Hospital Guidelines: Ministry of Health (1)

General Requirements

1) Location

a) Accessible for community

b) Free from pollution or flood

c) Far enough from railway, playground area, industrial area, and waste manufactures.

2) Ratio of bed with floor area

a) Baby/ fetus room

(1) non- isolation room minimal 2 sqm/ bed

(2) isolation room minimal 3.5 sqm/ bed

b) Adult/ pediatric room

(1) non-isolation room minimal 4.5 sqm/ bed

(2) isolation room minimal 6 sqm/ bed

3) Hospital system

(1) water supply

(2) power supply and uninterrupted power supply (UPS)

(3) water treatment, incinerator, and waste disposal

4) Other facilities:

(1) Parking area, with ratio1 parking area : 10 beds

(2) Trash can in every radius 20 m

5) Zoning

(1) Public zone

(a) emergency unit

(b) outpatient unit

(c) administration

(d) pharmacy

(e) medical record

(f) mortuary room

(2) Semi- public zone

(a) Laboratory

(b) Radiology

(c) Medical rehabilitation

(3) Privacy zone

(a) Operating theatre

(b) Delivery room

(c) ICU/ ICCU

(d) Inpatient unit

(4) Supporting zone

(a) Laundry

(b) Kitchen

(c) Workshop

(d) CSSD

6) Other requirements:

a) Emergency services should be immediately accessible and have separate entrance door

b) Administration office adjacent to hospital main gate

c) Operating services should not be free from noise

d) Pediatric clinic should be placed nearby maternity clinic and not be placed nearby pulmonary clinic

e) Inpatient services should be separated from public zone with nurse station ratio is 1nurse station: 35 beds, sink should be provided

f) Minimum room dimension:

(1) Examination room : 3x3 sqm

(2) Procedure room : 3x4 sqm

(3) Waiting room : 6x6 sqm

(4) Utility room : 3x3 sqm

g) Corridor for patient and equipment should be minimum 2.44 m in wide, and 1.83 m for other purposes

h) If hospital have CSSD, then special sterilization is not necessary in rooms, except in dental clinic, and surgery

i) Nursing area have:

Toilet should be immediately accessible to patient room or ward, with ratio for patient 1 toilet: 10 beds, and 1 toilet: 20 hospital staffs

(1) Free from insects and rat

(2) Maximum dust level 150 ug/ m³ during 24 hours

(3) No stink (H2S or NH3)

(4) Lighting 100-200 lux

(5) Temperature 26-27°C (with AC) or room temperature (without AC) with adequate circulation

(6) Humidity 40-50% (with AC) or ambient humidity (without AC)

(7) Noise <45>

j) Meeting room and communication system for medical staff