The BMT unit at Middle
East Institute of Health University hospital is committed to provide a high
–quality, compassionate and state of the art care. It is designated with an
appropriate location and adequate space and design to minimize airborne
microbial contamination.
The BMT unit is
following the guidelines for the international isolation practices, including
the CDC guidelines for the prevention of the nosocomial infection.
It consists of five
isolation rooms equipped according to the International European standards
(FACT –JACIE Standards).Each room is under positive pressure with an advanced
laminar flow, hepa-filters for the BMT operations.
A laminar air flow room
used to provide zero-pathogen environment to protect the patient from any microbial
invasion.
A Hepa-Filter is
capable of removing particles less than 0.3 micrometer in diameter, such rooms contained filtered air that moves in
parallel, unidirectional flow, the air enters the room from one wall and exits
the room on the opposite wall, Although the laminar air flow protects patients
from infection.
Each room in the BMT
unit is also equipped with a separate cardiac monitor (for the adult and
pediatric patients) attached to the central monitor which is located at the
nurse’s station for monitoring the patient status at any time over 24 hours.
Nevertheless, the rooms
in the BMT unit are also equipped with a video camera attached to the central
screen located at the nurse’s station for the sake of patient safety.
Rooms are also equipped
with all the installation requirements needed to do the renal dialysis inside
patient’s room ( in case a complication
of renal failure occurred during transplantation especially with allogenic
transplantation).
Room’s floor is
protected with poly-vinyl which is recommended by the international infection
control policies since nosocomial pathogens are potential threats to all
patients, however BMT patients are at high risk because they are
immunocompromised (with low immunity).
However, the corners in
each patient room are concave in shape to provide a consistent positive
pressure inside patient’s room and to minimize microbial colonization.
In general, air pressure in patient’s room
should be higher than in the anteroom(SAS)where there is a single sink workable
on touch to minimize nosocomial infection in addition to the proper PPEs(
disposable Personal Protective Equipment) and this can be observed and
monitored because of the presence of a device located on patient’s door to
monitor the positive pressure and the difference of pressure inside patient’s
room.
BMT patients are under
reverse isolation precautions, staff and visitors should wear all the PPEs
(Personal Protective Equipment, e g: wearing gown, face mask, cover shoes
gloves and do hand washing before and after entering patient’s room ) to
protect the patient from any infectious organisms that might be carried by the
staff, other patients, or visitors or on droplets in the air or on equipment or
materials .
The purpose is to
protect the patient from any germs the staff or visitors are carrying since
patient’s safety is our permanent concern.