CASE STUDY

S.P.S. APOLLO HOSPITAL

LUDHIANA
SUBMITTED
BY:
BHAVYA DAWAR(10)
PRAGTI SAINI(22)
SIMRAN(33)
SUPREET(35)
INTRODUCTION
 In association with the Apollo
Hospitals Group, SPS Apollo
Hospital is a state-of-the-art
350-bedded multi-specialty
hospital.
 The formulation of the concept
of SPS Apollo Hospital,
Ludhiana was inspired and
backed by Satguru Jagjit
Singhji. The hospital was
commissioned on 28th March,
2005.
LOCATION
 SPS Apollo hospital,
Ludhiana is located at the
Sherpur chowk, GT road,
Ludhiana.
 It’s a five acre plot
donated by the namdharis.
 North west side (332 deg.)
marks the main entrance
of the building.
 Service block
Surface
parking

Main block

Main entrance

Emergency
entrance

National highway
 National Highway

Service
Entrance
P
Extension A
Of M.H.C. entrance R
the Main Block K
hospital I
Emergency entrance
N
G
Main Entrance
 SITE PLANNING
 A compact design with minimum
possible connecting distances
adopted.
 Segregated Parking which was
accessible from all four sides.
 Separate entrances for O.P.D.,
emergency and master health check.
 One of the four circulation legs was
dedicated to services.
 Hospital is being extended in the
form of a child care centre just next
to the existing building unit.
INTERNAL PLANNING
 Total floors:8
 House keeping concentrated on 6th floor
 General and special wards planned around the
atrium.
 Hidden shafts provided on every floor for
pipelines. No separate service floor.
 Parking was the main fire assembly point.
 CENTERS OF EXCELLENCE

Interventional Cardiology Critical Care Laboratories & Blood Bank Oncology

(Cancer treatment)

Orthopaedics & Joint Neurology, neurosurgery

Cardio Thoracic vascular Pediatric and Pediatric surgery
Replacement And Trauma Care
surgery

Nephrology & Urology Gastroenterology and

Radiology & Imaging
Ophthalmology Gastro intestinal surgery
Sciences
GROUND FLOOR PLAN
Reception, information desk, O.P.D.s’, pharmacy, master
health check unit.
Ct scan Endoscopy

M.R.I.

Emergency

O.P.D.
SERVICE LIFTS, BIOMEDICAL
WASTE DISPOSAL AND
ELECTRICAL UNIT
 The double height entrance lobby,
followed by a vast atrium provides a
very welcoming effect.
 Apart from the main entrance, a
separate entrance provided for the
emergency and master health check.
 Every O.P.D. had a separate waiting
area.
 The atrium was not used as the waiting
area because:
1)To avoid disturbance to the
special wards opening into the atrium.
2) Aesthetic considerations.
FLOW OF
EMERGENCY
BLOCK

Ambulance

Reception Waiting

Resuscitation Examination Diagnosis

Observation Treatment Minor OT

Wards Recovery
 INTERNAL FLOW CHART OF OPD

Diagnostic &
therapeutic facilities
O.P.D
CONSULTATION BLOCK
Treatment Pharmacy
Doctors’ offices, VIP
consultation, LOUNGE
examination etc.

MAIN RECEPTION AREA

Sub-waiting Sub-waiting PHARMACY

Admitting CORRIDOR
Medical record
Waiting
deptt. Toilets,
telephones MASTER HEALTH CHECK
OPD

RECEPTION
X-RAY

Outpatients
ULTRA-SOUND &
MAMMOGRAPHY

TOILETS
FIRST FLOOR
O.P.D.’s, dialysis, gym, maternity ward, physiotherepy, blood
bank and laboratories.
FIRST FLOOR
S. No DEPARTMENTS SUB UNITS
1 OPD Consults (12), reception, waiting area

2 PATIENT’S LOBBY 2 lifts

3 VISITOR’S LOBBY 2 lifts
4 SERVICE LOBBY Lift, H.V.A.C., electrician room
5 WATER COOLER Eye washer
6 DIALYSIS 3 rooms, lab.
7 PHYSIO THERAPY DPTT. H.O.D., staff room, therapy room,
A.H.U.
8 GYM Therapy (5)
9 GYNAE DPTT. Labour rooms, nursery, recovery room,
scrub
10 BLOOD BANKS Reception, waiting, storage, disease lab.,
serol lab
11 LABS EDP, A.H.U., specimen storage
Labs
 CAFETERIA / LAUNDARY

DIAGNOSIS CENTRE STAIRCASE

Y
BB
LO
CORRI DOOR

BIRTHING CENTRE
C O
O P
R D
BIRTH R C
CENTRE I O B
D ATRIUM BELOW R L
O R O
OA I C
R D K
O
O
BLOOD BANK R
LIFT

CORRI DOOR
STAIRCASE
1.MASTER HEALTH O.P.D .-2500
Sf.Ft.
*Consult – 4 *A.H.U.
*N.S. *Mammography
*Ultra sound - Attach Toilet
*X-Ray - Attach Toilet
*Dark Room *Sample Colle..
*MHC Break Fast

2.O.P.D. RECEPTION & WAITING -2200 Sf.Ft.

*Consult - 6
*Toilet - M/F (2 W.C.,2 Bath)
*TMT *ECH *ECG/HOLTER *A.H.U.

3.SAMPLE COLLECTION- 500 Sf.Ft.

*Toilet - 1 (2 W.C.)
*Sample Room
*Rec.
4.VISITOR'S LOBBY - (2 Lift) - 900 Sf.Ft.

5.PATIENT LOBBY - (2 Lift) - 400 Sf.Ft.

6.SERVICE LOBBY - 700 Sf.Ft.

*Lift *HVAC *Elec. Room
SECOND FLOOR
O.T., C.C.U., cath lab, recovery centre, CSSD.
SECOND FLOOR
S.NO DEPARTMENT
1 C.C.U.
2 VISITOR’S LOBBY
3 PATIENT’S LOBBY
4 SERVICE LOBBY
5 WAITING
6 MEDICAL STORE
7 CHANGING ROOM
8 DOCTOR’S LOUNGE
9 CATH LAB
10 TRANSFORMER ROOM
11 C.T STEP D.N.
12 C.T. POST O.P.
13 O.T.
14 PRE O.P.
THIRD FLOOR
R.T.C., P.I.C.U.(PAEDRIATRIC INTENSIVE CARE UNIT),
STEP ICU, M.I.C.U(MEDICAL INTENSIVE CARE UNIT)
THIRD FLOOR
S.NO. DEPARTMENTS SUB UNITS

1 WARDS A.H.U, toilet, equipment

storage

2 WAITING Attached toilets

3 VISITOR’S LOBBY 2 lifts

4 PATIENT’S LOBBY 2 lifts

5 SERVICE LOBBY lift, H.V.A.C, elec. room

6 DOUBLE BEDROOM 8 rooms

7 SURGICAL I.C.U A.H.U, D.U, C.U

8 NEURO I.C.U 7 beds, A.H.U , C.U,

D.U
THE PARKING
WAS THE MAJOR
ASSEMBLY
POINT OF ALL
THE FIRE EXITS.
TYPICAL FLOOR PLAN(4TH
AND 5TH)
DORMITORIES, SINGLE BED ROOOMS, SEMI PRIVATE
ROOMS AND DELUXE ROOMS
TYPICAL FLOOR PLAN (4th and 5th)
S.NO. DEPARTMENTS
1 SEMI-PRIVATE ROOMS (19)
2 SINGLE BED ROOMS (14)
3 DELUX BED ROOMS (8)
4 DOCTOR’S LOUNGE
5 STAFF LOUNGE
6 STORE
7 FLOOR PANTRY
8 NURSE CHANGE AND REST
9 VISITOR’S LOBBY
10 PATIENT’S LOBBY
11 SERVICE LOBBY
 CAFETERIA / LAUNDARY

TREATMENT SEMI PRIVATE RM STAIRCASE

RM

Y
BB
LO
CORRI DOOR

SINGLE BEDROOMS
C
O
SEMI R
R C SEMI
PRIVATE SINGLE
I O PRIVATE
RM
D BED ATRIUM BELOW R RM
O RM R
O I
R D
O
O
SINGLE BEDROOM R
LIFT

AHU
CORRI DOOR
STORE

STAIRCASE
DELUXE BEDROOM
TYPICAL FLOOR PLAN(6TH
AND 7TH)
PATIENT WARDS.
TYPICAL FLOOR PLAN (6th and 7th )
S.NO. DEPARTMENT
1 DOUBLE BEDROOM
2 SINGLE BEDROOM
3 DORMITORY
4 DUTY ROOM
5 REST ROOM
6 JANITOR
7 SERVICE LOBBY
8 VISITOR’S LOBBY
9 PATIENT’S LOBBY
10 FLOOR PANTRY
11 LOUNGE
MORTUARY
 Mortuary was located in
the basement parking
area, along with the two-
wheeler parking and
specimen storage area.
 As part of services, a
water drainage tank was
provided in case of
flooding in the basement.
CIRCULATION
Staircases, lifts, corridors etc.
Service area

Visitor’s area
Corridors
Fire exit
Atrium
Vertical
circulation
core
 LIGHTING AND VENTILATION
 The corridors had
no access to the
natural light.
Even the nursing
units were lit by
artificial lighting.Naturally lit atrium
 The staircases
and the
peripheral
corridors were Artificially lit
internal corridor
well-lit by
natural light. Well lit peripheral
corridor
BUILDING SERVICES
Water supply, fire hydrant supply, electrical supply, waste
management and disposal etc.
 Water Supply:
• In the building the main water supply is
taken from PWD and is stored in 8
underground and 5 overhead water
reservoirs.
• In the underground tanks, 4 are for Over head water tanks
domestic supply, and 4 for the fire
fighting.
• In the overhead tanks, four are for the
plumbing and 1 for the fire fighting.
• All the water carrying pipes are G.I.
Pipes and in the O.T.s and I.C.U.s the
pipes are of PVC so as to minimize the
chances of any leakage. C.H.W. pipes
 Sewerage:
• The system has been designed on the two pipe
system as recommended in the code of practice
for soil and waste pipes.
• All the soil, waste, vent pipes are running in the
vertical shafts.
• Soil waste from toilet, urinals and bedpan
washers etc. will be collected by horizontal and
vertical soil pipes and collected in the sump in
the basement where after treating will be
discharged
• Waste from wash basins, kitchen sink etc. will be
collected separately by the waste pipes and from
the gully traps it goes into the manholes of
external sewerage system.
• The external sewerage runs around the building
periphery having manholes in front of each shaft.
 Electricity:
• With the mechanization of most of the
activities it becomes all the more
important to have an uninterrupted power
supply.
• The hospital has a big ups backup along
with full backup through two large diesel
generator sets.
• There is a electric sub station at the site
with transformer.
• High voltage lines come from the nearest
power station which are then lowered on
the voltage by the step down transformer
there.
• From this sub station, electricity is taken
to the HT panel room. The voltage is
stepped down to 440 volts and taken to
the LT panel rooms at different levels
from where it is distributed to all the parts
on this level.
 Ventilation and Air Conditioning:
• Air conditioning is a specialized field nowadays and when it
comes to hospitals it gets all the more important as a little mistake
could cost heavily in terms of the spread of air borne diseases. In
centrally air conditioned hospitals like Apollo, ducts have to be
properly insulated to avoid spread of any infection.

 Central air conditioning system consists of:

• Chilled water supply plant.
• Air handling units on each floor connected to chillers by means of
pipes.
• Ducting - supply and return - connecting AHU with the air
conditioned space.
• The Apollo building has 2 chillers, two on ground floor and one on
terrace.
• A.H.Us have been given on each floor.
• Color coding had been used for the various pipelines and ducts.
• Except for the basement all the ducting and piping is concealed
beneath the false ceiling.
• In Apollo the main plant is housed in the ‘plant room’ which is
located in the service block.
• This room should be as central in its location as possible.
• The plant room consists of equipment such as compressors,
condensers, pumps etc.
 Fire Safety of Hospital:
• Fire detection systems (smoke &
heat detectors), Public address
system

have been installed throughout the

building on all the floors.
• Fire exit routes have been provided.
• Extinguishing system has manual
fire extinguishing equipments, Fire

hydrants (around the building

periphery), Wet Riser system at
suitable

locations in the building, Automatic

Sprinkler system.
 Medical Gases:
• Oxygen, Nitrous oxide (anesthesia), Compressed
air, Suction.
• It has separate gas bank. Pipe line start from gas
plant & carried out till the last
point at the
bedside. Laid along the walls & of different
colors. Outlets are 4ft to

5ft6in. above floor lvl. provided at every bed in

ICU, Emergency, post operation,
recovery and Wards.
 Finishes:
• Walls :- Washable enamel, ceramic tiles, oil
bound distemper (OBD), Epoxy finish, S.S
finish, plastic emulsion, texture paint.
• Floor:- Kota stone, mosaic finish, marble finish,
ceramic tiles, vinyl flooring,
• Ceiling:- Oil bound distemper, Grid line finish
with gyp board, POP finish, Stainless steel finish
(only in cardio and ortho OTs)
 Waste Management
 The management of waste must be consistent from the point of
generation (“cradle”) to the point of final disposal (“grave”). The
path between these two points can be segmented schematically.
• Handling, segregation, mutilation, disinfection, storage,
transportation and final disposal are vital steps for safe and
scientific management of bio-medial waste in any establishment .
• The key to minimization and effective management of biomedical
waste is segregation (separation) and identification of the waste.
• The most appropriate way of identifying the categories of
biomedical waste is by sorting the waste into colour coded plastic
bags or containers.
• Biomedical waste should be segregated into containers/ bags at
the point of generation.
• Biomedical waste should be transported within the hospital by
means of wheeled trolleys, containers or carts that are not used for
any other purpose. The trolleys have to be cleaned daily.
• Off site transportation vehicle should be marked with the name
and address of carrier.
• Biohazard symbol should be painted. Suitable system for securing
the load during transport should be ensured. Such a vehicle should
be easily cleanable with rounded corners.
Shaft Provision
 Since, no separate
floor has been
provided for the
servicing of pipes
therefore the
pipelines for
electric supply,
water supply, fire
hydrant etc. go
through every floor.
 By not
compromising with
the aesthetics of the blinds used to
hospital shafts hide the shaft
(1mX1m) have openings on
been provided at the ground
each floor. floor.
LAUNDRY AND KITCHEN AREA
INFRENCES
INFERENCES
•Ground floor have OPD, emergency & diagnostics. Wards are
placed on the upper floors.
• There are separate entry for OPD and Emergency dept.
• OPD, Emergency & diagnostics are in close proximity to each
other.
• Emergency have a separate entrance and parking for ambulances.
• IPD & diagnostics have a clear & distinct circulation pattern.
• future expansion work being carried out.
• Less green area. The electrical supply room.
• No concept of dirty and clean corridor.
• All used equipments are taken in trolleys to disinfectant room
where they are washed.

8 ft. wide corridors for easy

circulation.
• Separate area for males and females lockers and toilets.
• Sterilized store room for equipment and supplies in OT.
• The whole building is centrally air conditioned.
• The service staircase has also been placed such that it can be
used as a fire escape staircase in case of emergency.
• Sprinklers have been provided with smoke and heat detectors
and hose-reels in public area.
• Planning is done in such a way that all the departments are
well segregated and yet kept together.
• A huge central atrium gives a feel of openness to the closely
knit departments.
• No separate road entry for the emergency dept.