× You are not currently logged in. To receive all the benefits our site has to offer, we encourage you to log in now.

Preparing an ICU room to welcome a critically ill patient with Ebola virus disease

Originally Published:
2014
Key Point Summary
Key Point Summary Author(s):
Dickey, Andrew
Share
Key Concepts/Context
Ebola virus disease is a viral hemorrhagic fever that spreads through direct contact with the body fluids of an infected animal or human. Contamination may also occur through contact with items that were recently contacted by infected bodily fluids. No spread of the disease through the air has been documented. As no specific treatment or vaccine for the virus is currently available, specially coordinated medical services are necessary to control outbreaks. Ebola virus disease-intensive care units (EVD-ICUs) must be fully equipped for safe management and intensive care, and special attention should be given to the safety of the healthcare workers caring for EVD patients.
Objectives
To describe how to properly prepare an ICU room and staff for the treatment of patients afflicted with the Ebola virus.
Methods
  • An airlock kept in negative air pressure should precede EVD-ICUs, along with an increasing pressure gradient from the airlock to the room.
  • Along with typical ICU equipment, an EVD-ICU should also include dedicated materials that will remain in the room for the entire length of a patient’s stay, such as a mobile X-ray system, a portable ultrasound machine, specific equipment for waste disposal, and a field laboratory covered with a pyramidal portable glove bag.
  • All healthcare workers should wear protective equipment such as single-use impermeable gowns, hoods, face masks, two pairs of nitrile gloves (one with extended cuffs), boots, and goggles.
Design Implications
Designers responsible for organizing the creation of an EVD-ICU should carefully consider appropriate locations for the airlock entrance to the room due to the importance of pressure gradients within this space and the inherent danger of the EVD-ICU itself. Entrances and exits from EVD-ICUs should be closely monitored, possibly by camera, to reduce risk of further contamination.
Findings
No findings were described in this article.
Limitations
This article acts as a brief informative piece regarding the proper equipment necessary for an ICU to safely treat patients infected by EVD. Accordingly, no reasoning or evidence is provided to support why these specific pieces of equipment are recommended.
Design Category
Building location/site optimization|Furniture, Fixtures & Equipment (FF&E)|Room configuration and layout
Setting
Hospitals|Other healthcare facilities
Outcome Category
Patient health outcomes|Staff health outcomes|Staff productivity / efficiency|HAI related outcomes
Environmental Condition Category
Environmental hygiene
Key Point Summary Author(s):
Dickey, Andrew
Primary Author
Pasquier, P.