Principles Of Hospital Design And Equipment (Part 4)

Principles Of Hospital Design And Equipment (Part 4)

Standards, per capita and introduction of different wards of the hospital

Engineer Sadegh Pourbakht, project manager of Espo Company

The following spaces are essential in the emergency department:
Clear and visible visual input, patient triage, cardiopulmonary resuscitation room, examination rooms, operating room, spaces under the supervision of men and women, pharmacy, treatment, nursing station, patient stabilization space equipped with essential equipment, support spaces such as doctors' locker rooms and Nurses, Watershed and Dining Room, Clean and Dirty Work Room, Isolated Infectious Diseases Room, Admission and Clearance, Patient Waiting Space, Plastering, Sampling, Separate Sanitary Services for Patients and Staff and Spaces Related to Specialized Emergency Emergencies And hospital missions such as burns, poisoning, trauma, chemical, microbial, radioactive and the like.
Emergency infrastructure:
The area of ​​the emergency department should not be less than 5% of the total hospital infrastructure. In any case, this area should not be less than 350 square meters.
Patient triage space is located at the main entrance of the emergency room and it is necessary to have one triage bed for every 100 hospital beds. In any case, the area of ​​this space should not be less than 9 square meters.
The number of beds under observation and the stabilization of patients in the emergency department should be at least 7% of the total number of hospital beds.
The net area of ​​each bed under emergency supervision is at least 7 square meters with dimensions of 3 * 4/2, which need to be separated with a special partition or curtain to protect the patient's privacy.
The location of the emergency nursing home should preferably be in the middle of the hall under the supervision and in such a way that it dominates all the beds and isolated rooms. The area of ​​the station depends on the number of beds and the number of nurses. But in any case, it should not be less than 10 square meters.
The location of the emergency department and its entrance should not be in the shadow of the demolition or collapse of adjacent buildings and facilities.
The emergency department should be located in such a way that access to other parts of the hospital, including operating rooms, is easily possible.
The location of the emergency department should be such that it has an independent communication path to the main street, without visible obstruction and direct visual vision from a distance of 150 meters.
 The emergency department should have easy access to ambulances, vehicles, and pedestrians.
The entrance to the emergency department must be roofed and protected from wind, rain, and storms.
The entrance area of ​​the emergency department should be such that ambulances and other vehicles can evacuate the patient easily and in the shortest possible time, and leave the area after bypassing.
All emergency room and other hospital wards should have guidelines and signs to guide patients.
All emergency department routes must be safe for wheelchair users or even pedestrians. If there is a difference in level, it is necessary to use ramps and sloping surfaces with a gentle slope.
It is mandatory to use cheerful and soothing colors and sound-absorbing materials in the emergency department and other parts of the hospital.
Materials used in medical spaces should be such as to prevent the accumulation of contaminants.
The lights used in therapeutic spaces should not be such as to cause errors and mistakes in recognizing the true color of people and objects.
It is recommended that the emergency department have a burning room or similar space for primary care to burn patients.
It is recommended that the emergency department be built on the ground floor.
Special care units:
Entrance with the ability to change shoes and wear special clothes, changing the patient's bed space (can be shared with the front entrance), corridor or observation space for patients (from behind the window or glass) or similar space to allow the patient to see through the circuit Package, drug room and clean workroom, isolated room of an infected patient, a nursing station with direct eye view to all beds, reporting room or resident doctor, special operating room or space, support spaces such as nurses' rest and locker room, watering and dining room, room Dirty, separate toilets for patients and staff, patient bath with the ability to bathe the patient on the bed and equipped with a device for moving the patient, clean warehouse, warehouse or medical equipment park, separate storage space for infectious and non-infectious waste.

ICU :
1- Nursing station: 3 * 2/5 meters
2- Health service
3- Personnel locker room for men and women 16 square meters
4- 9 square meter water house
5- Nursing room 7 square meters
6- Isolated room for infectious patients (1.5 x 2.5 m2)
7- Staff rest (m2 2 × 5/1)
8- Equipment warehouse of 20 square meters
9- The room between the garbage
10- Medical gas room 6 square meters
11- Doctor's room 3 * 4 meters
12- Unit section with approximate dimensions (3 m2 3 m2)
15- Dirty workroom of 9 square meters
16- The patient's bathroom is 6 square meters
18- Clean workroom and medicine 12 square meters
19- Sub Sterile (m2 20)
(Number of beds between 6 and 12 beds depending on the size of the hospital)
CCU :
1- Nursing station: Central with dimensions of m2 3 * 2/5
2- 14 square meters sanitary service
3- Washing room 4 square meters
4- Storage room for medicines required for 12 square meters
5- 15 square meters of clothes and sheets
6- Passing the operating room section
Operating room 12 square meters - Bathroom and service 14 square meters - Water house 6 square meters
7- Units section Suggested dimensions m2 15 for each unit
8- Staff rest for men and women 36 square meters
9- Wardrobe for men and women 16 square meters
10- 2 square meter dishwasher
The infrastructure of the intensive care unit:
The net area of ​​each special care bed is at least 16 square meters.
The gross area of ​​the intensive care unit per bed is at least 40 square meters.
The number of permitted beds in the intensive care unit per nursing station, including the isolated bed, is a maximum of 8 beds.
ICU intensive care units should preferably be located near or near operating rooms.
The Intensive Care Unit (ICU) should preferably be built on the first to third floors. Avoid building the ICU on the negative, ground floor, or above third floors.
The emergency exit of the intensive care unit (ICU) is preferably horizontal and safer from one zone to another. Otherwise, it is necessary to execute the emergency exit in a ramp and with a gentle slope to a safe area, so that in case of emergency, the patient can be removed from the ward quickly and easily.
Access from the intensive care unit (ICU) to other hospital services such as operating rooms, emergency rooms, CSR, inpatient, and surgical wards, laundry, patient transport elevators, etc. can be easily provided.
It is recommended that the Intensive Care Unit (ICU) have sun-protected windows. Avoid using the window in the direction of the sunset.
The use of cheerful and soothing colors and sound-absorbing materials are essential in the ICU.
The materials used in the ICU should be such as to prevent the accumulation of microbial and biological contamination as well as optical and visual abnormalities.
The lights used in the ICU should not be in such a way as to cause errors and mistakes in recognizing the true color of people and objects.
At least 10 air-to-air shifts are required for the ICU.
The best ambient temperature for the ICU is between 22 and 25 degrees Celsius.
The condition of the ICU air conditioner should be such that the presence of fresh air and air conditioning is well felt.
The position of the bed and the patient should be such that the patient's privacy and dignity are respected in the ICU, as well as in front of the visitors. It is not unreasonable to expose a patient to different people.
The intensity and direction of the light in the ICU should be such that the light does not hit the patient's eyes directly and does not cause them discomfort.
The use of a UPS system in the intensive care unit is mandatory. Outlets should be completely distinguished by characteristic signs or letters.