Schofield Barracks Acute Care Clinic

Biological Exposure Patient Management Negative Air- Pressure Room is located in the Acute Care Clinic IMPORTANT PHONE NUMBERS: ACC 433-8850

Infection Control 433-6526

TAMC Info Desk 433-7117 TAMC Infectious Disease 433-6513

BACTERIAL AGENTS

Anthrax

Brucellosis

Cholera

Glanders (rarely seen)

Bubonic Plague

Pneumonic Plague

Tularemia

Q Fever

VIRUSES

Smallpox

Venez. Equine Encephalitis

Viral Encephalitis

Viral Hemor. Fever

BIOLOGICAL TOXINS

Botulism

Ricin

T-2 Mycotoxins

Staph. Enterotoxin B

Isolation Precaution

                                     
Standard Precautions for all aspects of patient care  

X

X

X

X

X

X

X

X

 

X

X

X

X

 

X

X

X

X
Contact Precautions  

X

 

X

X

 

 
Airborne Precautions  

X

 

X

 

 
Use of N95 mask by all individuals entering the room  

 

X

 

 
Droplet Precautions  

X*

 

X

 

 
Wash hands with antimicrobial soap  

X

X

X

X

X

X

X

X

 

X

X

X

X

 

X

X

X

X 

Patient Placement

                                     
No restrictions  

X

X

 

 

X

X

X

X
Cohort 'like' patients when private room unavailable  

X

X

X

X

 

X

 

 
Private Room  

X

X

X

X

X

 

X

X

X

 

 
Negative Pressure  

 

X

 

 
Door closed at all times  

X

X

 

X

X

 

 
Patient Transport                                      
No restrictions  

X

X

X

 

X

 

X

X

X

X
Limit movement to essential medical purposes only  

X

X

X

X

X

 

X

X

X

 

 
Place mask on patient to minimize dispersal of droplets  

X

X

 

X

X

 

 
Cleaning, Disinfection of Equipment                                      
Routine terminal cleaning of room with hospital approved disinfectant (Cavicide) upon discharge.  

X

X

X

X

 

X

X

X

 

X

X

X

X
Disinfect surfaces with bleach/water sol. 1:9 (10% sol.)  

X

X

X

X

 

X

 

 
Dedicated equipment that is disinfected prior to leaving room  

X

 

X

X

 

 
Linen management as with all other patients  

X

X

X

X

X

X

X

X

 

*

X

X

X

 

X

X

X

X
RMW handled per SBAHC policy  

X

X

X

X

X

X

X

X

 

*

X

X

X

 

X

X

X

X
Discharge Management                                      
No special discharge instruction necessary  

X

X

X

X

X

 

X

X

 

X

X

X

X
Home care providers need to be taught principles of Standard Precautions  

X

X

X

X

 

X

 

 
Not discharged from hospital until determined no longer infectious  

X

 

X

X

 

 
Patient usually not discharged until 72 hours of antibiotics completed  

X

 

 

 
Post-mortem Care                                      
Follow principles of Standard Precautions  

X

X

X

X

X

X

X

X

 

X

X

X

X

 

X

X

X

X
Droplet Precautions  

X

 

 

 
Airborne Precautions  

 

X

 

 
Use of N95 mask by all individuals entering the room  

 

X

 

 
Negative Pressure  

 

X

 

 
Contact Precautions  

 

X

X

 

 
Routine terminal cleaning of room with hospital approved disinfectant (Cavicide) upon autopsy  

X

X

X

X

X

 

X

X

X

 

X

X

X

X
Disinfect surfaces with bleach/water sol. 1:9 (10% sol.)  

X

X

X

 

X

 

 
STANDARD PRECAUTIONS - Standard Precautions prevent direct contact with all body fluids (including blood), secretions, excretions,    
non-intact skin (including rashes) and mucous membranes. Standard Precautions routinely practiced by healthcare providers include: Handwashing,
Gloves when contact with above, Mask/Eye Protection/Face Shield while performing procedures that may cause splashing or spraying, and
Fluid-Resistant Gowns to protect skin and clothing during procedures. * Special handling indicated - call Infection Control