IS 12433-2 (2001): Basic Requirements for Hospital ...

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2 > 0 B Bhart hari N ti atakam Knowledge is such a treasure which cannot be stolen Invent a New India Using Knowledge IS 12433-2 (2001): Basic Requirements for HospitalPlanning, Part 2: UP to 100 Bedded Hospital [MHD 18:Imaging and Radiotherapy Equipment]IS12433(Part2):2001$1-I-JT2 Ioofa ,9 BAHADURSHAHZAFARMARGNEWDELHI110002 January2001 PriceGroup14 HospitalPlanningSectionalCommittee,MHD18 FOREWORDThisIndianStandard(Part2)wasadop tedbytheBureauofIndianStandards,afterthe draftfinalizedbyHospitalPlanningSectiona lCommitteehadbeenapprovedbytheMedicalEqu ipmentandHospitalPlanningDivisionCouncil ,TheGovernmentofIndiaisasignatorytotheAl maAtadeclarationtoachievetheobjectiveof . (1983) ,therefore, ,socio-economicandculturalbackgroundofth ecommunity,climateandlogistics,localarch itectureandlifestyle, ,thloughfunctionalplanning,designdevelop ment,equipmentandmanpowerplanning, ,acquisitionandinstallationofequipmentan dsupplies,selectionandrecruitmentofstaff , (ITIF actor) (FactorB)withinandbetweendepartmentsalso assumesgreatsignificanceforet% ~ammeofeachhospitalwillvarybetweenregion swithinthecountryandbetweencommunitieswi thinregions, ,however, ,suchas,healthandsocio-economicprofileof thecommunity,availabilityofhealthcareinf rastructureintheregion,localarchitecture andsiteconsiderations,methodsoforganizat ion,sourcesoffinancingandchoiceoftechnol ogy,etc, ,namely.

3 Section1 Section2 Section3 Section4 Section5 MedicalprogrammeFunctionalprogrammeArear equirementsWorkflowManpowerrequirements( Continuedonthirdcover) IS12433(Part2) (Part2)coversbasicrequirementsforplannin g100beddedgeneralhospitalinrespectofmedi calprogramme,functionalprogramme,areareq uirements,manpowerrequirements,instrumen ts, , , , , , ,andpartiestoagreementsbasedonthisstanda rdareencouragedtoinvestigatethepossibili tyofapplyingthemostrecenteditionsofthest andardsindicatedbelow:IS :1985732:19891474:19591475:19781742:1983 2064:19932065:19832189:1988 TitleNationalelectricalcodeCodeofpractic eforelectricalwiringinstallations(thirdr evision)CommercialrefrigeratorsSelf-cont aineddrinkingwatercoolers(secondrevision )Codeofpracticeforbuildingdrainage(secon drevision)Selection,installationandmaint enanceofsanitaryappliances Codeofpractice(secondrevision)Codeofprac ticeforwatersupplyinbuildings(secondrevi sion)Codeofpracticeforselection,2190:199 22268:19882309:19892440:19753362:1977434 7:19675329:19837662(Partl):19748030:1976 10905(Part1).

4 1984 SECTION installationandmaintenanceofautomaticfir edetectionandalarmsystem(secondrevision) Selection,installationandmaintenanceoffi rst-aidfireextinguishers Codeofpractice(secondrevision)Electricca llbellsandbuzzersforindooruse(secondrevi sion)Protectionofbuildingsandalliedstruc turesagainstlighting Codeofpractice(secondrevision)Codeofprac ticefordaylightingofbuildings(secondrevi sion)Codeofpracticefornaturalventilation ofresidentialbuildings(firstrevision)Cai eofpracticeforhospitallightingCodeofprac ticeforsanitmypipeworkabovegroundforbuil dings(jrstrevision)Recommendationsforori entationotbuildings:Part1 Non- :Group1 IS12433(Part2) , , (optional)EmergencyMedicineDentistryDerm atologyandSkinandVDVenereology(optional) GeneralMedicineInternalMedicineGeneralSu rge~HospitalAdministrationHealthAdminist rationNeonatology(optional)Obstetricsand GynecologyOphthalmologyOrthopedicsOto-Rh ino-Laryngology(optional)PediatricsPatho logyPhysicalMedicine(optional)Psychiatry (optional)PulmonaryMedicine(optional)Rad ioDiagnosisEyeRehabilitationChestDisease /mRadiologyGroup2:HealthandAlliedService sFamilyWelfareHealthEducationMaternaland ChildHealthNutritionSchoolHealthGroup3.

5 Nursing,Paramedical, (optional) (optional)SterilizationandDisinfec-tionI ncludingAnesthesiaTechnologyCSSDT echnologyGroup4 * * ,Ventilation,andAirconditioning(optional )HorticultureLandscapingHotWaterandSteam Supply(optional)LiftsandVerticalTranspor tLPGsupplyMechanicalTransportAmbulanceSe rviceMedicalGasSupplyandGsVacuumScaven~i ng-Refrige;atlonSewageTreatmentandSanita tionandDisposalDrainageSolarEnergy(optio nal)SolidWasteDisposalIncinerationTeleph oneandCommuni-cationWaterSupplyPlumbingW orkshopGroup5 (optional) (optional) *Thisactivitywilldependonclimaticconditi ons2 (optional) (optional) (optional) , ,thehospitalistohaveabalancedcombination ofthefollowingfunctionalareasandservices : . Entrancearea,Ambulatorycarearea,Diagnost icservices,Intermediatecarearea,Intensiv ecarearea,Criticalcarearea,Therapeuticse rvices,Hospitalservices,Engineeringservi ces, ,namely: Mainentranceforambulato~care,diagnostics ervicesandtherapeuticservicesaswellastoi ncludeaccommodationforpharmacyservices.

6 IPD(In-patientdepartment)/Emergencyentra nceforintermediatecare,intensivecareandc riticalcare(emergencyservices)aswellasto includeaccommodationforarcade. Service/StaffentranceforhospitalandIS124 33(Part2):2001engineeringservices,hospit alsupplies,medical, Generalandspecialityclinicsforexaminatio n,consultationandtreatmentofout-patients . , ,privateward(ACandNonAC),dedicatedwards, like,maternityandpediatricswiththefollow ingbeddistribution:CategoryofWard,~Gener alward1(Medical)includingalliedspecialit yGeneralward2(Surgical)includingalliedsp ecialityPrivateward(ACandNonAC)(optional ) (4percentofbedstrength). (about6percentofbedstrength). , ,viz,protective,clean, ,centralsterilesupply,hospitallaundry, ,mechanical,publichealth,fireprotection, communication, IS12433(Part2) ,nursingadministration,generaltransport, housekeeping, ,stairs,fireescapes,walls,rampsandlifts, , ,like,horizontalorverticaldevelopment,FA R(floorarearatio) :Totalhospitalbeds100 Numberofstoreys3 Byplacing40percentofareaongroundfloorand remainingin2upperfloors, ,plotareawillbe4timesof3700mz,thatis, ,say, , ,butmaybecompatiblewithotherconsideratio ns,suchas, ,like,wards, ,theimportanceoflandscapeelements,suchas ,openareas,horticulturetoincreasethecomf ortconditionswithintherecommendationscon tainedinIS7662(Part1), ,residentialaccommodationfortheessential staffonlywhichincludesresidentmedicaloff icer, ,like.

7 MedicalStaflMinimumStrengthHospitaladmin istrator1 Generalmedicalspecialists3 Generalsurgeons4 Obstetricianandgynecologist2 Ophthalmologist24 MedicalStaffMinimumStrengthOtorhino-lary ngologist2 Pediatrician2 Dentist2 Anesthetist2 Orthopedicsurgeon1 Dermatologist(optional)1 Neonatologist(optional)1 Psychiatrist(optional)1 Pulmonarymedicinespecialist(optional)1 Pathologist1 Radiologist1 Generaldutymedicalofllcers8+3 Communitymedicinespecialist1 NursingStafl(SeeAnnexC)HealthStaffFemale healthassistant1 Extensioneducator1 Nutritionist1 Publichealthnurse1 ParamedicalStaffLabtechnicians/Bloodbank Technicians4 ECGtechnician1 Pharmacists4 Linen-keeper1 Steward1 Seniorradiographer1 Physiotherapist/Occupationaltherapist2 Medicalrecords1 Dentaltechnologist1 Ophthalmologytechnologist1 CSSD2 Technicalassistants5 EngineeringStaffCivilengineeringtechnolo gist2 Mechengineeringtechnologist2 Electricalengineeringtechnologist2 MedicalStafiEngineeringaidesOtherStaflIS 12433(Part2).

8 2001 MinimumStrengthDrivers,ambulancevanClean ersambulancevan(Onedriverandonecleanerpe rambulance)CarpenterTinsmith-eum-plumber TailorsGardenersCooksCookmatesClassIV,in cludingchowkidarsandMessengersBarberAdmi nistrativeStaffOtllcesuperintendent/Lady secretary(non-medical,non-gazetted)Headc lerkCashierStenographerUDCLDC(includingr egistration)Nursingorderly/Messengers4+2 22112223551111124 2*NOTE Additionalstaffshownwith+sign, ,EQUIPMENTANDFURNITUREREQUIREMENTS10 INSTRUMENTS, , ,thenumberoftheseshallbegovernedbytheact uallocalconditions.*Inclrrdedinthetotals trengthofclassIVstaff. IS12433(Part2):2001 DrlIISUPPORTSERVICESZONEI19II101!291 IIIm,R,T~ ~~ n2121nilINTERMEDIATEZ(WAMBULATORYZONEL1 IIuD25EJ,,l7c1 BENTJ~ENCE12 1! , , , , , ,1OO-BEDDEDHosPzrM6 IS12433(Part2):2001 AENTRANCEAREAA-1 RECEPTIONC hair,metal,officetypeIS3499(Partl):1985 Chairs,plasticmouldedIS13713:1993 FirefightingequipmentAsperstatutoryrequi rementsGraphicsandsignature systemsAudiovisualdisplayJanitor sEquipment Floorscrubbers1S3015:1985 Brooms DustersIS859:1978 NoticeboardIS10405:1982 Reception-registration desklcounterTable,metal,office/counter1S 3498:1993 Trolley,patientsIS4036:1967 Watercoolerwith3/4spoutsIS1475:1978 Wheelchairs1S6571:1991,1S7454:1991,IS808 6:1991A-2 DISPENSARYC hairs,metal,officetypeIS3499(Part1):1985 Jugsforwater,tumblersIS3424:1985 RefrigeratorIS1474:1959IS1476:1979 SinkunitwithdesktopworkIS2556area(Part5) :1994 StorageRacksIS1883:1983,IS7070:1988 Table,metal,officetypeIS3498:1993 Wash,handbasinIS2556(Part4).)

9 1994 BAMBULATORYCAREAREAB-1 EXAMINATION/CONSIJLTATIONB edsheetIS175:1989 BowlsIs3994:1993 Chair,metal,officetypeIS3499(Part1):1985 Chairs,plasticmouldedIS13713:1993 Doctor stowel1S854:1991 Dusters1S859:1978IS3777:1994 Diagnosticset(Aspertheclinicsrequirement s)a)Ophthalmoscopeb)ENTspeculumc)Torchd) Laryngoscopeandauroscopee)Tonguedepresse rExaminationtable/stretcherwithmattressK idneytraysScreenstandsStepstoolIS8257:19 76IS3788:1966IS5377:1969IS2083:19911S411 3:1986IS7756:1975IS4787:1968IS4035:1967I S4037:1967IS3992:1982IS4458:1967 StretcherandstretchercarrierIS4037:1967 SphygmomanometerIS3390:1988IS7652:1988 StethoscopeIS3391:1965 Stool,revolvingIS7081:1973 WashhandbasinwithliquidIS2556soapdispens erandtowel(Part4):1994railX-rayviewersB- 2 NURSINGSERVICESC hair,metal,officetypeIS3499(Partl):i985 Dressingdrum1S3831:1979 FirefightingequipmentAsperstatutoryrequi rementsHotplatesIS365:1983 Nursesstationcounter/desk NoticeboardsIS10405:1982 RefrigeratorIS1476:1979IS1474:1959 ScreenstandsIS4458:1967 SinkunitwithinstrumentIS2556workarea(Par t5):1994 Stool,revolvingIS7081:1973 Storageunits-storageracksIS1883:1983IS70 70:1988 Table,metal,officetypeIS3498:1993IS8126: 1993 Trolley,dressing/instru-IS4769:1968menti medicineIS5631:1970IS7083:1973 Trolley,patientsIS4036:1967 Wallclocks1S5160:19697 1S12433(Part2).

10 2001 WastereceptaclesWashhandbasinwithliquids oapdispencerandtowelladWatercoolerWashin gmachinesWheelchairsX-rayviewersB-3 DENTALA irmotorAirrotorwithcompressionAirvivaBio psykitChair,dentalChair,metal,officeuseC hair,revolvingDentalunit,completeDentalX -rayunitanddevelopingfacilitiesDeskforre ceptioncounterDressingdrumExcavatorsExtr actionforceps,assortedFillinginstruments etHandpiece,straightandcontraangleMinors urgeryinstrumentsOxygencylinder,trolley, gasPerio-surgicalinstrumentsPlasticfilli nginstrumentsProstheticlaboratoryanddent ureprocessinginstrumentsPulptesterScaler s,assortedScalersset,sub-gingivalIS6904: 1973[S2556(Part4):1994IS1475:1978IS6390: 19831S6571:1991IS7454:1991IS8086:1991 IS6846:1972 1S6116:1992Is3499(PartI):1985Is3499(Part 2):1985IS5023:1969IS13709:1993 1S3831:1979IS4715:1968(SeeAnnexD) IS309:1992IS6207:1971IS8198(Part12):1982 IS3890(Partl):1986IS3890(Part2):1967IS10 866:1984IS11044:1984IS11045:1984IS11317: 1985 IS4714:1985 c-l8 Scalers,ultrasonic SterilizersIS3829(Partl):1978IS3829(Part 2):1978IS3829(Part3):1985IS5022:1989IS84 62:1977 SuctionapparatusIS4533:1995 Table,otilceIS3498:1993 Tray,completesetsforIS9717:1980edentulou sanddentulourjaws(perforated)Trolley,pat ientsIS4036:1967 WallclockIS5160:1969 WheelchairIS6571:1991IS7454:19]