ALL INDIA INSTITUTE OF MEDICAL SCIENCES, BHOPAL
Subject- Medical-Surgical Nursing (Oncology)
Assignment
On
Planning specialty unit
Submitted To Submitted By-
Dr. Naseema Shafqat Aityhang Subba
Assistant Professor M.Sc. Nursing 2nd Year
AIIMS, Bhopal AIIMS, Bhopal
1
Theme - Indian Cancer & Research Center (ICRC)
Introduction:
Cancer stands as a well-recognized imperative within public health, ranking among the foremost causes
of mortality on a global scale. The year 2020 witnessed a staggering tally of over 19 million fresh
instances of cancer and nearly 10 million fatalities attributable to the disease worldwide. Approximately
one in every six deaths globally can be attributed to cancer, underscoring its profound impact on public
health
Objective:
To outline a structured approach for the establishment of a cancer center or enhancement of services
within an existing facility, with the aim of facilitating its practical implementation while accounting for
local contextual factors and available resources.
Vision:
To provide holistic and collaborative care to the cancer patients and relieve their sufferings by use of
evidence-based practices in their treatment plan.
Mission:
Providing early screening and detection of disease
Evidence based treatment according to the condition of patients
Providing holistic and collaborative care to the patients
Providing palliative care to the patients to relieve their sufferings
Providing a platform for the students to conducting researches in the field of oncology to increase
evidence-based practices
Functional Areas
The functional areas in cancer hospital may include the following Functional Areas:
1. Entry / Reception including:
Waiting areas equipped with amenities including beverage-making facilities, telephones, vending
machines, and restroom facilities. Additionally, provision for an interview room to facilitate patient and
family discussions, as well as treatment planning. Adequate storage space for files, stationery, and
wheelchairs, along with dedicated areas such as a prayer room and a banking facility.
2. Emergency
Treatment chair or bed bays
Ensuites, Patient Toilets
3. Chemotherapy Treatment Areas including:
OPD
Treatment chair or bed bays
Isolation rooms as required
Ensuites, Patient Toilets
Treatment Room - Cytotoxic room/ day care
oncology ward- medical and hematology oncology wards for both adult and pediatric population.
Day care facility
4. Radiation treatment area including:
OPD
Treatment chair or bed
2
Brachy therapy unit
CT Simulation
Teletherapy unit
Day care
Waiting room
Brachytherapy OPD
5. Surgical treatment area include:
OPD
Surgical OT
Waiting room
Surgical oncology ward
Day care
6. Others-
ICU
Isolation Ward
Bone marrow transplantation Unit
Blood bank
Pharmacy
Dialysis
Palliative therapy
Rehabilitation and counselling
Pain clinic
Play area
Prayer room
7. Support Areas including:
Bays for linen, resuscitation trolley, mobile equipment
Clean and Dirty Utilities
Cleaner’s and Disposal rooms
IT/ Communications room
Staff Station
Store Rooms for equipment, general supplies
Property bay for patients
Cafeteria- dining room for doctors, staff, and patient subordinates.
laboratory
8. Administration/ Office Areas with:
Meeting Rooms
Offices and workstations according to the service plan
9. Staff Areas including:
Staff Room
Toilets, Shower and locker areas
10. Medical Imaging (optional) including key imaging modalities required for patient treatment:
CT Scanning rooms with control and computer equipment
General X-ray with processing and reporting areas
MRI with control and equipment rooms, preparation and set-up room Patient waiting, holding bays,
change rooms and toilets.
3
Design and layout:
Layout is designed into 2 floor building by including:
1, Basement which include separate parking for four-wheeler and two-wheeler ,store room & food outlet.
2. Ground floor
3. 1st floor
4
5
Human resources
Medical oncologists and/or haematologists
Surgical oncologists
Medical officers
Trainees (physicians with some training in oncology care but practicing under the supervision of
trained oncologists)
Nurses trained in administration of cancer therapies and supporting patients before, during and after
cancer treatment
Pharmacy staff trained in preparing and monitoring systemic therapy
Multidisciplinary staff
Other support staff (including data and ward clerks)
Nutritionists
Palliative care specialists
HR NORMS
HR Specialists
Norms GDMO 1for 10 beds(critical care area), 1 for 20 beds on
non-critical area
Nurses- 1:1 in ICU, 1:2 step down unit, 1:6 wards and other
areas, OT - 2per OT per shift, 1 nurse around clock
for delivery unit.
Support staff
List of staff requirement for 100 bedded oncology unit
1. Nursing Staff:
Nurse Manager or Nurse in Charge: 8
Registered Nurses (RNs): 40-50
Licensed Practical Nurses (LPNs) or Enrolled Nurses: 10-20
Nursing Assistants: 15-20
2. Medical Staff:
Physicians (including Oncologists, Surgeons, Anesthesiologists): 8-12
Physician Assistants or Nurse Practitioners: 4-6
3. Support Staff:
Unit Secretaries or Administrative Assistants: 5-8
Medical Laboratory Technicians or Clinical Laboratory Scientists:
Radiology Technicians: 5-8
Pharmacists: 5-8
Pharmacy Technicians: 2-4
Respiratory Therapists: 5-8
Physical Therapists: 5-8
Occupational Therapists: 2-4
Social Workers: 2-4
Psychologists or Psychiatrists: 2-4
Nutritionists or Dietitians: 1-2
2-4
6
4. Ancillary Services:
Housekeeping Staff: 10-15
Maintenance Staff: 5-8
Security Staff: 5-8
Transport Staff (for patient transfers): 5-8
IT Support Staff: 2-4
Quality Assurance and Compliance Officers: 2-4
Medical Records and Health Information Management Staff: 5-8
As per IPHS per bed area requirement is of 85 sq.m., so,
Total area for 100 bedded hospital is 8500sq.m.
DISTRIBUTION OF BEDS ACCORDING TO AREAS
Beds 100 beds
Isolation ward/ hematology oncology ward 10 (6 M, 4
F)
Pediatric hematology ward 5
Medical oncology ward 10(6 M, 4
F)
Pediatric Medical oncology ward 8
Surgical oncology ward 10(6 F,4
M)
Pediatric Surgical oncology ward 5
Palliative care 4
Isolation ward 10
Emergency 4
Day care medical 8
Day care hematology 4
Day care surgical 4
B M T unit 4
Surgical OT 2
RADIATION THERAPY UNIT
Brachy therapy
Teletherapy 1
1
Nuclear medicine 2
CT area 2
Radiation OT 1
ICU 5
List of equipment's
SI. Equipment Quantity
NO
.
1. ICU/ hematology ward 10 bedded & pediatric hematology ward 5 bedded
Motorized ICU bed 4 section with mattress 20
Bedside locker 20
Overbed table 20
IV stand with ss rod and castor base 5
7
Bed side stool 5
Bio medical waste bin- small- set of 3 20
Multipara monitor with central station 20
ICU ventilator 20
Syringe pump 20
Infusion pump 4
Laryngoscope 1 adult + 1
children
Thermometer - infrared type 4
AMBU bag adult 3
AMBU bag children 2
Aneroid BP apparatus 2
Ophthalmoscope 2
ECG machine 12 channel 1
Portable ventilator 1
Portable x ray 1
Portable ultrasound 1
Biphasic defibrillator (adult & children) 2
ABG machine with ISE 1
Electronic weighing scale adult 1
Electronic weighing scale children 1
Electronic suction apparatus 3
Patient stretcher 2
Wheel chair- foldable 2
Crash cart 1
Dressing trolley 1
Drug trolley/ medicine cart 2
ECG machine trolley 2
Instrument trolley 2
Oxygen cylinder trolley 2
Glucometer 3
Stethoscope 3
2. Medical oncology ward adult 10 & Medical oncology ward pediatric 8 bedded
Motorized ICU bed 4 section with mattress 18
Bedside locker 18
Overbed table 18
IV stand with ss rod and castor base 18
Bed side stool 18
Bio medical waste bin- small- set of 3 2
Multipara monitor with central station 18
ICU ventilator 3
Syringe pump 18
Infusion pump 18
Laryngoscope 5
Thermometer - infrared type 3
AMBU bag adult 3
AMBU bag children 2
Aneroid BP apparatus 3
Ophthalmoscope 1
ECG machine 12 channel 1
Portable ventilator 1
Portable x ray 1
8
Portable ultrasound 1
Biphasic defibrillator (adult & children) 1,1
ABG machine with ISE 1
Electronic weighing scale adult 1
Electronic weighing scale children 1
Electronic suction apparatus 1
Patient stretcher 3
Wheel chair- foldable 3
Crash cart 2
Dressing trolley 2
Drug trolley/ medicine cart 2
ECG machine trolley 2
Instrument trolley 2
Oxygen cylinder trolley 2
Glucometer 2
Stethoscope 2
Bio safety cabinet 2
3. Surgical oncology ward adult 10 bedded & pediatric surgical oncology ward 4
bedded
Motorized ICU bed 4 section with mattress 14
Bedside locker 14
Overbed table 14
IV stand with ss rod and castor base 14
Bed side stool 14
Bio medical waste bin- small- set of 3 3
Multipara monitor with central station 14
ICU ventilator 2
Syringe pump 5
Infusion pump 5
Laryngoscope 2
Thermometer - infrared type 2
AMBU bag adult 1
AMBU bag children 1
Aneroid BP apparatus 1
Ophthalmoscope 1
ECG machine 12 channel 14
Portable ventilator 2
Portable x ray 1
Portable ultrasound 1
Biphasic defibrillator (adult & children) 1
ABG machine with ISE 1
Electronic weighing scale adult 1
Electronic weighing scale children 1
Electronic suction apparatus 1
Patient stretcher 3
Wheel chair- foldable 2
Crash cart 2
Dressing trolley 2
Drug trolley/ medicine cart 2
ECG machine trolley 2
Instrument trolley 2
Oxygen cylinder trolley 2
9
Glucometer 2
Stethoscope 2
4. Palliative care 4 bedded
Manual bed 4 section with mattres 4
Bedside locker 4
Overbed table 4
IV stand with ss rod and castor base 4
Bio medical waste bin- small- set of 3 1
Portable monitor 1
Syringe pump 4
Infusion pump 4
Laryngoscope adult 1
Laryngoscope children 1
Thermometer - infrared type 1
Glucometer 1
Medication trolly 1
5. Isolation room 10 bedded
Manual bed 4 section with mattres 10
Bedside locker 10
Overbed table 10
IV stand with ss rod and castor base 4
Bio medical waste bin- small- set of 3 10
Portable monitor 1
Syringe pump 5
Infusion pump 5
Laryngoscope adult 1
Laryngoscope children 1
Thermometer - infrared type 5
AMBU bag adult 3
AMBU bag children 2
Aneroid BP apparatus 2
Ophthalmoscope 1
ECG machine 12 channel 1
Electronic weighing scale adult 1
Electronic weighing scale children 1
Electronic suction apparatus 1
Patient stretcher 1
Wheel chair- foldable 1
Crash cart 1
Dressing trolley 1
Drug trolley/ medicine cart 1
ECG machine trolley 1
Instrument trolley 1
Oxygen cylinder trolley 1
Glucometer 2
Stethoscope 2
6. Emergency 4 bedded
Manual bed 4 section with mattres 4
Bedside locker 4
Overbed table 4
IV stand with ss rod and castor base 4
Multi para monitor 4
10
Syringe pump 2
Infusion pump 2
Laryngoscope adult 1
Laryngoscope children 1
Thermometer - infrared type 1
AMBU bag adult 1
AMBU bag children 1
Biphasic defibrillator 1
Electronic weighing scale adult 1
Electronic weighing scale children 1
Crash cart 1
Dressing trolley 1
Drug trolley/ medicine cart 1
Glucometer 1
Stethoscope 1
7. Day care medical 8 /hematology 4 / surgical 4
Ward bed 16
Bed side locker 16
IV stand with ss rod and castor base 16
Biomedical waste bin- small set of 3 3
Crash cart 3
Biosafety cabinet 3
Glucometer 3
Stethoscope 3
8. Bone marrow transplant unit 4 bedded
Biometric lock system 1
HEPA Filters NA
Infusion pumps 4
Syring pump 4
IV Stand 4
Cardiac monitors 2
Refrigerator 1
Laminar hood 1
CO2 incubator 1
Microscope 1
Pipettors NA
Vacuum flask/ aspiration device 2
9. Surgical OT 2 bedded
OT table 2
OT light 2
Anesthesia work station 1
Surgical diathermy 1
Syringe pump 2
Infusion pump 2
Blood fluid warmer 1
Biphasic defibrillator 1
Instrument set 2
Foot step- double 1
Laryngoscope 1
Radiant warmer 1
Thermometer 1
AMBU BAG 1
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Electric suction apparatus 1
Patient stretcher 1
Wheel chair 1
Crash cart 1
Drug trolley/medicine cart 1
Instrument trolley 1
Oxygen cylinder 1
Mayo trolley 1
Glucometer 1
Stethoscope 1
10. Brachytherapy OT 2 bedded
OT table 2
OT light 2
Anesthesia work station 1
Surgical diathermy 1
Syringe pump 2
Infusion pump 2
Blood fluid warmer 1
Biphasic defibrillator 1
Instrument set 2
Foot step- double 1
Laryngoscope 1
Radiant warmer 1
Thermometer 1
AMBU BAG 1
Electric suction apparatus 1
Patient stretcher 1
Wheel chair 1
Crash cart 1
Drug trolley/medicine cart 1
Instrument trolley 1
Oxygen cylinder 1
Mayo trolley 1
Glucometer 1
Stethoscope 1
Examination kit 1
Applicator machine 1
Radiation therapy area
Brachy therapy unit 1
Teletherapy unit 1
Controller system 1
CT simulation 2
MRI 1
PET CT 1
IMRT Machine 1
Applicator 1
Teletherapy machine 1
Immobilizer / mould NA
11. ICU 5 Bedded
Manual bed 4 section with mattres 5
Bedside locker 5
Overbed table 5
12
IV stand with ss rod and castor base 5
Bio medical waste bin- small- set of 3 1
Portable monitor 5
Syringe pump 5
Infusion pump 5
Laryngoscope adult 3
Laryngoscope children 1
Thermometer - infrared type 3
AMBU bag adult 2
AMBU bag children 1
Aneroid BP apparatus 3
Ophthalmoscope 2
ECG machine 12 channel 1
Electronic weighing scale adult 1
Electronic weighing scale children 1
Electronic suction apparatus 3
Patient stretcher 3
Wheel chair- foldable 3
Crash cart 1
Dressing trolley 1
Drug trolley/ medicine cart 1
ECG machine trolley 1
Instrument trolley 1
Oxygen cylinder trolley 1
Glucometer 1
Stethoscope 1
Tracheostomy kit 3
Intubation kit 3
Recurring cost breakup for 100 bedded cancer hospital
S.no. Particulars Costs
Non-HR recruiting cost (Including equipment 5,000,000
maintenance, O2 filling, teleconsultation,
BMW, etc.
Human resources
Specialist 7 84,00,000
GDMO19 1368,0000
Nurses 129 4644,0000
Allied health professionals 9 27,00,000
Support staff 12 288,0000
Sub HR cost per year 74100,000
total
Sub Non- HR recruiting cost 50,00,000
total
Total 7,91,00,000
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References
https://hfsrb.doh.gov.ph/wp-content/uploads/2022/05/Planning-and-Design-Guidelines-AO2022-
0012.pdf
https://www.healthfacilityguidelines.com/ViewPDF/ViewIndexPDF/iHFG_part_b_oncology_medical_
chemotherapy
https://main.mohfw.gov.in/sites/default/files/Guideline%20on%20Critical%20Care%20Hospital%20Bl
ocks_PM-ABHIM.pdf
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