DATA COLLECTION

What is a polyclinic?
A ​polyclinic​ is a ​clinic​ or​ ​health care facilit​y​ that provides both general and specialist
examinations and treatments for a wide variety of diseases and injuries to
outpatients​ and is usually independent of a hospital.

Space Attributes
● The Clinic/Health Unit space type should provide a sanitary and therapeutic
environment in which patients can be treated by medical practitioners quickly
and effectively.
● A clinic's size and configuration are determined by its specialization and
location. The clinic/health unit space type can be configured into a number of
different types of modules to accommodate many approaches to clinic/health
unit design
● There is also a trend to designing less clinical-looking spaces, and introducing
more of a personal or homey feeling in individual patient rooms and admitting
areas. Access to nature and the colors of nature also support healing.

Accessible

● All areas should comply with the minimum requirements of the Americans with
Disabilities Act (ADA) and, if federally funded or owned, with the GSA's ABA
Accessibility Standards. For more information, see WBDG​ ​Accessible Branch
and Provide Accessibility for Historic Buildings (historic facilities).
● Clinic/health unit space must be easy to use by patients with temporary or
permanent disabilities.
● Consider patients with hearing loss or vision impairments, as well as physical
disabilities.
● Use mechanical door openers to assist in entering and leaving the facility.

Aesthetics

Aesthetics are important to the clinic's public image and visibility within the
community as well as the connection to healing and the patient experience.
Aesthetic considerations include:

● Increased use of natural light, natural materials, and textures.

Use of artwork, including nature scenes when views or access to nature are
unavailable.
● Attention to detail, proportions, color, lighting, and scale.
● Bright, open, generously scaled public spaces.
● Homelike and intimate scale in patient rooms and offices
 ● Signage that promotes optimal way-finding, satisfies the orientation needs of
the first-time patient, allows easy navigation, and provides highly visible
reference points immediately adjacent to each major entrance.

Main Requirements

Reception & enquiry counter

Registration counter
Waiting hall
Examination rooms
Procedure room for
1. Injection
2. Minor procedures like incising, suture removal, abscess etc.
Observation / Recovery room
 Support services- laboratory, radiology etc.

Special OPD services

Gynecology:​ will require different type of examination table, more privacy

Ophthalmology:​ space & facilities for testing of vision, other investigation and
therapeutic procedures on eyes

Ear, nose, throat:​ separate light source, audiometry etc.

Dental department:​ special dental chair, drill etc.

Procedure rooms:

For carrying out minor procedures like lumber puncture, pleural or ascetic aspiration,
catheterization, suturing etc. Separate procedure room having adequate table is
necessary. It is desirable to earmark specific areas for the procedure rooms.

Room requiring aseptic conditions for surgical procedures.

Room requiring clean area & aseptic items. (suturing & suture removal)
Room for dressing wounds, plastering, injections.
Room for carrying out potentially infective or ‘unclean’ procedures e.g. enema,
bowel wash

If it is not possible to have separate rooms / cubicles for all these activities, one can
have three categories

Absolutely clean​: restricted human traffic, change of foot wear etc, use of
sterile mask & gowns for procedures like minor surgical procedures, biopsy.
Relative clean​: restricted traffic, change of foot ware, use of sterile
gown-mask not required. Procedures like debridement of infected wounds,
catheterization etc. are carried out over here.
Relatively unclean​: procedures like enema, bowel wash are carried out.
 Xray Room

Ultrasound Room
Reception Area/ Waiting Room/ Receiving Area​:  
● 20 square feet per person is needed for small chairs, with an 80 square feet
minimum.
● For Lounge seating, increase this to 30-35 square feet per person.
● Additional space for Hospitality such as a water cooler and healthy snacks
and/or Retail products.
Children’s Area​:
● For an active area with floor space for them to play with toys, 15 square feet
per child.
● For a quiet area with children’s books or magazines, 5 square feet per child
will work with a 20 square foot minimum.
Front Desk / Reception Desk and/or Administrative and Business area​:
● 50 square feet, about a 6 foot by 8 foot area, is the minimum for one person to
work comfortably.
● For each additional person in that area, add at least another 30 square feet,
50 to be comfortable.
● If you have free standing storage, file cabinets, a stand-alone copy machine,
you will need to add extra space.
Adjusting / Treatment Rooms​:
● The standard closed Adjusting/Treatment Room is 9 feet by 12 feet. This will
comfortably hold a standard 2 foot by 6 foot adjusting table with about 3 feet
of circulation space to work around it, plus a small area for a workspace and
storage.
● A semi-open treatment room can be slightly smaller, closer to 8 feet by 10
feet, because there is not a door. An open adjusting area can be even
smaller, due to the overlap in the circulation space.
● At least 4 feet between tables. Extra square footage may be required if you
offer additional modalities or specialty equipment within your treatment area. If
you care for patients in wheelchair, accessibility of the room requires
additional square footage as well to accommodate a 60” turning radius.
Exam Rooms​:
● Most common Exam Rooms are 9 feet by 12 feet .This once again allows 3
feet around the 2 foot by 6 foot table and room for standard equipment. If you
have additional equipment, you will need to add more space. If you don’t need
space around an table, you can use less space.
Therapy and/or Rehabilitation Space​: These spaces, and their square footage
requirements, will variety greatly per practice and dependent upon the equipment in
the space. A full rehabilitation space has different needs than a massage room
would. The only way to determine the square footage needed is by actually laying
out the equipment and space requirements for the proper use of that equipment.

X-Ray Room and Control Area​:

● Commonly the room will be 12 foot by 8 foot and most states require the
room to be at least 80 square feet.
● Most X-ray arms require 8 feet of space and the viewing window wall is about
48 inches wide with 48 inches behind. The size could vary dependent upon
X-ray equipment you chose. The final layout of the room is determined by
your equipment and verified by a radiology physicist.
● For an analog X-ray, the typically dark room is a minimum of 25 square feet
with a 5 foot by 5 foot layout. Again, the size and amount of your equipment
may require a larger space.
Patient Consulting and/or Doctor’s Report of Findings Space​:
● The layout of the room determines the size needed for this space. If the goal
is for you and your patient to sit side by side in front of a counter with your
computer on it, it can be as small as 6 feet by 8 feet.
● If you want a small conference table in the center of the room with 3 or 4
chairs, the minimum should be 10 feet by 10 feet.
● Another arrangement is a standard desk with you seated behind and 2 to 3
guest chairs in front, typically 9 foot by 12 foot is adequate to plan.
Education Space​:
● This is often not a separate space, but previously planned space that can be
transformed for used for training your staff or having educational sessions
with your patients.
● The guideline is to plan for 7 square feet per person for classroom style
occupancy.
Doctor’s Office​:
● The minimum should be 6 feet by 8 feet for a desk or workstation against the
wall for 1 person. You may want a larger area depending on how the office is
used and your practice style.
Employee Break Area​:
● For a full break room with a table and chairs, the average is 8 feet by 10 feet.
If you don’t want a full break room, we suggest at the minimum, you should
plan space for a small refrigerator and microwave in a non-public area.

Ophthalmology

Treatment Room
Blood Draw Lab
Pharmacy