ORTHOPEDIC HOSPITAL

DETAILS OF
SERVICES TO BE
PROVIDED AT
BUILDING LEVEL
 WHAT IS ORTHOPEDIC AND ITS RELATED
TERMS?
Orthopedic surgery or orthopedics (alternatively
spelled orthopaedic surgery and orthopaedics)
is the branch of surgery concerned with
conditions involving the musculoskeletal system.
Orthopedic surgeons use both surgical and
nonsurgical means to
treat musculoskeletal trauma, spine
diseases, sports injuries, degenerative
diseases, infections, tumors, and congenital
disorders.
The human musculoskeletal system (also known as
the locomotor system, and previously
the activity system[1]) is an organ system that
gives humans the ability to move using
their muscular and skeletal systems.
 HOSPITAL SERVICES
BASIC SERVICES-1.CIVIL WORKS
2.WATERSUPPLY
3.ELECTRICITY

SUPPORTING SERVICES-1.HOSPITAL GASES

2.BIOMEDICAL WASTE DISPOSAL
3.C.S.S.D
4.HOUSEKEEPING
5.KITCHEN
6.LAUNDRY
 BASIC SERVICES

I. Civil Works

1. Land procurement, land development

2. Building works
3. Electrification, ventilation, lighting
4. Water supply
5. Lifts, elevator, conveyer bets
6. Hospital roads, garden, parks
7. Drainage system
8. Hospital traffic and parking slots.
Land acquisition in India refers to the process by which the union or a
state government in India acquires private land for the purpose of
industrialisation, development of infrastructural facilities or urbanisation
of the private land, and provides compensation to the
affected land owners .
 Civil Services

Construction & Waste Water

Water Supply House Keeping
Maintenance Disposal

Raw or Garbage, Bio-

recycled, Bio-Medical Medical solid
Sewage
Filtered, Soft, Liquid waste waste, Organic
De-ionized, RO waste, Sharps

Recycled ETP & STP

Water Pit Incineration
II. Water Supply
1. Source of water supply
2. Purification of water
3. Storage system of water
4. Distribution system of water.
Water requirement of hospital, (according to National Building Code):-
a) No of beds not exceeding 100 = 340 litres per head per day
b) No of beds exceeding 100 = 450 litres per head per day
c) Nurses/ medical staff quarters = 135 litres per head per day
d) Minimum hot water required = 45 litres per head per day.

Supply of Steam
Hot water and steam
Boilers
Steam distribution system
Boiler feed water.
III. Electricity

1. Nature & Magnitude of load.

2. Source of electric supply
3. Short circuit protection.
4. Alternative methods of electricity like stand by generators, solar system inverters
and UPS etc.
5. Load assessment, load distribution
6. Lighting
7. Air conditioning.
8. Isolation transformers for operation room complex.
 Electrical services

Power From
Power From Grid
Alternate Source
Control Panel

Lighting Equipments

Engineering
Stabilizers UPS Online UPS
Equipment

General Medical
Task Lighting
Lighting Equipment
 Mechanical Services

HVAC &
Boilers Medical Gas / Transportation
Refrigeration Compressors

Precision Steam Lift and

Oxygen / nitrous Accelerators
Oxide / Helium /
CO2
Comfort Hot Water
Vehicles
Medical
Compressed Air A4
and A7 / Vacuum
Ventilation

Refrigeration
 SUPPORTING SERVICES
HOSPITAL GASES
Various types of gases are needed in hospitals.
These are 1.)oxygen and 2)nitrous oxide.
These were the problems of decentralized system.
Hence more and more hospitals are turning to centralized systems of hospital
gases.The centralized system is operated from a point where space is provided to
arrange gas cylinders etc.The location of the room should be such as to reduce
piping distance. Copper piping is very costly and can make a difference. It should
be close to wards, ICUs and operation theatres as these areas mainly need
hospitals gases.
A room of about 3x3 to 4.5x 4.5 meters is provided in service area of the hospital.
It should be directly accessible from road so that loading and unloading of
cylinder can be done easily by bringing the vehicle next to the room.
A wide door of rolling shutter should be provided for easy movement of cylinders.
Ramp should be provided for easy movement with help of trolleys or lifting and
carrying manually.
The room and the ramp should have industrial flooring as other type of flooring
may get damaged due to movement of cylinders.