Center of Pediatric Hematology, Oncology and Immunology in Moscow,
A. Asadov (ruk.), 2006-2009 |
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The height of buildings of medical and preventive institutions should be no more than 9 aboveground floors. Wards for children's hospitals should be placed no higher than the fifth floor of the building, wards for children under the age of 7 years-no higher than the second floor.
Medical and preventive institutions should be equipped with elevators and cargo lifts.
The height of the above-ground floors of medical and preventive institutions buildings should be taken equal to 3.3 m.
The height of X-ray rooms with non-standard equipment and operating rooms in operating blocks of hospitals is set depending on the equipment size.
The minimum width of the premises in meters should be:
—for doctors' offices, corridors of ward departments — 2.4;
—for corridors of outpatient clinics, dispensaries and women's clinics — 2;
—for corridors in operating blocks, maternity and intensive care units, corridors used for waiting rooms, with one-way arrangement of offices — 2.8;
—for single-bed wards — 2.9;
—for small operating rooms, bandage rooms, corridors of hospitals of rehabilitation treatment, corridors used for waiting rooms, with a two-way arrangement of offices — 3.2;
—for procedural, X-ray rooms (except for dental treatment), delivery rooms and corridors of the neuropsychiatric department used for the day stay of patients — 4;
—for operating rooms and intensive care units — 5.
The depth of wards and medical and diagnostic rooms with natural lighting on one side should not be more than 6 m.
The depth of surgical, orthopedic, oncological, otorhinolaryngological, procedural, X -ray and bandage rooms should be at least 4 m, ophthalmology rooms — at least 6 m, operating rooms — at least 5 m, delivery wards — at least 4.5 m. The ratio of the depth to the width of the wards and medical and diagnostic rooms should not be more than 2 m. The area and dimensions of the wards should be determined based on the approach to the patient's bed from three sides. It is recommended to define ward sizes (except for radiological wards) based on the following conditions:
—placement of beds in rows parallel to the walls with windows;
—the distance from the beds to the walls with windows should be at least 0.9 m;
—the distance between the ends of the beds in four-bed wards and between the ends of the beds and the wall in two - and three-bed wards of the departments of rehabilitation hospitals should be 1.6 m, and in the wards of other departments — not less than 1.3 m;
—the distance between the long sides of the adjacent beds should be at least 0.8 m, in children's wards and recovery wards — at least 1.2 m.
The premises of medical and preventive institutions and pharmacies should have natural light. The second light or only artificial lighting can be in the premises sanitary blocks in the chambers, photographic, staff shower, anesthesia, preoperative, facilities, washrooms, microbiological boxes, sanitary pass, as well as in accordance with the design specifications in areas of operational and procedural X-ray offices. The corridors of the tent departments should have natural light-windows in the end walls of buildings or windows in the light pockets of the corridors. It is allowed to freely focus the windows of the premises on the sides of the horizon.
INPATIENT HOSPITALS
The structure of inpatient hospitals includes, as a rule, the following groups of premises:
—reception departments, discharge rooms, specialized boxes;
—tent wards;
—operating blocks;
—departments of anesthesiology and intensive care;
—departments of functional diagnostics;
—departments of rehabilitation treatment;
—blood transfusion departments;
—sterilization departments;
—pharmacies;
—food preparation service;
—laundries;
—office and household premises.
ADMISSION OFFICES
The composition of the reception departments should include:
lobby-waiting room;
registration and reference information;
room for temporary storage of patients' belongings;
observation deck;
reception and inspection box;
sanitary pass;
treatment; bandage room;
X-ray diagnostic room;
operating room for urgent operations;
laboratory for urgent tests;
wards (for 1 bed, for 2 beds or more);
room of the nurse on duty;
pantry;
facilities for washing and sterilizing ships, cleaning, sorting and temporary storage of dirty laundry;
office of the doctor on duty;
staff room;
storage room for clean laundry;
sanitary blocks for personnel. |
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