Planning and specification of Intensive Care Units
29
1 Clinical Engineering Development Workshop 2009 Australian Annual Conference of Engineering and Physical Science in Medicine 7 th 8 th of November 2009 Canberra ACT
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This presentation has been designed to give the reader an overview in relation to the different aspects that are to be considered when planning and designing a new intensive care unit within a hospital
Transcript of Planning and specification of Intensive Care Units
11
Clinical Engineering Development Workshop
2009 Australian Annual Conference of Engineering and Physical Science in Medicine
7th 8th of November 2009Canberra ACT
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Specification & Planning Specification & Planning For Intensive Care Units (ICUs)For Intensive Care Units (ICUs)
Achi (A.C.) Kushnir Project Engineer
Electro Medical Unit
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OverviewOverview
Planning ICUPlanning of an ICU Unit
Clinical Service Plan
Equip. Specification/Data Management
The Design Team
Planning ICUs in the future
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Intensive Care Unit - Intensive Care Unit - Background Background
ICUs provide critical care to patients ICUs provide critical care to patients with life threatening illness or injury with life threatening illness or injury
Coordination of clinical expertise, Coordination of clinical expertise, technological and therapeutic technological and therapeutic resources for patients in critical resources for patients in critical condition condition
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* >20% of hospital budget* >20% of hospital budget Average cost per day per patient Average cost per day per patient
between $3000 -$3500 (AUD)between $3000 -$3500 (AUD)
Intensive Care Unit - Intensive Care Unit - Background Background
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ICU Specification ICU Specification
Clinical Service PlanClinical Service Plan
Projected population growth & population Projected population growth & population requirementrequirement
Sources of patientsSources of patients Admission and discharge criteria Admission and discharge criteria Expected rate of occupancy Expected rate of occupancy Economic investmentEconomic investment Work force planning Work force planning Technological resources Technological resources
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Facilities and Space Facilities and Space allocationallocation
Australian Health Facility Guide lines Australian Health Facility Guide lines Room Layout and Data sheetsRoom Layout and Data sheets
ICU Specification ICU Specification
Clinical Service PlanClinical Service Plan
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99
1010
1111
ICU Specification ICU Specification
Data ManagementData Management
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Electronic Medical Records (EMR)Electronic Medical Records (EMR)
Improved quality of care to the patientImproved quality of care to the patient Predictive softwarePredictive software Remote Data Transmission capabilities Remote Data Transmission capabilities Reduction in Admin. TasksReduction in Admin. Tasks Reduction in paper consumption Reduction in paper consumption
ICU Specification ICU Specification
Data ManagementData Management
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ICU Specification ICU Specification
Data ManagementData Management
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ICU Specification ICU Specification
Equipment Specification Equipment Specification
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Intensive Care Director Intensive Care Director NUM – Nurse Unit ManagerNUM – Nurse Unit Manager Hospital AdministratorsHospital Administrators End Users (Nurses, Doctors, ICU staff)End Users (Nurses, Doctors, ICU staff) ArchitectsArchitects Engineers (Hospital Services Engineer, Engineers (Hospital Services Engineer,
Electrical, Mechanical, Electrical, Mechanical, Clinical/Biomedical etc.) Clinical/Biomedical etc.)
The Design/Planning Team The Design/Planning Team
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Clinical Staff, Clinical ManagementClinical Staff, Clinical Management
- Explaining their needs as end usersExplaining their needs as end users- Work flow of patientsWork flow of patients- Functional relationship briefFunctional relationship brief
The Design/Planning Team The Design/Planning Team
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The Design/Planning Team The Design/Planning Team
ArchitectsArchitects - Translating the clinical needs into a Translating the clinical needs into a
design that can be transformed into design that can be transformed into an actual construction.an actual construction.
- Ensure standards and guidelines are Ensure standards and guidelines are maintained (BCA, AHFG, TS11 etc.) maintained (BCA, AHFG, TS11 etc.)
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Hospital Management Hospital Management (Health Facility planner)(Health Facility planner)
Ensuring the planning and the design Ensuring the planning and the design comply to TS11 and HFG standards and comply to TS11 and HFG standards and within the budget!within the budget!
The Design/Planning Team The Design/Planning Team
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Mechanical EngineeringMechanical Engineering
Air movement between spaces must be designed Air movement between spaces must be designed in in
such a way that cross infection is prevented.such a way that cross infection is prevented. Pressure regimes were designed between clean Pressure regimes were designed between clean
andand dirty areas and with segregation between fresh dirty areas and with segregation between fresh
intakes and exhaust pointsintakes and exhaust points Medical gasesMedical gases Air conditioning must be adjusted for the needs Air conditioning must be adjusted for the needs
of the ICU unitof the ICU unit
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Biomedical/Clinical Biomedical/Clinical Engineers Engineers
Ensuring the equipment suits the clinical needs Ensuring the equipment suits the clinical needs Input in the equipment purchase processInput in the equipment purchase process Design of the environment in relation to the Design of the environment in relation to the
equipment needsequipment needs Contribute to the safe use of the equipment and Contribute to the safe use of the equipment and
technologytechnology
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Electrical Engineer Electrical Engineer
- What type of equipment is involved?What type of equipment is involved?
- Load requirementsLoad requirements
- Emergency electrical supply (Generator or UPS) Emergency electrical supply (Generator or UPS)
- Lighting requirements Lighting requirements
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ICU PLANNING IN THE ICU PLANNING IN THE FUTURE FUTURE
• Higher proportion of aged Higher proportion of aged
individuals individuals
• Population is increasingPopulation is increasing
• The ability to perform more complex The ability to perform more complex procedures procedures
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ICU PLANNING IN THE ICU PLANNING IN THE FUTURE FUTURE
Closed patient room design
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ICU PLANNING IN THE ICU PLANNING IN THE FUTURE FUTURE
Technology and medical innovation will have an Technology and medical innovation will have an impact on how we design our ICUs and how they will impact on how we design our ICUs and how they will operate in the futureoperate in the future
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Develop ICU units to cater for health problems Develop ICU units to cater for health problems with adaptive designwith adaptive design
The link between mobile phone use and The link between mobile phone use and development of brain tumours…development of brain tumours…
ICU PLANNING IN THE ICU PLANNING IN THE FUTURE FUTURE
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Acknowledgements
ElectroMedical Unit – NSW Public Works Joe Gomes/Architect NSW Government’s Architect Office
Halina Nagiello - Health Facility Planner Manager (Westmead Children’s Hospital )
Chris Hill – Mechanical Engineer/NSW Public Works
Philip Wenhem – PM/CC / Philips Health Care
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ReferencesReferences(1)(1) Australian Health Facility Guidelines 2009, Health Facility Australian Health Facility Guidelines 2009, Health Facility
Briefing and Planning of Intensive Care Units (Pages 518 – 549)Briefing and Planning of Intensive Care Units (Pages 518 – 549)
(2)(2) Reducing Overall Design and Construction Costs on HealthcareReducing Overall Design and Construction Costs on Healthcare and Hospital Projects, and Hospital Projects, William N. Bernstein William N. Bernstein ( (hhttp://www.bernarch.com/Publications-ttp://www.bernarch.com/Publications- ReducingOverallDesignandConstructionCosts-HospitalNewspaper.4- ReducingOverallDesignandConstructionCosts-HospitalNewspaper.4-09.htm)09.htm)
(3)(3) Delivering the means for better health care, Justin Liew – Delivering the means for better health care, Justin Liew – Engineers Australia Magazine, April 2008 Engineers Australia Magazine, April 2008
(4)(4) The Patient Process as the basis for the Design of an ICUThe Patient Process as the basis for the Design of an ICU Article: B. Regli and J. Takala(2006) Article: B. Regli and J. Takala(2006)
(5)(5) NSW Government Action Plan for Health, Intensive Care Service NSW Government Action Plan for Health, Intensive Care Service Plan, NSW Health 2001 Plan, NSW Health 2001
(6)(6) Health Care Design Magazine, October 2009 Health Care Design Magazine, October 2009 ((http://www.healthcaredesignmagazine.com/ME2/dirmod.asp?http://www.healthcaredesignmagazine.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3Asid=&nm=&type=Publishing&mod=Publications%3A%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=E9D3890833C749E3B96335%3AArticle&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=E9D3890833C749E3B963351F91E444B3#1F91E444B3# )
