WELCOME

CCU
ORGANIZATION
PRESENTED BY
SASMITA SETHI
MSc NURSING, 2ND
YEAR
 INTRODUCTION

Establishment of critical care unit requires

intelligent planning. One CCU may not
cater to all needs. An institute may plan
beds in to multiple units under separate
management by single discipline specialist
Exa. Medical CCU, surgical CCU, burn
CCU, trauma CCU etc.
 PHYSICAL SET
UP

CCU
ORGANIZATION
1

STAFFING
POLICES NORM

2
LOCATION AUXILLARY
AND SIZE AREA

PHYSICAL SET UP
1

PATIENT ANCILARY
AREA AREA
LOCATION AND SIZE
 LOCATION
 Centrally located
 Easily approachable
 Away from hospital traffic
 Restricted entry
 SIZE
 Super speciality hospital- 10% of total bed
 General hospital- 2% of total bed
 Optimum bed 14 beds, minimum beds 4 beds
 CCU- 100-120 sq ft
cle- 140-180 sq ft NURSING 03/25/2022
area- 15 sq ft MONITORING
d wall space- 1-2 feet SYSTEM
e between 2 beds- 5-8 ft
BED CALL BELL
SPACE SYSTEM

PATIENT
CARE AREA

WALL
EQUIPMENTS FIXERS
HAND 3 oxygen, 2 air, 2 suction,
WASHING 16 power outlets
 EQUIPMENTS

Monitoring Supportive
Equipment Equipment

Resuscitative General
Equipment Equipment
 MONITORING EQUIPMENTS

ECG MONITOR

PULSE OXIIMETER ECG MACHINE

MANNUAL BP MACHINE DIGITAL BP MACHINE

INVASIVE BP MONITOR
 CVP KIT TEMPERATURE
MONITOR

SKIN TEMPERATURE PULSE OXIMETER

 PEAK
CARDIAC OUTPUT
FLOWMETER
MONITOR

CHAMBER PRESSURE CHAMBER PRESSURE

MONITOR MONITOR
ABG MACHINE

INFUSION PUMP SYRINGE PUMP

 RESUSCITATIVE EQUIPMENTS

DEFIBRILLATOR TEMPORARY PACE MAKER

NEBULIZER MACHINE HUMIDIFIER

EQUIPMENTS FOR OXYGEN
ADMINISTRATION VENTILATOR
LARYNGOSCOPE ET TUBE

CRASH TROLLEY
AMBU BAG ET SET
CRASH TROLLEY
 SUPPORTIVE EQUIPMENT

PORTABLE X RAY
MACHINE PORTABLE
X RAY
MACH.

CCU BED DIALYSIS EQUIPMENTS

CARDIAC BOARD

BED RESTRAINT BED RESTRAINT

AIR MATRESS

WARMER DRIP STAND DRESSING TROLLEY

STERILIZER AUTOCLAVE

WARMER REFRIGERATOR
CLOCK CALENDER

LIGHTS IN CCU
 GENERAL EQUIPMENT

PHYSIOTHERAPY
SYRINGES VENFLON MACHINE

FOLEYS CATHETER NG TUBE DRAINAGE TUBE

 NURSES DOCTOR’S
CHANGING DUTY
AREA ROOM

MEDICATION
AND DRESSING
NURSING ROOM
AREA

AUXILLARY AREA
STORE

ISOLATION
AREA

DIRTY
UTILITY EQUIPMENT
PANTRY AREA MAINTENAN
CE
 LIGHTING
AIR CONDITION
Varying degree of
Must be air
illuminations
conditioned.
INENSITY
Temp- 25-27 •1-30 lumens
40-50 % •Glare free
humidity •Provision of
dimmer lights
MEDICAL
ENVIRONMENT

NOISE
VENTILATION •Noise free
6-8 air •Soft & light music
change/ hr •TV & clock
•Walls reflection free
•Floor mosaic
 Staff
CCU toilets
Matron’s Staff
Office rest
room

ANCILLARY
AREA

Office space
and record Telephone
room facility
POLICES
 POLICES

QUALITY
ADMISSION
STAFF ASSURANCE
POLICY
STANDING IN CCU
ORDER

TREATMENT DISCHARGE
POLICY POLICY
 ADMISSION POLICY
REQUIRING AIRWAY
MAJOR OPERATION SUPPORT &
REQUIRING VITAL ARTIFICIAL
MONITORING VENTILATION

HEMORRHAGIC
TRAUMA/ HEAD ADMISSION SHOCK
INJURY CRITERIA ELECTROLYTIC
IMBALANCE

TOXAEMIA &
TRANSPLANTATION SEPTICEMIA
PATIENT
 TREATMENT POLICY
 Admission only on recommendation of CCU
director.
 A vacant bed is allocated in original ward for
patient return.
 20% beds to be kept vacant for emergency
admission
 Continuity of treatment is the per view of CCU
incharge in consultation with unit incharge.
 Following standard treatment protocol.
 Observation of silence.
 Registration of new admissions/discharges.
 STAFF STANDING ORDER
 Joint round at the time of staff change.
 Instruction and maintenance of intake-
output chart.
 Cleaning and maintenance of equipments.
 Checking and replacement of essential
drugs.
 Proper maintenance of records
 Daily round of physician and I/C of CCU
combined to take decision for change in
treatment.
 DISCHARGE POLICY
Decision to discharge is taken in
consultation with in charge parent unit.
Patients who have recovered, stable and
does not require artificial ventilation can be
shifted to intermediate care or HDU.
Patients who are not progressing and
chances of recovery is remote to be
discharged for allotting bed demand is
acute.
When there is no demand, patient is kept
in CCU till death.
 QUALITY ASSURANCE IN CCU
To maintain high standard by hygiene and
cleanliness.
To prevent hospital acquired infection.
Proper treatment and disposal of BMW.
Daily maintenance/ checking vital
equipments.
Priority on patient comfort and home
feeling.
Exit interview of patients and relatives to
increase standard and quality care.
STAFFING
NORM
NURSING MEDICAL
STAFF STAFF

STAFFING

TECHNICAL
ANCILLARY
STAFF
STAFF
 HOD

DIRECTOR CCU

Physician ANS Technical Receptionist Safety

24 hrs Staff Officer
Nursing Bio-medical
Staff 24 hrs Respiratory therapist Engineer
Physiotherapist
Supporting ICU Technician
Staff Lab Technician Bio-medical
Technician

ORGANIZATIONAL CHART OF CCU

 STAFF REQUIREMENT PER SHIFT IN
CCU
1:1 N:P during day
1:2 N:P during night
NURSING
4-5 nurses per bed including
STAFF
reliever
1 ANS for administration

1 physician per 5 bed

MEDICAL Consultant CCU 1
STAFF Senior resident 1
Junior resident 1