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Report of the Seventh Census Conference on Newborn ICU Design
Committee to Establish Recommended Standards for Newborn ICU Design
Robert D. White, MD, Chair
February 1, 2007 CLearwater Beach, FL
 
  
 
 
 
 
Standard 27: Private (Single Family) Rooms

Rooms intended for the use of a single infant and his/her family shall conform to the requirements for infant spaces designated elsewhere in these standards, with the following exceptions:

  • Minimum size shall be no less than 150 square feet (14 square meters) of clear floor area.
  • Each room shall have a hands-free handwashing station.
  • An outside window is not required (see Standard 17 for further specifics).
  • The requirement for wireless monitor and communication devices shall be identical to that described for isolation rooms (see Standard 5).
  • Each room shall be designed to allow visual and speech privacy for the infant and family.
  • Family space shall be designated and be able to include, at a minimum:
    • A comfortable reclining chair suitable for kangaroo/skin-to-skin care
    • A desk or surface suitable for writing and/or use of a laptop computer
    • No less than 6 cubic feet (0.2 cubic meter) of storage space
  • Staff caregiver space shall be designated and include, at a minimum:
    • A work surface of no less than 6 square feet (0.6 square meters)
    • A charting surface of no less than 3 square feet (0.3 square meters)
    • Supply storage of no less than 30 cubic feet (0.85 cubic meters).
NOTE:  The above requirements can be met by any combination of fixed and portable casework desired, but all storage must be designed for quiet operation
 
 
Interpretation

Private (single-family) rooms allow improved ability to provide individualized and private environments for each baby and family when compared to multi-patient rooms.  In order to provide adequate space at the bedside for both caregivers and families, however, these rooms need to be somewhat larger than an infant space in an open multi-bed room design, and they must have additional bedside storage and communication capabilities in order to avoid isolation or excessive walking of caregivers.

Although desirable, it may not be possible to provide a window for each room due to a finite amount of outside wall area.  It is most important to utilize the available window area first for the gathering spaces used by family and caregivers, and then secondarily for patient rooms.
 
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last updated June 1, 2007 __Kathleen Kolberg, University of Notre Dame