How You Can Assess Engineering Controls for Tuberculosis In Your Health Care Facility Developed by: FrancisJ. Curry National Tuberculosis Center Reproduced and Funded by: Division ofTuberculosis Elimination National Centerfor HIV, STD, and TB Prevention Centers forDisease Control and Prevention OMH-RC-Knowledge Center 5515 Security Lane, Suite 101 MD 20852 Rockville, 1-800-444-6472 J$ CDC t£ f U.S. DEPARTMENTOFHEALTH & HUMAN SERVICES Q *vSk PublicHealth Services Permission to Make Copies of this Videotape How You Can Assess Engineering Controls for TB in YourHealthcare Facility was funded by the Division ofTuberculosis Elimination, National Centerfor HIV, STD and TB Prevention, Centers for Disease Control and Prevention. As such, it exists within the public domain and may be copied for noncommercial use. The Francis J. Curry National Tuberculosis Centerencourages anyone who records a copy ofthis videotape to make it available, at no charge, to other health professionals and facilities who may benefitfrom the content. This video was produced by the Francis J. Curry National Tuberculosis Center, ajoint project ofthe San Francisco Department ofPublic Health and the University ofCalifornia, San Francisco, funded by the Centers for Disease Control and Prevention. Institutional Control Services is also partiallyfunded by the California Department of Health Services. Planning Committee Lam Lily Distance Learning Projects Assistant Francis J. Curry National Tuberculosis Center Patrick MacArdle, P.E. Principal Engineer Institutional Consultation Services, Francis J. Curry National Tuberculosis Center David Sasai, P.E. Principal Engineer Institutional Consultation Services, Francis J. Curry National Tuberculosis Center Joan Sprinson, M.P.H., C.I.H. Research Scientist California Department of Health Services, Tuberculosis Control Branch Elizabeth Stoller, M.P.H. Director Francis J. Curry National Tuberculosis Center Kay Wallis, M.P.H. Distance Learning Projects Coordinator Francis J. Curry National Tuberculosis Center This video was filmed atthe San Mateo County Health Center in San Mateo, California. We gratefully acknowledge the assistance ofthe following Health Centerstaffduring the preparation and filming ofthe video: Tim McMurdo, Chief Executive Officer Erik Lund, Architectural Consultant Sgt. Mike Figueroa, Security Kate Grattuso, R.R.T., Respiratory Technician Sandra Kissoon, R.N., M.S., Clinic Nurse Manager, Medical-Surgery Department Michael Mahlmeister, M.S., R.R.T., R.C.P., Cardio-Pulmonary Department Luz Quijano, R.N., Charge Nurse, Medical-Surgery Department Mary Webb, R.N., Infection Control Practitioner The following individuals are gratefully acknowledged fortheir assistance and support in producing this video: Janet Abernathy, R.N. Institutional Consultation Services, Francis J. Curry National Tuberculosis Center Cynthia Fine, M.S.N. C.I.C. , Institutional Consultation Services, Francis J. Curry National Tuberculosis Center Video ReviewBoard Betty Goetsch, R.N. Kaiser Foundation Hospital Sacramento, CA Marilyn Khalaji, R.N., C.I.C. Washington Hospital Healthcare System Fremont, CA Barbara Lamberto, B.S.N., M.B.A. Kaiser Permanente Medical Center San Francisco, CA Jackie Octavio, R.N., M.S.N. The Mount Zion Medical Center of UCSF San Francisco, CA Joyce A. Simonowitz, R.N., M.S.N. State ofCalifornia Department of Industrial Relations Los Angeles, CA Tarn Smalstig, R.N., C.I.H. State ofCalifornia Department of Industrial Relations Anaheim, CA Jose Manuel Solis Imperial County Property Services El Centro, CA Mary Webb, R.N. San Mateo County General Hospital San Mateo, CA How You Can Assess Engineering Controls for Tuberculosis in Your Healthcare Facility You Don'tNeeda Weatherman to Know Which Waythe Wind Blows CONTENTS Learning Objectives I. Textand Diagrams from theVideo II. Guidelines, Tables, and Worksheets III. • Negative Pressure Isolation Rooms: Comparison of Regulations and Guidelines • AirChanges PerHour(ACH) Calculation Worksheets and Sample • Negative PressureVerification Sheet • Room ClearanceTablefrom CDC Guidelines • Room Clearance Signage Sample IV. Additional Resources • Glossary • Web Resources V. Evaluation Form Learning Objectives