This document discusses the history and importance of isolation facilities for preventing the spread of contagious diseases. It outlines how isolation was used as early as the 18th century for diseases like smallpox. The development of germ theory in the 19th century established isolation as a key prevention strategy when treatments were not available. The document then describes the requirements and best practices for designing isolation rooms today, including engineering controls like negative or positive pressure. It emphasizes isolation can cause psychological stress for patients, so facilities should aim to minimize this.
Definition of Isolation, Need of isolation, Types of Isolation, Mode Of Transmission Of Disease, Modes of Isolation, Types of precautions, Universal / standard precautions, Transmission based precautions, Advantages of Isolation, Disadvantages of Isolation, Isolation Ward in Hospital, Isolation Room in Hospital, Disease Wise Periods of Isolation Recommended etc.
Laundry services in hospitals –linen handling
During any given hospital stay, patients spend most, if not all, of their time in bed.
•That means they are surrounded all day with hospital linens.
•From their gown to their sheets and blankets patients have more contact with these items than anything else in the hospital.
•Adequatesupplyofcleanlinensufficientforcomfortandsafteyofpatientandpersonalappereance&pleasant,neatlyattiredemployeesattendingpatientsinfreshcrispuniformdomuchsellthehospitaltothepublic
•Thereforeitmakessensetoensurethattheyareproperlycleaned,driedandtransportedtoavoidcrosscontamination
Definition of Isolation, Need of isolation, Types of Isolation, Mode Of Transmission Of Disease, Modes of Isolation, Types of precautions, Universal / standard precautions, Transmission based precautions, Advantages of Isolation, Disadvantages of Isolation, Isolation Ward in Hospital, Isolation Room in Hospital, Disease Wise Periods of Isolation Recommended etc.
Laundry services in hospitals –linen handling
During any given hospital stay, patients spend most, if not all, of their time in bed.
•That means they are surrounded all day with hospital linens.
•From their gown to their sheets and blankets patients have more contact with these items than anything else in the hospital.
•Adequatesupplyofcleanlinensufficientforcomfortandsafteyofpatientandpersonalappereance&pleasant,neatlyattiredemployeesattendingpatientsinfreshcrispuniformdomuchsellthehospitaltothepublic
•Thereforeitmakessensetoensurethattheyareproperlycleaned,driedandtransportedtoavoidcrosscontamination
Care of Vulnerable patient in hospital setting as per NABH.pptxanjalatchi
Several patient characteristics associated with vulnerability were identified. Socio-demographic condition, legal status and financial means seem to be the most important determinants. These characteristics were often linked, as if the costs prevent the system from adapting to the patient's needs.
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
Care of Vulnerable patient in hospital setting as per NABH.pptxanjalatchi
Several patient characteristics associated with vulnerability were identified. Socio-demographic condition, legal status and financial means seem to be the most important determinants. These characteristics were often linked, as if the costs prevent the system from adapting to the patient's needs.
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
A New Tool to Fight Hospital-Acquired Infections:Antimicrobial Copper Touch S...Wilton Moran, MBA
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Lecture By:
Dr. Ahmed Qureshi, MS, FACS, MBA, PCIC
Head, Infection Prevention & Control Department,
Arar Central Hospital, Arar, KSA
Regional Coordinator , IP & C, North Zone , KSA
How To Boost Hospital Performance By Optimizing Your PharmacyCompleteRx
Assessing and managing productivity is a complex process that takes the rights tools and people. While pharmacy may seem to be a small part of an overall organization, it is actually one of the largest cost centers of a hospital, making it one of the most important departments to optimize and streamline. Learn how your pharmacy’s productivity can impact your hospital’s overall costs, quality, safety and patient satisfaction.
Key Points:
- Analyzing productivity
- Pros and cons of pharmacy productivity management tools
- Use of volume indicators
- Workflows to improve productivity and communication with nursing and hospital staff
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
Presentation from the 3rd Joint Meeting of the Antimicrobial Resistance and Healthcare-Associated Infections (ARHAI) Networks, organised by the European Centre of Disease Prevention and Control - Stockholm, 11-13 February 2015
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
Over 1.4 million people each year worldwide suffer from hospital acquired infections. We can follow simple steps and protocols to prevent many of these cases.
Risk assessment must be considered whenever patient required for isolation
Type of isolation are source or protective
Tires of precautions include stander precaution and transmission based precaution which based on 3 mode of transmission contact, airborne, or droplets.
Critical care nursing lectures for undergraduate and post graduate students. The infection control in ICU includes all procedures needed to control infection among patients in ICU followed by nursing students
Ic guidelines for burn unit [compatibility mode]drnahla
Infection Control Guidelines for burn unit
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
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How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
2. Background/History
• Contagious disease has challenged society
throughout human history.
• In the 18th and 19th centuries, smallpox led to
smallpox hospitals in some large urban
communities. At the same time, citizens lived with
the fear of outbreaks of typhus, typhoid fever,
diphtheria, scarlet fever and influenza.
• The effectiveness of isolation was often limited due
to the lack of knowledge of the cause and
transmission of these infectious diseases
3. The germ theory of infectious disease was
formulated during the second half of the 19th
century.
In the absence of specific treatment, isolation
became the principle strategy to prevent the
transmission of contagious disease.
4. • The Ontario Public Health Act in 1884 provided for
the expropriation of land for isolation hospitals and
required separate facilities for smallpox.
• The Nickle Wing of the Kingston General Hospital,
one of the earliest isolation facilities in Canada,
served the community from 1892 until 1922.
5. The introduction of public health defenses included
improved sanitation and safe water to prevent
cholera and typhoid fever;
Vaccines that lowered the incidence of smallpox,
diphtheria, pertussis, tetanus, rubella, measles,
mumps and polio;
And the discovery of antibiotics to treat specific
infectious disease
6. Extrapolating from these dramatic advances, many
concluded that infectious disease could be prevented
or easily managed. During the 20th century, the
practice of isolation in hospital and the home
declined.
7. • In recent years, even developed countries have
discovered that they remain painfully vulnerable to
infectious disease.
• The re-emergence of antibiotic resistant organisms
such as staph aureus, c. difficile, and tuberculosis
particularly in the immune deficient contribute to
nosocomial infections in hospitals, nursing homes
and the community, while epidemics of cholera occur
due to failure of sanitary conditions.
8. • The emergence of mutations of the influenza virus
leading to pandemics such as the SARS outbreak for
which there is little or no specific treatment are
annual concerns.
• These infections again require isolation in hospital
and the community. The lessons learned in the 19th
century are particularly relevant to these present day
challenges
9. In 1969, The Joint Commission on Accreditation of
Health Care Organisation (JCHAO) recommended
for the need of isolation facility and infection control
committee in Hospitals.
11. Definition :- Isolation is the separation of a person
or a group of person infected or believed to be
infected with contagious disease to prevent spread of
infection in hospital setting.
12.
13. • Types of Isolation :
• Source Isolation :AIIR ( Airborne Infection Isolation
Room) or negative pressure room.
• Protective Isolation : Positive Pressure Room
*It is considered inadvisable to mix accomodation for patients
requiring src isolation and protective isolation
14. • Source Isolation ( Most frequent Type ;Negetive
Pressure Room) – This type of isolation facility is
used to prevent spread of infection from the patient
to other patient and hospital Staffs .
• Patients with communicable disease who can pass
infections to others via airborne droplets are isolated
in this type of room. eg.:TB.SARS,H1N1
15. Protective Isolation : (positive Pressure Room)-
These type of isolation facility are meant to isolate
profoundly immune -compromised patients, such as
patient undergoing organ transplant, or oncology
patient receiving chemotherapy, HIV, etc.
17. Planning & Designing
1.Requirement of Isolation Facility
Influenced by the pattern of clinical work and type of
specialist units
• 2.5% of total beds ,
• 10-20% of Total ICU beds in ICU (1 per 5 bed)
• 1 per 30 beds/100 bedded Hospital
• 2. Area of Isolation Room – 22 Sq. m
18. Source Isolation Room requirements :
1.Negetive pressure maintained with or without ante room/
or bathroom.
2. More than 12 Air change per hour
3.Minimum leakage maximum 1 inch under the room door.
4.Air should be exhausted to outside (No recirculation) or
must pass through HEPA filter in case of recirculation.
5.Pressure sensor with alarm is recommended.
6.Pressure difference equal or more than 2 pascal.
With airlock ,degree of protection is about 10000 times that found
in an open situation
22. The exhaust air should be drawn from low level exhaust duct approximately 150mm
above the floor
23. 1- SMOKE TUBE TEST
2- TISSUE TEST A
THIN STRIP OF TISSUE SHOULD BE
HELD PARALLEL TO THE GAP
BETWEEN THE FLOOR AND
BOTTOM OF THE DOOR. THE
DIRECTION OF THE TISSUE‘S
MOVEMENT
WILL INDICATE THE DIRECTION OF
AIR MOVEMENT.
3-MANOMETER
Verifying Negative
Pressure
24. Protective Isolation Room
1. Positive pressure room in relation to
corridor with inside bathroom with
2. Pressure difference minimum 8 Pascal .
3. > 12 ACH is required .
4. Well sealed room.
5. Supply air must pass through HEPA filter.
6. Directed room airflow with air supply on
one side of the room that moves air across
the patient bed and out through an exhaust
on the opposite side of the room.
25.
26. Protective Isolation Room requirements
1. Positive pressure room in relation to
corridor with inside bathroom with
2. Pressure difference minimum 8 Pascal .
3. > 12 ACH is required .
4. Well sealed room.
5. Supply air must pass through HEPA filter.
6. Directed room airflow with air supply on
one side of the room that moves air across
the patient bed and out through an exhaust
on the opposite side of the room.
27.
28. 3. Other requirement :
• Access to oxygen and compressed air ,
• Ante room,
• Wash room,
• Disposable crockery and cultery items ,
• Paper plastic Cups,
• speaking panel/ glass partitions to avoid direct
contact with visitors
29. Isolation cart
When a room used for isolation lacks the ante room
or lock chamber,an isolation cart is used which is not
taken inside the isolation room.
30. Physiological Stress of isolation
• Many patients with complete isolation from any
audible or visual indications of life outside impose
great psychological stress.
• Occasionally elderly patient subjected to prolonged
isolation have appeared to suffer from it .
• Children in isolation ward think they are being
punished, they have been rejected or unworthy.
• It is desirable for nurses to spend extra time in room.
• Mothers may also help to look after babies if
isolation procedures are shown to them.
31. Hierarchy of Infection Prevention and
Control Measures
PPE
Engineering Controls
Protects
only the
wearer
Elimination of Potential
Exposures
Administrative
Controls
Protects
most
people
33. Engineering Controls
Physically separates the employee from the
hazard
Does not require employee compliance to be
effective
Examples:
Physical barriers at Triage
Airborne infection isolation room for
patients with known or suspect
airborne infectious diseases
34. Administrative Controls/
Workplace Practices
Policies, procedures, and programs that
minimize intensity or duration of
exposure
Examples:
signs on door of an airborne isolation
room
triage, mask symptomatic patient
provide tissues/ masks/hand sanitizer
to public
Standard procedures/ behaviors in caring
for patients e.g. hand hygiene, HCW
vaccination
35. Administrative aspect in management of epidemics and
communicable disease
PPE should be readily available
Avaibility of appropriate medications and disposables and
life saving equipments has to be ensured
Proper BMW disposal should be carried out
In case of exposure to staff,prophylaxis has to be provided
by institue.
Information to the state authority to be provided about the
case.
Media has to be provided relevent disease information and
update without creating panic
36. Personal Protective Equipment
Lowest level of hierarchy - requires employee
compliance for efficacy
Means higher elements of hierarchy fail to
adequately protect employee
May involve use of gowns, gloves, eye/splash
protection or respirators
Last line of defense
37. Face Masks vs. N95 Respirators
Loose fitting, not designed
to filter out small aerosols
Place on coughing patient
(source control)
HCW should wear mask to
protect patient during
certain procedures (e.g.,
surgery)
protect HCW
droplet precautions
Mask + goggles for
anticipated
spray/splash
Tight fitting respirator,
designed to filter the air
Protects the wearer
HCW should wear when
concerned about
transmission by airborne
route
Again, in health care settings, a patient with suspect ATD should wear a mask when around others
HCW should wear surgical or procedural mask to protect the patient when performing certain procedures such as insertion of central lines/ lumbar punctures & epidurals
HCW should wear a mask to protect his/her self against ATDs or as part of PPE for anticipated spray or splash
http://www.cdc.gov/Features/MasksRespirators