Icu design and infrastructure
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ICU design requires specialized infrastructure to care for critically ill patients. An ICU contains a patient care zone with private rooms or beds equipped for monitoring and treatment. It also includes clinical support zones for medical staff, unit support zones for administration and staff areas, and family support zones. Proper ICU design supports the integrated care of high-risk patients through features like isolation rooms, telemedicine capabilities, and family accommodations. Experienced consultants can help design ICUs that optimize outcomes, performance and costs according to evidence-based best practices.
Icu design and infrastructure
- 1. ICU design and infrastructure Dr Saurabh Debnath
- 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. 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. Variations in ICUs • Level 3 : dedicated Neuro Coronary care Cardiac surgery Pediaric Neonatal • Level 2 : High dependency Unit • Level 1
- 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. Different zones in ICU • Patient care zone • Clinical support zone • Unit support zone • Family support zone
- 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. 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. Patient care zone • Room décor • Color schemes • Ceiling • Nature view • Clock • Calendar • Avoid geometric patterns/bold patterns
- 10. Isolation • Isolation rooms for immuno-compromised and highly infective patients • Negative pressure isolation • Positive pressure isolation
- 11. Pet visitation • Shown to be therapeutic • Particularly useful for long term patients • Clear hospital policies are mandated
- 12. Clinical support zone • Central location • Interdisciplinary team centre “ITC” • Storage space • Computer/High speed internet • PACS • Communication : telephone, intercom • Wash station
- 13. Clinical support zone • Patient visibility • Central monitor • Remote monitoring (electronic ICU) • Computerized order entry • Mobile data entry device
- 14. Ancillary services • Pharmacy • Laboratory • Imaging • Transport • House keeping • Kitchen • Bio-medical
- 15. Specialized areas • Emergency equipment • Emergency drug cart • Dirty utilities storage • Clean utilities storage • Washroom • Procedure room
- 16. Unit support zone • Administrative functions • Multipurpose conference room • Staff support room on-call room staff lounge lockers
- 17. Family support zone • Family lounge • Signage and way-finding • Environmental considerations • Consultation rooms • Meditation spaces • Family sleep rooms • Family nourishment
- 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. Thank you