HB 260-2003

1 - HB 260-2003 HOSPITAL ACQUIRED INFECTIONS-ENGINEERING DOWN THE RISK
4 - PREFACE
5 - CONTENTS
7 - FOREWORD
9 - SECTION 1 SCOPE AND GENERAL
9 - 1.1 SCOPE
9 - 1.2 REFERENCED DOCUMENTS
10 - 1.3 DEFINITIONS AND TERMINOLOGY
10 - 1.3.1 Ensuite
10 - 1.3.2 Handwashing facilities
10 - 1.3.3 Standard and Additional Precautions
11 - SECTION 2 PATIENT ACCOMMODATION
11 - 2.1 GENERAL
11 - 2.2 TYPES OF ROOMS
13 - SECTION 3 GENERAL PRINCIPLES/REQUIREMENTS FOR DESIGN AND CONSTRUCTION OF HEALTH CARE FACILITIES
13 - 3.1 GENERAL
13 - 3.2 DESIGN AND CONSTRUCTION
18 - SECTION 4 HANDWASHING FACILITIES
18 - 4.1 GENERAL
18 - 4.2 HANDWASHING BASINS
18 - 4.2.1 General
19 - 4.2.2 Spatial requirements for hand basins and handwashing activities
20 - 4.2.3 Hand basin design
20 - 4.2.4 Taps
20 - 4.2.5 Dispensers-soap/towel
21 - SECTION 5 REQUIREMENTS FOR ROOMS SUITABLE FOR INFECTION CONTROL
21 - 5.1 GENERAL PRINCIPLES
22 - 5.2 TYPES OF ROOMS
22 - 5.3 SUGGESTED DESIGN OF ROOMS SUITABLE FOR INFECTION CONTROL
22 - 5.4 PRESSURE GRADIENTS
23 - 5.5 VENTILATION/EXHAUST SYSTEM
23 - 5.6 SUPPLY AIR AND EXHAUST DUCT DESIGN
23 - 5.7 AIR DISTRIBUTION
24 - 5.8 AIR CHANGE RATES
24 - 5.9 MONITORING OF ROOM PRESSURE
25 - 5.10 METHODS OF VARYING ROOM PRESSURE
25 - 5.11 QUARANTINE ISOLATION ROOMS
25 - 5.12 MINIMUM FRESH AIR REQUIREMENTS
25 - 5.13 MINIMIZING OF ROOM AIR LEAKS-TYPE 5 (RESPIRATORY ISOLATION) ROOMS
25 - 5.14 ROUTINE PERFORMANCE MONITORING AND MAINTENANCE
26 - 5.15 ENERGY CONSERVATION
26 - 5.16 PLANT BACK-UP SYSTEMS
26 - 5.17 INTERIOR OF ROOMS
27 - 5.18 ROOM RENOVATION OR CONVERSION
27 - 5.19 CHECKLIST FOR ROOMS SUITABLE FOR INFECTION CONTROL PURPOSES
28 - SECTION 6 REQUIREMENTS FOR SPECIALTY AREAS
28 - 6.1 GENERAL
28 - 6.2 INTENSIVE CARE/CRITICAL CARE/CORONARY CARE UNITS
28 - 6.2.1 Provision and Types of separate rooms
28 - 6.2.2 Ensuites
29 - 6.2.3 Dimensions
29 - 6.2.4 Dedicated storage space
29 - 6.2.5 Storage areas for soiled materials
29 - 6.2.6 Clinical hand basins
29 - 6.3 EMERGENCY MEDICINE DEPARTMENTS (ADULT/PAEDIATRIC)
29 - 6.3.1 Provision of separate rooms
29 - 6.3.2 Clinical hand basins
30 - 6.4 NEONATAL INTENSIVE CARE UNITS
30 - 6.4.1 Separate room requirements
30 - 6.4.2 Clinical hand basins
30 - 6.5 PAEDIATRIC UNITS
30 - 6.5.1 General
30 - 6.5.2 Separate room requirements
31 - 6.6 ACUTE CARE RESIDENTIAL AGED CARE UNITS
31 - 6.7 HAEMATOLOGY/ONCOLOGY UNITS
31 - 6.7.1 General
31 - 6.7.2 Clinical hand basins
31 - 6.8 MORTUARY
32 - 6.9 MATERNITY UNITS
32 - 6.9.1 General
32 - 6.9.2 Birthing suites
32 - 6.9.3 Provision of separate rooms-general postnatal ward
33 - 6.9.4 Spa baths
33 - 6.10 OPERATING ROOMS
33 - 6.10.1 Construction
33 - 6.10.2 Airflow management
33 - 6.10.3 Pressure gradients
33 - 6.10.4 Air filtration
34 - 6.10.5 Laminar flow
34 - 6.11 BRONCHOSCOPY SUITES
35 - 6.12 AREAS USED FOR DIALYSIS
36 - APPENDIX A - CONFIGURATIONS FOR TYPES OF ROOMS FOR INFECTIONCONTROL PURPOSES
36 - A1 GENERAL
36 - A2 VARIOUS CONFIGURATIONS FOR TYPES OF ROOMS
42 - APPENDIX B - BIBLIOGRAPHY

Provides guidelines for persons, including engineers, architects, building contractors, project managers and health care workers, involved in the building design phase of new buildings for hospitals, or of buildings undergoing refurbishment or renovations in hospitals, to minimize the risk of acquiring infections in hospitals. Facilities for acute medical, surgical, paediatric and obstetric patients are covered in this handbook, but not psychiatric and long-term aged facilities, nor rehabilitation day care facilities.

This Handbook provides guidelines for persons, including engineers, architects, building contractors, project managers and health care workers, involved in the building design phase of new buildings for hospitals or of buildings undergoing refurbishment or renovations in hospitals, to minimize the risk of acquiring infections in hospitals. Facilities for acute medical, surgical, paediatric and obstetric patients are covered in this handbook, but not psychiatric and long-term aged facilities, nor rehabilitation day care facilities.

First published as HB 260-2003.