he Coronary Care Unit will consist of the following Functional Areas:

A ‘Cardiac Hospital’ is a hospital that specializes in the diagnosis and

treatment of heart disease i.e. cardiovascular disease. The hospital may Inpatient areas and dedicated clinical support areas
perform cardiovascular procedures exclusively or also provide Non-invasive diagnostic services
Staff offices and amenities
emergency care and other services to patients. Facilities provided in support of these services should ideally be:
Close to and with direct access from the department’s entrance and However, the following should be considered with regard to potential for sharing:
Reception Area reception facilities Clean and dirty utility rooms
The cardiology department entrance and reception facilities should Close to and with direct access to the department’s outpatient facilities
ideally be: Central equipment storage
Close to and with direct access to the hospital’s day care facilities
Close to and readily accessible from the main hospital entrance and/or Close to the CCU where possible. Beverage pantry / kitchen
hospital street system
Close to and with direct access to the department’s outpatient facilities Reception / ward clerk
Close to and with direct access to the department’s non-invasive Cardiac Emergency
Cleaner’s room
diagnostic services. Emergency department plays a key role in determining ACS patients.
Location of ED: Disposal room
The Unit should be located where emergency medical team can respond Visitor waiting
A typical cardiac hospital should provide following tertiary level services: rapidly and efficiently to emergency calls with minimum travel time. Through
• Outpatient consultation services Public toilets
traffic to other parts of the healthcare facility should be avoided for efficient
• Inpatient services Staff education / training room
• Coronary care unit (CCU) access of emergency team and equipment and to maintain patient privacy.
• Emergency services Ideally there should be a separate and discrete entry or entries for staff, Staff amenities (shower, toilets, locker room and rest area)
• Non-invasive diagnostic services: goods and supplies with swipe card or similar electronic access to authorized
• Nuclear cardiology personnel. Discrete entry for patients on beds or trolleys may also be
• Computed tomography (CT) considered as this should provide: CORONORY CARE UNIT ( 10 BEDS)
• Nuclear magnetic resonance (NMR) Easy access from lifts from Emergency Unit and Chest Pain Assessment Unit 1. Reception & waiting 400 sqft
• Echocardiography Ready access to and from Cardiac Catheter Laboratory
• Invasive radiography services: 2. CCU ward 1450 sqft
• Coronary angiography 3. Central Station 150 sqft
• Percutaneous transluminal coronary angioplasty (PTCA)
4. Nurses room 150 sqft
• Electrophysiology
• Cardiac surgery: 5. Strecher Store 150 sqft
• Coronary artery bypass grafts (CABG) using a heart bypass pump Click to add text
6. Toilet and Pantry 240 sqft
Click to add text
• Coronary artery bypass grafts using an ‘octopus’ Click to add text
• Open-heart valve replacement surgery 7. 45% circulation for toilet, corridor, staircace etc 3340.2
• Organ transplantation surgery sqft TOTAL 5879
• Great vessel vascular work and some elements of pulmonary surgery SQFT
• Other diagnostic and treatment services: General Cardiology Ward
• Pacemaker insertion and replacement
• Endoscopy In General Cardiology Ward, care for less acutely ill cardiac patients should be
provided.Telemetry monitoring and post intervention care may be provided in this area.
Medical Support can be provided to patients having a cardiac history.
In response to patient feedback, cardiology team should include a senior pharmacist who
is available to give patient education and prepare medications to take hope to speed up
the discharge process.
Physiotherapist and occupational therapist shall be provided on the wards every day
during the week to maintain mobility and independence. Again this is to enhance the
discharge process once patients are medically fit to go home.
Outpatient facilities Coronary Care Unit (CCU)
OPD should ideally be: A Coronary Care Unit (CCU) is a specially staffed and equipped
•Close to and with direct access from the department’s entrance and section of a healthcare facility for the support, monitoring and
reception facilities treatment of highly dependent patients with medical or surgical
•Close to and with direct access to the department’s non-invasive cardiac conditions which are life threatening or potentially life-
diagnostic services threatening.Coronary care bed numbers may vary from 4 to 8.The
•Close to and with convenient access to the hospital’s main X-ray CCU should be in a quiet location that avoids or minimizes:

Data Collection
department.
Disturbing sounds (ambulances, traffic, sirens)
Disturbing sights (morgue, cemeteries etc.)
Problems associated with prevailing weather conditions (excessive
wind, sun exposure etc.) Aroosa Azhar
location should enable expansion if additional beds are required in
the future 2017- ARCH - 40