It is a university attached quaternary referral centre, providing State Services for heart & lung transplantation (including paediatric lung transplantation), artificial heart technology, extra-corporeal membrane oxygenation (ECMO), burns and hyperbaric medicine. It also provides Victoria's Adult Cystic Fibrosis and Pulmonary Hypertension services. The Alfred is one of two centres providing state services for adult trauma, HIV and bone marrrow transplantation (autologous and allogeneic). The Haemophilia, Haemostasis and Thrombosis Service is the only adult service in the state of Victoria caring for patients with haemophilia and other severe bleeding disorders. It is accredited as a training site by the World Federation of Haemophilia.
The Alfred lies at the heart of The Alfred Medical Research and Education Precinct (AMREP), a partnership between Alfred Health, Monash University, the Baker IDI Heart and Diabetes Institute and the Burnet Institute.
Completion of the $100 million precinct was achieved in 2004, six years after construction commenced. Deakin University and La Trobe University have also recently become partners in AMREP.
The AMREP initiative has enabled the four founding partners to greatly expand facilities and research activities and, importantly, to attract new research groups to the site. The merger of the Austin Research Institute (ARI) with the Burnet Institute will build a critical mass of scientists within AMREP in the fields of immunology, infectious diseases, immunotherapy and cancer from 2008.
The institutes / research groups currently located within AMREP are the Baker IDI Heart and Diabetes Institute, Burnet Institute, National Trauma Research Institute, Australian Centre for Blood Diseases, Nucleus Network, Monash University Department of Epidemiology and Preventive Medicine, laboratories of the Monash University Central and Eastern Clinical School, laboratories of The Alfred Infectious Diseases and Neurosciences departments, and the Centre for Health Innovation. Also included within the AMREP complex are the Ian Potter Biomedical Research Library, the AMREP Education Centre facilities and the Precinct Animal Centre.
Although AMREP was conceived and developed as a new research precinct, it has evolved to encompass research activities carried out in all facilities on The Alfred campus. AMREP’s major strength is the ‘bench to bedside’ approach to research that is possible with the close proximity of the basic science laboratories of the research institutes and key Monash University departments to the hospital's wards and facilities.
The average occupancy of the ICU is 39 patients with a mix of ICU and HDU. More than 2400 patients are admitted per annum. In 2012, the ICU is funded for 35 ICU beds.
The patients are divided into three pods, each pod being managed during each day by an ICU consultant, a senior registrar, a junior registrar and a resident who provide medical care within the ICU .
A separate ICU consultant and senior registrar coordinate all referrals to the ICU, attend medical emergency calls throughout the hospital and in conjunction with the ICU Liaison Nurse review patients who have recently been discharged from the ICU. This team is also responsible for trauma calls and managing critically ill patients in the emergency department and operating theatre recovery. They also attend the daily bed management meeting and the weekly cardiac conference and cardiothoracic meeting.
A further team consisting of a consultant, two senior registrars and three junior registrars manages patients overnight with ICU Liaison Nurse coverage being available until midnight.
In 2012, the Department employs 19 consultants (17.4 EFT) and 38 junior medical staff (15 senior registrars, 15 junior registrars and 6 residents in ICU and 2 are rostered to the Hyperbaric). Many of the junior registrars and the residents are on rotation from other disciplines.
There is also a dedicated data management team, including 2 software developers and the department is proud of its many innovative IT solutions and developments.
The ICU has close links to Monash University departments of Epidemiology and Preventive Medicine, Medicine and Surgery as well as the School of Public Health. ICU nursing is associated with Latrobe University with whom we run a collaborative post graduate certificate/diploma in Advanced Nursing (Intensive Care).
The ICU, through its consultants, also has close links with the ANZIC Research Centre, the ANZICS Adult Patient Database and the ANZICS Clinical Trials Group.