PLANNING PHYSICAL FACILITIES OF HOSPITAL AND EDUCATIONAL INSTITUTION:

PLANNING PHYSICAL FACILITIES OF HOSPITAL AND EDUCATIONAL INSTITUTION

Presented By: Chingakham Babita Devi M.Sc. Nsg 2 nd Year PCON
DEFINITION OF HOSPITAL :
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. According to Steadmans Medical 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.
SCOPE OF HOSPITAL :
SCOPE OF HOSPITAL Team approach Contents of service Coordination Continuity of care
Integration Evaluation and research
FUNCTIONS OF HOSPITAL :
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
CONSIDERATION IN PLANNING AND DESIGNING OF HOSPITAL: :
CONSIDERATION IN PLANNING AND DESIGNING OF HOSPITAL: Health care considerations
Ownership Physical considerations consumer considerations Cost considerations
PLANNING IN VARIOUS DEPARTMENT: :
PLANNING IN VARIOUS DEPARTMENT: General standards Main corridor 8ft in width & ceiling
ht. of a minimum of 8ft Bed or stretcher should be in width to 5ft (1.524 mts ) Minimum width of
doors to patient rooms should be 1.12-1.16mts. Out patient department standard space
requirement is 0.74-0.92ft . Emergency department/casualty Trauma area should be there.
Examining and treatment rooms should be there for medical emergencies. Splint and casting
area for orthopedic cases There are Observation beds for patient in the emergency
department .
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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. The
current trend is to designate 10% of the total beds of the hospital for ICU. The Location is
important the unit should be convenient for access from emergency, respiratory therapy,
radiology, surgery and other essential services. 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 .
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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 and a clearance
of 1.12 mts at the foot end of each bed to permit the presage of equipment under beds. Each
room should have a window for ventilation and light as well as for psychological wellbeing.
There should be adequate toilet facilities for patients in the multi bedrooms and the general

wards. Each patient should have a separate looker and wardrobe for storing personal
belongings in multi bed rooms. Privacy should be provided for each patient e.g. screens or
curtains. Patient beds should be placed parallel to the exterior wall in order that patients can
have not only visual conduct with the outside world. The two bed rooms may be designed with
booth the beds paralleling next to the wall to make semi private room as nearly as possible like
private.
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SERVICE AREA: The ideal place for the nurses stations in the centre of the unit with a good
view of patients rooms, work area, the entrance to the unit in two more direction. Patients need
to feel secure and reassured particularly in the night duty. The maximum distance between
nurses station and any patient room should be 120 ft. NEW BORN NURSERY It should be
located in a place that is convenient to post partum nursing unit and labour delivery. 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.
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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 PEADIATRIC UNIT OPD
should provide without any delay any condition. Recreational facilities should be provided
Facility should be provided for mothers e.g . Waiting room, feeding room All equipment should
be available in the ward e.g . Oxygen supply, suction machine etc.
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Labour and delivery suite Preparation room Labour room Recovery room Support service area
POST PARTUM SUITS(LRDP) Labour , delivery , recovery and post partum care in one place is
a perfect family setting. Each LRDP suits is cheerfully decorated with comfortable furniture ,
bed, drapes and spread and as cradle, telephone , music and TV to provide warmth and
convenience at home .
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DENTAL DEPARTMENT/ UNIT The dental departments in a general hospital should be largely a
referral centre for cases of diagnosis of operative difficulty send to the hospital by dental
surgeons either in private practice or working in clinics. DEPARTMENTS OF RADIOLOGY AND
X- RAY DEPT There are a number of diagnostic procedure performed in the X-ray Dept. Such
as barium meal, intravenous pylography etc.
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LAUNDARY DEPT. All hospital are concern with the dangers of cross infection and the need for
usin only sanitary germ free linen. So there is a need of an efficient mechanical laundary to
ensure the availability of germ free washed linen. Laundary is closely associated with nursing
service. DIETARY DEPT. The purpose of the dietary services department in every hospital is the
preparation of nutritionally adequate, attractive meals. The goal of dietary service on hospital
will include : Optimum nutrition of the patient The maintenance of moral The dietic education of
parents The achievement of these goals with maximum effectiveness and resulting economy .
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OTHER DEPARTMENTS IN THE HOSPITAL Administrative Department Medical record
Department Material management Department Admission and Discharge Department Personnel

Management Department Transport Department Biomedical Department Electrical Department

Maintenance Department
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DEPARTMENT FOR PUBLIC USE Canteen Gift Shop Book Shop Flower Shop Stationary Shop
ACCOMODATION FACILITIES Doctors Quarters Nurses Quarters Staff Quarters Hostel Guest
Rooms
PHYSICAL FACILITIES OF AN EDUCATIONAL INSTITUTION :
PHYSICAL FACILITIES OF AN EDUCATIONAL INSTITUTION
INTRODUCTION: :
INTRODUCTION: Physical Facilities in the College of Nursing as provided by INC Physical
facilities such as classroom, laboratories, library and offices are a fundamental requirements of
any educational institution and without them it is difficult to carry out a programme on a sound
educational basis. The amount of accommodation necessary depends on the number of staff
and students, but the minimum desirable for a college of nursing with 50 students or less is
listed below;
Teaching Block :
Teaching Block The college should be housed preferably in a unitary building and it should be
located near the teaching hospitals. The college ground should have room for future expansion.
There should be four lecture theatres in the college. 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 students 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.
Laboratories: :
Laboratories: - Nursing Laboratories for Nursing - Fundamentals 1 - M.C.H. 1 - Nutrition 1 Community Health Nursing 1 - Microbiology 1 - Physiology and Bio-chemistry - Anatomy
Lab-/Museum, At-least 1
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S.No Teaching block Area( figures in square feet) 1. Lecture hall 41080 = 4320 2. i ) Nursing
foundation lab ii) CHN iii) Nutrition iv) OBG & Paediatric lab 1500 900 900 900 3. Pre- clinical
science lab 900 4. Computer lab 1500 5. Multipurpose hall 3000 6. Common room(male &
female) 2000 7. Staff room 1000 8. Principal room 300 9. Vice principal room 200 10. Library
2400 11. A.V. Aids room 600 12. One room for each Head of departments 800 13. Faculty room
2400 14. Provision for toilets. 1000 15. Total 23720 Sqr . Ft
Library :
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. There
should be provision for:- Reference room Room for librarian and other staff Room for attendants
and book binders. Microfilm reading room. Journal room. Audio-visual room. Besides these,
there should be issue counter and catalogue space.
Offices :

Offices Administrative: 1. Principal/Deans Office 2. Room for P.A., Cash Counter, Accountants
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.
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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.
Residential Accommodation for Students :
Residential Accommodation for Students There should be single room and double rooms
accommodation. However the number of double room accommodation should not exceed 20%
of the total accommodation. The space should be 100sq. feet for single room and 150 sq. feet
for double room. The furniture provided should include separate sleeping, seating and storage
arrangements for each student. It is preferable to have built in wardrobe and dressing table to
economize space. Sanitary and bathing facilities with a minimum of 1 latrine, 1 bathroom for 4
students. There should be sufficient hand washing basins at strategic places.
Other facilities should include: :
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 of the students be
provided adequately. - Washing, drying and ironing facilities should be provided adequately. Kitchenette and pantry should be provided in each floor. - Provision for outdoor games should
be available. - There should be at least 4 guest rooms. - Wardens office should have provision
for reception and enquiry. - Cafetaria , enquiry and infirmary with 4 bed unit are desirable.
Staff:
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.
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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. Transport:
There should be facilities for transport for staff and students to clinical areas including
community field. At least a 25 seater mini bus should be available. Parking places and Garages
should be provided in the campus. There should be two field cars/ jeep/ station wagon for rural
field work.
CLINICAL FACILITIES :
CLINICAL FACILITIES Hospital The quality and variety of clinical material in the hospital/ field
should be that approved for a Medical College. It is essential that the treatment of the patients
be of high scientific quality based on careful clinical and laboratory findings, hospital records
and charts including doctors and nurses, findings progress notes diagnosis and plants for
treatment must be at all times upto -date and available for study by the student nurse. It is
possible to learn good nursing only in the field where good nursing is practiced.
Staff for the Hospital: :

Staff for the Hospital: The Nursing Superintendent. Joint/Deputy Nursing Superintendent.
Assistant Nursing Superintendent/ Departmental Supervisor Assistant Nursing Superintendent/
Departmental Sister Head Nurse/Ward Sister Staff Nurses
Community :
Community The activities of urban and rural health centres selected for Community Nursing
experience should be consistent with the learning experience desired for the students. These
centres should be well-established with legal responsibilities for service independent of
resources form the teaching institutions. It is desirable that the College adopts a sub-centre.
Community health material such as guide- lines, manuals and worksheets should be made
available at the selected centres. Transport facilities should be available for both students and
the staff. Equipment and supplies for Quality Nursing Care It is essential that the necessary
facilities for practice quality nursing are supplied
COLLEGE ADMINISTRATION :
COLLEGE ADMINISTRATION Organization and Administration of the College: The organization
should be such as to give freedom in carrying out the educational programme and facilitate the
achievement of the purposes and aims of the college. The college of nursing should receive the
same status and privileges of the University as are accorded to other constituted. There should
be a Governing Body and other college committees as required by the University for other
constituent or affiliated colleges within its jurisdiction. There should be college representation on
the various hospital committees including selection committee of nursing personnel.
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CONCLUSION JOURNAL ABSTRACT BIBLIOGRAPHY
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