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Ramesh Hospital, s
e
Guntur
S
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Architectural Design u
d
B-Arch IV Year Vii Semester y

By- A
K. Hari Prasad (1130100367) n
Muthu Kumaarr (1130100372) a
Jeba Mi Zerah (1120100 l
J. Aravind (1120100284) y
s
i
s
Name : Ramesh hospital
Location : Guntur, Andhra Pradesh.
Capacity : 350 bedded
Typology : tertiary hospital
Site area : 4100 sq. m I
Floor area : 2400 sq. m n
NEIGHBOURHOOD CONTEXT: t
Located in a residential zone. r
Nearest hospital: government
general hospital, Guntur (1.3 km) o
Abutting road width: 20m d
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t
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Site 58 m 40 m 20 m wide road
n

60 m

81 m
• The given Setbacks S
6m
i
t
6m
15 m
e
24 m
20 m wide road
L
12 m
Elevation e
v
Plan
e
• The required Setbacks as l
per G.O168.
8m A
n
8m 8m a
24 m
20 m wide road l
y
8m s
Elevation
Plan i
• The given setbacks are as per standards as
setbacks on remaining sides can be shifted. s
EMERGENCY EXIT

INPATIENT WARDS

EMERGENCY WARD V
OPERATION THEATRES & e
POST OPERATIVE
r
LABS,CSSD,BLOOD BANK
t
MOTHER AND CHILD
i
CONSULTATION ROOMS c
ICU
CONFERENCE HALL a
M.D CHAMBER
l
CATH LABS
ICU
CONSULTATION
Z
ADMINISTRATION
CONSULTATION o
DINING HALL
n
OPD
RADIOLOGY i
n
g
• The spatial privacy increases from bottom to top.
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Inferences C
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• The circulation is rectilinear in the entire hospital. c
• This minimizes walking distance among the spaces and u
leads to free flow of traffic without any confusion. l
• The ceiling height in the corridor is 2.4m (standardised). a
• The corridors are lit with a combination of natural and t
artificial systems. i
• Appropriate signage’s are provided along the circulation o
path for better guidance n

P
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Horizontal
The consultation rooms are
casualty provided in ground, first and
third floors for different
To minor ots departments.
consultation
For every
departments
C
lift individual centralized waiting
Corridor to spaces are provided with o
lift labs information and registration
pharmacy
counters. n
But separate restrooms and
Prayer
room
toilets are not provided for n
Heart the doctors and nurses.
triage lift lift triage
and brain e
toilets stroke
Lp
casualty casualty c
t
Consultation rooms i
Casualty entrance v
Movement through casualty department:
Consultation rooms i
Entrance casualty entrance triage area casualty treatment area
radiology labs ( if necessary ) inpatient rooms t
Information waiting y
counter
Spaces missing in casualty department:
Security rooms, resuscitation room, storage rooms, dedicated
Consultation
visitors waiting room and administration room rooms
Vertical
The escalator connects only the
ground and first floor.
Rest of the floors are connected C
only by lifts for general movement.
There are 10 lifts in total which
o
seems to be sufficient for the crowd. n
Out of these 10, 6 are suitable for n
stretcher movement while the rest e
four are only for passenger
c
movement.
t
The vertical connectivity in the i
building is good. v
i
Vertical movement t
through lifts and
escalator y
Fire staircase and ramps
Qualitative Analysis

• The hospital majorly depends on artificial light and ventilation.


• Natural light is limited to the front atrium and fire exits.
V
• The inpatient rooms in 7th and 8th floor L
e
are naturally well lit with central rooms i
being exception. n
g
• The other spaces at the outer wall and
t
h
corridor’s were moderately lit(naturally). i
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&
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Naturally well lit

Moderately well lit

Moderately lit
A
Area Distribution % r
Administration
Service Dept. 8% e
17%
OPD a
16%

D
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Diagnostic & r
Therapeutic
Wards 20% i
39%
b
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• Area per bed- t
i
floor plate area= 2400sq.m total built up area= 2400X12=28800Sq.m
o
Area Per Bed=28800/350=82.2sq.m
n
Entrance Area Intermediate Care Area A
SPACE STANDARD PROVIDED SPACE STANDARD PROVIDED r
General Wards 140
Main Entrance 175m2 95.6m2
Private Ward
840
280 3200
e
Entrance lobby 49m2 127m2
Reception 63m2 120m2 a
Dispensary 63m2 28.6m2

D
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Ambulatory Care Area Clinics Diagnostic Services s
SPACE STANDARD PROVIDED t
SPACE STANDARD PROVIDED
General Clinics 224m2 532m2 Imaging 350 81 r
Ophthalmic 196m2 - Reception 63 i
Dental 63m2 180m2 General X-ray 63 28
OBS and b
Special X-ray 87.5 60
Gynaecology 70m2 490m2 Radiography u
Pediatric 56m2 30m2
Orthopedics 56m2 -
room 35 39 t
Ultrasound 35 18
Cardiology 756m2 Support 52.5 63
i
Intensive Care Staff 49 o
Area 196m2
Critical Care Area 469m2 n
A
Supportive Services r
SPACE STANDARD PROVIDED
Hospital Kitchen 154 330
e
Central Sterile Supply 140 220 a
Hospital Laundry 154 62 Engineering Services
Medical & General
Stores 182 240
SPACE STANDARD PROVIDED D
Electrical 98
Mortuary 70 - i
Sub-station 31.5
Standby generator 31.5 s
U.P.S. 10.5 t
Workshop 10.5
Switch rooms 14
r
SPACE STANDARD PROVIDED
Blood Bank 70 200
Mechanical 98 i
Lifts 35 612
b
Air-conditioning 38.5
Boilers 10.5 u
Solar energy - t
Air handling unit 14
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• Appropriate Signage's
Fire Safety have been provided at
regular intervals.
EMERGENCY EXIT • Fire fighting
equipment are provides
at every compartment
• Fire exit door width
1.8m (Less than
standards – 2m). S
• Sprinkler system is e
installed as per fire r
norms.
v
• Maximum travel
distance to nearby by i
exit is 28m (within fire c
norms - 30m).
• A fire tank of 200KL
e
capacity. s
Waste Disposal
Waste from Waste
Waste Storage
building Disposal truck

Exit S
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v
Hospital Block i
Site
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Entry
Toilets • Toilets for specially
abled people are less in
Floor Male Male Female Common number and not user
(W.C) (Urinals) friendly.
Ground 3 5 3 1 • The toilets were mostly
artificially lit and
First 5 9 5 1 ventilated.
Second 3 3 4 4 • the inpatient rooms in S
7th and 8th floor have e
Third 4 5 4 6 their individual toilets.
Fifth 2 4 2 3 r
• The there are not
adequate number of v
Sixth 3 5 3 9 toilets for outpatients. i
Seventh - - - 39 • The toilets are not c
Eighth - - - 39 easily accessible for the
visitors. e
s

• The common toilets include toilets for specially abled.


• The visitor toilets in suite rooms were very small and not properly ventilated.
• There are toilets for Admin/staff in 1st basement level.
Cafe and dining Pharmacy:
spaces:
the dining and Provision of a pharmacy in the ground floor
There is no kitchen in the building. The food is
café space is near the exit is accessible to the opd. The
brought from outside. The small confectionary counter
well connected central pharmacy for storing of drugs situated in
in the ground floor is situated at the end near the
to other floors, the fifth floor is a good measure to save space
emergency ramps. It does not have any independent
as the lift is in the ground floor. But a small pharmacy could
seating space. This counter is for the people waiting
in opd.
situated nearby. have been provided in the 7th floor for the ipd. S F
But one more
cafeteria could
u a
There is one dining space (app.
170 sq. m) in the first floor. The
have been p c
placed near the
CONFECTIONARY
COUNTER
small kitchen space here is used
ipd wards. dumb p i
for small scale cooking and
heating food.
waiters specially o l
for café in the
first floor is not r i
provided. Use of
common lift for
t t
i i
STORE LIFT LOBBY
transporting
CORRIDOR

food should not


CONFECTIO-
NARY
be done. n e
PANTRY COUNTER
g s
Staff restrooms:

Restrooms for doctors and nurses are not


KITCHEN DINING SPACE provided anywhere. Even washrooms are not
provided for consulting doctors.
Cellar 1 Cellar 2 Cellar 3

c
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LEGENDS:
the first cellar floor does not have parking space. It has office spaces and l
staff dining areas. - Vehicular movement
The second cellar has bike parking for 100 bikes (app.) and storage units a
such as water softening tanks and gas tanks, etc.
The third cellar floor has car parking for 60 cars (app.)
- Office spaces r
- Lifts
Inferences: - Fire staircase
The natural lighting and ventilation to the cellar floors are not sufficient.
The ramp and circulation width are around 7m which is sufficient for two way - storage
vehicular movement.
The vertical movement to the upper floors through the lifts is good enough - Staff dining space
with a total of 10 lifts.
Parking percentage = 16.7% - Water tank and other
services
Pro’s
• The circulation pattern – Rectilinear – ease of access.
• Fire Safety measures – Fire exits location.
- Compartmentalisation of the building. C
• Vertical zoning – Efficient distribution of spaces. o
• Technology – Modern technology for better services. n
• Blood bank in this hospital is good and sufficiently large. c
Con’s l
• The lighting and ventilation in case of toilets. u
• Difficulty for Specially abled persons for circulation. s
• Two way swing doors used were difficult to operate.
i
o
• Lack of sufficient landscaping elements.
n
• Lack of Doctor’s station and less number of Nursing station.
• Inadequate parking facility.
• There are no common gathering spaces.

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