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dc.contributor.authorKutai, Joabs E
dc.date.accessioned2014-04-04T13:48:53Z
dc.date.available2014-04-04T13:48:53Z
dc.date.issued2014-04-04
dc.identifier.urihttp://hdl.handle.net/11295/65855
dc.description.abstractThe design proposals for the Out Patient department have been based on two major concepts (1 ) Medical Concept defined as being a challenge to provide improved medical care to the population. In this context, medical care is defined as the study of how the fundamental knowledge in medicine and public health can be applied in order to benefit the community that it is supposed to serve. Therefore, it is observed that such medical service scheduled adapt, arid develop on its O'A'TI skill 8:1d methodology so as to fit local conditions. In this case as well as the doctor to patient ratio is approximately 1:50,000, this project uses the principles of functional zoning and graduated levels of medical care in order to cope with this patient load. The patient load is determined by the attendances per person Per year which depend also on distance covered by each patient while travelling to hospital This outpatient Department reflect the typical situation where patients have a shorter- distance to travel to the hospital which means that the patient load will be high. A survey of the existing Out, Patient Department indicated that an attendance of approximately two thousand five hundred (2500) per day could be anticipated. DESIGN PHINCIPLES: The major design problem to be solved in this project has that of CIRCULATION. As discussed above, this number of people involved is too large to be handled in one day using one system. It is necessary therefore to divide the patients into different categories and the building a number of zones as shown below ZONE A – ACCIDENTS AND EMMERGENCY-10% patient. There are two categories of such patients. (1 ) Stretcher cases Drought by ambulances, Police, and private cars . They have an. emergency entrance, (ii) Normal accident cases-may have broken limbs or so but their ca8es may not be serious to involve stretchers. However, they may use wheel chairs. They have a separate entrance. ZONE B - MOTHR AND CHILD HEALTH- 30% of patients Pro-vision of -Preventative medicine for the mothers Curative and preventative medicine for children e. g Imrnunisation et.c . ZONE C – CENTRAL OUT PATIENT- 40 % of patients. This has the highest patient load- include all general case of illness. ZONE D - SPECIALISED CLINICAL HEAALTH - 20% of patients. This includes clinics of the ophthamology, dentistry and psychiatry. ZONE E – RECREATIONAL- This caters for patients as well as the welfare of the staff , Although the whole of the Out Pato.ent. Department is divided into zones as discussed above, it is also necessary to to make best use of the staff available. These Levels constitute the MESICAL CARE REFERAL SYSTEM. LEVEL 1 - Entrance e, reception , records, registration and dispensing. LEVEL 2 – Primary medical Care – include diagnosis and treatment and acts as a filter for the higher levels in the referral system. It is manned by clinical officers, nurses, dressers etc. LEVEL 3 - Secondary Medical Care - includes diagnosis and treatment. It is manned by general physicians (doctors) LEVEL 4 - Tertiary Medical Care - It is manned by specialists like gynecologists, ophthalmologists, pediatricians psychiatrists etc. DESIGN (1) Lay out and sitting The Out Patient Department is located within a master hospital plan. However, the whole hospital compl2x is sited on a gentle slope. The site for this building had to be terraced by approximately one metre to make it level. . , (2) Plan relationship, accommodation and Orientation In. order to satisfy the circulation reeds the plan reflects the zones and levels of medical care outlinedl above and the circulation is one day throughout , To provide effective surveillance of the waiting areas, the primary level examination rooms are stagged. The orientation of the main faces of the building The structure is of reinforced concrete columns (300 x 30Cmm) on a-grid of (7. 2 x 7. 2m) and beams (400 x 300) . The floor is reinforced concrete. The slab (150mm) which is structural spans between the beams. Load bearing walls (225 x 225) have been used to the treatment rooms to resist lateral forces The ground floor is 100mm thick concrete slab laid on hard core. The first floor is a structural slab discussed above. The roof is a 150mm reinforced concrete slab (4). _Finishes - Floor – granolithic flooring. - Walls - Internal - Smooth plaster(12mm) with white paint. - white tiles to toilets, kitchens and laboratories. - External - Facing bricks to north and south facades for all the offices etc. , - Rough stones to the stairs - Plaster with white paint to the thickness, stores, etc. - Roof - Light weight screet in varying thickness to provide slope. -Asphalt -tree layers of bituminous felt
dc.language.isoenen_US
dc.titleKakamega provincial hospital: Proposed out-patient departmenten_US
dc.typeThesisen_US


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