Hospital Introduction

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1.

INTRODUCTION

This report, titled “Analysis of the Bellavista Hospital,” aims to analyze the hospital in
accordance with the National Building Regulations, to see whether or not it complies
with the established parameters.
In this work we will address the description of the Bellavista project, its location,
dimensions, its environments, among others.

Hoping that this work is to the reader's liking, as well as as part of their constant
learning or reinforcement of what will be seen below.

2. GOALS

3. THEORETICAL FRAMEWORK
3.1. Project description

The Bellavista hospital is undoubtedly one of the most modern hospitals


that the San Martin region will have.
It consists of 3 sectors, noting that sector one is the largest building where
the operating rooms, hospitalization rooms are located, along with the
seismic isolators, sector two is the public service area, that is,
consultations, cafeteria, etc.

Sector three consists of several environments, sector four is the force


chamber and sector five will be environments for patients with HIV,
maternal home, solid waste and others.

3.2. Project location location

It is located in the Province of Bellavista, San Martin region.

3.3. Architecture
This is the standard that we will use to carry out the analysis of the
Bellavista hospital
 Standard A. 050
HEALTH

Article 7.- Hospitals are classified according to the degree of complexity, the
number of beds and the geographical scope of action.

a) By the degree of complexity:


 Hospital type I.- Provides general care in the areas of medicine, surgery,
pediatrics, gynecology-obstetrics and odontostomatology.
 Type II Hospital.- In addition to what is indicated for the type I
hospital, it provides basic care in the independent services of medicine,
surgery, gynecology-obstetrics and pediatrics.
 Type III Hospital.- Added to the above is attention in certain sub-
specialties.
 Hospital type IV.- Provides highly specialized care to selected cases.

b) By the number of beds:


 Small hospital, up to 49 beds.
 Medium hospital, from 50 to 149 beds.
 Large hospital, from 150 to 399 beds.
 Extra large hospital with 400 beds or more.
c) Due to the geographical scope of action

 Hospital: National.
 Departmental support hospital.
 Local support hospital.

Article 8.- The hospital is divided into 8 nuclei, as follows:

a) The inpatient core is where inpatients reside during treatment periods.


b) The outpatient core is where patients go for consultation and examination.
c) The core of help with diagnosis and treatment is where hospitalized and
outpatient patients go for diagnosis and treatment.
d) The core of general services is where support is provided to the different
areas of the hospital for their comprehensive functioning.
e) The administration core is the area intended for the general management
and administration of the hospital.
f) The emergency center is where patients go in emergency situations that
can put their lives at risk.
g) The core of care and treatment is where the Surgical Center and Obstetric
Center Units are located.
h) The core of medical and personal comfort is where the residence for
medical personnel is located, such as changing rooms, dining rooms,
among others.

Article 9.- In a hospital there are seven types of circulation flows, depending on
volume, schedule, reliability and compatibility:

a) Outpatient circulation
b) Inpatient circulation
c) Personnel circulation
d) Visitor circulation
e) Supply circulation
f) Circulation of dirty clothes
g) Waste circulation

The primary purpose of circulation flow studies is to obtain an optimal


relationship between hospital care units.
Proper zoning of each unit should allow traffic flow to be reduced to a
minimum.

The largest volume of circulation is constituted by; outpatients and visitors.

The circulation of inpatients and outpatients must be planned so that, as far as


possible, the separation of traffic from these patients is maintained and that they
allow the effective movement of supplies and services throughout the hospital.

It is necessary that outpatient traffic does not enter the hospital and that
hospitalized patients do not mix with hospital traffic.

Given the heavy visitor traffic that comes to the hospital, the design must take
into account the need to separate visitor traffic from the daily functions of the
hospital as much as possible.

Article 10.- According to external circulation flows, it is necessary to consider


independent entrances and exits for visitors to the units, patients, staff, materials
and services; towards the emergency units, outpatient consultation,
hospitalization, general services and also the removal of corpses.

Article 11.- Vehicle parking areas must meet the following requirements:

a) Be separated for hospital staff, visitors and outpatients.


b) Consider a vehicle for each hospital bed.
c) Establish spaces reserved exclusively for the vehicles of people with
disabilities. These areas must be built in such a way that they allow a
wheelchair to be attached to either side of the vehicle, in order to facilitate
the exit and entry of these people.
d) The area designated for this type of parking should not be less than 5% of
the total, and be located as close as possible to the main entrance and
preferably at the same level as it.

Article 12.- internal circulation flows must consider:

a) Protection of traffic in units such as the surgical center, obstetric center,


intensive care unit, neonatology and emergency.
b) Avoid crossing clean and dirty areas.
c) Avoid crossing with hospitalized patients, outpatients and visitors.
Article 13.- circulation tickets must have the following characteristics:

a) For outpatients, a minimum width of 2.20 meters.


b) External and auxiliary corridors intended for the exclusive use of service
and/or cargo personnel must have a width of 1.20 meters.
c) Corridors within a unit must have a width of 1.80 meters.
d) Circulation to free spaces must have side protection in the form of a railing
and must be protected from the sun and rain.

Article 14.- The vertical circulation of patients to the hospitalization units will
be done using stairs, ramps and elevators.

a) Stairs.
- Stairs for general use will have a minimum width of 1.80 meters between
parameters and handrails on both sides.
- In hospitalization units, the distance between the last door of the patient
room and the stairs should not be greater than 25.00 meters.

- The service and emergency stairs will have a minimum width of 1.50 meters
between parameters and will have handrails on both sides.

- The stair step must have a depth between 0.28 and 0.30 m. and the offset
between 0.16 and 0.17 m.

b) Ramps:

- The slope of the ramps will be as indicated in standard A.120 Accessibility


for people with disabilities.
- The minimum width between parameters will be 1.80 meters for patients and
1.50 meters for service.
- The floor finish must be non-slip, and must have railings on both sides.
c) Elevators:
- They must be provided in all buildings with more than one floor.

Article 15.- The transfer of dirty clothes will be done using conditioned bags
with an indication of their content.
The disposal of garbage and waste material will be done in plastic bags, and
must have a specific forklift, and identifying the type of waste.

The use of garbage or dirty clothes chutes is not permitted.

Article 16.- The constituent spaces of a hospital must be organized in such a way as to
minimize interference between the different units that make it up. 12 units are
recognized whose main characteristics are described below:

a) Administration unit: it will be located near the main entrance, and should not be
a passage to other units.
b) External consultation unit: must have direct and independent access. It will be
located on the first level and separate from the hospitalization unit. The offices
should be grouped into general offices and specialized offices.
c) Diagnosis and treatment support unit: it will be made up of the following
departments:
- Physical medicine and rehabilitation
- Blood bank (hemotherapy)
- Pharmacy
- Clinical pathology
- Diagnostic imaging
- Pathological anatomy and wake
d) emergency unit
e) Obstetric and neonatology center unit
f) surgical center unit
g) Intensive care unit
h) Hospitalization unit
i) Personal comfort unit
j) Housing unit
k) Teaching and research unit
l) General services unit
i)

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