18. •Physician:
• Medical director/consultant incharge: the incharge
should have special training and experience in the care
of critically ill children.
• He or she must be available full time for regular clinical,
administrative and educational activities of the unit.
MR. AMAR MULLA, M. Sc. (N), PhD SCHOLAR
19. The responsibilities of the incharge includes:
• Quality control
• Coordination of multiple sub speciality services
• Maintenance
• Calibration and replacement of equipment
• Organization of educational and research activities
• Staff development and improvement in standards of care
• Collection of statistical data necessary for evaluation of the unit’s
effectiveness
• Implementation of policies and procedures.
MR. AMAR MULLA, M. Sc. (N), PhD SCHOLAR
20. • House staff (residents): for a 24 hours “in-house” coverage, a house
staff (resident) is a must. He or she should be exclusively designated for
PICU. He or she must be trained in cardiopulmonary resuscitation and
intubation.
• On-call cover by sub speciality pediatricians, pediatric surgeons, and
anesthetists.
• Nurses: nurses are the most important staff in any PICU for the actual
delivery of critical care. The ideal nurse patient ratio is 1:1, the
minimum is one nurse per three patients in the unit all the time.
MR. AMAR MULLA, M. Sc. (N), PhD SCHOLAR
22. • Respiratory therapist: respiratory therapist are an important part of ICU
team in the developed countries. At least one respiratory therapist should be
available round the clock.
• Other members:
• A biomedical and a laboratory technician
• A unit clerk to handle patient and administrative paper work
• A physiotherapist should be assigned specifically for PICU
• Adequate coverage by a nutritionist should be available
• A social worker is valuable in socio-psychological evaluation and family
support.
MR. AMAR MULLA, M. Sc. (N), PhD SCHOLAR