A zero contact room is to be designed for patients affected by COVID-19 who need to isolated so that they further do not affect any more people. This product aims to prevent further spread of infectious diseases like COVID-19 from patients to doctors.

1. NO CONTACT ROOM (desolation rooms)

2. Problem
Statement
• Zero-Contact Room
• This product aims to prevent further spread of
infectious diseases like COVID-19 from
patients to doctors.
• A zero contact room is to be designed for
patients affected by COVID-19 who need to
isolated so that they further do not affect any
more people.

3. Design
Outline
• To establish an isolation facility as an
important mainstay for breaking the chain of
transmission in the community.
• Isolation refers to separation of individuals
who are ill and suspected or confirmed of
COVID-19. All suspect cases detected in the
containment/buffer zones (till a diagnosis is
made), will be hospitalized and kept in
isolation in a designated facility till such time
they are tested negative.
• Our design focuses on such people

4. Applications To
Proposed Product
• Desolation rooms
• Protective equipment
• Transportation

5. Quarantine and Isolation
Quarantine refers to separation of
individuals who are not yet ill but have
been exposed to COVID-19 and therefore
have a potential to become ill. There will
be voluntary home quarantine of contacts
of suspect /confirmed cases. The guideline
on home quarantine available on the
website of the Ministry provides detail
guidance on home quarantine.
Isolation refers to separation of individuals
who are ill and suspected or confirmed of
COVID-19. All suspect cases detected in the
containment/buffer zones (till a diagnosis
is made), will be hospitalized and kept in
isolation in a designated facility till such
time they are tested negative.

6. Requirements of isolation ward
At State level, a minimum of 50 bed
isolation ward should be established.
At District level, a minimum of 10 bed
isolation ward should be established

7. Preparing a NO contact
room: Desolation room
• Signs on the door indicating that space is desolation room.
• Minimum furniture in the room so as to not conceal or
retain dirt and moisture within or around it.
• Single occupancy rooms.
• 200 sq. Ft area per bed required as a minimum need.
• Area to be separated from rest which is not frequently
visited by outsiders.
• There should be double door entry with changing room
and nursing station. Enough PPE should be available in the
changing room with waste disposal bins to collect used
PPEs(personal protective equipment). Used PPEs should be
disposed as per the BMWM (bio-medical waste
management) guidelines

8. Placing of things in
desolation rooms
• Stock the PPE supply and linen outside the isolation room or
area (e.g. in the change room). Setup a trolley outside the door
to hold PPE.
• Place appropriate waste bags in a bin. If possible, use a touch-
free bin. Ensure that used (i.e. dirty) bins remain inside the
isolation rooms.
• Place a puncture-proof container for sharps disposal inside the
isolation room/area and bio-medical waste should be managed
as per the BMWM guidelines.
• Keep the patient’s personal belongings to a minimum. Keep
water pitchers and cups, tissue wipes, and all items necessary
for attending to personal hygiene within the patient’s reach.
• Non-critical patient-care equipment (e.g. stethoscope,
thermometer, blood pressure cuff, and sphygmomanometer)
should be dedicated for the patient, if possible.
• Any patient-care equipment that is required for use by other
patients should be thoroughly cleaned and disinfected before
use.

9. Hygiene and ventilation
Ensure that appropriate hand
washing facilities and hand-
hygiene supplies are available.
Stock the sink area with suitable
supplies for hand washing, and
with alcohol-based hand rub, near
the point of care and the room
door.
The isolation ward should have a
separate toilet with proper
cleaning and supplies.
Ensure adequate room ventilation.
Such desolation facility should
have large windows on opposite
walls of the room allowing a
natural unidirectional flow and air
changes. The principle of natural
ventilation is to allow and enhance
the flow of outdoor air by natural
forces such as wind and thermal
buoyancy forces from one opening
to another to achieve the desirable
air change per hour.
If room is air-conditioned, ensure
12 air changes/ hour and filtering
of exhaust air. A negative pressure
in isolation rooms is desirable for
patients requiring aerosolization
procedures (intubation, suction
nebulization). These rooms may
have standalone air-conditioning.
These areas should not be a part of
the central air-conditioning.
If air-conditioning is not available
negative pressure could also be
created through putting up 3-4
exhaust fans driving air out of the
room.

10. In the desolation room
Ensure regular cleaning and proper disinfection
of common areas, and adequate hand hygiene
by patients, visitors and care givers. Keep
adequate equipment required for cleaning or
disinfection inside the isolation room or area,
and ensure scrupulous daily cleaning of the
isolation room or area.
For unavoidable entries, they should use PPE
according to the hospital guidance, and should
be instructed on its proper use and in hand
hygiene practices prior to entry into the isolation
room/area.
Consider having designated portable X-ray and
portable ultrasound equipment.
Set up a telephone or other method of
communication in the isolation room or area to
enable patients, family members or visitors to
communicate with health-care workers. This
may reduce the number of times the workers
need to don PPE to enter the room or area.

11. Checklist for isolation rooms
• Eye protection (visor or goggles)
• Face shield (provides eye, nose
and mouth protection)
• Gloves- reusable vinyl or rubber
gloves for environmental
cleaning, latex single-use gloves
for clinical care
• Hair covers
• Particulate respirators (N95,
FFP2, or equivalent)
• Medical (surgical or procedure)
masks
• Gowns and aprons- single-use
long-sleeved fluid-resistant or
reusable non-fluid-resistant
gowns or plastic aprons (for use
over non-fluid-resistant gowns
if splashing is anticipated and if
fluid-resistant gowns are not
available)
• Alcohol-based hand rub
• Plain soap (liquid if possible, for
washing hands in clean water)
• Clean single-use towels (e.g.
paper towels)
• Sharps containers
• Appropriate detergent for
environmental cleaning and
disinfectant for disinfection of
surfaces, instruments or
equipment
• Large plastic bags
• Appropriate clinical waste bags
• Linen bags
• Collection container for used
equipment
• Standard protocols for hand
hygiene, sample collection and
BMW displayed clearly
• Standard Clinical management
protocols

12. Robot nurses to
serve food,
medicines for
COVID-19 patients
Robot nurses are robots helping
our doctors in taking care of
patients.

14. FAMOUS NURSE
ROBOTS
• Robot Dinsow
• Robot Paro
• Tommy

15. Tommy the robot nurse helps keep Italy doctors safe
from coronavirus
• Tommy is one of six new robots helping flesh-and-blood doctors and
nurses care for coronavirus patients at the Circolo Hospital in Varese, a
city in the northern Lombardy region that is the epicenter of the
outbreak in Italy.
• “It’s like having another nurse without problems related to infection,”
said Doctor Francesco Dentali, director of intensive care at the hospital.
• The child-size robots with large blinking eyes are wheeled into rooms
and left by a patient’s bedside so doctors can look after others who are
in more serious conditions.
• They monitor parameters from equipment in the room, relaying them to
hospital staff. The robots have touch-screen faces that allow patients to
record messages and send them to doctors.
• Most importantly, Tommy and his high-tech teammates allow the
hospital to limit the amount of direct contact doctors and nurses have
with patients, thus reducing the risk of infection.
• More than 4,000 Italian health workers have contracted the virus
treating victims in Italy and 66 doctors have died.
• The death toll in Italy, the world’s hardest hit country in terms of deaths,
topped 13,000 on Wednesday, more than a third of all global fatalities.
• “Using my abilities, medical staff can be in touch with the patients
without direct contact,” Tommy the robot, who was named after a son of
one of the doctors, explained to a visiting reporter on Wednesday.
• It takes a while for patients to realize that, given the enormity of the task
of combating coronavirus and the toll it is taking on overworked medical
staff, robots may be just what the doctor ordered.
• “You have to explain to the patient the aim and function of the robot,”
Dentali said.
• “The first reaction is not positive, especially for old patients. But if you
explain your aim, the patient is happy because he or she can speak with
the doctor,” he said.
• The robots also help the hospital limit the number of protective masks
and gowns staff have to use.
• “These days, they are a scarce resource,” said Doctor Gianni Bonelli, the
hospital’s director.
• The shortage of masks has been one of the biggest problems dogging the
national health system since the contagion surfaced at the end of
February.
• The national commissioner for the emergency has said it will take Italy at
least two months to become self-sufficient in producing protective
masks.
• Tommy and his fellow robot nurses have one more advantage – they are
not subject to exhaustion. A quick charge of batteries and they are back
at work in the ward.

18. Doctors and robot nurses
1
Hospitals in the
city should start
using robots to
disinfect their
premises without
human
intervention. And
also to serve food
and other essential
items like
medicines to
COVID-19 patients.
The move is aimed
at reducing the risk
of infection for
medical and
sanitation staff at
the hospitals.
2
The robot can be
remotely accessed.
It moves with a
maximum speed of
1 m/s and can be
controlled through
a laptop or a
tablet. The robot
has an internal wi-
fi mechanism
through which it
can be directly
connected with the
laptop or the
tablet.
3
This will help
control death of
doctors and nurses
due to infection
also more people
can be easily
observed with less
staff.
4
This can be the
best add on in the
no contact room as
the main focus is to
safe our doctors
from infection and
prevent their death
along with our
valuable citizens.