Ventilation Requirements When Performing Bronchosopy Procedures

What are the ventilation requirements for rooms where bronchoscopy procedures are performed ?

Rooms where bronchoscopies are performed are considered special procedure rooms, therefore the provisions of EC.02.05.01 EP 15 and 16 apply. The organization is to adhere to the ventilation requirements of their controlling authority for health care construction and operations (typically their state health department) for criteria associated with required ventilation set-up, air pressure relationships, air-exchange rates and filtration efficiencies. If allowed by their controlling authority, when conducting bedside or operating room bronchoscopies, The Joint Commission requires that, prior to the procedure, the organization establish and implement a process to rule out tuberculosis  as indicated in the CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings.
 
If a TB or any other applicable risk is ruled out, then the procedure may be performed under non-negative pressure relationship conditions. If the organization's controlling authority is silent on those conditions, The Joint Commission uses the requirements of the 2014 edition of the FGI Guidelines for Design and Construction of Health Care Facilities. When using the ventilation table of the organization's controlling authority, consult with the table notes, since they often provide clarifying information for bronchoscopies performed under non-negative pressure relationship conditions.

Additional Resources:
Center for Disease Control and Prevention (CDC)
Last updated on February 08, 2019
Manual: Critical Access Hospital
Chapter: Environment of Care EC

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