Reference taken from : Kunders G.D. "Hospital facilities planning & management George M.A. "The Hospital admiistrator" , Jaypee Brothers

1. By : Ms. Bhavna Nayak
B.Sc. Nursing ,MHA
INTENSIVE CARE UNIT

2. Specialty Nursing Units designed ,equipped &
staffed with especially skilled personnel for treating
very critical patients or those requiring specialized
care & equipments.
DEFINITIONS

3. Improve the Patient’s Physiological Status
MAIN OBJECTIVE
Objective

4. Concentrate in One Centralized area –
Close Observation & Skilled Nursing Care by specialized trained personnel.
Enhance Physician’s ability -
use of highly skilled support personnel & with the help of specialized & modern equipment
Timely diagnosis –
Provide close supervision to monitor data reading regarding physiological functions
Efficient utilization of highly skilled personnel & Modern Equipment
FUNCTIONS

5. One Suggests that ICUs Should be in
centralized place and be contiguous
with or readily accessible to one
another than only if the patient
admitted to the medical surgical
intensive care unit might have or
suddenly develop , cardiac
complications can be treated easily.
The second thought favors that
location should be dependent on the
type of patients .
Eg. Surgical ICU near to the OT
while Medical ICU near to the
medical ward
LOCATION
TWO SCHOOL OF THOUGHTS
Every hospital should weigh the advantages & disadvantages of these two systems
carefully & decide which one suits its needs.

6. Should be close to the
 Emergency department
 Operating room
 Recovery room
 Respiratory therapy
 Laboratory & Radiology
Should not be too far away from General Nursing Units
Should be away from Heavy traffic & noise
REMEMBER

7.  Individual rooms with full height glass wall in between
 Corridors
 In case individual room can not be provided – Curtain/Cubicle screening
is recommended
 Privacy is must
 Entrance doors should be wide enough ( preferably 1.11 meters/1.12
meters )
 Rooms should be at least 11.14sq. Meters with free unencumbered
movable space surrounding to the beds
 Considerable storage space – to stock a large number of essential items
 Isolation room in each ICU
FACILITIES & SPACE
REQUIREMENT

8.  Rooms should be sound proofed & air conditioned
 All toilers should allow wheel chairs
 Toilets should be provided with Grab Bars & Panic buttons with pull cords
 Each bed location should have storage cabinet & a writing surface
 Nursing station with adequate space for charting & monitoring – so
located that nurse have visual contact with each patient
 In Large Units – More than one Nursing stations needed
 Central Control System – to seat two/three persons only
FACILITIES & SPACE
REQUIREMENT

9.  Minimum amount of furniture & should be movable
 Other equipments can be wall fixed
 Mechanically/Electrically operated bed – adjustable to various positions
 Base & mattress should be firm
 Each cubicle should have resuscitation equipment
 One or more emergency cart /crash cart/red cart /blue cart
 Items which should be placed on a wall at the Head End /On a Free Standing column
1. Medical Gas outlets –
• One for compressed air
• Two for oxygen
• Two for suction
2. Nurse Call Button
3. Telephone Outlet
4. Electrical Outlet
5. B.P. apparatus
6. Recessed plastic pan below the medical gas module to hold vacuum bottles .
EQUIPMENTS

10.  A treatment room
 One room for special procedures – emergency invasive procedures
 One /Two beds may be supplied with wall mounted Dialysis machines
 Clean linen Storage area
 A soiled holding & working area with clinical sink & Hand washing facilities
 Storage for housekeeping supplies
 Lockable Drug Storage for controlled drugs
 Hand Washing facilities for staff
 Facilities for physician for charting & dictations
 Multipurpose rooms for conferences /demonstrations/training sessions for patient’s families
 Staff lounges
 Duty Doctor room with sleeping accommodation.
 Family Waiting Room with toilet facilities & Pay Phone facilities
 Casual visiting should be discouraged .
OTHER FACILITIES