Icu design and infrastructure
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Icu design and infrastructure

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Icu design and infrastructure Icu design and infrastructure Presentation Transcript

  • ICU design and infrastructure Dr Saurabh Debnath
  • What is an ICU • specially staffed and equipped area of a hospital • dedicated to the management of patients with life-threatening illnesses, injuries or complications • concentrating the sickest patients in one area is beneficial
  • ICU is not just a ward • dedicated medical, nursing and allied health staff • defined policies and procedures • quality improvement, continuing education and research programmes • provides an integrated service to the hospital • without which many programmes (e.g. cardiac surgery, trauma, transplantation) could not function
  • Variations in ICUs • Level 3 : dedicated Neuro Coronary care Cardiac surgery Pediaric Neonatal • Level 2 : High dependency Unit • Level 1
  • ICU position • Near relevant acute care areas • Safe transport facilities : Horizontal Vertical • Lifts, Doors, Corridors • Single entry and exit point • Manned by unit receptionist • Whole area = 3 times the patient care area
  • Different zones in ICU • Patient care zone • Clinical support zone • Unit support zone • Family support zone
  • Patient care zone • Per bed space : 4 feet at head and leg end 6 feet on either side • Outlets per bed space : 4 oxygen 3 air 3 suction 16-20 power outlets • Flat, Column, Boom configuration • Multi panel monitor • Bedside illumination
  • Patient care zone • Natural light : large clear windows • Diminish glare • Diminish sound levels • Air-conditioning : emphasis on patient comfort • Beds : multi-functional • Single vs Multibed rooms • Data entry desk
  • Patient care zone • Room décor • Color schemes • Ceiling • Nature view • Clock • Calendar • Avoid geometric patterns/bold patterns
  • Isolation • Isolation rooms for immuno-compromised and highly infective patients • Negative pressure isolation • Positive pressure isolation
  • Pet visitation • Shown to be therapeutic • Particularly useful for long term patients • Clear hospital policies are mandated
  • Clinical support zone • Central location • Interdisciplinary team centre “ITC” • Storage space • Computer/High speed internet • PACS • Communication : telephone, intercom • Wash station
  • Clinical support zone • Patient visibility • Central monitor • Remote monitoring (electronic ICU) • Computerized order entry • Mobile data entry device
  • Ancillary services • Pharmacy • Laboratory • Imaging • Transport • House keeping • Kitchen • Bio-medical
  • Specialized areas • Emergency equipment • Emergency drug cart • Dirty utilities storage • Clean utilities storage • Washroom • Procedure room
  • Unit support zone • Administrative functions • Multipurpose conference room • Staff support room on-call room staff lounge lockers
  • Family support zone • Family lounge • Signage and way-finding • Environmental considerations • Consultation rooms • Meditation spaces • Family sleep rooms • Family nourishment
  • • Design of critical care facilities has an impact on : organizational performance clinical outcomes cost of care delivery • engage experienced consultants who will collaborate with the users and make key design decisions on the basis of best current evidence
  • Thank you