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Factors to be considered in the design

of health care centres:


1.LOCATION: Should be convenient to people
2.CIRCULATION: Entrance and circulation within building
must consider wheelchair users, parents with small
children, people with disabilities etc.
3. Effective zoning: public zone, clinical zone and staff
zone
4. Privacy and confidentiality are important, especially at
the reception desk and clinical rooms during consultation
and treatments.
5. Low maintenance approaches should be adopted
6.Flexibilty in the usage of spaces and potential for future
extension of building.
Requirements:
7.Hygene and safety
Car parking space
Main entrance
Reception area
Record storage
Administration and office bases
Waiting areas
Consulting rooms/examination rooms
Treatment rooms
Minor surgery spaces
Dental suites
Multipurpose rooms
Interview rooms
WCs for patients and staff
Staff amenities
Out patient consulting
Diagnostic facilities
Beds
Educational facilities
Storage for each of services

Grouping of spaces

VERTICAL ARRANGEMENT
Functional areas:
Care
Treatment
Supply and disposal
Access for beds ridden
patients
Service yards
Underground garage
Stores, administration
Medical services

CONNECTED
MOST
EFFICIENTLY

FLOORS

FUNCTION

Top floor

Helipad, air conditioning plant,


nursing school, labs

2nd and 3rd floors

Wards

1st floor

Surgical areas, central sterilization,


intensive care, maternity, children
hospital

Ground floor

Entrance, radiology, medical


services, ambulance, entrance for
bed ridden patients, emergency
wards, information, administration,
cafeteria

Basement

Stores, physiotherapy, kitchen,


heating and ventilation plant, radio
therapy

Sub Basement

Under ground garage, electricity


supply

PLANNING CONCEPTS:

LOCATION
ORIENTATION- treatment and operation rooms (NW &
NE), nursing wards (South SE), East and west facing
rooms, some special cases north side is restricted
SUSTAINABILITY
FORM OF BUILDING

CORRIDORS

General access corridors-1.5m


Corridors with patients transported
on trolleys-2.25m
Windows should not be greater
than 25m apart
Ward corridor/nursing area-2.25m
Main corridor-3m
Medical service corridor-1.5-2.25m
Service corridor, deliveries,
storage area-(3.5-4m), use dirt
trap mats
Working corridors, surgical areas2.25m
Intensive care-2.3m
LIFTS
Lift lobby-4.7m

At least 2 beds for transporting


beds
1. Shaft dimensions:2.4x3m
2. Lift Car
dimensions:1.4x2.4m
3. Car door:1.3m
Bed with two accompany people
One multipurpose lift for 100
beds
DOORS
1. Shaft
dimensions:1.24x1.5m
Normal
doors: (2.1-2.2m)
2.
Lift
car
Vehicle entrances,
oversized
dimensions:0.9x1.2m
doors: 2.5m
Transport entrance: (2.7-2.8m)
Minimum height on approach
roads: 3.5m

STAIRS

Stairs with hand rail on both sides


Effective width : 1.5m and should be
greater than 2.5m
Doors must be open in the direction
of escape along the stairs
1. Rise: 170mm
2. Thread: 280mm
3. Rise thread ratio150:300mm