Planin n Org of Hosp Unit and Ancillary Services
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Transcript of Planin n Org of Hosp Unit and Ancillary Services
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PLANNING & ORGANIZING HOSPITAL UNITS & ANCILLARY SERVICES
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Aims of hospital planning
• .
To enlarge the existing hospital by introducing new facilities.
To increase utilization of hospital facilities
To increase population coverage
Modernization of existing facilities
To increase productivity of hospital
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Hospital planning process
Feasibility study for the hospital
Actual planning
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The feasibility study
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Need of the
hospital in that
location
Availability of
manpower
Catchment of the area
Economy of the area where the hospital
Site conditions
Financial resources
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Actual planning
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Planning & Co-ordination with othe departments
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HOSPITAL DESIGN
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LAND REQUIREMENTS
No. of beds Land in acres Storey of building
50 beds 10 acres Single storey
500 beds 55-70 acres 3-5 storey
1000 beds 90-100 acres 6-9 storeys
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• SPACE REQUIREMENTS: 780-1005 sq ft is required.
• HOSPITAL SIZE: plan two separate hospitals of 400 beds, each with a scope of future expansion
• BED PLANNING: 85% bed occupancy .
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BED DISTRIBUTION : • Medical: 30-40% Surgical: 25-30%• Obstetrical: 15-18% • Pediatric: 10-12% • Miscellaneous: 10-15% (including eye and
ENT)
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JOURNAL
HOSPICON is a leading hospital consultancy firm with national and international experience
• Hospital Planning, • Designing and Consultancy• Doctor/Hospital Practice Management & Promotion
• Medical Tourism
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SERVICES RENDERED
• main plan.pdf
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OUTPATIENT DEPARTMENT
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LOCATION
• easily accessible to those who come for outside.
• separate wing with OPD attached
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• SPACE: 0.66-1 sq ft area per annual outpatient attendance should be provided for OPD
• SIZE: the size of OPD depends upon the volume of attendance, clinics provided and extent of facilities like blood bank, emergency department
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FUNCTIONS OF THE OPD
• Records• Public relations
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Facilities in OPD• The general procedure and rules should be
hung on walls.• The registration area should be easily
recognizable.• The waiting lines should have enough
furniture• Health education messages can be promoted
through fliers, posters and mass media.
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Staffing of OPD
The medical staff Nursing staff Paramedical staff Receptionists and Medico social worker
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EQUIPMENTS
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WARD
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Planning and organization
• General wards• Specific wards
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Ward planning• Size of ward: 100-120 sq ft/bed and• Smaller rooms of 2-4 beds are preferable.• Area per bed (within the ward) - 80 sq ft/bed• Area per bed (in acute ward) -100 sq ft/bed• Space between two beds is 3 1/2 - 4 ft.
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Size of rooms
Single bed room -125 sq ft/bed• 6 bed room - 400 sq ft/bed• ICU - 120-150 sq ft/bed• Obstetrics and orthopedics - 120 sq ft/bed
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EQUIPMENTS
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Hospital Ancillary Service
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CSSD
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Planning and organizational consideration of CSSD:
Bed size of the hospital Location of CSSD
Up to 100 beds In operation theatre
100-500 beds CSSD centrally located in service area
Above 500 beds CSSD in service area and a separate unit for OT
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Distribution of the space
• Clean area including sterilization- 40%• Sterile storage area-15%• Equipment storage-14%• Fluids, needles & syringes- 14%• Receiving & clean up area-12%• Glove processing area-5 - 7%• Additional 25% space located for future expansion
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AREA REQUIREMENT
• up to 400 bedded hospitals -1.64 sq.m/bed• > 400 beds an area -1 sq.m/bed
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Staffing pattern
200-300 bed hospital- 10-15 person Recommended :1 CSSD worker per 30 beds plus one supervisor
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Inventory management
• Stock• Issue of materials• Distribution of sterile items• Grocery system
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ARTICLESaudi Arabia: Monday, May 24 - 2010 at 10:45King Faisal Specialist Hospital and Research Center -
Riyadh enhances their CSSD department• E3 has successfully implemented Lawson's Surgical Instrument Management (SIM) .
• It enables hospitals to track surgical instruments and trays throughout their life cycle from procurement to assembly, packaging, sterilization, storage, distribution and utilization
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LAUNDRY SERVICES:
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Planning and organization
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No.of beds Space
200-300 beds 3750 sq.ft.
300-500 beds 5670 sq.ft.
500-600 beds 6460 sq.ft.
>650 beds 8210 sq.ft.
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Physical layoutTwo distinct areas:• Dirty area:Reception of solid linenSorting of soiled linen into suitable quantities
for processing• Clean area:dryingfinishingdischarge a barrier wall between the clean and dirty area
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Decor• Laundry manager’s office• Supply storage room• Sufficient space for the storage of one week• Utility services• The steam supply system• The power supply -220 or 440 volts in three
phases• Lighting• Fire extinguishers
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News…..
FEB2006, NY• Mother sues hospital after her dead newborn
found in ………………………… HOSPITAL LAUNDRY
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KITCHEN SERVICES
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• 200 beds or less: 20 sq ft per bed• 200-400 beds: 16 sq ft per bed or 18 sq ft per
bed• 500 beds & above: 15 sq ft per bed
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Functional areas in department
• Recipient area• Preparation area• Cooking area• Service area• Washing area• Disposal area• Storage area• Dry provisions • Fresh provisions • Office store keeper
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• items to be stored at room temperature• Items require cool temperature (8-100c is
maintained).• Deep fridge where temperature• Day store:
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Functions of the Dietary store
• Storage of food items• Purchase of food products• Equipment planning• Financial control
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ArticleSunday 12 August 2007,Denis Campbell,UK
Scandal of filthy hospital kitchens• 46 %- were found to have poor cleanliness in their kitchens, or canteens or cafes used by staff, patients and visitors.
• Nine of the 377 were private hospitals,. 68 did not meet the legal minimum standard for food storage and 66 were storing food at the wrong temperature, which can stimulate the growth of bacteria
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LABORATORY SERVICES
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Internal design and fitments
• Work benches: 75-90 cm• Lighting: fluorescent fixtures that give uniform
illumination and minimize heat.• Storage• Partitions• Air conditioning:• Working surface/ flooring: Flexible vinyl
flooring
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Area/space• Laboratory space -200 sq. ft • Primary space• Secondary space.• Circulation space.• sample collection• Bar-coding system for samples• Specimen toilet• Pathologist office• Glass washing and sterilizing unit• Report issue.• Utility services
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Staffing
Staff requirement of laboratory technicians can be worked out empirically on the basis of generally accepted norm which is about 30 tests per day per technician.
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Equipment:• Auto analyzers• Cell counter:• Centrifuge• Refrigerators• Pressure sterilizers• Pipette washers• Analytical balance• Semi auto analyzer• ELISA reader• Blood gas analyzer• PCR instrument• Flow cytometer
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EMERGENCY SERVICES
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Design
• 1000 sq.ft is required for daily patient load of 100 patients.
• equipped room of about 10 m2 near the entrance hall with attached
• Work area. • Visitor‘s toilet• Nurse‘s station• Examination and treatment area:• Stretcher, trolley, wheelchair store
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Rooms in the emergency department
• Fracture room:• Plaster room:• Care of burns:• Isolation room
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Equipments
• Stretchers • On-the wall oxygen unit • On-the wall suction unit • BP apparatus, otoscope, stethoscope,
opthalmoscope etc. • Spot lights • Utility table • Airways and resuscitation bags
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Staffing pattern: • 24x7emergency physicians, especially trained
in emergency medicine • A well staffed emergency department• For registration and records, usually 3 clerks
work in day and afternoon shift, and 1 during night.
• Round the clock Security• Public relations and social worker
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JOURNAL
david ki reoche et alMany Hospital Emergency Department Visits Could be Treated
Elsewhere .USA
Many studies have found the cost of treating of nonemergent conditions in the emergency department is significantly higher than in other settings, which can increase patients' out-of-pocket costs and add avoidable spending to the nation's health care bill.
•A new RAND Corporation study says about 17 percent of all visits to hospital emergency departments across the United States could be treated at retail medical clinics or urgent care centers, potentially saving $4.4 billion annually in health care costs.
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Reference
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1. N anoop. Textbook of nursing management. 186-4002. Currentnursing.com3. http://laico.org/v2020resource/files/
Hospital_planning.pdf4. http://www.online-medical
dictionary.org/Hospital+Ancillary+Service.asp?q=Hospital+Ancillary+Service
5. http://www.hospiconsultant.com/6. http://www.ameinfo.com/233387.html7. http://www.guardian.co.uk/society/2007/aug/12/
health.freedomofinformation
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