Hospital Planning and Design Guidelines
Hospital Planning and Design Guidelines
• THE SIZE OF THE OPD DEPENDS UPON THE VOLUME OF THE ATTENDANCE, THE CLINICS
PROVIDED AND THE EXTENT OF OTHER FACILITIES LIKE LABORATORY, BLOOD BANK,
HEALTH EDUCATION PROGRAMME, OPERATING FACILITIES, EMERGENCY WARDS ETC.
AMOUNT/
DAY
RECEPTION RECEPTION
OTs 5 LITRES
WATER SUPPLY
RO SYSTEM PHYSIOTHERA 500 LITRES
PY
PUBLIC ZONE PUBLIC ZONE EXTERNAL
SUPPLY(CORPORATION)
INTERNAL LABS 1000 LITRES
SUPPLY(BOREWELL)
PERIODIC WATER TESTING
ELECTRICAL SERVICES STORAGE TANK KITCHENS 1O LITRES/BED
OVERHEAD TANK
DISTRIBUTION TANK AND
PIPELINE LAUNDRY 50 LITRES/BED
PUBLIC
CHLORINATION
ACCESS PUMP MOTORS
PATIENTS 30 LITRES
ATTENDANTS 15 LITRES
PUBLIC ZONE
PUBLIC
ACCESS
RECEPTION CLINICAL ZONE BIO-MEDICAL SERVICES
OTHER
SERVICES
STAFF ZONE
ELECTRIC SUPPLY
• MAIN SOURCE
• DUAL SUPPLY IN
STAFF ZONE OTHER ESSENTIAL AREA
SERVICES • CONTROL PANELS AND
POWER CUTS
• CABLES AND SWITCH
• ALTERNATE SOURCE GENERATOR
CLINICAL ZONE MISCELLANEOUS SERVICES NON-CONVENTIONAL
RECEPTION • TRANSFORMERS
PUBLIC • CUT/VOLTAGE STABLIZER
ACCESS
AIR CONDITIONING
• CENTRAL AIR CONDITION
• AHU
• WINDOW AND SPLIT AC
PUBLIC ZONE
• WATER COOLERS
STAIRS:FOR SAFETY REASONS STAIRS MUST BE DESIGNED IN SUCH A WAY THAT IF NECESSARY
THEY CAN ACCOMMODATE ALL OF VERTICAL [Link] MUST HAVE HANDRAILS ON
BOTH SIDES WITHOUT PROJECTING PIPES.
MINIMUM WIDTH 1.5 M
MAXIMUM WIDTH 2.5 M
MINIMUM RISER 150 MM
MAXIMUM RISER 170 MM
MINIMUM TREAD 280 MM
MAXIMUM TREAD 300 MM
ORIENTATION: WHILE DESIGNING STAIRS IT IS FAVAOURABLE TO PROVIDE TREAD OF 300 MM AND RISER OF 150 MM
THE MOST SUITABLE ORIENTATION FOR TREATMENT AND OPERATING ROOM IS BETWEEN NORTH-WEST
AND [Link] NURSING WARD FACADES,SOUTH TO SOUTH IS FAVOURABLE:PLEASANT MORNING
SUN,MINIMAL HEAT BUILD UP,LITTLE REQUIREMENT FOR SUN SHADIN,MILD IN THE [Link] AND
WEST FACING ROOMS HAVE COMPARATIVELY DEEPER SUN PENETRATION,THOUGH LESS WINTER LIGHTING: ALL AREAS IN A HOSPITAL AND OTHER HEALTH FACILITIES SHALL BE PROVIDED WITH
[Link] ORIENTATION OF WARDS IN HOSPITALS WITH SHORT STAY IS NOT SO [Link] SUFFICIENT ILLUMINATION TO PROMOTE COMFORT, HEALING AND RECOVERY OF PATIENTS AND
SPECIALIST DISCIPLINES MIGHT REQUIRE ROOMS ON THE NORTH SIDE SO THAT PATIENTS ARE NOT SO TO ENABLE PERSONNEL IN THE PERFORMANCE OF WORK.
SUBJECTED TO DIRECT SUNLIGHT.
VENTILATION: ADEQUATE VENTILATION SHALL BE PROVIDED TO ENSURE COMFORT OF
PATIENTS,PERSONNEL AND PUBLIC.
AUDITORY AND VISUAL PRIVACY: A HOSPITAL AND OTHER HEALTH FACILITIES SHALL
OBSERVE ACCEPTABLE SOUND LEVEL AND ADEQUATE VISUAL SECLUSION TO ACHIEVE THE
ACOUSTICAL AND PRIVACY REQUIREMENTS IN DESIGNATED AREAS ALLOWING THE UNHAMPERED
CONDUCT OF ACTIVITIES.
WATER SUPPLY: A HOSPITAL AND OTHER HEALTH FACILITIES SHALL USE AN APPROVED PUBLIC
WATER SUPPLY SYSTEM WHENEVER AVAILABLE. THE WATER SUPPLY SHALL BE POTABLE, SAFE FOR
DRINKING AND ADEQUATE, AND SHALL BE BROUGHT INTO THE BUILDING FREE OF CROSS
CONNECTIONS.
• EXITS SHALL BE RESTRICTED TO THE FOLLOWING TYPES: DOOR LEADING DIRECTLY OUTSIDE THE MAINTENANCE: THERE SHALL BE AN EFFECTIVE BUILDING MAINTENANCE PROGRAM IN PLACE.
BUILDING, INTERIOR STAIR, RAMP, AND EXTERIOR STAIR. THE BUILDINGS AND EQUIPMENT SHALL BE KEPT IN A STATE OF GOOD REPAIR. PROPER
MAINTENANCE SHALL BE PROVIDED TO PREVENT UNTIMELY BREAKDOWN OF BUILDINGS AND
• A MINIMUM OF TWO (2) EXITS, REMOTE FROM EACH OTHER, SHALL BE PROVIDED FOR EACH EQUIPMENT.
FLOOR OF THE BUILDING.
MATERIAL SPECIFICATION: FLOORS, WALLS AND CEILINGS SHALL BE OF STURDY MATERIALS
• EXITS SHALL TERMINATE DIRECTLY AT AN OPEN SPACE TO THE OUTSIDE OF THE BUILDING. THAT SHALL ALLOW DURABILITY, EASE OF CLEANING AND FIRE RESISTANCE.
SECURITY: SEGREGATION: WARDS SHALL OBSERVE SEGREGATION OF SEXES. SEPARATE TOILET SHALL BE
A HOSPITAL SHALL ENSURE THE SECURITY OF PERSON AND PROPERTY WITHIN THE FACILITY. MAINTAINED FOR PATIENTS AND PERSONNEL, MALE AND FEMALE, WITH A RATIO OF ONE (1) TOILET
FORNEVERY EIGHT (8) PATIENTS OR PERSONNEL.
PATIENT MOVEMENT:
SPACES SHALL BE WIDE ENOUGH FOR FREE MOVEMENT OF PATIENTS, FIRE PROTECTION: THERE SHALL BE MEASURES FOR DETECTING FIRE SUCH AS FIRE ALARMS IN
WHETHER THEY ARE ON BEDS, STRETCHERS, OR WHEELCHAIRS. CIRCULATION ROUTES FOR WALLS,PEEPHOLES IN DOORS OR SMOKE DETECTORS IN CEILINGS. THERE SHALL BE DEVICES FOR
TRANSFERRING PATIENTS FROM ONE AREA TO ANOTHER SHALL BE AVAILABLE AND FREE AT ALL TIMES. QUENCHING FIRE SUCH AS FIRE EXTINGUISHERS OR FIRE HOSES THAT ARE EASILY VISIBLE AND
ACCESSIBLE IN STRATEGIC AREAS.
CORRIDORS FOR ACCESS BY PATIENT AND EQUIPMENT SHALL HAVE A MINIMUM WIDTH OF
2.44 METERS. SIGNAGE:THERE SHALL BE AN EFFECTIVE GRAPHIC SYSTEM COMPOSED OF A NUMBER OF
A RAMP OR ELEVATOR SHALL BE PROVIDED FOR ANCILLARY, CLINICAL AND NURSING AREAS INDIVIDUAL VISUAL AIDS AND DEVICES ARRANGED TO PROVIDE INFORMATION, ORIENTATION,
CORRIDORS IN AREAS NOT COMMONLY USED FOR BED, STRETCHER AND EQUIPMENT LOCATED ON THE UPPER FLOOR. DIRECTION,IDENTIFICATION, PROHIBITION, WARNING AND OFFICIAL NOTICE CONSIDERED
TRANSPORT MAY BE REDUCED IN WIDTH TO 1.83 METERS. ESSENTIAL TO THE OPTIMUM OPERATION OF A HOSPITAL AND OTHER HEALTH FACILITIES.
A RAMP SHALL BE PROVIDED AS ACCESS TO THE ENTRANCE OF THE HOSPITAL NOT ON THE
SAME LEVEL OF THE SITE.
PARKING: A HOSPITAL AND OTHER HEALTH FACILITIES SHALL PROVIDE A MINIMUM OF ONE (1)
PARKING SPACE FOR EVERY TWENTY-FIVE (25) BEDS.
SPACE: ADEQUATE AREA SHALL BE PROVIDED FOR THE PEOPLE, ACTIVITY,
ZONING: MIDDLE ZONE
IT IS BETWEEN INNER AND FURNITURE, EQUIPMENT AND UTILITY.
• OUTER ZONE
• SECOND ZONE OUTER ZONES
• INNER ZONE
• DEEP ZONE
• SERVICE ZONE Space Area in Square Meters
Administrative Service
OUTER ZONE
Lobby
AREAS THAT ARE IMMEDIATELY ACCESSIBLE TO THE PUBLIC
Waiting Area 0.65/person
DELIVERY OPERATION INTENSIVE CARE
NURSERY Information and Reception Area 5.02/staff
DEPARTMENT UNIT
Toilet 1.67
Business Office 5.02/staff
OUT-PATIENT PRIMARY Medical Records 5.02/staff
ADMITTING ADMINISTRATI EMERGENCY
DEPARTMENT HEALTHCARE RECEPTION Office of the Chief of Hospital 5.02/staff
OFFICE ON DEPARTMENT
SUPPORT AREA Laundry and Linen Area 5.02/staff
Maintenance and Housekeeping Area 5.02/staff
Parking Area for Transport Vehicle 9.29
Supply Room 5.02/staff
Waste Holding Room 4.65
Dietary
Dietitian Area 5.02/staff
Supply Receiving Area 4.65
Cold and Dry Storage Area 4.65
SECOND ZONE Food Preparation Area 4.65
ZONE WHICE RECEIVES WORKING FROM OUTER ZONE Cooking and Baking Area 4.65
Serving and Food Assembly Area 4.65
Washing Area 4.65
Garbage Disposal Area 1.67
DIAGNOSTIC Dining Area 1.40/person
INNER ZONE PLASTER LABORATATERIES PHARMACY
X-RAY Toilet 1.67
IT IS IN INTERIOR BUT WITH DIRECT ACCESS FOR THE PUBLIC
Waiting Area 0.65/person
Toilet 1.67
Nurse Station 5.02/staff
Examination and Treatment Area
WARD NURSING SUITS with Lavatory/Sink 7.43/bed
Observation Area 7.43/bed
Equipment and Supply Storage Area 4.65
Wheeled Stretcher Area 1.08/stretcher
Outpatient Department
Waiting Area 0.65/person
Toilet 1.67
Admitting and Records Area 5.02/staff
Examination and Treatment Area
with Lavatory/Sink 7.43/bed
Consultation Area 5.02/staff
Surgical and Obstetrical Service
INTENSIVE CARE UNIT Major Operating Room 33.45
Delivery Room 33.45
THE ICU IS FOR CRITICALLY ILL PATIENTS WHO NEED CONSTANT MEDICAL Dressing Room 2.32
ATTENTION.
FAVOURABLY LOCATED NEAR THE OTs
NUMBER OF BEDS 1-2% OF TOTAL BEDS