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What is special in maintaining a Modern Hospital?
Today, ‘Hospital Engineering’ in general is an important branch of hospital management.
Clinical Engineering and Equipment & Building Engineering have a vital role in ensuring the prevention and treatment of diseases by maximum equipment utilization with minimum downtime and by:-
Infection Control (internal & external) is a major challenge to the Hospital Engineering professionals in any of the Modern Hospital. There are several issues that need to be looked upon in this regard such as:-
· Intake and expel of air of the Air Conditioning System.
· Internal distribution and circulation of air of the Air Conditioning System according to the disease of the in-patients and their treatments.
· Adequately expel of air in the hazardous locations.
· Hospital waste management.
· Interim life safety measures
· Maintenance of various piped systems such as Medical gases distribution, Water distribution, Sewerage distribution and Steam distribution etc.
· Interior finishes.
· Food management.
The above mentioned may be more in contributing to infection
if not satisfactorily managed from their design stage, construction and
maintenance. One can imagine if air intake of the air conditioning system is
close by the exhaust outlet of a hazardous location and exhaust of air from
T.B. patient is not filtered according to the set standard before releasing
into the atmosphere. The negative air pressure with 100% exhaust from a T.B.
patient’s room can not be overlooked for a moment if you significantly want
to control infection. The expel of air from soiled side of sterilization
area, exhaust of Ethylene Oxide Sterilizer, smoke of incinerator and release
of other similar hazardous locations will pose negative health threat to the
patients, hospital staff, visitors and community living in the close
vicinity of the hospital boundary, if the releases are not controlled under
strict codes and standards. The competent collection, the transportation
within and out of hospital and final disposal of the Hospital waste
(Radioactive, Biological, Chemical and General) can become the biggest life
threatening issue if not managed according to established rules regulations.
Managing House Keeping in a hospital is another important area that needs to
be administered for satisfactory results. Implementing Interim Life Safety
measures especially at internal construction site pays back with dividends
in relation to health of patient, staff and visitors. Materials of pipes,
joints and their construction and maintenance methodology of various piped
distribution systems can not be ignored in relation to infection control.
Interior finishes play double role in Medical facilities, esthetic look and
infection control. Engineering controls also play an important role for
internal food preparation in hospital kitchen and its distribution to
individual patients in the Medical
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