Camiguin General Hospital — Level 2 (50‑Bed)
Deliverable: Space programming, zoning, circulation analysis and area computations for a 50‑bed
municipal general hospital on a 12,789.00 sqm lot (Mambajao, Camiguin).
1) Site area breakdown (given)
• Total lot area: 12,789.00 sqm
• Parking allowance (30%): 0.30 × 12,789 = 3,836.70 sqm
• Landscaping allowance (20%): 0.20 × 12,789 = 2,557.80 sqm
• Remaining buildable footprint = Total − (parking + landscape)
• = 12,789 − (3,836.70 + 2,557.80) = 6,394.50 sqm
Note: parking and landscaping percentages are user-specified. Parking area yields ample
stalls for the 50‑bed hospital (see notes below).
2) Strategy summary (zoning & circulation)
Zoning (grouping by Annex‑B / DOH guidelines): - Outer Zone (public / high accessibility): Main
entrances, ER (separate ambulance entrance & walk‑in), OPD (clinics, waiting courts), Administration, Main
lobby, Pharmacy, Radiology reception, Laboratory reception. - Second Zone (diagnostic & support close to
outer zone): Laboratory functional areas, Radiology rooms, Pharmacy preparation/supply and central
sterilizing. - Inner Zone (inpatient care): Patient care units (wards and single rooms), nurse stations,
central admitting / medical records (near main lobby but separated), supply/linen. - Deep Zone (aseptic /
restricted): Operating rooms, Delivery rooms, NICU, ICU — segregated from public circulation and with
controlled access. - Service Zone (back‑of‑house): Kitchen/dietary, laundry, waste & soiled holding,
maintenance, morgue and motor pool — located away from public flows with separate service entries.
Circulation principles & patterns: - Provide separated flows for: (A) public/outpatients/visitors, (B)
inpatients/stretcher movement, and (C) service/supply (dietary, linen, waste). This minimizes
cross‑contamination and congestion. - ER has a dedicated ambulance drop, separate triage/ambulatory
entrance and direct internal access to imaging, minor OT and inpatient admission. - Visitor routes to wards
are direct from main lobby to patient units without crossing sterile or service corridors. - Patient transfer
corridors (beds/stretchers) are min. 2.44 m clear width per DOH/NBCP/BP‑344 guidance. - Vertical
circulation (if >1 storey): a bed‑capable elevator (for at least 1 patient bed) positioned near core clinical
areas (ER/OPD/wards/OT) and a ramp where grade changes require it. Plan for 1 elevator + staircase core.
3) Space Programming Table (selected, condensed)
Table columns: Space / No. of units / Unit area (sqm per unit or per user) / Net Area
(sqm) / Gross Area = Net × 1.30 (includes 30% circulation allowance)
1
Units / Unit area Net area Gross area
Space (short)
Pax (sqm) (sqm) (sqm)
EMERGENCY
ER waiting (public) 20 ppl 0.65 /pax 13.00 16.90
ER observation cubicles (3) 3 7.43 /cubicle 22.29 28.98
ER treatment cubicles (2) 2 7.43 14.86 19.32
ER exam room 1 7.43 7.43 9.66
ER critical care room 1 9.29 9.29 12.07
ER emergency OR 1 33.45 33.45 43.48
ER staff area 6 staff 5.02 /staff 30.12 39.16
OUTPATIENT (OPD)
OPD public waiting (open court) 40 ppl 0.65 /pax 26.00 33.80
OPD clinics (Internal Med 2) 2 7.43 /clinic 14.86 19.32
OPD clinics (Pediatrics 2) 2 7.43 14.86 19.32
OPD clinics (OB/GYN 2) 2 7.43 14.86 19.32
OPD clinics (Gen Surg 2) 2 7.43 14.86 19.32
OPD chief office 1 5.02 5.02 6.53
OPD staff lounge 6 pax 5.02 /pax 30.12 39.16
ADMIT & PATIENT CARE
Main lobby & reception 1 est. 20 sqm 20.00 26.00
Admitting waiting 20 ppl 0.65 /pax 13.00 16.90
Admitting cubicles (3) 3 5.02 15.06 19.58
Admitting offices (2) 2 5.02 10.04 13.05
Medical records staff (2) 2 5.02 10.04 13.05
Medical records stack/file room 1 est. 20 sqm 20.00 26.00
INPATIENT BEDS (TOTAL = 50 beds)
Four‑bed rooms (5 units → 20 beds) 20 beds 7.43 /bed 148.60 193.18
Double‑bed rooms (10 units → 20
20 beds 7.43 /bed 148.60 193.18
beds)
2
Units / Unit area Net area Gross area
Space (short)
Pax (sqm) (sqm) (sqm)
Single‑bed rooms (10 units → 10
10 beds 9.29 /bed 92.90 120.77
beds)
Nurse stations (2 units; 12 staff est.) 12 staff 5.02 /staff 60.24 78.31
Equipment / storage / linen / stocks — — 50.00 65.00
Public restrooms & areas (near
— — 30.00 39.00
wards)
PHARMACY
Pharmacy supply/receiving 1 15.00 15.00 19.50
Pharmacy dispensary/display 1 15.00 15.00 19.50
Pharmacy cashier 1 5.02 5.02 6.53
Compounding / prep 1 10.00 10.00 13.00
Inventory office 1 5.02 5.02 6.53
ICU
ICU waiting / lockers 10 ppl 0.65 /pax 6.50 8.45
ICU cubicles (2) 2 9.29 18.58 24.15
ICU isolation rooms (2) 2 9.29 18.58 24.15
ICU nurse station & support — — 40.00 52.00
ICU staff lounges / doctor rooms — — 30.00 39.00
SURGICAL / OT
Surgical staff lounge & lockers — — 15.00 19.50
Supervisor office 1 5.02 5.02 6.53
Operating rooms (2) 2 33.45 /OR 66.90 86.97
Anesthesia room 1 4.65 4.65 6.05
Sterile storage & sub‑sterile — — 20.00 26.00
Soiled holding & janitorial — — 10.00 13.00
Recovery room (2‑bed) 1 9.29 9.29 12.07
NURSERY / NICU
Nursery nurse station & areas — — 10.00 13.00
3
Units / Unit area Net area Gross area
Space (short)
Pax (sqm) (sqm) (sqm)
Nursery proper & viewing — — 30.00 39.00
Premature nursery — — 15.00 19.50
Observation nursery / ante‑room — — 10.00 13.00
LABOR & DELIVERY
Family / fathers lounge & waiting 20 ppl 0.65 /pax 13.00 16.90
Labor rooms (2) 2 9.29 18.58 24.15
Delivery rooms (2) 2 33.45 66.90 86.97
L&D recovery (2‑bed) 1 9.29 9.29 12.07
L&D staff lounge & lockers — — 10.00 13.00
LABORATORY
Lab waiting 10 ppl 0.65 /pax 6.50 8.45
Lab clerk & secretarial area 2 staff 5.02 /staff 10.04 13.05
Venipuncture cubicle 1 4.65 4.65 6.05
Hematology 1 10.00 10.00 13.00
Urinalysis & Biochem 1 10.00 10.00 13.00
Histology 1 10.00 10.00 13.00
Serology/Bacteriology 1 10.00 10.00 13.00
Sterilizing / glass washing 1 10.00 10.00 13.00
Med tech lounge / locker / restroom — — 10.00 13.00
Pathologist office 1 5.02 5.02 6.53
RADIOLOGY
Radiology waiting 10 ppl 0.65 /pax 6.50 8.45
Rad reception & filing 1 10.00 10.00 13.00
Dressing cubicles (2) 2 1.67 3.34 4.34
Fluoro/X‑ray main room 1 20.00 20.00 26.00
Film / light room 1 4.65 4.65 6.05
Dark room 1 4.65 4.65 6.05
Radiologist office 1 5.02 5.02 6.53
4
Units / Unit area Net area Gross area
Space (short)
Pax (sqm) (sqm) (sqm)
Rad staff lounge — — 10.00 13.00
ADMIN & OPS
Admin offices (chief, MD, dept
5 staff 5.02 /staff 25.10 32.63
heads)
HR office 1 5.02 5.02 6.53
Procurement / property office 1 5.02 5.02 6.53
Engineering & Facilities office 1 5.02 5.02 6.53
Accounting / billing (2) 2 staff 5.02 /staff 10.04 13.05
Security office 1 10.00 10.00 13.00
Admin lobby & reception 1 30.00 30.00 39.00
ANCILLARY (box plans)
Dietary (box) 1 est. 30.00 30.00 39.00
Linen / Laundry (box) 1 est. 30.00 30.00 39.00
Morgue (box) 1 est. 20.00 20.00 26.00
Selected Totals (summed program) - Total NET area (selected items in table above) ≈ 1,687.44 sqm -
Total GROSS area (with 30% circulation allowance) ≈ 2,193.67 sqm
Interpretation: Even with generous allowances and inclusion of all major clinical departments,
the computed gross floor area (~2,200 sqm) is comfortably less than the available buildable
footprint 6,394.5 sqm. This means a single‑storey hospital easily fits the program and
leaves room for expansion, landscaped courtyards, internal service yards, separation of
circulations and future additions.
4) Parking & site planning notes
• Provided parking area (3,836.7 sqm) yields approximately 120–160 typical car stalls depending on
layout and drive aisle efficiency (rule of thumb 22–32 sqm per stall incl. circulation). This well exceeds
the DOH minimum 1 parking space per 25 beds (50 beds → minimum 2 spaces; many
municipalities require more for staff & visitors). The large parking allowance therefore supports staff
parking, ambulance bays, drop‑offs and future growth.
5
5) Recommendations & alternatives
1. Single‑storey layout recommended: fits the full program and simplifies circulation, patient
transfers, and emergency access. It also allows more generous landscaped courtyards and views
(therapeutic design).
2. If you prefer a two‑storey building (to reduce footprint or create a podium/reserved expansion
zone): include an additional 5–8% gross area allowance for vertical circulation (bed‑capable elevator,
ramps, stair cores) plus mechanical shafts. Example: if building becomes two‑storey, add +6% to
gross floor area to account for ramps/elevator/stair cores and service distribution.
3. Zoning suggestion: place ER & ambulance drop at NE frontage (near national highway) with
separate ambulance route; locate admin/lobby adjacent to main public entrance; place deep zone
(OT/L&D/ICU/NICU) centrally with controlled access; locate service yard and loading docks at rear
(idle vegetated side) to minimize public exposure and noise.
4. Therapeutic strategies: orient patient rooms to maximize daylight and views of existing vegetation
(rear of lot), provide open courtyards for OPD waiting, and use native materials & shading to reflect
Camiguin’s culture and climate.
6) Assumptions, limitations and next steps
• Areas are estimate‑level based on the Department of Health area units provided in the brief (e.g.,
0.65/pax, 7.43/bed, 5.02/staff, OR sizes). Where exact counts or staff numbers were not specified,
reasonable assumptions were made (clearly marked in table).
• Mechanical, MEP plant rooms, vertical shafts, cold rooms and expanded admin support have
been estimated or included as general allowances but detailed MEP/structural coordination will
add area and should be included in schematic design.
• Next steps (recommended):
• Confirm exact staff numbers per department and peak waiting populations to refine waiting / staff
area sizing.
• Decide single vs two‑storey concept and confirm elevator/ramp requirements (this will determine
vertical circulation allowance).
• Proceed to bubble diagrams and blocking: translate the zoning above into an adjacency diagram and
produce preliminary floor plans and site layout (ER access, ambulance lane, service yard, parking
organisation).
Appendix — full itemized list & calculated net/gross areas
(Complete item list and calculations used for the table above are included in this document to trace
assumptions.)
End of document.
