A COMPLETE GUIDE TO HOSPITAL ANTEROOMS. A Complete Guide to Hospital AnteRooms

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1 A COMPLETE GUIDE TO HOSPITAL ANTEROOMS

2 TAKEAWAYS FROM THESE SLIDES, YOU WILL LEARN: What an anteroom is and why healthcare facilities need and utilize them Effective uses for an anteroom in the healthcare environment How much you can save in effort and expense with a reuseable anteroom

3 ANTEROOM BASICS The word anteroom derives its name simply from combining the Latin word ante before and room. So in the most simple terms, an anteroom is a smaller room that comes before (or one enters before) a larger room. A waiting room could be classified as an anteroom, as could a vestibule or a lobby. In relevant terms of hospital construction, maintenance, and infection control, an anteroom is much the same but has a very specific purpose. In this case, an anteroom protects people from contaminated air by isolating a larger contaminated unoccupied room and its contaminated air, from the non-contaminated occupied area. At HEPACART, we define an anteroom as a HEPA-filtered, negative-air chamber to isolate workspace from patient space.

4 USES FOR AN ANTEROOM In a hospital, an anteroom has a few different applications -- all of them designed to protect patients from dust and associated airborne pathogens (most important) but also from noise (machinery, tools) and odor pollution (chemicals, adhesives, paint). ANTEROOM FOR MAJOR CONSTRUCTION Major construction projects within a patient room are among the most hazardous to patients because they represent a very high risk potential for lots of dust, microscopic pathogens and debris. When some areas of your facility are under construction and others are not, it is critical that those areas stay isolated and sealed off from occupied spaces.

5 MAJOR CONSTRUCTION COULD INCLUDE: DEMOLITION / TEAR DOWN BATHROOM RENOVATIONS UPGRADING PATIENT AND/OR OPERATING ROOMS MAJOR RETROFITS LIKE PLUMBING OR HVAC

6 USES FOR AN ANTEROOM ANTEROOM FOR MAJOR CONSTRUCTION While a hospital wing is under construction, it can mean too many useable patient rooms sit empty. By employing several Anterooms -- along with other protective measures -- a facility can negotiate a partial shutdown without compromising infection control, which means more rooms stay open for patients.

7 ANTEROOM DIRECTIONS PART 1: THE ANTEROOM SNAPS EASILY IN PLACE OVER HOSPITAL DOOR FRAMES WITH A MAGNETIC SEAL PART 2: PASSING THROUGH INTO THE HOSPITAL ROOM OR AREA IS AS EASY AS OPENING A DOOR. PART 3: INSIDE THE ANTEROOM, WORKERS CAN DECONTAMINATE AND TAKE OFF PERSONAL PART 4: A NEGATIVE AIR MACHINE KEEPS CONTAMINATED AIR FROM FLOWING OUT OF THE ANTEROOM. PROTECTIVE GEAR.

8 PLACING AN ANTEROOM BETWEEN CONSTRUCTION ZONES AND OTHER AREAS CAN OFFER AN IMPORTANT INFECTION CONTROL BARRIER FOR PATIENTS AND HOSPITAL STAFF.

9 USES FOR AN ANTEROOM ANTEROOM FOR ONGOING MAINTENANCE Regular maintenance is required for virtually every piece of equipment and system in a healthcare facility. In many cases, regular maintenance can stir up dust, debris, particles, spores, or germs that pose a threat to hospital patients and staff. Some examples of this type of maintenance include: Reflooring Drywall repair Ceiling tile replacement Window Replacement Painting or floor repairs In-room cabling, electronic device upgrades When maintenance events take place in a certain room, corridor, or wing, an AnteRoom can keep harmful particles from escaping into other parts of the facility.

10 USES FOR AN ANTEROOM ANTEROOM FOR INFECTION CONTROL CDC guidelines stipulate for patients who require both a PE and Airborne Infection Isolation, use an anteroom to ensure proper air balance relationships and provide independent exhaust of contaminated air to the outside or place a HEPA filter in the exhaust duct

11 USES FOR AN ANTEROOM ANTEROOM FOR EMERGENCY ISOLATION During times of crisis, including the spread of extremely infectious diseases or bioterrorism, hospitals will likely be faced with more isolation cases than isolation rooms. An anteroom in this situation is a literal lifesaver, where the following can be accomplished: Vacuuming or blowing off contaminated clothing Changing out/into of PPEs Final cleaning of tools Changing into/out of shoe covers Removing debris containers Most importantly: All of the contaminated air is pulled into a HEPA-filtered negative air machine and ported into the desired space, away from anyone who could be infected. These anteroom capabilities mean it is compatible with the HRSA Critical Benchmark #2-2 as well as CDC Guidelines Environmental for Infection Control in Health-Care Facilities for smallpox and viral hemorrhagic fever (VHF).

12 WHAT EQUIPMENT CAN AN ANTEROOM REPLACE? The use of an anteroom can eliminate the need for solutions that cost more -- either in budget or in time. Some of the alternatives that an anteroom can replace are: Disposable plastic sheeting Costly and non-portable fixed anteroom (made of raw materials) Inflatable anterooms that are difficult to store & clean Furthermore, because the anteroom is useful for emergency and non-emergency purposes, it is extremely cost effective.

13 ANTEROOM SAVINGS ANTEROOM USE & GREEN CONSTRUCTION Construction and maintenance protocols that are sustainable and support a healthier environment are top of mind for many healthcare facilities. Use of an anteroom supports green construction efforts. No longer will you be purchasing and then throwing away drywall, lumber and other materials into the dumpster on each AnteRoom build and then tear down. Also, no tear-down means a minimal amount of dust from moving the AnteRoom to the next location. A B C D E F G The following chart compares the cost of owning an AnteRoom to the cost of trying to build a dry wall vestibule for hospital room renovations: (1) Materials cost to build one drywall vestibule $ 1, (2) Labor cost to build and tear down one drywall vestibule $ Total Cost (each time to build drywall vestibule) ( A + B ) $ 1, Average # of patient room renovations in one year requiring a vestibule 15 Total Cost Annually to build drywall vestibule ( C X D ) $ 20, Purchase Price - HEPACART AnteRoom HCAR48 Standard Model $ 3, st year savings after purchase of the HEPACART AnteRoom ( E - F ) $ 16, year savings using HEPACART AnteRoom vs drywall vestibule ( E x 4 years + G ) (1) Cost for drywall, boarding materials, etc. (2) Assumes fully loaded cost per hour of $50 each for 2 workers to build, maintain and tear down a drywall vestibule. $ 98, Number of projects it would take to pay for HEPACART AnteRoom 3

14 ANTEROOM SAVINGS ANTEROOM USE & GREEN CONSTRUCTION Many healthcare facilities use plastic sheeting or disposable plastic anterooms to seal off different areas for the purpose of dust containment and infection control. Because this sheeting is cut specifically for one use and is not easy to disinfect, it is typically not reused or recycled. The resulting waste can add up to significant amounts over time. This type of containment process is hardly comforting for patients, making facility areas look unfinished and potentially unsafe. Using an anteroom such as those made by HEPACART means reusable isolation that is easy to disinfect and use again and again. The appearance is clean and professional for patients as well as staff. Put best by a repeat HEPACART AnteRoom customer, it means you are serious about infection control.

15 THE HEPACART TM ANTEROOM The HEPACART AnteRoom is an external aluminum passageway that serves as an entryway into any larger room undergoing maintenance, renovation or construction. All models include the heavy-duty, magnetically sealing aluminum HEPACART AnteRoom module, floor levelers, three windows, flex-hose adaptor and shut off plate. A HEPA filter equipped negative air machine connects easily to the adaptor for CDC level air filtration.

16 THE HEPACART TM ANTEROOM The HEPACART AnteRoom provides total room isolation, a containment measure that mitigates patient risk from work dust and related contaminants. With external negative air machine adapters on either side of the enclosure, the HEPACART AnteRoom provides air filtration, dust collection and infection control. Finally, when the HEPACART AnteRoom has reached the end of its useful life (after years of room isolation applications), it is 99% recyclable aluminum. Even at the end of its life, it is a much greener alternative to plastic, studs, drywall, etc.

17 CONCLUSION Reuseable anterooms are the best way to provide temporary dust containment and infection control in high risk healthcare environments. Anterooms are easy to use, easy to clean, and extremely durable. Most importantly, an anteroom combined with proper air filtration makes patients and staff safer than more wasteful alternatives.

18 FOR A FREE ASSESSMENT OF YOUR PROJECT. CONTACT US WE CAN GUIDE YOU TO THE RIGHT ANTEROOM 9825 Widmer Rd. Lenexa, KS info@hepacart.com

19 ABOUT HEPACART Founded in 2006, HEPACART is a manufacturer of specialty equipment used to protect people during high-risk construction, renovation, and maintenance projects. The HEPACART mission is to develop productive, durable, job-flexible, safe and sustainable containment solutions that protect patients from dust and pathogens in healthcare and other high-risk environments. Our secondary mission is to assist healthcare contractors and facilities managers with new infection-prevention measures that can also save time and money. WANT TO SEE HOW SIMPLE IT IS TO SET UP A HEPACART ANTEROOM? CLICK HERE TO WATCH IT NOW