ICU SETTING.ppt
- 1. CONCEPT OF CRITICAL CARE
- 4. Critical care nursing is that specialty within nursing that deals specifically with human responses to life-threatening problems.
- 5. Critical care nursing is that specialty within nursing that deals specifically with human responses to life-threatening problems.
- 34. •Window and art that provides natural views; views of nature can reduce stress, hasten recovery, lower blood pressure and lower pain medication needs. •Family participation ,including facilities for overnight stay and comfortable waiting rooms.
- 35. • Providng a measure of privacy and personal control through adjustable curtains and blinds ,accessible bed controls ,and TV ,VCR and CD players. • Noise reduction through computerized pagers and silent alarms. • Medical team continuity that allows one team to follow the patient through his or her entire stay.
- 36. FLOOR PLAN AND DESIGN IT SHOULDBE BASEDON:- • Patient admission pattern • Staff & visitor traffic patterns • Need for support facilities such a nursing station ,Storage • Administrative & educational requirements. • Services that are unique to the individual institution.
- 37. FLOOR PLAN AND DESIGN
- 38. FLOOR PLAN AND DESIGN • Each intensive care unit should be a geographically distinct area within the hospital, when possible, with controlled access. • No through traffic to other departments should occur. Supply and professional traffic should be separated from public/visitor traffic. • Location should be chosen so that the unit is adjacent to, or within direct elevator travel to and from, the Emergency Department, Operating Room, intermediate care units, and Radiology Department
- 39. PATIENT AREAS.:- Patients must be situated so that direct or indirect (e.g. by video monitor) visualization by healthcare providers is possible at all times. This permits the monitoring of patient status under both routine .and emergency circumstances. The preferred design is to allow a direct line of vision between the patient and the central nursing station. In ICUs with a modular design, patients should be visible from their respective nursing substations. Sliding glass doors and partitions facilitate this arrangement, and increase access to the room in emergency situations.
- 40. RECOMMENDED NOISE RANGES Signals from patient call systems, alarms from monitoring equipment, and telephones add to the sensory overload in critical care units. The International Noise Council has recommended that noise levels in hospital acute care areas • not exceed 45 dB(A) in the daytime, • 40 dB(A) in the evening, • 20 dB(A) at night. Notably, noise levels in most hospitals are between 50-70 dB(A) with occasional episodes above this range
- 42. CENTRAL STATION
- 45. RECEPTION AREA
- 46. • Each ICU or ICU cluster should have a receptionist area to control visitor access. • Ideally, it should be located so that all visitors must pass by this area before entering. • The receptionist should be linked with the ICU(s) by telephone and/or other intercommunication system. • It is desirable to have a visitors' entrance separate from that used by healthcare professionals. • The visitors' entrance should be securable if the need arises.
- 48. Clean and Dirty Utility Rooms. • Clean and dirty utility rooms must be separate rooms that lack interconnection. • They must be adequately temperature controlled, and the air supply from the dirty utility room must be exhausted. • The clean utility room should be used for the storage of all clean and sterile supplies, and may also be used for the storage of clean linen.
- 49. Clean and Dirty UtilityRooms. • Shelving and cabinets for storage must be located high enough off the floor to allow easy access to the floor underneath for cleaning. • Special containers should be provided for the disposal of needles and other sharp objects.
- 50. Equipment Storage An area must be provided for the storage and securing of large patient care equipment items not in active use.
- 51. Nourishment Preparation Area • A patient nourishment preparation area should be identified and equipped with food preparation surfaces, a sink with hot and cold running water, a countertop stove and/or microwave oven, and a refrigerator. • The refrigerator should not be used for the storage of laboratory specimens. • A hand washing facility should be located in or near the area.
- 52. Staff Lounge. • A staff lounge must be available on or near each ICU or ICU cluster to provide a private, comfortable, and relaxing environment. • Secured locker facilities, showers and toilets should be present. • The area should include comfortable seating and adequate nourishment storage and preparation facilities, including a refrigerator, a countertop stove and/or microwave oven. • The lounge must be linked to the ICU by telephone or intercommunication system, and emergency cardiac arrest alarms should be audible within.
- 53. Conference Room.
- 55. • Voice Intercommunication Systems • Satellite Laboratory • Physician On-Call Rooms • Administrative Offices