CASE STUDY OF HOSPITAL FORTIS HOSPITAL INTRODUCTION OF FORTIS HOSPITAL , GURGAON PDF

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CASE STUDY OF HOSPITAL FORTIS HOSPITAL INTRODUCTION OF FORTIS HOSPITAL , GURGAON Fortis Memorial Research Institute Location : sector 44, Gurgaon Site area : 43,303 sq. m. Built – up area : 65,961 sq.m. FAR : 1.52 NO. OF BEDS- 430 Principal Architect : Ar. Rajinder kumar, General care beds: 250 Raji...

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CASE STUDY OF HOSPITAL

FORTIS HOSPITAL

INTRODUCTION OF FORTIS HOSPITAL , GURGAON Fortis Memorial Research Institute Location : sector 44, Gurgaon Site area : 43,303 sq. m. Built – up area : 65,961 sq.m.

FAR : 1.52 Principal Architect : Ar. Rajinder kumar,

NO. OF BEDS- 430 TUMMY LUCK

General care beds: 250 ICU beds : 100 OPD chamber- 80

A multi-cuisine food court

CRECHE

FACILITIES-

Rajinder Kumar Associates, New Delhi ▪ Fortis Memorial Research Institute, Gurgaon (FMRI) is a flagship hospital of the Fortis Healthcare Limited. ▪ FMRI is a multi super-speciality, hospital. ▪ FMRI is a set on an 11 –acre campus. ▪ It has 430 functional beds, with a further planned increase in beds to 1000. ▪ FMRI is accessible easily by road, It can also be reached using Delhi Metro, as the hospital is located opposite to the HUDA city metro station

A day care and an activity centre for children.

DEPARTMENTS ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪

Minimal Access, Bariatric & GI Surgery Plastic Surgery Ophthalmology Pulmonology Plastic Surgery Dental Sciences Internal Medicine Cosmetic & Plastic Surgery Invasive Cardiology Paediatrics Minimal Assess Surgery (Gynae) C-DOC Neonatology IVF Liver Transplant, GI & Hepato Pancreato Biliary Surgery Mental Health & Behavioural Science Radiation Oncology Radiology Rheumatology ENT Gastroenterology & Hepatobiliary Sciences

MEDITORIUM An auditorium for knowledge sharing programme

R & R LOUGE Rest options with recliners, private cubicles, shower, and locker facilities for attendants.

HEALTH4U Preventive programme with lifestyle Interventions including tailor-made health screenings.

▪ The main aim of hospital is creating a environment not to give feeling of a boring hospital.

FORTIPLEX Movie lounge

APPROACH AND CONNECTIVITY INDIA

HARYANA

SATELITE VIEW OF THE SITE

GURGAON

APPROCHES TO THE HOSPITAL NEAREST GURGAON BUS STAND

NEAREST METRO STATION

ROAD CONNECTIVITY MAP

GURGAON BUS STAND 6.6 KM VIA MEHRAULI –GURGAON ROAD

HUAD CITY CENTRE 400 M VIA SECTOR ROAD

NEAR BY HOSPITALS

FORTIS HOSPITAL 30 M WIDE SECTOR MAIN ROAD NETAJI SUBHASH MARG SECTOR 44 ROAD ROAD WITHIN SECTOR

FORTIS HOSPITAL MAX HOSPITAL PARAS HOSPITAL MEDANTA HOSPTAL SHEETLA HOSPITAL ARVY HOSPITAL UMKAL HOSPITAL

NEAREST BUS STOP

NEAREST RAILWAY STATION

HUDA CITY CENTRE BUS STOP

NEAREST AIRPORT

RAILWAY STATION

HUDA CITY CENTRE BUSTOPS 120 M

GURGAON RAILWAY STATION 9.7 KM

INDIRA GANDHI INTERNATIONAL AIRPORT 120 KM 30 MIN

NEARBY AREAS OF THE HOSPITAL

Amity School

FORTIS HOSPITAL

Oyster Park

RESIDENTIAL

Metro FORTIS HOSPITAL

Vivanta

TERI GRIHA RATING ▪ Air- conditioned area : 26,254 sq.m ▪ Non- Air- conditioned area : 44,612 sq.m ▪ Energy consumption reduction : 33% reduction in energy consumption compared to TERI GRIHA benchmark ▪ EPI : 154 KWh/ sq.m/year ▪ Renewable energy installed on site : Rated capacity of solar PV installed on site is 25 KWp ▪ TERI GRIHA provisional rating : 4 stars

Air-conditioned area

Non-Air-conditioned area

The following strategies were adopted to reduce the building impact on the natural environment : ▪ Sustainable site planning ▪ Top soil from the site, which was not very fertile was stacked, preserved, made fertile with the addition of manure and re- laid on the landscape areas. ▪ Consolidation of all site services along the transportation corridors minimizes the site disturbances. ▪ Surface parking is provided with 100% grass pavers reduce the heat island effect on site. ▪ Sufficient plantation done at the site reduces the noise levels considerably and enhances exterior environmental quantity. ▪ Reduction in water consumption (compared to GRIHA benchmark) : ▪ Low flow plumbing fixtures used to minimize the building water consumption reduction by 63%. ▪ Drip Irrigation system adopted on the site along with native plant species to cut short the landscape water consumption by 50%. ▪ 100% Treated water from sewage treatment plant is reused for cooling towers and irrigation purposes. ▪ Reduction in energy consumption (compared to GRIHA benchmark) while maintaining occupant comfort : ▪ For achieving visual comfort ▪ Ingress of daylight in patient areas & Waiting areas. ▪ Landscape in sync with the Architectural spaces to provide visual comfort. ▪ For achieving thermal comfort ▪ Use of AAC blocks, Double Glazing & Roof insulation. ▪ Renewable energy technologies installed on site : ▪ Solar Photovoltaic Panels for 25 K Wp are installed at site. ▪ Solar Water heaters for 8000 litres are also installed to meet the surplus hot water requirement after heat recovery system.

▪ Use of low energy materials : ▪ Autoclaved Aerated Concrete blocks are used for the construction of building. ▪ Cement with sufficient percentage of fly ash had been used for the construction. ▪ Low embodied energy construction materials and finishes have been used in the hospital interiors.

VERTICAL DISTRIBUTION OF SPACES Typical Floor Third Floor (patient beds 67) Service floor Second floor (surgical floor 10 OT. ICU BEDS 92)

First floor (maternity ICU 62 beds, wards, ICU relatives Upper ground (maternity, atrium lobby)

Lower ground (diagnostics, OPD, ER) Basement (parking, plant rooms)

DISTRIBUTION OF SPACES FLOOR-WISE

PLOT BOUNDARY

SITE PLAN-

Emergency parking (36 cars) Ramp up and down for parking Main OPD Service entry drop off drop off

Emergency parking (36 cars)

FORTIS HOSPITAL

OPD Entry/exit

Site area : 43,303 sq.m Built-up area : 65,961 sq.m FAR : 1.52 Surface parking : 143 cars

Service Yard -8800

Total no. of entry/exit in the building-

-2750

-2750

Serviceentry/exit +1500

Oxygen plant

Maternity ward drop off

E N

W

Maternity ward Parking (71 cars) Emergency drop off

Emergency entry/exit Oncology drop off

OPD entry- at lower ground floor to the OPD Main entry- at upper ground floor Emergency entry- at lower ground floor Service entry- at upper ground floor Oncology OPD entry- at upper ground floor

Total no. of entry/exit in the site▪ ▪ ▪ ▪

Maternity entry/exit

S

▪ ▪ ▪ ▪ ▪

OPD entry- at lower ground floor Maternity entry- at upper ground floor Emergency entry- at lower ground floor Service entry- at upper ground floor

EAST

SUN DIAGRAM

SOUTH

BUILDING ORIENTATION STUDY

OPD Entry/exit Service Yard -8800

-2750

-2750

WEST Serviceentry/exit +1500

Maternity entry/exit

S

E N

Emergency entry/exit

W

▪ The main Façade of the building is facing North-West Direction ▪ The service areas are provided in the South-East Direction ▪ The bed tower extending up to G+5 is providing shade to the rest portion of the building from sunrays coming from south direction. ▪ The Atrium in the center of the building is receiving diffused light from north direction . ▪ Healing gardens are provided in North direction shaded all the time from sunrays. ▪ Heavy plantation is done at site boundaries to absorb most of the noise coming from the vehicles outside.

BASEMENT PLAN

LINAC (Radiation therapy) used for treatment of oncology has 1 to 1.5 meters thick wall

LINAC (Radiation therapy)

D.G.Room

Total parking in the basement-

S

E Admin area Service yard Mechanical therapy Radiation therapy Lifts and services

▪ 280 cars parking ▪ 51 two wheeler parking

N

W

BASEMENT IS USED FOR▪ The basement is used for engineering services plant room like HVAC, LT panel room, DG room, Pump rooms etc. ▪ And it is also used for radiation therapy used in oncology treatment. ▪ And for parking and HR department and staff areas.

HVAC Plant Room

Water Supply And Fire Fighting Pump

LT Panel Room

LOWER GROND FLOOR

LOWER GROUND FLOOR IS USED FOR

S

E N

W

▪ ▪ ▪ ▪ ▪ ▪ ▪

OPD Oncology OPD Laundry CSSD Radiology Emergency Physiotherapy department

Total area of lower ground floor – 7864.890 SQ.M.

Laundry Radiology

Laundry

CSSD

Lower G.F. OPD OPD entry

Emergency Entry

Swimming pool

Physiotherapy Gym

Physiotherapy Oncology

UPPER GROUND FLOOR

UPPER GROUND FLOOR IS USED FOR-

Kitchen

Food Court

▪ ▪ ▪ ▪ ▪ ▪ ▪

Maternity ward SPA kitchen Food court Finance department Shop arcade Health check-up area

Total area of lower ground floor – 7864.890 SQ.M.

Food Court

Waiting

Health check-ups

Finance deptt.

S

E

Waiting

N

Shops SPA Maternity Ward

W

SPA Food court Finance Deptt. Maternity ward Kitchen Shops Health check-up

SPA Shops

Reception

FIRST FLOOR

S

E N WARD

W

WARD

AUDITORIUM

Total area of first floor – 6828.190 SQ.M.

Blood bank & LAB Ward

BLOOD DONAR DIALYSIS

Auditorium

FIRST FLOOR IS USED FOR ▪ ▪ ▪ ▪ ▪

Maternity Surgical & LDR Chemo and dialysis Auditorium General wards Blood bank/Lab

Chemo & Dialysis

Maternity Surgical & LDR

Auditorium General ward Maternity surgical Blood bank/lab chemo/Dialysis

SECOND FLOOR

FIRST FLOOR IS USED FOR▪ Surgical suite ▪ ICU ▪ Cath labs

POST OT

OT

OT

Total site area of second floor6828.190 SQ.M.

S

E OT Area

ICU OT area Cath labs

ICU

Cath Labs

CATH LAABS

N

W

THIRD AND FOURTH FLOOR

Third and fourth floor are used for▪ Single patient room ▪ Double patient room

S

E N

Total area of third and fourth floor1944 SQ.M.

W

SINGLE PATIENT ROOM DOUBLE PATIENT ROOM

Total no. of beds on both floor – 140

CORRIDORS Double Patient Room

RR Lounge

LIFT AND STAIRCASE Single Patient Room

DOUBLE PATIENT ROOM

SINGLE PATIENT ROOM

RR LOUNGE

FIFTH FLOOR

S

E

PRESIDENTIAL SUITE Presidential Suite

N

W

Deluxe Room

Suite Room

DELUXE ROOM

NURSE STATION & CU/DU MANAGEMENT AMINSTRATION SUITE DELUX PATIENT ROOM LIFT AND STAIRCASE

PRESIDENTIAL SUITE

Total no. of beds on both floor- 140 Total area of third and forth floor1808 SQ.M.

SUITE ROOM

PENUMATIC CONTROL SYSTEM

PENUMATIC CONTROL SYSTEM

▪ Pneumatic tubes (or capsule pipelines; also known as pneumatic tubes Transport or PTT) are systems that propel cylindrical air or by partial vacuum. ▪ They are used for transporting solid objects, as opposed to conventional pipelines, which transport fluids.

RECEIVING SYSTEM

SENDING STATION

SECTIONS -

FIRE FIGHTING FIRE FIGHTING INSIDE THE BUILDING-

In case of fire

Smoke detector detect the fire and raise the alarm

FIRE FIGHTING OUTSIDE THE BUILDING-

In case of fire

Fire tank capacity - 1.5 lakh litre Sprinklers used are with red colored bottle FIRE CONTROL SYSTEM-

Hydrant pumps get activated Fcs Tells In Which Zone Fire Is Spread And Raise The Alarm Installed In Every Floor

Then the sprinklers get activated having access from overhead tank (if it fails)

If it is not sufficient second hydrant pump gets activated

Pipelines To Carry Water During Fire Connected From U.G. Tank

Control Panel Pump

Fhc Outlets Are Given On The Periphery Of The Site

Then the sprinklers jockey pump get activated

IF electricity is switched down then diesel pump starts the hydrant pump

If it is not sufficient then second sprinklers jockey pump starts

If electricity is switched down then diesel tank starts the pump

Exhaust Ducts To Carry Smoke Above If it is also not sufficient then FHC is used ▪ FHC Is Operated Manually By Fire Man Only. ▪ It Is Also Having Water Access From Under Ground Fire Tanks...