Notice on the sessation of the design guidance (trial)

State Health Office Planning Letter (2022 ﹞ 254

All provinces, autonomous regions, municipalities, and Xinjiang Production and Construction Corps Health and Health Commission, Development and Reform Commission, Housing and Urban -Rural Development Department (Committee, Bureau):

In order to actively adapt to the normalization of the epidemic of new crown pneumonia, build a medical treatment system with an urgent combination, categorize the category of new crown pneumonia infection, strengthen the reserves of square cabin hospitals. Give you it for you to combine the actual reference.

General Office of the National Development and Reform Commission of the General Office of the National Health and Health Commission

General Office of the Ministry of Housing and Urban -Rural Development

July 6, 2022

(Form of information disclosure: proactive disclosure)

Archives Hospital Design Guide

(Trial)

1. General Principles

1.1 In order to actively adapt to the normalization of the new crown pneumonia's epidemic situation, guide the construction of a square cabin hospital, build a urgent combination of medical treatment system, do a good job of categorizing new crown pneumonia infection, to maximize the acceptance of acceptance, and the treatment should be treated. Develop this design guidance.

1.2 The squares of the squares are the buildings and supporting facilities of patients with a large number of patients with new crown pneumonia and asymptomatic infected. This guide is applicable to the design of the square -cabin hospital project.

1.3 The construction of the square cabin hospital should make full use of the existing facilities and equipment. Under the local joint prevention and control mechanism, combined with the actual situation of the overall planning, medical resources, construction conditions, and management models of the urban and towns to reasonably determine the transformation and construction plan to ensure fast use. Run efficiently.

1.4 The square cabin hospital should consider the needs of daily and emergency use to determine the use function reasonably. It can usually be used for daily facilities. During emergency emergency, it can be quickly and smooth into medical treatment facilities, so as to be urgent combination and emergency priority.

The 1.5 squares hospital shall be in accordance with the basic principles of rapid centralized treatment, closed -loop process control, classification of homogeneous management, and divergent diversion of pollution, so as to achieve environmental safety, biological safety, epidemic prevention safety, structural safety, fire safety, and reliable quality.

1.6 The building layout and mechanical and electrical system settings of the squares hospital shall meet the prevention and control requirements of the epidemic, and meet the normal and emergency functional needs. The rapid conversion schemes of the usual and emergency functions and systems should be formulated to do a good job of material reserves and daily drills.

1.7 The square cabin hospital shall provide a safe, practical treatment and rehabilitation environment for the treatment personnel, and provide safe and convenient working conditions for medical staff. The design and choice of venue environment, materials, indoor color and other design should be fully considered to fully consider the physiological and psychological needs of the population.

1.8 The square cabin hospital shall set up a identifier system with clear guidance and management functions.

1.9 The square cabin hospital should make full use of informationization methods to strengthen dynamic management such as safety prevention, health monitoring, infection control, material distribution, equipment operation and maintenance, and reduce the work intensity of medical staff on the basis of ensuring the treatment effect and efficiency.

1.10 square -cabin hospitals should comprehensively consider the function of normal and emergency. The design, structure, mechanical and electrical, fire, environmental protection, energy saving, barrier -free design and other majors shall meet the national and local construction standards, specifications, and document requirements.

Second, site selection

2.1 The site selection of the square cabin hospital shall meet the requirements of local urban planning, epidemic prevention and control, social stability risk assessment and environmental protection assessment, and expansion conditions should be reserved.

2.2 square cabin hospitals should comply with the following regulations:

(1) The terrain is relatively flat, it is conducive to drainage and air circulation, good geological conditions, and complete municipal facilities;

(2) The road around the venue is smooth, and there is reliable and convenient traffic connection with other areas of the town. It is easy to accept personnel transportation and material distribution. It has good social collaboration conditions;

(3) The venue should keep a certain distance from the surrounding public buildings, far away from the populous areas such as the densely populated areas and the care facilities such as kindergartens, schools, and elderly care facilities;

(4) Stay away from the production and storage area of ​​pollution sources and flammable and explosive products, and stay away from areas such as noise, vibration and strong electromagnetic fields;

(5) Stay away from areas such as food and feed processing enterprises.

2.3 The venue should be adjacent to two urban roads with good traffic conditions and set up at least two independent entrances.

2.4 The space within the venue should meet the functional layout and the requirements of the traffic organization.

Third, the overall layout

3.1 Divide functional areas of the medical functional needs of patients with concentrated treatment of mild patients and asymptomatic infections, mainly including the front area, the collection area, the cleaning work area, and the health pass area. The pre -hospital area and the closing area are pollution areas; the cleaning work area is a clean area; the health passing area is a buffer area.

(1) Pre -hospital area: including the parking area, the vehicle stopped area, the vehicle cleaning and disinfection area, and the necessary management houses;

(2) Treatment zone: buildings and surrounding venues that are diagnosed and treated with treatment personnel, and supporting areas and facilities such as medical waste temporary storage areas, sewage treatment areas and other supporting areas and facilities;

(3) Clean work area: the area where the medical staff of the pollution area and the rest area, including the corresponding supporting rooms such as the warehouse;

(4) Hygiene passing area: It is located between the pollution area and the cleaning area, and the medical staff and supplies are processed from the pollution area into the pollution area and returned from the pollution area to the cleaning work area. Including staff changing shoes, changing clothes, bathing, bathing, and wearing and unloading protective supplies, and should be arranged for material distribution channels.

3.2 The square cabin hospital shall reasonably determine the construction scale of the front area, closing area, cleaning work area, and health through the construction of each other according to actual needs. 3.3 The green isolation distance between the buildings and facilities in the pollution area and the adjacent buildings around the hospital and the building in the clean area should not be less than 20m. When there is no green conditions, the isolation distance should not be less than 30m.

3.4 The pollution and cleaning areas of the squares hospital should be divided into entrances, and the distance should not be less than 10m. It is advisable to set up medical waste transfer exports separately.

3.5 square -cabin hospitals should reasonably plan the internal roads, greening systems, and streamlines such as cleanliness, pollution, people, and medical staff, and treatment personnel to avoid cross -infection. The recipients enter and exit the collection area in the front area of ​​the hospital. Medical staff and cleaning materials are passed and exited the collection area from the clean area through the sanitary area. The special export of medical waste is transported from the collection zone to the medical waste temporary area, and the transfer area is transferred to the hospital.

Fourth, architecture

4.1 The front area of ​​the hospital should be reasonably organized to collect the streamlines, plan the necessary vehicles to stop the space, set up a negative pressure ambulance to park the site, and set up vehicle washing venues and facilities at an appropriate location. house.

4.2 The collection zone mainly includes: reception and registration area, inpatient ward area, inspection and treatment area, special personnel rescue, care area, nurse station, discharge, transfer hospital disposal area, material storage area, boiling water room, sanitary sanitary area, medical waste temporary temporary temporary temporary temporary Stay and wash away.

4.3 The collection area should be set up, psychological counseling areas, and health education areas should be set up. The work room for public security police, cleaning and security should be set up. You can set up the clothes drying area of ​​the treatment personnel according to the specific situation.

4.4 The reconciliation area should adopt a square and ruled architectural shape. It should be selected for large space forms to facilitate efficiency and efficiency of diagnosis and treatment.

4.5 The main body of the treatment zone should adopt a single and multi -story building form. When it is a multi -layer building, a ramp or elevator for transferring the treatment personnel should be set. The elevator should be classified according to different use objects such as the treatment personnel and medical staff, cleaning and dirt.

4.6 Strictly plan the entrances and exit and traffic streamlines of the recipients and medical staff in the collection area. Medical staff and security guards, cleaning and other staff should enter and exit the treatment zone through different health through different health. Rain and snow covering facilities should be provided in the entrance.

4.7 The functional layout of the collection zone should be opened in form, centered on the inpatient ward area, and reasonably configure the corresponding functional area in the surrounding location.

4.8 Based on the actual needs, the rescue and care areas before the transfer of special personnel are set up, and they are separated from other areas. Configure the corresponding treatment equipment and facilities, and the transmitting personnel transfer route shall be set up with barrier -free channels and facilities.

4.9 According to the scale and management requirements of the closing area, the number and scale of nurse stations are reasonably planned, and the nurse stations should be set in the middle of the inpatient ward area to facilitate observation and reaching the bedside of the treatment personnel.

4.10 The retracting area should set a protective unit every 20 beds, and a light quality partition is set between the units. The net use area of ​​the treatment personnel should not be less than 6 square meters per bed, and a flexible partition combination can be performed according to the situation. It is advisable to set up a partition with a height of not less than 1.3m on the bedside and side of the bed, and the enclosure forms a relatively private space.

4.11 When a public washing room and toilet are concentrated in the collection zone, 10-15 washing faucet and 10-15 toilet positions should be configured per 100 beds. The shower room can be set according to the actual situation.

4.12 Based on the functional partition, it can be set or reserved the space and installation conditions of medical examination and treatment equipment in the appropriate location of the front area and the collection area, which is convenient for fast transportation and installation. When setting a mobile CT, detection laboratory and other facilities, the corresponding civil construction conditions and electromechanical construction conditions should be reserved, and the channels between them and the building should be reserved.

4.13 Cleaning working area should be set up in the medical staff office, conference room (with remote consultation function), duty room, lounge, bathroom, shower room, material warehouse, dining room, equipment room, etc. Cleaning, security, etc. Office, rest, and shift transfer rooms. Police stations, staff dormitories, etc. can be set up as needed.

4.14 Cleaning working area should set up office areas, dormitory areas and supporting areas according to the nature and risk levels of different working properties and risk levels, and reasonable planning personnel, meals, materials and other streamlined lines. The dormitory should adopt a single room. The bathroom should be set up in the room, and basic facilities such as washing, toilet position, and shower should be equipped.

4.15 The area and plane layout of the kitchen and meals shall be reasonably determined according to the size of the management process, the treatment personnel and the medical staff. Measures should be taken to avoid noise, oil fume, odor and food storage and transportation to other areas.

4.16 Health through the zone should be close to the post -collection zone, and can be connected to the closing area through the corridor. The parking venue of transportation staff and material vehicles should be set up near the district. The scale of the squares of the squares, management processes, and medical staff should reasonably determine the scale of health through the construction of a house through the consumption of time consumption through the area. Material distribution between the pollution area and the clean work area should be set up with a two -door buffer room.

4.17 Medical and caregivers entering the pollution zone should pass the room, wearing protective equipment, buffer and other rooms; returning from the pollution area to a clean area, and rooms such as one -off, two -off, shower (can be set as needed), dressing and other rooms; Medical waste is relatively independent and convenient. 4.18 square cabin hospitals shall be set up in accordance with the usual and emergency needs to set up water -draining, ventilation and air conditioning, heating, power distribution, network communication, fire control and security prevention. Its position should meet the requirements of infection control. It is advisable to close the center of load. Noise and vibration should not be interfered with the treatment, rehabilitation, and work of medical staff and medical staff. Equipment rooms should be set up or reserved channels for installation and maintenance. Sealing measures should be taken at different rooms.

4.19 The standardized light structure main components should be selected, as well as modular and prefabricated enclosures. The selection and structural design of architectural materials should meet the requirements of scrubbing, anti -corrosion, anti -leakage, and convenient cleaning and maintenance.

Five, structure

5.1 The structural safety level of the square -cap hospital shall not be lower than the first level, and the earthquake -resistant defense class shall not be lower than the key defense category.

5.2 Based on actual needs, reasonably determine the time of structural design work.

5.3 Structural effects and values ​​of the lives and roof live loads shall implement the current national standards "General Specifications for Engineering Structures" GB55001 and "Code for the Loading of Building Structures" GB50009.

5.4 The choice of temporary building structure in emergency construction shall be adapted to local conditions to meet the requirements for facilitating processing, transportation, installation and rapid construction.

5.5 The main structure and the enclosure structure should meet the confinement requirements, and its structural materials should meet the anti -seepage and leak prevention requirements.

6. Drainage water

6.1 The water supply and drainage design of the square cabin hospital shall comply with the current national standards "Building Givewater Drainage Design Standards" GB50015; when the existing architectural transformation is adopted, the water drainage system of its building shall Evaluation Standard "GB/T51188 conducts a security evaluation and transforms it based on the evaluation results.

6.2 The water pump room and the concentrated life hot water machine room should be set in a clean area.

6.3 The water supply system should be supplied to the water supply system in life, and the water supply system should be used for the water supply system with a broken flow water tank plus pump. When the water supply of a broken flow tank is difficult, the decompression inverter can be used.

6.4 The drainage system should take technical measures to prevent water seal destruction, and the following provisions should be met:

(1) The maximum design and drainage capacity of drainage riser should not be greater than the current national standard "Building Standards for Water Drainage Design Standards" of 0.7 times the specified value of GB50015;

(2) The height of the water seal with water curved must not be less than 50mm, and it must not be greater than 100mm;

(3) When there is a washbasin near the local leakage, the measures of water washing water should be used to water the water leakage and replenished water.

6.5 The exhaust of the ventilation and sewage treatment system of the drainage system should be high -altitude discharge, and the activity area should not be adjacent to personnel.

6.6 Drainage pipes should be tested with water closed, and measures to prevent sewage exudation and leakage from sewage pipes in drainage pipes should be taken.

6.7 Sewage treatment should be treated with secondary biochemical treatment. When the urban sewage pipes with urban sewage treatment plants are discharged, the sewage treatment can be strengthened by strengthening disinfection treatment, and the following regulations should be compared with:

(1) The sewage treatment shall be set up at the septic tank water inlet;

(2) The hydraulic time of the secondary disinfection pool after the septic tank should not be less than 2h.

Seven, heating, ventilation and air conditioning

7.1 Functional rooms and regional indoor design temperatures in the square cabin hospital should be 18-22 ° C in winter and 26-28 ° C in summer.

7.2 The heating system should adopt a radiator heating system or floor radiation heating system.

7.3 The air -conditioning system of the cleaning work area should adopt independent split air -conditioning systems, multi -connected air -conditioning systems or fan disk systems in each room.

7.4 The collection and treatment areas of large spaces should be used in DC (new air) air conditioning system; if the air -conditioning system is used for a full air, the new air volume shall meet the requirements of the rewinding area. Essence

7.5 The ventilation system of the collection zone, cleaning work area, and health passing area shall be independently set up by the region.

7.6 If the new air system is set up in each room of the cleaning working area, the fresh air volume should not be less than 2 times/h.

7.7 The collection zone should have mechanical exhaust, and the exhaust volume is not less than 150m3/h. bed. The indoor exhaust port should be far away from the entrance and work area of ​​the medical staff. The new air volume of the recruitment zone should not be greater than 80%of the discharge volume.

7.8 Mechanical exhaust facilities should be set up in the bathroom of the collection zone, and the exhaust volume is not less than 12 times/h.

7.9 A mechanical ventilation should be set up from the one -off, two -off, and shower rooms in the pollution area to return to the clean area, and the air order of the surrounding rooms should be controlled to flow to the room. The number of air replacement of the air in the room should not be less than 20 times/h, and the indoor airflow tissue should use upper air supply and downwinds.

7.10 The exhaust of the protection of the protective clothing room, the collection area and the toilet shall be discharged after the purification and disinfection device.

7.11 Garbage temporary storage rooms, sewage treatment and other facilities should be provided with mechanical exhaust.

7.12 The outdoor exhaust port of the exhaust system should not be adjacent to the active area of ​​the personnel, and the exhaust mouth should be discharged higher than the roof to high -altitude. The horizontal distance between the exhaust port and the fresh air system should not be less than 20m; when the horizontal distance is less than 20m, the exhaust mouth should be higher than 6m higher than the air inlet. 7.13 The condensation water of the air conditioner in the post -region shall be collected concentrated, and indirect drainage shall be discharged into the facility sewage drainage system.

Eight, electrical

8.1 The square cabin hospital is an important power user, and its power supply power supply should not be lower than the current national standard "Important Power Supply Power Supply Power Supply Power Supply and Emergency Power Supplies Technical Specifications" GB/T29328 to the configuration requirements of important power users in the middle and secondary level.

8.2 Safety prevention systems, sewage treatment facilities, health through the area of ​​the area and the load level of ventilation equipment shall be the first level; the load level of the lighting and ventilation equipment of the collection zone should be second.

8.3 Emergency generator interface should be reserved at appropriate locations such as substation.

8.4 Faculty and distribution boxes such as power distribution cabinets, power distribution boxes shall be set in the power distribution room or in the management room; the power distribution circuit shall be set up in a clean area and pollution area.

The illumination of the ward area of ​​the 8.5 square cabin should be 200 LX. Local lighting should be set up in places such as nurse stations, inspection and treatment areas, and 300 LX should be 300 LX. General lighting in the ward area should take anti -glare measures.

8.6 Hygiene through the area, dirt, temporary stores, and washing rooms, such as sterilization and disinfection, a fixed or mobile ultraviolet disinfectant, disinfection lights and other disinfection facilities should be set up.

8.7 When the installation height of the lamp is less than 2.5 meters, the power distribution circuit should set the remaining current protector of 30mA as an additional protection.

8.8 Each bed should be set at no less than 3 220V, 10A single -phase and five -hole sockets. Special personnel rescue and care areas should be set up in the beds according to the bed. Each bed should be set up at no less than 6 220V and 10A single -phase and five -hole sockets. Public areas should be set up and smart device sockets.

8.9 The wires and cables shall adopt low -smoke, halogen -free, and low -toxic flame retardant cables; fire -fighting equipment power supply cables shall comply with the relevant regulations of the current state and local standards.

8.10 When the slot box and line tube cross the wall, the gaps, grooves, and pipe ports should be reliable to seal with non -combustible materials.

8.11 The potential connection of the washing room, the shower room and the bathroom with a shower function should be set up.

Nine, intelligence

9.1 The square cabin hospital shall set up a video security monitoring system, and monitoring cameras should be set up in important parts such as entrances and exits, closing zones, cleaning work areas, hygiene districts, and garbage temporary stores in the hospital district. Health can adopt a two -way voice intercom camera through the district, which is convenient for the staff on duty or nurse station staff to conduct remote supervision and guidance.

9.2 The square cabin hospital shall set up the entrance control system according to the management process and functional area. The system adopts non -contact control method. When emergency situations such as fire occurred, it should be lifted immediately.

9.3 The indooring of the squares of the squares should be fully covered in the wireless Wi-Fi, and the full coverage of the mobile phone signal shall be achieved. The cleaning working area shall be provided with a wired network and a wireless network, and the internal and external network information sockets should be set up separately.

9.4 The ventilation system of the square cabin hospital should adopt centralized control and working status monitoring.

9.5 Emergency call buttons should be installed in the bathroom of the collection area to install it at the position of the operation next to the toilet. The base distance is 400mm to 500mm.

9.6 The square cabin hospital should set up a medical intercom system in the ward area, special personnel rescue, and care area, and the host should be located in the medical duty room. The nurse station or medical duty room should be set up with a one -click alarm button, and the alarm signal is passed to the Security Monitoring Center or command center. The fire alarm system should be connected to the local fire facility networking monitoring system.

9.7 The square cabin hospital shall set up special communication interfaces with competent departments such as the CDC and the Emergency Command Center in accordance with the requirements of the prevention and control work.

9.8 Conditional Hospitals with conditions should make full use of artificial intelligence and IoT application technology to achieve "contact -free" body temperature monitoring and face recognition, psychological guidance, venue disinfection, material distribution, monitoring of key persons, and dirt tracking management, etc. Safety epidemic prevention function.

10. Medical gas

10.1 The medical gas storage room that can be directly connected in the collection area should be provided, equipped with oxygen cylinders, oxygen bags and supporting oxygen supplies for special personnel rescue and emergency use.

10.2 The collection zone is equipped with non -invasive ventilator according to demand.

Source: Health and Health Committee website

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