Intensive care services

PLANNING AND ORGANIZATION OF INTENSIVE CARE SERVICES DR.N.C.DAS

PLANNING AND ORGANIZATION OF INTENSIVE CARE SERVICES ,[object Object],[object Object],[object Object],[object Object],ICU PLANNING COMMITTEE MEDICAL SUPERINTENDENT NURSING SUPERINTENDENT HODs ANAESTHESIA CPWD ARCHITECT SURGEON, NEURO SURGEON PLYSICIAN, PAEDIATRICIAN

DECISION MAKING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PRE-REQUISITE ,[object Object],[object Object],[object Object],[object Object],[object Object]

PHYSICAL PLANNING PHYSICAL PLANNING LOCATION PHYSICAL FACILITIES DESIGNING ENVIROMENTAL PLANNING SIZE

ORGANIZATION STAFFING POLICIES & PROCEDURES TYPE OF ICU ADMISSION CRITERIA

LOCATION: ,[object Object],[object Object],[object Object],[object Object],SIZE: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DESIGNING OF ICU PRINCIPLE OF DESIGNING ALL PATIENTS CAN BE CLOSELY OBSERVED PIPED GAS SUPPLY AMPLE SPACE AROUND BED FOR FREE MOVEMENT ADEQUATE LIGHT & ELECTRIC FIXTURES

LAY OUT DESIGNING ,[object Object],[object Object],[object Object],[object Object],[object Object]

PHYSICAL FACILITIES PHYSICAL FACILITIES PATIENT AREA ENTRANCE AUXILLARY AREA ANCILLARY AREA

ENTRANCE TO ICU ENTRANCE BROAD CORRIDOR TOILET RECEPTION COUNTER CHANGING ROOM, SHOES,GOWN, MASKS ENTRANCE DOUBLE DOOR SWINGING 5’ TO 6’ WIDTH TELEPHONE VISITORS LOUNGE 2 sq ft/ VISITOR SNACK BAR

PATIENT CARE AREA PATIENT CARE BED SPACE EQUIPMENTS NURSING MONITORING STATION HAND WASHING CALL BELL SYSTEM WALL FIXERS

BED SPACE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BED HEAD FIXTURES AND CALL BELL SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EQUIPMENTS ,[object Object],[object Object],[object Object],[object Object],NURSING STATION ,[object Object],[object Object],[object Object],[object Object]

AUXILLARY AREA AUXILLARY AREA MEDICATION & NURSING AREA ISOLATION ROOM/ AREA PANTRY CLEAN & DIRTY UTILITY ROOM DOCTOR’S DUTY ROOM DRESSING ROOM STORE EQUIPMENT MAINTENANCE NURSES CHANGING AREA

ISOLATION AREA The working area is equal to total bed area and separated by clean corridor from patient area. This area has the 14 sq yards area comprises of :- ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ANCILLARY AREA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MEDICAL ENVIRONMENT Air Condition: ,[object Object],[object Object],[object Object],Ventilation: ,[object Object],[object Object],[object Object],Lighting: ,[object Object],[object Object],[object Object],[object Object],Noise: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ORGANIZATION OF ICU SERVICES ORGANIZATION STAFFING POLICIES & GUIDELINES TYPES ADMINISTRATION ADMISSION CRITERIA

TYPES OF ICU There are four ways of organizing an ICU. ICU TRADITIONAL BY CLENTRALLY BY ORGAN SYSTEM BY CLINICAL SYNDROME ,[object Object],[object Object],[object Object],[object Object]

STAFFING STAFFING NURSING STAFF ANCILLARY STAFF MEDICAL STAFF TECHNICAL STAFF

STAFF REQUIRED PER SHIFT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Per Shift ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Per Shift ,[object Object],[object Object],[object Object],[object Object],[object Object],Per Shift

ORGANOGRAM OF ICU HOD (Anaesthesia) Director ICU (Anaesthesia) Physician 24 hours ANS Nursing Staff 24 hours Supporting Staff Technical Staff Respiratory Physiotherapist ICU Tech. Lab. Tech Receptionist Safety Officer Bio-Med. Engg . Bio- Med. Tech .

ADMISSION AND TREATMENT POLICY ICU is a place for potentially salvageable critically ill patient in need of constant monitoring, life support and requiring specialized treatment and trained nursing care . LEVEL OF ICU CARE LEVEL-I LEVEL-II LEVEL-III ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ADMISSION CRITERIA ,[object Object],[object Object],[object Object],CRITERIA TRAUMA/ HEAD INJURY TRANSPLANTATION PATIENT MAJOR OPERATION REQUIRING VITAL MONITORING TOXAEMIA & SEPTICEMIA REQUIRING AIRWAY SUPPORT & ARTIFICIAL VENTILATION HAEMORRHAGIC SHOCK ELECTROLYTIC IMBALANCE

TREATMENT POLICY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

POLICIES AND PROCEDURES ,[object Object],[object Object],[object Object],[object Object],STAFF STANDING ORDER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DISCHARGE POLICY ,[object Object],[object Object],[object Object],[object Object]

QUALITY ASSURANCE IN ICU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

INTENSIVE CORONARY CARE UNIT ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hospital Administration Made Easy http//hospiad.blogspot.com An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator. hospi ad DR. N. C. DAS

Intensive care services

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Intensive care services