesn’t cause any untidiness on the upper floors
 Emergency department is provide in basement 1, so that any patient can easily come after car parking
 No dirty disposal corridor in the OT complex, and visitor is not allowed in the I.C.U.
 Segregation of visitor, staff and service entry.
 Good location of laundary and kitchen in basements
CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI
LOCATION- Sarita vihar, Delhi-Mathura Road, New Delhi
DEVELOPER- Apollo groups
OWNER- Dr. Pratap Reddy
DESIGN TEAM-Haffez contractor and Arshad Ankolkar
TOTAL SITE- 15 acres
BUILT UP AREA- 62,710 sq.m
NO OF BEDS -650 beds

ACCESS

•Metro Station: Hospital is located at a distance of 300 M (Approx.) from

Jsola Apollo metro station.
INTRODUCTION
•New Delhi Railway Station : Hospital is located at a distance of 17 KM
Indraprastha Apollo Hospitals, New Delhi is part of the Apollo (Approx.) from New Delhi railway station.
Hospitals Group and is a multi-specialty tertiary care Institute with
over 52 medical and surgical disciplines. •IGI Airport : Hospital is located at a distance of 22 KM (Approx.) from IGI
Airport
It is a 650 bedded hospital, offering state-of-the-art clinical services in
the fields of Cardiology, Oncology, Neurology, Nephrology,
Orthopaedics, Urology, Multi-Organ Transplants, Gynaecology,
Paediatrics, Cosmetic Surgery and Emergency Care to name a few.

Indraprastha Apollo Hospitals, New Delhi is at the forefront of

medical technology and expertise and provides a complete range of
the latest diagnostic, medical and surgical facilities for the care of its
patients.

 24 hrs. Emergency service, which includes a trauma centre, head

injury department, poison unit, and a blood bank.
 CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI
SITE PLAN
1. I.P.D.
2. ATRIUM
3. O.P.D.
4. PORCH
5. SERVICE YARD
6. OIL TANK
7. FIRE WATER TANK
8. RAW WATER TANK
9. TREATED WATER TANK
10. L.P.G. MANFOLD ROOM
11. KITCHEN EMERGENCY ENTRY
12. PARKING
13. NURSE HOSTEL
14. AUDITORIUM
15. WATER BODY

MAIN ACCESS ROAD

SITE ENTRY :
Total three gate provide –

1. Gate 1 is the main entry leading to OPD and parking area,

2. Gate 2 is exit gate opening for the emergency service,

3. Gate 3 is service entry serving as doctors and staff entry

leading to the main building block and finally to the service
yard from the ramp to the base.

LEFT SIDE VIEW BACK SIDE

CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI
GROUND FLOOR  MAIN ENTRANCE LOBBY DIAGNOSTIC FACILITIES
 ATRIUM • Pathology
 O.P.D. • Sample collection &
 BLOOD BANK Laboratories
 EMERGENCY DEPARTMENT • Radiology
 DIAGNOSTIC FACILITIES • X-Ray
 DIALYSIS DEPARTMENT • Ultrasound
 DIETARY SERVICES • C.T. Scan & M.R.I

OUT PATIENT DEPARTMENT

ATRIUM
• The space between two blocks is covered at double height to
create about 25 m wide atrium.
• Covered on the top by a fiber glass vault.
• Acts as major axis for movement and connection on ground
floor.
• In the atrium provide waiting area, gift shop, medical shop,
cafeteria for public, and waiting room for international patients.
 The concept for OPD is generated from the need to accommodate the
people who would wait while the departments have definite spaces
for waiting, the general waiting area has an atrium with a directional
visual communication.
 The less complex out-patient department is separated by a pedestrian
atrium space from the complex acute care, diagnostic and in-patient
areas.
 The large atrium serves to enliven the environment and provide a
street-like atmosphere from within which the various facilities are
accessed .

OUT PATIENT DEPARTMENT

• Cardiac O.P.D
• Mental health care (M.H.C) O.P.D.
• Neuro O.P.D
• Free O.P.D.

EMERGENCY DEPARTMENT
• Clearly visible entry from main road and from outside of the
hospital.
• Emergency department is placed in main block.
• Unhindered access through the porch.
• Diagnostic facilities directly accessible. ATRIUM LOBBY
 CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI
FIRST FLOOR  O.T SUITE O.P.D.
 I.C.U • E.N.T
 CATH LAB • EYE
 ADMIN • DENTAL
 O.P.D • UROLOGY
• GYNECOLOGY
• PEADATRICS
I.C.U.

• Intensive Care Units cater to patients with the most serious

injuries and illnesses, most of which are life-threatening and
need constant, close monitoring and support from special
equipment and medication in order to maintain normal bodily
functions.

• Placed on first floor between the minor O.T. and major O.T.
blocks.

• Visitor’s entry is restricted in the block.

• Medical I.C.U.- 14 bed

O.T. SUITE • Coronary I.C.U.- 14 bed
• Placed at the end of floor. • Surgical I.C.U.- 11 bed
• Neuro I.C.U.- 12 bed
• Carefully placed with the diagnostic facility below and the ward just • Stroke I.C.U.- 6 bed
above it. • Cardiothoracic I.C.U.

• I.C.U.’s are adjacent to the complex.

• Separate entries for patient ,I.C.U. and doctors are provided.
• Connected with emergency and casualty department by elevators.
• 14 O.T.’s are divided in different department .
• Shares common facilities like wash area, scrub area ,store etc.
• Ceiling ht .is 3.6 m with false ceiling and marble on the floor.
• Artificial light and ventilation is provided.
• Own T.S.S.U. is provided between the clinical zone and the ward CATH LAB I.C.U
block.
CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI

SECOND FLOOR
 H.D.U
 GENERAL WARD
 O.P.D

H.D.U
• Surgical H.D.U.
• Medical H.D.U. GENERAL WARD
• Neuro H.D.U.
• CTVS H.D.U
• Stroke H.D.U

OPD’S
• Internal medicine
• Plastics surgery
• Respiratory medicine
• Vaccination

CORRIDOR
THIRD FLOOR
 N.I.C.U
 LABOUR ROOM
 GENERAL WARD
 SEMI PRIVATE ROOM
 DELUX ROOM

SEMI PRIVATE ROOM

• For in-patient wards, the provision of cross-ventilation in every room; every bed to have a view of the outside; minimum walking distance from the
nurses station to the rooms and also allowing a sense of visual check; flexibility for the future so that any floor could be converted from wards to
rooms and vice-versa : as the floors progress, the configuration for the hierarchy of the rooms to get established.

• The in-patient wards are grouped reassuringly around a central nurses station and are placed above the clinical zone in the podium. Throughout
the complex the aim has been to de-institutionalize the spaces by the use of bold, vibrant colors and patterns , thereby creating a cheerful
atmosphere and a feeling of home away from home.
CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI

FORTH FLOOR
 TRANS I.C.U.
 H.D.U
 GENERAL WARD
 SEMI PVT. ROOM
 SINGLE ROOM
APOLLO SUITE

FIFTH FLOOR

 PAEDIATRIC I.C.U
 GENERAL WARDS
 DELUX ROOM
 SINGLE ROOM WAITING AREA

SIXTH FLOOR

 APOLLO SUITE
 GENERAL WARD
 SINGLE ROOM

LOBBY
CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI LOWER BASEMENT
 APOLLO CANCER INSTITUTE
 PHYSIOTHERAPY
 TELEPHONE EXCHANGE
 HOUSE KEEPING AREA
 LAUNDRY AREA
 CENTRAL STERILE SUPPLY DEPARTMENT
 ENGINEERING CONTROL ROOM
 CHIEF ENGINEERING OFFICE
 MEDICAL RECORD ROOM
 BIO MEDICAL ENGINEERING
 MORTUARY & AUTOPSY
 L.T. ROOM
 D.G. SET
 A.C. PLANT
 C.S.S.D
 BOILER
 WORKSHOP ( CARPENTRY)
 KITCHEN STORE
 COMPRESED AIR ROOM
 STAFF PARKING

UPPER BASEMENT
 I.T DEPARTMENT
 ADMINISTRATIVE DEPARTMENT
 ENGINEERING CONSULTANT
ROOM
 MEDICAL RECORD ROOM

PHYSIOTHERAPHY ROOM PARKING

CASE STUDY – 3: INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI
SERVICES
INFERENCES
All the services is arrange in the lower basement of IPD block and upper
basement of OPD block.
 Adequate waiting area in all department.
LPG manifold room is placed to the back side of the IPD block in the lower
 A large atrium house is provide in the middle of the main
basement level.
block and OPD block, in the atrium is given large waiting
area for the visitor. And gift shop, medicine shop and
Lifts are provided at the start, middle and end of the corridor.
cafeteria is placed in the atrium.
Water treatment room is placed to the near of the LPG manifold room.
 And back side of the main block , a service yard(open space
This room is divided in different part-
at -2 level ) is provide. All the storing material is transport in
• Treated water tank
the service yard.
• Raw water tank
• Fire water tank
 Emergency department is placed to the front of the gate 2 ,
• Water filtration tank
and separate entry is given for the emergency department.
In the IPD block , middle of the first and second floor an mezzanine floor is
 Operation theatre and ICU is placed in the first floor. And no
provided ,which is also call service area, this floor is provide for O.T. and I.C.U.
dirty disposal corridor in the OT complex, and visitor is not
services.
allowed in the I.C.U.
BIO-MEDICAL WASTE MANAGEMENT
 Segregation of visitor, staff and service entry.
 Solid waste collect in different types of color bags according to type of waste
• YELLOW BAG : Human body parts and tissue  Ideal location of the diagnostics between the emergency
• RED BAG : Plastic and the O.P.D. and having vertical connection to the
• BLUE BAG : Glass operation theatre complex and the I.C.U.`S on the first floor
• WHITE BAG : Sharp container with wards above.
 Red and blue sterilized at 121 °C
 600 – 700 Kg per day bio medical waste collected .

SERVICES FLOOR PLASTIC CUTTER AUTOCLAVE BIO MED.COLLECTION BAG CONTAINER

SITE ANALYSIS AND SITE CONSIDERATIONS
SITE ANALYSIS

 INFRASTRUCTURE, SOCIAL, AND POLITICAL BOUNDARIES :

 LEGAL :
• PROPERTY DESCRIPTION : AMU
• PRESENT OWNERSHIP : AMU
• GOVERNMENTAL JURISDICTION : UNIVERSITY AREA

 NATURAL PHYSICAL FEATURES :

NAALA BEHIND THE SITE
HAVING CONTOURS IN THE SITE

 LOCATION :
• THE SITE IS LOCATED IN SIR SYED NAGAR NEAR AMU IN NORTH ALIGARH (UP).
• LATITUDE 27°55'8.07"N
• LONGITUDE 78° 5'22.76"E

 NEIGHBORHOOD CONTEXT :
• ABOUT ALIGARH:
Aligarh is a city in the Northern Indian state of Uttar Pradesh and the administrative headquarters of the Aligarh district.
It lies 126 miles (203 km)) northwest of Kanpur and is approximately 90 miles (140 km) southeast of the capital, New
Delhi. Notable as the seat of Aligarh Muslim University, Aligarh is one of the largest cities in Uttar Pradesh as well as the
55th largest city in India. Aligarh is located at the coordinates 27.88°N 78.08°E. It has an elevation of approximately
178 meters (587 feet).

• ACCESS TO THE SITE:

SITE LIES IN THE AREA ALIGARH MUSLIM UNIVERSITY IN NORTH ALIGARH. THE SITE IS SURROUNDED BY ROADS ON
ITS 2 SIDE.
SOUTH ROAD: MAHATMA GANDHI ROAD
WEST ROAD : SRI AUROBINDO MARG

SITE CONSIDERATIONS
• THE MODERN MEDICAL CENTER IS SO LARGE AND SO COMPLEX THAT IT SHOULD BE LOCATED ON THE EDGE OF THE UNIVERSITY CAMPUS RATHER THAN WITH IN IT
• .THIS LOCATION WILL EMPHASIZE THE FACT THAT THE MEDICAL CENTER IS A SATELLITE IN THE UNIVERSITY ORBIT, BUT HAS A DEGREE OF AUTONOMY.
• IT IS IMPORTANT THAT STUDENTS AND STAFF IN THE MEDICAL CENTER HAVE EASY ACCESS TO THE MAIN UNIVERSITY CAMPUS, AND THAT THE MEDICAL CENTER BE
ACCESSIBLE TO ALL AREAS OF THE UNIVERSITY.
• THE SITE SHOULD BE LARGE ENOUGH TO ACCOMMODATE GROWTH OF THE SCHOOL PROGRAMS AND CONCURRENT PARKING FOR ATLEAST 20 YEARS.THE MINIMUM
SIZE RECOMMENDED FOR A MEDICAL CENTER INCLUDING A TEACHING HOSPITAL IS 50 ACRES, AND ACRES IS PREFERABLE. BUILDINGS SHOULD BE PLACED ON THE
SITES SO THAT ADDITIONS CAN BE MADE AS PROGRAMS DEVELOP AND AS ENROLLMENT INCREASES.
•DUE TO SMALL WIDTH OF MEDICAL ROAD THERE IS A NEED FOR NEW ACCESS ROAD.WHICH CAN BE PROVIDED FROM IQRA QUARSI ROAD.
SITE ANALYSIS

SITE AREA : 86 ACRES

CLIMATE ANAYSIS
CLIMATE CONSIDERATIONS
• PROVIDE MAXIMUM VENTILATION AND FREE AIR MOVEMENT BY LARGE OPENINGS.
• PROVIDE MAXIMUM SHADING OF DIRECT AND DIFFUSE SOLAR RADIATION.
• AVOID HEAT STORAGE.
• USER EFLECTIVE OUTER SURFACES.
• USE VENTILATED DOUBLE ROOFS.
• USE VEGETATION TO MODERATE THE SOLAR IMPACT.
• LANDSCAPING WITH VEGETATION AND UNSHADED PAVEMENT EXPOSED TO THE
SUN HEATS UP MUCH TO A COOLER OUT DOOR MICRO CLIMATE.
• LANDSCAPING WITH VEGETATION AND UNSHADED PAVEMENTS SHOULD BE
AVOIDED AS FAR AS POSSIBLE AND AIR SHOULD NOT BE ALLOWED TO PASS OVER
SUCH HOT SURFACES BEFORE REACHING BUILDINGS.
• HIGH TREES WITH WIDE, SHADING CROWNS PROVIDE SIGNIFICANT PROTECTION
FROM SOLAR RADIATION AND SHOULD BE INCORPORATED AS MUCH AS POSSIBLE
INTO ANY LANDSCAPE PLANNING. OPTIMIZATION OF THE ORIENTATION
INFERENCES

INFERENCES AFTER ALL THE ANALYSIS :

 THE OUT PATIENT DEPARTMENT HAS FUNCTIONAL AND ADMINISTRATIVE LINKS WITH THE HOSPITAL
OF WHICH IT IS A PART ,THEREFORE DURING PLANNING A MEASURE OF ADAPTABILITY HAS TO BE
INCORPORATED IN THE INTERNAL ARRANGEMENTS AND A SUBSTANTIAL CAPACITY FOR EXPANSION
MUST BE CONSIDERED.IT IS THE FIRST POINT OF CONTACT BETWEEN THE HOSPITAL & THE COMMUNITY
HENCE,SUBSTANTIAL DELIBERATION FOR THE PLANNING AND DESIGNING OF AN OPD IS A MUST.

•TO EFFECTIVELY MANAGE EMERGENCIES AND DISASTERS,AS WELL AS EMERGENCY DEPARTMENT IS

AN IMPORTANT COMPONENT OF HEALTH CARE PROVIDE PROMPT AND APPROPRIATE TREATMENT
TO PREVENT DEATH,DELIVERY.IT SHOULD BE WELL-PLANNED & SCIENTIFICALLY DESIGNED DISABIL-
-ITY AND SUFFERING.

•IN PATIENT DEPARTMENT IS ONE OF THE MOST IMPORTANT FACILITIES REQUIRING PLANNING
AND DESIGNING PARAMETERS CONDUCIVE TO PROVISION OF EFFECTIVE PATIENT CARE.IT
SHOULD FACILITATE PROVIDERS AND SEEKERS IN THE IRRESPECTIVE ROLES IN HEALTH CARE
PROVISIONING.PATIENTS AND THE IRRELATIVES/VISITORS SHOULD BE PROVIDED WITH AN
ENVIRONMENT THAT IS CARING, HEALING AND HUMANIZING.

•THE DESIGNING SHOULD BE DONE IN A ONE GO & FUTURE PERSPECTIVE SHOULD ALWAYS
BE KEPT IN MIND.

•THE STACK DIAGRAM SHOULD BE CLEARLY UNDERSTOOD & ZONING SHOULD BE DONE
ACCORDING TO THE PRIORITIES OF THE CASES.

•NATURAL HEALING SHOULD BE PROMOTED IN A HOSPITAL AND MORE GREEN SPACES

SHOULD BE INCORPORATED THE CORRIDOR AND COURTYARD MUST BE INCORPORATED
IN THE DESIGN SO AS TO INCORPORATE NATURAL LIGHT AND VENTILATION..

•NORMS SHOULD BE FOLLOWED & SPECIAL CARE OF DISABLED & OLD AGE PEOPLE
SHOULD BE DONE WHILE DESIGNING THE HOSPITAL.

•THE ACCOMMODATION OF THE FAMILY OF THE RELATIVES SHOULD BE KEPT IN

MIND.

•RADIOLOGY AND OTHER LABS SHOULD BE EASILY ACCESSIBLE.SO AS TO HAVE

FAST PROCESSING OF THE DIAGNOSIS PROCESS.

•THE OPERATING UNIT SHOULD BE ENTIRELY CONTROLLABLE FROM THE

CLIMATE TO THE LIGHTING EVERYTHING SHOULD BE CONTROLLED BY THE
DOCTOR
ZONING

OUTPATIENT
DEPARTMENT
ADMIN.
OPD BLOCK

HOSPITAL

OTHER DEPARTMENTS

EMERGENCY
ZONING
INPATIENT  DESCRIBES THE CONTROL BY
AUTHORITY ON THE USE OF LAND, AND
DEPARTMENT OF THE BUILDINGS THEREON.
 AREAS OF LAND ARE
 DIVIDED BY APPROPRIATE
AUTHORITIES INTO ZONES WITH IN
WHICH VARIOUS USES ARE PERMITTED.
 THUS, ZONING ISA TECHNIQUE OF
LAND-USE PLANNING AS A TOOL OF
URBAN PLANNING USED BY
LOCALGOVERNMENTS
REQUIREMENTS