Planning/Functional Units
PU
FU
Code Code
1
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
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
accommodated in this type of facility.
1B
also
be
Ward Sub Acute (Rehabilitation & Sub-acute/Rehabilitation ward accommodation is
GEM)
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
PU
FU
Code Code
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
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 The Cardio-Vascular Interventional Laboratories
(Cardiac
Catheter
Labs
and (CVIL) is a suite of procedure room/interventional
laboratory and recovery trolley places for patients
Angiography)
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 Intensive Care Unit/Coronary Care Unit is a
Unit (ICU/CCU )
combined unit in medium sized hospitals providing
life support monitoring and high levels of medical
and nursing care.
1O.1 Obstetrics Ward
1O.2 Well-baby
Nursery
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.
(Unqualified Included in Obstetrics Ward
Neonates)
1P.1 Labour Delivery Recovery Postnatal A Labour/Delivery/Recovery /Postnatal (LDRP)
(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 A
Suite (LDR)
Labour/Delivery/Recovery – Delivery Suite
(LDR) unit provides delivery room accommodation
PU
FU
Code Code
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
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 Neonatal Intensive Care Unit/Special Care Nursery
Care Nursery (Qualified Neonates)
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
management of sick and premature babies.
1R
the
Same Day Surgery & Endoscopy Same day surgery & endoscopy accommodation
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
2
Emergency Department
Stay/Observation Unit
–
Short 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.
ADMINISTRATION
2A
General Administration
Administration is defined as:·
Executive
Services,
which
Hospital
Manager/CEO/COO,
Services Director and Nursing
Director·
·
includes
Medical
Services
·
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
particular service include:
associated
·
·
·
·
·
Engineering and Building Services,
·
Health
Information
Records·
with
a
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·
Services/Medical
PU
FU
Code Code
2B
PLANNING
UNIT/FUNCTIONAL UNIT
Medical Records
DEFINITION
·
Support administration for departments
such as Pathology or Pharmacy·
·
Inpatient Administration such as ward
clerks whom are included in the inpatient
unit.
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 nonurgent 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
PU
FU
Code Code
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
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
3G
Food
Services,
Receiving
3H
Medical Imaging
Cook/Chill
A Standard Cook-Fresh Food Service is a
conventional cooking kitchen where fresh food is
prepared and cooked, then plated and distributed.
– 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.
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,
PU
FU
Code Code
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
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
4
(Refer 1J – Cardio-Vascular Interventional Labs)
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
laboratory services may include:
·
·
·
·
·
of
specific
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
PU
FU
Code Code
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
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 hospitalbased 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
7
Child Care Centre
Child Care Centre refers to a facility registered to
care of children from 0 – 5 years of age.
COMMERCIAL
7A
8
Commercial
Commercial area may accommodate a range of
services/retail outlets including coffee shop,
cafeteria, pharmacy, flower shop and private
consulting suites.
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
PU
FU
Code Code
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
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
10
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.
DISCRETIONARY UNITS
PU
FU
Code Code
PLANNING
UNIT/FUNCTIONAL UNIT
DEFINITION
10A Positron Emission Tomography (PET Positron Emission Tomography (PET Suite) is
Suite)
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,
Production
Cook/Chill
–
As a production kitchen is generally a campuswide 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 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.
Academic Research