THE INDUS HOSPITAL KARACHI, PAKISTAN THE GHAURI ID CLINIC MDR TB FACILITY AUGUST 2010 THE FACILITY, DESIGN PRINCIPLES & PATIENT FLOW 1
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
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
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
THE INDUS HOSPITAL KARACHI PAKISTAN QUALITY CARE FREE OF COST 5
THE INDUS HOSPITAL KARACHI PAKISTAN QUALITY CARE FREE OF COST 6
THE FILTER CLINIC 7
THE INDUS HOSPITAL FILTER CLINIC 8
THE INDUS HOSPITAL FILTER CLINIC 9
THE INDUS HOSPITAL FILTER CLINIC 10
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
THE INDUS HOSPITAL TB CLINIC RECEPTION 0NE & TOKEN COUNTER 12
THE INDUS HOSPITAL TB CLINIC, RECEPTION 0NE PATIENT TOKEN COUNTER & DRUG PICK UP 13
THE INDUS HOSPITAL TB CLINIC, RECEPTION 0NE PATIENT TOKEN COUNTER & DRUG PICK UP 14
THE OPD TOKEN 15
THE INDUS HOSPITAL FILTER CLINIC & MDR TB CLINICS GROUND FLOOR 16
THE MDR TB OPD AT THE INDUS HOSPITAL 17
THE RECEPTION COUNTER THE SPUTUM BOOTH THE WAITING AREA THE CORRIDOR 18
THE RECEPTION COUNTER 19
THE SPUTUM BOOTH 20
VIEW FROM THE RECEPTION COUNTER 21
THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL VIEW TO SOUTH EAST 22
THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL VIEW TO SOUTH 23
THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL VIEW TO NORTH EAST 24
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
THE MDR TB OPD WAITING AREA AT THE INDUS HOSPITAL THE EXHAUST FAN: In series, as a creator of directional breeze 26
FANS AT THE MDR TB OPD - THE INDUS HOSPITAL 27
THE CLINIC 28
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
THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL NATURAL VENTILATION, SIMPLE, MODERATE & MIXED MODE 30
THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 31
THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 32
THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 33
THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 34
THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 35
THE MDR TB OPD CLINIC AT THE INDUS HOSPITAL 36
THE INDUS HOSPITAL MDR TB WAITING AREA PROTOCOL 37
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
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
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
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
THE FACE OF MDR TB AT THE INDUS HOSPITAL KARACHI 42
43
44
45
46
47
THE FACE OF MDR TB AT THE INDUS HOSPITAL 48
REMEMBER SAFE SPACES KEEP HAPPY FACES Thank you 49