THE INDUS HOSPITAL KARACHI, PAKISTAN

Transcription

1 THE INDUS HOSPITAL KARACHI, PAKISTAN THE GHAURI ID CLINIC MDR TB FACILITY AUGUST 2010 THE FACILITY, DESIGN PRINCIPLES & PATIENT FLOW 1

2 THE HOSPITAL & THE FILTER CLINIC. HOSPITAL ENTRANCE FILTER CLINIC ENT FILTER CLINIC ON G. FLOOR EMERGENCY DPT. 1 ST INTERFACE FOR NEW PATIENTS (Separate from Emergency Department & OPD) Registering of new patients Assessment of care requirements Triage & spatial Separation Pre OPD INFECTIOUS DISEASES WAITING AREA ID CLINICS GENERAL OPD 2

3 APPLICATIONS OF NATURAL VENTILATION THE PROPOSED INDUS HOSPITAL. THE INDUS HOSPITAL FILTER CLINIC OUT PATIENT DEPARTMENT 1ST INTERFACE FOR NEW PATIENTS (Separate from Emergency Department) Registering of new patients Assessment of care requirements Triage & spatial Separation Pre OPD EMERGENCY DEPARTMENT ENTRANCE HOSPITAL ENTRANCE FILTER CLINIC ENT FUTURE EXPANSION TB CLINICS On first floor FILTER CLINIC ON G. FLOOR MDR TB CLINIC, WAITING AREA MDR TB COUNSELING & CLINIC 3

4 APPLICATIONS OF NATURAL VENTILATION THE PROPOSED INDUS HOSPITAL & ITS FILTER CLINIC FUTURE EXPANSION ID CLINICS On first floor FILTER CLINIC ENTRANCE FILTER CLINIC ON G. FLOOR MDR TB CLINIC WAITING AREA MDR TB CLINICS 4

5 THE INDUS HOSPITAL KARACHI PAKISTAN QUALITY CARE FREE OF COST 5

6 THE INDUS HOSPITAL KARACHI PAKISTAN QUALITY CARE FREE OF COST 6

7 THE FILTER CLINIC 7

8 THE INDUS HOSPITAL FILTER CLINIC 8

9 THE INDUS HOSPITAL FILTER CLINIC 9

10 THE INDUS HOSPITAL FILTER CLINIC 10

11 WAITING SPACES TRIAGE SPATIAL SEPARATION OBSERVE & TRIAGE PATIENTS ENTERING PROVIDE SPACE FOR SPATIAL SEPARATION DESIGN SAFE SPACES ENSURE THAT THE SPACES ARE PLEASANT & HUMANE 11

12 THE INDUS HOSPITAL TB CLINIC RECEPTION 0NE & TOKEN COUNTER 12

13 THE INDUS HOSPITAL TB CLINIC, RECEPTION 0NE PATIENT TOKEN COUNTER & DRUG PICK UP 13

14 THE INDUS HOSPITAL TB CLINIC, RECEPTION 0NE PATIENT TOKEN COUNTER & DRUG PICK UP 14

15 THE OPD TOKEN 15

16 THE INDUS HOSPITAL FILTER CLINIC & MDR TB CLINICS GROUND FLOOR 16

17 THE MDR TB OPD AT THE INDUS HOSPITAL 17

18 THE RECEPTION COUNTER THE SPUTUM BOOTH THE WAITING AREA THE CORRIDOR 18

19 THE RECEPTION COUNTER 19

20 THE SPUTUM BOOTH 20

21 VIEW FROM THE RECEPTION COUNTER 21

22 THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL VIEW TO SOUTH EAST 22

23 THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL VIEW TO SOUTH 23

24 THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL VIEW TO NORTH EAST 24

25 THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL MXED MODE VENTILATION KARACHI HAS A PREVELANT NATURAL BREEZE FANS CREATE A DIRECTIONAL AIR FLOW ON LOW BREEZE DAYS 25

26 THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL THE EXHAUST FAN: In series, as a creator of directional breeze 26

27 FANS AT THE MDR TB OPD - THE INDUS HOSPITAL 27

28 THE CLINIC 28

29 THE MDR TB OPD CLINICS AT INDUS HOSPITAL PHASE 1 Patient seat Doctors seat Exam bench Hand wash sink Curtain for privacy The building walls and roof are molded to channel the prevalent breeze into the clinic area. The air flows from the side of the HCW to the patient, and out. Fans are placed to force air in the desired direction. HCW clean corridor CLEAN AIR IN CONTAMINATED AIR OUT 29

30 THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL NATURAL VENTILATION, SIMPLE, MODERATE & MIXED MODE 30

31 THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 31

32 THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 32

33 THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 33

34 THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 34

35 THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 35

36 THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 36

37 THE INDUS HOSPITAL MDR TB WAITING AREA PROTOCOL 37

38 THE INDUS HOSPITAL FILTER CLINIC & MDR TB CLINICS GROUND FLOOR PHASE ONE Attendant Patient Attendant PATIENT SET 2 ND STAGE WAITING & PRE COUNSELING COUNSELING & CLINICS X RAY ROOM Air conditioned Upper room UVGI NEW PATIENT W/ TB SYMPTOMS VITALS UNDER TREATMENT PATIENTS ON REPEAT VISITS FOOD PACKETS DISBURSAL RECEPTION / REG. TOKENS 1 ST STAGE WAITING SPUTUM BOOTH 38

39 The fixed benches are well spaced to create separation and allow informal counseling The waiting areas and paths are decorated with color coded patterns to create an ordered patient flow. Patients are organized in sets of 4 according to the no of clinics. The seating can accommodate 32 patient sets. THE INDUS HOSPITAL MDR TB CLINICS (phase 1) An average turnover time of 30 minutes per patient allows clinics to see 8 patients per hr. A 4 hour clinic shift allows 32 patient visits per shift.. WAITING AREAS & PATHS. 39

40 THE INDUS HOSPITAL DOTS PROGRAM PATIENT TRACKING GPS COORDINATES OF PATIENT RESIDENCES SUPERIMPOSED ON GOOGLE EARTH The above shows the individual level GPS mapping and tracking we're doing in our DOTS program. We currently have 101 persons that have either completed treatment or have defaulted, transferred out, or died. The slide shows some of these persons being tracked at home. 40

41 THE INDUS HOSPITAL DOTS PROGRAM PATIENT TRACKING GPS COORDINATES OF HOUSES SUPERIMPOSED ON GOOGLE EARTH Another view of the tracked MDR patients. Each number is the hospital registration number of the patient and when clicked in the live program gives all details of patient including sputum DST results, CXR, and current medication 41

42 THE FACE OF MDR TB AT THE INDUS HOSPITAL KARACHI 42

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48 THE FACE OF MDR TB AT THE INDUS HOSPITAL 48

49 REMEMBER SAFE SPACES KEEP HAPPY FACES Thank you 49