DESIGN CONTROL PARAMETERS (DCP): CORRIDOR SIZE IN RELATION TO TRAFFIC INTENSITY:

▪ Occupancy: Group D Institutional Division 2 Studies have shown that traffic problems are caused by:
▪ Allowable Building Height Limit (BHL) = 15 ▪ Inadequate pace of circulation, e.g., when there are more
▪ meters (or 5 floors, at 3.0 meters F2F) users than were provided for;
▪ Maximum Allowable Building Footprint ▪ different paces of circulation, e.g., when a slow-moving
▪ (AMBF) for a regular lot trolley bed with a sedated
▪ W/ Sprinklers: 60% of TLA ▪ patient and equipment obstruct the normal flow of traffic
▪ W/O Sprinklers: 50% of TLA in a busy corridor;
▪ Parking Requirements: ▪ and two-way traffic, e.g., when a food trolley and a bed
▪ Public: 1 for every 25 beds trolley cross at a corridor intersection.
▪ Private: 1 for every 12 beds ▪ A study of traffic in hospital corridors showed however,
▪ 1 Truck Loading Dock for every 5,000 that a corridor 2- 3 m wide can accommodate daily traffic.
▪ SQM of GFA A corridor 3 m wide in a major hospital can accommodate
▪ Maximum Allowable Floor-Area-Ratio: 2.50 a walking traffic load of 4000 people per direction per
▪ Maximum Allowable PSO: hour, or 8000 people in both directions per hour,
▪ W/O Firewalls: 50% of TLA assuming a free-flowing walking speed in hospitals of 4
▪ W/ Firewalls: 60% of TLA\ km/h. The same corridor can accommodate 20-60
journeys per hour of wheeled traffic, including supplies,
bed and food trolleys.

▪ Various type of traffic should be grouped for entry

▪ according to their nature, typically:
▪ emergency: for patients in ambulances and other
vehicles
▪ for the emergency department;
▪ service: for delivering supplies and collecting rubbish;
▪ service: for removal of dead; and
▪ main: for all others.
▪ Hospital administrators prefer fewer points of
▪ access, a solution is to have:
▪ A maximum of one or two main entrances from the main
▪ access road
▪ Break this into several branches in a hierarchy of roads
▪ within the site
PRINCIPLES & GUIDELINES 8. The mortuary should be in a special service yard, with a
ZONES discreet entrance; it should be away from the out-patient
▪ OUTER ZONE – accessible to the public, emergency department, ward block and nursery.
service, outpatient service, administrative service
▪ SECOND ZONE – receive from the outer zone, THE NUCLEUS
laboratory, pharmacy, radiology (ancillary and support • The Outpatient/ Maternal & Child health Department
services), located near outer zone. • Medical Service (Diagnostics) – X-Ray, Laboratory, Pharmacy
▪ INNER ZONE – nursing care and management of • Inpatient Department
patients, private areas accessible to guests. • Surgical Department (A Major Theatre, a Minor Theathre,
▪ DEEEP ZONE – areas requiring asepsis, surgical service, and a Delivery Suite)
nursery, ICU segregated from the public areas but • Administrative Offices
accessible to the first three zones.
▪ SERVICE ZONE – provides support to hospital activities,
dietary service, housekeeping, maintenance, motor pool,
and mortuary, located away from normal traffic.

Outermost zone, which is the most community-oriented

▪ primary health care support areas
▪ out-patient department
▪ emergency department
▪ Administration
▪ admitting office, reception
Second zone, which receives workload from
1. Departments that are most closely linked to the
▪ diagnostic X-ray
community should be closest to the main entrance: out-
▪ laboratories
patient department, emergency, administration
▪ Pharmacy
(especially business sections), family planning clinic and
Middle zone between outer and inner zones
other primary health care support.
▪ operating department
2. (Departments that receive their workload from those
▪ intensive care unit
described above should be next closest to the entrance: X-
▪ Delivery
ray, laboratories, dispensary.
▪ nursery
3. In-patient departments should be in the interior zones, or
Inner zone, in the interior but with direct access for the public
wards.
▪ wards and nursing units
4. Operating theatres, the delivery department and the
Service zone, disposed around a service yard
nursery should have (1) and (2) on one side and (3) on the
▪ dietary services
other, e.g., to provide easy access from the emergency
▪ laundry and housekeeping
and accident departments to X-ray and operating
▪ Storage
theatres. The delivery department and nursery must be
▪ maintenance and engineering
separated from the operating theatre.
▪ Mortuary
5. Housekeeping and domestic service areas should be
▪ motor pool
grouped around a service yard: laundry, kitchen,
housekeeping, maintenance, storage and motor pool.
ADMINISTRATIVE BLOCK
6. Staff facilities should be located on the periphery near
▪ The administrative department is orientated to the
roads and public transport: staff dormitories, quarters or
public but is at the same time private.
housing.
▪ Areas for business, accounting, auditing, cashiers and
7. Teaching facilities, if any, should be close to both staff
records, which have a functional relationship with the
facilities and teaching areas and to roads and public
public, must be located near the entrance of the
transport: student areas, educational and training
hospital.
components of primary health care.
▪ Offices for hospital management, however, can be
located in more private areas.
MEDICAL RECORDS ROOM to increase staff and lengthen working days than adding
If possible, a full-scale computerized data bank should be additional rooms and equipment
created, including a standardization of a database ▪ A 150-bed hospital usually can manage with one x-ray
• This should be in an area that ensures the records remain room
confidential ▪ One dark room is sufficient for two x-ray rooms
• Should be immediately adjacent to the Admitting Section for ▪ If the hospital increases in size, it is preferred to x-ray
ease of filing of new patients, and retrieval of records of rooms in the same area.
returning patients
• To balance the proportion of the space, the patients’ records
are usually fragmented – active records are kept at the Medical
Records Room in the Public Zone, while inactive and dead
records are kept in Medical Record Storage somewhere in the
inner areas of the hospital accessible to the central MIS.

RADIOLOGY AND IMAGING DEPARTMENT

Diagnostic imaging (or diagnostic radiology) is provided by
▪ X-ray units,
▪ ultrasound and
▪ radionuclide (radioisotope) scanners.
1. Diagnostic imaging, both X-rays and ultrasound, should
be available to both in-patients and out-patients. The
equipment needs electrical power. There are many
advantages to locating Xray and ultrasound equipment in
the same department. In small hospitals with a daily LABORATORY SERVICES
workload of 5-10 patients, the two can be in the same A comprehensive laboratory should have the following
room. As the workload increases, separate rooms sections:
should be made available. ▪ Morbid anatomy
2. Ultrasound does not require any special building ▪ Hematology
construction. The room should contain a patient couch, ▪ Clinical pathology
firm but comfortable, a chair and at least 1 SQM for the ▪ Microbiology
equipment. The lighting must be dim - bright light makes Laboratory services come under great pressure to expand, as
it difficult to examine a patient properly but the room the workload tends to double every 5-8 years. Their growth
must not be very dark. Handwashing facilities should be will be even faster as the out-patient department is
located either in the room or close by. There must be a strengthened to integrate provisions for primary health care.
toilet close to the ultrasound room. The plan for laboratory work benches must therefore be
flexible, perhaps comprising modules.

RULES OF THUMB
▪ Allocate 6 SQM of floor area for each laboratory staff,
administrative or technical
▪ This does not include corridors, stairs, toilets, stores or
wall space, for which an additional 30-50% of space
should be provided, depending on the size and type of
equipment.
▪ Must be planned on a modular system that allows for
flexible use, and ease of expansion
▪ External walls of the laboratory should be of permanent,
durable construction, but the partition walls should be
considered to be temporary so that they can be taken
CONSIDERATIONS: out or replaced easily as the activities expand.
▪ The diagnostic imaging area should be on the Ground ▪ The ceilings should be made of materials that are easily
Floor of the hospital, with easy covered access to cleaned and disinfected so as to reduce airborne
wheelchairs, patient trolleys and beds contamination.
▪ Location should be close to the emergency section of the ▪ They should be 2.55-2.80 m in height to allow for wall
outpatient, if possible, but easy access to ALL patients mounted distillation racks and other equipment.
should be the first consideration ▪ The floors should be made of materials that are resistant
▪ One x-ray room and one dark room can handle 40-50 to acids, alkali and salts and can be easily cleaned and
patients per day; because of equipment costs it is better disinfected.
 COLOR-CODING OF UTILITIES ▪ It is also necessary to ensure that, after use,
▪ Doors should be located in places where entry and exit is contaminated utensils are rendered safe for handling.
easy and does not interfere with the laboratory benches
or equipment. OPERATING THEATRE
▪ Laboratory doors should be no less than 1 m wide to allow The essential physical requirements for meeting these
easy access of equipment. In some areas, double doors, conditions are:
1.2 m wide, should be provided for passage of large ▪ a place in which to work that is comfortable and
equipment, such as deep-freezes. unobstructed by the movement of other staff,
▪ All doors should open towards the corridor. ▪ with a table is strong enough to hold the patient and
▪ The basic utilities that are to be provided in the laboratory easy to clean;
are water supply, sanitary drains and drain vents, ▪ basic services of water, light and medical gases; and
electricity, compressed air, distilled water, carbon dioxide, ▪ two sets of basic instruments, comprising about 50
steam and gas. Others may be necessary depending on the pieces each.
types of tests to be performed. - As a general rule, one operating theatre is required for
▪ Should have external access to a small, remotely located every 50 general inpatient beds and for every 2 surgical
store for dangerous goods. beds.
- The preferred location is on the same floor as the surgical
PHARMACY wards, which may be the ground floor. It should be
The pharmacist is responsible for the purchase, storage and connected to the surgical ward by the simplest possible
dispensing of all drugs and of bulk pharmaceutical route, It should also:
preparations, disinfectants and sterile solutions. • adjoin the central sterile supply department;
1. The pharmacy must be located so that it is: • be easily accessible from the accident and
▪ accessible to the out-patient department, • emergency department;
▪ convenient for dispensing, and • be easily accessible for the delivery suite;
▪ accessible to the central delivery yard. • adjoin the intensive care unit;
2. Traffic within the department must be economical and • be located in a cul-de-sac, so that entry and exit can
flexible. be controlled
3. Its size is determined by its organization and operational
policies. ROOM PLANNING REQUIREMENTS
4. Provision for security of dangerous drugs must be ensured. (a) Reception and office - In a two- or three-theatre suite, the
5. Provision for control of fire must be ensured, as many reception and the theatre sister's office can be merged.
inflammable substances are stored there. Bulk quantities (b) Transfer area - This area should be large enough to allow
should not be held in the pharmacy but should be drawn for the transfer of a patient from a bed to a trolley. A line
from a remotely located store for dangerous goods. should be clearly marked in red on the floor, beyond which no
6. Finishes must be impervious to acid and alkali and easy to person from outside the operating department should be
clean. permitted to set foot without obtaining authority and putting
7. The corridors must allow easy turning of wheeled vehicles. on protective clothing.
(c) Holding bay - This space is required when the corridor
BLOOD BANK system is used and should be located to allow supervision of
▪ Blood should be supplied from a blood transfusion patients waiting to go into the theatre. One bed per two
center (national or regional) after appropriate testing. theatres should be foreseen.
▪ If this is not possible, the blood-bank system may be (d) Staff changing rooms - Access to staff changing rooms
based on blood obtained from previously screened local should be made from the entry side of the transfer area. At
donors. both the transfer area and the theatre side of the changing
▪ A third approach in which donors are recruited locally rooms, space must be provided for the storage, putting on and
when the need arises ("the working blood bank") is the removal of theatre shoes.
least desirable alternative. (e) Operating theatres - Each theatre should be no less than 6
▪ The promotion of donor recruitment is a community x 6 m (36 m2) in area and should have access from the 1
task to be organized through the district health council. anesthetic room, scrub-up room and supply room. Separate
exit doors should be provided.
STERILIZATION (f) Scrub-up room - Scrub-up facilities may be shared by two
While major hospitals regard a central sterile -supply theatres. A minimum of three scrub-up places is required for
department as essential, it may be easy to organize a separate one theatre, but five places are adequate for two theatres. A
sterilization unit in a small hospital. clear area within the scrub-up room, at least 2.1 x 2.1 m, must
▪ However, it is essential to ensure that all instruments, be provided for gowning and for trolley or shelf space for
dressings, and equipment that come into contact with gowns and masks.
patients' tissues are sterile. (g) Sub-clean-up - In suites of four or more operating theatres,
a small utility area is required for each pair of operating
theatres, for the disposal of liquid wastes, for rinsing dropped may also be nursed in the regular medical or surgical
instruments and to hold rubbish, linen & tissue temporarily wards, depending on their illness.
until they are removed to the main clean up room. ▪ As such, a geriatric ward, if provided in a hospital, should
(h) Sub-sterilizing - An area for sterilizing dropped instruments be designed for longer than usual confinement.
should be provided to serve two theatres. Therefore, spaces should be home-like, cheerful, and
(i) Trolley parking - Parking space outside the theatre and clear non-institutional. Apart from the regular institutional
of all doorways is required for patient trolleys & beds. spaces, social spaces such as day rooms must be
(j) Recovery room - The recovery room should be located on provided so that the older person can be encouraged to
the hospital corridor near the entrance to the operating walk about in the process of recovery from the illness.
department. The number of patients to be held, until they Family spaces must be provided so that the older person
come out of anesthesia, depends on the theatre throughput; may be aided in regaining both his physiological and
two beds per theatre is usually satisfactory. In hospitals where psychological well-being leading to return to the
there is an intensive care unit, additional room and facilities community.
will be needed.
INPATIENT NURSING WARDS
OBSTETRICS & GYNECOLOGY UNIT ▪ These wards provide accommodation for patients who
Delivery department is very similar to the operating are dependent on others because of their illness. They
department in its functional requirements and layout. have the following functions: to substitute for the home
▪ In many hospitals, the two departments are fused into for regular eating, bathing, sleeping, etc;
one, with shared staff and support areas, due to a dearth - to allow examination, treatment and cure of patients; and
of doctors, especially in rural areas, where the chief of - to prepare patients to return to domestic life.
the hospital is also the public health officer, the surgeon ▪ The wards in a hospital are usually classified according
and the obstetrician-gynecologist. to specialties: medicine, pediatrics, obstetrics
▪ The integration of these two departments, however, gynecology and surgery, which are the basic services
violates the basic requirements for aseptic conditions in offered by a district hospital. There are no radical
the operating department, as these are not always differences between the requirements of medical and
required in the delivery department. surgical wards and only minor differences between
▪ The two departments should thus at least be those of the other specialties.
segregated. Proximity to the operating department is
desirable, however, as transfer of delivery patients may
be necessary.

PEDIATRICS
The nursery should be located adjacent to the delivery
department to ensure protected transport of newborns.
▪ Areas must be provided for cribs for both well and ill
babies and for support services that include formula and
preparation rooms.
▪ The number of cribs varies depending on the maternal
and child health trends in the country.
▪ "Rooming-in" (Fig.62) is virtually replacing the well-baby
area in space requirements for the nursery; instead, the
dimensions of maternity wards are changing to
accommodate babies' cribs and other materials.
▪ A small night nursery for well babies may still be
required.

GERIATRIC SERVICES
▪ The older population of any community is usually best
cared for in community-based facilities where their
special needs and requirements are provided for in
sensitive and Fig. 62. Rooming-in caring designs that
allow them to lead independent and dignified lives for as
long as possible. However, because older persons are
also prone to conditions that cannot be attended to
except in the environment of a hospital, a geriatrics ward
may be provided within a general hospital if economics
would so warrant. If this is not possible, older people
GENERAL SERVICES DEPARTMENT For smooth, rapid flow of materials both to and from the
DIETARY SERVICES central store, sufficient space and ramps should be provided
▪ Located near the kitchen or anywhere on the for handling, unpacking, loading, unloading and inspection.
GROUND FLOOR
▪ Directly accessible from the service court MAINTENENNACE & ENGINEERING AREA
▪ Direct delivery to refrigerated section (a) Boiler room - This must be located in accordance with local
▪ Locate the dietitian in the kitchen or next to it fire ordinances. The boiler plant must be " designed by a
▪ Kitchen must be located such that heat and odors qualified engineer to ensure the safety of patients and staff.
▪ are directed away areas of high population (b) Fuel storage - The space will vary according to the fuel used.
FOOD DISTRIBUTION The designer must know for how many days stock must be
▪ Centralized Tray Service - food is prepared in a main kept.
kitchen, loaded into conveyor carts and transported to (c) Groundkeeper's toolroom - Space must be provided for
the wards working and for the storage of equipment and tools for the
▪ Bulk Service - food brought to wards in heated carts, staff in charge of landscaping and general upkeep of the
trays are prepared in sub kitchens in each ward garden and grounds.
MAIN COMPONENTS (d) Garage - The garage is best located in a shed or building
▪ Food refrigeration and storage separated from the hospital itself. If the hospital is to maintain
▪ Cooking 24-hour ambulance service, additional facilities must be
▪ Serving provided for drivers' sleeping quarters.
▪ Special diets (e) Maintenance workshop - A carefully planned and organized
▪ Dishwashing, and maintenance program for general repair of medical and
▪ Dining (1.5 SQM per seated person) nonmedical equipment is necessary for ensuring reliable
hospital service. A mechanical workshop with an electric shop,
HOUSEKEEEPING well equipped with tools, equipment and supplies, is
▪ Housekeepers’ Office should be located on the lowest conducive to preventive maintenance and is most important in
floor, adjacent to the linen room emergencies. Failure of lights or essential equipment in an
▪ Central Linen Room supplies the whole hospital, must operating theatre, such as respirators, can have serious
have shelves and spaces for sewing, mending, and consequences. Adequate space for equipment like lathes,
marking new linen, locate at the “clean end” of the welding materials and wood- and metal-working machines
laundry room should be provided, and there should be storage space for
▪ Soiled linen area for sorting and checking all soiled damaged material, such as stretchers, beds, wheelchairs,
laundry, must be located at the “dirty end” of the portable machines and food trolleys As most repair work is
laundry area with sorting bins done outside of normal working hours, space should be
▪ Laundry can be in-house or contracted to an outside provided for workers, maintenance staff, supervisory
service, if in-house proper washing and drying personnel and biomedical engineers.
equipment must be installed, if contracted-out provide
area for receiving clean and dispatching dirty linen for MORTUARY
sorting The mortuary has the following functions:
▪ to hold dead bodies until burial can be arranged;
STORAGE, STOCK-KEEPING & DISTRIBUTION ▪ to provide a place where a pathologist can investigate
- As hospitals are regular consumers of a large variety of causes of death and make scientific investigations
goods, adequate space must be provided for their storage, ▪ to allow viewing and identification of bodies by relatives
inventory and distribution. Many different types of and other people
storage facilities will be required, e.g., for some live virus ▪ Should be located near the pathology department or
vaccines at -20 °C, for large equipment and furniture, for laboratory
crude disinfectants, for medical gases, for dangerous ▪ Easily accessible from wards and the emergency and
drugs, for radioactive agents, which need different space operating departments
provisions. Designers must obtain all the relevant ▪ Separate access available for staff, relatives and
information to meet their requirements. Undertakers
- A standard for central storage space is 2 SQM per bed, in
smaller hospitals this value is usually increased The following areas are needed:
COMPONENTS ▪ covered access
▪ Pharmacy Storeroom ▪ body store
▪ Furniture Room ▪ staff changing room with lockers and toilets
▪ Anesthesia Storeroom ▪ soiled garments holding area
▪ Records Room, and ▪ post-mortem facilities
▪ Central Storeroom ▪ viewing room
▪ visitors' waiting room
 ▪ cleaning materials storage room ▪ OPD Nurses' Station with work area with
▪ cleaner's room Lavatory/sink
▪ prayer and religious rites room ▪ OPD Medical Records Section
▪ Consultation Area
▪ Examination and Treatment Area with Lavatory/Sink
(08, Medicine, Pedia, Surgery, Dental-optional)
Surgical and Obstetrical Service
▪ Major Operating Room
▪ Labor Room with toilet
▪ Delivery Room
▪ Recovery Room
▪ Sub-sterilizing Area/Work Area
▪ Sterile Instrument, Supply and Storage Area
▪ Scrub-up Area
▪ Clean-up Area
▪ Dressing Room
▪ Toilet
▪ Nurses' Station with Work Area
1. PHYSICAL PLANT ▪ Wheeled Stretcher Area
Administrative Service ▪ Janitor's Closet (with mop sink)
▪ Lobby ▪ Patient Room with toilet
▪ Waiting Area Nursing Unit
▪ Information, Reception Area and Admitting Section ▪ Isolation Room with Toilet and Ante Room with sink,
▪ Public Toilet (Male/Female/PWD) PPE Rack and hamper
▪ Staff Toilet ▪ Nurses' Station with Medication Area with
Business Office Lavatory/Sink
Medical Records Office ▪ Treatment Area
Prayer Area/Room Central Sterilizing and Supply Room
Office of the Chief of Hospital ▪ Receiving and Cleaning Area
Laundry* and Linen Section ▪ Inspection and Packaging Area
Maintenance and Housekeeping Section ▪ Sterilizing Room
Parking Area for Transport Vehicle ▪ Storage and Releasing Area
Supply Room Nursing Service
Waste Holding Room ▪ Office of the Chief Nurse
Dietary Ancillary Service
▪ Dietitian Area ▪ Secondary Clinical Laboratory with Blood Station
▪ Supply Receiving Area ▪ Clinical Work Area with Lavatory/Sink (min. Floor
▪ Cold and Dry Storage Area Area: 20.00 sq. m.)
▪ Food Preparation Area ▪ Pathologist Area
▪ Cooking and Baking Area ▪ Toilet
▪ Serving and Food Assembly Area ▪ Extraction Area Separate from Clinical Lab. Work
▪ Washing Area area
▪ Garbage Disposal Area ▪ Radiology- 1st Level
▪ Dining Area ▪ X-Ray Room with Control Booth, Dressing Area and
▪ Toilet ▪ Toilet
Cadaver Holding Room ▪ Dark Room
Clinical Service ▪ Film File and Storage Area
Emergency Room ▪ Radiologist Area
▪ Waiting Area ▪ Pharmacy (with work counter and sink)
▪ Toilet
▪ Nurses' Station with Work Area with Lavatory/Sink 2. PLANNING AND DESIGN
▪ Minor Operating Room/Surgical Area Floor plans properly identified and completely labeled
▪ Examination and Treatment Area with Lavatory/Sink Conforms to applicable codes as part of normal professional
▪ Observation Area service:
▪ Equipment and Supply Storage Area ▪ Exits restricted to the following types: door leading
▪ Wheeled Stretcher Area directly outside the building, interior stair, ramp, and
Outpatient Department (Separate from ER Complex) exterior stair
▪ Waiting Area
▪ Toilet (Male/Female/PWD)
 ▪ Minimum of two (2) exits, remote from each other, for ▪ Toilet immediately accessible from each room in a
each floor of the building nursing unit
▪ Patient Corridors for ingress and egress shall be at least ▪ Separate rooms with toilets for male and female
2.44 meters in clear and unobstructed width patients
▪ Exits terminate directly at an open space to the outside Dietary, maintenance and other non-patient contact services
of the building located in areas away from normal traffic within the hospital,
▪ Minimum of one (1) toilet on each floor accessible to or located in separate buildings within the hospital premises
the disabled ▪ The dietary service shall be away from morgue with
Meets prescribed functional programs: at least 25-meter distance
▪ Main entrance of the hospital directly accessible from
public road Reference:
▪ Ramp or elevator for clinical, nursing and ancillary https://caro.doh.gov.ph/wpcontent/uploads/2023/02/Checkl
services located on the upper floor ist-for-Review-of-Floor-Plan-Level-1-Hospital-2-21-2023.pdf
Administrative Service https://www.scribd.com/document/668011563/design-5-
▪ Business office located near the main entrance of the hospital-national-building-code
hospital
Emergency Room World Health Organization Western Pacific Series District
▪ Located in the ground floor to ensure easy access for Health Facilities Guidelines for Development & Operations
▪ patients (WHO< 1998)
▪ Separate entrance to the emergency Rule VII.1 of the NBC, Schedule of Principal, Accessory &
▪ Ramp for wheelchair access (with a clear width of at Conditional Use / Occupancy of Building / Structure
least 1.22 m. or 4ft.)
▪ Easily accessible to the clinical and ancillary services DOH (2015) Administrative Order 2012-0012. Rules and
(laboratory, radiology, pharmacy, operating room) Regulations Governing the New Classification of Hospitals and
▪ Nurses' station located to permit observation of Other Health Facilities in the Philippines. Department of Health
patient and control of access to entrance, waiting Philippines
area, and treatment area Rule VII and VIII of the IRR of the National Building Code
Outpatient Department
▪ Located near the main entrance of the hospital to
▪ ensure easy access for patients
▪ Separate toilets for patients and staff (Male, Female
PWD)
Surgical and Obstetrical Service
▪ Located and arranged to prevent non-related traffic
through the suite
▪ Operating room and delivery room located as
remote
▪ as practicable from the entrance to the suite to
provide greater asepsis
▪ Operating room and delivery room arranged to
prevent staff and patients to travel from one area to
the other area
▪ Dressing room arranged to avoid exposure to dirty
areas after changing to surgical garments
▪ Nurses' station located to permit visual observation
of patient and movement into the suite
▪ Scrub-up area recessed into an alcove or other open
space out of the main traffic
▪ Sub-sterilizing area shall be provided and shall be
accessible from the Operating room and delivery
room
Nursing Service
▪ Nurses' station located and designed to allow visual
observation of patient and movement into the
nursing unit
▪ Nurses' station provided in all nursing units of the
hospital with a ratio of at least one (1) nurses' station
for every thirty-five (35) beds