MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
GENERAL POLICY GUIDELINES
1.
No I ndi vi dual , company, or partners s houl d open and/or operate
pri vate hos pi tal unl es s pri or approval and l i cens e has been dul y
acqui red from the concerned Mi ni s try of Heal th (MO H) departments as
des cri bed hereafter.
2.
T he rul es , r egul ati ons , and s tandards des cri bed i n thi s document s hal l
appl y to al l exi s ti ng and new hos pi tal s i n the pri vate s ector (as per
defi ni ti on of the hos pi tal es tabl i s hed by vi rtue of thi s pol i cy
document).
3.
T he Commi ttee for Pri vate Hos pi tal s at MO H -HQ , upon recei vi ng the
appl i cati on from the owner and as certai ni ng compl i ance to al l pre requi s i tes , s hal l i s s ue the prel i mi nary approval .
4.
T he hos pi tal premi s es and s ervi ces therei n s hal l be l i cens ed by the
MO H-HQ upon compl eti on of al l neces s ary pre -requi s i tes s ta ted i n thi s
document.
5.
I t s hal l be mandatory for any pri vate Hos pi tal to ens ure thi rd party
i ns urance agai ns t medi cal mal practi ce pri or to l i cens i ng or renewal of
l i cens e.
6.
T he owner and operator of the l i cens ed faci l i ty s hal l be res pons i bl e to
ens ure the fo l l owi ng
a. Provi di ng s afe and adequate treatment to the i ndi vi dual s recei vi ng
the heal th care faci l i ty s ervi ces .
b. E ncouragi ng, promoti ng, effecti ng qual i ty
as pects of heal th care faci l i ty s ervi ces .
i mprovement
in
al l
c. Provi di ng appropri ate acces s to heal th care faci l i ty s ervi ces .
d. Remai ni ng updated wi th al l rel evant rul es , regul ati ons , codes of
profes s i onal conduct & ethi cs , and pol i ci es of the Mi ni s try of
Heal th.
e. Faci l i tati ng parti ci pati on and compl i ance wi th al l rel evant nati onal
Heal th Care Programs .
f.
E ns uri ng that the pri vate hos pi tal s do not di s pl ay
faci l i ti es /s ervi ces /i nformati on, whi ch i s not l i cens ed to them.
any
g. E ns uri ng that the adverti s ements , promoti onal acti vi ti es ,
pri nti ng of pres cri pti ons etc are undertaken onl y after
approval from the DPHE .
and
due
7.
Mi ni s try of Heal th res erves the ri ght to al ter/ amends / change the
s tandards , rul es and regul ati ons governi ng the pri vate hos pi tal s ,
wi thout any pri or or advance noti ce.
8.
Names of the dul y l i cens ed hos pi tal s s hal l be publ i s hed i n the offi ci al
gaz ette.
1
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
STANDARD PROCEDURES
1.
APPLYING FOR NEW PRIVATE HOSPITAL
1.1. APPLICATIONS:
1. 1a.
T he s pons or(s ) / O wner(s ) for the new propos ed hos pi tal
s hal l appl y to the Department of Pri vate Heal th
E s tabl i s hment (DPHE ), MO H -HQ on the pri nted appl i cati on
forms avai l abl e at the Dep artment of Pri vate Heal th
E s tabl i s hments (DPHE ), MO H
1. 1b.
T he appl i cati on mus t i ncl ude the fol l owi ng documents as
encl os ures
1. 1 . b. i .
O wners hi p
certi fi cate.
1. 1 . b. i i.
General i nformati on about the hos pi tal project
e. g. l ocati ons , objecti ves , Number of beds ,
nature and extent of t he cl i ni cal s ervi ces , and
expected s taffi ng.
1.2. REGISTRATION:
1. 2a.
Al l appl i cati ons for openi ng new pri vate hos pi tal s s hal l be
recei ved and regi s tered by the Department of Pri vate Heal th
E s tabl i s hments , MO H.
1. 2b.
T he i ni ti al regi s trati on s hal l i ncl ude the
fol l owi ng
1. 2 . b. i .
Date of appl i cati on.
1. 2 . b. i i.
Regi s trati on number
1. 2 . b. i ii .
Li s t of documents recei ved wi th the appl i cati on.
1.3. APPROVAL:
1. 3a.
Al l appl i cati ons , after ens uri ng compl eti on s hal l be pres ented
to the Pri vate Hos pi tal Commi ttee for the Neces s ary
Prel i mi nary approval .
1. 3b.
T he prel i mi nary appr oval s hal l remai n val i d for a peri od of 6
months .
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MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
1. 3c.
O n fai l ure of owners to s how phys i cal progres s towards
compl eti on of the project, the prel i mi nary approval , on
compl eti on of s i x months s hal l become nul l and voi d.
1. 3d.
T he Pri vate Hos pi tal Commi ttee may accord the extens i on of
the prel i mi nary approval , provi ded the owners demons trate
phys i cal progres s i on towards compl eti on of the project.
1. 3e.
T he rejected appl i cants , on res ol vi ng the i s s ues rel evant to
the previ ous rejecti on of appl i cati on, s hal l retai n the ri ght to
re-appl y.
1.4. NOTIFICATION:
2.
1. 4a.
T he appl i cants s hal l be noti fi ed of the prel i mi nary approval
wi thi n 60 days of regi s trati on of the appl i cati on at the DPHE .
1. 4b.
Fai l ure to recei ve the prel i mi nary approval wi thi n 60 days
woul d not i mpl y automati c approval .
1. 4c.
Preci s e re as ons for rejecti on of the prel i mi nary approval
s hal l be furni s hed to the appl i cants .
LICENSING NEW PRIVATE HOSPITAL
T he proces s of l i cens i ng s hal l be i ni ti ated from the ti me of
prel i mi nary approval for the propos ed new pri vate hos pi tal and
compl eted on i s s ui ng of the l i cens e for the premi s es and s ervi ces on
compl eti on and confi rmati on of compl i ance to al l rul es , regul ati ons ,
and s tandards es tabl i s hed i n thi s pol i cy document.
T he Pri vate hos pi tal s s hal l not s tart thei r operati ons before
acqui ri ng the l i c ens e for thei r premi s es and s ervi ces from the
rel evant departments of MO H.
2.1. APPLICATIONS:
2. 1a.
Dul y fi l l ed appl i cati on forms for the l i cens e s hal l be
s ubmi tted to the DPHE , al ong wi th the fol l owi ng documents .
2. 1 . a. i .
Regi s trati on
Commerce
certi fi cate
2. 1 . a. i i.
Detai l ed Drawi ngs
premi s es .
2. 1 . a. i ii .
Preci s e Nature & E xtent of the cl i ni cal s ervi ces
2. 1 . a. i v.
Preci s e Manpower of the hos pi tal
2. 1 . a. v.
E qui pment l i s t.
&
from
Fl oor
Mi ni s try
pl ans
for
of
the
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MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
2. 1 . a. vi .
Detai l ed
s ervi ces ,
s ervi ces .
arrangements
mai ntenance
for cl i ni cal s upport
s ervi ces , and other
2.2. LICENSING FEE:
E ach appl i cati on for l i cens i ng a new pri vate hos pi tal s hal l be
accompani ed by a non -refundabl e, non -returnabl e fee of RO 500/ made payabl e to the MO H treas urer.
2.3. INSPECTION:
2. 3a.
T he appl i cati ons for the l i cens e, al ong wi th al l encl os ures ,
s hal l be forwarded to the Pri vate hos pi tal commi ttee.
2. 3b.
T he I ns pecti on team from the MO H -HQ , wi thi n 30 days of
recei pt of the compl eted appl i cati on, s hal l arrange and
i ns pect the hos pi tal premi s es agai ns t the mi ni mum bas i c
s tandards i n terms of Human res ources , equi pment,
s tructural pl ans , and s ervi ces provi s i ons etc es tabl i s hed i n
thi s document, and forward i ts recommendati ons to the
commi ttee accordi ngl y.
2. 3c.
T he i ns pecti on team s hal l forward i ts recommendati ons to
the Pri vate hos pi tal commi ttee.
2. 3d.
E very hos pi tal s hal l be gi ven a prompt noti ce by the pri vate
hos pi tal commi ttee of al l defi ci enci es reported as a res ul t of
an i ns pecti on or i nves ti gati ons .
2. 3e.
T he Dept. of Pri vate Heal th E s tabl i s hments s hal l mai ntai n
el ectroni c records of al l i ns pecti ons for pri vate hos pi tal s for
an unl i mi ted peri od, and the paper records as per rul es and
regul ati ons of the MO H.
2.4. LICENSE:
2. 4a.
O n approval of the Pri vate Hos pi tal commi ttee, the DPHE
s hal l i s s ue the l i cens e to the pri vate hos pi tal . Pri vate
hos pi tal , onl y then, can s tart i ts operati ons .
2. 4b.
T he Val i d i ty of Li cens e s hal l be for two (2) years from the
date of i s s ue of the Li cens e, and mus t be kept pos ted i n a
cons pi cuous pl ace on the l i cens ed premi s es .
2. 4c.
T he pri vi l eges of s peci al ty s ervi ces practi ce i n pri vate
hos pi tal s s hal l be es tabl i s hed by the commi tt ee agai ns t the
mi ni mum s tandards es tabl i s hed for each s peci al ty.
2. 4d.
T he rel evant departments of the Mi ni s try of Heal th s hal l
l i cens e the medi cal s taff of the pri vate hos pi tal before they
can s tart thei r cl i ni cal practi ce. T he l i cens i ng proces s s hal l
i ncl ude l i cens i ng exami nati ons by the Dept. of Hos pi tal
Affai rs for the doctors and the paramedi cal s taff, and the
Dept. Nurs i ng Affai rs for the nurs es , fol l owed by i s s uance of
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MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
the Li cens e by the Dept. of Pri vate Heal th E s tabl i s hments ,
Dars ei t.
2. 4e.
3.
DGPA & DC s hal l l i ce ns e the pharmacy of the hos pi tal .
RENEWAL OF LICENSE OF PRIVATE HOSPITALS
3.1. APPLICATION:
3. 1a.
T he renewal of Li cens e for the pri vate hos pi tal s s hal l be
done through the dept. of Pri vate Heal th E s tabl i s hment,
provi ded no change i n the premi s es or s ervi ces i s pr opos ed
by the hos pi tal s .
3. 1b.
T he appl i cati ons for the re -l i cens i ng s houl d be s ubmi tted
wi th the DPHE 30 days before the approachi ng date of expi ry
of the l i cens e.
3.2. LICENSE RENEWAL FEE:
3. 2a.
T he fee s tructure for the re -l i cens i ng s hal l be as fol l ows .
3. 2 . a. i .
Fee for renew al of l i cens e s hal l be O MR 500/ -.
3. 2 . a. i i.
Li cens e s houl d be renewed before the expi ry
date of the l i cens e i n order to prevent l egal
l i abi l i ti es .
3. 2 . a. i ii .
T he l i cens e s hal l s tand cancel l ed i f not renewed
wi thi n three months from the date of expi ry.
3.3. LICENSE RENEWAL:
3. 3a.
T he l i cens e for the Pri vate hos pi tal s hal l be cons i dered
cancel l ed unl es s i t i s renewed wi thi n 90 days of the expi ry of
the previ ous l i cens e.
3. 3b.
Hos pi tal s wi th non -val i d or abs ent l i cens e s hal l be l i abl e for
di s ci pl i nary/l egal acti ons .
3. 3c.
Hos pi tal s where none of the a ttri butes bel ow appl y, s hal l be
re-l i cens ed di rectl y by the DPHE .
3. 3d.
Al l appl i cati ons for the renewal of Li cens e for the pri vate
hos pi tal s wi th fol l owi ng attri butes s hal l be forwarded to the
pri vate hos pi tal commi ttee, DGHA, MO H -HQ for neces s ary
approval befo re renewal of l i cens e or i mpl ementati on of the
changes .
3. 3 . d. i .
Structural expans i on of the premi s es
3. 3 . d. i i.
E xpans i on or addi ti on of cl i ni cal s ervi ces
5
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
3. 3 . d. i ii .
E xpans i on of number of beds
3. 3 . d. i v.
Change of owners hi p.
3. 3 . d. v.
Change of Name.
3.4. VALIDITY:
T he val i di ty peri od of the renewed Li cens e s hal l be for two (2)
years from the date of renewal of the l i cens i ng.
3.5. INSPECTIONS:
T he Department of Pri vate Heal th E s tabl i s hments s hal l conduct
peri odi c un-announced i ns pecti ons to ens ure compl i ance of the
pri vate hos pi tal s wi th al l rel evant s tandards , rul es and regul ati ons
of the MO H.
4.
LICENSING OF ADDITIONAL STRUCTURES/SERVICES
4. 1.
I n a dul y l i cens ed pri vate hos pi tal , fol l owi ng s hal l
addi ti onal pri or approval and l i cens i ng from the MO H -HQ .
4. 1a.
Structural expans i on of the premi s es
4. 1b.
E xpans i on or addi ti on of cl i ni cal s ervi ces
4. 1c.
E xpans i on of number of beds
4. 1d.
Change of owners hi p.
requi re
4. 2.
T he owners / management of the pri vate hos pi tal s hal l appl y i n
advance for approval of any s tructural changes and / or addi ti on of
cl i ni cal s ervi ces to the DPHE .
4. 3.
T he proces s of appro val and l i cens i ng of addi ti onal s tructures /
s tructural al terati ons / cl i ni cal s ervi ces etc wi l l i ncl ude s tudy of
the propos ed pl ans , feas i bi l i ty s tudy for addi ti onal equi pment and
manpower needs , and an i ns pecti on vi s i t by the MO H team.
4. 4.
T he actual work to wards addi ti onal s tructures / al terati on of
s tructures / and addi ti onal s ervi ces etc s hal l be s tarted onl y on
getti ng the neces s ary approval from the Pri vate Hos pi tal
Commi ttee at MO H -HQ .
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MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
5.
DISCIPLINARY RULES AND REGULATIONS
5. 1.
T he MO H s hal l retai n the ri ght to deny, s us pend, or revoke the
l i cens e i n fol l owi ng s i tuati ons
5. 2.
Fai l ure of the hos pi tal to compl y wi th the rul es and regul ati ons
pertai ni ng to l i cens i ng of pri vate hos pi tal s .
5. 3.
Fai l ure to compl y wi th the mi ni mum bas i c requi rements , or other
requi rements
deem ed
neces s ary
by
the
Pri vate
Hos pi tal
Commi ttee.
5. 4.
Fai l ure of s ervi ces provi ded by the hos pi tal to ens ure publ i c
heal th, s afety, or wel fare of the pati ents .
5. 5.
E xpi red or abs ent l i cens e for the premi s es .
5. 6.
E xpi red or abs ent l i cens e fi r the s ervi ces .
5. 7.
E xpi red or abs ent l i cens e for the medi cal s taff.
5. 8.
T he management of the pri vate hos pi tal s hal l be dul y noti fi ed
about the defi ci enci es , breach of di s ci pl i nary codes , rul es , and
regul ati ons etc, and gi ven a chance to repres ent thei r poi nt of
vi ew and /or cover the defi ci e nci es .
5. 9.
MO H, through the Dept. of Pri vate Heal th E s tabl i s hment and
Pri vate hos pi tal commi ttee may i ni ti ate a formal i nqui ry agai ns t
any di s ci pl i nary breach.
5. 10. Deci s i on of the Pri vate hos pi tal commi ttee after the formal i nqui ry
s hal l be dul y communi cated to th e management of the concerned
pri vate hos pi tal .
5. 11. T he di s ci pl i nary acti ons may i ncl ude, but not l i mi ted to,
5. 11a. Advi ce
5. 11b. Warni ng
5. 11c. Monetary Penal ty (not more than O MR 500/ -)
5. 11d. Sus pens i on of Li cens e & regi s trati on (not more than one
year)
5. 11e. Cancel l ati on of the l i cens e.
5. 12. T he management of the pri vate hos pi tal s hal l retai n the ri ght to
appeal to HE the Mi ni s ter, agai ns t the deci s i on of the commi ttee,
wi thi n 30 days from the date of recei pt of the deci s i on.
5. 13. HE the Mi ni s ter s hal l retai n the ri ght to reject the appeal wi thout
further heari ng, or order re -i nves ti gati ons through the commi ttee.
5. 14. T he deci s i on of HE the Mi ni s ter for al l appeal cas es s hal l be fi nal
at the MO H l evel and bi ndi ng on the pri vate hos pi tal commi ttee
and the appel l ant.
5. 15. T he concerned hos pi tal on getti ng the n oti fi cati on s hal l return the
l i cens e to the MO H.
7
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
6.
DEFINITIONS:
6. 1.
HOS P IT A L :
“Any heal th care es tabl i s hment owned and operated by a pers on,
partners hi p, or corporati on whi ch mai ntai ns and operates
organi z ed faci l i ti es and s ervi ces for the medi cal di agno s i s ,
treatment, and / or care of pers on over a peri od exceedi ng 24
hour’s , and has not l es s than s i x (6) l i cens ed i npati ent beds to
accommodate pati ents requi ri ng conti nuous & s upervi s ed cl i ni cal
management”.
6. 2.
LICENS ED HOS P IT AL BEDS (I ncl uded i n the bed
compl ement) :
“A bed whi ch i s i ns tal l ed & prepared for conti nuous 24 hour’s us e
by i npati ents duri ng thei r peri od of hos pi tal i z ati on, and i s s i tuated
i n areas of the hos pi tal i ntended for us e by i npati ents ”.
Accordi ngl y, fol l owi ng
i npati ent beds .
beds
s hal l
be
recogni z ed
as
6. 2a.
B eds i n pri vate rooms
6. 2b.
B eds i n pri vate wards
6. 2c.
B eds i n s peci al care uni ts (I CU . CCU , SCBU )
6. 2d.
B eds i n i s ol ati on rooms
6. 2e.
I ncubators us ed for care of l ow bi rth wei ght i nfants
B E DS NO T CO NSI DE RE D AS LI CE NSE D
i ncl uded i n the b ed compl ement)
-
B eds i f Labor & Del i very rooms
-
B eds i n E xami nati on room
-
B eds i n T reatment rooms
-
B eds i n Phys i ci ans ’ offi ces
HO SPI T AL
l i cens ed
BE DS
(not
8
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
-
B eds i n Recovery rooms
-
B eds i n O utpati ent cl i ni cs
-
B eds i n E mergency room
-
B eds i s s peci al di agnos ti c or therapeuti c depar tments e. g.
Radi ol ogy, Laboratory, bl ood bank, endos copy room etc
-
B eds i n Phys i otherapy department
-
B eds i n Di al ys i s uni t.
-
New-born cri bs kept i n wards to accommodate heal thy babi es
of s i ck mothers .
MINIMUM GENERAL PROVISIONS
7.
(Additional resources may be needed according to the nature of specialty
services and the work -load of the hospital)
7.1. MANPOWER:
7. 1a.
Admi ni s trator (preferabl y wi th Medi cal background)
7. 1b.
Admi ni s trati ve s taff (Fi nance, pers onnel etc)
7. 1c.
Admi ni s trati ve s upport s taff (coordi nators , s ecretari es etc)
7. 1d.
Head of cl i ni cal s ervi ces
7. 1e.
Head of Nurs i ng s ervi ces
7. 1f.
Li cens e d doctors
7. 1g.
Li cens ed nurs i ng s taff
7. 1h.
Li cens ed paramedi cal s taff
7. 1i .
Cl i ni cal s upport s taff (e. g. Medi cal O rderl i es , Ambul ance
dri vers etc)
7. 1j.
O ther s upport s taff (mai ntenance techni ci ans , cl eaners etc)
T he need for general duty doctors and nurs i ng s taff s hal l
es tab l i s hed i n accordance wi th the fol l owi ng general pri nci pl es .
be
-
One resident on -call doctor at any given time for 1 to 20 beds,
and an additional 1 for every additional 20 beds.
-
One Nurse for any given shift for every 6 beds and One assistant
nurse for any given shift for every 3 beds.
Or
-
One Nurse for every 4 beds
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MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
7.2. EQUIPMENT:
as per attached l i s t of equi pment provi ded by DGE A.
7.3. STRUCTURE:
7. 3a.
O PD cl i ni cs
7. 3b.
Recepti on / regi s trati on area
7. 3c.
I npati ent war d(s ) / Rooms
7. 3d.
Nurs i ng s tati on for i npati ent area
7. 3e.
Admi ni s trati on s ecti on
7. 3f.
O PD Wai ti ng area
7. 3g.
Admi n wai ti ng area
7. 3h.
E mergency room
7. 3i .
Di rty uti l i ty
7. 3j.
Cl ean uti l i ty
7. 3k.
T reatment room I PD
7. 3l .
T reatment room O PD
7. 3m.
Staff toi l ets
7. 3n.
*Pati ents toi l ets (1 i n each s i ngl e room, and 1 for each 5
bed ward)
7. 3o .
Pati ent changi ng areas .
7. 3p.
Ramps & Pati ent bed Li fts (where appl i cabl e)
7. 3q.
Standby power generator
7. 3r.
U PS (i f havi ng O T S, I CU etc)
7. 3s .
E ngi neeri ng room
7. 3t.
Space al l ocati on as per equi pment l i s t s peci fi cati on
7. 3u.
Doctor’s duty room (s )
7. 3v.
Pantry (s taff and Pati ents )
7. 3w.
Drug s torage area.
7. 3x .
Cons umabl es & l i nen s torage room.
7. 3y.
Pharmacy
7. 3z .
DD cupboard wi th al arm s ys tem.
7. 3aa. Water res ervoi r to s tore water for approx 1 week
7. 3bb. AC / Venti l ati on s ys tem as per DGE A s peci fi cati ons
7. 3cc. Fi res s afety al arm s ys tem
7. 3dd. E mergency exi t pl an.
11
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
*Al l toilets to have fittings, fixtures, and special arrangements suited for
disabled patients.
7.4. SERVICES:
7. 4a.
E mergency cl i ni cal management s ervi ces .
7. 4b.
24 hours cover by doctors for i npati ent department
7. 4c.
24 hours nurs i ng s ervi ces
7. 4d.
Cl eani ng s ervi ces (i n -hous e or out -s ourced)
7. 4e.
Cateri ng s ervi ces ( i n -hous e or outs ourced)
7. 4f.
B i o -medi cal Mai ntenance s ervi ces (i n -hous e or out -s ourced)
7. 4g.
Ci vi l Mai ntenance s ervi ces (i n -hous e or out -s ourced)
7. 4h.
O PD and I PD Referral arrangements .
7. 4i .
Ambul ance s ervi ces
7. 4j.
Laboratory s ervi ces
7. 4k.
Radi ol og y s ervi ces
7. 4l .
Steri l i z ati on U ni t and faci l i ty (i n -hous e mandatory)
7. 4m.
CSSD s ervi ces ( i n -hous e or outs ourced)
7. 4n.
Laundry s ervi ces ( i n -hous e or outs ourced)
7. 4o .
Garbage di s pos al s ervi ces
7. 4p.
Hos pi tal Was te di s pos al s ervi ces
7. 4q.
I nfected was te di s pos al s ervi ces
7. 4r.
B l ood product s torage / s ervi ces
7. 4s .
I s ol ati on s ervi ces ( i n -hous e )
7. 4t.
Medi cal gas es provi s i on
7. 4u.
Paper bas ed or el ectroni c medi cal records management.
7.5. ESSENTIAL
SERVICES:
COMBINATIONS
WITH
SPECIALTY
7. 5a.
T he mi ni mum bas i c requi rements , i n addi ti on to above, s hal l
vary wi th the nature and extent of the s peci al ty s ervi ces
propos ed for the pri vate hos pi tal s .
7. 5b.
T he commi ttee s hal l conti nue to devel op thi s document
further, i ncorporati ng s peci fi c mi ni mum bas i c requi rements
for each cl i ni cal s peci al ty s ervi ce.
7. 5c.
As of now, fol l owi n g bas i c gui del i nes s hal l be depl oyed for
s peci al ty cl i ni cal s ervi ces .
11
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
7. 5 . c. i .
24 hrs O n-cal l Cover by one or more s peci al i s t
l evel doctor.
7. 5 . c. i i .
24 hrs on-cal l cover wi th phys i cal pres ence of
by one MO for each 20 s peci al ty beds .
7. 5 . c. i i i.
Wi th Del i very S ervi ces :
7. 5 . c. i v.
7. 5 . c. v.
7. 5 . c. vi .
-
Paedi atri cs co ver
-
Mi ni mum 1 del i very room
-
Mi ni mum 2 obs ervati on be ds .
-
Col d Chai n & I mm uni z ati on
Arrangeme nts .
-
I ncubator
-
Venti l ator
-
Moni tors
Wi th OT S ervi ces :
-
Venti l ati on arrangements
-
Venti l ator
-
Moni tors
Wi th Cardi ac Cath -Lab S ervi ces :
-
CCU arrangements
-
Venti l ator
-
Moni to rs
Wi th R enal T rans pl ant S ervi ces :
-
Nephrol ogy cover
-
U rol ogy cover
-
I CU
-
Renal di al ys i s s ervi ces
-
I s ol ati on Servi ces
12
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8.
SPECIFICATIONS FOR STRUCTURAL FACILITIES
8.1. PLANNING
A s wi th any hos pi tal the ai m i s to provi ded s tate of the art
technol ogy and faci l i t i es that are fi t for purpos e. T hi s
s houl d i ncl ude the cl i ni cal areas i n whi ch the pati ents are
cared for and s upport faci l i ti es that are i nvol ved i n the over
al l care.
T he key as pects of pl anni ng the hos pi tal are:
-
Fi t for purpos e
-
Appropri ate acces s
-
Q ual i ty envi ronment
-
I nfecti on control
-
Securi ty
-
Heal th & Safety
-
E nvi ronmental pol l uti on
-
Ri s k management
I n addi ti on there are number of general pri nci pl es to cons i der:
-
U s er requi rements
-
I nter l ocati onal rel ati ons hi ps of departments
-
Vi ews of us ers
8.2. PATIENT AREAS
8. 2a.
Inpati ent Areas
8. 2 . a. i .
Bed s pace i s l arge enough to permi t al l cl i ni cal
i nterventi ons and accommodate mul ti parameter
moni tori ng and l i fe s upport s ys tems .
8. 2 . a. i i.
Suffi ci ent s pace to accommodate a pati ent chai r
and l ocker
8. 2 . a. i ii .
Space to enabl e s taff to maneuver the pati ent
and s afety equi pment
8. 2 . a. i v.
Suffi ci ent s pace for addi ti onal mobi l e equi pment
where neces s ary
13
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8. 2b.
8. 2c.
8. 2 . a. v.
Cri ti cal care areas , i f avai l abl e, s houl d be
l ocated wi th conveni ent acces s from other
es s enti al s ervi ces l i ke l aboratory, radi ol ogy,
res us ci tati on, res pi rati on therapy etc .
8. 2 . a. vi .
Di rect or remote vi s ual obs ervati on between
nurs e s tati on and al l pati ent beds i n cri ti cal care
areas .
8. 2 . a. vii .
E ach bed of cri ti cal care area s houl d have
equi pment for conti nuous moni tori ng wi th
di s pl ay at the pati ent s i de and at the nurs e
s tati on.
8. 2 . a. vii i .
Central l y l o cated area for treatment of pati ent
from more than one i npati ent uni ts i n the s ame
fl oor l evel .
8. 2 . a. i x.
Vi s ual and audi tory pri vacy
8. 2 . a. x.
Avai l abi l i ty of natural dayl i ght
8. 2 . a. xi.
Adequate venti l ati on wi th proper control
Outpati ent Areas
8. 2 . b. i .
Suffi ci ent s pace, l arge enough to accom modate
an exami nati on tabl e or other means for
exami ni ng the pati ent and to permi t al l cl i ni cal
i nterventi ons .
8. 2 . b. i i.
Suffi ci ent s pace to accommodate equi pment for
di agnos i s or treatment i n s peci al cl i ni cs s uch as
eye, ear, nos e and throat exami nati on.
8. 2 . b. i ii .
Space to e nabl e s taff to maneuver the pati ent
and s afety equi pment.
8. 2 . b. i v.
Suffi ci ent s pace to accommodate the furni ture
for the cl i ni ci an and pati ent
8. 2 . b. v.
Vi s ual and audi tory pri vacy
8. 2 . b. vi .
T reatment area for outpati ents
8. 2 . b. vi i.
Avai l abi l i ty
of
natural
s uppl ementary l i ght to w ork
8. 2 . b. vi ii .
Adequate venti l ati on wi th appropri ate control
l i ght
and
wi th
Emergency Care Area
8. 2 . c. i .
Conveniently
accessible,
well
marked,
illuminated, and covered area for transfer of
patient from ambulance and/or other vehicles.
8. 2 . c. i i .
Ramp for wheel chair and stretchers
8. 2 . c. i i i.
Suffi ci ent s pace, l arge enough to accommodate
an exami nati on tabl e or other means for
14
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
exami ni ng and treati ng the pati ent
permi t al l cl i ni cal i nterventi ons .
8. 2d.
8. 2e.
8. 2f.
and
to
8. 2 . c. i v.
Suffi ci ent s pace to accommodate equi pment for
res us ci tati on, di agnos i s or treatment
8. 2 . c. v.
Space to enabl e s taff to ma neuver the pati ent
and s afety equi pment.
8. 2 . c. vi .
Vi s ual and audi tory pri vacy
8. 2 . c. vi i .
Avai l abi l i ty
of
natural
s uppl ementary l i ght to work
8. 2 . c. vi i i.
Adequate ventilation with appropriate control
l i ght
and
wi th
S urgi cal (Operati on T heatre) Areas :
8. 2 . d. i .
Shoul d have s uffi ci ent pre -operati ve pati ent
hol di ng areas dependi ng upon the number of
theatres .
8. 2 . d. i i.
T heatre s houl d
have
s uffi ci ent
s pace
to
accommodate the tabl e, requi red equi pment
i ncl udi ng portabl e x -ray uni t, s taff etc.
8. 2 . d. i ii .
Pos t operati ve recovery area wi th enough s pace,
dependi ng upon the num ber of theatres .
8. 2 . d. i v.
Shoul d
have
an
attached
provi s i on
for
s teri l i z ati on of equi pment and i ns truments of
i mmedi ate or emergency us e
8. 2 . d. v.
Avai l abi l i ty
of
natural
s uppl ementary l i ght to work
8. 2 . d. vi .
Adequate ventilation with appropriate control
l i ght
and
wi th
Lab or/ Del i ver y Areas
8. 2 . e. i .
S houl d have s uffi ci ent des i gnated as s es s ment
and preparati on area, dependi ng upon the
number of del i very uni ts
8. 2 . e. i i.
Del i very uni t s houl d have s uffi ci ent s pace to
accommodate
the
del i very
bed,
es s enti al
equi pment, s taff etc
8. 2 . e. i ii .
Shoul d have provi s i on for I nfa nt res us ci tati on
8. 2 . e. i v.
Avai l abi l i ty
of
natural
s uppl ementary l i ght to work
8. 2 . e. v.
Adequate venti l ati on wi th appropri ate control
l i ght
and
wi th
S upport faci l i ti es for fami l y and fri ends
I n addi ti on, faci l i ti es are requi red for pati ent rel ati ves of
cri ti cal i l l pati ent s s uch as
15
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8. 2 . f. i .
A wel comi ng recepti on
8. 2 . f. i i .
A comfortabl e s i tti ng room
8. 2 . f. i i i.
Beverage maki ng faci l i ti es
8. 2 . f. i v.
Des i gnated toi l ets
8. 2 . f. v.
O verni ght accommodati on
8. 2 . f. vi .
Di s abl e faci l i ti es
8.3. STAFF AREAS
8. 3a.
A worki ng envi ronment that refl ects bes t practi ce
8. 3b.
Des i gnated toi l ets , s eparate from pati ent s
8. 3c.
A way i n whi ch to s ummon hel p from other s taff
8. 3d.
Suffi ci ent s torage for es s enti al s uppl i es and equi pment i n
each area
8. 3e.
T echni cal s upport s ervi ces for urgent tes ts
8. 3f.
Space for pri vacy for exchange of i nformati on wi th other
s taff
8. 3g.
Appropri ate
dri nki ng
8. 3h.
Provi s i on for teachi ng /educati onal acti vi ti es
faci l i ti es
for
chan gi ng
, res ti ng,
eati ng
and
8.4. OFFICE ACCOMMODATION
I t i s i mportant to provi de a qui et envi ronment where s taff can deal wi th
admi ni s trati ve tas ks . O ffi ces wi l l be requi red for:
8. 4a.
Cl i ni cal Di rector
8. 4b.
Manage r
8. 4c.
Cl i ni cal s taff
8. 4d.
Admi ni s trati ve s upport s taff
8. 4e.
Meeti ng faci l i ti es
16
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8.5. SERVICES AREAS
8. 5a.
8. 5b.
Lab oratory S ervi ces :
8. 5 . a. i .
Shoul d have faci l i ti es for the performi ng of
Haematol ogy, cl i ni cal chemi s try, mi crobi ol ogy
etc
8. 5 . a. i i.
Shoul d have s uffi ci ent
es s enti al equi pment.
8. 5 . a. i ii .
Shoul d have
s peci men
8. 5 . a. i v.
Shoul d
have
s uffi ci ent
s torage
faci l i ti es ,
i ncl udi ng refri gerati on, for reagents , s tandards
and s tai ned s peci men etc.
8. 5 . a. v.
Shoul d have faci l i ti es and equi pment for
termi nal s teri l i z ati on of contami nat ed s peci men
s eparate
s pace
area
to
for
keep
col l ecti on
the
of
Imagi ng S ervi ces :
8. 5 . b. i .
Shoul d have
s ervi ces .
provi s i on
8. 5 . b. i i.
Space and equi pment s hal l be as neces s ary to
accommodate the functi onal program.
8. 5 . b. i ii .
I magi ng area
protecti on
8. 5 . b. i v.
Shoul d have faci l i ti es for pati ent dres s i ng
8. 5 . b. v.
Shoul d
have
proces s i ng etc.
to
for
have
faci l i ti es
bas i c
s peci fi ed
for
fi l m
i magi ng
radi ati on
s torage,
8.6. GENERAL DESIGN CONSIDERATIONS
Al l the s pace pl anni ng and faci l i ti es s houl d be des i gned and
compl y wi th hos pi tal bui l di ng notes documents (HBN) from the U K
as a mi ni mum and where neces s ary adapte d to the l ocal
requi rements .
T he hos pi tal mus t have s uffi ci ent and appropri ate acces s wi th
roads and paths and the mai n entrance and emergency entrances
s houl d be cl earl y i denti fi ed.
Suffi ci ent provi s i on mus t be al l ocated for pati ent and s taff parki ng
wi th cons i derati on for pati ent rel ati ves at vi s i ti ng ti me
Cons i derati on s houl d be gi ven to i nternal fi ni s hes s uch as
17
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8. 6a.
8. 6b.
8. 6c.
8. 6d.
Fl oors
8. 6 . a. i .
Fl oor s urfaces that can be eas i l y cl eaned and
s hal l be functi onal compati bl e wi th the need for
comfort, cl eanl i nes s , movement of heavy l oads
and s afety
8. 6 . a. i i.
Fl oor s urfaces s houl d be s l i p res i s tant
8. 6 . a. i ii .
Carpets s houl d not be us ed i n cl i ni cal areas
8. 6 . a. i v.
I n s peci al areas s uch as I CU , SCBU and O T the
fl oors s houl d be anti s tati c and s tructured wi th
few joi nts
8. 6 . a. v.
Fl oors i n wai ti ng areas s houl d be eas i l y cl eaned
Wal l s
8. 6 . b. i .
Wal l fi ni s hes s houl d be durabl e and be abl e to
wi ths tand wet cl eani ng and acci dental i mpact by
trol l eys etc. E s peci al l y vul nerabl e s urfaces
s houl d have addi ti onal protecti on.
8. 6 . b. i i.
Pai nt fi ni s hes s houl d be
pl eas uri ng envi ronment
8. 6 . b. i ii .
I n I CU , SCBU and O T areas the pai nt fi ni s h s hal l
be as epti c pai nt
8. 6 . b. i v.
Cerami c ti l es s houl d be us ed i n wet areas s uch
as ki tchens , s howers and toi l ets
chos en
to
gi ve
a
Cei l i ngs
8. 6 . c. i .
Acous ti cal l y abs orbent cei l i ngs s hal l be us ed to
reduce noi s e. T he choi ce of cei l i ng s houl d be
compati bl e wi th the us e of the room and
i nfecti on control requi rements .
8. 6 . c. i i .
Care s houl d be taken to ens ure that the cei l i ngs
are hi gh enough to al l ow al l worki ng practi ces
and res ul t i n an acceptabl e i nteri or appearance.
Doors & Frames
8. 6 . d. i .
Materi al s us ed for doors s houl d b e abl e to
wi ths tand
frequent
i mpact
from
mobi l e
equi pment.
8. 6 . d. i i.
Al l doubl e –s wi ng
vi s i on panel s .
8. 6 . d. i ii .
T he i ron mongery s houl d be chos en to s ui t the
need of the doors , s uch as hol d open devi ces ,
doors
s houl d
i ncorporate
18
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
l ocks , automati c movers , magneti c retai ners and
ki ck pl ates .
8. 6 . d. i v.
8. 6e.
Due cons i derati on s hal l be gi ven to ai d pati ent
movement on beds through the area
Wi ndows
Cons i derati on s houl d be gi ven
s el ecti on of l ocati on and type:
8. 6f.
to
the
fol l owi ng
before
8. 6 . e. i .
Dayl i ght needs
8. 6 . e. i i.
Natural venti l ati on needs
8. 6 . e. i ii .
Noi s e i ns ul ati on
8. 6 . e. i v.
U s er comfort
8. 6 . e. v.
E nergy convers ati on
8. 6 . e. vi .
Preventi on of gl are and heat
8. 6 . e. vi i.
Al l wi ndows s houl d be at l eas t doubl e gl az ed
8. 6 . e. vi ii .
Wi ndows s hal l be eas i l y cl eaned
8. 6 . e. i x.
Bl i nds s houl d be i ns tal l ed to provi de bl ackout
condi ti on i n s ome treatment areas
8. 6 . e. x.
Wi ndows i n pati ent areas s houl d be non openabl e
S i gnage
8. 6 . f. i .
Al l the areas of the hos pi tal s houl d bear s i gnage
to al l ow pati ent , rel ati ves
and s taff to fi nd
there way eas i l y.
8. 6 . f. i i .
T he mai n l obby and central l ocati ons of vari ous
parts of the premi s es s houl d bear s i gn boards
offeri ng di recti ons for ot her parts / s ervi ces
venues .
8. 6 . f. i i i.
T he
hos pi tal
premi s es
s houl d
have
emergency exi ts cl earl y marked as per
defens e s tandards .
the
ci vi l
19
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8.7. SPECIFIC DESIGN REQUIREMENTS
8. 7a.
8. 7b.
Infecti on Control
8. 7 . a. i .
Hos pi tal acqui red i nfecti ons i s a major probl em
and therefore adherence to b es t practi ce i s
cruci al .
8. 7 . a. i i.
T he des i gn of the bui l di ng s houl d be wi th the
s peci fi c purpos e of reduci ng the ri s k of hos pi tal
acqui red i nfecti on.
8. 7 . a. i ii .
Account s houl d be taken of the us e of
i nnovati ve coati ngs , products for furni s hi ngs
and fi tti ngs that hel p i n the r educti on of
i nfecti ons .
Fi re P reventi on & Emergency Es cape
8. 7 . b. i .
8. 7c.
8. 7d.
S ecuri ty
8. 7 . c. i .
Securi ty meas ures are needed to control
unauthori z ed
acces s
and
to
reduce
the
l i kel i hood of thefts .
8. 7 . c. i i .
T he us e of res tri cted entry s ys tems and camera
i s recommended.
8. 7 . c. i i i.
No s ecuri ty meas ures s houl d i nhi bi t emergency
es cape.
Noi s e A nd S ound At tenuati on
8. 7 . d. i .
8. 7e.
Provi s i on s houl d be made for fi re preventi on
devi ces , emergency l i ghti ng and adequate
es cape routes to al l ow hori z ontal s taged
evacuati on of the i npati ent areas by the us e of
fi re z ones and compa rtments .
Due care and cons i derati on s houl d be gi ven to
noi s e generati on and abatement for the pati ent
and s taff comfort.
Li fts
8. 7 . e. i .
I f there i s a s econd s tory then adequate
s tai rways and l i fts faci l i ti es are requi red. T hes e
s hal l be des i gn for bed and pati ent acces s and
compl y wi th al l ci vi l defens e s afety s tandards
21
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8. 7f.
Ki tchen
8. 7 . f. i .
8. 7g.
I f i n hous e cateri ng i s provi ded than appropri ate
ki tchen
faci l i ti es
mus t
be
provi ded
in
accordance wi th HBN documents .
Laundry
8. 7 . g. i .
I f i n hous e l aundry s ervi ces are provi ded than
appropri ate l aundry faci l i ti es mus t be provi ded
i n accordance wi th HBN documents .
8.8. ENGINEERING REQUIREMENTS
Al l the engi neeri ng s ervi ces s houl d be des i gned and compl y wi th
Hos pi tal techni cal memorandum documents (HT M) from the U K as
a mi ni mum and where neces s ary ada pted to the l ocal
requi rements .
I n al l as pects attenti on mus t be pai d to s pace faci l i ti es for
s ervi ces , rel i abi l i ty, acces s i bi l i ty and mai ntai nabi l i ty of thes e
s ervi ces and emergency break up, energy effi ci ency, heal th &
s afety and management of ri s ks rel a ted to thes e s ervi ces .
E l ectri cal power, data outl ets and medi cal gas es s hal l be provi ded
throughout the areas as needed i n s uffi ci ent numbers to al l ow
adequate provi s i on of the heath care.
8. 8a.
8. 8b.
El ectri cal S uppl y
8. 8 . a. i .
T he el ectri cal s uppl y s houl d compl y wi th B S
7671 and HT M 2007 and the l ocal regul ati ons .
8. 8 . a. i i.
T he
el ectri cal
i ns tal l ati on
s hal l
ens ure
compl i ance wi th codes of practi ce of el ectri cal
i nterference.
Emergency El ectri cal S uppl i es
8. 8 . b. i .
T he hos pi tal s hal l have a back up power s uppl y,
normal l y and generator and/or i n terrupti bl e
power s uppl y (U PS) di s tri buted as recommended
i n HT M 2011.
8. 8 . b. i i.
T he
des i gners
s houl d
carry
out
a
ri s k
as s es s ment to i denti fy the operati onal i mpact.
8. 8 . b. i ii .
Any outl ets connected to cri ti cal medi cal devi ces
s houl d be connected to the es s enti al ci rcui ts
and cl earl y i denti fi ed.
21
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8. 8c.
8. 8d.
8. 8e.
Li ghti ng
8. 8 . c. i .
Li ghti ng s houl d
gui de LG 2 U K .
compl y
wi th
CI BSE
l i ghti ng
8. 8 . c. i i .
T he col or fi ni s hes and s el ecti on of l i ghts s houl d
be coordi nated to achi eve.
8. 8 . c. i i i.
T he requi red mi ni mum l i ghti ng
techni cal s peci fi cati on wel comi ng
atmos phere.
8. 8 . c. i v.
Sel ecti on of l i ghts s hal l be wi th appropri ate
col or renderi ng l amps for cri ti cal di agnos ti c and
treatment areas . Low gl are l i ghti ng s ol uti ons
s hal l be adopted.
8. 8 . c. v.
I n bedded areas the number and l ocati on of
l i ghti ng fi tti ngs s houl d be above and behi nd th e
bed-head to achi eve the appropri ate l evel of
i l l umi nati on. Provi s i on mus t be made for ni ght
l i ghti ng.
8. 8 . c. vi .
I n corri dors the l ocati on of l i ghts s hal l compl y
wi th HBN 40.
8. 8 . c. vi i .
Li ght fi tti ngs s hal l be manufactured accordi ng to
BS 4533.
8. 8 . c. vi i i.
E mergency es cape l i ghti ng s houl d be provi ded
to HT M 2011 & BS 5266.
8. 8 . c. i x.
Mobi l e exami nati on l i ghts s houl d where provi ded
operate on extra l ow vol tage.
l evel s and
and cal m
P ower Outl ets
8. 8 . d. i .
Socket outl ets at each bed s pace s houl d be
uns wi tched when connected to a medi cal devi ce.
8. 8 . d. i i.
T he s ue of U PS s houl d be cons i dered to
s afeguard the l os s of data and medi cal
equi pment.
8. 8 . d. i ii .
Suffi ci ent s ockets s hal l be provi ded for portabl e
appl i ances other than medi cal devi ces .
8. 8 . d. i v.
E l ectri cal s uppl y connecti ons to al l di agnos ti c
equi pment s hal l compl y wi th BS E N60. Due care
s hal l be pai d to ear thi ng termi nati ons etc.
Venti l ati on
8. 8 . e. i .
Provi s i on s houl d
venti l ati on.
be
made
for
mechani cal
8. 8 . e. i i.
Ai r movement s houl d al ways be from cl ean to
di rty areas . T he des i gns s houl d al l ow adequate
fl ow of ai r i nto the s pace to achi eve the
22
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
requi red mi ni mum ai r changes per
pres s ure di fferenti al s as neces s ary.
8. 8f.
8. 8g.
hour and
8. 8 . e. i ii .
Mechani cal venti l ati on s houl d ens ure that both
the s uppl y ai r and extract ai r are bal anced
taki ng i nto cons i derati on i nfi l trati on.
8. 8 . e. i v.
Fres h ai r s houl d be i ntroduced by l ow vel oci ty
s ys tems and cool ed and fi l tered as neces s ary.
Di ffus ers s houl d be l ocated to achi eve a uni form
ai r di s tri buti on wi thout caus i ng di s comfort to
the pati ents .
8. 8 . e. v.
Where s urgery i s to be undertaken , s uch as i n
a major treatment room or operati ng theatre
s ui tabl e fi l tered and pres s uri z ed ai r s up pl y i s
requi red des i gned and i ns tal l ed i n accordance
wi th HT M 2025.
8. 8 . e. vi .
Areas dedi cated for i nfected pati ents s houl d
have appropri ate mechani cal venti l ati on and
pres s ure
control
to
create
a
s ui tabl e
envi ronment to reduce i nfecti on ri s ks .
8. 8 . e. vi i.
A s eparate extract s ys tem i s requi red for “di rty”
areas e. g. uti l i ty and s ani tary areas . E xternal
di s charge s ys tems mus t be protected agai ns t
back pres s ure and s houl d be l ocated away from
ai r i ntakes or wi ndows .
8. 8 . e. vi ii .
T he pl ant s houl d be tes ted to compl y wi th B S
E N 779.
A i r Condi ti o ni ng
8. 8 . f. i .
Sui tabl e s ys tems s hal l be provi ded to control
the temperature and humi di ty to achi eve pati ent
and s taff envi ronment comfort condi ti ons .
8. 8 . f. i i .
I n s peci al areas s uch as I CU , SCBU and
operati ng theatres the ai r condi ti oni ng s ys tem
s hal l be des i gned and control l ed to achi eve the
envi ronmental
condi ti ons
needed
for
the
procedures .
T el ecommuni cati ons
8. 8 . g. i .
T el ecommuni cati ons i s an es s enti al el ement of
hos pi tal management. A s ui tabl e s ys tem rel ated
to the hos pi tal management pol i cy s houl d be
s el ected
that
caters
for
the
maxi mum
anti ci pated traffi c demand. Suffi ci ent i ncomi ng
and outgoi ng l i nes s hal l be provi ded to al l ow
the publ i c, pati ents and s taff to communi cate
wi thout fi ndi ng the s ys tem bus y.
23
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8. 8 . g. i i.
8. 8h.
8. 8i .
8. 8j.
Informati on T echnol ogy (IT ).
8. 8 . h. i .
Suffi ci ent data outl ets and s uffi ci ent data
hardware and s oftware s hal l be provi ded to
compl y wi th the hos pi tal manageme nt pol i cy for
data trans fer and s torage.
8. 8 . h. i i .
Al l data wi ri ng and data devi ces s hal l be
s eparate from the el ectri cal s uppl i es and run i n
s eparate pathways
M edi cal Gas es
8. 8 . i . i.
T he whol e s ys tem s hal l be des i gn and i ns tal l ed
i n compl i ance wi th HT M 2022
8. 8 . i . ii .
T he whol e s ys tem s houl d make due al l owance
for future needs
8. 8 . i . ii i .
O utl ets s houl d be di s tri buted to refl ect cl i ni cal
and nurs i ng needs and provi de wi th s ui tabl e
back up faci l i ti es .
8. 8 . i . iv.
Al l s ys tems s hal l be tes ted for puri ty.
A l arms & Communi cati ons
8. 8 . j. i .
8. 8k.
O utl ets s houl d be provi ded for fi xed payphones
for s taff and vi s i tors . Pa yphones for s taff and
vi s i tors s houl d be l ocated near wai ti ng areas .
O ne s houl d be wheel chai r acces s i bl e
Communi cati on faci l i ti es s uch as i ntercom,
pagers and/ or nurs e cal l s ys tem s houl d be
di s cus s ed and provi ded as needed to as s i s t the
pati ent care and s taff communi cati on es peci al l y
i n an emergency.
M ai ntenance Faci l i ti es
8. 8 . k. i .
Adequate provi s i on s hal l be made for qual i fi ed
engi neers and techn i ci ans to operate, mai ntai n
and manage the compl ete engi neeri ng s ervi ces
to ens ure and adequate provi s i on of s upport
s ervi ces to al l ow appropri ate heal th care wi th
no ri s k to pati ents and/ or s taff.
8. 8 . k. ii .
I n order to compl y wi th thi s s taff mus t be
qual i fi ed and s ki l l ed to uptake the tas k and
s houl d be provi ded wi th s uffi ci ent s pace i n
terms of offi ces and works hops to carry out the
neces s ary mai ntenance.
24
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
8. 8l .
Li ghteni ng P rotecti on
8. 8 . l . i.
8. 8m.
8. 8n.
Protecti on of the bui l di ng agai ns t l i ghti ng s hal l
be provi ded i n accordance wi th HT M 20 07 and
BS 6651.
Col d & Hot Water S ervi ces
8. 8 . m. i .
Water s ervi ces s hal l be provi ded i n al l areas to
provi de and adequate provi s i on for heal th care
wi th due cons i derati on for i nfecti on control .
8. 8 . m. i i.
T he des i gn of pi pe work s hal l be to HT M
s tandards and provi ded wi th s uf fi ci ent val ves
etc to avoi d di s rupti on to the provi s i on i n the
event of a pi pe work l eak.
8. 8 . m. i ii .
Suffi ci ent s torage s hal l be provi ded for 2 days
i ncas e of fai l ure of s uppl y. Due care s hal l be
gi ven to the water condi ti on and treatment to
avoi d bacteri a and l egi on el l ae accordi ng to HT M
2040.
8. 8 . m. i v.
Hot water s hal l compl y wi th s afe hot water
gui de where the mi ni mum outl et temperatures
at heat generators i s not l es s than 5 degrees
centi grade. Adequate provi s i on mus t be made to
ens ure s uffi ci ent s torage capaci ti es for peak
demands
8. 8 . m. v.
Control s s hal l be provi ded to avoi d s col di ng hot
water temperature by us i ng thermos tati c mi xi ng
val ves .
Drai nage
8. 8 . n. i .
T he i nternal drai nage s houl d compl y to BS E N
12056-2 and HT M 2023 and CI BSE gui de G.
8. 8 . n. i i .
Suffi ci ent
provi s i on
s hal l
be
made
for
i ns pecti on, roddi ng and mai ntenance s o that the
hos pi tal i s di s rupted i f bl ockages occur.
8. 8 . n. i i i.
E ffecti ve provi s i on s hal l be made on s i te for
s ewage s torage and removal , away from the
cl i ni cal areas .
8. 8 . n. i v.
Due cons i derati on be gi ven to rai n water
drai nage on road ways and off bu i l di ng roof to
avoi d col l ecti on that di s rupts pati ent or s taff
acces s to the bui l di ng
25
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
9.
LOCAL RULES AND REGULATION
T he hos pi tal mus t compl y wi th al l l ocal regul ati ons s uch as :
9. 1.
Mus cat Muni ci pal i ty
9. 2.
MRME
9. 3.
ME W
9. 4.
RO P fi re Department
10. COMPLIANCE WITH STANDARDS
T he hos pi tal mus t compl y wi th al l the rel evant s tandards . T hes e s hal l be
checked by the MO H and i f found to be non compl i ance the hos pi tal
management wi l l have to make al l the neces s ary changes for compl i ance at
thei r own cos t.
26
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
LIST OF RECOMMENDED EQUIPMEN T IN PRIVATE HOSPITAL
Department: Operation Theatre
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Anes thes i a Machi ne wi th Vi tal Si gns Moni tor & Venti l ator Compl ete
Di athermy U ni t
O T T abl e
O T Li ght wi th atl eas t 130, 000 to 140, 000 Lux
Res us ci tati on E qui pment i ncl udi ng Defi bri l l ator
T rol l ey O T Steri l e Zone / Non -Steri l e.
Sucti on - Mobi l e / Central .
Medi cal Gas - (O 2, Ai r, N2O ) s uppl i es ei ther Cyl i nder / Mani fol d /
Central .
O T I ns trument Sets
B)
R oom Detai l s
Room Shoul d be wi th Pos i ti ve Ai r Pres s ure
Separate Ai r Handl i ng U ni t for O T - T o prevent Cros s Contami nati on.
O . T . Room Si z e - 6 x 6. 5 Meters approxi matel y.
O T s houl d have Preparati on Room, Recovery Room, Changi ng room,
Scrub, etc.
Department:Labo ratory
A)
Equi pment
Al l Neces s ary E qui pment to carry out the neces s ary tes ts .
27
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Department:Radiology
1 ) X -R ay R oom
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
X-Ray Machi ne - Fi xed
X-Ray Proces s or - Manual / Automa ti c / dayl i ght (accordi ng to the
requi rement).
X-Ray Machi ne Mobi l e, Accordi ng to the s i z e of the hos pi tal .
Radi ati on Protecti on E qui pment
B)
R oom Detai l s
B ui l di ng - Lead Li ni ng or E qui val ent concrete for room and Warni ng Si gns
for Radi ati on Protec ti on as per i nternati onal s tandard
Room Si z e - X-Ray approxi matel y 5 x 6. 25
Dark Room Si z e approxi matel y 2. 75 x 3. 25 Meters
Room Si z e for X -Ray and O PG Machi ne approxi matel y 7. 5 x 6. 5 Meters
2 ) CT R oom
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
C. T . Scan
Anes thes i a Machi ne wi th Moni tor & Venti l ator Compl ete
Res us ci tati on E qui pment i ncl udi ng Defi bri l l ator
Radi ati on Protecti on E qui pment
Pri nter / Proces s or
Pati ent T rol l ey
B)
R oom Detai l s
B ui l di ng - Lead Li ni ng or E qui val ent concrete for room and Warni ng Si gns
for Radi ati on Protecti on as per i nternati onal s tandard
C. T . Scan Room Si z e 6. 25 x 7. 5 Meters
28
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
3) M ammography
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Mammography machi n e
Radi ati on Protecti on E qui pment
Pati ent T rol l ey
Mammography Proces s or
B)
R oom Detai l s
B ui l di ng - Lead Li ni ng and Warni ng Si gns for Radi ati on Protecti on (or
E qui val ent concrete for room) - As per I nternati onal Standards
Mammography Room Si z e - 5 x 5 Meters approxi matel y.
4) M R I
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
MRI Machi ne
Anes thes i a Machi ne
Compactabl e.
wi th
Moni tor
&
Venti l ator
Compl ete
-
MRI
T rol l ey - MRI Compacatabl e
Res us ci tati on E qui p ment i ncl udi ng Defi bri l l ator - MRI Compactabl e
B)
R oom Detai l s
MRI Room Si z e Approxi matel y 6. 9 x 10. 4 Meters
Department: A &E
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Pati ent Moni tor - Portabl e
E CG Machi ne - 12 L ead / 3 Lead
Nebul i z er
Venti l ator T rans port
T rol l ey Res uci tati on
Sucti on - Mobi l e / Central .
29
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Medi cal Gas - (O 2, Ai r) s uppl i es ei ther Cyl i nder / Mani fol d.
Res us ci tati on E qui pment i ncl udi ng Defi bri l l ator
E xami nati on Li ght - atl eas t 3 0, 000 Lux
A&E I ns trument Sets
Pati ent T rol l ey wi th T rans fer Sl i de.
General Medi cal E qui pment l i ke I nfus i on Pump, Syri nge Pump etc.
B)
R oom Detai l s
B ui l di ng - Door Shoul d be Sl i di ng / Bi g enough to tranfer the trol l ey.
Si z e for 1 Cubi c - at l eas t 3. 5 x 2. 5 Meters
Department: P hys i otheraphy
A)
Equi pment
Al l Neces s ary E qui pment to carry out the requi red treatment.
Department: Intens i ve Care Uni t / Coronary Care Uni t
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the f ol l owi ng.
Pati ent B eds
E CG Machi ne
Pati ent Moni tors
Sucti on - Mobi l e / Central .
PMG I tems O 2, Ai r
Res us ci tati on E qui pment i ncl udi ng Defi bri l l ator
Pati ent Venti l ators
General Medi cal E qui pment l i ke I nfus i on Pump, Syri nge Pump etc.
B)
R oom Detai l s
I CU / CCU Si z e for 1 B ed approxi matel y 3. 25 x 3. 25 Meters
31
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Department: Cardi ol ogy
1) Echo Cardi ography R oom
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
E cho Cardi ography Sys tem, Adul t Appl i cati ons .
E mergency T rol l ey wi th Defi bri l l ator Moni tor
Any O ther E qui pment requi red for the Cl i ni c
B)
R oom Detai l s
Room Si z e Approxi matel y 3. 75 x 3. 25 Meters
2) T readmi l l R oom
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
T readmi l l , E x erci s e Sys tem
E CG Machi ne 12 Channel
T rol l ey, E mergency, Wi th Moni tor / Defi bri l l ator
Sucti on – Mobi l e / Central .
Medi cal Gas – (O 2) s uppl i es ei ther Cyl i nder / Mani fol d.
B)
R oom Detai l s
Room Si z e Approxi matel y 3. 75 x 3. 25 Meters
Departm ent: OBG Department
1) Del i very S ui te
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
B ed Del i very
Li ght – Cel i ng Mounted or Mobi l e
Del i very I ns trument Set Compl ete
Angi nox uni t i f requi red.
CT G Machi ne.
General medi cal equi pment l i ke moni tori ng / warmers , etc.
B)
R oom Detai l s
Del i very Sui te Room Si z e 5. 75 x 3. 5 Meters
31
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
2) New Born R es us ci tati on
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
B aby Res us ci tati on E qui pment.
Moni tor Vi tal Si gns , Neonatal
T rol l ey Res us ci tati on I nfant
Sucti on – Mobi l e / Central .
PMG I tems O 2, Ai r
B)
R oom Detai l s
Room Si z e 3. 75 x 3 Meters Approxi matel y
3) S onography R oom
A)
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Machi ne U l tras ound Gyne Appl i cati on Sys tem Compl ete
Any O ther E qui pment requi red for the Cl i ni c
B)
R oom Detai l s
Room Si z e – 3. 75 x 3. 25 Meters Approxi matel y
Department: S peci al Care Bab y Uni t
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Pati ent Moni tors for i nfants .
I nfant Warmers
Phototheraphy U ni ts
I ncubator for babi es
Sucti on - Mobi l e / Central .
Medi cal Gas - (O 2, Ai r) s uppl i es ei ther Cyl i nder / Mani fol d / central .
Venti l ator Neonatal
Pump, B reas t - Manual / E l ec tri c
General Medi cal E qui pment l i ke I nfus i on Pump, Syri nge Pump etc.
T ras port I ncubator for babi es
B)
R oom Detai l s
T hr requi red s pace for each bed i s approxi matel y 3. 75 x 3 Meters
32
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Department: R enal Di al ys i s Uni t
A)
Equi pment
T he Neces s ar y Equi pment s i mi l ar to the fol l owi ng.
Machi ne Renal Di al ys i s
Chai r Renal Di al ys i s
Medi cal Gas - (O 2) s uppl i es ei ther Cyl i nder / Mani fol d/ Central
Res us ci tati on E qui pment i ncl udi ng Defi bri l l ator
Chai r Wei ghi ng Scal e
General Medi cal E qui pme nt
B)
R oom Detai l s
RDU Room Si z e for 1 s tati on approi matel y 2. 5 x 3 Meters
Department: Ward (1 0 Beded)
1) Ward
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Pati ent B eds
Sucti on Machi ne
Medi cal Gas - (O 2, Ai r) s uppl i es ei ther Cyl i nder / Mani fol d / Central .
General Medi cal E qui pment for moni tori ng, etc.
E mergency T rol l ey wi th Defbri l l ator moni tor
B)
R oom Detai l s
Room Si z e for 10 B ed Approxi matel y 12 x 7 Meters
T oi l et - 2 Nos
2) T reatment R oom
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
E xami nati on Couch
Nebul i z er
E CG Machi ne
Sucti on - Mobi l e / Central .
33
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Medi cal Gas - (O 2) s uppl i es ei ther Cyl i nder / Mani fol d/ Central .
Res us ci tati on E qui pment i ncl udi ng Defi br i l l ator
Any other equi pment requi red for the treatment room. General Medi cal
E qui pment l i ke I nfus i on Pump, Syri nge Pump etc.
B)
R oom Detai l s
Room Si z e Approxi matel y 3. 75 x 3. 25 Meters
3) Cl ean Uti l i ty
A)
Items
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Bi n Pedal
T rol l ey Li nen Changi ng
O ther I tems Requi red
4) Di rty Uti l i ty
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Fl us her Di s i nfector
T rol l ey Di rty Li nen
O ther I tems requi red
Department - Dental
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Dental U ni t
Autocl ave B ench T op wi th vacuum
Amal gamator
Curi ng Li ght
Dental X-Ray
E l ectroni c Pocket does i meter for radi ati on protecti on.
B)
R oom Detai l s
Dental Room Si z e for one chai r i s approxi matel y 3. 75 x 3. 25 Meters
34
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Department: Dermatol ogy Cl i ni c
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Dermatol ogy Li ght
Dermatol ogy, Cryo Cautery Compl ete
Dermatol ogy, Di athermy U ni t
Dermojet
Gl as s Magni fyi ng wi th Li ght
Lamp Woods (U V T heraphy)
Any O ther E qui pment requi red for the Cl i ni c
B)
R oom Detai l s
Dermatol ogy Room Si z e aproxi matel y 3. 75 x 3. 25 Meters
Department: Opthal mol ogy
A)
Equi pment
T he Neces s ary E qui pment s i mi l ar to the fol l owi ng.
Board, E ye T es t, Snel l en's
Chai r E xami nati n, E ye Pati ents
Chart, Refracti on for Chi l dren (E ngl i s h Arabi c)
Chart, Vi s i on T es t, Near Vi s i on Arabi c
Cyl i nder, Cros s 0. 25 & 0. 50
Lens Meter for Meas urement of O pthal mi c Lens
Peri meter Computeri z ed
Projecti on Autochart
Refractometer Cum K eratometer
Screem, Hes s , Set
T rai l Lens + Frame Set
O pthal mos cope, I ndi rect
O pthal mos cope, Speci al i s t
Reti nos cope, Streak / Sl i t T ype.
Any O ther E qui pm ent requi red for the Cl i ni c
B)
R oom Detai l s
O pthal mol ogy Room Si z e aproxi matel y 3. 75 x 3. 25 Meters
35
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Department: ENT Cl i ni c
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Autocl ave, E l ectri c I ns truments wi th Vacuum
Auros cope, Speci al i s t U s e
E NT E xami nati on U ni t Compl ete
Mi cros cope, E NT E xami nati on
E ar E xami nati on Set
Nas al E xami nati on Set
Nas al / Pos t Nas al E xami nati on Set
T hroat E xami nati on Set
Any O ther E qui pment requi red for the Cl i ni c
Audi ometer , Cl i ni cal Di agnos ti c
T ympanometer, Compl ete U ni t
B)
R oom Detai l s
E NT Cl i ni c Room Si z e aproxi matel y 3. 75 x 3. 25 Meters .
Department: Ki tchen & Laundary
A)
Equi pment
Al l neces s ary ki tchen equi pment to carry out cooki ng.
Was hi ng Machi ne - T he Q ty and s i z e depends upon the s i z e of the
Hos pi tal
Dryer - T he Q ty and s i z e depends upon the s i z e of the Hos pi tal
I roner - T he Q ty and s i z e depends upon the s i z e of the Hos pi tal
B)
R oom Detai l s
Si z e of the room wi l l depned on the s i z e of t he Hos pi tal & E qui pment
us ed.
36
MINIMUM / BASIC REQUIREMENTS FOR PRIVATE HOSPITALS
Department: C.S .S .D
A)
Equi pment
T he Neces s ary Equi pment s i mi l ar to the fol l owi ng.
Autocl ave (For 100 B ede - 135 Ltrs -2 Nos , 20 -30 Bed - 65 Ltrs )
Was her Di s i nfector ((200 Ltrs )
Dryer
Any other I tems Requi red for Sterl i z ati on. .
B)
R oom Detai l s
Si z e of the room wi l l depned on the s i z e of the Hos pi tal & E qui pment
us ed.
General R equi rement
Pati ent Li ft to take a Pati ent T rol l ey
Fi re Al aram Sys tem
Generator for backup Power Suppl y
U ni nterupted Power Suppl y (U PS)
E xi s t & Warni ng Si gn B oards
Ambul ance wi th requi red Medi cal E qui pment l i ke Moni tori ng, Venti l ator,
Sucti on & Defi bri l l ator, etc.
37