Scales Of MES Hospital Accommodation -2003

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    Appendix to Govt of India letter No 68452/Q3W(Policy/

    !8"/2##4/$ (W%" $t 28 &'n 2##4

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    +A0 ,- P*I)AI,N % 2##4

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    ii

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    No ection '9:ect a9le/ec Pa;e No

    " General Notes % " %3

    2 " Ward Units & Ancillaries % 4 < 5

    3 Ward Ancillaries " 6%=

    4 2 Special Ward Units & Ancillaries % 8%"6

    5 Special Ward Ancillaries 2A "=%"8

    6 Special Ward Ancillaries (Family Wards) 2 "! < 2"

    = Neonatal Intensive Care Unit (NICU) 2) 22 < 23

    8 Delivery Suite 2$ 24 < 25

    ! Additional Ward Ancillaries 2+ 26

    "# Burn Centre (Ward Ancillaries & Clinic) 2- 2= < 28

    "" Intensive Care Unit (Ward Ancillaries) 2G 2!

    "2 3 ut !atients" Department % 3# < 33

    "3 ut !atients" Department 3A 34 < 36

    "4 Consultin# Suites 3 3= < 4"

    "5 ut !atients Clinic (Family) 3) 42 < 45

    "6 ut !atient Clinic $ Department o% Sin (W'ere Aut'orised) 3$ 46%4=

    "= ut !atient Clinic $ !syc'iatric Centre (W'ere Aut'orised) 3+ 48 < 4!

    "8 ut !atient Clinic $ Neurolo#y Centre (W'ere Aut'orised) 3- 5# < 5"

    "! ut !atient Clinic $ rt'opaedic Centre and Arti%icial im Su Centre (W'ere Aut'orised) 3G 52 < 532# ut !atient Clinic $ Clinical Immunolo#y and *'eumatolo#y Centre (W'ere Aut'orised) 31 54 < 55

    2" ut !atient Clinic $ Urolo#y & Nep'rolo#y (W'ere Aut'orised) 3& 56 < 5=

    22 ut !atient Clinic $ Gastro$enterolo#y Centre (W'ere Aut'orised) 3> 58 < 6#

    23 ut !atient Clinic $ *espiratory (W'ere Aut'orised) 3* 6" < 62

    24 ut !atient Clinic $ Clinical +aematolo#y (W'ere Aut'orised) 3. 63

    25 ut !atient Clinic $ ncolo#y Centre (W'ere Aut'orised) 3N 64 < 65

    26 ut !atient Clinic $ Cardiolo#y, Cardio$t'oracic Sur#ery & -ascular Sur#ery Centre (W'ereAut'orised)

    3P 66 < 6=

    2= ut !atient Clinic $ *econstructive Sur#ery (W'ere Aut'orised) 3Q 68

    28 Anaest'esia !D and !ain Clinic 30 6!

    2! .ndocrinolo#y Centre (W'ere Aut'orised) 3 =# < ="

    3# 4 Dental Centre (W'ere Aut'orised) 4 =2 < =3

    3" 5 peration /'eatre Department =4

    i

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    32 peration /'eatre Department 5 =5%=!

    33 6 Central Sterile Service Department (CSSD) 6 8# < 8"

    34 = *adio$dia#nosis Department % 82

    35 *adio$dia#nosis Department (0 1 *ay Department) =A 83 < 86

    36 C/ Centre (W'ere Aut'orised) = 8=

    3= 2a#netic *esonance Ima#in# =) 88

    38 8 *e'ailitation Centre & !'ysiot'erapy Department % 8!

    3! *e'ailitation Centre (W'ere Aut'orised) 8A !# < !2

    4# !'ysiot'erapy Department (For +ospitals, 3'ic' are not aut'orised *e'ailitation Centre) 8 !3

    4" ! !at'olo#y aoratories % !4< !5

    42 !at'olo#y aoratory !A !6 < "##

    43 2ortuary & Autopsy ! "#"

    44 Animal +ouse and .4perimental Sur#ery !) "#2 < "#3

    45 "# Blood Ban and Blood Component a (W'ere Aut'orised) % "#4

    46 Blood Ban and Blood Component a (W'ere Aut'orised) "# "#5

    4= "" Nuclear 2edicine Centre (*adiation 2edicine5*adio Isotope Centre) (W'ere Aut'orised) % "#6

    48 Nuclear 2edicine Centre (*adiation 2edicine5*adio Isotope Centre) (W'ere Aut'orised) "" "#= < "#!

    4! "2 *adiot'erapy Centre (W'ere Aut'orised) % ""# < """

    5# *adiot'erapy Centre (W'ere Aut'orised) "2 ""2 < ""5

    5" "3 Cardiac Cat'eterisation aoratory (W'ere Aut'orised) "3 ""6 < ""=52 "4 Bone 2arro3 /ransplantation Unit (W'ere Aut'orised) "4 ""8 < ""!

    53 "5 /ec'nical /rainin# Department "5 "2#

    54 "6 +ospital Administrative Department % "2"

    55 +ospital Administrative Department "6 "2" < "23

    56 "= +ospital Administrative Services % "24 < "25

    5= General Stores Services (62 Stores) "=A "26 < "2=

    58 2edical Stores Services "= "28 < "2!

    5! +ospital .7uipment 2aintenance Services (/radesmen) "=) "3#

    6# Dietary Service (+ospital 8itc'en) "=$ "3" < "32

    6" aundry Service "=+ "33

    62 +ospital Gara#e "=- "34

    63 Wel%are and Amenity "=G "35 < "36

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    64 "8 +ospital .n#ineerin# Services % "3= < "62

    65 "! Section +ospital 1 Sic Bay 1 Station o% Stren#t' up to 9: eds $General % "63

    66 Section +ospital 1 Sic Bay 1 Station 2edicare Centres "! "64 < "6=

    6= 2# NBC Decontamination Centre $ General % "68

    68 NBC Decontamination Centre 2# A "6! < "="

    6! aoratory Bio$sa%ety level I- 2# "=2

    =# ist o% amendments 5 corri#endum

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    G+N+0A* N,+

    ; eds or less 3ill also e covered under aove slas) ()

    A< -or individ'al Ward nit

    =< (a) Sister"s duty room =:

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    =< 2"s Duty *oom =:

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    Note?

    =< Dado to a 'ei#'t o% =m is to e provided in

    (a) All rooms under item KA" e4cept at ser =(a), @ & :

    () All rooms under item KC" e4cept at ser =, @ & :

    (c) All rooms under item KD"

    9< Ward pantry, dinin# servery & 3as' up rooms 3ill 'ave %ly proo%in# %or doors & 3indo3s

    patients

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    patients, Ser No 9>,9) to ceilin# 'ei#'t to 'ave 3ider doors (=

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    A$$II,NA* WA0$ AN)I**A0I+

    No -acilitie? -loor area in eter for

    Bard 'nit of

    )on?tr'ctional 0e@'ireent?

    8%"5

    9ed?

    "6%23

    9ed?

    24%32

    9ed?

    " 2 3 4 5 6 =

    0efer

    243(a

    Ne'rolo;y Bard (Ac'te

    =< 2"s Duty *oom =:

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    0N )+N0+ (WA0$ AN)I**A0I+ E )*INI)

    No -acilitie? -loor Area in ?@'are etre? )on?tr'ctional re@'ireent?

    " 2 3 4

    (0efer 24"6 ection%2

    Protective Fone

    =< *eception & 3aitin# 9=

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    treatment, 3ider door =m

    =< Sur#eon"s5Anaest'etist"s room =:;< Air curtains at t'e entrance o% t'e centre &/< Hanitors closet @;

    otal "55=5

    Note$=< Dado o% = meter 'ei#'t in sl< No 9, , , & =@ unless ot'er3ise speci%ied > > >

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    p to 4!

    faily

    9ed? in 8

    5#% !!

    faily

    9ed?

    "##%"!!

    faily 9ed?

    2## E a9ove

    faily 9ed?

    8## 9ed ?la9 E

    a9ove Ary E

    )od 1o?p

    -A in ?@ -A in ?@

    -A in ?@ -A in ?@ -A in ?@

    " 2 3 4 5 6 = 8

    33" ,9?tetric E Gynaecolo;y )linic

    =< 0eception E re;i?tration < %%ice, records computer =;; =;; =:

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    et3een t3o adacent !Ds5

    centres5depts 3it' a minimum o%one at eac' %loor 94> 3c)

    () Female 9 sets (one %oro%%icer"s %amilies and ot'ers%or HC5*"s %amilies)

    94@; 94@; 94> 94> 94> 3c< & 3'< (@;)93

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    =; /reatment room =;; =;; =;; =;; =: > 9 3c< & 3'

    /otal 23"## 322##

    Note? =< Dado =m 'i#' to e provided at Ser No @, (a), ==(Sanitary) and =>

    Wc & 3'

    9 3c & 3'=3c, = urinal & = 3'

    /otal 2"=## 665#

    NoteD

    =< /o #ive in uilt %le4iility, option may e e4ercised y t'e user %or cominin# 3aitin# rooms at Ser no @(a) to @(c) y providin# = d), central eart'in#, and no%luorescent tue li#'ts

    :< Doule s'utter doors o% 3idt' =m clear to e provided in rooms at Sl< No @, : & to =; %or easy accessiility o% patients on 3'eel

    c'air5 trolley< Ser No to =; s'ould 'ave controlled environment y air$conditionin# 9 3c, 3'

    /otal 238##

    Note?

    =< Dado =m 'i#' to e provided at sl< no :, , ?, =;, ==, =9 (e) and =@ (a) to =@ (c) 9 4 3c, 3or la enc'

    /otal 223!#

    9

    Note?D

    =< Dado =m 'i#' to e provided at Ser No =,,=; & ==

    9< Dado 9m 'i#' to e provided in Ser No &

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    @< /o #ive in uilt %le4iility, option may e e4ercised y t'e user %or cominin# 3aitin# rooms at Ser no @(a) to @() y providin# =< Seminar room at ser ? to e clued et3een t3o adacent !Ds5 centres5depts 3it' a minimum o% one at eac' %loor; eds dependin# upon t'e type o% 'ospital and usti%ication sumitted y t'e user ased on t'e 3or load< neminor / to e provided %or all 'ospitals upto >; eds

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    " 2 3 4 5 6 = 8 !

    A P0,+)I+ F,N+

    =< *eception )

    3c

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    =;< Autoclave room

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    (%or eac' pre$operative ed) curtains

    () *ecovery room(%or eac' post$operative ed)

    =;; =;; =;; =;; =;; =;; $ do $

    (c) /oilet @; @; @; @; @; @; 3c, 3'

    @; @; @; @; @; Bed pan sin 3it'

    Hanitor"s alcove 9> > 9> > 9> ;; ;; ;; 3c urinal 3' (> 9>) 3c 9 urinal 3'

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    () HCs5*s $$$ > > > > > > 9 3c & 3'

    otal 56## "435# "!!5# 22=5# 3255# 38"5#"5#5#M

    "4##

    56=##!"##M

    4!##J

    "4##

    546## 6!3##

    Note? $

    =< 0$*ay dept %or 9>$:? eds 'ospitals to e located in !D, =>, = (c), 9=, 99 to 'ave dado =m 'ei#'t> cm 3idt' 4 ; cm dept' 3it' t3o 3ater outlets %or solution tan and %itted 3it' t3o 'al% dia rods=>> cm

    lon# %itted at a distance o% @ cms %rom eac' ot'er in t'e 3as'in# tan at a 'ei#'t o% >; cm %rom ottom o% t'e tan, =, =, =, =?, 9@, 9:, 9>(), 9, 9, 9?, @;, @9, @@ & @:

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    < /o #ive in uilt %le4iility, option may e e4ercised y t'e user %or cominin# 3aitin# rooms at Ser no @(a) to @() y providin# =

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    storin# odies

    9< Autopsy room 9=

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    =< Anial Co'?eGuinea pi#s

    (a) Breedin#

    room

    /o e divided into : pans y 3ire nettin#

    () Nursery *ooms (a) & () to e separated y 3ire nettin#< An e7ual amount

    o% space surrounded y 3ire nettin# %or open run is to e provided

    @;@;

    3c

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    (d) *adio p'aramaceutical laoratory

    (e) Decontamination room

    9=

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    ==:

    +)I,N < "2

    0A$I,1+0AP )+N0+

    (W1+0+ A1,0I+$

    =9

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    =9

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    A*+ "2

    0A$I,1+0AP )+N0+

    (W1+0+ A1,0I+$

    er

    No

    -acilitie? -loor area in

    ?@'are etre?

    )on?tr'ctional re@'ireent?

    " 2 3 4

    =< *ece

    ption & *e#istration

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    ( )

    () HC & * %amilies =:

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    (#) -ie3in# 3indo3 : cm lead e7uivalence 3it' : cm

    lead e7uivalence urn out collar installed in anopenin#=9; 4 =9; cm< =@> cm 'i#' %rom %inis'ed %loor

    level, =;; cm %rom central line o% t'e coalt unit cm< Concrete at #antry end amp socet outlets and metal clad plu# and socet 3it'

    2CBs %or various electric #ad#ets and po3er consumin# apparatus are to e provided as onre7uired asis< Users are to e consulted %or t'e numer and location o% t'ese socet outlets in

    various rooms at t'e time o% Board !roceedin#s and detailed plannin# o% 'ospital proects o% 3ard units o% t'e 'ospital 3'ic' 3ill invarialy includeIntensive Care Unit, Acute 2edical and Sur#ical, Burn Centre(vi) Blood Ban (vii) All cold stora#e plants o% pat'olo#y laoratories, 62 stores and

    2edical Stores;

    Section $ > peration t'eatre +! steriliEin# room(Autoclave room)

    *e7uired desi#n 'eat remover o%> de#ree Celsius aove

    permissile amient temperature lit capacity), 3'ic' are to eprovided at t'e %ollo3in# scale $

    Section $= Ward units ne 9> !er 3ard pantry all

    3ards Ward ed stren#t'

    upto => eds Ward unit ed

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    stren#t' o% = eds &over !er : eds & partt'ereo% (Addl For t3o deliveryrooms5operatin#delivery room & partt'ereo% !er ostetric 3ardunit

    Burn centre /3o 9> Centre

    Section $ @ ut patients" department ne 9> +ospital upto =??eds

    /3o 9> +ospital 9;;$@??eds

    General out patient"s clinic ne 9> +ospital upto =??eds +ospital 9;;$@??eds

    =>@

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    Four 9> +ospital o% :;; & aoveeds

    (c) Filtered5so%t 3atersupply

    Filtered5so%t 3ater supply is re7uired in pat'olo#y laoratories (all types) and dialysis centre< So%t3ater supply to e provided %or mec'anical laundry and autoclaves < !rovision %or t'e supply e

    made as on re7uired asis in consultation 3it' users +ospital pat' la (lar#e)/3elve => Comd pat' la & Army

    +ospital pat' la 2edical stores section

    +ospital o% :;;$>?? eds 2edical stores section

    +ospital o% ;;$?? eds 2edical stores section+ospital o% ;; eds and

    aove For 'ospital >;$?? edsne 9 +ospital =;;$=?? eds/3o 9 +ospital 9;;$@?? eds

    () Deep FreeEer Deep %reeEers are to e provided in %ollo3in# locations $No Capacity ocation

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    No< Capacityin litres

    ocation

    Section $ @ ut patientdepartmentto ?? eds;;m, at t'e %ollo3in# scale $

    /'ree $ do $ +ospital :;;$>?? edsFour $ do $ +ospital ;;$?? eds

    & Comd +ospital; litres5'our

    +ospital o% :;; eds &

    over

    Section 1

    *e'ailitationCentre

    ne :; litres coolin# capacity,stora#e capacity ; litre

    +ospital aut'orisedsmall centre5

    p'ysiot'erapy centreSection 1

    ?

    !at'olo#y

    laoratories

    ne :; litre coolin# capacity,

    stora#e capacity ; litre

    +ospital up to @?? eds

    Section 1

    =

    Administrative

    deptt

    ne $ do $ +ospital up to @?? eds

    /3o $ do $ +ospital o% :;; eds &

    overSection 1=

    +ospitalAdministrativeServices

    ne $ do $ +ospital up to ?? eds

    /3o $ do $ +ospital =;;$=?? eds

    =>?

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    (ii) +umidity

    / departments :;$;

    ICU5CCU5NICU5!ICU :;$;

    Ward units e4cept urn centre5urn 3ard :;$;

    (iii) Air c'an#es peration t'eatre deptt/ *oom conductin# specialised operation lie cardiac$, Neuro$, and /ransplant sur#ery

    9> Air c'an#es5'rGeneral / *oom

    9; Air c'an#es5'r

    t'er areas

    =; Air c'an#es

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    ICU5CCU5NICU5!ICU

    =9 Air c'an#es5'r(*ooms to e A5C speci%ied in respective tales)

    Ward units and deptts< not speci%ied

    Air c'an#es5'r

    2iscellaneous Unidirectional air%lo3 3ill e provided in super speciality / and #eneral / 3it' +.!A %ilter o% ;

    micron siEe

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    =

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    =

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    =

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    r any ot'er suitale incinerator o% suitale capacity as per local re7uirement 5 any ot'er tec'nolo#y3'ic' meets t'e re7uirement o% t'at particular 'ospital, is eco$%riendly and is not 'avin# adverse impact on

    'uman 'ealt', 3it'in t'e parameters o% Biomedical Waste (2ana#ement and 'andlin#) rules laid do3n y t'eGovernment %rom time to time or any ot'er tec'nolo#y 3'ic' replaces incinerators in %uture< Area

    re7uirement %or (a), () & (c) 3ill e =>;, 9;; & 99> S7m respectively< In addition provision o% space to emade %or installation o% +ydroclave (area re7uirement %or turney 99> S7m), autoclave ( area re7uired %orturney proect => meter 4 => meter and micro3ave ( area re7uired meter ( 3idt') 4< (+ei#'t) 4 >meter(dept'), central 3aste collection area ( =;; S7m ) and trolley 3as'in# area < /'e %inal space re7uirement

    3ill e decided y oard o% o%%rs detailed y user unit dependin# up on t'e type o% e7uipment to e installed

    and nature o% 3aste mana#ement %acility < !rovision s'ould also e made %or disposal o% 'ospital se3a#e y acentral collection 5treatment 5 disposal plant o% suitale capacity dependin# up on ed stren#t' o% t'e 'ospitalas decided y oard o% o%%icers

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    +)I,N < "!

    +)I,N 1,PIA*% I)> A%AI,N .+$I)A0+ )+N0+ ,- 0+NG1 P, 24 +$

    =?

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    9< ut patient department includin# dia#nostic and t'erapeutic %acilities