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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-thr...
ICU is not just a ward
• dedicated medical, nursing and allied health
staff
• defined policies and procedures
• quality im...
Variations in ICUs
• Level 3 : dedicated Neuro
Coronary care
Cardiac surgery
Pediaric
Neonatal
• Level 2 : High dependency...
ICU position
• Near relevant acute care areas
• Safe transport facilities : Horizontal
Vertical
• Lifts, Doors, Corridors
...
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 ...
Patient care zone
• Natural light : large clear windows
• Diminish glare
• Diminish sound levels
• Air-conditioning : emph...
Patient care zone
• Room décor
• Color schemes
• Ceiling
• Nature view
• Clock
• Calendar
• Avoid geometric patterns/bold ...
Isolation
• Isolation rooms for immuno-compromised
and highly infective patients
• Negative pressure isolation
• Positive ...
Pet visitation
• Shown to be therapeutic
• Particularly useful for long term patients
• Clear hospital policies are mandat...
Clinical support zone
• Central location
• Interdisciplinary team centre “ITC”
• Storage space
• Computer/High speed inter...
Clinical support zone
• Patient visibility
• Central monitor
• Remote monitoring (electronic ICU)
• Computerized order ent...
Ancillary services
• Pharmacy
• Laboratory
• Imaging
• Transport
• House keeping
• Kitchen
• Bio-medical
Specialized areas
• Emergency equipment
• Emergency drug cart
• Dirty utilities storage
• Clean utilities storage
• Washro...
Unit support zone
• Administrative functions
• Multipurpose conference room
• Staff support room
on-call room
staff lounge...
Family support zone
• Family lounge
• Signage and way-finding
• Environmental considerations
• Consultation rooms
• Medita...
• Design of critical care facilities has an impact
on : organizational performance
clinical outcomes
cost of care delivery...
Thank you
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Icu design and infrastructure

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Icu design and infrastructure

  1. 1. ICU design and infrastructure Dr Saurabh Debnath
  2. 2. 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
  3. 3. 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
  4. 4. Variations in ICUs • Level 3 : dedicated Neuro Coronary care Cardiac surgery Pediaric Neonatal • Level 2 : High dependency Unit • Level 1
  5. 5. 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
  6. 6. Different zones in ICU • Patient care zone • Clinical support zone • Unit support zone • Family support zone
  7. 7. 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
  8. 8. 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
  9. 9. Patient care zone • Room décor • Color schemes • Ceiling • Nature view • Clock • Calendar • Avoid geometric patterns/bold patterns
  10. 10. Isolation • Isolation rooms for immuno-compromised and highly infective patients • Negative pressure isolation • Positive pressure isolation
  11. 11. Pet visitation • Shown to be therapeutic • Particularly useful for long term patients • Clear hospital policies are mandated
  12. 12. Clinical support zone • Central location • Interdisciplinary team centre “ITC” • Storage space • Computer/High speed internet • PACS • Communication : telephone, intercom • Wash station
  13. 13. Clinical support zone • Patient visibility • Central monitor • Remote monitoring (electronic ICU) • Computerized order entry • Mobile data entry device
  14. 14. Ancillary services • Pharmacy • Laboratory • Imaging • Transport • House keeping • Kitchen • Bio-medical
  15. 15. Specialized areas • Emergency equipment • Emergency drug cart • Dirty utilities storage • Clean utilities storage • Washroom • Procedure room
  16. 16. Unit support zone • Administrative functions • Multipurpose conference room • Staff support room on-call room staff lounge lockers
  17. 17. Family support zone • Family lounge • Signage and way-finding • Environmental considerations • Consultation rooms • Meditation spaces • Family sleep rooms • Family nourishment
  18. 18. • 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
  19. 19. Thank you

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