CASE STUDY

Fortis Heart Institute & Multi Specialty Hospital, Mohali

SUBMITTED BY:
AMANDEEP SINGH GUMBER(603/05)
B. ARCH X SEMESTER
GURU NANAK DEV UNIVERSITY,
AMRITSAR
FORTIS HEART INSTITUTE & MULTI SPECIALTY HOSPITAL
CASE STUDY F
CLIENT: FORTIS HEALTH CARE LIMITED (FHL),
C/O Ranbaxy Laboratories Limited.
O
DESIGN TEAM: Kaplan MC Laughlin Diaz, California. R
LEAD ARCHITECT: Achal Kataria & Associates, New Delhi.
CONSULTANTS: Technical Project Consultants (structural), OTIS (lifts),
T
Milestone Consultants (electrical), Dew point (plumbing) I
TOTAL PLOT AREA: 8.22 acres(33,265sq.mt)
TOTAL BUILT –UP AREA: 60,000 sqmt.
S
YEAR OF COMPLETION: 2001
COST OF PROJECT: 155 crores
SET BACK: 15.25m from all sides TOTAL NUMBER OF BEDS: 360
H
FAR: 2 O
PERMISSIBLE 30%
GROUND COVERAGE:
S
SITE ANALYSIS:
LOCATION: Fortis is spread over a landscaped area of 8.22acres.It is a
P
rectangular plot of 316.2mX105.2m. The linear proportion 3:1 I
of the site has been very efficiently handled by the architect. T
The building faces North east which is the most preferable A
orientation. The curved surface of the building is placed out to
that direction to get maximum exposure to north diffused light. L
TO MOHALI BUS PUDA BUILDING TO CHANDHIGARH
STAND
24 MT WIDE ROAD M
O

24 MT WIDE ROAD
FORTIS is located in Sector 62, Phase VIII, S.A.S
24 MT WIDE ROAD

Nagar, Mohali (Distt-Ropar, Punjab, India). H

Just 7 km from Chandigarh, the site is approached by A
24m wide road running around the sides of the site. MAIN BUILDING L
BLOCK
 It has PSEB building on one side & the Punjab Urban I
Planning & Development Building opposite to it and a
proposed market behind it. 24 MT WIDE ROAD
PROPOSED MARKET
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
ZONING:
At Micro Level O
The hospital complex is mainly divided into the
following areas:
R
Block A:– Emergency block with its separate T
entrance & exit with separate ambulance parking.
Block B:- In-patient department.
I
Emergency In-patient Out-patient
Block C:- Diagnostic and Treatment department
entrance porch department porch department porch
S
which is easily accessible from OPD.
Block D:- Out-patient department with its
separate entrance & exit from site and separate H
parking facility for the visitors.
O
At Macro Level S
The site is divided into :- Parking, Landscaping,
Main Building Block, Service Zone and
P
Rehabilitation building. I
SITE CIRCULATION: T
There are 3 entrances to the site- 1 is the main A
entrance for OPD & IPD, 2 for emergency and 3
at back for service. L
24m wide road runs along periphery of the site.
Main entrance leads to public parking (120 cars, M
60 scooters) on the left. Two-wheeler Sewerage Treatment Visitor parking of O
Separate parking for emergency, OPD and staff Parking only for staff Plant 120 cars, 60 scooters
H
has been given.
A
Parking for staff is also provided at back with Ramp
basement parking. leading to L
Landscaped areas effectively used as resting
the I
basement
spaces for visitors.

MULTI SPECIALTY HOSPITAL

 CASE STUDY F
SITE SURROUNDINGS:
O
R
T
I
Open canteen HT room(11kv) near the
Ambulance parking near Emergency entry to the Nescafe area with S
the emergency gate site for emergency cases beautifully landscaped main entrance gate beautiful landscaping
in front of IPD around it.
H
O
S
P
Sewerage I
treatment plant T
parking for visitors-
60 scooters A
L

M
Liquefied medical oxygen O
H
90 degree parking A
for visitors- 120 cars
L
Service road used Fuel and gas supply I
Staff parking of 30 Truck docks area in
for parking to the whole hospital
cars, 100 scooters basement

MULTI SPECIALTY HOSPITAL

 CASE STUDY F
CIRCULATION:
O
R
T
I
24 MT WIDE ROAD
S

H
O
S
P
I

24 MT WIDE ROAD
T
24 MT WIDE ROAD

A
L

M
24 MT WIDE ROAD
O
H
STAIRCASE CORES
MAIN BUILDING A
BLOCK LIFT CORE
L
VISITOR CIRCULATION
I
SITE CIRCULATION VISITOR CIRCULATION
EMERGENCY CIRCULATION
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
PLANNING IN GROUND FLOOR PLAN:
The ground floor has been planned keeping in mind the necessity of providing the departments which have a heavy inflow O
of patients and the emergency services so that they can be the easily accessed without traveling vertically and avoiding
unnecessary penetration of the patients into the interiors. All the three reception i.e. For O.P.D, In-patient and emergency R
have been provided on this floor with the first in the theater block and other two in the hotel block. T
Reception with large waiting lobby and central atrium has been provided in the theater block(OPD Block).
In the hotel block(IPD Block) the entrance lobby has been complimented with a cafeteria, florist shop, bank, chemist shop, I
A.T.M., Internet facilities and a prayer room. The block also has a blood bank. S
The linking corridor between the two blocks is a nice design element and it feels good while passing through it though it’s
rarely used by the patients because of the it’s junctions are not very prominent so is missed by most.
The inner corridors have a uniform width of 2450 mm except ones which have been kept for the staff and have a width of H
1500 mm.
EMERGENCY BLOCK:
O
Has a separate entrance gate to provide immediate attention during an emergency. S
Emergency having its own separate diagnostic wing and minor OT hence can
perform immediate assessment and treatment of patient.
P
Reception area, public toilets, observation rooms for cardiac & trauma patients, I
Own facilities like X ray, ultrasound, ECG, a small O.T. and change rooms.
A special trolley bay & wheel chair parking. TOILET
T
Well connected through 2450mm corridor ENTEmergency
FOR EMERGENCY
Entrance A
OBSERVATION BEDS
with the IPD block and diagnostic dept.
PATIENTS
OBSERVATION BEDS CARDIAC PATIENTS STAFF EMER.
OBSERVATION BEDS CARDIAC PATIENTS
LOUNGE EXIT DN. L
TROLLEY TOI.
WHEEL OBSERVATION BEDS GENERAL PATIENTS
CHAIR TRAUMA PATIENTS
VESTIBULE 2450 WIDE
POLICE
WAITING
CORRIDOR
LADIES M

ELE/TEL/DATA
POST
2450 WIDE TOI.

1200 WIDE CORRIDOR

MSKPSTORE SLUICE
Separate GENTS
TOI.
LOBBY
LVL+0.75M
CORRIDOR
DARK STORE
PANTRY O
entrance with ROOM DU
provision of
LADIES
TOI. STAFF EMERGENCY
X-RAY
ROOM
ULTRASOUND
ROOM
ECG
PLASTER
ROOM
CARDIALOGIST
AHU H
TOI. INCHARGE
ambulance UP
DN. RECEPTION 2450 WIDE 2450 WIDE
A
CORRIDOR
parking near SPOT
CORRIDOR
DR'S
LIFT LOBBY
L
(FOR BEDS)
the entrance. CONS. STER. CH. RM.
OFFICE TRIAGE INSTR. STORE CH.STAFF
RM.
CONS. RM.
PROCEDURE OPERATION
RM.
RM.
PREP OT CLASS-II TOI. TOI.
NURSE'S
I
TOI. RM. SCRUB CH. RM.

MULTI SPECIALTY HOSPITAL

 CASE STUDY F
IPD BLOCK/GROUND FLOOR:
This block is approached from main entrance of site. O
Having reception area, a billing/registration counter, a waiting area, a business R
centre, offices, counselor rooms, a pharmacy & public toilets and a blood bank.
In addition to all this, the block consists of various facilities like a cafeteria, a T
florist, book store, bank & a prayer room. I
Sufficient and spacious waiting space for visitors in IPD reception.
S

H
O
Sufficient and spacious S
TOILET

OFFICE OFFICE
waiting space P
Passenger lifts with STAFF EMER. BUSINESS OFFICE
OFFICE

lobby space
LOUNGE EXIT DN. UP.
UP
WAITING
CENTER
BILING/CASH/
OFFICE

IPD Entrance
I
REGESTRATION IPD main entry
T
TOI.
RECEPTION PHARMACY
LADIES GENTS
ELE/TEL/DATA

TOI. TOI. PRAYER +750M FFL

ENT LOBBY
A
RM.

AHU LVL+0.75M

Bed lifts with lift lobby

INPATIENT LOBBY
L
RECEPTION

WAITING MSKP
BOTTLE COLD STORE STAFF INCHARGE
LIFT LOBBY WASH STORE RM. TOI.
VESTIBULE
space (FOR BEDS)
1800 WIDE FLORIST WAITING
UP
DN.
CORRIDOR
BLOOD
DONER
TOILETS
LADIES
TOI.
GENTS
BANK BOOK CAFETERIA PANTRY
MOVEMENT

M
MOVEMENT
BLEEDING BLOOD TOI.
MEDICAL
LAB COLLECTION EXAMIN.
STORE

STAFF
REST RM.
Service lifts LIFT LOBBY-3
(FOR SERVICE) CH.CH.
CH.CH.
BLOOD BANK
O
CH.
H
CORRIDOR
2450 WIDE

RESIDENT NURSE'S
REST RM. REST RM.
LANDSCAPE COURTYARD
TOI.

CH.
CH.
CONS'S
REST RM.
A
L
I
View of IPD block Book cafe Waiting area with Cafeteria (ccd)
sufficient natural light
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
DIAGNOSTIC BLOCK/GROUND FLOOR:
The diagnostic wing consists of various labs and the O
radiology department like X ray, MRI, ultrasound, CT scan etc. R
with separate waiting areas, toilets & change rooms.
Kitchen area is also at extreme corner of block with its T
storage in basement. I
Well connected with OPD, IPD and emergency wing through
2450mm wide corridor. S

H
O
S
P
I
singly loaded corridor
TOI.

CH. CONS'S
T
TOI.
CH. REST RM. LANDSCAPE COURTYARD
A
2450 WIDE
LVL+0.75M
CORRIDOR
FHC-6

UP
FHC-7

WAITING FOR CH. WAITING FOR

CH. CH. L
ELE/TEL/DATA

SAMPLE RECEIVING
TOI. TOI. WAITING FOR WAITING FOR
MRI& CT SCAN CH.
& SORTING
HEAMATOLOGY
NUCLEAR MEDI. CH.
DN. X-RAY ULTRASOUND
RECEPTION
CH. CH. RECEPTION

AHU
DISH WASH
CONS DW DW
M
CONSOLE
COMMON
ROOM GAMMA
PROCEDURE MRI US US
CORRIDOR

X-RAY SPECIAL
1800 WIDE

KITCHEN RM. CT X-RAY

CHAPATI SEC. SCAN ROOM
PROC ROOM

TANDOOR
SP COOKING
AREA
AHU FOR
LAB
COLD
STORE
BIO-CHEM IMMUNOLOGY COMMON
2450 WIDE
CORRIDOR
DOSE
ADMN. EQUIP. SCAN 2450 WIDE
CORRIDOR O
FOOD PICK UP BY TROLLEY

MAIN COOKING
ORGAN CONSOLE DECON ROOM EQUIP. TOI. CH.
TISSUE ROOM
AREA

MAIN COOKING
AREA
DIETICIAN
RM.
HISTROLOGY
CHEM
CLINIC
WASH /
STER
CONS.
ROOM FUTURE
GAMMA SCAN
PHARM. LAB FUTURE LVL+0.75M
ULTRASOUND
PROCEDURE CT scan room H
STORE TOI. EXPANSION
BULK COOKING
AREA
PREP
STORE 1500 WIDE
CORRIDOR
2450 WIDE
CORRIDOR A
OFFICE NIGHT COMMON CH. OFFICE COMMON CH.
AREA
MICRO- TOI.
CONS. CONS.
L
PANTRY
PANTRY DARK EXAM.
CYTOPATHOLOGY PATHOLOGIST PHYSICIST NUCLEAR CU DU DUTY RM. CH. IMIGING CONS. EXAM.
RM. RM. TOI.
PREP
AREA BIO TOI.
&SECY
TOI. MEDI. TECH. CH.
RM.
ROOM
LAB
KITCHEN LABS DIAGNOSTIC DEPARTMENT
I

MULTI SPECIALTY HOSPITAL

 CASE STUDY F
OPD BLOCK/GROUND FLOOR:
It consists of the main OPD area with the Rehabilitation Centre. O
All the consultant rooms have been placed in the rear which are approched R
through the rear corridor.
 It has the main reception with enquiry counter with its office at back. T
Sufficient and spacious waiting lobby with cut-out. I
Consultant rooms with examination rooms,
Inspection rooms & sub-waiting areas are given in the form of clusters. S
Public toilets have been provided.
Clear visibility of public stair case, but filtered flow of patients through lifts.
Lifts have not
H
been
Staircase
O
positioned
properly so as
tower used S
to be used by
as fire exit P
the OPD
patients
Reception I
Spacious waiting lounge
Singly loaded corridor having sufficient natural T
providing sufficient
natural light
light A
DN. UP
L
2450 WIDE
CORRIDOR
CUT OUT ABOVE
OPD ENTRY
LVL+0.75M M
ELE/TEL/DATA

OPD LOBBY
AHU
RECEPTION
REGISTRATION
O
TOI. TOI.
BILING
CASHERING
TROLLEY
Stairs for vertical H
BACK GENTS WH CHAIR circulation
TOI. TOI.
LIFT LOBBY
CU DU
DR'S
DUTY MANAGER'S OFFICE
FIRE
COMMAMD LADIES
TOI.
TOI.
RECP.
WAITING
OFFICE A
RM.
Nurse station & waiting
area for 4 consultants
2450 WIDE
CORRIDOR ALL PARTITION
IN DRY WALL
REHABILATION THER L
I
TOI. THERAPY COUNSEL COUNSEL THER
EXAM INJEC
EXAM EXAM EXAM RM. EXAM CH.
THERAPY

EXAM.
CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. WAX BOX TH.
HYDRO
THERAPY
gymnasium
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
FIRST FLOOR PLAN:
The first floor has similar function in the theater block where as the hotel block has O
all the wards.
Entry to the first floor is restricted and only those patients who either have been
R
referred to the consultants on the first floor or are to occupy a ward room are allowed. T
HOTEL BLOCK (A & B): I
Small receptions have been provided on this floor.
Hotel block has single and double wards room with a nice view of its exterior.
Nursing station, S
reception
consists of single rooms on one side & double rooms on the other side with
centrally placed nursing stations.
The rest of the area includes family rooms, stores, lockers, pantry, A.H.U. &
H
duty units etc O
SINGLE ROOM (13) SINGLE ROOM (14)
S
SINGLE
SINGLE
SINGLE ROOM
ROOM
SINGLE
ROOM
SINGLE SINGLE
ROOM ROOM
FAMILY
ROOM DN UP
FAMILY
ROOM
SINGLE
ROOM
SINGLE
ROOM
SINGLE
ROOM
SINGLE
ROOM
SINGLE
ROOM SINGLE
SINGLE Doubly loaded
P
SINGLE ROOM ROOM
SINGLE
SINGLE ROOM
SINGLE ROOM
SINGLE
ROOM
ROOM
2450 WIDE
CORRIDOR
LADIES GENTS
ROOM SINGLE
ROOM SINGLE
ROOM SINGLE
corridor I
ELE / TEL/ DATA

ELE/TEL/DATA
TOI. ROOM SINGLE

T
SINGLE ROOM SLUICE TOI. SLUICE
DU DU
SINGLE ROOM NURSE'S NURSE'S ROOM SINGLE
MSKP MSKP
DUTY DUTY ROOM SINGLE
ROOM PANTRY NURSE'S PANTRY
STORE NURSE'S STORE
STATION CH. TOI. FAMILY TOI. CH. STATION
ROOM SINGLE

UP
NURSE'S
STATION
PATIENT'S
LOUNGE
CU NURSE'S DOCTOR'S
INCHARGE DUTY
DOCTOR'S
LOUNGE

2450 WIDE
TOI. TOI.
AHU ROOM AHU
TOI. TOI.
DOCTOR'S
LOUNGE
DOCTOR'S NURSE'S
DUTY INCHARGE
CU PATIENT'S
LOUNGE NURSE'S
STATION
ROOM
A
DN.
LVL +4.65M 2450 WIDE
LVL +4.65M
CORRIDOR CORRIDOR LIFT LOBBY
(FOR BEDS) UP
DN L
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE SINGLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM ROOM ROOM ROOM ROOM ROOM
ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM

LIFT LOBBY
DOUBLE ROOM (11) M
DOUBLE ROOM (9)
(FOR SERVICE)

4 types:
 SINGLE ROOM (20)– size 3.415m x 4.5m. O
CORRIDOR
2450 WIDE

with attached toilet. TOI.

H
 DOUBLE ROOM (12)– size 3.415m x 6.0m.
It is divided into two units with low ht. partitions of foldable type.
TOI.

A
 Distance between two beds = 1.5m Staircase L
 DOUBLE DELUXE TYPE (8)– size is double to that of double used for fire
seated. One toilet, no partition, 2 beds for patients & 2 for exit I
Double deluxe type Double room type
accomplices.
 VIP SUITES (4)– Two single seated combined.
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
FIRST FLOOR PLAN:
This area is having the Major O.T. & Minor O.T for general surgeries including O
their pre-operative and post-operative wards. R
Also has non-invasive Cardiac Labs having E.C.G. (electrocardiography) ,
endoscopy, TMT rooms & Color Doppler rooms with their waiting areas. T
Provided near the IPD section. I
S
Patients coming Main entry for
from the IPD block the patient to be Post- Entry for the staff
or from emergency treated operational and instruments H
block. beds with from CSSD O
nurse station (1500mm)
Entry for the Clean corridor for the flow S
of patients. (2450mm)
doctor and TOI.
P
patient too. 2450 WIDE
LVL +4.65M
CORRIDOR
FHC-6

UP STAFF'S
I
TOI. STAFF'S WAITING FOR
ELE/TEL/DATA

WHEEL CLEAN SUPPLY TOI.

DN CHAIR WAITING
VISITOR'S
FUTURE
EXPAN.
LOUNGE SORTING NON INHASIVE
CARDIAC LAB
TOI.
LOUNGE
DR'S
Doctor, staff T
STORE TOI.
POST LOUNGE lounge & there
Pre-
OPERATIONAL STORE
changing rooms A
operational RECEPTION CH. CH.
beds with
PRE-OPERATIONAL
BEDS
NURSE'S
TOI. TOI. STORE
DECONT
RM
OFF. provided near L
STATION RECOVERY 2450 WIDE
CORRIDOR
the service core
nurse station DU
STORE FUTURE FUTURE
RM.
PANTRY CU STORE STORE EXPAN. EXPAN. CU DU
2450 WIDE
CORRIDOR
2450 WIDE
CORRIDOR M
1. ECG 1. TMT1. 1.DOPPLER
COLOUR CDS
SCRUB SCRUB 1. O
Entry for CH. CH. CH. FUTURE MAJOR MINOR ENDOSCOPY REPORTING
2. 2. 2. 2. HOLTER
2.
LAB
patient
EXPANSION
OT OT ENDOSCOPY
RM.
3. 3. 3. 3. 3. ECG & TMT
H
LABS for the A
OPD & L
Doctors and staff diagnostic area
Sterile corridor having
changing room
restricted entry. I
with attached
toilets
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
FIRST FLOOR PLAN:
Consist the Cardiac OPD, specialty clinics & health maintenance clinic with their O
consultant rooms & waiting areas. R
 Consists of Labs like Neurology & Pulmonology with their waiting areas.
Double height lobby
T
Bed lifts used by with waiting area I
passenger too.
Staircase tower
S
UP DN used as fire exit
2450 WIDE
CORRIDOR DOUBLE HEIGHT H
Staff lifts two consultant room sharing
O
ELE/TEL/DATA

DN

LVL +4.65M one common examination

AHU UP
and one injection room. S
STORE SAMPLE

P
PULMONOLOGY NEUROLOGY
COLL. GENTS
LAB LADIES TOI.
TOI. RECEPTION TOI. TOI. WAITING

TOI.
TOI.
TOI.
WAITING AMBULATORY AMBULATORY
THERAPY THERAPY
DU LAB PROCUDURE
RM.
CU
DR'S
DUTY
RM.
TOI.
I
2450 WIDE
CORRIDOR
2450 WIDE
CORRIDOR
PANTRY
T
CDS
1. EXAM.
2.
EXAM. INJEC
RM.
EXAM. INJEC
RM.
EXAM. INJEC
RM.
EXAM. INJEC
RM.
EXAM. INJEC
RM.
EXAM. INJEC
RM.
EXAM.
A
Consultant rooms with
3. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. their waiting area L
SECOND FLOOR PLAN:
Second floor is kept the most critical area with a very restricted 3
ICU WARD
4
5
6
7 8 9 10 11
12

FAMILY
ICU WARD
13

14

15
M
O
2
16

entry as it contains the various operation theaters and the intensive

1
ISO TOI. FAMILY TOI. ISO
FAMILY 17
ROOM ROOM ROOM
ROOM DN
UP
CH. CH.
VESTIBULE VESTIBULE 18

ICU WARD LADIES FAMILY GENTS

ELE/TEL/DATA

ELE/TEL/DATA
TOI. ROOM TOI. SLUICE

care unit.
DU DU
LVL +8.55M NURSE'S NURSE'S
LOUNGE MSKP
DUTY

STATION
NURSE'S
H
TOI.
B TOI. TOI.
NURSE'S
CU
JANITOR
NURSES' CU STORE CHIEF OF FAMILY
NURSE'S
STATION
DR'S
DUTY DUTY
TOI.
AHU AHU TOI.
DUTY
RM.
DR'S
LOUNGE NURSE'S ICU WARD
C
RM.
UP NURSE'S
DN. 2450 WIDE LVL +8.55M STATION

Another linkage was needed to connect the operation theater and

CORRIDOR LIFT LOBBY
ICU WARD TOI. SCRUB
SHOES
(FOR BEDS)
SHOES
TOI. VESTIBULE
UP
DN
FAMILY
VESTIBULE
SCRUB
D TOI. TOI.
PANTRY SLUICE SLUICE PANTRY
ISOLATION LOCKERS
1200 WIDE
CORRIDOR
LOCKERS LOCKERS LOCKERS
1200 WIDE
CORRIDOR
LOCKERS LOCKERS ISOLATION
ICU WARD
STAFF GENTS LADIES
PHARMACY GENTS LADIES STAFF
CH. CH. CH. CH. CH. CH.
RM. RM. RM. RM. RM. RM.
E

A
LIFT LOBBY-3 STAT
(FOR SERVICE) LAB

the intensive care unit as the distances were getting too long. So a ICU WARD
12.1 13.1 14.1 15.1
DRS' 16.1 17.1 18.1

LOUNGE
FAMILY

CORRIDOR
0.8 1.8 2.8 3.8 4.8 5.8

2450 WIDE
F
CHIEF
SURGEON
ICU WARD
TOI.
CATH LAB
TOI.
CHIEF
ANATHESIATIST
CHIEF
CARDIOLOGIST CH.RMS. DN. UP
C

decision was taken on site to connect both the blocks through a

H
TOI. H
2450 WIDE 2450 WIDE 2450 WIDE
LVL +8.55M

L
CORRIDOR CORRIDOR CORRIDOR
FHC-6
UP 2450 WIDE 2450 WIDE
CH. CH.
LVL +8.55M STORE

ELE/TEL/DATA
ELE/TEL/DATA
CORRIDOR CORRIDOR
STAFF RM. RM.
DN. CONF.

CORRIDOR
TROLLEY DR'S
DARK
OPERATION

2450 WIDE
DR'S RM. PREP. STERILE CH.RM. LOUNGE
RM. NURSE'S
OT
CONTROL
WORKSHOP SCRUB
DECONTAMINATION
STORAGE
SCRUB
ROOM-6 AHU CATH LAB CU STATION
J
MOBILE
TROLLEY
PREP. TOI. TOI. J

bridge for the movement of the patient from the O.T. to the I.C.U.
CARM FAM
DOCTORS' OPERATION
ANAESTHESIST
DR'S NURSES' UPS CU SCRUB WARDS
TOI. CH.RM. LOUNGE ROOM-1
CH.RM.
DONOR TECH.
ENTRANCE
TOI. TOI.
STERILE RM. RM.
ANAESTHESIA LOBBY
PROFUSION CORE PROFUSION
TOI. NURSES' TROLLEY PROPOSED
ROOM DOCTORS' PANTRY
CH.RM.
SLUICE
RM. CU BAY
ROOM PARTITION
CH.RM. LVL +8.55M TROLLEY DU
K K

I
TERRACE STAFF
TOI. CONTROL CATHETER CATH

There are a total of six operation theater, post O.T. and Cath labs
CH.RM. PRE.OP BEDS
CATH ROOM STORE INCHARGE
CATH
POST OF
OPERATION SWING LAB SWING LAB CATH RECOVERY
BEDS OPERATION OPERATION OPERATION TECHNICAL
TOI. ROOM-3 STAFF'S DOCTORS' OFFICE OFFICE PRE.OP BEDS
PRE.OP BEDS
BEDS
WARD BOY'S
REST ROOM
ROOM-2 SCRUB ROOM-4 SCRUB
ROOM-5 ROOM
LOUNGE LOUNGE
2450 WIDE 2450 WIDE EQUIP.RM.
CORRIDOR CORRIDOR
L L

CH.RMS. CATH

in the theater block whereas two intensive care unit in the hotel 19 20 21 22 23 24 25 26 27 28
LOUNGE
29
SWING LAB 30 31 32 33 34 35 36

block.
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
SECOND FLOOR PLAN:
Both blocks are having ICU’s (Intensive Care Units) on opposite sides, with O
separate family ICU wards.
3 Nursing stations, toilets & doctor’s duty rooms(1 for each block/ward) are R
centrally placed. T
Separate change rooms & lockers for gents, ladies & staff. FAMILY
ICU WARD ICU WARD I
ISO
ROOM
TOI. FAMILY

CH.
ROOM DN
UP
FAMILY
ROOM
TOI.

CH.
ISO
ROOM
S
VESTIBULE VESTIBULE

ICU WARD LADIES FAMILY GENTS

ELE/TEL/DATA

ELE/TEL/DATA
H
TOI. ROOM TOI. SLUICE
DU DU
LVL +8.55M NURSE'S NURSE'S
LOUNGE MSKP
DUTY

STATION
NURSE'S
TOI.
TOI. TOI. CU
JANITOR
CU FAMILY
STORE CHIEF OF
O
NURSE'S NURSES'
NURSE'S
STATION
DR'S
DUTY DUTY
TOI.
AHU AHU DUTY
TOI. RM.
DR'S
LOUNGE NURSE'S ICU WARD
RM.
UP NURSE'S
DN. 2450 WIDE LVL +8.55M
ICU WARD VESTIBULE TOI. SCRUB
CORRIDOR

TOI.
SHOES
LIFT LOBBY
(FOR BEDS)
SHOES

TOI. SCRUB TOI. VESTIBULE

STATION

FAMILY
UP
DN S
SLUICE SLUICE

P
PANTRY PANTRY
ISOLATION LOCKERS
1200 WIDE
CORRIDOR
LOCKERS LOCKERS
1200 WIDE
CORRIDOR
LOCKERS ISOLATION
ICU WARD
STAFF GENTS LADIES
PHARMACY LOCKERS
GENTS
LOCKERS
LADIES STAFF
CH. CH. CH. CH. CH. CH.
RM. RM. RM. RM. RM. RM.

ICU WARD
LIFT LOBBY-3 STAT
(FOR SERVICE) LAB
FAMILY I
ICU WARD
Nurse station
DRS'
LOUNGE
T
CORRIDOR
2450 WIDE

CHIEF Bridge connecting

provided within
A
SURGEON
TOI.
operation theater
the ward and TOI.
CHIEF
ANATHESIATIST
CHIEF
CARDIOLOGIST

block with the ICU

wards having the
block.
L
proper natural
CATH LAB
light & ventilation DN. UP

for healthy Family ICU wards

2450 WIDE
M
CORRIDOR
environment.
ELE/TEL/DATA
LVL +8.55M STORE CH. CH.
RM. RM.
O
SECOND FLOOR PLAN/ BLOCK D: DR'S CONF.

H
LOUNGE
RM. NURSE'S
AHU CATH LAB CU STATION

This area consist of cath labs with cath-recovery ward. UPS WARDS
A nurse station is centrally placed in the cath-recovery
CU SCRUB TECH.
RM.
ENTRANCE
LOBBY
TOI. TOI.
A
ward. LVL +8.55M PANTRY TROLLEY
DU
L
UPS room for same is provided. CONTROL CATHETER CATH PRE.OP BEDS
CATH
SWING LAB
ROOM

TECHNICAL
CATH
SWING LAB
STORE INCHARGE
CATH RECOVERY I
OFFICE OFFICE PRE.OP BEDS
PRE.OP BEDS
BEDS
ROOM

EQUIP.RM.

MULTI SPECIALTY HOSPITAL

 CASE STUDY F
SECOND FLOOR PLAN:
This part comprises of the Cardiac operation theaters(OT’s). O
Six OT’s ( 9875mm x 9875mm each) arranged around a common sterilized area. R
Whole of this area has been sterilized and having restricted entry.
Consisting of the entry for doctors, staff & patient with storage areas, change rooms, T
nurse’s room & doctor’s lounge. I
OT’s, Scrub area & patient holding areas (Pre & Post operative room) having highest level of sterilization.
Storage room for sterilized equipments & linen, essential drugs & blood supply. S
Two dumbwaiters connect the OT complex to CSSD for direct supply and disposal of sterilized equipments.

Entrance for the patient Decontamination room

H
from the ICU or from of instruments/disposal
Singly loaded sterile
O
service core. provided with two
dumbwaiters.
corridor(2450mm) S
TOI.
CHIEF
ANATHESIATIST
CHIEF
CARDIOLOGIST
P
PATIENT STAFF + DOCTORS USED EQUIPMENTS
Chief cardiologist, TOI.
2450 WIDE 2450 WIDE
I
anesthetist and CORRIDOR LVL +8.55M CORRIDOR

their lounge area FHC-6

UP T
ELE/TEL/DATA

1800 WIDE CORRIDOR

with attached DN.

OT
DR'S
WORKSHOP
DARK
RM.
TROLLEY
PREP.
DECONTAMINATION
STERILE
STORAGE
OPERATION
ROOM-6
1800mm wide A
toilet. CONTROL
SCRUB
TROLLEY SCRUB
corridor for the
DOCTORS' ANAESTHESIST
PRE OP OPERATION
MOBILE
CARM
PREP.
FAM
movement of L
CH.RM. ROOM-1
Entrance for the TOI. BEDS
ANAESTHESIA SENTRALISED doctors and staff
STERILE CORE PROFUSION
doctors and staff TOI. NURSES' TROLLEY
PROFUSION
ROOM around the OT
with there CH.RM.
SLUICE
RM. CU BAY
ROOM
complex M
STAFF
changing room
with attached
TOI.
CH.RM.

POST OP
O
OPERATION OPERATION
toilet. WARD BOY'S
REST ROOM
TOI. BEDS OPERATION
ROOM-2 SCRUB
ROOM-3
OPERATION
ROOM-4 SCRUB
ROOM-5 H
1800 WIDE CORRIDOR A
L
2 anesthesia room
for the patients. Post-operational beds(6 in Common scrub area shared I
no.) with nurse station by 2 OT’s with centrally View of cardiac OT
sterilized area
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
THIRD FLOOR PLAN:
In the third floor there is identical planning in the hotel block as compared to the first floor, i.e. it contains single and O
double bed wards.
The theater block has all the administrative functions on this floor. It has a big library. R
Some space has been left vacant for future expansion. T
It has a seminar room, board room offices.
SINGLE
I
SINGLE
ROOM
ROOM
S
SINGLE SINGLE FAMILY FAMILY SINGLE SINGLE
SINGLE ROOM SINGLE
SINGLE
SINGLE ROOM
ROOM ROOM ROOM ROOM ROOM
ROOM SINGLE
SINGLE Doubly loaded
H
ROOM ROOM
SINGLE ROOM ROOM SINGLE
ROOM

A nice dining hall has been built where the staff can have their food.
SINGLE ROOM

SINGLE
SINGLE ROOM
ROOM
2450 WIDE
CORRIDOR
LADIES GENT'S
SINGLE
ROOM SINGLE corridor

ELE/TEL/DATA
ELE/TEL/DATA
ROOM
TOI. SINGLE

O
ROOM TOI.
SINGLE NURSE'S DU DU ROOM
ROOM

STATION
NURSE'S
DUTY
STORE PANTRY
TOI. TOI.
DR'S CH LOBBY CH. DR'S
PANTRY
STORE WARD
NURSE'S
PATIENT'S
LOUNGE
CU NURSE'S DOCTOR'S
DUTY
LOUNGE AHU AHU LOUNGE NURSE'S CU PATIENT'S
2450 WIDE INCHARGE INCHARGE LOUNGE

S
STATION
CORRIDOR TOI. TOI. NURSE'S
UP STATION
DN. 2450 WIDE
CORRIDOR
LVL+12.45M LIFT LOBBY
LVL+12.45M UP
(FOR BEDS) DN
DOUBLE

P
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE GENERAL DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM DOUBLE
ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARDS ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARD
ROOM

DOUBLE
ROOM
LIFT LOBBY-3
(FOR SERVICE)
DOUBLE ROOMS
Staircase used I
TOI.
LVL+12.45M
STAFF RECREATION RM.
OXYGEN&VACCUM LIBRARY
for fire exit
OFFICES
T
DN. UP
TOI.

2450 WIDE
CORRIDOR
RECEPTION

FUTURE
EXPANSION PERITONIAL BI-CARBONATE
LIBRARIAN
OFFICE SECY OFFICE OFFICE
TOI. TOI.

OFFICE
A
L
UP DIALYSIS UP

ELE/TEL/DATA
DIALYSIS
ELE/TEL/DATA

WAITING GENTS
DN. CH.
TOI.
LIBRARY TOI.
AHU DN
2450 WIDE
CORRIDOR
LVL+12.45M
AHU LADIES JAN

CORRIDOR
1822 WIDE
DINING RM DW DW TOI. MEETING WAITING STORE
PANTRY
WASH DRS'
CHAMBER
SUPPORT ISOLATION ISOLATION
WASH
FILTER LVL+12.45M WAITING ROOM ROOM LADIES
GENT'S
RM. RM. STORE
SERVER TOI. TOI.
OPEN
MEETING MEETING
TERRACE OFFICES
Double deluxe type ROOM ROOM PANTRY

DINING RM LVL+12.45M
EDP
STAFF
STAFF
M
ADMN
NURSES'S DOCTOR'S
STAFF DOCU.
O
SENIOR STAFF
DINING TRAINING TRAINING BOARD
SYNDICATE SYNDICATE
ROOM TRAINING LT ROOM ROOM HEAD HEAD HEAD HEAD HEAD HEAD
ROOM
HEAD HEAD PR MARK. FINANCE ADMN. LEGAL ADMN.

DINING RM TRAINING RMS. MEETING &

H
BOARD RM
A
L
Training room for
doctors and nurses. Administration area I
View of dining hall

MULTI SPECIALTY HOSPITAL

 CASE STUDY F
BASEMENT FLOOR PLAN:
Most of the basement has been used up for various services like the parking, laundry, central sterile and supply O
department (CSSD), central air conditioning plant, electrical control rooms, DJ set rooms, fire control room with all the
pumps, boilers etc. R
With respect to the structural considerations the heavy equipment should be on the lower floor so is the placement of T
services in the basement.
Mortuary I
Parking
PARKING
of 90 cars
S
PARKING
GENTS
LADIES TOI.
TOI.

UP

LVL -3.15M
H
LVL -3.15M
O
A UP
DN
SCOOTER PARKING
Parking S
WASTE WASTE WASTE
DISPOSAL DISPOSAL DISPOSAL
LIFT LOBBY
(FOR BEDS) UP
of 80 P
LOBBY SCOOTER PARKING SUMP

scooters
ENTRY TO BASEMENT
PARKING
LIFT LOBBY-3 PRAYER
(FOR SERVICE) RM.
I
T
CORRIDOR
2450 WIDE

OFF.
MORTURY
(RECEIVING)
ENGG.
LVL -3.15M D.G SET
LOADING UNLOADING LAUNDRY CSSD DEPT
STORE
A
UP

LVL(-3.45 FFL) 2450 WIDE 2450 WIDE

A'
CHEMICAL STORE 2450 WIDE
CORRIDOR LAUNDRY FOR LAUNDRY
SUMP
CORRIDOR
LAUNDRY CORRIDOR
CSSD CLEAN

L
STORE UP RECEIVING LAUNDRY WASHING
STERILE STAFF STAFF

ELE/TEL/DATA
CSSD AREA PUMP
ENGG OFF.
SECURITY
ELE/TEL/DATA

/DRYING JAN CH. STAFF STAFF CH.

RM. OFFICE
ELECTRIC LAUNDRY AREA
+ 4.65 M FFL ENTRANCE FOR RECEIVING BAY PANEL DISPATCH WASH RM. TOI. TOI. RM.
DEPT.
RM.
KITCHEN GOODS RAMP DN
CHIEF
OFF.
AHU SUPERVISOR RECEIVING ENGG.

UTILITY OFFICE MEDICAL

LAUNDRY
LAUNDRY CSSD CSSD DW DW
ELECTRIC
MANIFOLD ROOM RM STORE RECP. TROLLEY CSSD
RECEIVING DIESEL GENERATOR
RECORD ( P&S) CLEAN WASH SUPERVISOR
PANEL RM.
LAUNDRY AREA LADIES
CSSD
DESPATCH SET LVL -3.15M PUBLIC HEALTH SERVICES
RM. HOUSE
KEEPING
CH.
BLDG
2450 WIDE STORE
LVL -3.15M
2450 WIDE ACCOMODATION
CORRIDOR

M
CORRIDOR

CH ENGG WORKSHOP
DRY TROLLEY PHARMACY CABIN
STORE PARK/WASH INCHARGE
STORE LT PANEL PUMP
STORE PANEL MECHANICAL
BIO MEDICAL RM. RM.
RM.
KITCHEN
CONFEC.
DINING UPS SERVICES MATERIAL TESTING

O
ENGG
PHARMACY PUMP LAB
COLD
CARPENTRY HT PANEL TRANSFORMER TRANSFORMER PANEL
STORAGE
TRANSFORMER
RM. BAKERY WORKING RM. RM.
SUMP
DEEP CAGE STORE AREA
RM. RM. RM.
RM.
FREEZER LIFT

BIO MEDICAL
SUMP
H
ENGG
Ramp leading SERVICES
Engineering A
to the basement dept. L
HT room I
Area for loading LT panel room (11kv)
and unloading Pump room
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
SERVICES:
CSSD (CENTRAL STERILE AND SUPPLY DEPARTMENT): O
It basically involves cleaning, disinfecting and sterilizing before use of all instruments, materials and equipment utilized in
patient care with a view to promote a germ free environment. There are two sections with barrier walls and double door R
separating the soiled area from the clean and sterile area. T
It has been placed directly below the surgical suite and the two floors have been connected by two dumbwaiters one
sterile and other soiled opening in their respective chambers. I
HOSPITAL LAUNDRY: S
The underlying principle for the hospital laundry remains the same as the CSSD and it deals with the removal of bacterial
infection from the linen. So its again been placed in the basement adjacent to the CSSD.
Receiving area H
Washing & drying section O
Flat work ironing
Clean area S
Dispatch area. P
Supervisor space
I
Soiled linen coming
from service lift LAUNDRY CHEMICAL STORE
FOR LAUNDRY
SUMP Autoclave machine T
LAUNDRY in the clean area
through this corridor RECEIVING LAUNDRY WASHING
/DRYING CSSD
CSSD CLEAN
AREA STERILE A
LAUNDRY AREA
DISPATCH WASH L
SUPERVISOR RECEIVING
LAUNDRY CSSD
LAUNDRY CSSD DW DW
STORE
( P&S) CLEAN
RECP. TROLLEY CSSD
WASH SUPERVISOR
CSSD
M
LADIES
AREA DESPATCH
O
LAUNDRY
HOUSE CH.
KEEPING
2450 WIDE
LVL -3.15M CORRIDOR H
Cleaning area
A
after receiving L
I
Soiled linen/instruments
received through dumbwaiter
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
WATER SUPPLY:
There are 6 water storage tanks in hospital, which have been constructed O
underground :
Fire- water tanks - 3 nos. R
Treated water tanks – 2 nos. T
Raw water tanks – 1 no. pump room
REVERSE OSMOSIS PLANT : I
For purifying domestic water to fed to special departments like scrub in OT’s , Dialysis Unit, CSSD, ICU’s. S
SOFT WATER TREATMENT:
For reducing hardness of domestic water and to fed to boilers and laundry.
SEWERAGE: H
All toilets have shafts adjoining their wall to carry waste disposal pipes and water supply pipes separately. Soil pipes - O
GI pipes 100mm dia (1:60 slope), Waste water pipe - CIP 100mm dia, Rain water pipe - CIP 100mm dia.
For Refuse collection & disposal, manual system is adopted. Dry refuse is collected in poly bags. Refuse chutes have
S
also been provided. P
FIRE FIGHTING: I
By using ACC (Autoclaved Aerated concrete) blocks in T
construction.
Fire detection systems (smoke & heat detectors), Alarming system
A
(manual ,fire alarm hooters) L
Public address system have been installed throughout the building Manual Fire hydrants
on all the floors. Fire exit routes have been provided. extinguishers Hose reel
Extinguishing system has manual fire extinguishing equipments, M
Fire hydrants (around the building periphery),
Wet Riser system at suitable locations in the building,
O
Automatic Sprinkler system. H
BOILERS: A
These are located in basement behind the diagnostic area(Block B). L
 5 boilers (600 kg/hr. each) are installed.
Address plan of fire Sprinkler I
 Steam from the boiler is fed to the laundry, kitchen, CSSD etc. for
fighting system
hot water system.
 Hot water lines are insulated with aluminum sheet.
MULTI SPECIALTY HOSPITAL
 CASE STUDY F
ELECTRICAL:
Hospital is using 20,000 UNITS (approx.) daily. O
Generally the demand of the hospital ranges from 1KW per bed to 2KW per bed.
MS conduits have been used. R
Corridors - footlights have been provided to prevent glare. T
Street light - Poles are placed at 8m c/c.
FOR BACK UP: I
Automatic Diesel Genset (2 X 1250 KvA)
Generator room
S
2 UPS 200 KvA are reserved for OT’s and ICU”s.
One UPS room is also provided for CATH labs at 2nd floor. LT panel room

Step down LT panel rooms in

H
Substation transformer(11/.4kv) the main building To departments O
transformer(11kv) 440 V dept.(220V)
S
HEAT VENTILATING AND AIR CONDITIONING (HVAC): P
 The whole building is centrally air conditioned. I
3 Chiller plants (2x433 tonne + 1x130 tonne ) are provided. T
 Air changes are provided by mechanical means : wards- 3
changes/hr, kitchen – 10 changes/ hr, OTs – 12 changes/hr. A
Chilled water supply plant in basement. L
Air handling units on each floor connected to CHWP by
means of pipe.
MEDICAL GASES MANIFOLD: M
Centralized supply of Oxygen, nitrous oxide, compressed air and vacuum. O
Having liquid oxygen TANK of 5600 lts outside manifold room H
Oxygen and nitrous oxide stored in cylinder in right and left bank emergency.
RAIN WATER DISPOSAL:
A
Vertical RWP (dia. 6”) will collect rainwater through the khurras and thus will be discharged at a point about 150 mm L
above ground level. Rainwater from terrace will be brought down to the catch basin from where it will go to the existing I
sewer line.

MULTI SPECIALTY HOSPITAL