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[Posted on behalf of Mary-Rose Godsell – Moderator]
Dear All,
I have been asked to investigate the possibility of including a room that
can have both negative pressure and then be changed into a positive
pressure isolation room – (so interchangable) for some upcoming
renovation in an ICU and ED.
I haven’t read in the literature or heard of this being a viable option,
however would like to canvass the AICA list to gather some evidence
around this. Also the efficacy of using positive pressure isolation
rooms in the first instance.Thank you
Regards
Mary-Rose Godsell
RGON, AFAAQHC, GDipHSM, CICP, MAdvancedPrac(Infection Control)
South West Infection Control Nurse Consultant
WA Country Health Service‘Hand hygiene reduces the
spread of infection’ph:08) 9722 1490
mobile 04 3996 1015
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au[Posted on behalf of John Ferguson – Moderator]
Dear Mary-Rose
At HIS meeting 3 or 4 yrs ago I heard described such a room design
together with a detailed experimental evaluation conducted to prove it
worked. It involved a positive pressure anteroom (with filtered air
going in) and air egress via the ensuite that was entered from within
the room. For a while they had a building design note available. But
this has gone and I’ve made another search without success (might be
worth a pubmed look)This may help- some discussion of CDC requirements and the design
elements of isolation rooms-http://books.google.com.au/books?idq_Q_ncugJX4C&pgPA1003&lpgPA1003&dq
%22positive+pressure+anteroom%22+isolation&sourcebl&otsCmEJM6Q1DP&sig
qQzUZQmjW6nQQnynLPsNmQvrjJg&hlen&ei3G8lTIumPNCGcYHXzKYC&saX&oibook_
result&ctresult&resnum1&ved0CAYQ6AEwAA#vonepage&q%22positive%20pres
sure%20anteroom%22%20isolation&ffalseI will make enquiries to the Univ group that manages the Australasian
facility guidelinesbest wishes
John
Reply from Aus Fac Guideline head at UNSW Jane Carthey below to append
to my replyJohn, good to hear from you. The official line here in Oz is not to go
with the changeable pressure rooms as they are considered unreliable.
However I have just got back from Europe and have seen examples there
that seemed to work just fine – I think it was in the Netherlands. You
may be able to get further information from Joram Nauta at Dutch TNO
(Dutch Centre for Health Assets and Architecture) who organised our tour
and the conference I attended – very helpful chap!Dr John Ferguson
Director, Infection Prevention and Control Unit
Microbiologist and Infectious Diseases Physician
Hunter New England Health Service
Locked Bag 1, Newcastle, NSW 2310, Australia
tel 61 2 49214422, fax 61 2 49214440Go to http://www.hicsiganz.org for ANZ healthcare infection control resources
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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.auHi Mary-Rose,
My facility has rooms where you can switch them over from positive to negative pressure which were built 10-15 years ago. I find that on occasion that staff will switch the room to negative pressure when there really was no need to do so (eg with Norovirus!) and this usually occurs over a weekend! We also have 4 dedicated rooms which have positive pressure which are used for our bone marrow transplant patients but I am not sure exactly how effective they are as there is a shared bathroom between each pair.
The previous facility I worked in had negative pressure rooms that were dedicated as such and only the engineering people could turn them off. There was a few rooms in ICU that were able to be switched over but no one was ever taught how to do it and the switches were hidden so only engineering did those ones too (luck really).
The literature that Lindy Ryan suggested is the ones that I have read also and is helpful.
Good luck with the renovations.
Terri Cripps | CNC Infection Control | Sydney Children’s Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |* : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140________________________________
[Posted on behalf of Mary-Rose Godsell – Moderator]
Dear All,
I have been asked to investigate the possibility of including a room that
can have both negative pressure and then be changed into a positive
pressure isolation room – (so interchangable) for some upcoming
renovation in an ICU and ED.
I haven’t read in the literature or heard of this being a viable option,
however would like to canvass the AICA list to gather some evidence
around this. Also the efficacy of using positive pressure isolation
rooms in the first instance.Thank you
Regards
Mary-Rose Godsell
RGON, AFAAQHC, GDipHSM, CICP, MAdvancedPrac(Infection Control)
South West Infection Control Nurse Consultant
WA Country Health Service‘Hand hygiene reduces the
spread of infection’ph:08) 9722 1490
mobile 04 3996 1015
e-mail: Mary-Rose.Godsell@health.wa.gov.au> The contents of this email, including any attachments sent with it,
> are confidential. The contents are intended only for the named
> recipient of this email. If the reader of this email is not the
> intended recipient, please note that any use, reproduction, disclosure
> or distribution of the information contained in this email must not
> occur with the express permission of the sender If you have received
> this email in error, please notify the sender.
>
>
>This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA. Archive of all messages are available at http://aicalist.org.au/archives – registration and login required. Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au To send a message to the list administrator send an email to aicalist-request@aicalist.org.au. You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
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