GROUP – 5

SADWIKA – 19181AA055
ARAVIND – 19181AA056
BHARDWAJ– 19181AA057
PRASANNA– 19181AA072
 The Centro Hospitalario Serena del Mar
LOCATION: m. 8 Vía Al Mar Serena del Mar, Provincia de Cartagena, Bolívar, Colombia
Located in: Burano
SURROUNINGS: Celsia Manzanillo[petrol pump]
Conjunto Residential Complex[apartments]
Altana[apartments]
Los Andes university-Caribbean Campus
ACCESS TO THE SITE: From West side of the 90A Cartagena provience[Highway]
AREA OF THE SITE: 14,10,000sqm which is east side to the 90A highway
ORIENTATION:NORTH
PARKING:CELLAR PARKING FACILITY
IS IT USER FRIENDLY??- NO OR YES

BUILDING LEVEL-
• BUILTUP AREA: Phase 1-42000sqm; Allphases-70000sqm
• FORM/SHAPE OF THE BUILDING:RECTANLES WITH SOLIDS AND VOIDS
• DIFFERENT DEPARTMENTS: Cardiology, Endocrinology, Infectology, Pulmonology, Orthopedics and Traumatology, among others.
Gynecology.
Obstetrics and Human Reproduction (coming soon)
Pediatrics and Pediatric Subspecialties
General Surgery and subspecialties:
Metabolic and Obesity Surgery, Cardiovascular Surgery, Neurosurgery, Thoracic Surgery, Urology, among others.
Neurology
• HIERARCY SPACES: LAKE VIEW COURT YARDS AND WARDS FACING LAKE SIDE, THE CIRCULAR SPACE SURROUNDED BY WATER.
• AMBIANCE: IT IS A DEVELOPING SPACE SINCE 2015. AND THE SPACE IS SELF EFFICIENT.
• STYLE OF THE BUILDING: CONTEMPORARY AND CONNECTED WITH NATURE.
ZONING :
 History:
SITE PLAN :
• NOBO OTROBANDA CURACAO STARTED
SINCE 2019.FIRST NEW HOSPITAL IN
164YEARS.
• BEFORE IT WAS A STATE OF THE
ART'DIS NOS' WHICH MEANS OF US.
• it has been a immense leap made from 164
years old to a state of the art hospital.
• The Architects were OZ and GM.
• The health care was pathetic in the curacao.
• Now the new hospital as all the
international standards Equipments.
• OZ AS EXPERIENCE OF 25YEARS IN BUILDING
ON CURACAO .
• EGM ARCHITECTS WAS ASKED TO DESIGN
THE HOSPITAL BWCAUSE –OF THEIR
EXTENSIVE HOSPITAL EXPERTISE.
• OZ AND EGM architects together proposed
concept for the mass construction of the
hospital.
Design:
• In this hospital design,The designers mainly focused on patients staff
and visitors- As it was main criteria.
• As the building was designed in a UNESCO World Heritage site it was a
major task and a milestone for designers to convince UNESCO.
• The construction meets Dutch standards.
• The hospital responds to history culture climate and natural conditions
of Curacao region.
• This design revolved around the peace of people, Contributing healing
and promotes Well being for the paitents, Staff and visitors.
• As they could reduce stress and medical errors.
• The building as the vernacular elements-By using the local colours– to
create the natural healing environment.
Floor plan
and zoning
 NATIONAL DESKTOP STUDY
INDRAPRASTHA APOLLO HOSPITAL (NEW DELHI)
MEDICAL SERVICES
• OUTPATIENT DEPARTMENT
❑FIRST AND LARGEST CORPORATE HOSPITAL IN INDIA
AND 4 TH IN WORLD • EMERGENCY
• CLINICAL LABORATORIES
❑STARTED IN 1996
❑DESIGNED BY HAFEEZ CONTRACTOR • GENERAL MEDICINE
• CPMMUNITY MEDICINE
❑CRITICIZED FOR ITS HOTEL LOOK
❑BUT LEAD THE WAY FOR MODERN HEALTHCARE • GENERAL SURGERY
• TUBERCULOSIS AND RESPIRATORY DISEASES
INDUSTRY IN INDIA VARIOUS CLINICS OF THE HOSPITAL: • PHYSIOTHERAPY
50 BRANCHES OF SPECIALITY AND SUPER • LABOUR AND DELIVERY SUITS
SPECIALITY.
GENERAL INFO 3 MAJOR DIVISIONS DEPARTMENTS
❑LOCATION : SARITA VIHAR,NEW DELHI ❑ I.P.D • GENERAL NURSING SERVICES
❑ARCHITECT : HAFEEZ CONTRACTOR ❑ O.P.D TOTAL BEDS AND STAFF
• EMERGENCY
❑CLIENT : APOLLO GROUP OF HOSPITALS ❑ DIAGNOSIS • TOTAL BED CAPACITY -650
• GENERA MEDICINE
❑BUILT UP AREA : 675000 Sq ft • TOTAL BEDS COMPLEMENT -550
• GENERAL SURGERY
❑AREA OF SITE : 20 ACRES,OR 80960 sqm • TOTAL NO OF DOCTORS -700
• CARDIOLOGY
❑COMPLETED IN : 1996 • NURSES –500
• PAEDIATRICS
• PHYSIOTHERAPY • OTHER STAFF -2000
❑ASIA'S LARGEST CORPORATE HOSPITAL • APPROX NO OF PATIENTS/DAY -1700
• PEDIATRICS
❑650 BEDDED HOSPITAL,700 FULL TIME DOCTORS AND
• ORTHOPEDICS
2500 PARAMEDICAL STAFF
• OBSTERICS AND GYNACOLOGY.
❑EQUIPPED WITH ALL MAJOR AMENITIES PARKING
• TUBERCULOSIS AND RESPIRATORY
❑PRIME DESIGNER:HAFEEZ CONTRACTOR
DISEASES
❑INTERNAL MODIFICATION BY C.SASIDHAR UNDER A.H.E.L
• EYE CARE
• NEUROSURGERY
• DENTISTRY
• ENT
• SKIN
• RADIOTHERAPY
• COMMUNITY MEDICINE
• FORENSIC MEDICINE
• CANCER DEPARTMENT WARDS
▪ THE FLOOR ABOVE FIRST
FLOOR,CONSISTS OF
WARDS,DOCTORSAND NURSES
ROOMS.
▪ WARDS TYPES :
✓ 4 BEDED
✓ 2 BEDED
JASOLA VIHAR
✓ SINGLE BEDED
(SEWAGE DISPOSAL AREA O.P.C BLOCK ▪ WITH PROVISION OF VIP SUITS
CHENNAI –DELHI HIGHWAY
ATRIUM ▪ EMERGENCY WARD ON GROUND
FLOOR
APPROACH TO SITE ▪ BLOOD BANK IS ADJOINING THE
❑ SITUATED ON DELHI-CHENNAI HIGHWAY EMERGENCY WARD ALSO A
WARDS
❑ FACES SW OF THE ROAD SEPARATE TRIAGE AND OT IS
MAIN ENTRY ❑ 7 MIN DRIVE FROM ASHRAM CHOWK PROVIDED FOR CASUALITY.
❑ IN PROXIMITY TO OKHLA&NIZAMUDDIN
RAILWAY STATION,EASY ACCESS BY TRAIN EMERGENCY SERVICE YARD
 BASEMENT (OPD BLOCK0

GROUND FLOOR PLAN (OPD BLOCK)

O.P.D BLOCK
• SMALLER 2 STORY BLOCK CONTAINS THE OPD,PHARMACY AND BANK IN (G+1)
STRUCTURE.
MAIN BUILDING
• (G+6)STRUCTURE WITH TWO BASEMENT FLOORS.
• HOUSING ALMOST ALL THE VITAL COMPONENTS OF SERVICE TREATMENT AND
NURSING AREAS.
• FIRST 2 FLOORS(G,G+1) THE PLAN IS RECTANGULAR.
• IT TAKES SHAPE OF TWO TOWERS IN THE FLOORS ABOVE CONNECTED BY
CORRIDORS AND GVING A BEAUTIFUL TERRACE AT THE ROOF OF FIRST FLOOR .
• GROUND FLOOR CONTAINS LABS,DIAGNOSTICS,NUCLEAR
MEDICINES,DINING,KITCHEN,RADIOLOGY AND EMERGENCY.

TOWERS (MAIN BLOCK)

MAIN BLOCK GROUND FLOOR PLAN
GROUND FLOOR PLAN (OPD BLOCK)
BASEMENT (OPD BLOCK0

TOWERS (MAIN BLOCK)

MAIN BLOCK GROUND FLOOR PLAN
 SERVICES AND DUCTS
PARKING • ALL ESENTIAL SERVICES(LIKE PLUMBING,HVAC,ELECTRICITY,CCTV ….ETC)
❑PARKING BASICALLY OF THREE TYPES • DUCTS
• AMBULANCE • SERVICES TRAVEL THE VERTICAL DISTANCE BY DUCTS AND HORIZONTAL
• VISITORS DISTANCES RUNNNG THROUGH CORRIDORS AND COVERED BY FALL CEILING.
• STAFF
❑AMBULANCE PARKING IS NEAR THE
EMERGENCY.
❑VISITORS PARKING ARE
SUFFICIENT FOR THE DEMAND OF
APPROX ONE CAR PER BED
❑STAFF PARKING IS PROVIDED AT
THE BASEMENT.

MATERIALS
❑DIFFERENT MATERIALS USED FOR
DIFFERENT SPACES & PURPOSES.
❑PUBLIC AREAS ARE CLAD WITH MARBLE
AND FLOORS OF MARBLE OR TILE,KOTA
AND GRANITE TILES ,CEILING OF
GYP BOARD FALSE CEILING.
❑EXTERNAL WALLS CLAD
WITH GLASS &STONE TO GIVE PATTERN
&MAINTANANCE FREE.
❑USE OF STRUCTURAL GLAZING. POSITIVE
❑FIBER GLASS AND POLYCARBONATE USED ▪ A VERY NEW APPROACH IN HOSPITAL DESIGNING BESIDES CRITICIZED FOR ITS HOTEL
FOR ROOFING AND LIGHT WELLS. LIKE LOOK.
▪ GRAND ATRIUM NOT ONLY ACTING AS SOURCE OF THE ATTRACTION BUT HELPING IN
LIGHTING THE INTERIOR ALSO.
▪ CENTRAL ATRIUM IS ACTING AS GRAND WAITING LOBBY.
▪ WARDS ARE DESIGNED IN THE FORM OF VERTICAL TOWER,SO AS TO MINIMIZE THE
SERVICES.
▪ PROPER CARE OF THE CROSS VENTILATION AND OUTWARD VIEW HAS
BEEN TAKEN IN DESIGNING OF THE WARD.
▪ INTERMEDIATE SERVICE FLOOR IS A GOOD APPROACH TO DEAL WITH SERVICE
PROBLEMS.
▪ SIMILAR FUNCTIONAL AREAS SORTED OUT & PLACED AT SPECIFIC PLACES IN THE
HOSPITAL.

NEGATIVE
▪ GIVES A HOTEL LIKE APPEARANCE.
▪ TOWER LIKE STRUCTURE NOT RECOMMANDED FOR
AREA LYING IN EARTHQUAKE ZONE4.
Massachusetts General Hospital
Lunder Building
Boston, Massachusetts Architect NBBJ Number of beds: 999

• Which takes place across more than 30 departments. The hospital is known for its
treatment in areas that include cancer, digestive disorders, neurological issues,
heart disease, orthopedics, transplantation, urologic diseases and trauma care.
• Founded in 1811, Massachusetts General Hospital (MGH) is the third
oldest hospital in the United States and the oldest and largest
hospital in New England.

• The Massachusetts General

Hospital, Lunder Building
project is a 500,000 square
foot inpatient building.
SITE - Massachusetts General Hospital campus.

9
Urban Response • The exterior of the building is a formal response to the
horizontal and vertical nature of the adjacent Yawkey and
White buildings, respectively—creating a visual language
that fits with the surrounding urban context.

• Fritted fins along the lower

levels provide privacy for
patients and staff on the
inside and help break down
the exterior mass of the
building for pedestrians
below. • At street level, a paved walkway, stairs, and a canopy
create a distinct place and pathway for visitors,
YAWKEY LUNDER WHITE directing them to the hospital’s main entrance.
• Axonometric view of main campus plaza
Lunder Building Connections SECOND FLOOR CORRIDOR CONNECTION • On any given day, 25,000
people arrive at the Charles/
MATERIALS MANAGEMENT CONNECTION MGH T Stop and travel
• The loading dock and through the Yawkey Building
sterile processing and through Lunder’s second
department are floor corridor to access
located on levels LL1 other areas of the MGH
and LL2 respectively. campus.

PROCEDURAL CONNECTIONS • The third floor connections

provide direct access to the
EMERGENCY DEPARTMENT CONNECTION • In addition to a new White, Ellison, and Wang
lobby connection to the buildings. All surgical
White building entrance, patients check-in and are
the ground floor prepped in the Wang
provides a seamless ED building, then are
addition to the existing transported to Lunder or
ED in the White building White for their procedures.
DESIGN BREAKTHROUGH
Building Information Modeling allowed the design team to manage the
complexities of fitting a 14-story building on a compact site; make
multiple connections to existing buildings; and link numerous
departments within, all while maximizing opportunities for future
flexibility, daylight, patient safety, and staff productivity

• Large hanging plants on the sixth floor and a green

roof provide tranquil views
1 for those in the Lunder

Building and surrounding buildings on campus.

Eastward facing view of main campus plaza

• The 14-story building houses a five-story patient tower,

• high-tech procedural floors, an emergency department,
receiving dock, a sterile processing department, a
processing department, a five-story patient tower, and • Up to 25,000 people a day travel through
new emergency and the second floor corridor connection.
• radiation oncology units
Main entrance
Extended the system to the
hospital's Yawkey Center for
Outpatient Care.

Gray entrance

Bulfinch corridor

White elevators
LEGEND:
Chapel/ Prayer Room Patient drop off
Entrances
Information Desk
Parking / Main Garages
Shuttle Buses
Food Services
Emergency Designed a system built on the network of
Accessible Entrance corridors and lobbies that unite the campus. Central lobby building directory
MGH SPLIT-FLOW PROCESS
1. Five-foot-wide sliding door entrance
2. Semi-opaque glass toilet room door
3. Patient lift
4. Personal protection equipment
cabinets
5. Care-giver station faces patient
Made Quiet. Made Better. • Elevators, public waiting areas, and staff
meeting rooms are located along the
central circulation spine away from the
patient rooms.

• Dispersed “interaction zones” prevent

nurses and clinicians from congregating at
one main nursing station, while support and
service areas are tucked away off the main
corridor

• Rubber flooring and acoustical

ceiling tiles buffer the sound of
movement and chatter.

LETTING THE LIGHT IN

• Large, sliding glass doors to patient rooms provide greater visibility and allow
natural light to enter the corridors, while keeping the noise out when closed.
 • NBBJ redesigned the
fourth floor to fit the new
three-room suite by
incorporating one of the
existing ORs with an
adjacent MRI bay, and
relocating a restroom and
some storage space.

• The design of the suite required

meticulous planning. The 18,000
pound imaging device has a
magnetic field 60,000 times more
powerful than the Earth’s, so the
magnet had to be shielded from
steel columns, beams, and
electrical transformers. To contain
the magnet’s forces and keep
interferences out, copper and
silicon steel make up a continuous
barrier behind all wall surfaces,
the ceiling, and floors to create
this shield.

• In advance of the latest technology, the hallway that was used to transport the MRI in and out of the building was designed
with larger beams and more reinforcing steel to withstand the load of the IMRI machine. The exterior wall at one end of the
corridor was built in a modular fashion so it could be easily removed to hoist new equipment through the wall during
installation and for future replacement.
 MGH Emergency Department

• The Lunder Emergency Department (ED) addition provides 17,500 square

feet of expanded space, which includes new patient registration and
triage bays for walk-ins; acuity-adaptable screening and acute areas;
trauma rooms; a hazardous materials decontamination area; and an
enclosed ambulance garage.

• Patients arriving by ambulance are assessed in a separate stretcher

triage area. The triage staff work area, which has views to the
ambulance bay and the walk-in area, is the hub that observes and
supports both the stretcher and walk-in patients
 Radiation Oncology
• Located three and four stories below
grade, the Clark Center for Radiation
Oncology incorporates soft lighting,
natural finishes, garden-themed
graphics, and both open and intimate
spaces to create a sense of calm for
patients and staff.
A Healthy Neighbor
The Lunder Building is LEED NC Gold certified, and features sustainability
measures that add to the aesthetics, experience, and efficiency of the building.
Material Selection
More than one-third of the materials used for construction were recycled or
locally extracted or manufactured materials. Renewable materials were used for
interior finishes.

Water Conservation
Low-flow plumbing fixtures were installed to reduce water consumption by 1.4
million gallons per year (20%). To eliminate the use of potable water for plant
irrigation, systems capture rainwater and air cooling condensate for irrigation.

Energy Conservation
The exterior glazing system minimizes heat gain and loss while allowing daylight
to enter. This system improves thermal performance by 39% and reduces
baseline solar heat gain by 31%. The design achieves an overall reduction of
energy demand by 10%.

Healthy Indoor
Air Interior finishes and furnishings are free of volatile organic compounds. An
enhanced ventilation system maintains a constant supply of clean, healthy air.

Enhancing the Urban Environment

Greenery covers more than half of the building’s footprint area and light fixtures
have been carefully selected to reduce light pollution. Delivery trucks and
ambulances enter through the Lunder Building core to keep noise and activity off
neighborhood streets.
Nizams Institute of Medical Sciences
• Name of the project/ location: Specialty Hospital & Emergency Hospital
• The Nizam's Institute of Medical Sciences (NIMS) is a premier healthcare and
at Nizam’s Institute of Medical Sciences, Hyderabad.
teaching institute cum hospital in Hyderabad, India. Established in 1961, the
NIMS has a sprawling campus situated in Punjagutta.
• These are 300-bed Specialty Hospital and 200-bed Emergency Hospital.

• Built-up area: 4,00,000 sft (Approx).

• Architects: Manchanda
Associates, New Delhi.

Speciality block

Emergency block

Millennium Block

Institution block

Nuclear Medicine
Department

College of nursing
SITE PLAN Speciality block

Parking

Nims residents hostel

Hospital Entrance and Exit

Emergency block

A roundabout has been created to avoid clash

of traffic coming from various directions.

Corridors connecting two blocks

Departments

Design concept
• The two hospitals have been designed on the concept of 'Form
Follows Function' as in this case inter-relationships of
departments within a floor and in between floors becomes
paramount for their efficient functioning.
• Easy and unhindered movement of patients, doctors and visitors is
• Distinct entries and parking for doctors, visitors and service
of prime importance in the functioning of any hospital.
personnel have been provided
 Corridor at out patient dept.

Out patient dept.

Entrance lobby
 • Internally a system of corridors connects
vertical movement cores strategically located
at all corners as well as in the middle.

Ramp
The planning grid of both the buildings has been based on 6600 x 6600
mm with 3000 mm for internal corridor space.
It can accommodate a six-bedded general ward in one unit, a four-
bedded special ward with attached washroom or two reasonable sized
rooms for doctors, nurses/staff change rooms, etc.
It was established under the PMSSY project in 2012.
The Department has 2 major and 1 minor operation
theatre. 24 hour laboratory and blood bank services
are present in the same building.

• It consists of a Tier I trauma centre and

acute medical care unit with a bed capacity of 96
beds

• A large triage has been provided for quick and

effective segregation in case of large scale
calamities.
• A link corridor has been provided between floors 2, 3, 4 & 5 which ensures
quick and easy access between operation theatres, diagnostic services, and
wards of the two separate buildings.

emergency block
• There are about 40 wards, which are classified as General Wards, Intensive
Care units, Post Operative Wards and Special Rooms.
 • The façade of the building is interspersed with transparent
and opaque elements composed of large glass panels and
solid shafts. The two-tone grit finish, created using Dholpur
and Jaisalmer stone not only provide a permanent finish,
but also gives the hospital a sharp look while creating an
array of clean lines throughout the elevation.

• All floors have beam-free corridors to

facilitate the running of services above the
suspended ceilings.
• The floor-to-floor height has been kept as
3750mm with 4200mm clear height for OT
floor to allow for additional space for
numerous services. All floors have beam-free
corridors to facilitate running of services
above the false ceilings.
• The floor-to-floor height has been kept as
3750 mm with 4200 mm clear height for OT
floor to allow for additional space for
numerous services.
Diagnostics at NIMS

• The Combined Advanced Laboratory (CAL) houses the advanced diagnostic

equipment for biochemistry, pathology and microbiology on the entire fifth
floor of the block.
• at least 10,000 patient samples for all of its medical departments in a
single day.

• The diagnostics facilities have been provided on an independent floor

so that these functions can be out-sourced on a Public-Private
Partnership (PPP) basis.
• The unique and only stem cell laboratory in Telangana State on the sixth
• The fifth, sixth and the seventh floor of the Millennium Block in NIMS floor has the best facilities for genetic research and treatment of medical
campus is literally the nerve centre for advanced diagnostics conditions like bone marrow transplants.

• as high-end laboratories spread across the three floors handle

samples of patients all through the day,
• The sixth floor contains a special laboratory for infectious diseases,
which has the Cobas 8800 diagnostic machine, capable of conducting
close to 4,000 tests in a day.
• Insulated glass has been incorporated to minimize
heat gain while still maintaining large glazed surface
for increasing day-lighting within the buildings.

• Solar panels have been provided for both heating

water as well as generating electricity to run
non-crucial systems.

• Wastewater from the building is recycled through the sewage

treatment plant. Rainwater harvesting systems have also
been provided on the campus.
 ONCOLOGY DEPT.

MILLENNIUM BLOCK

LIBRARY

BLOOD BANK IN
EMERGENCY
NIMS Out patient Block

COLLEGE BLOCK

WELLNESS CENTER
 • GROUP – 5
• SADWIKA – 19181AA055
• ARAVIND – 19181AA056
• BHARDWAJ– 19181AA057
• PRASANNA– 19181AA072