Solutions for operating healthcare institutions
design of health facilities
HIGHLY ASEPTIC SURGERY ROOMS
List of surgical operations
– organ/tissue transplantations;
– implantation of foreign materials (prosthetics of coxofemoral, knee and other joints, hernia repair with mesh prosthesis etc.);
– reparative and recovery operations on hearth, macro vessels, genitourinary apparatus, etc.;
– reparative and recovery operations with microsurgery equipment;
– combined operations on tumors of various localizations;
– open thoracic-abdominal surgery;
– neurosurgery;
– operations with broad surgical areas and/or with long durations, requiring a prolonged exposal of instruments and materials;
– operations after preoperative chemo- and radiation therapy for patients with compromised immunity and multi-organ deficiency;
– operations on multitraumas, etc.
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Protection of the surgical table and instrumentation |
To protect the patient and sterile surgical instruments against contamination from air, the laminar ceilings are used. The appliance is built in directly into the air inlet duct in the ceiling above the surgical table, feeding a continuous one-direction flow of sterilized air into the operation zone. The device should provide H14-gradeair filtration with microbial inactivation efficiency at least 99%. The laminar field area is at least 9m2.
Equipment: Laminar ceilings Tion B Lam-1 H400 (height 400mm), Tion B Lam-1 H290 (height 290mm, for low ceilings)
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Reducing the air flow from outside |
In view of considerable air consumption, in many cases it will be advantageous to provide the one-direction air flow by the ventilation system with partial air recirculation (air is taken partly from the outside, and partly mixed with the air from inside the premises) provided the air is filtered and disinfected on filters of H14 grade or higher with bacterial inactivation efficiency at least 99%. This setup provides a considerable energy saving on heating or cooling the intake air by the ventilation equipment. Such air recirculation setup can be implemented by the laminar ceiling systems, connected either to air-return columns, or to the recirculation sections which provide the admixing of the room air.
Equipment: Recirculating wall-mounted air-return column -RP is suitable for all models of Tion laminar ceilings
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing the autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 99% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions
MINOR OPERATIONS (GENERAL SURGERY)
List of surgical operations
– endoscope operations;
– endovascular surgery;
– other diagnostic and treatment manipulations on small surgery areas;
– haemodialysis, plasmapheresis, etc.;
– caesarean section;
– sampling of umbilical blood, bone marrow, fatty tissue, etc. for stem cell apheresis.
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Protection of the surgical table and instrumentation |
To protect the patient and sterile surgical instruments against contamination from air, the laminar ceilings are used. The appliance is built in directly into the air inlet duct in the ceiling above the surgical table, feeding a continuous one-direction flow of sterilized air into the operation zone. The device should provide H14-gradeair filtration with microbial inactivation efficiency at least 95%. The laminar field area is 3-4m2.
Equipment: Laminar ceiling , 400mm high: Tion B Lam-4 (2600×1800×400mm with a pocket for a lighting lamp); for low ceilings, 290mm high: Tion B Lam-4 H290 (3080×1800×290mm with a pocket for a lighting lamp).
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Reducing the air flow from outside |
In view of considerable air consumption in some cases it will be advantageous to provide the one-direction air flow by the ventilation system with partial air recirculation (the air is taken partly from outside, and partly mixed with the air from inside the premises) provided that air is filtered and disinfected on filters of H14 grade or higher with bacterial inactivation efficiency at least 95%. This setup provides a considerable energy saving on heating or cooling the intake air by the ventilation equipment. Such air recirculation setup can be implemented by the laminar ceiling systems, connected either to air-return columns, or to the recirculation sections which provide the admixing of the room air.
quipment: Recirculating wall-mounted air-return column -RP for Tion laminar ceilings.
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 95% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions
INFECTION DISEASES SURGERIES
List of surgical operations
– for patients with purulent infections,
– for patients with anaerobic infections
– for TBC patients, etc.
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Exhaust air cleaning and disinfection |
To protect people inside and outside the building, the air exhausted from the infection diseases operating room must be subject to filtration treatment with grade H13 and inactivation (complete destruction) of microorganisms on filters with efficiency at least 95%.
Equipment: Air cleaners and decontaminators for exhaust ventilation ducts:
Tion В150T (performance from 300 to 900 m3/h) and Tion В1000T (performance 2000 and 3000 m3/h)
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Protection of the surgical table and instrumentation |
To protect the patient and sterile surgical instruments against contamination from air, the laminar ceilings are used. The appliance is built in directly into the air inlet duct in the ceiling above the surgical table, feeding a continuous one-direction flow of sterilized air into the operation zone. The device should provide H14-gradeair filtration with microbial inactivation efficiency at least 95%. The laminar field area is 3-4m2.
Equipment: Laminar ceiling, 400mm high: Tion B Lam-4 (2600×1800×400mm with a pocket for a lighting lamp); for low ceilings, 290mm high: Tion B Lam-4 H290 (3080×1800×290mm with a pocket for a lighting lamp).
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 95% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions
CRITICAL CARE WARDS WITH ONE-DIRECTION AIR FLOW
These wards are intended for the following patients:
These wards are intended for the following patients:
– patients after bone marrow transplantation;
– with wide area burns;
– subject to high dosage chemo- and radiation therapy;
– after vast surgical intervention;
– with decreased immunity or its complete suppression.
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Protection of the sickbed |
To protect the patient against infecting from air in the critical care wards, the laminar ceilings are used. The appliance is built in directly into the air inlet duct in the ceiling directly above the sickbed, feeding a continuous one-direction flow of sterilized air into the sickbed zone. The device should provide H14-grade air filtration with microbial inactivation efficiency on filters at least 99%. The laminar flow field should cover the area of the bed and be at least 1.8m2.
Equipment: Laminar flow ceilings Tion B Lam-2 (1800х1000х400mm); for low ceilings: Tion B Lam-2 H290 (1800х1000х290mm).
Laminar flow cells Tion B Lam-М1 (600х600х400mm), Tion B Lam-М2 (1200×600х400mm).
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Reducing the air flow from outside |
In view of considerable air consumption it will be advantageous to provide the one-direction air flow above each sickbed, using the ventilation system with partial air recirculation (the air is taken partly from outside, and partly mixed with the air from inside the room), provided that air is filtered and disinfected on filters of H14 grade or higher with bacterial inactivation efficiency at least 99%. This setup provides a considerable energy saving on heating or cooling the intake air by the ventilation equipment. Such air recirculation setup can be implemented by the laminar ceiling systems, connected either to air-return columns, or to the recirculation sections which provide the admixing of the room air.
Equipment: Wall-mounted air-return column -RP is suitable for all models of Tion laminar ceilings
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 95% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions
ASEPTIC WARDS AND ROOMS WITHOUT ONE-DIRECTION AIR FLOW
List of aseptic wards and rooms
– wards for patients after internals transplantation.
– wards for burn patients.
– wards for patients after critical care.
– postanesthesia wards.
– patient’s rooms for seriously ill or debilitated patients of non-surgery profile.
– postnatal rooms, including wards for mother and baby.
– developmental care wards (second stage).
– preoperational, anesthetic and other rooms, leading to O.R.;
– aseptic dressing rooms and procedure rooms for bronchoscopy; storerooms for sterile materials;
– X-ray operation rooms, including sterilizer rooms;
– Sterilization centers: clean and sterile areas;
– dialysis halls, A & E, hyperbaric oxygen chambers, assistant and filling rooms at pharmacies, embryology lab
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Protection of patients and sterile pieces |
To ensure sterile conditions the air for aseptic rooms (sterilization rooms, dialysis wards, etc.) and wards (burn wards, postanasthesia, postnatal rooms, etc.) is fed through the ventilation system with cleaning and disinfection on filters of grade H11 or higher with microbial inactivation efficiency at least 95%. Air flow: turbulent.
Equipment: Air cleaners and decontaminators with floor- and suspension mounting: Tion В150T (performance from 300 to 900 m3/h) and Tion В1000T (performance 2000 and 3000 m3/h); floor-mounted models: Tion В150 (performance from 300 to 2400 m3/h) and Tion В1000 (performance from 2000 to 25000 m3/h)
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Reducing the air flow from outside |
To reduce costs for inlet air treatment we recommend the air recirculation (air is partly taken to the circuit from the room) provided that air is cleaned and disinfected on the filters of H14 grade or higher with bacterial inactivation efficiency at least 95%.
Equipment: Wall-mounted air-return column -RP is suitable for all models of Tion laminar ceilings.
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 95% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions
INFECTION WARD AND BIOLABORATORIES
List of infection wards
– wards, boxes (including TBC boxes).
– first-aid rooms, airlock chambers and other rooms in the contagious isolation facilities.
– rooms and boxes of microbiology laboratories working with pathogenic microorganisms (aerosol chambers; boxed rooms; microbiological rooms).
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Safety treatment of the exhaust air |
To protect people inside and outside the building, the air exhausted from the infection wards and boxes, as well as the air from the biological laboratories working with pathogenic microorganisms must be subject to H13-grade filtration treatment and inactivation (complete destruction) of microorganisms on filters with efficiency at least 95%.
Equipment: Air cleaners and decontaminators for exhaust ventilation ducts: Tion 150T (performance from 300 to 900 m3/h) and Tion В1000T (performance 2000 and 3000 m3/h)
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Disinfection and cleaning of the inlet air |
The inlet air is fed through the ventilation system, passing the cleaning and disinfection on filters of grade H11 or higher with microbial inactivation efficiency at least 95%.
Equipment: Air cleaners and decontaminators with floor- and suspension mounting: Tion В150T (performance from 300 to 900 m3/h) and Tion В1000T (performance 2000 and 3000 m3/h); floor-mounted models: Tion В150 (performance from 300 to 2400 m3/h) and Tion В1000 (performance from 2000 to 25000 m3/h)
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 95% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions
PREMISES WITHOUT SPECIFIED HIGH REQUIREMENTS TO THE AIR CLEANLINESS, BUT SUBJECT TO COMPULSORY AIR RECYCLING STANDARDS (WARDS, CONSULTING ROOMS, EXAMINATION AND TREATMENT ROOMS, ETC.)
List of premises
– isolation rooms and isolation wards
– wards for adult patients, rooms for mothers in children’s departments, rehabilitation wards
– emergency rooms
– anterooms on the neonatal wards
– doctors’ offices, day patients facilities
– functional diagnostics offices, endoscopy rooms (gastroduodenoscopy, colonoscopy, endoscopic retrograde cholangiopancreatography, etc., except bronchoscopy)
– physiotherapy gyms
– magnetic resonance imaging rooms
– chlorpromazine treatment rooms
– neuroleptics treatment rooms
– control rooms, staff rooms, patient recovery rooms after procedures
– treatment and dressing rooms for X-ray and fluorography offices, electrophototherapy offices, massage therapy offices
– control rooms for X-ray offices and radiology departments, darkrooms
– installation and washing facilities in rooms for haemodialysis, endoscopy, cardiopulmonary bypass, and solution preparation and demineralization.
– spa rooms (except radon), facilities for paraffin and mineral wax heating, hydrotherapy pools
– control rooms, staff rooms, patient recovery rooms after procedures
– treatment and dressing rooms for X-ray and fluorography offices, electrophototherapy offices, massage therapy rooms
– control rooms for X-ray offices and radiology departments, darkrooms
– patient disinfection and showering facilities (rooms)
– changing rooms in balneotherapy and mud therapy departments
– facilities for radon baths, spas and offices for cavitary mud treatment procedures, shower rooms
– facilities for mud storage and recovery
– facilities for preparing the hydrogen sulfide solution for baths, and for the storage of reagents
– facilities for washing and drying sheets, canvas, tarpaulins, and mud therapy kitchens
– storage rooms (except for the storage of reagents), technical facilities (compressor, pump, etc.), workshops for the repair of equipment, archives
– Disinfection rooms, facilities for sorting and temporary storing dirty laundry, facilities for cleaning stretches and tablecloths, facilities for drying clothes and shoes of outreach teams
– acid, chemical and disinfectant storage rooms
– registry, reference lobbies, dressing rooms, facilities for receiving packages for patients, facilities for discharge, waiting rooms, pantries, dining rooms for patients, facilities for milk storage
– facilities for washing and sterilizing dining room and kitchen utensils used in cafes and patient dining areas, patient hairdressing
– radioactive materials storage rooms, sorting and washing rooms in radiology departments
– facilities for X-ray and radiotherapy
– electrical, light, magnetic, heat and ultrasound therapy rooms
– disinfection chamber facilities, both receiving and loading, and unloading (clean) departments
– autopsy, museum and preparation rooms at the forensic pathology department
– facilities for dressing and presenting the bodies of the deceased, funeral supplies storage, rooms for processing and preparing infectious bodies for burying, rooms for bleach storage
– bathrooms
– enema rooms
– clinical and diagnostic laboratories (facilities for researches).
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Ensuring necessary air recycling rate and air cleanliness |
For the adult patient wards, examination and consultation rooms and other premises without aseptic conditions the filtration of the inlet air is prescriptively bound to comply with F7-F9 grades. This requirement can be satisfied by a centralized ventilation with air cleaning function, or, in its absence – by a compact autonomous air inlet ventilation with air cleaning functions to be installed in every room.
Equipment: Compact inlet ventilation Tion В120 (inlet air cleaner and decontaminator)
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 95% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions.
PHARMACIES AT HEALTH CARE INSTITUTIONS
List of premises
– premises for drug preparation in aseptic conditions
– assistant room, inspection, processing and filling, sealing, control- and marking, sterilization autoclave, distillatory rooms
– control and analysis, washing, unpacking rooms
– premises for main stock storage:
a) drug substances, officinal medicines, including thermolabile materials, and other medical products; surgical dressings
b) mineral waters, medical glassware and returnable transport packages, glasses and other optics, auxiliary materials, clean utensils
– premises for storing and preparation of poisonous products and narcotic drugs, flammable and combustible liquids.
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Protection of critical operations in drug manufacturing |
To protect critical operations, such as bottling and packing, against infecting from air, the appliances with one-direction air flow can be used. The laminar ceiling or cell is built in directly into the air inlet duct in the ceiling directly above the working zone, feeding a continuous one-direction flow of sterilized air. The device should provide the air filtration grade H14 with microbial inactivation efficiency on filters at least 99%. The laminar field area of the device is chosen according to the clean working zone.
Equipment: Laminar flow cells Tion B Lam-М1 (600х600х400mm), Tion B Lam-М2 (1200×600х400mm).
Laminar ceilings Tion B Lam-2 (1800х1000х400mm); for low ceilings: Tion B Lam-2 H290 (1800х1000х290mm).
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Disinfection and cleaning of the inlet air |
In the assistant, inspection, processing, filling, sealing, control- and marking, sterilizing, autoclave and distillation rooms the inlet air is fed through the ventilation system with cleaning and disinfection functions on filters with H11 grade or higher and with microbial inactivation efficiency not less than 95%. Since regulatory prescriptions as to the air recycling rate are not high (4 volumes/hour), for the small rooms up to 50 m2 sometimes it is reasonable to install a compact autonomous inlet ventilation with air cleaning rather than a centralized duct ventilation system.
Equipment: For centralized inlet ventilation: air cleaners and decontaminators with floor- and suspension mounting: Tion В150T (performance 300 to 900 m3/h) and Tion В1000T (2000 and 3000 m3/h); floor-mounted models: Tion В150 (performance 300 to 2400 m3/h) and Tion В1000 (2000 to 25000 m3/h).
For small areas without centralized ventilation: compact inlet ventilation device Tion B120 (up to 120 m3/h) with H11 air filtering grade.
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Air cleaning and disinfection indoors |
To reduce the bacterial content and to enhance the air recycling rate we recommend installing autonomous air cleaning and disinfection devices (recirculators) with filtration grade at least H11 and microbial inactivation efficiency at least 95% on their filter sections.
Equipment: Bactericide recirculator Tion A in either portable or wall-mounted versions
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Ensuring necessary air recycling rate and air cleanliness |
In the pharmacy premises, such as control and analysis, washing, unpacking rooms, and stocking depots, the air cleanliness requirements are not specified, but such rooms are subject to airflow regulations. These can be satisfied with a central forced exhaust ventilation system, or, if it is impossible, – by installing a compact inlet ventilation with air cleaning function into every separate room.
Equipment: Compact inlet ventilation Tion В120 (air inlet cleaner and decontaminator).
