dc.description.abstract | The 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 | |