Hospital designBY: CARLO ARMANDO REYES

defining the term

A hospital is a health care institution providing patient treatment with specialized staff and equipment. The best-known type of hospital is the general hospital, which has an emergency department. A district hospital typically is the major health care facility in its region, with large numbers of beds for intensive care and long-term care. Specialised hospitals include trauma centres, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric problems and certain disease categories. Specialised hospitals can help reduce health care costs compared to general hospitals. A teaching hospital combines assistance to people with teaching to medical students and nurses. The medical facility smaller than a hospital is generally called a clinic. Hospitals have a range of departments (e.g., surgery, and urgent care) and specialist units such as cardiology. Some hospitals have outpatient departments and some have chronic treatment units. Common support units include a pharmacy, pathology, and radiology.

General hospitalThe best-known type of hospital is the general hospital, which is set up to deal with many kinds

of disease and injury, and normally has an emergency department to deal with immediate and

urgent threats to health. Larger cities may have several hospitals of varying sizes and facilities.

Points to consider•PD-344 ( accessibility law )

•PD-1185 (fire code)

•PD-856 (sanitation code)

LEVEL 11. A staff of qualified medical, allied medical and administrative personnel headed by a physician duly licensed by PRC;

2. Bed space for its authorized bed capacity in accordance with DOH Guidelines in the Planning and Design of Hospitals;

3. An operating room with standard equipment and provision for sterilization of equipment and supplies in accordance with:

a. DOH Reference Plan in the Planning and Design of an Operating Room/Theater (AnnexA);

b. DOH Guidelines on Cleaning, Disinfection and Sterilization of Reusable Medical Devices in Hospital Facilities in the Philippines (Annex B);

4. A post-operative recovery room;

LEVEL 15. Maternity facilities, consisting of ward(s), room(s),a delivery room, exclusively for maternity patients and newborns;

6. Isolation facilities with proper procedures for the care and control of infectious and communicable diseases as well as for the prevention of cross infections;

7. A separate dental section/clinic;

8. Provision for blood station;

9. A DOH licensed secondary clinical laboratory with the services of a consulting pathologist; •

10. A DOH licensed level 1 imaging facility with the services of a consulting radiologist;

11.A DOH licensed pharmacy.

Level 2A Level 2 hospital shall have as minimum, all of Level l capacity, including, but not limited to, the following:

1. An organized staff of qualified and. competent personnel with Chief of Hospital/Medical Director and appropriate board certified Clinical Department Heads;

2. Departmentalized and equipped with the service capabilities needed to support board certified/eligible medical specialists and other licensed physicians rendering services in the specialties of Medicine, Pediatrics, Obstetrics and Gynecology, Surgery; their subspecialties and ancillary services;

3. Provision for general ICU for critically ill patients.

4. Provision for NICU (Neonatal Intensive Care Unit)

5. Provision for HRPU (High Risk Pregnancy Unit)

Level 26.. Provision for respiratory therapy services;

7. A DOH licensed tertiary clinical laboratory;

8. A DOH licensed level 2 imaging facility with mobile x-ray inside the institution and with capability for contrast examinations.

Level 3A Level 3 hospital shall have as minimum, all of Level 2 capacity, including, but not limited to, the following:1. Teaching and/or training hospital with accredited residency training program for physicians in the four (4) major specialties namely: Medicine, Pediatrics, Obstetrics and Gynecology, and Surgery;

2. Provision for physical medicine and rehabilitation unit;

3. Provision for ambulatory surgical clinic;4. Provision for dialysis facility;

5. Provision for blood bank;

6. A DOH licensed tertiary clinical laboratory with standard equipment/reagents/supplies necessary for the performance of histopathology examinations;7. A DOH licensed level 3 imaging facility with interventional radiology.

Checklist to determine level of hospital based functional capacity.

Zoning

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Villa memorial medical center

Case Study.

International hospitals

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