[Program Development] Anteneh M._biniam M. 04-06-2011
[Program Development] Anteneh M._biniam M. 04-06-2011
03/07/2011
Circulation area
Passing between the items of furniture
For normal person= 60cm
for wheelchair= 80cm
Note
Pediatric waiting area= 25% is sitting and 75% is standing without serious cross flow (0.65 -
0.9m2/ person)
PLAYGROUND
The following two waiting areas are required:
• One for children and their escorts waiting at reception for triage.
• One for children who have been assessed and are waiting to be seen by the doctor in the
consulting room.
Space: Floor space of 1 m2 per child plus 10 m2 play space
Services: Plugs for TVs
Furniture: Chairs with armrest and a mattress on the floor
Blackboard and activity sets
TV with DVD player for health education
EXAMINATION ROOM
Activities
❖ Examination of patient by healthcare professional plus assistant with patient’s escort
present.
❖ Minimal changing by patient at couch side, that is, patient will only expose the body
part that needs to be examined.
❖ Holding supplies trolley for storage of sterile supplies and consumables.
❖ Clinical hand-washing with apron and glove dispenser
DOUBLE-SIDED COUCH ACCESS
FOLLOW UP CASE ROOM –double-sided couch access, door and half Activities
❖ Examination of patient by healthcare professional plus assistant with patient’s escort
present.
❖ Minimal changing by patient at couch side, that is, patient will only expose the body
part that needs to be examined.
❖ Collection of specimens.
❖ Holding supplies trolley for storage of sterile supplies and consumables.
❖ Clinical hand-washing with apron and glove dispenser.
Treatment room
Activities
❖ Examination of patient by healthcare professional plus assistant with patient’s escort
present.
❖ Collection of specimens.
❖ Holding supplies trolley for storage of sterile supplies and consumables.
❖ Clinical hand-washing with apron and glove dispenser.
Nurse station
Activities
❖ Located closer to patient care areas.
❖ It is a very active area occupied by many different staff members.
❖ It is critical to support the staffs’ ability to respond efficiently to emergencies by
providing separate work zones to control traffic.
Fig. 5 nurse station room of PEDIATRIC OPD.
Detail description for monitors, charting, radio control, and nurse station
❖ Table size= 80cm*47cm
❖ Chair size=47cm*50cm
❖ Circulation space= 120cm
❖ Overhang shelves= 30cm width
❖ Nurse sitting area=0.66m2/person
❖ Lockers for medicine =width-60cm
Note: The minimum requirement area for nurse station is range from 22.5m2-54m2.
Procedure Room(s)
The Procedure room(s) may be required for the performance of procedures such as lumbar
puncture, tube thoracotomy, thoracentesis, abdominal paracentesis, bladder
catheterization, suturing etc.
It requires noise insulation.
Minimal equipment and fittings include:
• Service panel as above
• Operating theatre light suspended from the ceiling with minimum 80,000 lux
• X-Ray viewing box/digital imaging system
• Monitoring equipment: NIBP, SpO2, ECG with access to resuscitation equipment.
Space:
• Each room should have a floor space of 20 m2 and a minimum wall length of 4.3 m
• The room must accommodate at least two beds
• There must be screening facilities to separate beds within the room
Description
Examination table size= length150cm-180cm
Width=65cm-75cm
Door size=100cm
Patient chair=50cm*50cm
Hand wash basin=60cm*45cm
Computer table= 60cm*45cm
Supplies trolley=60cm*45cm
Paper towel dispenser D=25cm
1. WC compartment for ambulant disable person outward opening door is preferable for
people using crutches.
Detail description
❖ Support rails minimum=50cm
❖ Support rails placed from wall=40cm
❖ Toilet WC=40cm*55cm
❖ Door size=75cm
2. Wheelchair accessible Wc compartment outward opening door
Detail description
❖ Door size= 100cm
❖ Toilet WC=40cm*55cm
❖ Circulation area=150cm
❖ Papers liners area=20cm
❖ Nappy plaster changing area=60cm length
Child toilet
Toilet length=75cm
Door size=70cm
Standard WC=30cm*45cm
Equipment Storage
An equipment storage room may be large to hold wheelchairs, stretchers, lights, ventilators,
and other emergency Equipment. Outlet strips to plug rechargeable equipment generally run
the length of the room.
Fig.8. wheelchair and stretcher dimensions of OPD
Triage
Patients who enter the ED through the ambulatory entrance are evaluated at triage.
Description
Wheel chair size=110cm*63cm
Pediatric Stretcher= 150cm*70cm
Patient chair=50cm*50cm
Note
The minimum requirement area for triage room is range from 13.5m2-27m2.
Examination Room
A smaller room, usually with a single stretcher or exam table, is used for simpler procedures.
These may be general rooms with standardized equipment and supplies, or they may be
designated as specialty rooms with specialty equipment and supplies.
Fig.11. examination room of pediatric emergency
Detail description
➢ Bed size
Length= 150cm-190cm
Width= 65cm-75cm
➢ Supplies trolley= 60cm*45cm
➢ Patient chair=50cm*50cm
➢ Clinical hand wash basin= 90cm*45cm
➢ Circulation area= 60cm-80cm
➢ Door size= 100cm length
➢ Space clear of bed from wall= 100cm
Note: The minimum requirement area for triage room is range from 7.5m2-13.5m2.
Description
➢ Bed: length= 15ocm-170cm
Width= 100cm
➢ Patient chair=50cm*50cm
➢ Clinical hand wash basin= 90cm*45cm
➢ Circulation area= 120cm-150cm ➢ Door size= 100cm length each.
➢ Space for wheel chair access= 150cm-190cm
➢ Space clear of open door= 90cm
➢ Minimum space for hoist to be maneuvered=1700cm
➢ Space clear of bed from wall= 120cm
➢ Space to work at side of bed=90cm
➢ fold-down bed incorporating clothes storage 130cm length
➢ space for independent wheelchair user to turn round= 150cm
➢ shelf unit= 40cm width
➢ zone for access to shelves and for hand-washing= 80cm
➢ zone around table to cross chairs and walk behind= 55cm Note
The minimum requirement area for triage room is range from 7.5m2-13.5m2.
CHILDREN CHANGE
Accommodation for changing children and young people aged 0–18 years using a
commercial changing table.
Layouts indicate the option of accessing the patient from either one side or both sides of the
table.
Description
➢ Changing table= 200cm*80cm
➢ Space for manicuring=100cm
➢ Space at side of Wc for sideways transfer= 90cm
➢ Shelve to be found at work top shelf=90cm ➢ Hand wash basin= 60cm*45cm
Note
The minimum requirement area for children change room is 7.5m2
NEONATAL UNIT
Functional relationships
The recommended core clinical space envelope within NICU is 13.5 m2.
The critical dimensions are 4.13 m × 3.27 m, plus 600 mm access space (4.13 m × 3.87 m = 16
m2). The recommended allowance of 20 m2 per space given in the schedule of
accommodation includes the core space, access space and an allowance for the following
core support space:
Fig16. Intensive care cot space: Activity envelope and critical Dimensions
Description
Incubator size=55cm*39cm
Space for circulation=120cm
Supplies trolley=60cm*45cm
Chair size=45cm*50cm
White board attached on the wall
Circulation space =120cm
Note
The minimum requirement area for intensive care room is 13.5m2
Intensive care single-cot room
Note
The minimum requirement area for Intensive care single room is 20.2m2
Intensive care multi-cot room
Description
Incubator size=55cm*39cm
Space for circulation=120cm
Supplies trolley=60cm*45cm
Chair size=45cm*50cm
Door size= 120cm-150cm
Storage and preparation room=200cm*200cm
Locker size= 40cm*40cm
Baby bath
facilities=60cm*100cm Milk
and feeds refrigerator =
storage
Hand wash basin=60cm*45cm
Note
The minimum requirement area for Intensive care multi-cot room is 67.2m2
ISOLATION ROOM
Neonatal – Isolation Room
Isolation rooms are used to isolate patients with known infectious conditions or to protect
patients from infection. They may use positive pressure or negative pressure, but not both.
The isolation room requires facilities to bath new-born.
Isolation room range area – 14 m²-27m2
Minimum wall length of cubicle – 3.2 m
Lockers for supply
Over hade storage=3.6m
Considerations
• All surfaces must be impervious and designed for easy cleaning.
• Where the isolation room is pressurized, an anteroom or air-locked area will be required for
pressure stabilization.
• There should be glazed, clear panels to allow for observation into the room.
• One neonatal isolation room is required for every 36 postnatal beds:
SURGICAL DEPARTMENT
RECEPTION & GENERAL OFFICES
Reception / Secretary
office
Doctors room
Staff day room
Staff WC
Recorded room
OPERATING SUIT
changing room
Bed transfer room
Preparation
Anesthesia
sterile supply
Operating Theater
wash room / Scrub up
Recovery room
Equipment storage
Soiled holding
Clean supply
Sluice room
Janitor closet
INTENSIVE CARE UNIT (ICU)
Adult ICU
Pediatrics ICU
Nurse station
Doctors room
Soiled holding
Clean supply
Pantry
WC
Bath
Stores
SUB STERILIZATION UNIT
Sterilization room
Soiled store
Sterilized equipment store
Washing room for instrument
SPECT-CT scan
Reception
Waiting Room “Hot”
Toilet “Hot”
Waiting Room “Cold”
Toilet “Cold”
Dressing Room/Cubicle
Patient Toilet/Shower
Gamma camera room
CPCT-CT room
Injection room
*Hot lab* radiopharmacy
Radionuclide Storage area
SPECT_CT Reading / Staff
Bioassay (Radioimmunoassay) unit
Receiving, Preparation, Data
Reduction andReporting
Assay Preparation
Biohazard Preparation
Sample Counting,
Measurement
Support Areas
Staff Work Area
Equipment Storage, Mobile
Storage, Refrigerated
PACS / Digital Quality
Control
Digital Archival Storage
Room
Patient Film Records
Patient Treatment Files
Biosafety / Health Physics
Lab
Radioactive Waste Storage
Equipment Calibration
Staff and Administrative Areas
Office, Chief of Service
Office, Physicist
Office, Secretary to Chief of
Service
Office, Clerk Receptionist
Office, Administrative
Assistant
Office, Chief Technologist
Office, Staff Physician
Office, Non-Physician
Professional
Tele-Nuclear Medicine Office
Staff Facilities
Reception and Waiting area
Director's office
Secretary
Conference Room
Group Three offices with
Secretary
Office
Staff Changing & Locker Room
Canteen (Staff)
Staff Area (Outdoor)
General Services Building Admin Office
Office
Store
Public Facility
Waiting space
General WC
Cafeteria + Restaurant For patient and Family
Dining Hall
Outdoor area
Kitchen
Cold Store
Store
Casher
Office
Satellite Pharmacy
Pharmacy
Office
Waiting area
Morgue
Morgue
Postmortem (Autopsy)
Office
Store
General Store
Office
General Facility
UPS and Backup Generator
Room
Boiler
Office
Medical Gas Pump Room
Laundry
Laundry
Disinfection
Sorting
Staff Changing Room