PLANNING PHYSICAL FACILITIES OF HOSPITAL AND EDUCATIONAL INSTITUTION

1. PLANNING PHYSICAL FACILITIES OF HOSPITAL AND EDUCATIONAL INSTITUTION Presented By: w.Rina M.Sc. Nsg 2nd Year PCON

2. TERMINOLOGY • Accountability : responsibility to someone on for some activity. • Administration: the act of governing exercising authority (or) A method of tending to or managing the affairs of a some group of people. • Auditorium: the area of a theatre or concert hall where the audience sits. • Cafetaria: a restaurant where you serve yourself and pay a cashier

3. DEFINITION OF HOSPITAL • According to WHO- Hospital is an integral part of a social and medical organization, the function of which is to provide for the population complete health care, both curative and preventive, and whose out-patient services reach out to the family and its home environment, the hospital is also a center for the training of health worker and for biosocial research.

4. DICTIONARY- • Hospital is an institution for the care, cure and treatment of the sick and wounded, for the study of diseases and for the training of doctors and nurses. STEADMAN’S MEDICAL

5. SCOPE OF HOSPITAL • Team approach • Contents of service • Coordination • Continuity of care • Integration • Evaluation and research

6. FUNCTIONS OF HOSPITAL • Patient care • Diagnosis and treatment of disease • Out-patient services • Medical education and training • Medical and nursing research • Prevention of disease and promotion of health

7. CLASSIFICATION OF HOSPITALS: • Length of stay of patient (long term & short term) • Ownership/control basis • Objectives • Size • System of medicine

8. Classification according to ownership

9. Classification according to the objectives

10. Classification according to size • Small Hospital • Medium Hospital • Large Hospital

11. Classification according to system • Allopathic hospital • Ayurvedic hospital • Homeopathic hospital • Unani hospital

12. CONSIDERATION IN PLANNING AND DESIGNING OF HOSPITAL: Health care considerations Ownership Cost considerations Physical considerations consumer considerations

13. GUIDELINES IN HOSPITAL PLANNING • High quality patient care • Effective community orientation • Economic viability • Sound architectural plan

14. High quality patient care • Appointing competent and adequate staff • Establishing an organizational structure • Medical staff working as a team and interacting with each other • Instructing a mechanism for continuous review of patient care. • Providing continuing medical and other educational programmes • Establishing and enforcing standards in patient care.

15. .Effective community orientation • A governing board which is respected leaders of the community. • Extending programmes and services of the hospital to the community. • Ensuring the hospitals participation in community programmes in preventive care. • Planning and implementing community health programmes. • Providing a public information programme

16. Economic viability • Strong financial position. • Available adequate finance for personnel and equipments. • A programme to attract and retain competent and dedicated physicians, nurses and other healthcare professional. • Planning new services and expansion programmes based on community needs. • An annual budget that will provide for maintaining services at a high level for equipment salaries and the wages payment of interest, loan etc.

17. .Sound architectural plan • Architect who is experience in hospital design. • Selecting a site of the hospital that is adequate for various services. • Determining the size of the hospitals that is adequate

18. STAGES IN PLANNING AND DESIGNING HOSPITAL • Identifying available finance • Deciding on the area location • Identifying the needs of the area • Deciding on the present and proposed services to be offered • Preparing the design • Getting Starting the design approved • Starting the construction • Identifying and hiring the required personnel- • Working out a schedule for purchase of required equipment • Commissioning the hospital

19. PRINCIPLES OF HOSPITAL PLANNING • 1. Protection • 2. Separation • 3. Control • 4. Circulation • Exterior Traffic Streams • Interior Traffic Streams • 5. Construction • 6. Equipment

20. PLANNING IN VARIOUS DEPARTMENT • General standards • Emergency department/casualty • Intensive care unit • Surgical facilities/OT • Patient room • Service area • New born nursery • Premature nursery • Isolation nursery

21. Cont- • Peadiatric unit • Maternity unit • Dental department/unit • Radiology department

22. Cont- • DEPARTMENT OF PHARMACY • LAUNDRY • DIETARY DEPT • CENTRAL STERILE SUPPLY SERVICES DEPT (CSSSD)

23. GENERAL STANDARDS • Main corridor should be 8ft in width & ceiling ht. of a minimum of 8ft • Bed or stretcher should be in width to 5ft • Minimum width of doors to patient rooms should be 1.12-1.16mts. • Out patient department standard space requirement is 0.74-0.92ft.

24. EMERGENCY DEPARTMENT/CASUALTY • Trauma area • Examining and treatment rooms • Splint and casting area for orthopedic cases • Observation beds for patients who need stay in the emergency department.

25. INTENSIVE CARE UNIT • ICU are designed equipped and staffed with specially trained and skilled personnel for treating critical patients or those requiring specialized care and equipments. • 10% of the total beds of the hospital for ICU. • Location of the unit should be convenient for access from emergency, respiratory therapy, radiology, surgery and other essential services.

26. SURGICAL FACILITIES/OT • Operation room should have a minimum clear area of 33.44sq. mts exclusive of fixed cabinets and built in shelves. • Attention should be given to the planning of three basic zones-1.outer zones 2.the intermediate zone and 3.the inner zone.

27. PATIENT ROOM • The minimum size of one bed-room should be 11.61 sq. mts • In multiple bedrooms, there should be a minimum of 1.21mts(4ft) of space between beds • Each room should have a window for ventilation and light • There should be adequate toilet facilities for patients

28. Cont- • Each patient should have a separate looker and wardrobe • Privacy should be provided for each patient eg. screens or curtains. • Patient beds should be placed parallel • The two bed rooms may be designed with booth the beds paralleling next to the wall to make semi private room SERVICE AREA The distance between nurse station and any patient room should be 120 ft

29. NEW BORN NURSERY • Glazed observation windows that will permit viewing of infants by visitors from the public areas. • Minimum floor area should be 2.78sq mts(30sq) for each infant. • Minimum of 0.91 meter between bassinets on all sides. • One nursery for 8 full term infants.

30. PREMATURE NURSERY- Minimum of 12.19sq mts (40sq ft) space/incubator ISOLATION NURSERY- Minimum of 4.64-5.57sq mts(50-60sq ft) space/bassinets

31. PEADIATRIC UNIT • OPD should provide without any delay any condition • Recreational facilities should be provided • Facility should be provided for mothers eg. Waiting room, feeding room • All equipment should be available in the ward eg. Oxygen supply, suction machine etc.

32. Maternity unit In patient facility of maternal department will include • Preparation Room • Labour Rooms • Equipment for anesthesia • Recovery Rooms • post partum wards

33. DENTAL DEPARTMENT UNIT • DEPARTMENT OF RADILOGY OR X-RAY DEPARTMENT • LAUNDARY DEPARTMENT • DIETARY DEPARTMENT • DEPARTMENT OF PHARMACY • CENTRAL STERILE SUPPLY SERVICES DEPARTMENT

34. OTHER DEPARTMENTS IN THE HOSPITAL • ADMINISTRATIVE DEPT • MEDICAL RECORD DEPT • MATERIAL MANAGEMENT DEPT • ADMISSION AND DISCHARGE DEPT • PERSONNEL MANAGEMENT DEPT • TRANSPORT DEPT • BIOMEDICAL DEPT • ELECTRICAL DEPT • MAINTENANCE DEPT

35. DEPARTMENT FOR PUBLIC USE • CANTEEN • GIFT SHOP • BOOK SHOP • FLOWER SHOP • STATIONARY SHOP

36. ACCOMODATION FACILITIES • D0CTORS QUARTERS • NURSES QUARTERS • STAFF QUARTERS • HOSTELS • GUEST ROOMS

37. PHYSICAL FACILITIES OF AN EDUCATIONAL INSTITUTION

38. INTRODUCTION: Physical Facilities in the College of Nursing as provided by INC

39. TEACHING BLOCK • - the college should be preferably in a unitary building and should be located near the teaching hospital • CLASS ROOM • SIZE • FURNISHING AND EQUIPMENT

40. . EXAMINATIONAL HALL/ MULTIPURPOSE HALL One auditorium with seating capacity of 500 and an assembly or examination hall having capacity of 400 seats. There should be a Council/Seminar room and a student’s common room. • Academic number of store rooms and toilets should be provided. • Each college should have a community oriented centre in a rural setting with residential accommodation for 50 students.

41. Laboratories • Fundamentals 1 • - M.C.H. 1 • - Nutrition 1 • - Community Health Nursing 1 • - Microbiology 1 • - Physiology and Bio-chemistry • - Anatomy Lab-/Museum, At-least 1

43. Library • It should be easily accessible to staff and students. A reading room with sufficient space and seating arrangement for 100 students with good lighting and ventilation should be available. • Upto-date reference books, text books, journals and daily newspapers should be available and should also have at least a thousand professional books printed within the last five years

44. OfficesAdministrative: • 1. Principal/Dean’s Office • 2. Room for P.A., Cash Counter, Accountant’s room. • 3. Visitors/waiting room. • 4. Rooms for administrative Officer, Office Superintendent and ministerial staff • 5. Record rooms for students files and office records. • 6. Stores • 7. Room for maintenance staff • 8. Duplicating/ Gestetner room.

45. Teaching: • Every teaching faculty from the rank of Lecturer and above should have a separate office • Common office department for Demonstrators/ Instructors. • Staff common room and a students Counselling room. • Facilities for drinking water, proper storage and sanitation.

46. Residential Accommodation for Students

47. Other facilities should include: • Visitors room, common room, dinning hall attached with kitchen store and other facilities. • - Recreation room to accommodate 50% of the total number of students with facilities for indoor games. • - Reading room to accommodate ¼ of the students be provided adequately. • - Washing, drying and ironing facilities should be provided adequately.

48. . • - Provision for outdoor games should be available. • - There should be at least 4 guest rooms. • - Warden’s office should have provision for reception and enquiry. • - Cafetaria, enquiry and infirmary with 4 bed unit are desirable.

49. Staff Residential accommodation for teaching and ancillary staff should be adequately located, preferably in the campus. Either the Principal or Vice-Principal should live in the campus.

50. Teaching Staff: • Independent family accommodation should be available for all teaching staff according to rules. • - Family accommodation for all wardens should be provided in the residential quarters. • - There should provision for family quarters for essential ancilliary staff.