Annexure I.

List of Equipment

S.N.	Name of Equipment	Minimum number	Desirable	Remarks
1.	ICU Bed with mattress	As per unit size		Electrically operated with remote control facility and having minimum of following functions (back rest tilting 0-70°, knee rest tilting 0-35°, Trendelenburg tilting 0-12°, reverse Trendelenburg tilting 0-12° mattress base tilting to the left up to 22°, tilting to the right up to 22°). In built patient weighing facility is desirable in Level III units.
2.	Air mattress	2	One per bed in level II & III ICU	Alternating air pressure and bubble technology will be preferred.
3.	Over Bed table	1 per bed		Having facility of height adjustment, swivel and lock mechanism.
4.	Locker with table	1 per bed		Water proof and easy to clean
5.	Bedside chair/recliner	1 per bed		Oversize preferred
6.	Stretcher trolley	1 per unit	As many as required (AMAR)
7.	Wheelchair	1 per unit	AMAR	Spacious, washable with seat belt with provision for carrying small oxygen cylinder and with big pocket
8.	ICU chairs for staff and relatives	6 per unit	AMAR
9.	Procedure trolley	1 per unit	AMAR	For drug preparation or performing any sterile bedside procedures
10.	Emergency Crash Cart	1 per unit	AMAR	As per JCI/NABH specifications with all emergency drugs and equipment
11.	Linen cart	1 per unit	AMAR	Covered, separate for clean and dirty linen
Bedside Equipments
12.	ICU Ventilator	Minimum 2 per unit per unit	50% of Beds number	With all basic modes, advanced modes desirable One Oscillator in desirable Level III
13.	NIV	Minimum 1 per unit	25% of beds	Standard NIV machines with control FiO2 and TV, RR is recommended,
14.	High flow Nasal cannula	1 per unit	One HFNC may be desirable	Standard equipment
15.	Multiparameter monitor	1 per bed	1 per bed Provision for stand-bye In level II and III	Displayed parameters should include non- invasive blood pressure (NIBP), oxygen saturation (SpO2), heart rate (HR) respiratory rate (RR) and electrocardiogram waveform (ECG). In Level II and Level III all monitors Should have provision for invasive monitoring 20% Monitors should have Cardiac output modules in Level II and III Temperature monitoring, ETCO2 is desirable. High accuracy, simple light weight, large high resolution color LCD screen should be preferred.
16.	Computer	1 per unit	AMAR	Individuals ICUs should decide about how much they want ICU to be paperless
17.	Clock and calendar	1 per unit	1 per bed	Clock and calendar should be easily visible from each bed
18.	Sequential compression devices	1 per unit	1 per bed	Intermittent pneumatic compression device with 12 second inflation and 48 s deflation time. Display of delivery pressure on device is desirable
19.	IV Drip stand/Support	1 per bed	AMAR	Stainless steel, No IV stand should be floor types, they should be hanging from the ceiling on either side of the patient. Drip Hangers in the middle of the bed are usually least used. Dedicated stands (heavy duty) should be supported from Corner ends of bed to hold and bear the weight of multiple syringe pumps
20.	Syringe pumps	1 per bed	AMAR	Small, lightweight, portable device with pulseless flow with a very high precision in delivery
21.	Infusion Pumps	1 per unit	AMAR	small, lightweight, portable device Few online warming Infusion pumps should be available in Level II and III units
22.	Feeding pump	Desirable	AMAR	Ambulatory volumetric pump
23.	Stethoscope	1 per bed	1 per bed
24.	AMBU bag with face mask of Variable sizes	1 per bed	1 per bed	One on each bedside under sterile cover. Ideally with a reservoir bag. Provision for replacement units Few Bain's circuit units are always handy
25.	Digital thermometer	1 per bed	1 per bed	Single patient uses only
26.	Torch	1 per unit	1 per bed	Focused light with spare batteries
27.	Reflex hammer	1 per unit	1 per bed
28.	Surgical head light	1 per unit	1 per bed	Required for procedures
29.	Glucometer/ketometer	1 per unit	1 per bed
30.	Kidney tray of various sizes	Q S	Q S	Disposable may be preferred. Single patient uses only
31.	Biological waste bin (Black and yellow, Blue and Red bags)	1 set per bed	1set per bed	As per BMW Rules
32.	Pressure infusion bag	1 per unit	1 per bed	Color-coded gauge pressure (0-300 mmHg) preferable latex free
33.	Patient communication devices	1 per unit	1 per bed	Ranging from alarm bell to advance interfaces
Equipment within the unit
34.	ABG machine	1 per unit or in hospital		POC, simple to use, lab quality results
35.	ECG machine	1 per unit		Meets IEC60601-2-51 international standard for digital electrocardiographs specifying accuracy and digital filter performance Compact and lightweight. LCD screen displays simultaneous 12 lead EC
36.	Defibrillator	1 per unit	AMAR	Conventional defibrillator/Automated external defibrillator (Biphasic) Bluetooth data transfer, and multi-parameter monitoring including 3, 6, 12-lead ECG, SpO2, temperature, and ETCO2, IBP, temperature monitoring AED with disposable pad adapter cable and disposable pads, automatic charging starts for hands-free defibrillation, CPR timing sound, and optional voice prompt
37.	Pacemaker (transvenous) Pacemaker T C	1 per unit	AMAR	Intuitive dial technology that allows for fast and easy access to stimulation and sensitivity settings for the atrium and ventricle. Longer Battery Life
38.	Temperature monitoring & Management tools
39.	Cardiac output monitor		AMAR	Non-invasive CO monitor is desirable in Level III
40.	Portable Ultrasound machine	Available for ICU use		Portable ultrasound scanner with ECHO facility -General Description: General purpose portable ultrasound scanner, with multiple focus electronic probes. 1. System Specifications: PROBES: Electronic 3.5MHz convex Electronic 7.5 MHz linear Scan Modes: B, M, B+M, B+B
41.	Flexible Bronchoscope (different diameter)	Available for ICU use	One	Mandatory for Level II and III ICU.
42.	Laryngoscope	1 per unit	AMAR	Adult and paediatric with all sizes and different shaped blades and spare bulbs
43.	ET and Tracheostomy tubes (all sizes)	Q S		Disposable ET/TT tubes with Supra-glottic drain is preferred
44.	PCT (All sizes) with Supportive equipment	QS		Standard tubes are recommended
45.	Basic airway management tools	Available for ICU use	AMAR	Stylet, boogies, LMA of all sizes and Combitube
46.	Test lung	1 per unit	AMAR	Should be available with the ventilator
47.	Cuff pressure manometer	1 per unit	AMAR
48.	Potable X ray machine	Available for ICU use
49.	RRT	Available in hospital	Should have 20% beds having facility for HD /SLEDD	HD, SLED machine/ CRRT machine, Plasmapheresis
50.	Sterile trays with instruments for various procedures	1 per unit	AMAR	Sterile instruments for aiding ICU procedures like tracheotomy, central line, arterial line, inter-costal drain, pericardiocentesis, lumbar puncture/drain, epidural catheter, bone marrow aspiration, intra-cranial drain, others catheters/ drains and regional pain blocks. The trolley should have a sterile supply of disposables required.
51.	Portable suction machine	1 per unit	AMAR	Fixed, battery operated, hand and foot operated
52.	Transport ventilator	1 per unit	AMAR	MRI compatible ventilator should be available in hospital
53.	Transport monitor	1 per unit	AMAR	Lightweight, easy to carry and hook it onto a bedrail. Long-time battery operation. MRI compatible monitor should be available in hospital Pulse oximeter should also be available separately in each ICU.
54.	Patient Cooling and warming devices	Desired	AMR	Disposable Cooling and heating devices are mandatory in level II & III
55.	Refrigerator	1 per unit	AMAR
56.	EEG, EMG and NCV	On demand	One per unit	Desirable to mandatory in level II and III respectively
57.	Reusable cleaning equipment	1 per unit	AMAR	Mops, buckets etc.
58.	Ampoule cutter	AMR	AMAR
59.	Sphygmomanometers	AMR	AMAR
60.	Communication device	1 per unit	AMAR	Ranging from fixed telephone line/Intercom/ICU Mobile/Tele ICU facility to Audio-visual recording in counselling areas
61.	Printer/xerox	1 per unit	AMAR	Should be available at secretarial area in ICU
62.	X-ray view box	1 per unit	AMAR	If PAC online system is not available
63.	Radiation safety equipment	Available for ICU use	1 per unit	As per radiation safety guidelines. Lead aprons, thyroid shield, radiation monitoring and dosimeter badges as per Atomic energy regulatory board (AERB)India
64.	Weighing scale	1 per unit	1 per unit	It is desired that ALL ICU beds have patient weighing inbuilt facility
65.	Pads for prone positioning	1 set per unit	AMAR	Mandatory for Level II and Level III
66.	Tongue depressor	1 per unit	AMAR
67.	ETO and Sterilization support	Available	Should be 24X7	Mandatory for Level II and III may be shared with OT facility
68.	ECMO	---	One	Desirable for Level ii and mandatory for level III
69.	Point of Care Tests -Bedside Lactate, Procalcitonin, ProBNP	Desirable	One per unit	Mandatory for Level II and Level III