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Hospitals design

Classification of hospitals:There are many methods of classification of the


hospitals, such as;
1.
According to the level of care:
a.
Secondary hospitals; District
Hospital and some of Specific
Hospitals.
b.
Tertiary hospitals; Central High
Specialized Hospital, Educational
Hospital and some of Specific
Hospitals.

2.

According to the size of the


hospital:
a.
b.

Mini size hospital;


Mid size hospital;
beds.

<50 bed.
50-250

c.

Big hospital;
bed.
Huge hospital;

250-500

d.
3.

According to the size of the medical


specialists:
a.
Specialist hospital; pediatric
hospital, eye hospital.. etc.
b.

d.

>500 bed.

General hospital; all medical


specialists are provided.

According to the owners of the


hospital:
a.
Private hospitals.
b.
Public hospitals; university
hospitals,.. ete.

Elements and divisions


of the hospital
The main division of the hospitals are:
1.
Administration division.
2.
Outpatients division,
includes;
Outpatient clinics.
Pharmacy.
Emergency reception.
3.
Diagnostic services division,
includes;
Laboratories.
Radiology (diagnostic).
4.
Therapeutic services division,
includes;
Physical Therapy.
Radiology (therapeutic).
5.
Internal medical treatment
division, includes;
Operation Theatres.
Intensive Care unit.
Maternity section.
Central Sterilization
Department.
6.
Inpatient division, includes;
Patient wards.
Nurses wards.
Inpatient services.

7.

General service
division, includes;

Kitchen.

Laundry.

Storages.

Workshops.

Mechanical
services.

Mortuary.

Security.

Parking.

Landscapin
g.

1.

Administration division

Parts and components of the division:


Reception hall.
Waiting area.
Registration.
Treasury and Accounts.
Staff offices.
General manager office.
Staff lounge.
Nursing head office.
WCs.
Location:

Very close to main entrance of the


hospital.

Entrance area, registration, accounts


should face the entrance, while the
manager office should be back for
privacy.
Area of the department:
100 bed hospital area = 363 m 2
100 bed hospital area = 328 m 2

100 bed hospital , total area = 363 m2

2.

Outpatien
ts
division

External Outpatient Clinics:


Parts and components of the
division:
Consultation room.
Examination room.
Treatment room.
Waiting area.
Staff room.
WCs.

Location:

Very close to the main entrance of the


hospital.

Close to the diagnostic services (labs


and x-ray).

Close the pharmacy.


Area of the department:
100 bed hospital area = 350 m 2

100 bed hospital area = 345 m 2

100 bed hospital , total area = 305 m2

Emergency reception:
Parts and components of the
division:
Entrance + waiting area.
Registration.
Staff room.
Mini-surgery.
Test room.
Medical utilities.
Mini sterilization room.

Location:

Very close to the exit door of the


emergency.

Very close to the radiology.

Close to the pharmacy, laboratories,


and central sterilization.

Direct access to the stairs and


elevators.
Area of the department:
1.
U.S. Public Health Service (USPHS):
100 bed hospital area = 100 m2
200 bed hospital area = 215 m2

Examples for Emergency department

100 bed hospital , total area = 100 m2

3.

Diagnostic services
division

Laboratories:
Parts and components of
the division:
Work area.
Waiting area.
Sample room.
Cleaning room.
Staff offices.
The most important labs in the
hospital are:

Location:
Chemical lab.

Very close to the emergency


Bacteriology lab.
department and external
Histology lab.
clinics.
Pathology lab.
Easily accessible from
internal division.
Serology lab.

Easily accessible from


Hematology lab.
maternity and surgery
Microbiology lab.
departments.

Accessibility from central


storages.
Area of the department:

100 bed hospital area


= 60 m2

Or area can be counted by the


number of the beds, 0.7-0.8 m 2 /
bed.

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A.
B.
C.

50 bed hospital.
100 bed hospital.
200 bed hospital.

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Radiology division:
Parts and components of
the division:
X-ray rooms.
Control room.
Waiting area.
Staff office.
Utility room.
Dark room.
Film view.
Store.
Location:
Very close to the emergency
department and external clinics.
Easily accessible from internal
division.
Ground floor is preferred.
Area of the department:
50-100 bed hospital area = 65104 m2

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Examples for radiology department


100 bed hospital , total area = 155m2

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4.

Therapeutic services
division

Physical therapy division:


Parts and components of the division:
Waiting area.
Office.
Hydrotherapy.
Exercise room.
WCs.

Location:
Close to the main entrance of the
hospital.
Easy accessible from external clinics.
Easy accessible from internal division.
Must be in the ground floor.
Area of the department:
50-100 bed hospital area = 65104 m2

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Examples for physical department


100 bed hospital area = 155 m2

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5.

1.

Internal medical
treatment division

Operation theatre:
Parts and components of
the division:
Entrance.
Storage.
Preparation room.
Access area.
Staff clothes room + WCs.
Operation theatre.
Cleanup room.
Sub sterilizing room.
Supervision room.
Staff lockers.
Location:
Very close to the intensive care division and should be
touchable both of them.
Very close to the central sterilization division of the
hospital.
Close to the inpatient wards.
Can be easily accessible from the emergency division.
Area of the department:
U.S. Public Health Service (USPHS):
50 bed hospital area = 185 m 2
100 bed hospital area = 360 m 2
200 bed hospital area = 550 m 2

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100 bed hospital area = 360 m2

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Intensive care unit:


Parts and components of
the division:
I.C.U space.

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.

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Maternity division:
Parts and components of
the division:

Open room.
20-40 m2
Operation.
26 m2
WCs.
Utilities.
8 m2
Office.
15 m2
Unclean room.
8 m2
Cleanup room.
5 m2
Storage.
10 m2
Waiting area.
10 m2
Corridors
w = 2.2
m

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Central sterilization
division:
Parts and components of
the division:
Work space.
Receiving area.
Washing area.
Supplies storage.

Location:
Very close to the operation theatre and maternity division.
Can be easily accessible from the emergency division,
laundry and central storages.
Area of the department:
1.
U.S. Public Health Service (USPHS):
100 bed hospital area = 65 m 2
200 bed hospital area = 110 m 2
Or 0.6-0.9 m2/bed, 0.6 m2 for large hospitals and 0.9 m 2 for small
hospitals.

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Examples for central


sterilization department

100 bed hospital area =


65 m2

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6.

Inpatient division

Parts and components of the division:


Inpatient wards. 11.5m2/bed 8m2/bed.
WCs.
Nursing station. Not less than 12m 2 for 30
patients.

Treatment rooms. 10-15m2 for 60 patients.

Day rooms. 0.7m2/bed and not less than


15m2

Nurses lounge. Not less than 12m 2

Storage. 8-12m2

Kitchen. 12m2

Doctor room. 15m2


The most suitable beds in the hospital is 20-40
patient / unit.

ANightingale wardis a type


ofhospitalward, which contains one
large room without subdivisions
forpatientoccupancy.
Nightingale wards contain about 24
to 34 beds usually arranged along
the sides of the ward.

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7.

1.

General
service
division

Dietary division:
Spaces of the
division:
Storage room.
Kitchen.
Preparing and
supply area.
Cleaning.
Location:
In the ground floor.
Direct opening to the
service entrance.
Area of the department:
Rosenfield
100 bed hospital area
= 195 m2

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Examples for dietary division


100 bed hospital area =
195 m2

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Housekeeping division:
Spaces of the division:

Office.

Dirty linen.

Clean linen.

Storage.

Laundry.

Mechanical room.
Location:

In the
ground
floor.

Close to
central
storages.
Area of the
department:
100 bed
hospital
area = 180
m2

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1.

General
Storages:
Spaces of the
division:
Medicine storage.
Furniture storage.
Food storage.
Utilities storage.
Achieve.
General storages.

Location:
In the ground floor.
Close to housekeeping and dietary
division.
Direct access to the service
entrance.
Area of the department:
U.S. Public Health Service
(USPHS):
100 bed hospital area = 260 m 2
200 bed hospital area = 520 m 2

Generally the area of the storages


is 2-2.6m 2 /bed.

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Mortuary division:
Location:
In the ground floor or basement floor.
Exit from emergency entrance or
service entrance.
Area of the department:
100 bed hospital area = 45 m 2

Maintenance workshops:
Location:
In the ground floor or
basement floor.
Direct relation with
service entrance.
Area of the department:
100 bed hospital area
= 90 m2

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Entrances and
circulation
Entrances:

Patient visitors
entrance.

External clinics
entrance.

Emergency entrance.

Service entrance.

Mortuary entrance.

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