ICU Portfolio Sample

ICU Portfolio Sample
Coordinate by : Md. Nawab Ali
Prepared by: Md. Serajul Islam
1
Mar.
30
PROJECT PROFILE
ICU Unit
INTRODUCTION OF ICU:
An intensive care unit (ICU), also known as special department of a hospital or health care
facility that provides intensive treatment medicine.
An ICU should accommodate as a minimum at least 4 beds with 8-12 beds considered as the
optimum. Larger ICU may create separate specialized functional sub units with 6-8 beds sharing
the same geographical, administrative and other facilities.
Treatment:
Intensive care units cater to patients with severe and life-threatening illnesses and injuries, which
require constant, close monitoring and support from specialist equipment and medications in
order to ensure normal bodily functions. They are staffed by highly trained doctors and nurses
who specialize in caring for critically ill patients. It is preferably an independent unit or
department with controlled access that functions as a closed unit under the full medical
responsibility of the ICU staff in close concert with the referring medical specialists.
DESIGN PROCESS:
An effective ICU design must be flexible enough to accommodate changing care practices &
advances in the technology.
Number of intensive care beds will depend on the Current/future developments of the hospital.

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Mar.
30
When designing the unit attention must be given to the following aspects.
 Allocation of adequate funds.
 Cost Evaluation
 Level of ICU / Levels of care provided
 Number of beds
 Patient safety and prevention of infection programmers
 Location in the hospital
 Structural designing
 Multidisciplinary or specialized ICU -to prioritize equipment
 Transition in case of relocation of an existing unit during construction
LOCATION:
Safe, easy & fast transport of a critically ill patient should be priority in planning its location.
Therefore, the ICU should be located in close proximity to ETU/ER, Operating theatres, trauma
ward, medical imaging department and functional diagnostic facilities (eg.Catheter lab, dialysis,
and endoscopy)
INDIVIDUAL AREAS/ROOMS:
Overall ICU floor plan and design should be based upon patient admission patterns, staff and
visitor traffic patterns and the need for support facilities such as nursing station, storage, clerical
space, administrative and educational requirements and services etc.
The floor plan should be designed to accommodate the following areas. Need for certain
Areas/rooms may be decided by the design team based on the requirement, space & budget.

3
Mar.
30
Clinical Support spaces:
 Storage rooms
 Equipment Storage area/ Parking Bay
 Laboratory area
 Nourishment preparation area
 Utility Rooms –Clean Utility & Dirty Utility
 Decontamination Room
 Clinical Equipment Service Room (Optional)
 Procedure Room
Patient areas:
 Bed Spaces
 Isolation rooms

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Mar.
30
 Assisted Shower Rooms/ Patient Toilet –wheel chair
 Management Base –Consultant /Duty doctor / Nursing Station and Others .
Staff Areas:
 Offices
 Rest Rooms
 On call Rooms
 Changing rooms (optional)
 Conference & Teaching Area
Public Areas:
 Reception
 Visitor Waiting Area
 Quiet Room/ Doctor Consultation Room
SERVICES OF PATIENT AREA/ROOM:
 Electric or manual ICU bed
 Central nursing/administrative station
 Medical Gas
 Vacuum
 Electrical outlets
 Water supply
 Equipment storage area
 Procedure room
 A clinical hand wash basin
 Medical Utility Distribution Systems
 Storage
 Communication system
 Alarm system -patient & staff emergency call
 Assisted shower rooms/ patient toilet
 A high backed wheel chair
ENVIROMENTAL REQUIREMENT:
 Ventilation& temperature control system
 Lighting
 Electricity supply
 Materials & finishes
 Surfaces
 Floor
 Ceiling
 Walls
 Noise control in ICU

5
Mar.
30
ROOM DECOR & FURNITURE:
 ICU bed
 BEDHED Unit / Pendent.
 Wheels Chair
 Bedside Cabinet
 Clock
 Calendar
 Medicines store Trolley
 Nurse station
 Others
EQUIPMENT RECOMMENDATIONS:
S/N Equipment Per bed space Remarks
1 Electric Bed 01 Capable of attaining chair & Trendelenburg
positions
With provision for CPR
2 Pressure relieving
mattress
01
3 Medical Utility
Distribution System
01 Ceiling mounted twin arm pendants are
favoured
4 Multi parameter
patient monitor
01 Modular –2 Invasive BP,SpO2,NIBP,ECG, RR,
Temp, ETCO2
5 Critical Care
Ventilators
01 With paediatric and adult provisions, graphics
and non invasive modes, each should have
heated humidifier
6 Transport Monitor 01 per 4 beds With an additional battery
7 Transport
Ventilator
01 per 4 beds With an additional battery
8 Non invasive
Ventilators
2 per 4 beds With provision for CPAP and IPAP
9 Infusion Pumps 01 Volumetric with all recent upgraded drug
calculation
10 Syringe Pump 01 With recent upgraded drug calculation

6
Mar.
30
11 Defibrillators 1 per 4 beds With transcutaneous pacing
12 Blood Gas Analyser 01 per 4 beds Arterial blood gases, electrolyte lactate
assessment
13 Ultrasound Machine 01 per unit Linear, curvilinear & echo probes
14 Glucometers 01 per unit
15 Intermittent Leg
Compression
pumps
01 per unit
16 CRRT/HD
machines
01 Per 4 beds
17 Portable X ray unit 01 per unit
18 Respirometer 01
19 Patient Warmers 01
20 Fluid warmers 03 per unit
21 ACT machine 01 per unit
22 Spinal Board 01 per unit
23 Refrigerators 01 per unit
24 Computers 2 per unit
25 Trolley 01 per unit
26 Stethoscopes 02 per unit
27 BP machine 01 per unit
28 ECG Machine 01 per unit
29 X-Ray Film View Box 01 per unit
NB: This is a guide only and is not a complete list.
Pricing Structure:

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Mar.
30
The patient is charged in per bed Tk. 5000/- to 25,000/- for each patient per day. Patient charge
will be variable.
Training:
Our aim is to train new people and open more centers in future. Company selling Medical
Equipments will also train peoples.
Training of service engineer will also be sponsored by the equipment supplier.
Cost of Imported Equipment:
A dialysis unit required the following equipment. The total cost of the equipments will be around
(including taxes).
S.No Description For 4 bed ICU Purpose Remarks
1 Machine Equipment Quantity Unit Price in
Taka.
SUB Price
in Taka.
Electric Bed 01 Per Bed 200000 X 4
Pressure relieving mattress 01 Per Bed 20000 X 4
Critical Care Ventilators 01 Per Bed 1000000 X 4
Multi parameter patient monitor 01 Per Bed 100000 X 4
ECG 01 per unit 100000 X 1
Transport Monitor 01 per 4 beds 100000 X 1
Transport Ventilator 01 per 4 beds 1000000 X 1
Non invasive Ventilators 01per 4 beds 100000 X 1
Infusion Pumps 01 Per Bed 90000 X 1
Syringe Pump 01 Per Bed 70000 X 4
Defibrillator 1 per 4 beds 150000 X 1
Blood Gas Analyzers 01 per unit 150000 X 1
Ultrasound Machin 01 per unit 1000000 X 1
Glucometers 01 per unit 1000 X 1
Intermittent Leg Compression
Pumps
01 per unit
CRRT/HD machines 01 Per 4 beds 1000000 X 1
Portable X ray unit 01 per unit 1200000 X 1
Respirometer 01
Patient Warmers 01 Per Bed 50000 X 1
Fluid warmers 02 per unit 50000 X 1
Center monitor 01 per unit 400000 X 1
Spinal Board 01 per unit 1000X1
Refrigerators 01 per unit 20000 X 1
Computers 2 per unit 25000 X 2
Trolley 01 per unit 50000 X 1
Stethoscopes 02 per unit 500 X 2
BP machine 02 per unit 1000 X 2
Medicine trolley 01 per unit 5000 X 1

8
Mar.
30
X-Ray Film View Box 01 per unit 5000 X 1
Other Expenses (to be considered):
Monthly Expenses:
Personnel & salary estimation
Assumption
DISASTER PREPAREDNESS:
 All ICUs should be designed to handle disasters both within ICU and outside ICU
 A floor plan and evacuation plan of the ICU should be displayed in a highly visible place.
 Within ICU may be fire, accidents and infection or unforeseen incident and outside the
ICU may be major or minor disasters like fire, accidents, terrorist acts etc.
Personnel Quantity Amount in Taka
Consultants 2
Duty Doctors 3
Nurse 5
coordinator 1
physiotherapist 1
Dieticians 1
Ward boy 2
Cleaner 2
Technician 1
Service Engineer 1

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Mar.
30
 There should be adequate firefighting equipment inside ICU and protection from
electrical faults and accidents.
 ICU is a location for infection epidemics, therefore, it is imperative that all protocols and
recommendation practices about infection control and prevention are observed and if
there is a break out, adequate steps taken to control this and disinfect the ICU if indicated.
WASTE DISPOSAL AND POLLUTION CONTROL:
 It is important that all government regulations be strictly complied with
 It is mandatory to have four covered bins (Yellow, blue, Red, Black) provided for each
patient or may be one set between two patients which save space and funds
 Waste material should be kept covered in the dirty utility or other suitable disposal hold
until they are taken away.
CONCLUSION:
After finalizing the project proposal, a time frame should be fixed for completion and the
deadlines strictly adhered to. It is advisable that engineering work be done in a manner that
facilitate repairs whenever needed without jeopardizing patient care.
Recommendations suggest that efficiency may be compromised once total number of beds
crosses.

ICU Portfolio Sample

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