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HOSPITAL

A hospital is an institution for health care providing patient treatment by specialized staff and equipment,
and often but not always providing for longer-term patient stays.

A hospital may be a single building or a cluster of various units (campus). Many hospitals with pre-20 th
century origins began as one building and evolved into campuses due to the additions of new departments or
expansion of old departments due to population increase. Some hospitals are affiliated with universities for
medical research and the training of medical personnel. Worldwide, most hospitals are run on a non-profit basis by
governments or charities.

Types of Hospitals (that can be applied on the proposed project)

Hospitals are usually distinguished from other types of medical facilities by their ability to admit and are
for inpatients. An inpatient is a patient who is admitted to a hospital for few or longer-term stays. An outpatient is a
patient who is administered healthcare and is allowed to go home within 24-hours.

1. General Hospital

The best known type of hospital is the general hospital, which is set up to deal with many kinds of diseases
and injury, and typically has an emergency department to deal with immediate threats to health and the
capacity to dispatch emergency medical services. A general hospital is typically the major health care facility in
its region, with large numbers of beds for intensive care and long-term care; and specialized facilities for
surgery, plastic surgery, childbirth, bioassay laboratories, and so forth. The size of these hospitals generally
depends upon the population level.

2. Teaching Hospital

A teaching hospital which can also be called university hospital combines assistance to patients with
teaching to medical students and is often linked to a medical school. A teaching hospital is a hospital that in
addition to delivering medical care to patients also provides clinical education and training to future and
current doctors, nurses, and other health professionals. Teaching hospitals are generally affiliated with a school
of medicine. Some teaching hospitals may be owned by a university or be part of an entire health system or
network.
Nurses' station. The nurses' station should be located as centrally as possible in the nursing unit and should
command full view of the nursing corridors. The nursing station will be used for the administrative work of the
nurses inherent in-patient care, preparing medicines, and for doctor-nurse conferences.

The nurses' station should provide, adequate desk space for the nurses to keep charts and make out reports. A
separate locked room is necessary for storing and preparing medicines. A small room is desirable for consultation
between staff members, doctors, patients and patients' families.. A space for doctors to study charts and to dictate
instructions is also desirable. A toilet should be provided for the nurses' use.

Utility Room. The utility room is the general work room for the nursing unit. This room would be used for the
storage and preparation of equipment and supplies used in general through out the nursing unit. Facilities would
be provided for the preparation of juices and between-meal snacks for the patients. A separate area of the utility
room would be used for the disposal of waste and the cleansing of equipment not requiring sterilization in the
central sterilizing room. The utility room should be located adjacent to the nurses' station Treatment Rooms.
Treatment rooms are necessary in every nursing unit. Examination, surgical dressings and other procedures would
be done here instead of in the bedrooms behind the curtains where there are no facilities. It would often save the
patient from embarrassment and would keep the other patients from being disturbed. It would also be used for
teaching purposes.

Day Room. A day room should be provided for ambulant patients to congregate. It gives them a chance to chat and
provides a change of scene from the bedrooms. This room should not be confused with the visitors' rooms placed
near the elevators.

Storage and Closets. There are a number of smaller rooms and closets needed within the nursing unit. Janitor's
closets, flower rooms, stretcher and wheel chair storage and general bulk storage must be provided.
GUIDELINES IN THE PLANNING AND DESIGN OF A HOSPITAL AND OTHER HEALTH FACILITIES

A hospital and other health facilities shall be planned and designed to observe appropriate architectural
practices, to meet prescribed functional programs, and to conform to applicable codes as part of normal
professional practice.

1. Environment: A hospital and other health facilities shall be so located that it is readily accessible to the
community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not be located
adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants, disposal plants.

2. Occupancy: A building designed for other purpose shall not be converted into a hospital. The location of a
hospital shall comply with all local zoning ordinances.

3. Safety: A hospital and other health facilities shall provide and maintain a safe environment for patients,
personnel and public. The building shall be of such construction so that no hazards to the life and safety of
patients, personnel and public exist. It shall be capable of withstanding weight and elements to which they
may be subjected.

3.1 Exits shall be restricted to the following types: door leading directly outside the building, interior stair,
ramp, and exterior stair.

3.2 A minimum of two (2) exits, remote from each other, shall be provided for each floor of the building.

3.3 Exits shall terminate directly at an open space to the outside of the building.

4. Security: A hospital and other health facilities shall ensure the security of person and property within the
facility.

5. Patient Movement: Spaces shall be wide enough for free movement of patients, whether they are on
beds, stretchers, or wheelchairs. Circulation routes for transferring patients from one area to another shall
be available and free at all times.

5.1 Corridors for access by patient and equipment shall have a minimum width of 2.44 meters.

5.2 Corridors in areas not commonly used for bed, stretcher and equipment transport may be reduced in
width to 1.83 meters.

5.3 A ramp or elevator shall be provided for ancillary, clinical and nursing areas located on the upper floor.

5.4 A ramp shall be provided as access to the entrance of the hospital not on the same level of the site.

6. 6 Lighting: All areas in a hospital and other health facilities shall be provided with sufficient illumination to
promote comfort, healing and recovery of patients and to enable personnel in the performance of work.

7. Ventilation: Adequate ventilation shall be provided to ensure comfort of patients, personnel and public.

8. Auditory and Visual Privacy: A hospital and other health facilities shall observe acceptable sound level and
adequate visual seclusion to achieve the acoustical and privacy requirements in designated areas allowing
the unhampered conduct of activities.

9. Water Supply: A hospital and other health facilities shall use an approved public water supply system
whenever available. The water supply shall be potable, safe for drinking and adequate, and shall be
brought into the building free of cross connections.

10. Waste Disposal: Liquid waste shall be discharged into an approved public sewerage system whenever
available, and solid waste shall be collected, treated and disposed of in accordance with applicable codes,
laws or ordinances.

11. Sanitation: Utilities for the maintenance of sanitary system, including approved water supply and
sewerage system, shall be provided through the buildings and premises to ensure a clean and healthy
environment.
12. Housekeeping: A hospital and other health facilities shall provide and maintain a healthy and aesthetic
environment for patients, personnel and public.

13. Maintenance: There shall be an effective building maintenance program in place. The buildings and
equipment shall be kept in a state of good repair. Proper maintenance shall be provided to prevent
untimely breakdown of buildings and equipment.

14. Material Specification: Floors, walls and ceilings shall be of sturdy materials that shall allow durability, ease
of cleaning and fire resistance.

15. Segregation: Wards shall observe segregation of sexes. Separate toilet shall be maintained for patients and
personnel, male and female, with a ratio of one (1) toilet for every eight (8) patients or personnel.

16. Fire Protection: There shall be measures for detecting fire such as fire alarms in walls, peepholes in doors
or smoke detectors in ceilings. There shall be devices for quenching fire such as fire extinguishers or fire
hoses that are easily visible and accessible in strategic areas.

17. Signage. There shall be an effective graphic system composed of a number of individual visual aids and
devices arranged to provide information, orientation, direction, identification, prohibition, warning and
official notice considered essential to the optimum operation of a hospital and other health facilities.

18. Parking. A hospital and other health facilities shall provide a minimum of one (1) parking space for every
twenty-five (25) beds.

19. Zoning: The different areas of a hospital shall be grouped according to zones as follows:

19.1 Outer Zone – areas that are immediately accessible to the public: emergency service, outpatient
service, and administrative service. They shall be located near the entrance of the hospital.

19.2 Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy, and radiology.
They shall be located near the outer zone.

19.3 Inner Zone – areas that provide nursing care and management of patients: nursing service. They shall
be located in private areas but accessible to guests.

19.4 Deep Zone – areas that require asepsis to perform the prescribed services: surgical service, delivery
service, nursery, and intensive care. They shall be segregated from the public areas but accessible to the
outer, second and inner zones.

19.5 Service Zone – areas that provide support to hospital activities: dietary service, housekeeping service,
maintenance and motor pool service, and mortuary. They shall be located in areas away from normal
traffic.

20. Function: The different areas of a hospital shall be functionally related with each other.

20.1 The emergency service shall be located in the ground floor to ensure immediate access. A separate
entrance to the emergency room shall be provided.

20.2 The administrative service, particularly admitting office and business office, shall be located near the
main entrance of the hospital. Offices for hospital management can be located in private areas.

20.3 The surgical service shall be located and arranged to prevent non-related traffic. The operating room
shall be as remote as practicable from the entrance to provide asepsis. The dressing room shall be located
to avoid exposure to dirty areas after changing to surgical garments. The nurse station shall be located to
permit visual observation of patient movement.

20.4 The delivery service shall be located and arranged to prevent non-related traffic. The delivery room
shall be as remote as practicable from the entrance to provide asepsis. The dressing room shall be located
to avoid exposure to dirty areas after changing to surgical garments. The nurse station shall be located to
permit visual observation of patient movement. The nursery shall be separate but immediately accessible
from the delivery room.
20.5 The nursing service shall be segregated from public areas. The nurse station shall be located to permit
visual observation of patients. Nurse stations shall be provided in all inpatient units of the hospital with a
ratio of at least one (1) nurse station for every thirty-five (35) beds. Rooms and wards shall be of sufficient
size to allow for work flow and patient movement. Toilets shall be immediately accessible from rooms and
wards.

20.6 The dietary service shall be away from morgue with at least 25-meter distance.

21. Space: Adequate area shall be provided for the people, activity, furniture, equipment and utility.
Notes:

1. 0.65/person – Unit area per person occupying the space at one time
2. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space for occasional
visitor, and space for aisle
3. 1.40/person – Unit area per person occupying the space at one time
4. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional visitor, and
space for passage of equipment
5. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher

References shall be made to the following:

• P. D. 1096 – National Building Code of the Philippines and Its Implementing Rules and Regulations

• P. D. 1185 – Fire Code of the Philippines and Its Implementing Rules and Regulations

• P. D. 856 – Code on Sanitation of the Philippines and Its Implementing Rules and Regulations

• B. P. 344 – Accessibility Law and Its Implementing Rules and Regulations

• R. A. 1378 – National Plumbing Code of the Philippines and Its Implementing Rules and Regulations

• R. A. 184 – Philippine Electrical Code

• Manual on Technical Guidelines for Hospitals and Health Facilities Planning and Design. Department of
Health, Manila. 1994

• Signage Systems Manual for Hospitals and Offices. Department of Health, Manila. 1994

• Health Facilities Maintenance Manual. Department of Health, Manila. 1995

• Manual on Hospital Waste Management. Department of Health, Manila. 1997

• District Hospitals: Guidelines for Development. World Health Organization Regional Publications, Western
Pacific Series. 1992

• Guidelines for Construction and Equipment of Hospital and Medical Facilities.

 American Institute of Architects, Committee on Architecture for Health. 1992

• De Chiara, Joseph. Time-Saver Standards for Building Types. McGraw-Hill Book Company. 1980

REFERENCE: Department Of Health – November 2004


ARCHITECTURAL CONCEPTS

1. Breitfuss Model

General
A typical feature of the Breitfuss model is that a tall building block with nursing functions is placed above a
flat building block with treatment and outpatient functions. The structure of the building shows a clear division
between the static nursing units in the ward block and the dynamic departments on the lower two (or three)
storeys. The external appearance of the ward block is often of an imposing design due to its definitive status.

Access
In general it may be said that the Breitfuss model produces a compact building with relatively short
walking distances. However, staff and visitors do have to make frequent use of the lifts. The number of lifts is partly
determined by the number of storeys of the ward block. In the case of high-rise with around 10 floors, a
considerable part of the ward block will be taken up by provisions for vertical traffic (lifts and (emergency)
staircases).
Due to its compact design, this model usually has a clearly recognizable main entrance.

Functional Relationships
Since the low-rise structure contains all diagnostic and treatment functions, it is possible to create good
spatial relationships with this type of building. Where the medical staff is concerned, the stacking of the wards can
mean that there is a considerable distance between the outpatient unit and the wards.
The Breitfuss model, originally designed according to functional planning of the care provided (outpatient
appointment unit, nursing unit, imaging diagnostics, laboratories, etc.), offers in principle sufficient possibilities for
planning the facilities for care provided on the basis of patient flows or on the basis of the care process. The
Breitfuss model is less suitable for planning on the basis of target-groups.

Flexibility
Where flexibility is concerned, account has only been taken of the possibility of adaptation and expansion
in relation to functions on the lowest floors. No possibilities for expansion or adaptation haveusually been provided
for in the ward block. As a result of these limitations in the design, it is more difficult with this type of building to
comply with policy concerning the new style hospital that advocates a shift from inpatient to outpatient.

Example of Breitfuss Model


Location and Name of Institution: The Hague – Leyenburg Hospital
Date of Completion: 1971
Number of Beds: 750 Beds
Gross Floor Area: 90,000 m²
2. Double Comb Structure

General
The double comb structure is characterized by a traffic zone in the centre from which different building
wings protrude like the teeth of a comb. The building structure is designed like a uniform grid. It comprises many
end walls, the so-called “open ends”, which make it simple to add extensions.

Access
Due to the many open ends, the external architecture gives the impression of being unfinished. In contrast
with the Breitfuss model, for example, an overall picture of the hospital is not visible. If located in the heart of the
traffic zone, the main entrance may be hidden between the teeth of the comb. In the case of large hospitals, this
structure can lead to a sprawling design.

Functional Relationships
Functions which have to comply with the same requirements are grouped in one wing. From the point of
view of size and technical requirements, the teeth of the comb are geared to the functions to be housed there.
Practical experience has shown that stacking spatially related functions with specific requirements regarding
installations can also be successfully done in one wing. For example, the emergency department is located on the
ground floor, intensive care on the first floor and the operating unit on the second floor. Other designs may include
all laboratories in one wing, plus the pharmacy and the central sterile supply services unit, or wings with only
nursing functions.

Flexibility
The double comb structure was developed at a period when flexibility had become one of the most
important design criteria. Flexibility is guaranteed by extending the teeth of the comb or by extending the traffic
structure by adding a new wing. The basis structure of the hospital remains unchanged after these extensions.
Example of Double Comb Structure
Location and Name of Institution: Nieuwegein – St. Antonius Hospital
Date of Completion: 1979
Number of Beds: 579 Beds
Gross Floor Area: 61,000 m²

3. Arcade Structure

General
The arcade hospital emerged as a new model in the early eighties and has been used a number of times in
the Netherlands. In this model, the building elements of the hospital are linked with each other by a glass-covered
arcade for main traffic. Located on both sides of this arcade, on several floors, are the rooms or internal access
routes that look out onto the arcade. In the arcade on the ground floor are a number of public amenities such as
shops and a restaurant.
Access
The high arcade is a clear structuring element. The main entrance at one end of the arcade is easily
recognizable. From the arcade, the vertical means of access to the upper floors are clearly visible.

Functional Relationships
It is evident from the hospitals built in accordance with this model that organization can take place in
various different ways.

In Waterland Regional Hospital in Purmerend, the functions are located above each other. On the ground
floor are the outpatient clinics, on the first floor the operating department and the laboratories, and above those a
technical floor. The top two storeys house the nursing wards.

In Almere, Flevo Hospital is also based on an arcade model, but in this instance the functions have been
placed behind each other in different parts of the building. The outpatient departments, imaging diagnostics and
the accommodation for management functions are situated near the main entrance. In the centrally located areas
of the building are the operating department, the emergency department, laboratories and physiotherapy. At the
end of the arcade are two building elements containing the nursing wards.

Maasland Hospital in Sittard, currently at the design stage, will also be built according to the arcade
structure. A section of the building for treatment functions is planned in the heart of the complex, at right angles to
the arcade. Parallel to the arcade on the ground floor and the first floor will come the outpatient department
facilities. Above these, on the top three floors, will be the nursing wards.

Flexibility
In a similar way to the double comb structure, the traffic structure (arcade) can be extended while
retaining the basic structure and new building elements can be added to it. The building elements linked to the
arcade usually have open ends on the other side that make it simple to add extensions in the future.

Example of Arcade Structure


Location and Name of Institution: Almere – Flevo Hospital
Date of Completion: 1991
Number of Beds: 213 Beds
Gross Floor Area: 19,000 M²
4. Cross Structure

General
In the case of this model, two building blocks each in the form of a cross have been linked to each other so
as to create a large covered hall between the two building blocks. The covered hall is the centre of the building and
contains the central facilities.

Access
The main entrance is located in on corner of the covered hall. This plaza is the heart of the structure and
contains the central facilities. The vertical access points in the cross-shaped building blocks are clearly visible from
the plaza. This structure lends itself well to the development of a relatively large hospital within a compact design.

Functional Relationships
The best-known hospital based on this model is the Rijnstate Hospital in Arnhem. Virtually all the nursing
wards are housed on the top four storeys of this hospital. The outpatient departments and treatment & diagnostics
units are located on the lower level. Between the upper and lower level is a technical floor. From the two
intersections, a walkway diagonally crosses the central hall at a first floor level, thereby reducing walking distances.
The cross structure is in principle suitable for all three planning models with regard to accommodating the care
organization.

Flexibility
The open ends of the cross-shaped building sections can be extended while retaining the basic structure.

Example Of Cross Structure


Location and Name of Institution: Arnhem - Rijnstate Hospital
Date of Completion: 1994
Number of Beds: 750 Beds
Gross Floor Area: 82,000 m²
5. Branched Structure

General
Under the heading branched structure, a look will be taken at two completed hospitals where the most
characteristic element of the structure is formed by the number of branches and open ends. This concerns the
Canisius Wilhelmina Hospital in Nijmegen completed in 1992 and the Antonius Hospital in Sneek completed in
1994. In both of these hospitals, a square central hall forms the heart of the building.

Access
The main entrance is directly linked to the central hall. The central hall is the centre of the structure and
contains amenities such as boutiques and a restaurant. From this central hall the patients and visitors can gain
access to the most important departments of the hospital. The main stairwells and the lifts are easily accessible
from the central hall.
Functional Relationships
The Canisius-Wilhelmina Hospital in Nijmegen was built according to this design. With an average of 3
storeys, this hospital is relatively low-rise. The outpatient departments have their own entrance, but this is located
on the same side of the square as the main entrance. Most nursing wards are located in the branches leading off
the square. The operating department and intensive care are situated on the top floor. The situation and size of the
site made it possible to build a relatively low-rise hospital. This means that all the wards have a pleasant view over
the green surroundings.

The Antonius Hospital built in Sneek is also characterized by low-rise building. In this hospital, separate
buildings elements were developed per main function. The services building is located separately so that this
function can respond to future developments. Functions which require a higher building height have been located
on the top floor. This concerns the X-ray and operating departments, physiotherapy, pharmacy and laboratories.

Flexibility
Due to the existence of many open ends, a branched structure possesses by definition sufficient external
flexibility. The following observations may be made regarding flexibility in the Antonius Hospital. The different
function groups have been housed in separate building elements with a construction and raster size geared to the
function group. Supporting outside walls have been used for patient accommodation, while diagnostic, treatment
and service functions have a skeleton structure. Since each main function is located at an open end, the possibility
of expansion is guaranteed. All beds in the multi-bed rooms are of equal quality due to the fact that the beds are
located by a window. In addition, all multi-bed rooms can be partitioned into maximum one-bed rooms.

Example of Branched Structure


Location and Name of Institution: Sneek – Antonius Hospital
Date of Completion: 1992
Number of Beds: 270 Beds
Gross Floor Area: 29,000 m²

Example of Branched Structure


Location and Name of Institution: Nijmegen – Canisius-Wilhelmina Hospital
Date of Completion: 1992
Number of Beds: 638 Beds
Gross Floor Area: 63,000 m²
6. Linear Structure

General
For the draft plan for Vlietland Hospital in Schiedam, a design has been developed consisting of a single
linear block that can accommodate all hospital functions in accordance with their inter-relationships. The depth of
the block is approximately 22 metres and is designed for the application of a double corridor.

Stairwells and cable and piping shafts have been incorporated in a rational design in the central zone.

Access
The linear block forming the hospital is designed with a number of kinks so that the overall shape
resembles a hairpin. An entrance is located on both sides and opens into a high glass hall that is wedged between
the linear building block. The different lifts and stairwells can be reached from the central hall. In places where a
short link is required for functional purposes, additional glass connection corridors have been designed between
departments located opposite each other. In this way acceptable walking distances have been achieved.

Function Relationships
The dimensions of the linear building have been geared to house both outpatient clinics and nursing
wards. On different floors, outpatient departments are located next to nursing wards. In the case of future bed
reductions, wards can easily be converted into outpatient clinic space. This design is fully in accordance with policy
on new style hospitals where a shift from inpatient to outpatient is advocated.

Flexibility
There are limitations regarding the external flexibility of the design of Vlietland Hospital on account of the
fact that it only has two open ends and due to the size of the site. Internal flexibility is good, due for instance to the
rational uniform design which makes it possible to interchange functions.

Example of Linear Structure


Location and Name of Institution: Schiedam – Vlietland Hospital
Date of Completion: 2006 (Planned)
Number of Beds: 453 Beds
Gross Floor Area: 48,000 m²

7. Pavilion

General
During the pre-war years, larger hospitals were built according to the pavilion structure. A cluster of
categorial hospitals was built on the site. This method was abandoned after the war. Today, however, some designs
for large hospitals are returning to the pavilion structure and opting for a plan according to clinical entities, themes
or type of care. An example of this is the design for the Isala Clinics in Zwolle. A characteristic feature of the pavilion
structure is that the spatial facilities that form part of the chosen plan are grouped together.
Access
The design of the new building for the Isala Clinics comprises four blocks, varying from four to six storeys.
Each block has an atrium. The building blocks will be built on three sides of the existing complex. Situated beneath
the new building blocks is a parking garage from which all four blocks can be reached. In addition, the main
entrance is located between two blocks, passing into a central hall into which opens an extensive system of
corridors providing access to all the building elements. This design has several different entrances as a result of
which extra measures will be necessary from the point of view of security and surveillance.

Functional Relationships
The new building will house virtually all patient-related functions, organized per block according to clinical
entity. As you move higher up the building, facilities for outpatients decrease as inpatient facilities increase.
The pavilion structure is particularly suitable for a plan based on care according to target-groups/clinical
entities.

Flexibility
A design based on planning according to clinical entity in one or more building elements has a negative
effect on flexibility. Changes in activities and space between the functional units as a result of developments in the
care sector will be difficult to achieve in the future without a change in the basic organisation principles.

External flexibility does exist, however, since in this design a number of building elements can be extended
at the ends. Account has also been taken of constructing an extra floor on top of the different building elements.

Example of Pavilion Structure


Location and Name of Institution: Zwolle – Isala Clinics
Date of Completion: Last Section 2011 (Planned)
Number of Beds: 911 Beds
Gross Floor Area: 126,000 m²
REFERENCE: THE GENERAL HOSPITAL

BUILDING GUIDELINES FOR NEW BUILDINGS (report number 0.107)


Adopted by the Netherlands Board for Hospital Facilities on 7 October 2002
Approved by the Minister for Health, Welfare and Sports on 19 November 2002
USER ANALYSIS

PRIMARY USERS
USERS DESCRIPTION ACTIVITIES
IN-PATIENTS A patient who is admitted Receive treatment and care
that requires at least one (1)
overnight stay
OUT-PATIENTS A patient who is admitted Seek consultation and receive
that does not require an treatment
overnight stay

MEDICAL STAFF
USERS DESCRIPTION ACTIVITIES
PHYSICIANS Specializing doctors for Provides patient consultation
patient consultations and and treatment
operating procedures
NURSES Nurses serving on floors or Provides medical aid to
in the In-patient department patients
CHIEF NURSE Head of the Nursing Oversees nurses’ works and
department schedule
MEDICAL TECHNOLOGIST Specializes in testing Testing of specimens
laboratory specimens
CLINICAL PATHOLOGIST Specializes on the human Reviews, confirms, interprets
body’s chemical make up and reports tests conducted
in the laboratory
ANATOMICAL Specializes in the human Works in the mortuary
PATHOLOGIST anatomy
PHARMACIST Specializes on the contents Preparing and mixing of
and preparation of drugs solutions
and medicine
RADIOLOGIST Specializes in the Reads and interprets x-ray
radiography films
PHYSICIAN-IN-CHARGE OF Head physician in the Supervises the work flow in
RADIOLOGY Radiology department the Radiology department
SURGEON Doctors on duty in the Conducts the operating
Operating Rooms procedures on patients
OR NURSES Nurses on duty in the Aids the physician in the
Operating Room operation
ANAESTHESIOLOGIST Specializes in administering Administers anesthesia to
the anesthesia. He/she is patients before operation
the legal physician to
administer the said drug
ER DOCTORS Medical doctors working in Conducts first operation to
Emergency Department patients delivered in the
Emergency Department
ER NURSES Nurses on duty in the Aids the physician in the
Emergency Department operation
ER RECEPTIONIST Receptionist on duty in the Provides and records
Emergency Department information of patients
brought in the Emergency
Department
UTILITY WORKER Works in the mortuary Stores bodies and perform
(MORTUARY) autopsy procedures

ADMINISTRATION
DIRECTOR Head of the whole health Manages and oversees the
facility whole operation of the health
facility
ADMIN OFFICER Head of the Administrative
Department
RECEPTIONIST Welcomes and provides Receiving of patients and
information to patients and visitors in the main lobby
visitors coming in the main
lobby
CASHIER In-charge of the payments Receives and records the
received from the patients payment transaction of the
patients
CHIEF FINANCIAL OFFICER Head of the Finance Oversees the production of the
Department financial staff; acts as the
bookkeeper
COMMISSION ON AUDIT In-charge of medical and Files and retrieves records
AUDITOR facility files and records
COMMISSION ON AUDIT Clerks filing and retrieving Receives visitors, as well as
PERSONNEL files and records files and retrieves records

SECONDARY USERS
PATIENTS Family members and friends Dropping in on patients (inpatients)
VISITORS of patients visiting them in or accompanying
their stay them for their check-ups
(outpatients)

ADMINISTRATION
DIRECTOR’S SECRETARY Assistant of the Director Works directly for the Director
ADMIN STAFF MEMBERS Additional staff members for Filling and recording of
auditing and other office documents
works
ADMIN SECRETARY Assistant of the Works directly for the
Administrator Administrator
MEDICAL RECORDS In-charge of keeping and Organizes the records of
OFFICER organizing medical records patients

MEDICAL AIDS
NURSING ATTENDANTS Practitioners giving Helps and assists nurses and
assistance to nurses patients

MEDICAL TECHNICIANS
X-RAY TECHNICIAN Operator for the CT scanner Operates and maintains the x-ray
equipment
CT SCAN TECHNICIAN Operator of the CT scanner Operates and maintains the
CT scanner

SERVICES
SECURITY Guards and other security Maintains order and peace w/n
personnel the vicinity of the facility
DIETICIAN Head of the Dietary Ensures the quality and
Department sanitation of food
DIETARY STAFF Works in the Dietary service Preparation, assembly and
disposal of food for patients
and employees
SUPPLY OFFICER Head of CSSU Store and retrieval of supplies
LAUNDRY UNIT HEAD Head of Linen and Laundry Oversees work
Department
LAUNDRY WORKERS Linen and Laundry Washes, presses and sorts
Department staff linens
TERTIARY USERS
MAINTENANCE
JANITORS Hard workers ensuring the Maintaining the cleanliness by
cleanliness of each facilities sweeping, wiping, etc.
LINEN STAFF In-charge of the clean and Cleaning soiled linens,
soiled linen, its storage and pressing, folding and
maintenance distributing clean linens

UTILITY
MECHANICAL SERVICE In-charge of repairing and Conducts inspections and
maintaining mechanical repairs to mechanical
equipment
ELECTRICAL SERVICE In-charge of repairing and Conducts inspections and
maintaining electrical repairs to electrical equipment
equipment
UTILITY WORKERS Maintenance and sanitation Sanitary disposal of wastes’
stores and retrieves supplies
for different hospital units

SPACE PROGRAMMING

SPACE USER OCCUPANT LOAD SPACE AREA IN SQUARE


COMPUTATION METERS
ADMINISTRATIVE SERVICE
1. Main Lobby
a. Waiting Area
b. Information and Reception
Area
c. Toilet
2. Business & Finance Office
3. Medical Records
4. Office of the Chief of Hospital
5. Social Service Office
6. Security /CCTV Room/Radio
Room
7. Accounting Office
8. Auditor Office
9. Conference Room
10. Affiliates Room and Library
11.Human Resources Office
12. Printing and Storage Area
13. Employees Lounge

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
DIETARY
1. Dietitian Area
2. Supply Receiving Area
3. Cold and Dry Storage Area
4. Food Preparation Area
5. Cooking and Baking Area
6. Serving and Food Assembly
Area
7. Washing Area
8. Garbage Disposal Area
9. Dining Area
10. Toilet
SPACE USER OCCUPANT SPACE AREA IN SQUARE
LOAD COMPUTATION METERS
MORTUARY
1. Cadaver Holding Room
2. Waiting area
3. Autopsy
4. Morgue
5. Mortician room
6. Staffs Locker w/ T& B

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
CLINICAL SERVICE
1. Emergency Room
a. Waiting Area with
Information /Triage
b. Toilet
c. Nurse Station
d. Examination and Treatment
Area with Lavatory/Sink
e. Observation Area
f. Equipment and Supply
Storage Area
g. Wheeled Stretcher Area
h. Police / Investigation Area
i. Minor Operation Room
j. Doctors on Duty
Room/Lounge
k. Nurse’s Locker
l. Satellite X-Ray
m. Cast Room
2. Outpatient Department
a. Waiting Area
b. Toilet & Utility room
c. Admitting and Records Area
d. Minor O.R.
e. Consultation with
Examination/ Treatment Area
with Lavatory/Sink
1. Medical
2. OB Gyne
3. Surgical
4. ENT
5. Eye
6. Dental
f. Department Head office w/
Toilet

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
SURGICAL
1. Major Operating Room
2. Sub-sterilizing Area
3. Sterile Instrument Supply and
Storage Area
4. Scrub-up Area
5. Clean-up Area
6. Dressing Room
7. Toilet
8. Nurse Station
9. Wheeled Stretcher Area &
Transfer
10. Janitor’s Closet
11. Recovery Rooms
12. Anesthesiologist Area
13. Anesthesia Area & Storage
14. Doctors Locker /Lounge and
Toilet
15. Nurse Locker /Lounge and
Toilet

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
OBSTRETICAL SERVICE
1. Delivery Room
2. Labor Room
3. Scrub-up Area
4. Clean-up Area
5. Dressing Room
6. Sub-sterilizing Area
7. Recovery Room
8. Utility/Janitors Closet
9. Wheeled Stretcher Area

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
NURSING UNIT – INPATIENT WARDS
1. Semi-Private Room with Toilet
2. Patient Rooms
a. Semi Private Room
b. Private Room
c. Ward
3. Toilet
4. Isolation Room with Toilet
5. Nurse Station
6. Treatment and Medication
Area with Lavatory/Sink
7. Intensive Care Units
a. Nurse Station
b. Family Area/Waiting Area

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
NURSING SERVICE
1. Office of the Chief Nurse

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
NURSERY DEPARTMENT
1. Nurse Station
2. Suspect/ Pathological Nursery
Room
3. Newborn ICU
4. Formula Prep & Work Area
5. Viewing Area
6. Breast Feeding
SPACE USER OCCUPANT LOAD SPACE AREA IN SQUARE
COMPUTATION METERS
CENTRAL STERILIZING AND SUPPLY ROOM
1. Receiving and Releasing Area
2. Work Area
3. Sterilizing Room
4. Sterile Supply Storage Area

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
ANCILLARY SERVICE
1. Primary Clinical Laboratory
2. Urinalysis Unit
3.Biochemistry Unit
4.Histology
5. Bacteriology and Serology
6. Exam and Test Room
7. Specimen Toilet
8. Glass Washing and Sterilizing
Unit
9. Clinical Work Area with
Lavatory/Sink
10. Pathologist Area
11. Staff Room & Locker

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
RADIOLOGY
1. X – Ray Room with Control
Booth Dressing Area and Toilet
2. Dark Room
3. Film File and Storage Area
4. Radiologist Office w/ toilet
5. Waiting Area w/ Info
6. Rad-fluro X-Ray Room w/
Control Booth
7. Ultrasound Room
8. Doctor’s Viewing w/ Clerical
Area
9. Staff Room/Lounge
10. Storage
11. CT Scan Room.

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
PHARMACY
1. Chief Pharmacist Office w/
Toilet
2. Patient Dispensing Area/
Counter
3. Receiving/ Breakdown and
Inspection Area
4.Flammable Storage
5. Bulk Storage
6. Extemporaneous Preparation
Area
7. Distribution Area
8. Work Area
9. Staff’s Lounge w/ Locker and
Toilets
SPACE USER OCCUPANT SPACE AREA IN SQUARE
LOAD COMPUTATION METERS
PHYSICAL THERAPY DEPARTMENT
1. Exercise Area/Space
2. Examination Room
3. Physical Therapist Room/
Office
4. Staff’s Room /Lounge

SPACE USER OCCUPANT SPACE AREA IN SQUARE


LOAD COMPUTATION METERS
MAINTENANCE AND MOTOR POOL
1. Laundry and Linen Area
a. Linen Office & Work Room
b. Central Linen and Storage
c. Receiving & Sorting
d. Washing Area
e. Pressing & Ironing Area
f. Distribution Area
2. Maintenance and
Housekeeping Area
3. Electrical Room
4. Maintenance Office
5. Mechanical Room
6. Biomedical Equipment
Storage & Work Area
7. Waste Water Treatment
Facility
8. Drivers Quarter/Staff Room
9. Equipment Storage
10. Workroom
11. Parking Area for Transport
Vehicle /Motor Pool
12. Supply Room/Medical
Gasses
13. Waste Holding Room /MRF