The document provides information on the design and layout of a paediatric intensive care unit (PICU). It discusses the types of patients admitted, including those with critical organ dysfunction or at high risk of it. It emphasizes the importance of assessing patient load and illness types to determine the need for a PICU. The physical layout should allow for minimum transport time and adequate space between patients. Required spaces include areas for nursing activities, doctors, conferences, storage, and clean/soiled utilities.
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1. DESIGN AND LAYOUT OF
PAEDIATRIC UNIT
PRESENTED BY:
NURSING DEPARTMENT
MR. AKSHAY WANKHEDE , M. Sc. (N)
2.
3.
4.
5. TYPES OF PATIENTS ADMITTED IN PICU
• Three types of patients are admitted to the PICU:
• Those who have critical dysfunction of vital organs
• Those who have a high chance of critical dysfunction of vital organs
in the immediate period ahead.
• Those who require extra nursing care.
7. DESIGNANDLAYOUT
• Points to be considered in establishing a new PICU:
• The first consideration in establishing a new PICU is to
document the need for such a unit in a given set up.
• Since PICU is an integral part of health care services
being offered in a particular set up, an assessment of its
need should be primarily based on the existing patient
load and type of illness cared for.
8. • Availability of committed and appropriately trained staff,
and adequate resources are other important
considerations.
• An institution providing paediatric intensive care should
be capable of providing 24 hours accessibility to a broad
range of paediatric sub specialities as these are essential
for optimal care.
16. Location:
• A PICU should be located adjacent to or within direct
access to paediatric emergency room, children wards,
radiology department, operating and recovery rooms.
• Transport of patients to and from the unit for diagnostic
and therapeutic procedures should be minimum.
17. Space:
• Adequate provision of space is essential.
• Approximately 20 meter square space should be available
per patient with 3-3.5 meters separating each patient.
• Enough floor space should be provided around the head
end of the bed to assemble necessary personnel and
equipment for resuscitation.
18. In addition, space should be provided for:
• Nursing and clerical activity
• Doctor’s duty room
• Nurse’s locker room
• Conference room
• Offices of nursing supervisor and physician
• Waiting room
• Laboratory
• Storage area for equipments
• Supplies
• Linen and patient belongings
• Aclean and soiled work room
• Toilets
