A hospital with a certain number of beds, divided into various departments such as internal medicine, surgery, gynecology, pediatrics, ophthalmology, otolaryngology, pharmacy, testing, radiology and other medical technology departments, and has corresponding personnel and equipment.

Matching of medical procedures and medical equipment, and allocation of other related resources.

Procedures and links of medical services.

The emergency department of the hospital has the medical capability to admit emergency patients at the same time.

Maintaining the hygienic status of key hospital departments, the main task is to prevent infection and the harm of harmful gases and chemical substances.

Use measures such as changing shoes, changing clothes, and showering to control the purification process of people and items from non-clean areas to clean areas.

Independent professional care medical units in hospitals, usually intensive care units (ICU), cardiovascular care units (CCU), and neonatal intensive care units (NICU) derived from ICU.

3.1.1 Medical process design should determine the medical business structure, function and scale, as well as related medical processes, medical equipment, technical conditions and parameters.

3.1.2 Medical process design should include preliminary design and condition design. The preliminary design should meet the needs of preparing feasibility study report, design brief and architectural scheme design. The condition design should be completed simultaneously with the preliminary design of the hospital building, and should be coordinated with the deepening and improvement process of the architectural design. At the same time, it should meet the needs of the preliminary design and construction drawing design of the hospital building.

3.1.3 The medical process flow should be divided into processes between medical functional units in the hospital and processes within each medical functional unit.

3.1.4 The division of medical functional units should comply with the provisions of Table 3.1.4.

1. The number of outpatient clinics can be calculated based on the average number of outpatient clinic visits per day/(50 to 60 patients);

2 The number of first aid beds can be calculated based on the first aid throughput;

3. A nursing unit should have 40 to 50 beds;

4. The number of operating rooms should be one for every 50 beds or every 25 to 30 surgical beds;

5. The number of intensive care unit (ICU) beds should be set at 2% to 3% of the total number of beds;

6. The number of cardiovascular angiography machines can be measured by the annual average number of cardiovascular angiography or interventional treatments/(3 to 5 cases × number of working days per year);

When the number of people taking X-rays reaches 40 to 50 per day, one X-ray machine can be installed;

When the number of gastrointestinal fluoroscopy cases reaches 10 to 15 on the 8th day, one gastrointestinal fluoroscopy machine can be installed;

9. When the number of chest X-rays per day reaches 50 to 80, one chest X-ray machine can be installed;

When the number of ECG examinations reaches 60 to 80 people in 10 days, one ECG examination room can be set up;

When the number of abdominal B-ultrasounds reaches 40 to 60 on the 11th, one abdominal B-ultrasound machine can be installed;

When the number of cardiovascular color Doppler ultrasounds reaches 15 to 20 on the 12th, one cardiovascular Doppler ultrasound machine can be installed;

When the number of examinations on the 13th reaches 10 to 15 cases, a duodenal fiber endoscope can be installed.

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▼ Expand the provisions

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4.1.1 The location selection of a general hospital should comply with the requirements of local town planning, regional health planning and environmental assessment.

4.1.2 Base selection should meet the following requirements:

4.2.1 The overall layout design should meet the following requirements:

4.2.2 There should be no less than two entrances and exits to the hospital, and the personnel entrances and exits should not also serve as corpse or waste exits.

4.2.3 Vehicle parking spaces should be provided near the entrances of outpatient clinics, emergency rooms and inpatient rooms.

4.2.4 Morgues and pathological anatomy rooms should be located in hidden areas of the hospital. When an incinerator is required, it should be protected from the influence of wind direction and should be isolated from the main building. Corpse transport routes should avoid intersecting with routes to and from hospital.

4.2.5 Environmental design should meet the following requirements:

4.2.6 The distance between the front and back of the ward building should meet the requirements for sunlight and sanitary distance, and should not be less than 12m.

4.2.7 No employee residences shall be built on medical land. When medical land is adjacent to employee residential land, it should be separated and separate entrances and exits should be provided.

5.1.1 The layout, structural form and electromechanical design of the main building should create conditions for future development, transformation and flexible separation.

5.1.2 The setting of building entrances and exits should meet the following requirements:

5.1.3 An identification system with guidance, management and other functions should be set up and should meet the following requirements:

5.1.4 The installation of elevators should comply with the following regulations:

5.1.5 The setting of stairs should meet the following requirements:

5.1.6 The clear width of the channel for passing the push bed should not be less than 2.40m. Those with height differences should be connected with ramps, and the slope of the ramp should be designed as a barrier-free ramp.

5.1.7 More than 50% of the wards’ sunlight exposure should comply with the relevant provisions of the current national standard “General Principles for Design of Civil Buildings” GB 50352.

5.1.8 Outpatient clinics, emergency rooms and wards should make full use of natural ventilation and natural lighting.

5.1.9 The indoor clear height should meet the following requirements:

5.1.10 The thermal requirements of hospital buildings should comply with the relevant provisions of the current national standard "Energy-saving Design Standard for Public Buildings" GB 50189.

5.1.11 The allowable noise level and sound insulation of wards should comply with the provisions of the current national standard "Code for Design of Sound Insulation for Civil Buildings" GB 50118.

5.1.12 Interior decoration and protection should meet the following requirements:

5.1.13 The setting of the bathroom should meet the following requirements:

5.1.14 Medical waste and domestic waste should be disposed of separately.

5.2.1 The outpatient department should be located near the transportation entrance of the hospital and adjacent to the medical and technical rooms. The relationship between various departments in the outpatient department should be well handled. The flow lines should be reasonable and nosocomial infections should be avoided.

5.2.2 The outpatient room setting should meet the following requirements:

5.2.3 The setting of waiting rooms should meet the following requirements:

5.2.4 The setting of diagnosis and examination rooms should meet the following requirements:

5.2.5 The facilities for gynecology, obstetrics and family planning should meet the following requirements:

5.2.6 The setting of pediatric rooms should meet the following requirements:

5.2.7 The otolaryngology department room settings should meet the following requirements:

5.2.8 The setting of ophthalmology rooms should meet the following requirements:

5.2.9 The setting of the dental department room should meet the following requirements:

5.2.10 The setting of outpatient surgery rooms should meet the following requirements:

5.2.11 The outpatient bathroom settings should meet the following requirements:

5.2.12 The settings of preventive and health care rooms should meet the following requirements:

5.3.1 The emergency department setting should meet the following requirements:

5.3.2 The emergency room setting should meet the following requirements:

5.3.3 When the foyer is also used for triage function, its area should not be less than 24.00m2.

5.3.4 The rescue room setting should meet the following requirements:

5.3.5 The clear distance between observation beds arranged in parallel in the rescue care room should not be less than 1.20m. When separated by hanging curtains, the clear distance should not be less than 1.40m. The clear distance between the bed edge and the wall should not be less than 1.00m.

5.3.6 The setting of the observation room should meet the following requirements:

5.4.1 The digestive tract, respiratory tract and other infectious disease clinics should be in their own area, and separate entrances and exits should be set up.

5.4.2 The infection clinic should set up functional rooms for triage, admission, registration, payment, pharmacy, examination, diagnosis, isolation observation, treatment, changing of medical staff, buffers, special toilets and other functional rooms according to the specific circumstances.

5.5.1 The inpatient department should be a self-contained area with separate or shared entrances and exits. It should be located in a quiet area of ​​the hospital with convenient transportation. It should have convenient connections with the medical technology department, operating department and emergency department, and should be close to The hospital’s energy center, nutritional kitchen, laundry room and other auxiliary facilities.

5.5.2 The setting of rooms for entry and exit should meet the following requirements:

5.5.3 The scale of each nursing unit should comply with the provisions of Article 3.2.1 of this specification. Specialty wards or the needs of teaching and research can be determined according to specific circumstances. When setting up an infectious disease ward, it should be set up separately and form its own area.

5.5.4 The layout of the nursing unit should meet the following requirements:

5.5.5 The ward setting should meet the following requirements:

5.5.6 The nurse station should be connected to the corridor of the nursing unit through an open space, and should be connected to the treatment room through a door. The nurse station should have a clear view of the corridor of the nursing unit, and the distance to the farthest ward door should not exceed 30m.

5.5.7 The pantry should be close to the entrance of the dining car and should have boiling water and heating facilities.

5.5.8 Bathrooms, bathrooms and toilets in nursing units should meet the following requirements:

5.5.9 The sewage room should be adjacent to the sewage outlet, and should be equipped with toilet emptying facilities and washing and disinfecting facilities for bedpans and sputum cups.

5.5.10 There should be no open garbage shaft in the ward.

5.5.11 The setting of the monitoring room should meet the following requirements:

5.5.12 The layout of pediatric wards should meet the following requirements:

5.5.13 The room layout of obstetrics and gynecology wards should meet the following requirements:

5.5.14 The setting of the baby room should meet the following requirements:

5.5.15 The layout of the burn ward should meet the following requirements:

5.5.16 The room layout of the hematology ward should meet the following requirements:

5.5.17 The room settings of the hemodialysis room should meet the following requirements:

5.6.1 The reproductive medicine center should be equipped with rooms for diagnostic examination, B-ultrasound, sperm retrieval, egg retrieval, in vitro fertilization, embryo transfer, examination, gynecological endocrinology measurement and sperm bank.

5.6.2 The reproductive medicine center can have rooms for imaging examinations, genetic examinations, etc.

5.6.3 The egg retrieval room, in vitro fertilization laboratory, and embryo transfer room should meet the hospital hygiene requirements.

5.7.1 The environmental requirements of the operating department should comply with the relevant provisions of the current national standard "Hospital Disinfection and Hygiene Standards" GB 15982. The operating department should be divided into general operating departments and clean operating departments. The clean operating department should be in accordance with the current national standard "Hospital Disinfection and Hygiene Standards". Designed in accordance with the relevant provisions of GB 50333 "Technical Specifications for Construction of Clean Surgery Departments".

5.7.2 The location and layout of the operating room should meet the following requirements:

5.7.3 The layout of the operating room should comply with the following regulations:

5.7.4 The plane dimensions of the operating room should meet the following requirements:

5.7.5 The clear width of the operating room door through which the bed passes should not be less than 1.40m, and an automatic opening and closing device should be installed. The operating room can use natural light sources or artificial lighting. When natural light sources are used, the ratio of the window opening area to the floor area should not be greater than 1/7, and sunshade measures should be taken.

5.7.6 The basic facilities in the operating room should meet the following requirements:

5.8.1 The location and layout of the radiology department should meet the following requirements:

5.8.2 The room settings should meet the following requirements:

5.8.3 The trench depth, ground elevation, floor height, entrances and exits, indoor environment, mechanical and electrical facilities, etc. in the computer room should be determined according to the installation and use requirements of medical equipment.

5.8.4 The minimum net size of the photography room should be 4.50m×5.40m, and the minimum net size of the fluoroscopy room should be 6.00m×6.00m.

5.8.5 The clear width of the door of the radiation equipment room should not be less than 1.20m, and the clear height should not be less than 2.80m. The clear width of the door of the computed tomography (CT) room should not be less than 1.20m. The clear width of the door of the control room should not be less than 1.20m. The clear width should be 0.90m.

5.8.6 The clear width of the observation windows of the fluoroscopy room and CT room should not be less than 0.80m, and the clear height should not be less than 0.60m. The clear width of the observation window in the photo studio should not be less than 0.60m, and the clear height should not be less than 0.40m.

5.8.7 The protection design should comply with the current national regulations on health protection standards for medical X-ray diagnosis.

5.9.1 The location setting of the magnetic resonance examination room should meet the following requirements:

5.9.2 The room setting should meet the following requirements:

5.9.3 The scanning room should be equipped with electromagnetic shielding, helium exhaust and cooling water supply facilities. Mechanical and electrical ducts should not pass through the scanning room.

5.9.4 The clear width of the scanning room door should not be less than 1.20m, and the clear width of the control room door should be 0.90m, which should allow the equipment to pass through. The clear width of the observation window in the magnetic resonance scanning room should not be less than 1.20m, and the clear height should not be less than 0.80m.

5.9.5 The materials and structures used in the walls, floors, doors, windows, openings, embedded bodies, etc. of the magnetic resonance diagnostic room should be shielded according to the equipment requirements and special shielding regulations. After selecting the location of the computer room and before determining the shielding measures, the natural field strength should be measured.

5.10.1 The radiotherapy room should be located on the ground floor, in its own area, and should comply with the relevant national protection standards. The treatment room should be centralized.

5.10.2 The room setting should meet the following requirements:

5.10.3 The noise in the treatment room should not exceed 50dB(A).

5.10.4 Labyrinths should be provided at the entrances and exits of cobalt 60 treatment rooms, accelerator treatment rooms, γ-knife treatment rooms and post-installation treatment rooms, and the direction of useful wire beam irradiation should avoid irradiation on the labyrinth wall as much as possible. The clear width of the protective door and labyrinth should meet the equipment requirements.

5.10.5 The protection should be designed in accordance with the current national regulations on close range health protection standards for post-installed gamma sources, design protection requirements for gamma teletherapy rooms, health protection standards for medical electron accelerators, and health protection standards for medical X-ray therapy.

5.11.1 The location and layout of the Department of Nuclear Medicine should meet the following requirements:

5.11.2 The room setting should meet the following requirements:

5.11.3 Nuclear medicine rooms should be designed in accordance with the current national regulations on health protection standards for clinical nuclear medicine.

5.11.4 Solid waste and wastewater should be treated and discharged in accordance with the current national regulations on health protection standards for medical radioactive waste management.

5.11.5 The protection should be designed in accordance with the current national regulations on health protection standards for clinical nuclear medicine.

5.12.1 The location and layout of interventional treatment rooms should meet the following requirements:

5.12.2 The room setting should meet the following requirements:

5.12.3 Interventional therapy users should meet the requirements for medical equipment installation and indoor environment.

5.12.4 The protection should be designed according to the equipment requirements and the current national regulations on health protection standards for medical X-ray diagnosis.

5.13.1 The location and layout of the laboratory room should meet the following requirements:

5.13.2 The room setting should meet the following requirements:

5.13.3 The laboratory department should be equipped with fume hoods, instrument rooms (cabinets), reagent rooms (cabinets), anti-vibration platforms, and facilities for storing valuable drugs and highly toxic drugs.

5.13.4 A transfer window should be set up between the inoculation room and the culture room for bacterial testing.

5.13.5 The laboratory department should be equipped with washing facilities, and special washing and disinfection facilities should be provided for bacterial testing. Each laboratory should be equipped with a washing tank with a non-manual switch. Disposal and disinfection facilities should be provided for inspection specimens.

5.13.6 Emergency eyewash stations and showers should be provided near hazardous chemical reagents.

5.13.7 The width of the passage between laboratory workstations should not be less than 1.20m.

5.14.1 The pathology room should be in its own area and should be easily connected with the operating department.

5.14.2 The pathological anatomy room should be built together with the morgue, and should be connected to the morgue by an inner door, and should have staff changing and showering facilities.

5.14.3 The room setting should meet the following requirements:

5.15.1 The ultrasound, electrophysiology, and pulmonary function examination rooms should be divided into separate areas, and should be conveniently connected with the outpatient department and inpatient department.

5.15.2 The functional examination department should have examination rooms (pulmonary function, electroencephalogram, electromyography, cerebral blood flow diagram, electrocardiogram, ultrasound, etc.), treatment, doctor's office, treatment, patient and medical staff dressing and toilets, etc. Use room.

5. 15.3 The clear distance between examination beds should not be less than 1.50m, and partition facilities should be provided.

5.15.4 The cardiac exercise stress examination room should be equipped with an oxygen terminal.

5.16.1 The location and layout of the endoscopy department room should meet the following requirements:

5.16.2 The room setting should meet the following requirements:

5.16.3 The examination room should be equipped with a viewing light fixed on the wall, and should be equipped with a medical gas system terminal.

5.16.4 Endoscope washing and disinfection facilities should be set up in the endoscopy department area, and upper and lower gastrointestinal endoscopes should be set up separately.

5.17.1 The physical therapy department can be located in the outpatient department or inpatient department and should be its own area.

5.17.2 The design of the physical therapy department should comply with the relevant provisions of the current industry standard "Code for Architectural Design of Nursing Homes" JGJ 40.

5.18.1 The location and layout of the blood transfusion department (blood bank) should meet the following requirements:

5.18.2 The blood transfusion department should be equipped with rooms for blood matching, blood storage, bleeding, cleaning, disinfection, dressing, toilets, etc.

5.19.1 The location and layout of the pharmacy department room should meet the following requirements:

5.19.2 The room setting should meet the following requirements:

5.19.3 The middle distance of the medicine dispensing window should not be less than 1.20m.

5.19.4 Warehouses for valuable drugs, highly toxic drugs, narcotics, limited-edition drugs, and storage areas for flammable and explosive drugs should have safety facilities.

5.20.1 The location and layout of the central (disinfection) supply room should meet the following requirements:

5.20.2 The room setting should meet the following requirements:

5.20.3 The central (disinfection) supply room should meet the requirements for cleaning, disinfection, sterilization, equipment installation, and indoor environment.

5.21.1 The location and layout of the nutritional kitchen should meet the following requirements:

5.21.2 The nutritious kitchen should be equipped with rooms for staple food production, non-staple food production, staple food cooking, non-staple food washing and cutting, cold meat and cooked food, Hui stove, warehouse, catering, dining car storage, office and dressing rooms.

5.22.1 The location and layout of the laundry room should meet the following requirements:

5.22.2 The laundry room should be equipped with rooms for receiving, sorting, soaking and disinfecting, washing, drying, ironing, sewing, storage, distribution and changing.

5.23.1 The location and layout of the morgue should meet the following requirements:

5.23.2 The morgue should be equipped with rooms for morgues, farewells, anatomy, specimens, duty, dressing, toilets, instruments, washing and disinfection, etc.

5.23.3 There should be refrigeration facilities for storing corpses, and the height of the lower edge of the corpse storage drawer on the highest floor should not be greater than 1.30m.

5.23.4 The morgue should be set up to avoid the impact of smell on the building where it is located.

5.24.1 The fire resistance grade of hospital buildings should not be lower than Level 2.

5.24.2 Fire protection zones shall meet the following requirements:

5.24.3 Safety exits should meet the following requirements:

5.24.4 Medical buildings should be equipped with evacuation instructions, and emergency lighting should be installed in evacuation aisles and stairwells.

5.24.5 The central oxygen supply room should be kept away from heat sources, fire sources and flammable and explosive sources.

6.1.1 When a hospital is newly built, expanded or renovated, unified planning and design should be carried out for water supply, drainage, fire protection and sewage treatment projects within the hospital area.

6.1.2 Water supply and drainage pipes should not pass overhead in clean rooms, strong and weak electrical rooms, and rooms for important medical equipment. Leakage prevention measures should be taken when they must pass through.

6.2.1 The quality of domestic water supply in hospitals should comply with the relevant provisions of the current national standard "Hygienic Standards for Drinking Water" GB 5749.

6.2.2 The hospital’s domestic water consumption quota should comply with the provisions of Table 6.2.2.

6.2.3 Boiler water and supplementary water for the chiller cooling circulating water system should be determined according to the process.

6.2.4 For the water supply in burn wards, central (disinfection) supply rooms and other places, water supply points should be set up according to the hospital’s technological requirements.

6.2.5 Non-manual switches should be used at water points in the following places, and measures should be taken to prevent sewage from splashing out:

6.2.6 Water points using non-manual switches should meet the following requirements:

6.3.1 Domestic sewage in the dormitory area of ​​the hospital should be discharged directly into the urban sewage drainage pipeline. If conditions permit, ordinary domestic sewage in the hospital area can be directly discharged into the urban sewage drainage pipeline.

6.3.2 The following places should adopt independent drainage systems or indirect discharge, and should meet the following requirements:

6.3.3 The indoor toilet drainage system should meet the following requirements:

6.3.4 The diameter of the drainage pipes in the central (disinfection) supply room, traditional Chinese medicine processing room, dental department and other places should be 1 to 2 levels larger than the calculated diameter and not less than 100.00mm. The diameter of the branch pipe should not be less than 75 ．00mm.

6.3.5 Pipes that discharge radioactive sewage should use machine-made lead-containing cast iron pipes. The horizontal horizontal pipes should be laid in the cushion or in a special radiation-proof ceiling. The risers should be installed in concrete with a wall thickness of not less than 150.00mm. Inside the pipe well.

6.3.6 The water seal height of the water trap shall not be less than 50.00mm and shall not be greater than 100.00mm.

6.3.7 The installation of hospital floor drainage and floor drains should meet the following requirements:

6.4.1 The domestic hot water consumption quota and calculated temperature of the hospital should meet the following requirements:

6.4.2 Waste heat and solar energy should be used as energy sources for hospital domestic hot water systems. When using solar energy or heat pumps, other auxiliary energy sources that can be automatically controlled should be used.

6.4.3 The water heater of the hot water system should use elastic tube bundles, floating coil volume or semi-volume water heaters with no dead water area and high efficiency.

6.4.4 The number of hot water preparation equipment in the hospital's hot water system should not be less than 2. When one equipment is under maintenance, the remaining equipment should be able to supply more than 60% of the designed water consumption.

6.4.5 The outlet water temperature of the water heater of the domestic hot water system should not be lower than 60°C, and the system return water temperature should not be lower than 50°C.

6.4.6 When the pressure difference between cold and hot water supply exceeds 0.02MPa, a balance valve should be installed.

6.4.7 When the water point for a shower or bathtub adopts a cold and hot mixed water temperature control device, the outlet water temperature of the water point should not be greater than 49°C at any time.

6.4.8 Any water point in the hot water system should produce hot water within 5 to 10 seconds after turning on the water switch.

6.4.9 The faucet of the centralized hand washing sink in the operating department should use constant temperature water supply, and the end temperature can be adjusted. The water supply temperature should be 30°C ~ 35°C.

6.4.10 The water supply of the baby bath should prevent burns or frostbite and should be at a constant temperature. The terminal temperature can be adjusted. The water supply temperature should be 35°C to 40°C.

6.5.1 Drinking water can be supplied in the following ways:

6.5.2 When using steam water boilers and electric water boilers, filters and check valves should be installed before the tap water enters the water boiler.

6.5.3 When using a piped direct drinking water system, the following requirements should be met:

6.5.4 Drinking water equipment and faucets should be installed in rooms or places with good sanitary conditions and ventilation, and should not be installed in public toilets.

6.6.1 The quality of preparations and medical water should meet the requirements of medical technology.

6.6.2 Preparation devices for preparations and medical water should be installed in rooms or places with good hygiene and ventilation conditions.

6.7.1 The layout of indoor fire hydrants should meet the following requirements:

6.7.2 The installation of automatic sprinkler fire extinguishing system shall meet the following requirements;

6.7.3 Gas fire extinguishing devices should be installed in the hospital’s valuable equipment rooms, medical record rooms and information center (network) rooms.

6.7.4 Automatic fire extinguishing systems should not be installed in hematology wards, operating rooms and equipment rooms for invasive examinations.

6.8.1 Medical wastewater discharge should comply with the relevant provisions of the current national standard "Water Pollutant Discharge Standard for Medical Institutions" GB 18466, and should meet the following requirements:

6.8.2 The discharge of radioactive sewage should comply with the relevant provisions of the current national standard "Basic Standard for Ionizing Radiation Protection and Radiation Source Safety" GB 18871.

6.9.1 The pipe materials of water supply and hot water systems should be determined according to needs. Stainless steel pipes, plastic pipes, plastic and metal composite pipes and hot-dip galvanized steel pipes that comply with current national standards can be selected.

6.9.2 The pipes of the drainage system can be mechanical drainage cast iron pipes or plastic pipes. The drainage pressure of rainwater drainage pipes should be determined according to the height of the building, and appropriate pressure-bearing pipes should be selected.

6.9.3 Stainless steel pipes should be used as pipes for direct drinking water systems.

6.9.4 Non-magnetic pipes such as copper pipes and plastic pipes should be used in places with magnetic shielding.

7.1.1 The hospital should determine whether to implement heating and ventilation, general air conditioning or purified air conditioning in the whole hospital or in part based on the climate conditions of the region, the nature of the hospital, and the functional requirements of departments and departments.

7.1.2 When using radiators for heating, hot water should be used as the medium and steam should not be used. The water supply temperature should not be greater than 85℃. Radiators should be easy to clean and disinfect.

7.1.3 Class III and Class IV clean rooms that comply with the provisions of Table 7.2.2 of this specification should be heated by plate or light tube radiators, and protective and dust-proof measures should be taken.

7.1.4 The calculated indoor heating temperature can be selected according to the provisions of Table 7.1.4.

7.1.5 When natural ventilation is adopted, there should be no obstructions in the atrium. When there are obstructions, mechanical ventilation should be supplemented. If the climate conditions are suitable for the area, draft ventilation can be used, and the clean area should be kept on the windward side of ventilation.

7.1.6 Mechanical exhaust should be installed in any room where smell, water vapor and moisture are generated.

7.1.7 The air conditioning system shall meet the following requirements:

7.1.8 Ozone and other disinfection devices should not be installed in the air conditioning unit without special requirements. Water spray air handling units shall not be used.

7.1.9 The air-conditioning unit should be installed in a machine room or equipment mezzanine that is convenient for routine maintenance and replacement.

7.1.10 The air supply volume of medical rooms using centralized air conditioning systems should not be less than 6 times/h.

7.1.11 The return air outlet of the centralized air conditioning system and fan coil unit must be equipped with filtration equipment with an initial resistance of less than 50 Pa, a one-time pass rate of microorganisms not greater than 10%, and a one-time pass rate of particulate matter by weight not greater than 5%.

7.1.12 When the annual average value of outdoor respirable particulate matter PM10 does not exceed the secondary concentration limit applicable to Class II areas in the current national standard "Ambient Air Quality Standard" GB 3095, the fresh air collection outlet should be set at least with coarse and medium effects. When outdoor PM10 exceeds the annual average secondary concentration limit, a medium-efficiency filter should be added.

7.1.13 The fresh air volume of the centralized air-conditioning system of medical buildings should not be less than 40m2/h per person, or the fresh air volume should not be less than 2 times/h. For places with many people, after economic and technical comparison, it is advisable to operate with a variable fresh air volume.

7.1.14 The exhaust from places containing harmful microorganisms, harmful aerosols and other pollutants such as nuclear medicine examination rooms, radiotherapy rooms, pathology sampling rooms, laboratory departments, infectious disease wards, etc., should be treated and discharged after meeting the standards.

7.1.15 An exhaust fan without special requirements should be installed at the end of the exhaust pipeline so that the entire pipeline is under negative pressure.

7.1.16 The design of hospital HVAC (including heating and cooling sources) should be implemented in accordance with the relevant provisions of the current national standard "Energy-saving Design Standard for Public Buildings" GB 50189 on the premise of ensuring diagnosis, treatment and infection control.

7.2.1 Clean rooms should be selected as needed and possible.

7.2.2 In clean rooms (excluding clean operating rooms) under empty or static conditions, the bacterial concentration (sedimentary bacteria concentration or planktonic bacteria concentration) and air dust concentration should be classified according to Table 7.2.2 . The number of air changes should not exceed 1.2 times the upper limit specified in Table 7.2.2.

7.2.3 The air supply end of a Class I clean room should be equipped with a high-efficiency filter. The air supply end of a Class II clean room can be equipped with a high-efficiency or sub-high-efficiency filter. The air supply end of a Class III clean room can be equipped with a sub-high-efficiency filter. Filters, high-efficiency filters can be installed at the air supply end of Class IV clean rooms.

7.2.4 Clean rooms should use barrier air purification devices as the air supply end of the room.

7.2.5 Ordinary fan coil units or air conditioners should not be used in clean rooms. When a purification fan coil unit or a vertical cabinet-type purification air conditioner with a sub-high-efficiency or high-efficiency filter is used in a Class III or IV clean room, the fresh air can be supplied centrally or an independent fresh air unit can be set up.

7.2.6 It is not advisable to adopt an upward and upward airflow arrangement in clean rooms (excluding corridors).

7.2.7 An air shower room should not be installed on the patient passage in a clean room.

7.2.8 The purification air conditioning system should be equipped with air filters at three places: the fresh air inlet, the return air inlet, the positive pressure outlet surface of the air conditioning unit, and the air supply outlet.

Note: Standard for local centralized air supply. If the whole room has one-way flow, the local standard should be the whole room standard.

7.3.1 The outpatient department should adopt natural ventilation. When a heating system is used, the winter heating design temperature in waiting areas, offices, etc. should not be lower than 18°C. When using an air conditioning system, the design temperature of the air conditioner in summer should not be higher than 26°C.

7.3.2 When the hospital foyer is air-conditioned, the inflow of outdoor air should be reduced and the indoor directional air flow and thermal environment should be maintained. In the atrium-style foyer, stratified air conditioning should be used, and other supplementary heating devices can be installed in winter.

7.3.3 The air conditioning system in the waiting area should be combined with the floor plan to allow air to flow from the clean area to the non-clean area. Among them, the pediatric waiting room and clinic should have positive pressure to other areas. The isolation clinic and its waiting room should use a separate air-conditioning system, and the return air should have a medium-efficiency (inclusive) or above filter. When the air conditioning system is the same as that of other clinics, the return (exhaust) air should be set up separately, and the indoor negative pressure should be maintained.

7.3.4 Local exhaust should be provided in places with serious pollution such as laboratories, treatment rooms, and dressing rooms.

7.3.5 The air-conditioning temperature in the clinic should be 1°C to 2°C higher than that in the waiting area.

7.4.1 When the emergency department adopts an air-conditioning system, it should adopt an independent system that can operate continuously for 24 hours. The design heating temperature in winter should not be lower than 18°C, and the air-conditioning temperature in summer should not be higher than 26°C.

7.4.2 The air-conditioning system in the emergency isolation area should be set up independently, and its return air should have a medium-efficiency (inclusive) or above filter, and there should be an exhaust system. When the air conditioning system is in the same air conditioning system as other clinics, it should be discharged separately, and there should be no system return air. The adjacent and connected areas should maintain a negative pressure of not less than 5Pa.

7.5.1 General wards should meet the following requirements:

7.5.2 The obstetrics department should meet the following requirements:

7.5.3 The intensive care unit should meet the following requirements:

7.5.4 The hematology ward should meet the following requirements:

7.5.5 The burn ward should determine whether to use clean rooms based on needs. The use of clean rooms should meet the following requirements:

7.5.6 The allergic asthma ward should meet the following requirements:

7.5.7 The anatomy room, specimen preparation room, and morgue should meet the following requirements:

7.5.8 Negative pressure isolation wards should meet the following requirements:

7.6.1 The design of the clean operating department should comply with the relevant provisions of the current national standard "Technical Specifications for Construction of Hospital Clean Operating Departments" GB 50333.

7.6.2 In general, the indoor temperature of the operating room should not be lower than 20°C in winter and not higher than 26°C in summer; the indoor relative humidity should not be lower than 30% in winter and not higher than 65% in summer; terminal filters should be used with an efficiency not lower than Air conditioning system or fresh air ventilation system with high efficiency filter. Positive pressure should be maintained in the room, and the number of air changes should not be less than 6 times/h. Noise should not be greater than 50dB(A).

7.7.1 Laboratory departments, pathology departments, and laboratories should meet the following requirements:

7.7.2 The in vitro fertilization laboratory of the reproductive center should be designed as a Class I clean room, and should use local centralized air supply or clean workbench. The egg retrieval room should be designed as a Class II clean room, and should use local centralized air supply or a clean workbench. The noise in the in vitro fertilization laboratory and egg retrieval room should not be greater than 45dB(A). Freezers, studios, clean corridors and other clean auxiliary rooms can be designed as Class IV clean rooms, and local centralized air supply should be used.

7.7.3 Departments such as electrophysiology, ultrasound, and fiber endoscopy should be equipped with independent general air-conditioning systems.

7.7.4 The hearing examination room should be equipped with a centralized air-conditioning system, noise reduction and vibration reduction measures should be taken, and the noise should not be greater than 30dB(A). For inspections with high silent requirements, measures such as temporarily stopping the air conditioning and cutting off the air flow can be taken.

7.7.5 The operating area of ​​the cardiovascular angiography room should be level III, the clean corridor should be one level lower than the operating area, and a positive pressure of 5 Pa should be maintained in adjacent and connected rooms. Auxiliary rooms should use ordinary air conditioning.

7.7.6 The air conditioning system and exhaust system of the examination room, control room and mechanical room of the radiology department shall meet the following requirements:

7.7.7 The magnetic resonance room should adopt an independent constant temperature and humidity air conditioning system. The indoor temperature should be 22℃±2℃, and the relative humidity should be 60%±10%. The scanning room should use non-magnetic air vents that shield electromagnetic waves, and no magnetic pipelines should pass through it. The liquid helium cooling system of the magnetic resonance machine should be equipped with a separate exhaust system and should be directly connected to the outdoor exhaust duct of the magnetic resonance machine. Pipes should be made of non-magnetic materials and the pipe diameter should not be less than 250mm.

7.7.8 All rooms with nuclear radiation risks in the Department of Nuclear Medicine should adopt independent constant temperature and humidity air conditioning systems. The temperature between scanning should be 22℃±2℃, and the temperature change within 1 hour should not be greater than 3℃. The relative humidity between scans should be 60% ±10%. Other rooms can use ordinary air conditioners, but the exhaust should be handled in accordance with the current national standards "Hygiene Protection Standards for Clinical Nuclear Medicine" GBZ 120 and "Hygiene Protection Standards for Medical Radioactive Waste Management" GBZ 133.

7.7.9 The air-conditioning system of the radioisotope treatment room should be determined according to the type of radioisotope and the conditions of use, and fresh air air conditioning should be used. Within the radioisotope management area, negative pressure should be maintained relative to outside the management area. The exhaust duct should be made of vinyl chloride-lined duct, and an airtight valve should be installed in the exhaust system; it should be installed on the exhaust side of the purification treatment device. Set up a fan and maintain negative pressure in the exhaust duct. The exhaust fan should be turned off after the air conditioning system. When radioactive isotopes are stored in storage rooms or waste storage rooms, ventilation should be performed 24 hours a day.

7.8.1 The central (disinfection) supply room should maintain an orderly pressure gradient and directional air flow. Directional airflow should flow from the sterilization area to the decontamination area. The positive pressure in the sterile storage area for adjacent and connected rooms should not be less than 5Pa, and the negative pressure for the decontamination area should be no less than 5Pa for adjacent and connected rooms and outdoors.

7.8.2 The sterile storage area should be designed as a clean room no lower than Class IV, and should adopt an independent purification air-conditioning system. The autoclave should be equipped with local ventilation, and the low-temperature sterilization room should have an independent exhaust system. The temperature should not be lower than 18°C ​​in winter and not higher than 24°C in summer; the indoor relative humidity should not be lower than 30% in winter and not higher than 60% in summer. %.

7.8.3 The decontamination area should be equipped with independent local exhaust, and the total exhaust volume should not be lower than the difference air volume required by the negative pressure. The return air outlet in the decontamination area should be equipped with an air filter of no less than medium efficiency.

7.8.4 In areas using ordinary air conditioning, the temperature in winter should not be lower than 18°C ​​and in summer the temperature should not be higher than 26°C.

8.1.1 The medical premises of the hospital should be classified according to the requirements of electrical safety protection and should meet the following requirements:

8.1.2 The classification of medical places and the automatic power restoration time should comply with the provisions of Table 8.1.2.

8.1.3 It is strictly prohibited to use TN-C grounding system in medical rooms.

8.2.1 The power supply and distribution system of medical places should be designed according to the classification of medical places and the requirements for automatic power restoration time.

8.2.2 The design of the power distribution system in medical facilities should facilitate automatic switching of power from the main power grid to a safe power supply system.

8.2.3 When medical equipment needs to use purified power supply, it should be centralized according to departments.

8.2.4 The power supply for large-scale medical equipment in the radiology department should be powered by a separate substation.

8.2.5 The power supply of medical equipment in the radiology department, nuclear medicine department, functional examination department, laboratory department and other departments should be equipped with isolation electrical appliances to cut off the power supply.

8.2.6 The power supply system of large medical equipment should meet the equipment’s requirements for power supply voltage drop.

8.3.1 When isolation extra-low voltage equipment (SELV) and protective extra-low voltage equipment (PELV) are used in Class 1 and Class 2 medical places, the rated voltage of the equipment should not exceed the AC root mean square value of 25V or ripple-free DC 60V, and Insulation protection should be adopted.

8.3.2 Class 1 and 2 medical places should be equipped with power-off protection to prevent indirect electric contact, and should meet the following requirements:

8.3.3 When using the TN system, the following requirements should be met:

8.3.4 When the TT system is adopted, the provisions of Article 8.3.3 of this specification shall be followed, and all distribution circuits shall be equipped with residual current operating protectors.

8.3.5 In addition to the electrical circuits listed in paragraph 2 of Article 8.3.3 of this specification, the electrical devices and equipment used to maintain the life of patients, perform surgical operations and other operations located within the "patient area" in Class 2 medical places. All power supply circuits should adopt medical IT systems. When using medical IT systems, the following requirements should be met:

8.3.6 Auxiliary medical equipotential bonding busbars should be set up in the "patient area" of Class 1 and Class 2 medical places, and protective conductors, external conductive parts, anti-electromagnetic interference shields, and The conductive floor network, the metal shielding layer of the isolation transformer and the equipotential busbar are connected.

8.3.7 In Class 2 medical premises, the resistance of the conductor between the protective conductor terminal of the power socket, the protective conductor terminal of fixed equipment or any external conductive part and the equipotential bonding busbar (including the resistance of the joint part), It should not exceed 0.2Ω.

8.3.8 The auxiliary medical equipotential busbar should be installed in the place of use, and should be close to or in the distribution box.

8.4.1 Medical IT system isolation transformers should meet the following requirements:

8.4.2 For Class 1 and Class 2 medical locations, type A or B residual current protectors should be selected based on the characteristics of the fault current that may occur.

8.4.3 Each terminal circuit in Class 2 medical places should be equipped with short-circuit and overload protection, but overload protection should not be installed on the primary and secondary sides of the medical IT system transformer.

8.4.4 In Category 2 medical places, each terminal circuit on the secondary side of the medical IT system should be equipped with a double-level protection device, and should be equipped with multiple sockets powered by at least 2 independent circuits. Each group of socket circuits should be independently set up for short-circuit protection, and an overload alarm can be set up independently when conditions permit. Medical IT system sockets should have fixed and obvious signs.

8.4.5 In Class 1 and Class 2 medical places, two lighting circuits with different power supplies should be provided.

8.4.6 The installation distance between the electrical device and the medical gas release port shall not be less than 0.20m.

8.4.7 Hospital fire protection design should meet the following requirements:

8.5.1 In Class 1 and Class 2 medical places, when the voltage drop value on any conductor is higher than 10% of the standard voltage, the safety power supply shall automatically start. The classification of safe power sources should comply with the provisions of Table 8.5.1.

8.5.2 When the main power supply fails, the safety power supply should provide lighting power with the lowest illumination in the following places. The switching time of the security lighting system should not exceed 15 seconds:

8.6.1 The lighting design should comply with the relevant provisions of the current national standard "Architectural Lighting Design Standard" GB 50034, and should meet the requirements for green lighting.

8.6.2 Medical rooms should use high color rendering lighting sources with a color rendering index greater than or equal to 80. Tri-primary color fluorescent lamps with electronic ballasts should be used.

8.6.3 When the lighting system uses fluorescent lamps, the harmonics of the system should be calibrated.

8.6.4 Ward lighting should use indirect lamps or reflective lighting. Partial lighting should be set up at the bedside, preferably one lamp for each bed, and should be controlled by the bedside.

8.6.5 Lamps in the aisles of nursing units, clinics, treatment, observation, wards, etc. should avoid glare on bedridden patients and should use diffuse reflection lamps.

8.6.6 Night lighting should be provided in the corridors and wards of the nursing unit. The illumination at the head of the bed should not be greater than 0.1lx, and in the pediatric ward should not be greater than 1lx.

8.6.7 X-ray diagnostic rooms, accelerator treatment rooms, nuclear medicine scanning rooms, gamma camera rooms, operating rooms and other rooms should be equipped with red signal lights to prevent accidental entry, and the power supply of the red signal lights should be connected to the unit.

8.7.1 The lightning protection design of medical buildings should comply with the relevant provisions of the current national standard "Code for Design of Lightning Protection of Buildings" GB 50057.

8.7.2 Medical buildings should adopt lightning protection grounding and a common grounding system for power systems.

8.7.3 Medical building electrical equipment should meet relevant electromagnetic compatibility (EMC) requirements and should comply with the current national electromagnetic compatibility standards.

9.1.1 The hospital should design the overall architecture of the intelligent system based on needs and meet the overall planning requirements of the hospital.

9.1.2 The subsystem settings of the intelligent system should meet the requirements of the hospital’s application level and management model, and should have the conditions for sustainable development.

9.1.3 In addition to complying with the provisions of this specification, the design of the intelligent system should also comply with the relevant provisions of the current national standard "Intelligent Building Design Standard" GB/T 50314 and other relevant provisions.

9.2.1 The communication access system should be set up centrally in the hospital.

9.2.2 When an independent integrated service digital program-controlled user exchange system is used, the number of trunk lines should be determined based on 1/10 of the actual traffic volume, and a margin should be reserved.

9.2.3 The information network system settings should meet the following requirements:

9.2.4 The design of the integrated wiring system should comply with the relevant provisions of the current national standard "Integrated Cabling System Engineering Design Specifications" GB 50311. The layout of information points should be determined based on the actual needs of the hospital. The installation elevation of information sockets should meet the functional requirements.

9.2.5 When setting up an indoor mobile communication coverage system, space for routing and equipment installation should be reserved.

9.2.6 When setting up a satellite communication system, information communication requirements such as voice, data, images and multimedia should be met.

9.2.7 When setting up a cable TV system, the following requirements should be met:

9.2.8 The hospital should set up an emergency broadcast system. When setting up a public address system, it should share a set of lines and terminal equipment (speakers) with the emergency broadcast system. The terminal equipment should be located in a public place, and volume controls should be installed at the service desk in the waiting hall of the outpatient department, medical technology, and the ward nurse station. device. When a fire alarm occurs, it should automatically switch to the emergency broadcast.

9.2.9 When setting up information guidance and release systems, touch screen information inquiry terminals and large color display screens should be set up in public places.

9.2.10 When the hospital sets up a clock system, the clock should be set up in the ward nursing unit, triage, nurse station of each medical examination department, operating room, doctor's clinic and office, etc.

9.3.1 The hospital information system should consist of a management information system, a clinical information system and an information support and maintenance system.

9.3.2 When setting up the queuing system, the following requirements should be met:

9.3.3 The intensive care unit should be equipped with a visitation system, which should meet the following requirements:

9.3.4 When setting up the operating room video teaching system, the following requirements should be met:

9.3.5 When setting up the operating room monitoring and management system, the following requirements should be met:

9.3.6 The nursing unit should be equipped with a medical intercom system and should meet the following requirements:

9.3.7 When setting up a smart card system, it should meet the requirements for patient registration, medicine collection, payment and medical staff identification, attendance, access control, parking, consumption and other requirements.

9.4.1 The public safety system should be equipped with automatic fire alarm and fire linkage control systems. The design of the automatic fire alarm system should comply with the relevant provisions of the current national standard "Code for Design of Automatic Fire Alarm Systems" GB 50116.

9.4.2 When setting up a building equipment monitoring system, the principle of centralized management and decentralized control should be followed, and computer network control devices should be used to monitor, control and manage the hospital's electromechanical equipment (except fire-fighting equipment).

9.4.3 The public safety system should be equipped with a security technology prevention system and should meet the following requirements:

9.5.1 When setting up an intelligent integrated system, information should be shared with the information system. When an intelligent integrated system is not set up, the building equipment management system should be used to integrate the building equipment monitoring system and the public safety system, and the interface with the information system should be reserved.

9.5.2 The hardware and software of the integrated system should adopt an open architecture to meet the requirements of practicality, safety, reliability, easy expansion, and easy maintenance.

9.6.1 The computer room should be set up according to the hospital’s management model.

9.6.2 The computer room project should include distribution lighting system, emergency power supply system, gas fire extinguishing system, lightning protection grounding system, computer room monitoring system, computer room air conditioner and anti-static floor, etc.

9.6.3 The weak current room should ensure that the front and rear of the distribution frame (cabinet) can be maintained, and there should be a passage on the side. The environment should meet temperature, humidity and ventilation requirements, and a reliable power supply and safe grounding system should be installed.

10.1.1 The medical gas system should be set up according to medical needs.

10.1.2 The gas source station should be determined according to the overall plan of the hospital. The layout of medical gas pipelines should be reasonable.

10.1.3 The emission of medical waste gas should not have any impact on the hospital and the surrounding environment.

10.2.1 Medical gases supplied from high-pressure gas cylinders and liquid storage tanks should be calculated based on daily usage, and a reserve gas volume of no less than 3 days should be stored. When a gas generating unit is used to supply gas, a backup unit should be set up. When a molecular sieve oxygen generating unit is used, a high-pressure oxygen busbar should also be set up. When the largest unit fails, the air supply capacity of other units should be able to meet the maximum designed load of the system.

10.2.2 The hospital should set up oxygen and negative pressure suction systems, and can set up compressed air, nitrous oxide, nitrogen, carbon dioxide, argon, and anesthesia waste gas emission systems as needed. The gas source should meet the gas parameter requirements at the terminal.

10.2.3 The dedicated gas supply station for the operating department should be located in a non-clean area close to the operating department.

10.2.4 The oxygen supply pipelines of the operating department, intensive care unit, first aid, and rescue room should be connected separately from the oxygen station.

10.2.5 The gas supply station should be equipped with an alarm device for abnormal gas supply. The standby unit should be equipped with an automatic putting device into use.

10.2.6 Hospitals should use oil-free air compressors, and the compressed air should be equipped with filtration and sterilization equipment.

10.2.7 The medical gas source should be equipped with an overpressure discharge safety valve, and the gas should be discharged to a safe outdoor location.

10.2.8 When setting up an oxygen generating station of a molecular sieve oxygen generating unit, the following requirements should be met:

10.2.9 When using liquid oxygen supply mode, liquid oxygen tanks larger than 500L should be placed outdoors. The distance between outdoor liquid oxygen tanks and offices, wards, public places and busy roads should be greater than 7.50m.

10.2.10 The negative pressure suction machine room should be set up separately, and its exhaust gas should be discharged into the atmosphere after treatment.

10.3.1 Medical gas pipelines should be made of copper or stainless steel pipes, and galvanized steel pipes can be used for negative pressure suction and operating room exhaust gas delivery pipes. Pipes, valves and instrument accessories should be degreased before installation.

10.3.2 Oxygen supply pipelines should not be laid in the same pipeline well or trench as cables, corrosive gas and flammable gas pipelines. Pipe wells with oxygen supply pipes should be well ventilated.

10.3.3 When the oxygen pipeline is overhead, it can be laid together with various gas and liquid (including gas and fuel) pipelines. When shared, the oxygen pipeline should be arranged outside other pipelines and above the fuel pipeline. The medical gas pipeline supplying the clean surgical department should be equipped with separate supports and hangers.

10.3.4 Except for the dedicated conductive wires for oxygen pipelines, other conductive wires should not be laid on the same support as the oxygen pipelines.

10.3.5 The distance between the oxygen pipe and other pipelines should comply with the requirements in Table 10.3.5. When the distance cannot be met, safe and reliable technical measures should be taken.

10.3.6 A manual emergency device to cut off the air source should be installed on the oxygen main pipe in the ward and clean operating department.

10.3.7 Oxygen pipes passing through walls and floors should be laid in casings, and asbestos or other non-combustible materials should be used to fill the casing gaps. Oxygen pipes should not pass through rooms where oxygen is not used. When they must pass through, there should be no flanges or threaded connections on the pipes in the room.

10.3.8 Medical gas pipelines should be equipped with static conductive grounding devices.

10.3.9 The contact points between medical gas pipelines and supports and hangers should be insulated against electrostatic corrosion.

10.3.10 Antifreeze measures should be taken for wet medical gas pipelines.

10.3.11 Medical vacuum pipelines should be sloping towards the main pipe and buffer tank, and the slope should not be less than 2‰.

10.4.1 Medical gas pipe terminals should be safe and reliable, and the inside of the terminal should be clean and well-sealed.

10.4.2 The terminal pressure of medical gas should comply with the requirements in Table 10.4.2.