AO 2016-0042 Annex H-6a Checklist For Review of Floor Plans - Level 1 Hospital
AO 2016-0042 Annex H-6a Checklist For Review of Floor Plans - Level 1 Hospital
AO 2016-0042 Annex H-6a Checklist For Review of Floor Plans - Level 1 Hospital
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY BUREAU
Name of Hospital:
Address:
1. PHYSICAL PLANT
_ 1.1 Administrative Service
_1.1.1 Lobby
_11.11 Waiting Area
_1.1.1.2 Information, Reception Area and Admifting Section
_1.1.1.3 Public Toilet (Male/Female/PWD)
_1.11.4 Staff Toilet
_1.1.2 Business Office
_1.1.3 Medical Records Office
_ 1.1.4 Prayer Areal Room
_1.1.5 Office of the Chief of Hospital
_1.1.6 Laundry* and Linen Secfibn
_1.1.7 Maintenance and Housekeeping Secfion*
_1.1.8 Parking Area for Transport Vehicle
_1.1.9 Supply Room
_1.1.10 Waste Holding Room
_1.1.11 Dietary*
|.1.11.1 DietitianArea
SuPPIY Receiving Area*
1.1.11.3 Cold and Dry Storage Area*
1.1.11.4
-:.1-11.2 Food Prepaiation Aiea*
1.1.11.5 Cooking and Baking Area*
Serving and Food Assembly Area
I
.1.1'1.7 Washing Area
-:.1-11.6 1.8 Garbage Disposal Area
- Dining Area
-:.1.11.1.11.10 Toilet
1 . 1-l
-:'1'11'9
2 Cadaver Hol d n g Room
i
_1.2 ClinicalService
-
_1.2.1 Emergency Room
_1.2.1.1 Waiting Area
_1.2.1.2 Toilet
_1.2.1.3 Nurses'Station with Work Area with Lavatory/Sink
_1.2.1.4 Minor Operating Room/Surgical Area
_1.2.1.5 Examination and Treatment Area with Lavatory/Sink
_1.2.1.6 Observation Area
_1.2.1.7 Equipment and Supply Storage Area
_1.2.1.8 Wheeled Stretcher Area
*When the services are contracted out, these areas are not required. However, a contract of service or
memorandum ofagreement with a service provider should be secured as a prerequisite for license to operate.
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1.2.2 Outpatient Department (Separate from ER Complex)
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2.PLANNING AND DESIGN
_21 Floor plans properly identified and completely labeled
_2.2 Conforms to applicable codes as part of normal professional service:
_221 Exits restricted to the following types: door leading directly outside the
building, interior stair, ramp, and exterior stair
_ZZ2 Minimum of two (2) exits, remote from each other, for each floor of the
building
_2.2.3 Patient Corridors for ingress and egress shall be at least 2.44 meters in
clear and unobstructed width
_2.2.4 Exits terminate directly at an open space to the outside of the building
_2.2.5 Minimum of one (1) toilet on each floor accessible to the disabled
_2.3 Meets prescribed functional programs:
_2.3.1 Main entrance of the hospital directly accessible from public road
_2.3.2 Ramp or elevator for clinical, nursing and ancillary services located on
the upper floor
_ 2.3.3 Ad m inistrative Service
_2.3.3.1 Business office located near the main entrance of the
hospital
_2.3.4 Emergency Room
_2.3.4.1 Located in the ground floor to ensure easy access for
patients
_2.3.42 Separate entrance to the emergency
_2.3A.3 Ramp for wheelchair access (with a clear width of at least
1.22 m. or 4 ft.)
_2.3.4.4 Easily accessible to the clinical and ancillary services
(laboratory, radiology, pharmacy, operating room)
_2345 Nurses' station located to permit observation of patient
and control of access to entrance, waiting area, and
treatment area
_ 2.3.5 Outpatient Department
2.3.5.1 Located near the main entrance of the hospital to
ensure easy access for patients
_235.2 Separate toilets for patients and staff (Male/Female/PWD)
_2.3.6 Surgical and Obstetrical Service
_23.6.1 Located and arranged to prevent non-related traffic
through the suite
_2.3.6.2 Operating room and delivery room located as remote
as practicable from the entrance to the suite to
provide greater asepsis
_ 2.3.6.3 Operating room and delivery room arranged to
prevent staff and patients to travel from one area to
the other area
_23.6.4 Dressing room arranged to avoid exposure to dirty
areas after changing to surgical garments
_ 2.3.6.5 Nurses' station located to permit visual observation of
patient and movement into the suite
_ 2.3.6.6 Scrub-up area recessed into an alcove or other open
space out of the main traffic
_2.3,6.7 Sub-sterifizing area shallbe provided and shallbe accessible
from the Operating room and delivery room
_2.3.7 Nursing Service
_2.3.7.1 Nurses' station located and designed to allow visual
observation of patient and movement into the nursing unit
_23.7.2 Nurses' station provided in all nursing units of the
hospital with a ratio of at least one (1) nurses' station
for every thirty-five (35) beds
_23.7.3 Toilet immediately accessible from each room in a nursing unit
_ 2.3.7.4 Separate rooms with toilets for male and female patients
_ 2.3.8 Dietary, maintenance and other non-patient contact services located
in areas away from normal traffic within the hospital, or located in
separate buildings within the hospital premises
_ 2.3.8.1 The dietary service shall be away from morgue with
at least 25-meter distance
COMMENTS:
Republic of the Philippines
Department of Health
HEALTH FACILITIES AND SERVICES REGULATORY BUREAU
GOMMENTS:
Chairperson, HFERC
Vice-Chairperson, H FERC
Member
Member Member w
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