Planning/Functional Units



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Planning/Functional Units



PU Code

FU Code

PLANNING UNIT/FUNCTIONAL UNIT

DEFINITION

1




INPATIENT







1A

Ward Acute – Medical/ Surgical

Acute – Medical/Surgical inpatient accommodation is for general medical and surgical patients. In larger health facilities this unit includes specialist medical and surgical patients, for example: cardiac, neurology/neurosurgery, integrated palliative care, and in smaller hospitals, paediatric, palliative care and obstetric patients.

Patients awaiting placement may also be accommodated in this type of facility.






1B

Ward Sub Acute (Rehabilitation & GEM)

Sub-acute/Rehabilitation ward accommodation is for rehabilitation patients, geriatric evaluation and management patients (GEM), and sub-acute patients awaiting placement.

The component of Allied Health Services, particularly Physiotherapy and Occupational Therapy, that occurs at ward level will be included in the Gross Departmental Area.






1C

Paediatric Unit

Paediatric inpatient accommodation can be either a dedicated unit, or in smaller hospitals is included in the Acute Medical/Surgical ward.

The unit is specifically designed for infants, children and adolescents and includes facilities for families.






1D

Palliative Care – Stand alone

A Stand-Alone unit that provides dedicated facilities for patients and their families, with separate staffing and entrance. It provides continuity of care through linkages to an Acute Hospital and to Community-Based Services




1E.1

Renal Dialysis

Renal Dialysis provides same day accommodation for patients undergoing peritoneal or haemodialysis.




1E.2

Other Day Medical

Other Day Medical provides same day accommodation for patients undergoing chemotherapy/ haematology and medical diagnostic and treatment procedures patients.

In some larger health facilities, it can include specialist medical patients such as Allergy Clinic, Clinical Immunology, Dermatology and Rheumatology.






1F

Psychiatric Acute Inpatient

A discrete unit that provides psychiatric ward accommodation for adults, adolescents and children, under the Mental Health Program.

This includes allied health services that occur at ward level.






1G

Psychogeriatric

A Psychogeriatric Unit provides aged residential care accommodation for patients with a recognised psychiatric condition and who are recognised by the Commonwealth and the Mental Health Program.

This includes allied health services provided at a ward level.






1H

Aged Residential

Aged Residential Care provides accommodation for patients consistent with the Aged Care Act 1997 and meets the objectives of the ‘Commonwealth Aged Care Structural Reform’ agenda.




1I

Awaiting Placement

Awaiting Placement is ward accommodation for patients who are classified as Nursing Home Type (NHT). It is co-located with either acute medical / surgical or sub acute inpatient units.




1J

Cardio-Vascular Interventional Labs

(Cardiac Catheter Labs and Angiography)



The Cardio-Vascular Interventional Laboratories (CVIL) is a suite of procedure room/interventional laboratory and recovery trolley places for patients undergoing interventional procedures – cardiac/vascular angiography

Cardiac Catheter Suites and Angiography Suites can be generally discrete units; however, for the purposes of this Guideline Study, the two are termed CVIL, as the functional and area requirements for the Interventional Rooms are comparable.






1K

High Dependency Unit (HDU)

High Dependency Unit is an inpatient unit that provides hight dependency nursing care.

In smaller hospitals the HDU is an area of observation, within the acute ward, for patients of higher acuity than general inpatients, whilst in larger hospitals, a HDU may be specialty specific, for example, Cardiac Surgery HDU or as a step down from either ICU or CCU.






1L

Coronary Care Unit (CCU)

Coronary Care Unit is a dedicated ward area for patients requiring cardiac monitoring and/or resuscitation.




1M

Intensive Care Unit (ICU)

Intensive Care Unit is a dedicated unit for critically ill patients (adult and paediatric) who require invasive life support, high levels of medical and nursing care and complex equipment.




1N

Intensive Care Unit / Coronary Care Unit (ICU/CCU )

Intensive Care Unit/Coronary Care Unit is a combined unit in medium sized hospitals providing life support monitoring and high levels of medical and nursing care.




1O.1

Obstetrics Ward

An Obstetric Ward provides ward accommodation for pre- and postnatal multi-day patients and well babies (unqualified neonates). It also includes same day accommodation for women undergoing antenatal monitoring and pregnancy day care and parenting support programs postnatally.




1O.2

Well-baby Nursery (Unqualified Neonates)

Included in Obstetrics Ward




1P.1

Labour Delivery Recovery Postnatal (LDRP)

A Labour/Delivery/Recovery /Postnatal (LDRP) unit provides facilities for the whole delivery admission – delivery room accommodation and includes short stay postnatal accommodation (usually less than 48 hours postnatal). It may also be referred to as a family birthing unit.




1P.2

Labour Delivery Recovery – Delivery Suite (LDR)

A Labour/Delivery/Recovery – Delivery Suite (LDR) unit provides delivery room accommodation for the care of mothers and their babies throughout labour and birth. They are usually transferred to a post-natal ward bed post-delivery. It may include short stay postnatal accommodation (usually less than 24 hours).

In smaller integrated hospitals the Delivery Suite also serves as an LDRP subject to demand.






1Q

Neonatal Intensive Care Unit/Special Care Nursery (Qualified Neonates)

Neonatal Intensive Care Unit/Special Care Nursery provides ward accommodation for critically ill, sick and premature babies

Neonatal intensive care (Level 3) is for babies who require invasive life support, complex equipment and high level of medical and nursing care.

Special care nurseries (Level 2)are for the management of sick and premature babies.





1R

Same Day Surgery & Endoscopy Accommodation

Same day surgery & endoscopy accommodation provides Stages 2 and 3 recovery ward accommodation for patients undergoing surgical and endoscopy procedures.

For the purpose of this Guideline study, it is assumed that this area is accessed by Day Surgery admissions and Day Surgery patients.






1S

Emergency Department – Short Stay/Observation Unit

Emergency Department – Short Stay/Observation Unit is attached to an Emergency Department and provides ward accommodation for the short stay accommodation and observation for patients who will generally be discharged directly from this ward.

2




ADMINISTRATION




2A

General Administration

Administration is defined as:·

  • Executive Services, which includes Hospital Manager/CEO/COO, Medical Services Director and Nursing Services Director·

  • Financial Services, including Accounts and Payroll·

  • Corporate Services which includes Administrative Services, Engineering and Building Services Manager, Human Resource Management, Interpreter Services

The administration areas associated with a particular service include:

  • Engineering and Building Services,

  • Environmental Services,

  • Information Technology

  • Materials Management (Supply)·

  • Clinical Administration, i.e. the management function of Clinical departments, particular in Levels 4, 5 and 6 Hospitals·

  • Health Information Services/Medical Records·

  • Support administration for departments such as Pathology or Pharmacy·

  • Inpatient Administration such as ward clerks whom are included in the inpatient unit.




2B

Medical Records

The Health Information Services (HIS) or Medical Records Department maintains medical records for all current patients and an active medical storage area, based on storage of a minimum of 3 years active files (Level 4,5 & 6 Hospitals) and 10 years active storage (Levels 1, 2 & 3 Hospitals).

The Central Medical Records Administration area also provides data for research and management, as well as undertaking coding, abstracting, quality activities, and morbidity statistical and analysis services. ‘Coders’/HIM will be located in the HIS department and are not included in the inpatient or other accommodation. It does not include spaces associated with wards and other clinical areas.

Archive storage of for records over 3 or 10 years as applicable and for length of time as determined by hospital specialty/government requirements, is not included in this section. (Refer 8H Archive)





2C

Pastoral Care

Pastoral Care is described as the application of general spiritual principles to particular human situations. A Pastoral Care area requires a quiet room/place of worship and depending on level of hospital complexity, it can also include Office Accommodation/ Work Spaces for Pastoral Care




2D

Medical Staff Facilities

Medical Staff Facilities can be comprised of a range of facilities including Senior Medical Officers (SMO) Lounge and/or Visiting Medical Officers (VMO) Lounge, and Resident Medical Officers (RMO) facilities.

RMO Facilities may include short-term overnight accommodation for medical staff who are required to be on-call overnight. In regional and rural health facilities, it may also be available to on-call medical/nursing staff, who have been recalled to duty and do not live in close proximity to the hospital.



3




CLINICAL




3A

Accident & Emergency

The Accident & Emergency – Cubicles is a dedicated area for assessment, treatment, observation and disposition of emergency patient presentations. These include both urgent and non-urgent conditions. It also includes provision for resuscitation.



3B

Operating Theatre

The Operating Theatres are a suite of rooms where operative procedures are performed and includes Operating Rooms, Procedure Rooms and Stage 1 recovery area.

For this Guideline Study, Endoscopy and Day Surgery & Endoscopy Accommodation (2nd/3rd Stage recovery areas) are detailed in Sections 3C and 1R respectively.






3C

Endoscopy

Endoscopy is a dedicated suite where endoscopies are performed. It includes procedure room and Stage 1 Recovery area.




3D

Sterile Supply

The Sterile Processing Unit/Central Sterilising Supply Department (CSSD) is a dedicated unit responsible for the collection, cleaning, packaging, sterilisation, storage and distribution of all reusable instruments and equipment from the Operating Suite, Delivery Suite, Inpatient Units and other hospital departments.




3E

Ambulatory Care

Ambulatory Care is an area where outpatient consultations and/or treatment occur. It also includes specialist consulting and diagnostic areas for outpatients.




3E.1

Medical

See 3E Ambulatory Care




3E.2

Surgical

See 3E Ambulatory Care




3E.3

Obstetrics

See 3E Ambulatory Care




3E.4

Cardiology – Diagnostic Unit

See 3E Ambulatory Care




3E.5

Dermatology

See 3E Ambulatory Care




3E.6

Neonatology

See 3E Ambulatory Care




3E.7

Neurosciences

See 3E Ambulatory Care




3E.8

Nursing

See 3E Ambulatory Care




3E.9

Oncology

See 3E Ambulatory Care




3E.10

Ophthalmology

See 3E Ambulatory Care




3E.11

Orthopaedics

See 3E Ambulatory Care




3E.12

Paediatrics

See 3E Ambulatory Care




3E.13

Psychiatric

See 3E Ambulatory Care




3E.14

Respiratory

See 3E Ambulatory Care




3F

Food Services, Cook Fresh Kitchen

A Standard Cook-Fresh Food Service is a conventional cooking kitchen where fresh food is prepared and cooked, then plated and distributed.




3G

Food Services, Cook/Chill – Receiving

A Cook/Chill – Receiving Food Service receives cook/chilled food from the Production Kitchen for re-constitution, plating and distribution. It also includes a small short order kitchen.




3H

Medical Imaging

The Medical Imaging Department includes radiological and ultrasonic investigations for inpatients and outpatients. The modalities include Computed Tomography (CT), Fluoroscopy, General Radiography, Mammography and Ultrasound.




3H.1

CT Scanning

See 3H Medical Imaging




3H.2

Fluoroscopy

See 3H Medical Imaging




3H.3

General X-ray

See 3H Medical Imaging




3H.4

Mammography

See 3H Medical Imaging




3H.5

Ultrasound

See 3H Medical Imaging




3I

Nuclear Medicine

Nuclear Medicine is the specialty of medicine, which uses radioactive isotopes in the diagnosis, management, treatment, and prevention of disease.




3J

Magnetic Resonance Imaging (MRI)

Magnetic Resonance Imaging (MRI) is a form of medical imaging that uses radiofrequency radiation as its form of energy. It has specific space, equipment and radiation requirements.




3K

Angiography

(Refer 1J – Cardio-Vascular Interventional Labs)

4




DAY AREAS




4A

Allied Health

The Allied Health Department is defined as the Day consultation area for Allied Health Disciplines, for non-admitted patients.




4A.1

Audiology

See 4A Allied Health




4A.2

Dietetics

See 4A Allied Health




4A.3

Occupational Therapist

See 4A Allied Health




4A.4

Orthotics

See 4A Allied Health




4A.5

Physiotherapy

See 4A Allied Health




4A.6

Podiatry

See 4A Allied Health




4A.7

Speech Pathology

See 4A Allied Health




4A.8

Social Work/Counselling

See 4A Allied Health




4A.9

Other

See 4A Allied Health




4B

Rehabilitation Day Area

The Day Rehabilitation Area provides outpatient assessment and treatment, as well as inpatient treatment to facilitate the patient’s transition from hospital to home




4C

Community Rehabilitation/Ambulatory Rehabilitation Centre

C-R/Ambulatory Rehab Centre is a centre which provides a process based upon comprehensive assessment and multi-disciplinary intervention, whereby persons with disabilities, who are living in the community are assisted to recover their lost or diminished functional abilities.




4D

Pathology/Stat Lab

Pathology Stat Lab refers to pathology and laboratory service areas including specimen collection areas.
In Level 6 hospitals, the range of specific laboratory services may include:

  • Anatomical Pathology

  • Clinical Biochemistry

  • Haematology & Immunology

  • Microbiology

  • Virology/Virus Lab.




4E

Mortuary

The Mortuary/Autopsy Unit provides an environment for the holding of bodies and the viewing of bodies by relatives and authorised persons. It may also include an area for conducting of post mortems/autopsies.




4F

Pharmacy

The Pharmacy’s role is to establish and maintain drug distribution systems, preparation of a range of pharmaceutical products, and patient counselling and information services.

5




EDUCATION AND RESEARCH




5A

Education

The Education Centre is a multi-usage educational centre for all hospital staff.




5B

Clinical Research

Clinical Research refers to dedicated hospital-based research areas within a health facility, including 'wet' labs in certain situations.

6




CHILD CARE & COMMUNITY HEALTH




6A

Community Health

Community Care can either be a stand-alone centre or integrated within the hospital facility. It has similar requirements to Ambulatory Care and Day Areas, in that it manages day patients.

In smaller rural heath facilities, the Primary Care Service encompasses community health and the sub-specialities associated with it.






6B

Child Care Centre

Child Care Centre refers to a facility registered to care of children from 0 – 5 years of age.

7




COMMERCIAL




7A

Commercial

Commercial area may accommodate a range of services/retail outlets including coffee shop, cafeteria, pharmacy, flower shop and private consulting suites.

8




GENERAL SUPPORT




8A

Bio-medical Engineering

Biomedical Engineering provides comprehensive electromedical and biomechanical device support; medical technology management, and scientific and engineering support.




8B

Engineering

Engineering Services are responsible for preventative and general hospital maintenance; maintenance and repair of equipment; storage of essential spares, plans and maintenance records. Central Control Systems are generally located within the Engineering Services.





8C

Environmental Services

Environmental Services provides for cleaning of all hospital areas.




8D

Linen Services

Linen Services provide storage areas for clean and soiled linen, based on Linen Trolley Exchange (Imprest) System.

It includes a clean linen room that stores up to two days linen supplies.






8E

Supply/Materials Management

Supply/Materials Management provides a range of storage, purchasing, receipting, and delivering services.




8F

Waste Management

Waste Management covers all types of wastes – general, contaminated, recyclable, radioactive, and cytotoxic, that are removed from the premises by external contractors.




8G

Information Technology

The integrated approach to the planning and use of information systems is to ensure that a hospital’s information technology improves the effectiveness and efficiency of its information management. Information Technology covers the full range of services provided by the hospital – Clinical, Management, Financial, Educational, Operational and Human Resource Management.

IT can include IT Administration and Training, Switchboard, PABX/Telecommunications and Main Server Room.






8H

Archive

The Archives Store is to accommodate the storage of Medical Records that are older than three years in level 4 – 6 hospitals and ten years in level 1 – 3 hospitals.

They must be kept for the period determined by hospital specialty/government requirements. Also stored in the Archive Store are hospital’s and Health Service’s (if applicable) records as per the Victorian Public Records Act.






8I

Public/Staff Cafeteria

The Public/Staff Cafeteria is for the use of staff and visitors to the hospital.




8J

Staff Cafeteria

The Staff Cafeteria is solely for the use of staff to the hospital.




8K

Main Entry & Public Amenities

The Main Entrance Foyer is, in most cases, the first point of contact with the hospital for patients and visitors, and therefore establishes the ambience of the hospital. Associated with the Main Entrance Foyer are hospital functions, such as Reception, Admissions, Cashier, Communications, Courier/Mail Room.

Public facilities include baby change/feed room, male/female toilet facilities and accessible facilities for public with disabilities. These public facilities may also be located with wards and some departments in Levels 4, 5 & 6 hospitals.







8L

Staff Amenities

The General Staff Amenities area comprise of staff showers, toilets and some lockers. Staff amenities such as staff property lockers, shower and toilet facilities are also included in all wards and departments.




8M

Security

The Security Service provides a high level of security to patients, staff and the public who enter the Health Facility. Security Services are often responsible for Fire Protection and therefore the area includes Fire Control Room.

9




PLANT & TRAVEL




9A

Travel

Travel is defined as the space provided to allow circulation access to or movement between functional or departmental areas.




9A

Plant

Plant is defined as all engineering spaces – Main Vertical Service Ducts, Electrical Switch Cupboards, Communication Rooms, Tank Rooms, Air Conditioning Plant Rooms and ‘Central Energy’ Plant Areas.

10




DISCRETIONARY UNITS




10A

Positron Emission Tomography (PET Suite)

Positron Emission Tomography (PET Suite) is computerised radiographic technique using radioactive substances to examine various body structures.

It must have access to a Cyclotron and supply of F-18 FDG.






10B

Radiotherapy

Radiation Oncology provides consultative services and treatment to patients with certain forms of malignant disease by either Radiotherapy or Brachytherapy.

The linear accelerators are housed in ‘bunkers’ with thick concrete walls and usually with a long maze for scatter radiation.






10C

Sleep Laboratories

Sleep Laboratories are for the assessment of all aspects of sleep disorder medicine with a specific focus on respiratory disorders in sleep.




10D

Dental

A Dental Service is a specialist clinical service, where outpatient consultations and/or treatment occur.




10E

Hydrotherapy Pool

The Hydrotherapy Pool includes hydrotherapy pool for patients who benefit from exercising in a weight free environment during the acute phase of their treatment or as part of physical conditioning during the rehabilitation phase.




10F

Ambulance Station

For this Guideline study, Ambulance Stations are specific to Victorian rural sectors and comprise of ambulance bays and overnight accommodation for staff.




10G


Food Services, Cook/Chill – Production

As a production kitchen is generally a campus-wide or external provider facility, which produces and provides cook-chilled food to a receiving kitchen




10H

Car park

Carparking includes accessible car parking, motorcycle parks, bicycle racks as well as car spaces. Public car parks and staff car parks should be separate.




10I

Academic Research

Academic and scientific research programs, which significantly enhance diagnostic and treatment regimes, may have dedicated areas with the health facility for both ‘wet’ and ‘dry’ research. This area is in addition to areas included in clinical areas and research. They are generally located with Level 6 or 5 facilities.


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