THESIS PREPARATORY

200 BEDDED GENERAL

HOSPITAL

THESIS GUIDE : AR. NAND KUMAR

SUBMITTED BY : GAURAV JAIN

2011UAR1401

INTRODUCTION

A HOSPITAL is a health care institution providing patient treatment with specialized

staff and equipment. The best-known type of hospital is the general hospital, which
has an emergency department.
A General hospital is set up to deal with many kinds of disease and injury, and
normally
has an emergency department to deal with immediate and urgent threats to health.
Larger cities may have several hospitals of varying sizes and facilities. Some hospitals
have their own ambulance service.
Modern hospital buildings are designed to minimize the effort of medical personnel
and
the possibility of contamination while maximizing the efficiency of the whole system.
Hospital building provides a hygienic as well as healing environment for the people.

INTRODUCTION

PRINCIPLES &
DESIGN THEORY

Master planning : Schemes must respond to

their local environment if
they are to be adopted by local communities.
Successful design solutions will stem from a full
consultation with statutory authorities and a
detailed site analysis (existing patterns of built
heritage, topography, sun paths, flood risk, noise
etc).
Morphology & Design : Hospitals are most complex of building types. Each hospital
is comprised of a wide range of services and functional units. These include diagnostic
& treatment functions, such as clinical laboratories, imaging, emergency rooms &
surgery, hospitality functions such as food service and housekeeping and the
fundamental inpatient care or bed related function.
Functional Zoning : The form and layout of hospital facilities have to meet the
criteria for sterility, segregation of workflow, un-obstruction of emergency routes,
nurse observation, patient and staff safety.

PRINCIPLES & DESIGN

THEORY

Hospital Space Programming :

Over-sizing the hospitalcost unnecessary
expences, both capital and running.
Under-sizing leads to operational
problems & deficiencies. Plam should
arrive through calculations, at right-size of
the facilities and functional units such as
number of operating rooms, clinics, etc.
Planning inpatients &
outpatients wards :
Outpatients areas are the busiest of
hospital areas While inpatients
areas needs to be more silent
need of providing a more
comfortable and healing ambience
for the patients stay.

PRINCIPLES & DESIGN

THEORY

Planning Operating Department :

The surgical suite has been the most
studied department over other areas. The
primary design criteria is to segregate the
soiled from sterile traffic.
Planning Delivery Department :
Delivery Suite must be separated from
other departments , reason being that it is a
place for family to rejoice the newborns and
not to recover from illness. It should be
designed as homely as possible without
compromising clinical needs.
Planning Other Departments :
In subsequent sections, the planning and
design principles of other principal
department in the hospital must be
examined including- EMERGENCY,
RADIOLOGY, ENDOSCOPY, CSSD,
PHARMACY

PRINCIPLES & DESIGN

THEORY

CONCEPTS IN HOSPITAL PLANNING : Healthcare Organisation, medical and

pharmaceutical advances , and medical technology departments and patient expectations
are continuously changing at fast pace. The implications of these changes on the planning
and design of healthcare facilities are direct and evident and the design response to them
manifests itself in emerging planning concepts and ideas. Following concepts must be
focused on- HEALING HEALTHCARE ENVIRONMENTS - PATIENT FOCUSED
DESIGN -PATIENT HOTELS - THE UNIVERSAL PATIENT ROOMS - THE
DIGITAL HOSPITAL
Advances in medical technology are
very fast paced. Their implications and
impact on the design of hospital
facilities are needed to consider.

PRINCIPLES & DESIGN

THEORY

SPACE STANDARDS
SOURCE: IPHS (Indian Public Health Standards)

The number of beds required

for a district having a population of 10
lakhs will be
as follows:
The total number of admissions per year =
10,00,000 x 1/50 = 20,000
Bed days per year = 20,000 x 5 = 100,000

Total number of beds required when

occupancy is 100% = 100000/365 = 275
Total number of beds required when
occupancy is 80% = 100000/365 x 80/100
An area of 65-85 m2 per bed has been
considered to be reasonable.

Clinics
The clinics should include general, medical, surgical, ophthalmic, ENT, dental, obsetetric
and gynaecology, paediatrics, dermatology and venereology, psychiatry, neonatology,
orthopaedic and social service department. The clinics for infectious and communicable
diseases should be located in isolation, preferably, in remote corner,
provided with independent access. For National Health Programme, adequate space be
made available.

SPACE STANDARDS
SOURCE: IPHS (Indian Public Health Standards)

Administrative Block:
Administrative block attached to main
hospital along with provision of MS
Office and other staff will be provided.

CONNECTION BETWEEN AREAS

Circulation Areas
Circulation areas like corridors, toilets,
lifts, ramps, staircase and other common
spaces etc. in the hospital should not be
more than 55% of the total floor area
of the building.
Floor Height
The room height should not be less than
approximately 3.6 m measured at any
point from floor to floor height.

SPACE STANDARDS
SOURCE: IPHS (Indian Public Health Standards)

Area and Space norms of the hospital Land Area

Minimum Land area requirement are as follows:
Upto 100 beds = 0.25 to 0.5 hectare
Upto 101 to 200 beds = 0.5 hectare to 1 hectare
500 beds and above = 6.5 hectare (4.5 hectare for
hospital and 2 hectare for residential)
Following facilities/area may also be considered
while planning hospital. (Desirable)
(i) Operation Theatre
a. One OT for every 50 general in-patient beds
b. One OT for every 25 surgical beds
(ii) ICU beds = 5 to 10 % of total beds

(vi) Floor space Hospital beds

General)= 15 to 18 sqm per bed
(vii) Beds space = 7 sq m per bed.
(viii) Minimum distance between centres
of two beds = 2.5 m (minimum)
(ix) Clearance at foot end ofeach bed
= 1.2 m (minimum)
(x) Minimum area forapertures
(windows/Ventilators opening in fresh
air) = 20% of the floor area (if on same
wall)
= 15% of the floor area (if on opposite
walls)

(iii) Floor space for each ICU bed = 25 to 30 sqm

(this includes support services)
(iv) Floor space for Paediatric ICU beds = 10 to 12
sq m per bed
(v) Floor space for High Dependency Unit (HDU)=
20 to 24 sqm per bed

SPACE STANDARDS
SOURCE: IPHS (Indian Public Health Standards)

SPACE STANDARDS
SOURCE: IPHS (Indian Public Health Standards)

SPACE STANDARDS
SOURCE: IPHS (Indian Public Health Standards)

SPACE STANDARDS
SOURCE: IPHS (Indian Public Health Standards)

PROJECT BRIEF

The proposed project is the Construction of 200

bedded Govt. hospital.
SITE LOCATION : Hastsal, Vikaspuri, TehsilPatel Nagar,District West
Delhi, New Delhi
SITE AREA : 15139.15 sqm (3.74 Acres).
DEVELOPER : Delhi State Industrial & Infrastructure
Development Corporation Ltd. ( DSIIDC )
PROJECT COST: 197 Crore

PROPOSED SITE PLAN BY THE DEVELOPER

Site is three side open to roads Front road (30 m

wide ), North 13.5 m wide, South- 6m wide.
An extra 9m wide road is proposed on west side.
Proposed site shares boundary with existing
Kendriya Vidhalya.
The nearest railway station is Delhi Cantt
Railway Station is at ~ 10.5 km.
New Delhi Railway Station is at ~ 17 km.
Metro station Janakpuri and Uttamnagar are at
~4.0 km W and E directions, respectively.
Indira Gandhi International Airport
is approximate 20 km.
Maximum FAR permissible : 2
Height Restriction : 30 m
Front Setback : 15m
Rear Setback : 12m
Sides Setback : 12m
Parking Requirement = 2 E.C.S./100sqm

LAND USE - APPROVED BY DDA

PROJECT DETAILS

1. MAHARAJA AGRASEN HOSPITAL

West Punjabi Bagh , New Delhi-110026

CASE STUDY

2. BHAGWAN MAHAVIR HOSPITAL

Pitam Pura, Delhi-110034.

CASE STUDY