High Level Isolation Room Interactive Tool
Electrical and Plumbing
Utilize this Interactive Tool to learn more about our consensus statements for physical infrastructure for High-Level Isolation care. Highlights in the tool below will populate with our consensus statements and different strategies to implement the statement.
All Features
Electrical and Data Outlets
Total Electrical Receptacles
Consensus Statement:
A minimum of 12 single receptacles should be accessible to the head of the gurney or patient bed, with an additional 4 in accessible locations to support clinical functions.
Implementation Strategies:
- Using existing infrastructure, find negative pressure rooms that have 12 receptacles and an additional 4 receptacles to support clinical functions. ($)
- If existing infrastructure is insufficient, conduct an assessment of equipment needed for the HCID room to identify the gap to be filled, and engage a subject matter expert for electrical design modification. ($$)
Existing Standards and Other Useful Resources:
NFPA 70, NFPA 99, and FGI 2022, Guidelines for Design and Construction, Hospital Guidelines, Table 2.1-1
Emergency Electrical Receptacles
Consensus Statement:
At a minimum, assign 6 receptacles to emergency (critical branch) power. Ensure that the receptacles in the room are serviced by two separate sources of power.
Implementation Strategies:
- Using existing infrastructure, ensure there are 6 receptacles assigned to emergency power. Assess equipment needed to ensure the available capacity would not be exceeded by the minimum equipment list. ($)
- If existing infrastructure is insufficient, conduct an assessment of equipment needed for the HCID room to identify the gap to be filled, and engage a subject matter expert for electrical design modification. ($$)
Existing Standards and Other Useful Resources:
NFPA 70, NFPA 99, and FGI 2022, Guidelines for Design and Construction, Hospital Guidelines, Table 2.1-1
Number of Data Outlets in the HCID patient room
Consensus Statement:
Provide a minimum of four (4) data outlets capable of providing internet and telephone connectivity.
Implementation Strategies:
- Using existing infrastructure, ensure there are 4 data outlets capable of providing internet and telephone connectivity. ($)
- If existing infrastructure is insufficient, conduct an assessment of equipment requiring data connections for the HCID room to identify the gap to be filled, and engage a subject matter expert for IT design modifications. Having Wifi capability is ideal, but does not replace the need to also have the minimum required data outlets. ($$)
Existing Standards and Other Useful Resources:
ANSI/BICSI 004, Information Communication Technology Systems Design and Implementation Best Practices for Healthcare Institutions and Facilities (2018)
ANSI/BICSI 007, Information Communication Technology Design and Implementation Practices of Intelligent Buildings and Premises
Hands-Free Sink without Splash-Back
Hands Free Sink
Consensus Statement:
Ideally, provide a handwashing station with a hands-free faucet in the patient room. Hands-free faucets are defined as faucets that are controlled by knee or foot-operated pedals or by motion sensors such as electric eye controls. Note that this term does not refer to faucets operated using wrist blades or single-lever faucets. In addition, provide a handwashing sink with a hand-operated faucet in the patient toilet room.
Implementation Strategies:
- Using existing infrastructure, ensure there is a handwashing station with a hands-free faucet or one with a wrist blade or single lever in the HCID room. ($)
- If there is not a hands-free faucet at the handwashing station, replace the faucet with a hands-free faucet. ($$)
- NOTE: Implementation of these faucet strategies should be done in coordination with your water management team.
Existing Standards and Other Useful Resources:
FGI 2022, Guidelines for Design and Construction, Hospital Guidelines, Section 2.1-8.4.3.2 (Handwashing station sinks)
Sink without Splash-Back
Consensus Statement:
Select a sink and faucet setup that mitigates water splashing out of the sink (i.e. splash back).
Implementation Strategies:
- Using existing infrastructure, ensure the sink in the HCID room does not produce splash back. ($)
- If there is a sink that produces splash back, replace or modify sink to prevent splash back (e.g., install an after-market splash guard). ($$)
Existing Standards and Other Useful Resources:
FGI 2022, Guidelines for Design and Construction, Hospital Guidelines, Section 2.1-8.4.3.2 (Handwashing station sinks)
No Bedpan Washing Mechanism
Consensus Statement:
If adapting or modifying the space, consider a design that does not include a bedpan washing mechanism. If a bedpan washing mechanism is in place, consider adopting workflows/protocols that prohibit its use when caring for an HCID patient in the space.
Implementation Strategies:
- Use disposable bedpans and dispose of them per hospital policy. ($)
- Use a disposable bedpan macerator system. ($$)
- Use a bedpan washer-disinfector system. ($$$)
Existing Standards and Other Useful Resources:
FGI 2022, Guidelines for Design and Construction, Hospital Guidelines, Section 2.1-8.4.3.7 (Handwashing station sinks)
Providing Dialysis
Consensus Statement:
Ensure there is a means to provide dialysis to the patient at the bedside. Consult clinical leadership for the type of dialysis that would be offered by clinicians in this space and if a dialysis hook-up box would be appropriate. Facilities are encouraged to consult their public health and water authorities for additional requirements.
Implementation Strategies:
- Use existing infrastructure, select a room for HCID care that has an installed dialysis hook-up box available for use. ($)
- Deploy a portable bedside dialysis unit in a room that has two sinks: one for hand hygiene and one for dialysis hook-up. ($$)
- Install a dedicated dialysis water supply and drain wall box assembly at the bedside. ($$$)
Emergency Eyewash
Consensus Statement:
Ensure there are emergency eyewash capabilities within the HCID patient care area. Ideally, an emergency eyewash station would be connected to the sink in the doffing area. Alternatively, provide squeeze bottles for eyewash that are readily accessible in the doffing area.
Implementation Strategies:
- Use existing infrastructure, select a patient care location that already has an eyewash station in the room. ($)
- Provide squeeze bottles in the immediate vicinity for eyewash. Note that the main purpose of these units is to supply immediate flushing. With this accomplished, the injured individual should then proceed to a plumbed or self contained eyewash station and flush the eyes for the required 15-minute period. ($$)
- Install an emergency eyewash station in the HCID care room doffing area. ($$$)
Existing Standards and Other Useful Resources:
Code of Federal Regulations, Title 29—OSHA Regulations, Part 1910 (29 CFR 1910): Occupational Safety and Health Standards
OSHA regulations address emergency eyewash and shower equipment in 29 CFR 1910.151. Specifically, 1910.151(c)
Read more at the ANSI Blog: ANSI Z358.1-2014: Emergency Eyewash & Shower Standard https://blog.ansi.org/?p=158175
ANSI Z358.1-2014 Standard for Emergency Eyewash and Shower Equipment