Guidelines in the Planning and Design of a Hospital and Other Health Facilities

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Department of Health November 2004
GUIDELINES IN THE PLANNING AND DESIGN
OF A HOSPITAL AND OTHER HEALTH FACILITIES

A hospital and other health facilities shall be planned and designed to observe appropriate architectural practices, to meet prescribed functional programs, and to conform to applicable codes as part of normal professional practice. References shall be made to the following:

• P. D. 1096 – National Building Code of the Philippines and Its Implementing Rules and Regulations
• P. D. 1185 – Fire Code of the Philippines and Its Implementing Rules and Regulations
• P. D. 856 – Code on Sanitation of the Philippines and Its Implementing Rules and Regulations
• B. P. 344 – Accessibility Law and Its Implementing Rules and Regulations • R. A. 1378 – National Plumbing Code of the Philippines and Its Implementing Rules and Regulations
• R. A. 184 – Philippine Electrical Code
• Manual on Technical Guidelines for Hospitals and Health Facilities Planning and Design. Department of Health, Manila. 1994
• Signage Systems Manual for Hospitals and Offices. Department of Health, Manila. 1994
• Health Facilities Maintenance Manual. Department of Health, Manila. 1995 • Manual on Hospital Waste Management. Department of Health, Manila. 1997 • District Hospitals: Guidelines for Development. World Health Organization Regional Publications, Western Pacific Series. 1992

• Guidelines for Construction and Equipment of Hospital and Medical Facilities. American Institute of Architects, Committee on Architecture for Health. 1992 • De Chiara, Joseph. Time-Saver Standards for Building Types. McGraw-Hill Book Company. 1980

1 Environment: A hospital and other health facilities shall be so located that it is readily accessible to the community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants, disposal plants.

2 Occupancy: A building designed for other purpose shall not be converted into a hospital. The location of a hospital shall comply with all local zoning ordinances. 3 Safety: A hospital and other health facilities shall provide and maintain a safe environment for patients, personnel and public. The building shall be of such construction so that no hazards to the life and safety of patients, personnel and public exist. It shall be capable of withstanding weight and elements to which they may be subjected.

3.1 Exits shall be restricted to the following types: door leading directly outside the building, interior stair, ramp, and exterior stair.
3.2 A minimum of two (2) exits, remote from each other, shall be provided for each floor of the building. Department of Health November 2004
3.3 Exits shall terminate directly at an open space to the outside of the building. 4 Security: A hospital and other health facilities shall ensure the security of person and property within the facility.

5 Patient Movement: Spaces shall be wide enough for free movement of patients, whether they are on beds, stretchers, or wheelchairs. Circulation routes for transferring patients from one area to another shall be available and free at all times. 5.1 Corridors for access by patient and equipment shall have a minimum width of 2.44 meters.

5.2 Corridors in areas not commonly used for bed, stretcher and equipment transport may be reduced in width to 1.83 meters.
5.3 A ramp or elevator shall be provided for ancillary, clinical and nursing areas located on the upper floor.
5.4 A ramp shall be provided as access to the entrance of the hospital not on the same level of the site.
6 Lighting: All areas in a hospital and other health facilities shall be provided with sufficient illumination to promote comfort, healing and recovery of patients and to enable personnel in the performance of work.

7 Ventilation: Adequate ventilation shall...
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