French Public Health Code
In forceI.- Holders of designation 1° under the adult critical care modality of article R. 6123-34-1 and holders of designation 1° or 2° under the paediatric critical care modality of article R. 6123-34-2 must set up a critical care technical platform comprising at least one intensive care unit and at least one contiguous polyvalent intensive care unit.
II.-The intensive care unit ensures the care of patients who present or are likely to present one or more acute failures directly endangering their vital or functional prognosis, and which may require recourse to one or more methods of substitution.
The paediatric resuscitation unit provides care for patients under the age of eighteen who present or are likely to present one or more acute failures directly threatening their vital or functional prognosis and which may require the use of one or more methods of substitution, and whose condition may require special advice and care due to its rarity or complexity.
The paediatric intensive care unit provides care for patients under the age of eighteen who present or are likely to present one or more acute failures directly threatening their vital or functional prognosis and which may require the use of one or more methods of substitution.
III. -Contiguous multi-purpose intensive care units and derogatory multi-purpose intensive care units in the absence of an intensive care unit on the site ensure the care of patients who are likely to present one or more acute failures directly threatening their vital or functional prognosis, and who may require temporary recourse to a substitution method, pending transfer to an intensive care unit if necessary. When the patient presents one or more acute failures that threaten their vital or functional prognosis and require organ replacement treatment, they are transferred to intensive care.
The contiguous paediatric multi-purpose intensive care units and the derogatory paediatric multi-purpose intensive care units in the absence of an intensive care unit on the site ensure the care of patients under the age of eighteen, who are likely to present an acute failure directly endangering their vital or functional prognosis and who may require temporary recourse to a replacement method, pending transfer to an intensive care unit if necessary. If the patient presents one or more acute failures with a life-threatening or functional prognosis requiring organ replacement treatment, they are transferred to the intensive care unit.
IV.- The cardiology intensive care unit provides care for patients who present or are likely to present an acute failure linked to a cardiovascular pathology, with a direct life-threatening or functional prognosis, requiring specific cardiological treatments and which may require the use of a replacement method.
V.- The cardiology intensive care unit provides care for patients who present or are likely to present an acute failure linked to a cardiovascular pathology, with a direct life-threatening or functional prognosis, requiring specific cardiological treatments and which may require the use of a replacement method.The vascular neurology intensive care unit provides care for patients who have, or are likely to have, acute failure related to a neurovascular pathology directly threatening their vital or functional prognosis and requiring specific neurovascular, preventive and neurological and cognitive rehabilitation treatments.
VI. -The haematology intensive care unit provides care for patients who have, or are likely to have, an acute failure linked to a haematological pathology directly threatening their vital or functional prognosis and requiring specific haematological treatments, which may require one or more stays in a sterile sector.
The paediatric haematology intensive care unit ensures the care, within a dedicated unit, of patients under the age of eighteen who present or are likely to present an acute failure linked to a haematological pathology directly endangering their vital or functional prognosis and requiring specific haematological treatments, which may require one or more stays in a sterile sector.
VII. -When justified by the site's activities, the holder of the 1° mention in article R. 6123-34-1 may also have specialised intensive care units, with the exception of those mentioned in 3°, 4° and 5° of the same article, and in particular:
1° Nephrology;
2° Respiratory;
3° Hepato-gastro-enterology.
Where justified by the site's activities, the holder of 1° or 2° mentioned in article R. 6123-34-2 may also have specialised intensive care units, with the exception of the one mentioned in 4° of the said article, and in particular paediatric cardiology.
The specialised intensive care units mentioned in the previous paragraphs provide care for patients who have or are likely to have acute failure of the organ concerned, directly threatening their vital or functional prognosis, requiring treatments specific to the speciality, and without additional acute organ failure.
The specialised intensive care units implemented are specified in the authorisation application and mentioned in the authorisation decision.
The Director General of the regional health agency with territorial jurisdiction is notified of any changes to these units.
