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ICU Planning and Designing in India – Guidelines 2010
Guidelines Committee ISCCM
Dr Narendra Rungta (Convenor)
Members – Dr Deepak Govil, Dr Sheila Nainan, Dr Manish Munjal
Dr J,Divatia (President) , Dr C K Jani (Secretary)
Background
ICU is highly specified and sophisticated area of a hospital which is specifically designed,
staffed, located, furnished and equipped, dedicated to management of critically sick patient,
injuries or complications. It is a department with dedicated medical, nursing and allied staff.
It operates with defined policies; protocols and procedures should have its own quality
control, education, training and research programmes. It is emerging as a separate specialty
and can no longer be regarded purely as part of anaesthesia, Medicine, surgery or any other
speciality. It has to have its own separate team in terms of doctors, nursing personnel and
other staff who are tuned to the requirement of the speciality (1,2,57,58,75) .
In India the scenario of ICU development is fast catching up and after initiatives, promotion,
education and training programmes of ISCCM during last 15 yrs, there has been stupendous
growth in this area but much needs to be done in area of infrastructure, human resource
development, protocol, guidelines formation and research which are relevant to Indian
circumstances. An acceptable and logistically feasible no compromise can be made on quality
and health care delivery to critically sick, yet an acceptable guidelines can be adopted for
making ICU designing guidelines which may be good for both rural and urban areas as also
for smaller and tertiary centres which may include teaching and non teaching institutes .
There are pre-existing guidelines on the website of ISCCM, made in 2003. There has
been a sea change since then and therefore need for new guidelines. The existing
guidelines have been taken as base line for the present recommendations.
Following areas are covered. (4,5,6,7,9,18,35,38,77)
1 Initial Planning
Team Formation and Leader/Coordinator
Data Collection and analysis
Beginning of the Process and decide about Budget allocation , aims and
objectives
2 Decision About ICU Level, Number of beds, Design and Future Thoughts
Planning level of ICU like I, Level II or Level III or Tertiary Unit
Number of beds and number of ICUs as needed for the institution
Designing each bed lay out and providing optimum space for the same
Modulation according to various types of space availability
Free hanging power columns Vs head end panel facili