Proper arrangement of medical waste, solid waste,, reducing environmental pollution. 4.3建筑设计 Building design 4.3.1功能分区 Division of the function
应根据南京地区的气候条件、医疗中心的周边环境特点、该项目的用地条件和功能需求以及发展可能,科学划分门诊、急诊、医技、病房、实验室、感染疾病诊疗、后勤保障、污水污物处置、住院患者室外活动、生活配套、未来发展等区域空间,以最大限度地缩短医护人员的工作路程和就诊人群的行走路线、并减少各种流线的交叉,建立起科学合理的功能分区。
based on the climatic conditions of the Nanjing area , the surrounding environment characteristics of the medical center , the project's land - use and functional requirements and the development, the division of the functions should be include emergency , medical technicians , ward , laboratory , infectious disease clinics , logistical support , sewage pollution waste disposal , hospitalized patients outdoor activities space, life support department , the future development space , to minimize the medical staff working distance and the routes of the treatment population , and reduce the variety of flow lines cross , and establish a scientific and rational function zoning .
应根据不同的使用功能,统筹设计各功能分区的各种建筑的体量,以最大限度地为人员相对集中的建筑物设计较好的朝向、控制较合理的间距、创造良好的采光通风条件。
The volume of variety of buildings should be depending on the function, to get more reasonable control of lighting, ventilation of the space, and create a good condition.
应结合医疗诊治工作的行为特点、医患之间不同的生理和心理特点,创造幽雅、宁静、富有人情味的医疗环境。
Create elegant, quiet, human health and environment
应考虑未来20年的科学进步、技术发展、医疗体制改革对医院诊疗模式产生改变,迫使医疗机构对现有建筑物进行改造和扩建的可能性;应考虑城市化发展对医疗机构提出扩张需求,适当留有未来发展的余地。
Leave some places for further use 4.3.2防火设计和安全疏散
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Fire safety design and evacuation
防火设计和安全疏散的设计要符合国家规范和南京地区的相关管理规定。 According to the national and Nanjing’s norms 4.3.3交通组织 Traffic organization
利用内部人流交通组织串联建筑功能、医院的医疗组织模式和管理模式。
Use internal flow of traffic to organize the various building functions, hospital health care organization and management modes.
医院出入口不应少于4处。 At least 4 entrances
应将急诊入口设置在次干道处,并单独留出急诊“绿色通道”,同时考虑急救车辆与急诊抢救室的无缝对接。
Emergency entry should be set in the Trunk road, and left out the emergency \channel\room into account
本项目要求神经科、妇科产科、心血管科、口腔科、其它综合部分的病房或集中或分别设置;儿科的门急诊与病房单独设置,口腔科的急诊单独设置,其它门诊、急诊或集中或分别设置;产科的产房和手术室与产科病房单独设置,其它手术室集中设置;妇科产科的特殊检查设备和检测项目可以和其门急诊或住院病区设置在一起,其它一般性检查检测、其它专科和综合的检查检测集中设置;以上内容未提及的医技单元、后勤保障集中设置。因此,为诊疗服务的所有建筑,其内、外部环境的转换处理,要避免由于交通组织不善而引起空间局促、人物流混杂和交叉拥挤的现象出现。
This project requirements Neurology, and gynecological, and cardiovascular department, and oral department, and other integrated part of ward to be set accordingly; Pediatric ‘s emergency and sickrooms should be set separately, the emergency treatment of oral cavity department should be set separately, other outpatient, and emergency can be set accordingly; Obstetrics and Gynecology’s sickrooms , delivery room and operating room should be set separately. other operating room should be set in a concentrated way; gynecological obstetric of special check device and detection project can be set with its emergency treatment or the block of sickrooms, other General check detection, and Other
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specialist check inspection can be set together; medical units and support departments are not mentioned above, thus we should take care of other buildings which are supporting the main function building in order not to bring chaos.
应考虑人员和车辆分流,人员和物品分流,分别利用不同高差的道路或层面,形成立体交叉,立体分流。
Considering the diversion of staff and traffic, personnel and goods flow, each using height difference of all the roads or levels, forming crossover, stereo streaming
宜考虑医患生活区间分设管理的模式,尝试相对意义上的医患分流。
Considering the division of life part of the patients and doctors, try on the relative importance of the doctor-patient triage
物流通道独立设置,其中药品膳食、消毒物品、尸体和废弃物的通道宜相对独立。 Logistics channel independently sets, medicine meals, disinfecting substances, the body and waste should be relatively independent of t.
医院外部交通要考虑与未来的快速道路交通、轨道交通等无缝对接。
The external traffic of hospitals should consider to be connected with future express road traffic, rail traffic directly.
4.3.4就医环境 Environment
维护个体的私密性。在急诊和医技科室落实“一医一患一诊室”的规定,在多床病房的设计中,将病人个人领域空间的概念突出表现,更好地满足病人对私密性的要求。
创造公共的交流空间,提供医务人员和患者、患者和患者、患者和亲属、患者和不同群体之间的信息、思想和感情交流空间。减轻痛苦的困扰,缓解心理压力,应设立相对独立的会客空间,在儿科病房设立适合儿童心理的游戏氛围。
利用建筑艺术手段,在原本单调的医疗环境中,增加生活空间元素,在儿童诊疗区域设计卡通、漫画等舒缓表现,将现代生活氛围引入医疗生活区,促进病人康复。 Maintaining the privacy of individuals.
Do best to keep the privacy of the patients there should be only a doctor with a patient in a room, for the design of multi-bed wards, we should pay more attention to the individual space concept to better meet the demands of patient privacy.
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Creating public communication space, providing spaces for medical personnel and patients, patients as well as patients, patients and families, and different groups to Exchange of information, thoughts and feelings in order to alleviate suffering, relieve psychological pressure. The building also should set up an independent customer space, in the pediatric ward we should set some facilities for children.
Use all means to let the medical space from boring to colorful, trying to use cartoon in the pediatric wards
4.3.5适宜人的声、光、色环境 Suitable sound, light, color
安静的康复环境,除合理进行医院的整体布局外,需在病房内有效的运用建筑材料与构造手段,防止噪音的干扰。在争取良好日照的同时,防止室内眩光。结合不同疾病患者的心理指向,选择不同的色调装饰病区等就诊环境,缓解患者心理压力。
4.3.6车辆停放和公共服务设施 Parking and Public service facilities
地下室主要为机动车泊位、机电设备用房、人防、库房、物流通道等用途。停车位的标准建议略高于南京市的建筑配建要求配置,应充分利用地下空间建设立体停车装置。设立清晰合理的车辆引导标识,设立物流引导标识。
The basement is mainly for vehicle parking, mechanical and electrical equipment, defense, Treasury, logistics channel uses. The parking space may be more than the standard recommended in the norm of Nanjing, which should take full advantage of the underground parking space construction equipment. Establishing clear and reasonable vehicle pilot identifier and logistics pilot identifier.
在急诊部安排专用停车位置,积极引入救护车辆与急救室无缝对接的模式。在门诊部、住院部等入口附近安排临时的地面停车位,停车场地选择应考虑与公共交通、院内交通的换乘与连接。需要医务人员第一时间就位的治疗场所要设立专用车位。
In the emergency department dedicated parking spaces should be set, trying to use the ambulance and emergency room of seamless mode. In clinics, in-patient Department, temporary surface parking spaces should be set near the entrance, when choosing the place for the parking lots, public transport, transfer and connection should be considered. Places which should be arrived quickly as much as possible for the doctors should set up a private
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parking space.
公共服务设施及市政公用设施配套,按照《综合医院建设设计规范》等现行的有关标准设置。公共服务部分除应考虑大型综合性医院的一般配套设施以外,还需考虑地处主城外围的区域性医疗中心为外地病人及其陪同人员提供一定的生活配套设施(其住宿用房的设施必须低于普通标准间的条件)。
According to the Code for design of construction in general hospitals, the buildings should also provide some facilities for the community.
4.3.5无障碍设施 Barrier-free facilities
无障碍设施的设计内容,执行国家住建部、民政部、残联、老龄委“建标函(2010)128号”文件附表中对医疗建筑的要求;其设计标准执行《城市道路和建筑物无障碍实际规范》(JGJ50-2001)
According to the (JGJ50-2001) and建标函(2010)128号 五、
建设规模及功能分配
Construction scale and function
5.1浦口新城医疗中心综合部分 200张病床,设计门急诊量1000人次,地面医疗建筑面积2万平方米。包含三个部分:
Pukou Metro integrated part contains 200 beds, designing 1000 passengers to see doctors at once, ground medical building area is 20,000 square meters including three parts:
5.1.1门诊用房5000平方米,急诊用房4000平方米;急诊是一个较为完整的急诊中心,其中至少包含急诊抢救室、急诊手术室2间、急诊留观病房、急诊ICU(EICU)、急诊诊室10间(内、外、妇、儿、五官)等。
Clinic space 5,000 square meters, emergency 4,000 square meters; emergency is a more complete Center, which contains at least the emergency room, 2 Operating Rooms, observing wards, emergency ICU (EICU), emergency room 10 (inner, outer, women, infants, and facial features).
5.1.2医技用房4000平方米。
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