HSTU Dinajpur

1. A PRESENTATION
ON

2. A hospital is a health care institution providing patient treatment
with specialized medical and nursing staff and medical equipment.
HOSPITAL
A district hospital typically is the major health care facility in its
region, with a large number of beds for intensive care and
additional beds for patients who need long-term care

3. CLASSIFICATION OF HOSPITALS
According to the size of the
hospital:
a. Mini size hospital; <50 bed.
b. Mid size hospital; 50-250 beds.
c. Big hospital; 250-500 bed.
d. Huge hospital; >500 bed.
According to the owners
of the hospital:
a. Private hospitals.
b. Public hospitals; university
hospitals,.. ete.

4. ELEMENTS AND DIVISIONS OF A HOSPITAL
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. 6. Inpatient division,
includes;
• Patient wards.
• Nurses wards.
• Inpatient services.
5. Internal medical treatment division,
includes;
• Operation Theatres.
• Intensive Care unit.
• Maternity section.
• Central Sterilization Department.
ELEMENTS AND DIVISIONS OF A HOSPITAL

6. SERVICE
Kitchen
Laundry
Storages
Workshops
Mechanical
services
Mortuary.
Security.
Parking.
Landscaping
ADMINISTRATIVE
DEVISION
EMER-
GENCY
OUTPATIENT
DIVISION
DIAGNOSTIC
SERVICES
DIVISION
SURGERY DELI-
VERY
NUR-
SERY
HEALTH
CENTER
Patients
Staff of
hospital
Out patients Ambulance Staff
Patients
Visitors
Service
&
Help
NURSING
STAGES OF A HOSPITAL

7. ENTRANCES AND CIRCULATION
Entrances:
•Patient visitors entrance.
•External entrance.
•Emergency entrance.
•Service entrance.
PATIENT
VISITORS
ENTRANCE
EMERGENCY ENTRANCE
ELEVATORS DIMENTIONS(m)

8. EMERGENCY DIVISION
OBSER-
VATION
BEDS
OFFICE
AMBULANCE
BATH
EMERGENCY
OPERATING
ROOM
TO NURSING

9. •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.
PARTS AND COMPONENTS OF THE DIVISION:

10. AREA OF THE DEPARTMENT:
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

11. ADMINISTRATION DIVISION
RECORDS
STAFF
NURSING DEPT.HOSPITAL
SOC.
SER.
ADMIT-
TING
LOBBY
WAITING
NURSES
LOCKERS
SUP’T
NURSES
SUP’T
NURSES
BUSINESS
STAFF VISITORS
PATIENTS
TOILET
INFO.
TEL
RET-
IRE
ROOM
CASHIER
TLET TEL
CONFARENCE
LONGE
LOCKERS
LIBRARY

12. • 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.
PARTS AND COMPONENTS OF THE DIVISION:

13. U.S. Public Health Service (USPHS):
•50 bed hospital area = 214 m2
•100 bed hospital area = 363 m2
•200 bed hospital area = 567 m2
World bank estimations (Hopkinson & Kostermans):
•50 bed hospital area = 199 m2
•100 bed hospital area = 328 m2
•200 bed hospital area = 409 m2
Example for admin
department:
50 bed hospital ,
total area = 214 m2
AREA OF THE DEVISION

15. Example of admitting department

16. OUTPATIENTS DEPARTMENT
TREATMENT
DRUG
DISPENSARY
CONSULTA-
TION
OFFICE
ADJUNCT DIGNISTIC
FACILITIESA
HOSPITAL
RECORD
ROOM
STAFF
LOCKERS
HISTORY
EXAMINATION
SOCIAL SERVICE ADMITTING
WAITING
TOILET
TEL
APPOINT
INFO.
RECORDS
OUT PATIENTS

17. •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.
•Must be in the ground floor
PARTS AND COMPONENTS OF THE DIVISION:

18. Example for out patient department:

19. PHARMACY

20. DIAGNOSTIC SERVICES DIVISION
PHY.
THER-
APY
RADI-
OLOGY LAB
E.K.G
B M R
PHAR-
MACR
MORGUE
AND
AUT’PSY
EXIT
IN-PATIENTS
OUT-PATIENTS AND
HEALTH CENTER
PATIENT

21. • Work area.
• Waiting area.
• Sample room.
• Cleaning room.
• Staff offices.
• Utility room.
• Storage
LOCATION:
•Very close to the emergency department and external clinics.
•Easily accessible from internal division.
•Easily accessible from maternity and surgery departments.
•Accessibility from central storages.
PARTS AND COMPONENTS OF THE DIVISION:
THE MOST IMPORTANT LABS
IN THE HOSPITAL ARE:
• Chemical lab.
• Bacteriology lab.
• Histology lab.
• Pathology lab.
• Serology lab.
• Hematology lab.
• Microbiology lab.

22. Example of diagnostic service division

23. THERAPEUTIC SERVICES DIVISION
TELETHERAPY UNIT
LOCATION
close to the x-ray therapy department.

24. THERAPEUTIC SERVICES DIVISION
TELETHERAPY UNIT
Example: Cobalt 60 room
Section

25. PHYSICAL THERAPY.
THERAPEUTIC SERVICES DIVISION
PARTS AND COMPONENT OF THE DIVISION:
• Waiting area
• Office
• Hydrotherapy
• Exercise room
• WCs

26. PHYSICAL THERAPY.
THERAPEUTIC SERVICES DIVISION
Example of physical therapy

27. OBSTETRICAL DEPARTMENT
DELIVERY ROOMS
LABOR
ROOMS
PATIENTS
NURSES
DOCTORS
DOCT-
ORS
LOCK-
ERS
NUR-
SES
LOCK-
ERS
SCRUB UP
SUPERVISOR
SUB
STERILIZING
CLEAN UP
SUPPLIES
JANITOR CL.
STRETCHERS

28. • 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
LOCATION
Very close to the newborn nursery and maternity unit
Example of obstetrical department
OBSTETRICAL DEPARTMENT

29. INTERNAL MEDICAL TREATMENT DIVISION
OPERATION
ROOM
SCRUB UP
DOCTORS
LOCKERS
NURSES
LOCKERS
SUB
STERI-
LIZING
CLEAN
UP
SUPERVISOR
INSTRUMENTL
STOR
STORAGE
CENTRAL
STERILIZING
SUPPLIES
ANESTHESIA
ROOM
FROZEN
SECTION
LAB
PATIENTS
DOCTORS
NURSES
OTHER HOSPI-
TAL AREA

30. •Entrance.
•Storage.
•Preparation room.
•Access area.
•Staff clothes room + WCs.
•Operation theatre.
•Clean up 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.
PARTS AND COMPONENTS OF THE DIVISION:
INTERNAL MEDICAL TREATMENT DIVISION

31. Example of Internal
medical treatment division
or surgical suit
INTERNAL MEDICAL TREATMENT DIVISION
AREA OF THE DEPARTMENT:
U.S. Public Health Service (USPHS):
•50 bed hospital area = 185 m2
•100 bed hospital area = 360 m2
•200 bed hospital area = 550 m2.

32. PARTS AND COMPONENTS
OF THE DIVISION:
•I.C.U space.
INTENSIVE CARE UNIT

33. LOCATION:
•Very close to the recovery room in the
operation theatre.
•Can be easily accessible from the
emergency division by elevator.
INTENSIVE CARE UNIT
AREA OF THE DEPARTMENT:
Must be designed 1-2 % of hospital beds.

34. PARTS AND COMPONENTS OF THE DIVISION:
• Inpatient wards. 11.5m2/bed – 8m2/bed.
• WCs.
• Nursing station. Not less than 12m2 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 12m2
• Storage. 8-12m2
• Kitchen. 12m2
• Doctor room. 15m2 The most suitable beds in the
hospital is 20-40 patient / unit.
INPATIENT DIVISION

35. BEDROOM STANDARD
1. Over bed light
2. Nurses' call
2A. Micro speaker in ceiling
3. Oxygen outlet
4. Suction outlet
5. Suction bottle bracket.
6. Night light-switch outside room door
7. Double duplex outlet
8. Telephone, radio, TV jacks
SINGE BED (10’x15’)
WALL ELEVATION

36. FOUR BED (20’to24’x18’)
DOUBLE BED (13’-6”x15’)
WALL ELEVATION
1. Over bed light
2. Nurses' call
2A. Micro speaker in ceiling
3. Oxygen outlet
4. Suction outlet
5. Suction bottle bracket.
6. Night light-switch outside
room door
7. Double duplex outlet
8. Telephone, radio, TV jacks
BEDROOM STANDARD

37. NURSING UNITE
PATIENTS SOLARIA
UTILITY TREAT-
MENT
NUR-
SES
STA-
TION
WAIT-
ING
LINEN
STRE-
TCH
TOI-
LET
BATH
FLOOR
PANTRY
FROOM KICHEN
STAFF
PATIENT
VISITOR

38. Detail of nursing
station and utility unite
Example
of
nursing
unit
NURSING UNITE

39. HOSPITAL
STAFF NURSES
LOCKERS
STAFF
DINING
HELP
DINING
HELP’S
LOCKER
KITCHEN
CENTRAL
STORAGE
LAUN-
DRY
MAINTA-
NANCE
MECH’CAL
PLANT
FUEL
CENTRAL
LINENROOM
HOUSE
KEEPING
BULK FOOD
STORAG
RECEIVING
CLERK
FORMULA
ROOM
SPECIAL
DIRSTS
SERVICE ENTRANCE
AND HELP
GENERAL SERVICE DEPARTMENT

40. SPACES OF THE DEPARTMENT:
•Storage room.
•Kitchen.
•Preparing and supply area.
•Cleaning.
AREA OF THE DEPARTMENT:
•100 bed hospital area = 195 m2
•200 bed hospital area = 355 m2
GENERAL SERVICE DEPARTMENT
LOCATION:
•In the ground floor.
•Direct opening to the service
entrance.

41. LAUNDRY DEPARTMENT
SEWING
ROOM
CENTRAL
LINEN RM
FOLDING
FLAT
WORK
IRONING
SHAKEOUT
TUMBLING
W
A
S
H
I
N
G
SOILED
LINEN ROOM
SORTING
EXTRACTING
PRESSING &
HAND WASH
65%
30%
5%
FROM
ROOMS
TO FLOOR
LINEN CLOS.

42. LAUNDRY DEPARTMENT

43. 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.
CENTRAL STERILIZATION DIVISION

44. AREA OF THE DEPARTMENT:
1. U.S. Public Health Service (USPHS):
•100 bed hospital area = 65 m2
•200 bed hospital area = 110 m2 Or 0.6-0.9 m2/bed, 0.6
m2 for large hospitals and 0.9 m2 for small hospitals.
CENTRAL STERILIZATION DIVISION
Examples for central
sterilization department 100
bed hospital area = 65 m2

45. SPACES OF THE DIVISION:
•Office.
•Dirty linen.
•Clean linen.
•Storage.
•Laundry.
•Mechanical room.
HOUSEKEEPING DIVISION
AREA OF THE DEPARTMENT:
U.S. Public Health Service (USPHS):
• 50 bed hospital area = 150 m2
• 100 bed hospital area = 180 m2 200 bed hospital area = 270 m2
LOCATION:
• In the ground floor.
• Close to central storages

46. SPACES OF THE DIVISION:
•Medicine storage.
•Furniture storage.
•Food storage.
•Utilities storage.
•Achieve.
•General storages.
AREA OF THE DEPARTMENT:
1. U.S. Public Health Service (USPHS):
•100 bed hospital area = 260 m2
•200 bed hospital area = 520 m2 Generally the area of
the storages is 2-2.6m2 /bed.
GENERAL STORAGES
LOCATION:
• In the ground floor.
• Close to housekeeping and
dietary division.
• Direct access to the service
entrance.

47. AREA OF THE DEPARTMENT:
1. U.S. Public Health Service
(USPHS):
•50 bed hospital area = 25 m2
•100 bed hospital area = 45 m2
•200 bed hospital area = 70 m2
MORTUARY DIVISION
LOCATION:
• In the ground floor or basement
floor.
• Exit from emergency entrance
or service entrance.

48. AREA OF THE DEPARTMENT:
1. WHO experts:
•50 bed hospital area = 65 m2
•100 bed hospital area = 90 m2
MAINTENANCE WORKSHOPS
LOCATION:
• In the ground floor or basement
floor.
• Direct relation with service
entrance.

49. CASE STUDY 01

55. CASE STUDY 02

63. TYPES OF SPACES
There are 4 main categories of spaces in a hospital building
which can be categorized as:
• OPD
• IPD
• LABORATORIES
• SERVICE

64. CASE STUDY 03
OTHERS
CIRCULATION
BED
STAIR/ELEVATOR
TOILET
DOCTOR
DIAGNISTIC
STAFF
LOCKER
COMMERCIAL
STORAGE
STORAGE
STORAGE
KITCHEN
DIAGNISTIC
OUT PATIENT OUT PATIENT
COMMERCIAL
TRANSFUSION
EMERGENCYOUT PATIENT
VISITOR ENTRY
GROUND FLOOR PLAN
O.P.E
M. ABDUR RAHIM MEDICAL COLLEGE AND HOSPITAL
GE.

65. CIRCULATION
PARKING
LIFT AND GENERATOR
BASEMENT FLOOR PLAN

66. OTHERS
CIRCULATION
BED
STAIR/ELEVATOR
TOILET
DOCTOR
STAFF
FIRST FLOOR PLAN
ICU
CCU
CARDIOLOGYCARDIOLOGY
DIALISISSTORAGE
STORAGE
STORAGE
GYNAE
NURSERY
ORTHO FEMALE ADMINISTRATION
JAIL

67. OTHERS
CIRCULATION
BED
STAIR/ELEVA.
TOILET
DOCTOR
OPERATION
CLASS ROOM
SECOND FLOOR PLAN
ORTHO MALE
CABIN
OPERATION GYNAE OPERATION
SURGERY MALE
CABIN

68. THIRD FLOOR PLAN
CIRCULATION
BED
STAIR/ELEVATOR
TOILET
DOCTOR
CLASS ROOM
MEDICINE ( FEMALE)
CABIN SURGERY FEMALE
MEDICINE ( MALE)