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8/10/2019 Scales Of MES Hospital Accommodation -2003
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Appendix to Govt of India letter No 68452/Q3W(Policy/
!8"/2##4/$ (W%" $t 28 &'n 2##4
)A*+ ,- A)),..,$AI,N
-,0
A0.+$ -,0)+ 1,PIA* % 2##3
,--I)+ ,- $GA-.
.INI0 ,- $+-+N)+ G, ,- IN$IA
N+W $+*1I
P*I1+$
QA0+0.A+0 G+N+0A*7 0AN)1
+A0 ,- P*I)AI,N % 2##4
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ii
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No ection '9:ect a9le/ec Pa;e No
" General Notes % " %3
2 " Ward Units & Ancillaries % 4 < 5
3 Ward Ancillaries " 6%=
4 2 Special Ward Units & Ancillaries % 8%"6
5 Special Ward Ancillaries 2A "=%"8
6 Special Ward Ancillaries (Family Wards) 2 "! < 2"
= Neonatal Intensive Care Unit (NICU) 2) 22 < 23
8 Delivery Suite 2$ 24 < 25
! Additional Ward Ancillaries 2+ 26
"# Burn Centre (Ward Ancillaries & Clinic) 2- 2= < 28
"" Intensive Care Unit (Ward Ancillaries) 2G 2!
"2 3 ut !atients" Department % 3# < 33
"3 ut !atients" Department 3A 34 < 36
"4 Consultin# Suites 3 3= < 4"
"5 ut !atients Clinic (Family) 3) 42 < 45
"6 ut !atient Clinic $ Department o% Sin (W'ere Aut'orised) 3$ 46%4=
"= ut !atient Clinic $ !syc'iatric Centre (W'ere Aut'orised) 3+ 48 < 4!
"8 ut !atient Clinic $ Neurolo#y Centre (W'ere Aut'orised) 3- 5# < 5"
"! ut !atient Clinic $ rt'opaedic Centre and Arti%icial im Su Centre (W'ere Aut'orised) 3G 52 < 532# ut !atient Clinic $ Clinical Immunolo#y and *'eumatolo#y Centre (W'ere Aut'orised) 31 54 < 55
2" ut !atient Clinic $ Urolo#y & Nep'rolo#y (W'ere Aut'orised) 3& 56 < 5=
22 ut !atient Clinic $ Gastro$enterolo#y Centre (W'ere Aut'orised) 3> 58 < 6#
23 ut !atient Clinic $ *espiratory (W'ere Aut'orised) 3* 6" < 62
24 ut !atient Clinic $ Clinical +aematolo#y (W'ere Aut'orised) 3. 63
25 ut !atient Clinic $ ncolo#y Centre (W'ere Aut'orised) 3N 64 < 65
26 ut !atient Clinic $ Cardiolo#y, Cardio$t'oracic Sur#ery & -ascular Sur#ery Centre (W'ereAut'orised)
3P 66 < 6=
2= ut !atient Clinic $ *econstructive Sur#ery (W'ere Aut'orised) 3Q 68
28 Anaest'esia !D and !ain Clinic 30 6!
2! .ndocrinolo#y Centre (W'ere Aut'orised) 3 =# < ="
3# 4 Dental Centre (W'ere Aut'orised) 4 =2 < =3
3" 5 peration /'eatre Department =4
i
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32 peration /'eatre Department 5 =5%=!
33 6 Central Sterile Service Department (CSSD) 6 8# < 8"
34 = *adio$dia#nosis Department % 82
35 *adio$dia#nosis Department (0 1 *ay Department) =A 83 < 86
36 C/ Centre (W'ere Aut'orised) = 8=
3= 2a#netic *esonance Ima#in# =) 88
38 8 *e'ailitation Centre & !'ysiot'erapy Department % 8!
3! *e'ailitation Centre (W'ere Aut'orised) 8A !# < !2
4# !'ysiot'erapy Department (For +ospitals, 3'ic' are not aut'orised *e'ailitation Centre) 8 !3
4" ! !at'olo#y aoratories % !4< !5
42 !at'olo#y aoratory !A !6 < "##
43 2ortuary & Autopsy ! "#"
44 Animal +ouse and .4perimental Sur#ery !) "#2 < "#3
45 "# Blood Ban and Blood Component a (W'ere Aut'orised) % "#4
46 Blood Ban and Blood Component a (W'ere Aut'orised) "# "#5
4= "" Nuclear 2edicine Centre (*adiation 2edicine5*adio Isotope Centre) (W'ere Aut'orised) % "#6
48 Nuclear 2edicine Centre (*adiation 2edicine5*adio Isotope Centre) (W'ere Aut'orised) "" "#= < "#!
4! "2 *adiot'erapy Centre (W'ere Aut'orised) % ""# < """
5# *adiot'erapy Centre (W'ere Aut'orised) "2 ""2 < ""5
5" "3 Cardiac Cat'eterisation aoratory (W'ere Aut'orised) "3 ""6 < ""=52 "4 Bone 2arro3 /ransplantation Unit (W'ere Aut'orised) "4 ""8 < ""!
53 "5 /ec'nical /rainin# Department "5 "2#
54 "6 +ospital Administrative Department % "2"
55 +ospital Administrative Department "6 "2" < "23
56 "= +ospital Administrative Services % "24 < "25
5= General Stores Services (62 Stores) "=A "26 < "2=
58 2edical Stores Services "= "28 < "2!
5! +ospital .7uipment 2aintenance Services (/radesmen) "=) "3#
6# Dietary Service (+ospital 8itc'en) "=$ "3" < "32
6" aundry Service "=+ "33
62 +ospital Gara#e "=- "34
63 Wel%are and Amenity "=G "35 < "36
ii
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64 "8 +ospital .n#ineerin# Services % "3= < "62
65 "! Section +ospital 1 Sic Bay 1 Station o% Stren#t' up to 9: eds $General % "63
66 Section +ospital 1 Sic Bay 1 Station 2edicare Centres "! "64 < "6=
6= 2# NBC Decontamination Centre $ General % "68
68 NBC Decontamination Centre 2# A "6! < "="
6! aoratory Bio$sa%ety level I- 2# "=2
=# ist o% amendments 5 corri#endum
iii
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G+N+0A* N,+
; eds or less 3ill also e covered under aove slas) ()
A< -or individ'al Ward nit
=< (a) Sister"s duty room =:
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=< 2"s Duty *oom =:
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Note?
=< Dado to a 'ei#'t o% =m is to e provided in
(a) All rooms under item KA" e4cept at ser =(a), @ & :
() All rooms under item KC" e4cept at ser =, @ & :
(c) All rooms under item KD"
9< Ward pantry, dinin# servery & 3as' up rooms 3ill 'ave %ly proo%in# %or doors & 3indo3s
patients
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patients, Ser No 9>,9) to ceilin# 'ei#'t to 'ave 3ider doors (=
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A$$II,NA* WA0$ AN)I**A0I+
No -acilitie? -loor area in eter for
Bard 'nit of
)on?tr'ctional 0e@'ireent?
8%"5
9ed?
"6%23
9ed?
24%32
9ed?
" 2 3 4 5 6 =
0efer
243(a
Ne'rolo;y Bard (Ac'te
=< 2"s Duty *oom =:
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0N )+N0+ (WA0$ AN)I**A0I+ E )*INI)
No -acilitie? -loor Area in ?@'are etre? )on?tr'ctional re@'ireent?
" 2 3 4
(0efer 24"6 ection%2
Protective Fone
=< *eception & 3aitin# 9=
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treatment, 3ider door =m
=< Sur#eon"s5Anaest'etist"s room =:;< Air curtains at t'e entrance o% t'e centre &/< Hanitors closet @;
otal "55=5
Note$=< Dado o% = meter 'ei#'t in sl< No 9, , , & =@ unless ot'er3ise speci%ied > > >
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p to 4!
faily
9ed? in 8
5#% !!
faily
9ed?
"##%"!!
faily 9ed?
2## E a9ove
faily 9ed?
8## 9ed ?la9 E
a9ove Ary E
)od 1o?p
-A in ?@ -A in ?@
-A in ?@ -A in ?@ -A in ?@
" 2 3 4 5 6 = 8
33" ,9?tetric E Gynaecolo;y )linic
=< 0eception E re;i?tration < %%ice, records computer =;; =;; =:
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et3een t3o adacent !Ds5
centres5depts 3it' a minimum o%one at eac' %loor 94> 3c)
() Female 9 sets (one %oro%%icer"s %amilies and ot'ers%or HC5*"s %amilies)
94@; 94@; 94> 94> 94> 3c< & 3'< (@;)93
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=; /reatment room =;; =;; =;; =;; =: > 9 3c< & 3'
/otal 23"## 322##
Note? =< Dado =m 'i#' to e provided at Ser No @, (a), ==(Sanitary) and =>
Wc & 3'
9 3c & 3'=3c, = urinal & = 3'
/otal 2"=## 665#
NoteD
=< /o #ive in uilt %le4iility, option may e e4ercised y t'e user %or cominin# 3aitin# rooms at Ser no @(a) to @(c) y providin# = d), central eart'in#, and no%luorescent tue li#'ts
:< Doule s'utter doors o% 3idt' =m clear to e provided in rooms at Sl< No @, : & to =; %or easy accessiility o% patients on 3'eel
c'air5 trolley< Ser No to =; s'ould 'ave controlled environment y air$conditionin# 9 3c, 3'
/otal 238##
Note?
=< Dado =m 'i#' to e provided at sl< no :, , ?, =;, ==, =9 (e) and =@ (a) to =@ (c) 9 4 3c, 3or la enc'
/otal 223!#
9
Note?D
=< Dado =m 'i#' to e provided at Ser No =,,=; & ==
9< Dado 9m 'i#' to e provided in Ser No &
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@< /o #ive in uilt %le4iility, option may e e4ercised y t'e user %or cominin# 3aitin# rooms at Ser no @(a) to @() y providin# =< Seminar room at ser ? to e clued et3een t3o adacent !Ds5 centres5depts 3it' a minimum o% one at eac' %loor; eds dependin# upon t'e type o% 'ospital and usti%ication sumitted y t'e user ased on t'e 3or load< neminor / to e provided %or all 'ospitals upto >; eds
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" 2 3 4 5 6 = 8 !
A P0,+)I+ F,N+
=< *eception )
3c
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=;< Autoclave room
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(%or eac' pre$operative ed) curtains
() *ecovery room(%or eac' post$operative ed)
=;; =;; =;; =;; =;; =;; $ do $
(c) /oilet @; @; @; @; @; @; 3c, 3'
@; @; @; @; @; Bed pan sin 3it'
Hanitor"s alcove 9> > 9> > 9> ;; ;; ;; 3c urinal 3' (> 9>) 3c 9 urinal 3'
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() HCs5*s $$$ > > > > > > 9 3c & 3'
otal 56## "435# "!!5# 22=5# 3255# 38"5#"5#5#M
"4##
56=##!"##M
4!##J
"4##
546## 6!3##
Note? $
=< 0$*ay dept %or 9>$:? eds 'ospitals to e located in !D, =>, = (c), 9=, 99 to 'ave dado =m 'ei#'t> cm 3idt' 4 ; cm dept' 3it' t3o 3ater outlets %or solution tan and %itted 3it' t3o 'al% dia rods=>> cm
lon# %itted at a distance o% @ cms %rom eac' ot'er in t'e 3as'in# tan at a 'ei#'t o% >; cm %rom ottom o% t'e tan, =, =, =, =?, 9@, 9:, 9>(), 9, 9, 9?, @;, @9, @@ & @:
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< /o #ive in uilt %le4iility, option may e e4ercised y t'e user %or cominin# 3aitin# rooms at Ser no @(a) to @() y providin# =
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storin# odies
9< Autopsy room 9=
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=< Anial Co'?eGuinea pi#s
(a) Breedin#
room
/o e divided into : pans y 3ire nettin#
() Nursery *ooms (a) & () to e separated y 3ire nettin#< An e7ual amount
o% space surrounded y 3ire nettin# %or open run is to e provided
@;@;
3c
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(d) *adio p'aramaceutical laoratory
(e) Decontamination room
9=
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==:
+)I,N < "2
0A$I,1+0AP )+N0+
(W1+0+ A1,0I+$
=9
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=9
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A*+ "2
0A$I,1+0AP )+N0+
(W1+0+ A1,0I+$
er
No
-acilitie? -loor area in
?@'are etre?
)on?tr'ctional re@'ireent?
" 2 3 4
=< *ece
ption & *e#istration
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( )
() HC & * %amilies =:
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(#) -ie3in# 3indo3 : cm lead e7uivalence 3it' : cm
lead e7uivalence urn out collar installed in anopenin#=9; 4 =9; cm< =@> cm 'i#' %rom %inis'ed %loor
level, =;; cm %rom central line o% t'e coalt unit cm< Concrete at #antry end amp socet outlets and metal clad plu# and socet 3it'
2CBs %or various electric #ad#ets and po3er consumin# apparatus are to e provided as onre7uired asis< Users are to e consulted %or t'e numer and location o% t'ese socet outlets in
various rooms at t'e time o% Board !roceedin#s and detailed plannin# o% 'ospital proects o% 3ard units o% t'e 'ospital 3'ic' 3ill invarialy includeIntensive Care Unit, Acute 2edical and Sur#ical, Burn Centre(vi) Blood Ban (vii) All cold stora#e plants o% pat'olo#y laoratories, 62 stores and
2edical Stores;
Section $ > peration t'eatre +! steriliEin# room(Autoclave room)
*e7uired desi#n 'eat remover o%> de#ree Celsius aove
permissile amient temperature lit capacity), 3'ic' are to eprovided at t'e %ollo3in# scale $
Section $= Ward units ne 9> !er 3ard pantry all
3ards Ward ed stren#t'
upto => eds Ward unit ed
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stren#t' o% = eds &over !er : eds & partt'ereo% (Addl For t3o deliveryrooms5operatin#delivery room & partt'ereo% !er ostetric 3ardunit
Burn centre /3o 9> Centre
Section $ @ ut patients" department ne 9> +ospital upto =??eds
/3o 9> +ospital 9;;$@??eds
General out patient"s clinic ne 9> +ospital upto =??eds +ospital 9;;$@??eds
=>@
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Four 9> +ospital o% :;; & aoveeds
(c) Filtered5so%t 3atersupply
Filtered5so%t 3ater supply is re7uired in pat'olo#y laoratories (all types) and dialysis centre< So%t3ater supply to e provided %or mec'anical laundry and autoclaves < !rovision %or t'e supply e
made as on re7uired asis in consultation 3it' users +ospital pat' la (lar#e)/3elve => Comd pat' la & Army
+ospital pat' la 2edical stores section
+ospital o% :;;$>?? eds 2edical stores section
+ospital o% ;;$?? eds 2edical stores section+ospital o% ;; eds and
aove For 'ospital >;$?? edsne 9 +ospital =;;$=?? eds/3o 9 +ospital 9;;$@?? eds
() Deep FreeEer Deep %reeEers are to e provided in %ollo3in# locations $No Capacity ocation
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No< Capacityin litres
ocation
Section $ @ ut patientdepartmentto ?? eds;;m, at t'e %ollo3in# scale $
/'ree $ do $ +ospital :;;$>?? edsFour $ do $ +ospital ;;$?? eds
& Comd +ospital; litres5'our
+ospital o% :;; eds &
over
Section 1
*e'ailitationCentre
ne :; litres coolin# capacity,stora#e capacity ; litre
+ospital aut'orisedsmall centre5
p'ysiot'erapy centreSection 1
?
!at'olo#y
laoratories
ne :; litre coolin# capacity,
stora#e capacity ; litre
+ospital up to @?? eds
Section 1
=
Administrative
deptt
ne $ do $ +ospital up to @?? eds
/3o $ do $ +ospital o% :;; eds &
overSection 1=
+ospitalAdministrativeServices
ne $ do $ +ospital up to ?? eds
/3o $ do $ +ospital =;;$=?? eds
=>?
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(ii) +umidity
/ departments :;$;
ICU5CCU5NICU5!ICU :;$;
Ward units e4cept urn centre5urn 3ard :;$;
(iii) Air c'an#es peration t'eatre deptt/ *oom conductin# specialised operation lie cardiac$, Neuro$, and /ransplant sur#ery
9> Air c'an#es5'rGeneral / *oom
9; Air c'an#es5'r
t'er areas
=; Air c'an#es
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ICU5CCU5NICU5!ICU
=9 Air c'an#es5'r(*ooms to e A5C speci%ied in respective tales)
Ward units and deptts< not speci%ied
Air c'an#es5'r
2iscellaneous Unidirectional air%lo3 3ill e provided in super speciality / and #eneral / 3it' +.!A %ilter o% ;
micron siEe
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=
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168/185
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169/185
=
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170/185
=
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r any ot'er suitale incinerator o% suitale capacity as per local re7uirement 5 any ot'er tec'nolo#y3'ic' meets t'e re7uirement o% t'at particular 'ospital, is eco$%riendly and is not 'avin# adverse impact on
'uman 'ealt', 3it'in t'e parameters o% Biomedical Waste (2ana#ement and 'andlin#) rules laid do3n y t'eGovernment %rom time to time or any ot'er tec'nolo#y 3'ic' replaces incinerators in %uture< Area
re7uirement %or (a), () & (c) 3ill e =>;, 9;; & 99> S7m respectively< In addition provision o% space to emade %or installation o% +ydroclave (area re7uirement %or turney 99> S7m), autoclave ( area re7uired %orturney proect => meter 4 => meter and micro3ave ( area re7uired meter ( 3idt') 4< (+ei#'t) 4 >meter(dept'), central 3aste collection area ( =;; S7m ) and trolley 3as'in# area < /'e %inal space re7uirement
3ill e decided y oard o% o%%rs detailed y user unit dependin# up on t'e type o% e7uipment to e installed
and nature o% 3aste mana#ement %acility < !rovision s'ould also e made %or disposal o% 'ospital se3a#e y acentral collection 5treatment 5 disposal plant o% suitale capacity dependin# up on ed stren#t' o% t'e 'ospitalas decided y oard o% o%%icers
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+)I,N < "!
+)I,N 1,PIA*% I)> A%AI,N .+$I)A0+ )+N0+ ,- 0+NG1 P, 24 +$
=?
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9< ut patient department includin# dia#nostic and t'erapeutic %acilities