Orthopedic Hospital Planning
Orthopedic Hospital Planning
Orthopedic Hospital Planning
Introduction
Orthopedic hospital is a single speciality hospital that exclusively provides
diagnosis and treatment for musculoskeletal system related problems.
Orthopedic ICU
In an acute care hospital, the intensive care unit staff must effectively use
specialized equipment, while making split-second decisions pertaining to
the care of a large number of medically fragile patients. Optimizing the
space for efficiency and safety can help drive successful care outcomes
and support a satisfactory experience for patients and families.
Radiology Department
Facilities for X-Ray & CT must be provided in orthopedic hospital.
Radiology equipments like X-Ray machine, CT etc. must be installed
in adequately shielded rooms to ensure that public in the vicinity of the x-
ray installations are not unduly exposed to x-ray radiation.
The adequacy of shielding depends on the material and thickness
used for this purpose. Different materials can be used for shielding.
However, brick or concrete are considered the best materials, as
they are easily available, economical, and have good structural strength.
While lead is a suitable shielding option for energies encountered in
diagnostic x-rays, it is a weak structural material with tendency to lose
uniformity and needs periodic radiation survey to ensure its continued
adequacy.
Also, Lead poses a serious environmental hazard and the use of it is
being discouraged the world over. Recently, many new materials are
being used/ developed as potential shielding materials, as an alternate to
Lead
X-Ray Room Requirements are as follows:
Room should have preferably one entrance door and window if
present, should be above 2m from the finished floor level outside the x-
ray room.
Door should have a hydraulic mechanism to ensure that door is
closed during procedure and should be provided with overlapping at the
joints to avoid streaming.
Radiography and Fluoroscopy equipment: Couch, Control console
and chest stand
In such a way that chest stand is on the opposite wall of the
entrance door and the control console.
Mobile protective barrier with lead equivalent glass viewing window
should be positioned in such a manner that the operator is completely
shielded during the exposure.
Control console should be positioned as far away as possible from
the x-ray tube.
Note: Floor (if installation is not on ground floor) & ceiling thickness if 6
inch concrete is adequate.
Computed Tomography: Gantry, Couch, Separate control console room,
viewing window
Position the gantry and couch such that the patient is completely
visible from the control console, during the scanning
The entrance door to the gantry room from the control console shall
have similar requirements as the patient entrance door.
Conclusion
To conclude, use of orthopedic OT table is mandatory as it provides
additional attachments for orthopedic patients. Also, Physiotherapy &
rehabilitation department plays an important role incase of orthopedic
patients.