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

1 Disclosure to Promote the Right To InformationWhereas the Parliament of India has set out to provide a practical regime of right to information for citizens to secure access to information under the control of public authorities, in order to promote transparency and accountability in the working of every public authority, and whereas the attached publication of the Bureau of Indian Standards is of particular interest to the public, particularly disadvantaged communities and those engaged in the pursuit of education and knowledge, the attached public safety standard is made available to promote the timely dissemination of this information in an accurate manner to the public.

2 ! $ ' + - Satyanarayan Gangaram Pitroda Invent a New India Using Knowledge 0 1 ' 5 Jawaharlal Nehru Step Out From the Old to the New 1 + , 1 + Mazdoor Kisan Shakti Sangathan The Right to Information, The Right to Live ! > 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.

3 (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.

4 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).

5 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.

6 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 .

7 Entrancearea,Ambulatorycarearea,Diagnost icservices,Intermediatecarearea,Intensiv ecarearea,Criticalcarearea,Therapeuticse rvices,Hospitalservices,Engineeringservi ces, ,namely: Mainentranceforambulato~care,diagnostics ervicesandtherapeuticservicesaswellastoi ncludeaccommodationforpharmacyservices. 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).

8 (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.

9 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).

10 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!)