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.