Intensive Care Unit. زهرا منتظرتربتی. کارشناسی ارشد. Types. Specialized types of ICUs include:. Neonatal intensive-care unit( NICU ) Special Care Nursery ( SCN ) Pediatric intensive-care unit ( PICU ) Psychiatric intensive-care unit ( PICU ) Coronary care unit ( CCU )
Specialized types of ICUs include:
Neonatal intensive-care unit(NICU)
Special Care Nursery (SCN)
Pediatric intensive-care unit (PICU)
Psychiatric intensive-care unit (PICU)
Coronary care unit (CCU)
Cardiac Surgery intensive-care unit (CSICU)
Cardiovascular intensive-care unit (CVICU)
Medical intensive-care unit (MICU)
Medical Surgical intensive-care unit (MSICU)
Surgical intensive-care unit (SICU)
1 ISOLATION BED FOR EVERY 10 ICU BEDS
• or within direct elevator travel to and from, the Emergency Department, Operating Room, Intermediate care units, and the Radiology Department.Partitions
Privacy partitions should be of material that is easily cleaned and
should be cleaned weekly and any time that it becomes soiled or
contaminated. If curtains are used, they should be changed weekly
and between patients.
Central Station. or within direct elevator travel to and from, the Emergency Department, Operating Room, Intermediate care units, and the Radiology Department.
provide a comfortable area of sufficient size to
accommodate all necessary staff functions.
There must be adequate overhead
and task lighting, and a wall mounted clock should be present.
space foAdequate r computer terminals and
printers is essential
BULLETIN BOARD, AND/OR PILLOW SPEAKER CONNECTED TO RADIO AND TELEVISION.
Work Areas and Storage ASPECT OF SENSORY ORIENTATION; HELPS TO REINFORCE DAY/NIGHT ORIENTATION.
should be located within or
immediately adjacent to each ICU.
it should be located so that all visitors must pass by this area before entering
It is desirable to have a visitors'
entrance separate from that used by healthcare professionals.
Medication preparation ASPECT OF SENSORY ORIENTATION; HELPS TO REINFORCE DAY/NIGHT ORIENTATION.
Medication prep areas should be separate from patient care areas and
should be maintained as a clean area.
Physician On-Call Rooms SQUARE FEET CONTAINING A REFRIGERATOR FOR PHARMACEUTICALS, A DOUBLE LOCKING SAFE FOR CONTROLLED SUBSTANCES, AND A TABLE TOP FOR PREPARATION OF DRUGS AND INFUSIONS.
should be available close to the
Toilet and shower facilities should be provided
On-call rooms must be linked to the ICU(s) by telephone
and/or voice intercommunication system
cardiac arrest/emergency alarms must be audible in these rooms
mechanical ventilators to assist breathing through
cardiac monitors including
dialysis equipment for renal problems
drains and catheters
a wide array of drugs to treat the primary condition(s) of hospitalization
Electrical Power functions
Electrical service to each ICU should be provided by a separate feeder connected to
the main circuit breaker panel that serves the branch circuits in the ICU.
The main panel should also be
connected to an emergency power source that will quickly re-supply power in the event of power interruption.
critical that the ICU staff have easy access to the main panel in case power must be interrupted for an electrical
Water Supply functions .
The water supply must be from a certified source
especially if hemodialysis is to be
Hand-washing sinks deep and wide enough to prevent splashing,
Oxygen, Compressed Air functions
oxygen outlets per patient are required
One compressed air outlet per bed is required; two are desirable
Connections for oxygen and compressed air outlets must occur by keyed plugs to prevent the accidental
interchanging of gases
Audible and visible low and high pressure alarms must be installed both in each ICU
General overhead illumination plus light from the surroundings should be adequate for routine
nursing tasks, including charting
create a soft lighting environment for patient comfort.
It is preferable to place lighting controls
located just outside of the room.
This permits changes in lighting at night from outside the room, allowing a
minimum disruption of sleep during patient observation.
Separate lighting for emergencies and procedures should be located in the ceiling directly above the patient
Guidelines for Intensive Care Unit Design –
Crit Care Med 1995 Mar; 23(3):582-
John, G. Essentials of Critical Care, Edition IV,
(2003), Shakti Prints, Vellore.
Worthley, L.I.G. Clinical Examination of the
Critically Ill Patient, Edition II, (2000), The
Australasian Academy of Critical Care Mediicne,