TB Prevention/Control

Introduction
Screening
Early Identification
Airborne Precautions

patient placement

respiratory protection

patient instructions

visitor instructions

Discharge Planning
Prevention & Control:
Procedure Specific
TB Surveillance
PPD Testing
Unprotected TB Exposure
Work Restrictions
Consultation


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Yale New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA

Dr. Jeff Topal
688-4634




Patient Placement
Place the patient in a private room that has:
  1. monitored negative air pressure in relation to the surrounding areas (i.e. a negative pressure room)
  2. 6 to 12 air exchanges per hour
  3. appropriate discharge of air to the outdoors or monitored high-efficiency filtration (HEPA) of room air before recirculation to other areas in the hospital
All of the negative pressure rooms at YNHH meet the above criteria for airborne precautions. The engineering department performs regularly scheduled maintenance for all of the negative pressure isolation rooms. If there is a concern regarding the integrity of the room for use in Airborne Precautions, the YNHH Facilities Department should be contacted immediately. Such a room should not be used for patient requiring airborne precautions until it is reviewed by the YNHH Facilities Group.
While a patient with suspected/confirmed TB is in a negative pressure isolation room on Airborne Precautions, the door must be kept closed at all times except when entering/exiting the room. If an anteroom is present, then both doors to the patient's room and the hallway must be kept closed.
An open door will eliminate the negative pressure gradient by equilibrating the pressure gradient between the patient's room and the hallway. As such the room will not protect patients and staff from TB exposure.

Place a pink Airborne sign on the door and on the front of the patient's medical record.

Negative pressure rooms at YNHH


Last modified: February 27, 2001.



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