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Sample unit isolation plan for emergency response

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May 1, 2010

New resource excerpt

Sample unit isolation plan for emergency response

HCPro’s new resource, Emergency Operations Plan Template, contains advice and sample language on building an emergency operations plan that meets the intent of The Joint Commission’s emergency management standards. 

The fully customizable template also includes a dozen appendixes and annexes, including one that discusses isolation plans, which we include below:

Subject: Isolation plan and procedure

Purpose: In order to contain airborne contaminants beyond the normal scope of this facility, engineering shall take the appropriate steps to secure a safe environment for patients and staff members requiring cohorting patients on an entire nursing unit under negative air isolation. 

Please note that the facilities management department should be consulted to designate and develop the healthcare entity units capable of 100% exhaust/negative air. 

References: Joint Commission standards EM.02.01.01, element of performance (EP) 8 (implementing response procedures related to patient care during an actual emergency) and EM.02.02.11, EPs 2 (describing how the hospital will manage various patient care activities) and 8 (describing how the hospital will track patients’ clinical information).

 

Procedures: ED unit isolation

If the ED is to be used as the designated isolation unit, the ED charge nurse and/or nursing supervisor must determine the location to relocate patients. Once this has been determined and patients are relocated, the following actions should be taken: 

  • The engineering department should close the ED by installing temporary partitions across the corridor and post signs limiting entrance to authorized personnel only. Doors to the ED and the temporary partition must remain in place during the isolation procedure. 
  • The engineering department should verify negative air by using a differential pressure gauge.
  • The engineering department should turn on isolation exhaust fan at the control. Verify fan start and negative air by observing isolation systems from the building automation systems.
  • The engineering department should close ED entrance doors and post signs indicating that ED doors must remain closed. 
  • The engineering department should measure and record the air pressure in relation to adjacent corridors using the differential pressure gauge. 
  • Central supply should move the emergency supply cart to the unit.
  • Environmental services should deliver one waste cart and linen cart inside the unit for waste disposal and linen disposal. 
  • The engineering department should place a 55-gal., open-top drum inside the unit for waste disposal. The drum shall be labeled appropriately, identifying the waste.
  • The engineering department should lock and secure both linen and waste chutes, covering them with plastic and duct tape. Shut down the pneumatic tube station and cover it with plastic and duct tape.
  • The engineering department should measure and record the air pressure differential across the door using a digital manometer. 

 

Nursing unit isolation

If a nursing unit is to be used as the designated isolation unit, the following actions should be taken: 

  • The engineering department should close the unit by installing temporary partitions across the corridor and post signs limiting entrance to authorized  personnel only. Doors to the unit and the temporary partition must remain in place during the isolation procedure. 
  • The engineering department should turn on negative air control. Verify the isolation fan start from the building automation system and differential-pressure gauge.
  • The engineering department should verify negative air by using a differential pressure gauge.
  • Central supply should move emergency supply cart to the unit.
  • The engineering department should lock and secure linen and waste chutes, covering them with plastic and duct tape. 
  • Environmental services shall deliver one waste cart and linen cart inside the unit for waste disposal and linen disposal. 
  • The engineering department should place a 55-gal., open-top drum inside the unit for waste disposal. The drum shall be labeled appropriately, identifying the waste.
  • The engineering department should shut down the pneumatic tube station by turning off the power located at the unit and covering it with plastic and duct tape. 
  • The engineering department should measure and record the air-pressure differential across the door using a digital manometer.

 

Editor’s note: For more information about the Emergency Operations Plan Template, go to www.hcmarketplace.com/prod-7973 or call our customer service center at 800/650-6787.




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