This document provides guidance on designing an intensive care department (ICU) including space requirements and area calculations. It outlines the necessary spaces and estimated areas for an ICU with 10 beds, including a 160m2 common room, storage, offices, and support spaces totaling 605m2 of essential area and 95m2 of desirable area. The total area required is within the allowed 900m2 for the department. Isolation rooms would be needed based on the number of beds and level of care.
2. Scale of architectural drawings
Understanding floor plan symbols
How to read a floor plan
How to read Stairs
Furniture, Fixtures, Fittings, and Finishes
Measurements - Size and Width, Furniture and Use
Autocad basics
7. Stairs
Stairs are drawn as a series of rectangles usually with a direction arrow indicating
whether the stairs travel up to the next higher floor or down. Where the stair
rises 3 ft above the floor it is cut with a diagonal line. Stairs above the “cut line”
are shown with dashed lines.
27. ICU%design%requirements.
• The objectives of an ICU are the monitoring and support of threatened or failing vital
functions in critically
• Shared protocols between the ICU and other departments of the hospital (e.g., the emergency
department) enhance throughput and decrease overall hospital mortality of critically ill
patients
Location
An ICU will be situated in a hospital with appropriate departments to ensure that the
multidisciplinary needs of intensive care medicine are met . Surgical and medical
diagnostic and therapeutic facilities must be represented, and medical, anesthesiological,
surgical, and radiological consultants must be available for ICU purposes on a 24 h/day
basis
The size of the unit is also influenced by the geographical and economic situation.
28. ICU%design%requirements.
• Radiology technician. Should be on call around the clock. Interpretation of the
medical imaging by the radiologist must be available at all times.
• Dietician. Should be on call during normal working hours.
• Psychologist. Should be available to consult during normal working hours.
• Clinical pharmacist. Should be available to consult during normal working hours. A
sufficient collaboration with pharmacy is of particular importance with respect to
patient safety.
LOC(s) = Level(s) of care
FTE = full time equivalent
Different LOCs may be present in the same ICD. Ac- cording to the LOC, each item is scored
with either
E = Essential
D = Desirable
O = Optional
– = Not required
29. OPERATING%RATIONALE%AND%BASIS%OF%
CRITERIA%
• Radiology Services, as used in these criteria, includes all diagnostic imaging
modalities such as radiology, fluoroscopy, computed tomography (CT),
interventional radiology, ultrasound, mammography, and bone densitometry.
Example
The general planning model for VA facilities assumes 250 Operating Days per Year and 8
Hours of Operation per Day. Room capacity will fluctuate as hours of operation are modified,
i.e., additional capacity may be generated by extending the daily hours of operation within the
same physical setting. Basic Room Efficiency Factor is 80%.
30. • Modalities with routine, scheduled procedures and backup equipment
(more than one piece of the same type of equipment in the
department) should plan for an efficiency factor of 85%.
• Example: Assume a procedure room that averages 30 minute per
procedure/suite stop:
• A maximum capacity of 4,000 procedures/suite stops per year,
assuming 100% utilization. However, 100% utilization is not realistic
to achieve, thus, it is not realistic as a design standard. Apply Room
Efficiency Factor:
• 4,000 x 80% = 3,200 annual procedures.
36. • level of care (LOC) III
• 8 beds in a common room
• 3 full time ICU physicians.
Note: the allowed area for the department
is 700 m2
Design an Intensive Care
Department ICD
37. Area calculation
• The totalarea of the unitshouldbe 2.5–3
timesthe area devotedtopatientcare.
• We have 8 bedsin commonroom
Thenthe minimumarea of ICU mustbe
400 - 480 m2 ………seethe reference
• Thisdesign ignoresthe isolatedroomstofit
the available area (700 m2)
42. • Nurse/patient ratio 1/1
• Approximate*number*of*full[time* equivalents* to*run*
1*ICD*bed
• 2.5–3*times*surface*of*specific*patient*care*area
• rectangular*floor*plan*
• wide*doorways*(bed*passage)
• 2.5*m*traffic*area*beyond*working*area*
• wide*doorways*(bed*passage)
• daylight*source*per*cubicle*
• Storage**maximum* 30*m*distance*from*patient*area
• Toilet*facilities*
• Receptionist’s*office*include:
o Position*with*access*control
o To*unit*EDO*Separate*professional* and*visitor
entrance
o Telephone,* intercom*
43. Assignment
! Design ICU department with
• level of care (LOC) III
• 10 beds in a common room
• 3 full time ICU physicians.
! Determine How many isolation rooms needed.
! Decide if the area is adequate or not
The allowed area for the department is 900 m2