666	N. Rungta et al.

Step 7: Make an organogram

•All ICUs should have a structured organogram depicting various activities carried out by the critical care department, personnel involved, and hierarchal structure.

Step 8: Organize training curriculum

•Training ICU residents and fellows should be an integral part of services provided by advanced ICUs.

•Nursing, physiotherapy, and technician training should also proceed in parallel.

•There is a wide variation in credentialing for intensive care training globally with variation in basic specialty requirement, duration of training, etc.

•All residents in training should keep a logbook of procedures performed under supervision and get it signed by the supervisor.

•They should acquire factual knowledge of core critical care syllabus during their training period (see Appendix). These can be obtained through hospital library or over internet.

•Simulation training in ICUs has been found to be the most effective way of training where various ICU scenarios can be simulated and various aspects of critical care training requirements apart from factual knowledge may be evaluated.

Suggested Reading

1.Haupt MT, Bekes CE. Guidelines on critical care services and personnel: recommendations based on a system of categorization of three levels of care. Crit Care Med. 2003;31:2677–83.

North American guidelines for optimal ICU services and personnel for hospitals with varying resources.

2.Brilli RJ, Spevetz A. Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med. 2001;29:2007–19.

Guidelines on different models of critical care delivery with pros and cons. These are being updated.

3.Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine. Guidelines for intensive care unit admission, discharge, and triage. Crit Care Med. 1999;27:633–8.

A comprehensive guideline on policies and protocols for ICU triage, currently under revision.

4.Society of Critical Care Medicine. Guidelines for intensive care unit design. Crit Care Med. 1995;23:582–8.

ICU designing details with recommendations, currently under revision.

Website

1.www.isccm.org

Intensive care unit planning and designing in India, guidelines (2010)—defining the functions, roles, and responsibilities of a consultant intensivist.