Hospital Research Paper.docx

RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

CHAPTER 1:

THE PROBLEM AND ITS BACKGROUND 1.1 INTRODUCTION

Hospital is an institution providing medical and surgical treatment and nursing care for sick or injured people. In the country, some places don’t have enough medical facility to cater ordinary citizens because of its growing population and not easily accessible in their area. Some hospitals need proper ventilation and circulation for the users. General hospital is a medical facility that provides health care to both in-patients and outpatients and treats many types of diseases with professionals.

Hospitals serve as the locus of health care delivery in the Philippines. With 1,800 hospitals and over 87,000 beds, most households go directly to hospitals for treatment of illnesses. It is an integral part of social and medical organization that functions to provide a complete health care to the people.

The provision of hospitals and other health facilities involves a significant amount of capital investment and operational expenditure. It is then imperative to give utmost attention and concern to hospital planning and design considering the country’s socioeconomic, cultural, political and technological conditions; the rapid advance in

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 medical and design technology; the limited number of Filipino Architects specializing in hospital planning and design; and the country’s limited source.

In knowing this, the researchers wanted to conceptualize a good design for the general hospital by studying its problem ― how to suffice the expectations and experience of the users and that will be a competitive general hospital, through thorough understanding on its cultural value and its function to the users.

1.2 BACKGROUND OF THE STUDY

Malolos, is a first class highly urbanized component city in the Philippines. Malolos is considered as the 115th city in the country. It is the capital city of the province of Bulacan as the seat of the provincial government.

Malolos hailed as the Premiere Heritage City of Bulacan. Many ancestral houses from Spanish and American period, numerous Spanish colonial churches and chapels, historical sites and landmarks even structures such as walls and bridges with heritage and historical value are found around the city. Some of these are already marked by the National Historical Institute while others are marked by the City Government. The historic town center of Malolos was declared National Heritage Landmark on August 15, 2001 under the name of Malolos Heritage Town.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 The town originated from a small settlement started by the Spanish missionaries. Later, after clearing forests and virgin lands, the settlement grew, and the population increased. After the construction of a big church, the place was made into a town. From the very beginning, Tagalog made up the majority of the Malolos populace.

In the country, some places do not have enough medical facility to cater ordinary citizens because of the growing population and the in accessibility of these areas. Some hospitals need proper ventilation and circulation for the users.

Region III also known as Central Luzon is composed of seven provinces, namely: Aurora, Bataan, Nueva Ecija, Pampanga, Tarlac and Zambales. There are twelve cities, namely: Angeles, Balanga, Olongapo, Cabanatuan, Gapan, Palayan, San Jose, San Fernando, San Jose Del Monte, Munoz, Malolos and Tarlac. It has 118 municipalities, 21 congressional district and 3,102 barangays.

The population of Region III (Central Luzon) as of August 1, 2015 was 11,218,177 based on the 2015 Census of Population (POPCEN 2015) and according to the Top Ten Most Populous Cities/Municipalities: Region III - Central Luzon, 2015. The City of Malolos was in Top 6 with 252,074 population growth.

According to the Provincial Government of Bulacan (PGB), the seven public hospitals in the province have consistently recorded more than one hundred percent occupancy rate over for the past six years (2002-2007) MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

Through these things, the proposal of establishing a general hospital in the area could create a great impact not just for the people but also as an essential part to assess the economic growth of the town. It would also be a tool to advertise the said location with its essence and existence. To be known not only in the Philippines but also outside the country. This also aims to understand more about the project and its application.

1.3

SIGNIFICANCE OF THE STUDY

This study aims to design an environmentally, culturally general hospital, furthermore the study could be an importance to the following:

Future Researchers. The ideas presented maybe used as reference in conducting new researches about the same concept. This study will also give them an overview of background about the signing of concept for a general hospital.

Students. The information presented would enable them to forethink new and significant ideas in design.

Working Professionals (Architects). The study may serve as inspiration for new innovation for design that is critical for the business of architecture.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 Potential Clients. This study may be used as standards for the future clients who would want to invest on general hospitals.

1.4

GOALS/OBJECTIVES AND STRATEGIES OF THE STUDY

1.4.1 GOALS AND OBJECTIVES a. To promote a healing-conducive design of the general hospital that can help the patients or the users to recover faster. b. To enhance the capability of the hospital to adapt and handle the users. c. To propose a design that will ensure the safety and the health of its environment. d. To provide a healing environment for the users especially for the patients to make them appreciate nature while they are inside the hospital and to make them feel at peace with their environment and in their minds.

1.4.2 STRATEGIES The following strategies are needed for this research to come up with a solution to the problems: a. By searching for articles, books, journals and other related resources. b. By observing the patients and the users of the general hospitals. c. By case studies, by investigating existing plans, and by recommendations for a healing environment in a hospital. d. By examining the circulation and the design of an existing general hospital. MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 e. By studying the regulations, laws, and restrictions for general hospitals

1.5

SCOPE AND LIMITATIONS OF THE STUDY

The scope and limitations of the study will focus on the design on how to develop the poor condition of public hospitals. The proponent will gather information for designing a sustainable and healing ambience for the users especially the patients.

The researchers is expected to consider the design parameters that the Department of Health (DOH) provided for general hospitals. The design will only focus on architectural scope. Thus it will not cover any structural design and other that are beyond the researcher’s control.

1.6

DEFINITION OF TERMS

Patients

The main concern and users of the research. Based on observing and gathering data about them, designing a healing environment can help them recover faster by the help of nature.

Department of Health The principal health agency in the Philippines. It is the

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 executive department of the Philippine Government

(DOH)

responsible for ensuring access to basic public health services to all Filipinos through the provision of quality health care and the regulation of providers of health goods and services. Philippine Government responsible for ensuring the basic

Provincial Government

of needs and services in the province of Bulacan.

Bulacan (PGB) Healing

The process of making or becoming healthy again.

General Hospital

A hospital that does not specialize in the treatment of particular illnesses or patients.

Nature

The phenomena of the physical world collectively, including plants, animals, landscapes and other features and products of the earth.

Healing Environment

An environment that can reduce stress and help to reduce medical error and hospital acquired infections.

Organic Architecture

Is a philosophy of architecture which promotes harmony between human habitation and the natural world.

Landscape

The art and practice of designing the outdoor environment,

Architecture

especially designing parks or gardens together with buildings and roads.

Malolos

A first class highly urbanized component city in the

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 Philippines. Malolos is considered as the 115th city in the country. It is the capital city of the province of Bulacan as the seat of the provincial government.

1.7

THE PROBLEM AND THE SITE

RATIONALE Malolos, a city just outside the nation’s capital with a quarter of a million residents is currently having an economic growth more than it has before. With its increasing population, the city is constantly on demand for infrastructures and institutions from its local government to serve its residents. The population growth inflicts more problems for the city and one of the main concerns is the health welfare of its people. At present, the city lacks a medical facility that would address significantly the health needs of the Maloleňos. A need is at high point for the Malolos residents to have a Hospital of their own.

THE PROBLEM Except for the Bulacan Medical Center (which serves all Bulakeňos), City Rural Health Units, some medical missions, and costly private hospitals, there is no other medical center that would cater the health needs of the Maloleňos. The problem calls for a design of a public hospital for the city. The design should be a modern MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 facility that would reflect local culture, be disaster resilient, and adapt technologies for a green and better environment.

DESIGN PARAMETERS The proposed “OSPITAL NG MALOLOS – A GENERAL HOSPITAL” shall: 1. Consider/apply/research on proper space programming and planning; 2. Adequate parking space, drop-off points, supplies delivery and emergency roadways; 3. A green landscape that is visually conducive; 4. Accessibility (the structure can be designed to more than one-storey); 5. Promote zero-waste management (proper disposal, MRF, etc); 6. Maximize passive cooling and natural day lighting in the design; 7. Adapt available or new building technology for the environment; and, 8. Enrich cultural context of its design.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 CHAPTER 2:

REVIEW OF RELATED LITERATURE This chapter includes the ideas, finished thesis, related books, generalization or conclusions, methodologies, and others. Those that were included in this chapter will help familiarizing information that is relevant and similar to the present study.

2.1

REVIEW OF RELATED LITERATURE AND STUDIES

This chapter of research is about taking the consideration of the general hospitals and related facilities from different sources like books, articles, and other professionals regarding planning and designing of general hospitals.

GUIDELINES IN THE PLANNING AND DESIGN OF A HOSPITAL AND OTHER HEALTH FACILITIES

A hospital and other health facilities shall be planned and designed to observe appropriate architectural practices, to meet prescribed functional programs, and to conform to applicable codes as part of normal professional practice.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 1. Environment A hospital and other health facilities shall be so located that it is readily accessible to the community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants, disposal plants.

2. Occupancy A building designed for other purpose shall not be converted into a hospital. The location of a hospital shall comply with all local zoning ordinances.

3. Safety A hospital and other health facilities shall provide and maintain a safe environment for patients, personnel and public. The building shall be of such construction so that no hazards to the life and safety of patients, personnel and public exist. It shall be capable of withstanding weight and elements to which they may be subjected.

3.1 Exits shall be restricted to the following types: door leading directly outside the building, interior stair, ramp, and exterior stair. 3.2 A minimum of two (2) exits, remote from each other, shall be provided for each floor of the building. 3.3 Exits shall terminate directly at an open space to the outside of the building.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 4. Security: A hospital and other health facilities shall ensure the security of person and property within the facility.

5. Patient Movement Spaces shall be wide enough for free movement of patients, whether they are on beds, stretchers, or wheelchairs. Circulation routes for transferring patients from one area to another shall be available and free at all times. 5.1 Corridors for access by patient and equipment shall have a minimum width of 2.44 meters. 5.2 Corridors in areas not commonly used for bed, stretcher and equipment transport may be reduced in width to 1.83 meters. 5.3 A ramp or elevator shall be provided for ancillary, clinical and nursing areas located on the upper floor. 5.4 A ramp shall be provided as access to the entrance of the hospital not on the same level of the site

6. Lighting All areas in a hospital and other health facilities shall be provided with sufficient illumination to promote comfort, healing and recovery of patients and to enable personnel in the performance of work.

7. Ventilation MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 Adequate ventilation shall be provided to ensure comfort of patients, personnel and public.

8. Auditory and Visual Privacy A hospital and other health facilities shall observe acceptable sound level and adequate visual seclusion to achieve the acoustical and privacy requirements in designated areas allowing the unhampered conduct of activities.

9. Water Supply A hospital and other health facilities shall use an approved public water supply system whenever available. The water supply shall be potable, safe for drinking and adequate, and shall be brought into the building free of cross connections.

10. Waste Disposal Liquid waste shall be discharged into an approved public sewerage system whenever available, and solid waste shall be collected, treated and disposed of in accordance with applicable codes, laws or ordinances.

11. Sanitation Utilities for the maintenance of sanitary system, including approved water supply and sewerage system, shall be provided through the buildings and premises to ensure a clean and healthy environment.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 12. Housekeeping A hospital and other health facilities shall provide and maintain a healthy and aesthetic environment for patients, personnel and public.

13. Maintenance There shall be an effective building maintenance program in place. The buildings and equipment shall be kept in a state of good repair. Proper maintenance shall be provided to prevent untimely breakdown of buildings and equipment.

14. Material Specification Floors, walls and ceilings shall be of sturdy materials that shall allow durability, ease of cleaning and fire resistance.

15. Segregation Wards shall observe segregation of sexes. Separate toilet shall be maintained for patients and personnel, male and female, with a ratio of one (1) toilet for every eight (8) patients or personnel.

16. Fire Protection There shall be measures for detecting fire such as fire alarms in walls, peepholes in doors or smoke detectors in ceilings. There shall be devices for quenching fire such as fire extinguishers or fire hoses that are easily visible and accessible in strategic areas. MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 17. Signage There shall be an effective graphic system composed of a number of individual visual aids and devices arranged to provide information, orientation, direction, identification, prohibition, warning and official notice considered essential to the optimum operation of a hospital and other health facilities.

18. Parking A hospital and other health facilities shall provide a minimum of one (1) parking space for every twenty-five (25) beds.

19. Zoning The different areas of a hospital shall be grouped according to zones as follows:

19.1 Outer Zone – areas that are immediately accessible to the public: emergency service, outpatient service, and administrative service. They shall be located near the entrance of the hospital. 19.2 Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy, and radiology. They shall be located near the outer zone. 19.3 Inner Zone – areas that provide nursing care and management of patients: nursing service. They shall be located in private areas but accessible to guests. 19.4 Deep Zone – areas that require asepsis to perform the prescribed services: surgical service, delivery service, nursery, and intensive care. They shall be

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 segregated from the public areas but accessible to the outer, second and inner zones. 19.5 Service Zone – areas that provide support to hospital activities: dietary service, housekeeping service, maintenance and motorpool service, and mortuary. They shall be located in areas away from normal traffic.

20. Function The different areas of a hospital shall be functionally related with each other.

20.1 The emergency service shall be located in the ground floor to ensure immediate access. A separate entrance to the emergency room shall be provided. 20.2 The administrative service, particularly admitting office and business office, shall be located near the main entrance of the hospital. Offices for hospital management can be located in private areas. 20.3 The surgical service shall be located and arranged to prevent non-related traffic. The operating room shall be as remote as practicable from the entrance to provide asepsis. The dressing room shall be located to avoid exposure to dirty areas after changing to surgical garments. The nurse station shall be located to permit visual observation of patient movement. 20.4 The delivery service shall be located and arranged to prevent non-related traffic. The delivery room shall be as remote as practicable from the entrance to provide asepsis. The dressing room shall be located to avoid exposure to dirty areas after changing to surgical garments. The nurse station shall be located to MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 permit visual observation of patient movement. The nursery shall be separate but immediately accessible from the delivery room. 20.5 The nursing service shall be segregated from public areas. The nurse station shall be located to permit visual observation of patients. Nurse stations shall be provided in all inpatient units of the hospital with a ratio of at least one (1) nurse station for every thirty-five (35) beds. Rooms and wards shall be of sufficient size to allow for work flow and patient movement. Toilets shall be immediately accessible from rooms and wards. 20.6 The dietary service shall be away from morgue with at least 25-meter distance.

21. Space* Adequate area shall be provided for the people, activity, furniture, equipment and utility.[1]

Literature on Healing Environment When it comes to the adaption of the healing environment in hospitals in the history of medication, nature has a big impact in the patient’s healing. During the nineteenth (19th) century, hospital designs focuses mainly on patient’s recovery. The design includes of having more openings on a courtyards, natural ventilation and daylight on the nursing rooms and more landscaping to enhancement the medication needed for the patients. Having nature in the design of the hospital gives peaceful ambiance MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 and relaxing feeling to the users especially the patients of the facility (Guenther & Vittori 2008). [2]

In 1990s, the design solutions in healthcare facility were defined as Evidence-based Design (EBD). This becomes the theoretical concept for healing environments. This can be considered as smart investments because it increases staff efficiency, it saves money and it reduces the stay of the patients because it is less stressful. Based on some researchers, a healing environment can be a place where the interaction between patients and staff produces positive health outcomes because of the physical environment (Morales, Van Hoof & Kort 2012).[3]

Healing environments are created with certain qualities. Implementing these qualities help to enable us to attain this natural state of health. Carol Venolia suggested that to implement such qualities some of the things the people can do are: (a) stimulate positive awareness of ourselves; (b) enhance our connections with nature culture, and people; (c) allow for privacy; (d) do us no physical harm; (e) provide meaningful, varying stimuli; (f) encourage times of relaxation; (g) allow us to interact with them productively; (h) contain a balance between familiarity and flexibility; (i) be beautiful.

The set-up of the indoor environment’s connection to the exterior settings should be specifically reconsider. This is one of the many fundamental connections that people need to maintain and enhance to the environment. On the other hand there are many MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 factors that need to be resolved in order to create this healing environment and for us to become healers ourselves. One cannot simply change the state of the spaces by cleaning up or turning off the lights, it is a complete awareness of how our surroundings affect the senses and physical state. “Awareness isn’t just the first of a series of steps; it is an ongoing state that is the core of healing yourself and your environments.” Through this awareness one can begin to understand all that needs to be done in attaining a healing environment (Krueger, 2007)[4] .

2.2

END NOTES

1.

http://www.doh.gov.ph/sites/default/files/publications/planning_and_ design_hospitals_other_facilities.pdf

2.

Guenther, R. & Vittori, G. (2008). Sustainable Healthcare Architecture

3.

Huisman, E.R.C.M., Morales, E., van Hoof, J., & Kort, H.S.M. (2012) Healing Environment: A Review of the Impact of Physical Environmental Factors on Users

4.

Venolia, C (1988). Healing environments: Your guide to indoor wellbeing. Berkeley, CA: Celestial Arts

*the given standard measurement of the spaces are included in the Chapter 3 of this research (3.5 DESIGN STANDARDS).

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

CHAPTER 3:

METHOD AND PROCEDURE 3.1

DATA GATHERING

In this part of research method we’ve had the siting in other general hospitals around the vicinity: 

Malolos Provincial Hospital



Guiguinto Polymedic Hospital



Allied Care Experts (A.C.E) Medical Center Valenzuela



Meycauayan Doctors Hospital



Valenzuela Emergency Hospital

1. MALOLOS PROVINCIAL HOSPITAL 

300-bed capacity



Public Hospital



Located at Provincial Hospital Road, Malolos City, Bulacan



Some Services Offered: o In-Patient Service

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 o Out-Patient Services o Emergency Room o Laboratory Services o Pharmacy o Radiology o Private Rooms o Dialysis Unit o Oconology Unit

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

2. GUIGUINTO POLYMEDIC HOSPITAL 

20-bed Capacity



Private Hospital



Located at 113 Cagayan Valley Rd., Sta. Cruz, Guiguinto, Bulacan



Some Services Offered: o Emergency Room

o OB-Gyne Clinic

o Pharmacy

o Suite Rooms

o Laboratory Services

o Private Rooms

o Doctors Clinic

o OR Complex

o X-Ray Room

o Nursery

o OPHTA-ENT

o Breast Feeding

Clinic

Room

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

3. ALLIED CARE EXPERTS (A.C.E) MEDICAL CENTER VALENZUELA 

100-250-bed capacity



Private Hospital



Located at 548 McArthur Highway, Malanday, Valenzuela City



The ACEMC-Valenzuela, officially opened its door to serve the general public December 11, 2014.



Some Services Offered: O

o

o

Ancillary Services: -

Heart Station

-

Hemodialysis

-

Physical Therapy

-

OB-Gyn Ultrasound

-

Laboratory Medicine

Nursing Services:

-

CS Package

-

E.N.T

-

E.R

-

Surgery

Laboratory Packages:

-

Routine Chem 1

-

Lipid Profile

-

Metabolic Panel

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 -

Liver Function Test

-

Kidney Function Test

-

Electrolyte Panel Test

-

Thyroid Panel 1&2

-

Complicated Pregnancy

-

Uncomplicated Pregnancy

4. MEYCAUAYAN DOCTOR’S HOSPITAL 

Private Hospital



Located at I.S Pavillion Commercial Complex, Km. 18 Banga, Meycauayan City, Bulacan

5. VALENZUELA CITY EMERGENCY HOSPITAL 

50-100-bed capacity



Private Hospital



Located at Col. G. Lazaro St., Dalandanan 1440 Valenzuela City, Metro Manila



Some Services Offered: o Emergency Room o Laboratory Services

o Radiology Department

o OPD-Laboratory

o Hemodialysis

o Outpatient

o Dietary Section

Department

o Delivery Room

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

3.2

o Pediatric Ward

o Isolation Room

o Gynecology

o Recovery Room

o Surgical

o New Born Room

CASE STUDIES

3.2.1

HOSPITALS, MEDICAL CENTERS, AND LARGE CLINICS in Malolos 1.

Bulacan Medical Center (formerly Bulacan Provincial Hospital)

2.

Sacred Heart Hospital 

54-bed capacity



Secondary Private General Hospital



Located at Ginhawa Subdivision, Malolos, Bulacan

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 3.

4.

5.

6.

7.

Santos General Hospital of Malolos 

25-bed capacity



Secondary Private General Hospital



Located at F. Estrella Street, Sto. Rosario, Malolos City, Bulacan.

Malolos San Vicente Hospital 

10-bed capacity



Secondary Private General Hospital



Lucero St., Caniogan, Malolos, Bulacan

Malolos San Ildefonso County Hospital 

14-bed capacity



Secondary Private Hospital



Located at 88 Lovely Street, Canalate, Malolos City, Bulacan

Mary Immaculate Maternity Hospital 

20-bed capacity



Private General Hospital



Located at Estrella St, Sto. Rosario, Malolos, 3000 Bulacan

Romel Cruz Hospital 

22-bed capacity

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

8.

9.

10.

11.



Private General Hospital



Located at Barangay Matimbo Road, Malolos, Bulacan

Ofelia Mendoza Maternity and General Hospital 

9-bed capacity



Secondary Private General Hospital



Located at Mojon Road, Malolos, Bulacan

San Roque Hospital 

12-bed capacity



Secondary Private General Hospital



Located at #4 Guareno St. Malolos, Bulacan

Santissima Trinidad Hospital 

15-bed capacity



Secondary Private General Hospital



Located at Pinagbakahan Road, Malolos City, Bulacan

Malolos Maternity Hospital and Eye Center 

21-bed capacity



Private General Hospital



Located at McArthur Hi-way, Malolos City, Bulacan

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 12.

13.

14.

3.2.2

Malolos EENT Hospital 

10-bed capacity



Private Hospital



Located at McArthur Hi-way, Malolos City, Bulacan

Saint Michael Clinic & Maternity Hospital 

6-bed capacity



Located at Barasoin, Malolos, Bulacam

Santos Clinic, Inc. 

15-bed capacity



Located at McArthur Hi-way, Malolos, Bulacan

15.

EAQ Malolos Clinic and Laboratory

16.

Maunlad Medical Laboratory

HEALTH CENTERS in Malolos

1.

Malolos Rural Health Unit (RHS) I

2.

Malolos RHU II 

3.

Malolos Healthy Lifestyle and Fitness Center

Malolos RHU III

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 

3.2.3

Malolos Lying In

4.

Malolos RHU IV

5.

Malolos RHU V

6.

Malolos RHU VI

7.

Estefania J. Aldaba Memorial Health Center and School Clinic

8.

Bulihan BHS (Malolos RHU II)

9.

Catmon BHS (Malolos RHU)

10.

Mojon BHS (Malolos RHU II)

INTERNATIONAL GENERAL HOSPITAL WITH A HEALING ENVIRONMENT 1. Ng Teng Fong General Hospital (NTFGH) 

700+ bed capacity



1.84 million sq. ft. / 171,300 sq. m.



Located at Jurong, Singapore

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

“This project is an extraordinary model for hospitals to behave as healing

environments.

passive

strategies

...

The

demonstrated

here are a model for hospitals around

the

world.”

-AIA

Committee on the Environment Jury Ng Teng Fong General Hospital (NTFGH) is Singapore’s first medical outpatient

campus clinic,

with

an

community

hospital and acute care general hospital.

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 The facility, which includes Jurong Community Hospital, provides seamless integration of care on a single site. Close management ensures integration at the hospitals’ infrastructure, administrative and clinical levels. Sustainable design strategies create a facility that functions like a vertical healing garden. Based on the design team’s client mandate to give “every patient a window,” the design brings plants, gardens and daylight into each patient’s view. Controlled access to vegetation on terraces provides a therapeutic environment for healing. Oriented to reduce solar gain and capture prevailing breezes, the unique floor arrangement allows for double the amount of natural ventilation. The project also includes solar thermal hot water heating and a large photovoltaic array. It has been rated Platinum under Singapore’s Green Mark program. The team used detailed computational fluid dynamics models, shading analysis, climate analysis, daylight modeling and energy modeling to develop the design to optimize energy efficiency and the patient experience. The AIA COTE selected the project as one of the best examples of sustainable design excellence for 2017.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

2. Gualv New City General Hospital 

Located at Guangzhou, Guangdong, China

Sustainable elements are the driving force behind this state-of-the-art hospital. After expressing a strong desire for a top public health facility,

the

government

local

decided

to

create a medical center in the

core

of

a

newly

developed area in Zeng Cheng. Gualv New City General Hospital is part of the largest hospital chain in

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 the Guangdong province of China and is a symbolic healthcare community focused on patient wellness, digitization and sustainability. The main goal for Gualv New City General Hospital is to create a ‘Park in the City’ environment with a sustainable healing environment. A number of design elements work to improve the building’s performance by reducing solar gain, increasing natural daylight and eliminating water waste. For its excellent design and performance, Gualv New City General Hospital was awarded the 2014 International Future Health Project award by the Design & Health International Academy. The project seeks to strike a balance between the natural beauty of the site and man-made landscapes by showing the contextual relevance of this scheme and the harmony through creation of natural spaces, intimate and communal plazas.

3.3

RESEARCH TOPICS

ORGANIC ARCHITECTURE Organic Architecture is a term Frank Lloyd Wright used to describe his environmentally integrated approach to architectural design. The philosophy grew from the ideas of Wright's mentor, Louis Sullivan, who believed that "form follows function." Wright argued that "form and function are one." Author Jósean Figueroa argues that Wright's philosophy grew from the American Transcendentalism of Ralph Waldo Emerson.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018



Organic Design 1. Simplicity – it is the clarity of the design and perfect significance to applied both are first essentials of spontaneous born simplicity 2. Harmony – it refers oh how the combination of the elements would harmonize in a good way. 3. Unity – it refers to the oneness of the building with its landscaping and other features in the beach resort that would lead to harmony.



Materials Natural materials in their natural condition and place provide inspiration for the design. Exterior and Interior materials were often the same, just as the exterior was an expression of the interior space.

The following are some organic

materials that will be used in the design. 1. Stone – in different kinds existing in the site could be part of the design. 2. Bricks – in variety of colors finishes and dimensions MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 3. Wood – the principal structural element

1. Concrete – Redeemed by its plasticity. It was poured into monolithic walls and cantilevered terraces. It was molded into tactile blocks. Combined with steel to create a solid fabric. 2. Glass – Advanced in glass technology, have the capacity to break open the box. A foil for the texture and weight of other building materials, glass served to lighten design. 3. Other Local Materials such as Bamboo, Nipa and Capiz, Adobe, and Rattan – As it was the most existing abundant in the site. To find a way on how to use them efficiently and will be part of the design.



Color The inherent building materials certainly dominated and set the tone for all the decorative schemes. The appearance of organic design was harmonious and restful, a unity of form and color. Colors of nature should definitely apply to complement on natural environment.



Light This factor will be emphasizing throughout the design since both natural and artificial light was partner in harmonious whole. Everything is sited to make the most of sun’s power. The changing quality of light in different seasons and different seasons and different times of day, controlled by shape and location of light screens believed to have effect on human life affected human life.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

LANDSCAPE ARCHITECTURE Landscape Architecture is one of the best architectural designs to be combined with Organic Architecture. Therefore, the adaptation of landscape design principle is viewed to enhance the quality of the organic design to be plan.



Landscape Design This is concerned with the design of outdoor space using its own compositional landscape character.



Landscape Type The Landscape Type needed for the design belong to the sand. This is mainly because the study is preserving nature in a relaxing beach resort.



Landscape Features In order to build harmony, it is a need to eliminate unpleasant visual and mental tensions or conflicting to natural.



Factors in Landscape Design

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 1. Sustainability – The design should compatible or suited to its place. 2. Harmony – It contained attributes such as cohesiveness and harmonious order in which all forms are expression if geologic structure, climate, growth, and other natural forces. 3. Contrast – Form, color, or texture of an object can be emphasized through contrast. This principle applies in planning landscape design.

HEALING ENVIRONMENT Spaces for healing represent some of the most personal and complex services provided: intimate personal information must be shared with strangers; complex and often frightening situations might occur; difficult decisions are constantly made; and the staff speaks an entirely different language. The building itself can help to reduce the stress experienced by patients, their families, and the teams caring for them. The belief is that by taking the patients away from the negative distractions of urban environments and into the architectural healing environments architectural healing environments 8 9 positive distractions of rural environments, the healing process will occur quicker and more effectively.

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

3.4

SYNTHESIS

A.

DESIGN CONCEPT: The chosen concept by the group is the Heart. Heart is commonly related to being the center of the body. It is the passage of the blood, it is where life comes from. Symbolically these meanings are inferred to a System. The goal of the students is to be able to give a new Environment to the Hospitals. To recreate the value of the Hospital. The concept will mainly be used as a symbological concept. It is used in a way to govern the overall circulation within the Hospital. The Heart is mainly part of the circulatory system in the Body. Blood is filtered within the Heart,its blood flow is being affected by it. It is desired by the students to give an open and smooth circulation within the Hospital.

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 It is also desired by the students to change how spaces will affect the users. The obligatory mission is to change how patients and visitors see and feel the hospital.

B.

DESIGN PHILOSOPHY: “Form follows function” – Louis Sullivan

C.

DESIGN OBJECTIVES: 1. To promote a healing-conducive design of the general hospital that can help the patients or the users to recover faster. 2. To enhance the capability of the hospital to adapt and handle the users. 3. To propose a design that will ensure the safety and the health of its environment. 4. To provide a healing environment for the users especially for the patients to make them appreciate nature while they are inside the hospital and to make them feel at peace with their environment and in their minds.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

D.

DESIGN CONSIDERATIONS: 1. Green Approach 2. Air Ventilation 3. PWD 4. Aesthetic 5. Healing Environment

E.

DESIGN PARAMETERS: 1. Environment: A hospital and other health facilities shall be so located that it is readily accessible to the community and reasonably free from undue noise, smoke, dust, foul odor, flood, and shall not be located adjacent to railroads, freight yards, children's playgrounds, airports, industrial plants, disposal plants. 2. Occupancy: A building designed for other purpose shall not be converted into a hospital. The location of a hospital shall comply with all local zoning ordinances. 3. Safety: A hospital and other health facilities shall provide and maintain a safe environment for patients, personnel and public. The building shall be of such construction so that no hazards to the life and safety of patients, personnel and public exist. It shall be capable of withstanding weight and elements to which they may be subjected.

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 4. Security: A hospital and other health facilities shall ensure the security of person and property within the facility. 5. Patient Movement: Spaces shall be wide enough for free movement of patients, whether they are on beds, stretchers, or wheelchairs. Circulation routes for transferring patients from one area to another shall be available and free at all times. 6. Lighting: All areas in a hospital and other health facilities shall be provided with sufficient illumination to promote comfort, healing and recovery of patients and to enable personnel in the performance of work. 7. Ventilation: Adequate ventilation shall be provided to ensure comfort of patients, personnel and public. 8. Auditory and Visual Privacy: A hospital and other health facilities shall observe acceptable sound level and adequate visual seclusion to achieve the acoustical and privacy requirements in designated areas allowing the unhampered conduct of activities. 9. Sanitation: Utilities for the maintenance of sanitary system, including approved water supply and sewerage system, shall be provided through the buildings and premises to ensure a clean and healthy environment 10. Housekeeping: A hospital and other health facilities shall provide and maintain a healthy and aesthetic environment for patients, personnel and public. 11. Maintenance: There shall be an effective building maintenance program in place. The buildings and equipment shall be kept in a state of good MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 repair. Proper maintenance shall be provided to prevent untimely breakdown of buildings and equipment. 12. Segregation: Wards shall observe segregation of sexes. Separate toilet shall be maintained for patients and personnel, male and female, with a ratio of one (1) toilet for every eight (8) patients or personnel. 13. Fire Protection: There shall be measures for detecting fire such as fire alarms in walls, peepholes in doors or smoke detectors in ceilings. There shall be devices for quenching fire such as fire extinguishers or fire hoses that are easily visible and accessible in strategic areas. 14. Signage. There shall be an effective graphic system composed of a number of individual visual aids and devices arranged to provide information, orientation, direction, identification, prohibition, warning and official notice considered essential to the optimum operation of a hospital and other health facilities. 15. Parking. A hospital and other health facilities shall provide a minimum of one (1) parking space for every twenty-five (25) beds. 16. Zoning: The different areas of a hospital shall be grouped according to zones as follows: 16.1 Outer Zone – areas that are immediately accessible to the public: emergency service, outpatient service, and administrative service. They shall be located near the entrance of the hospital.

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 16.2 Second Zone – areas that receive workload from the outer zone: laboratory, pharmacy, and radiology. They shall be located near the outer zone. 16.3 Inner Zone – areas that provide nursing care and management of patients: nursing service. They shall be located in private areas but accessible to guests. 16.4 Deep Zone – areas that require asepsis to perform the prescribed services: surgical service, delivery service, nursery, and intensive care. They shall be segregated from the public areas but accessible to the outer, second and inner zones 16.5 Service Zone – areas that provide support to hospital activities: dietary service, housekeeping service, maintenance and motorpool service, and mortuary. They shall be located in areas away from normal traffic. 17. Function: The different areas of a hospital shall be functionally related with each other. 18. Space: Adequate area shall be provided for the people, activity, furniture, equipment and utility.

F.

DESIGN APPROACH: The ultimate goal of the students is to be able to change how hospitals look and feel. It is the desire of the students to give a new outlook to the

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 environment of every health facility by means of integrating different relationships of ideas that were once used to produce a new one. The main considerations of the students here are the patients, the people who will essentially visit the hospital. Thus, prioritizing the movement and scapes of the facilities. By doing so it could influence the reaction of each people who would make a visit. This influence or impact will then be able to give a way to make a step in achieving the desired goal of the students. There were also different ideas to present a new structure to the people. Major elements such as lighting, movement, and ventilation. These aspects overall will make a great change on how it will be implied. The usage of proper lighting and ventilation will greatly influence how people will be able to interact with its spaces

3.5

DESIGN STANDARDS

This part of the chapter includes the designated standards or measurements of a given space or a given object that is included in a general hospital facility. THE STANDARD AREA FOR THE GIVEN SPACES IN A HOSPITAL

Space

Area in Square Meters

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 Administrative Service Lobby Waiting Area

0.65/person

Information and Reception Area

5.02/staff

Toilet

1.67

Business Office

5.02/staff

Medical Records

5.02/staff

Office of the Chief of Hospital

5.02/staff

Laundry and Linen Area

5.02/staff

Maintenance and Housekeeping Area

5.02/staff

Parking Area for Transport Vehicle

9.29

Supply Room

5.02/staff

Waste Holding Room

4.65

Dietary Dietitian Area

5.02/staff

Supply Receiving Area

4.65

Cold and Dry Storage Area

4.65

Food Preparation Area

4.65

Cooking and Baking Area

4.65

Serving and Food Assembly Area

4.65

Washing Area

4.65

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 Garbage Disposal Area

1.67

Dining Area

1.40/person

Toilet

1.67

Cadaver Holding Room

7.43/bed

Clinical Service Emergency Room Waiting Area

0.65/person

Toilet

1.67

Nurse Station

5.02/staff

Examination and Treatment Area with Lavatory/Sink

7.43/bed

Observation Area

7.43/bed

Equipment and Supply Storage Area

4.65

Wheeled Stretcher Area

1.08/stretcher

Outpatient Department Waiting

Area 0.65/person

Toilet

1.67

Admitting and Records Area

5.02/staff

Examination and Treatment Area with Lavatory/Sink

7.43/bed

Consultation Area

5.02/staff

Surgical and Obstetrical Service

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 Major Operating Room

33.45

Delivery Room

33.45

Sub-sterilizing Area

4.65

Sterile Instrument, Supply and Storage Area

4.65

Scrub-up Area

4.65

Clean-up Area

4.65

Dressing Room

2.32

Toilet

1.67

Nurse Station

5.02/staff

Wheeled Stretcher Area

1.08/stretcher

Janitor’s Closet

3.90

Nursing Unit Semi-Private Room with Toilet

7.43/bed

Patient Room

7.43/bed

Toilet

1.67

Isolation Room with Toilet

9.29

Nurse Station

5.02/staff

Treatment and Medication Area with Lavatory/Sink

7.43/bed

Nursing Service Office of the Chief Nurse

5.02/staff

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 Ancillary Service Primary Clinical Laboratory Clinical Work Area with Lavatory/Sink

10.00

Pathologist Area

5.02/staff

Toilet

1.67

Radiology X – Ray Room with Control Booth, Dressing Area and Toilet

14.00

Dark Room

4.65

Film File and Storage Area

4.65

Radiologist Area

5.02/staff

Pharmacy

15.00

Notes: 5. 0.65/person – Unit area per person occupying the space at one time 6. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space for occasional visitor, and space for aisle 7. 1.40/person – Unit area per person occupying the space at one time 8. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional visitor, and space for passage of equipment 9. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

PARKING REQUIREMENTS FOR HOSPITALS SECTION 3.01.07: Maximum Height of Buildings and Increases

(a) The maximum height and number of stories of every building shall be dependent upon the character of the occupancy and the type of construction, and shall not exceed the limits determined by population density, building bulk, widths of streets, and car parking requirements. The height shall be measured from the highest adjoining sidewalk or ground surface, provided that the height measured from the lowest adjoining surface shall not exceed such maximum height by more than 3.00 meters (10 feet): Except, That towers, spires, and steeples, erected as a part of a building and not used for habitation or storage, are limited as to height only by structural design if completely of incombustible materials, or may extend not to exceed 6.00 meters (19 feet, 8 inches) above the height limits for each occupancy group if of combustible materials.

MANAPAT | OLMEDILLA | RIVERA | SULA Bachelor of Science and Architecture - 3B Ar. Ma. Saturnina Parungao, uap - Instructor

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018 CHAPTER 4:

CONCLUSIONS AND RECOMMENDATIONS 4.1

CONCLUSION

This study investigated the building design and also its function. It focuses on how the different types of architecture design can be applied in the building and in the construction of the general hospital. Proper circulation and planning are to be strictly followed which are also based with the building standards and laws about general hospital in the Philippines and considering the ventilation of each building/rooms to ensure a proper building design. This study also focuses on the users’ satisfaction on how we can give the best design to provide their needs in the general hospital, such as healing design.

4.2

RECOMMENDATION

1. The researchers recommended that the design of the amenities in the site would be accessible for the users’ satisfaction. 2. The researchers recommended having a structure that is considering when it comes to the environment of the general hospital ― conducive to healing. 3. The researchers recommended that the plan would not just be for the design of the building but also for its function.

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RESEARCH 3: “OSPITAL NG MALOLOS ― A GENERAL HOSPITAL” AR 351/353D: Architectural Design V, A.Y 2017-2018

REFERENCES: 1. http://www.doh.gov.ph/sites/default/files/publications/Volume1_IntroductionandInst ructionforUse_1.pdf 2. http://fs.mapua.edu.ph/MapuaLibrary/LibraryFiles/LibraryResources/Feasibility/ART-851_Reyes,%20Christina%20Marie%20M._Thesis%20Book.pdf 3. https://psa.gov.ph/content/population-region-iii-central-luzon-based-2015-censuspopulation 4. http://acemcvalenzuela.com.ph/ancillary.php 5. http://www.hok.com/design/type/healthcare/ng-teng-fong-general-hospital/ 6. http://www.chanrobles.com/republicactno6541.htm#.WkuVvfmWbIU 7. http://hospitalsinthephilippines.blogspot.com/2009/01/bulacan-private-hospitals.html 8. http://nursingcrib.com/wp-content/uploads/2007/09/Hospitals/3.pdf 9. http://www.doh.gov.ph/sites/default/files/publications/planning_and_design_hospital s_other_facilities.pdf

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