The purpose of the project is to reconstruct the reception department of the KNMP "Kremenchuk Hospital for Intensive Care" in order to create a modern emergency department that will meet the requirements of current state building codes, modern standards for organizing medical care and the unified standard for the design of emergency departments of Ukraine. The implementation of the project is aimed at improving the quality and speed of providing medical care to patients in emergency conditions, improving the working conditions of medical personnel, as well as increasing the energy efficiency of the building. To achieve the goal, within the framework of the implementation of the public investment project, a set of organizational, construction and engineering measures is planned. In particular, it is planned to reconstruct the existing premises of the first floor of the hospital building with redevelopment and creation of functional areas in accordance with modern requirements for reception departments. It is also planned to build a special box for receiving emergency vehicles, which will ensure quick and safe transportation of patients to the department. The project provides for the arrangement of the necessary medical and auxiliary premises, in particular, a registration office, a patient triage room, examination rooms, an anti-shock ward, an operating room with a preoperative and sterilization room, a sanitary inspection room, diagnostic rooms (X-ray, tomography, ultrasound diagnostics, FGDS), as well as office premises for medical personnel. In addition, it is planned to introduce modern engineering systems: centralized supply of medical gases (oxygen), ventilation and air conditioning systems, new heating systems, power supply, internal engineering networks, fire alarm and modern plumbing equipment. Particular attention is paid to ensuring accessibility for low-mobility groups of the population. The need for the project is due to the existing gap between the current state of the reception department and modern requirements for the organization of emergency medical care. The existing premises have an outdated layout, limited space and do not provide optimal functional zoning for medical triage, diagnostics and emergency care. The lack of a specialized box for receiving ambulances complicates the prompt transportation of patients to the department, and the engineering systems do not meet modern requirements for energy efficiency and uninterrupted operation of medical equipment. As a result of the project, a modern reception department will be created, which will ensure the effective organization of medical triage of patients, rapid diagnosis and provision of emergency care. This will improve the quality of medical services, reduce the response time to critical conditions of patients, improve the conditions of stay of patients and the work of medical personnel, and ensure that the hospital complies with modern standards for the functioning of basic healthcare institutions.

Key problems solved by the project: 1. Inconsistency of the existing planning with modern requirements for organizing emergency medical care. The existing premises of the reception department have an outdated planning structure and insufficient area to accommodate all necessary functional areas. This complicates the organization of medical triage of patients, diagnostic procedures and emergency care. The lack of clearly organized flows of patients, medical staff and accompanying persons reduces the efficiency of the department, especially during mass admissions of patients. 2. Unsatisfactory technical condition of engineering systems. The existing heating, ventilation, power supply and water supply systems are partially outdated and do not meet modern requirements for medical institutions. The lack of modern ventilation and air conditioning systems does not provide an adequate microclimate in the premises. In addition, there is no centralized system for providing medical gases (in particular, oxygen), which is a necessary condition for the effective implementation of resuscitation measures and intensive care. 3. Lack of a specialized reception box for emergency medical vehicles. Currently, the hospital infrastructure does not provide for the presence of a specially equipped reception box for the simultaneous reception of emergency medical vehicles. This complicates the process of transporting patients to the department, especially in adverse weather conditions, and may lead to delays in the provision of medical care. 4. Insufficient level of barrier-free and accessible premises. The existing infrastructure of the reception department does not fully meet modern requirements for ensuring accessibility for low-mobility population groups. The lack of specially equipped sanitary facilities and proper access conditions makes it difficult for persons with disabilities and other low-mobility population groups to receive medical care. The relevance of the project implementation is due to the reform of the healthcare system of Ukraine, the formation of hospital districts and the identification of support hospitals that should ensure high-quality and timely provision of emergency medical care. The emergency departments (emergency departments) of such hospitals are a key element of the patient routing system and must comply with modern medical and construction standards. If the current situation is maintained, the following negative consequences may arise: - increase in response time to emergency conditions of patients; - decrease in the efficiency of medical personnel; - deterioration of patient conditions; - limitation of opportunities for the implementation of modern medical equipment and technologies; - increase in operating costs due to low energy efficiency of engineering systems. The implementation of the project will allow: - create a modern emergency department that will comply with current state building codes and standards for organizing emergency medical care; - ensure effective functional zoning and optimization of patient flows; - increase the efficiency and quality of emergency medical care; - improve the conditions for patients and medical personnel; - modernize engineering systems and increase the energy efficiency of the building; - ensure the availability of medical services for low-mobility population groups.