Patient Rooms Research Articles

Can a simulated window improve the ward environment? A survey of patient, carer and staff perspectives

Background/Aims Simulated windows displaying images of the outside world can help to reduce emotional stress. This study investigated the effect of a simulated window on perceptions of the environment in a hospital ward among patients, family members, nurses and doctors. Methods A total of 48 participants (12 patients, 12 family members, 12 doctors and 12 nurses) were recruited from a four-bed patient room in a neurological ward in Japan. A 12-item questionnaire was administered, with participants rating their agreement with 11 statements about the room's simulated window on a 5-point Likert scale. The final item was a free-text question. Data were analysed using descriptive statistics. Results The majority of questionnaire items had average scores of 3–4, indicating neutral to moderately positive views of the simulated window. The majority of participants agreed that the window provided visual stimulation, but many did not see the benefits for communication or stress reduction. Qualitative feedback noted that they would prefer a simulated window that allowed patients to choose the image. Conclusions The simulated window was generally viewed positively or neutrally across participant groups, with feedback noting improvements to the technology that would lead to a better experience.

Tailored positioning and number of hand rub dispensers: the fundamentals for optimized hand hygiene compliance

Availability of alcohol-based hand rub (ABHR) dispensers at positions adapted to the work flow of healthcare workers (HCWs) is decisive in order to carry out indication-based hand rubbing. Although requirements and guidelines regarding the positioning of ABHR dispensers are in place, scientific evidence is often lacking. In order to analyse the impact of the location and number of ABHR dispensers on hand hygiene performance, additional dispensers were systematically placed in patient rooms in a surgical 38-bed ward at Marburg University Hospital, Germany to complement the existing dispenser locations. ABHR use was monitored continuously before and after complementation using the NosoEx hand hygiene monitoring system. The ward had 53 dispensers before the intervention and 82 dispensers after the intervention. The addition of dispensers increased ABHR consumption across the entire ward. Before the intervention, mean consumption was 20.6 mL/patient-day, whereas mean consumption after the intervention was 25.3 mL/patient-day. Depending on the combination of dispenser locations, consumption increased through targeted supplementation in patient rooms. The presence of two or three dispensers per patient room resulted in significantly greater ABHR consumption compared with one dispenser per patient room. The preferred location combinations were entrance-front bed-back bed and entrance-foot end. ABHR consumption can be increased significantly by optimizing the position and number of dispensers. The outstanding factors are visibility and integrability of dispenser use into the work flow; in particular, a dispenser should be positioned in the entrance area. Recommendations should be optimized with regard to the required number and location of dispensers in patient rooms.

Monitoring of airborne fungi during the second wave of COVID-19 in selected wards of the referral university hospital in southeastern Iran.

Microbiological monitoring of the air hospital is essential for prevention and control, due to the possible airborne route of infection transmission, especially in high-risk wards. This study aimed to monitor the airborne fungi during the second wave of the COVID-19 pandemic in selected wards of the biggest university educational hospital in Kerman, southeastern Iran. This study was conducted in 11 different wards, separated into the patient room and nursing station, of the Afzalipour hospital from May to August 2021. Fungal isolates were characterized to the species level by conventional and sequencing methods. Out of 93 obtained fungal colonies, 70 (75.3%) isolates were filamentous and 23 (24.7%) isolates were yeast. Aspergillus species were the predominant fungal isolates among the filamentous colonies (n=19; 27.1%), and Naganishia albida (formerly Cryptococcus albidus) was identified as the most common yeast isolate (n=13/23; 56.8%). The infectious ward was the most contaminated unit (n=19/93), while the least contaminated units were the neonatal intensive care unit (n=3/93), and oncology (n=3/93). The statistical findings displayed that the number of fungal isolates in patients' rooms is significantly higher than in nurses' stations (p-value=0.013). Our study demonstrated the presence of diverse fungal species in all wards of the hospital. Considering the presence of airborne fungi in hospitals and related public health problems is one of the critical issues for health systems management. In this regard, efficient monitoring of airborne fungi might play an influential role in hospital infection control and surveillance, particularly in high-risk hospitalization patients in critical wards.

Sink Drains in a Neonatal Intensive Care Unit: A Retrospective Risk Assessment and Evaluation.

Water systems in health care facilities can form reservoirs for Gram-negative bacteria. While planning a new neonatal intensive care unit (NICU), we performed a retrospective evaluation of potential risks from water-diverting systems on the existing NICU of our tertiary care University Hospital. During 2017 to 2023, we recorded nine nosocomial cluster events with bacterial pathogens in our NICU. Of these, three clusters of Gram-negative bacteria were potentially related to sink drains: A Klebsiella oxytoca, a Pseudomonas aeruginosa, and an Enterobacter hormaechei cluster were uncovered by clinical routine screening of patients and breastmilk samples. They were confirmed using whole-genome sequencing and a subsequent core genome multilocus sequence typing (cgMLST) algorithm. Our observations highlight that the implementation of sink drains in a NICU may have negative effects on patients' safety. Construction planning should concentrate on the avoidance of washbasins in patient rooms when redesigning sensitive areas such as NICUs.

Workload with Documentation Nursing Care in the Patient Room

Workload with Documentation Nursing Care in the Patient Room

The effectiveness of acoustic treatments in general hospital wards in China

The aim of this study was to quantitatively determine the effect of various acoustic treatments in hospital wards on reverberation time, noise levels and users' subjective evaluation during normal operations by installing a sound absorptive ceiling and soundproof door and windows. Patient rooms, corridors and nurse stations in two general wards in a Chinese hospital were chosen as the study sites. The quantitative measurements showed that the reverberation time of 500 Hz–1 kHz decreased by 13∼53% to approximately 0.3 s in the patient rooms, corridors and nurse stations after the acoustic treatment. Noise levels in the corridors and nurse stations decreased significantly by 5∼11 dB(A) (p < 0.01). Smaller differences were found in the patient rooms with noise levels decreasing after application of the acoustic treatment by 2∼4 dB(A) (p < 0.01) during the daytime and 5–6 dB(A) (p < 0.01) during the nighttime. Questionnaires indicated that acoustic treatment could significantly decrease the negative impacts of noise on patients’ conversations (p < 0.01) and emotional state (p < 0.01) and extend the quiet period during the night-time for sleep. Meanwhile, staff members reported that they could take advantage of speaking with a lower voice and having a higher working efficiency at the nurse station after changing the ceiling material to an absorptive one.

Process Evaluation of an Acute-Care Nurse-Centred Hand Hygiene Intervention in US Hospitals.

This paper describes a process evaluation of a 'wise' intervention that took place in six acute care units in two medical-surgical teaching hospitals in the United States during 2016-2017. 'Wise' interventions are short, inexpensive interventions that depend on triggering specific psychological mechanisms to achieve behaviour change. This study sought to increase the hand hygiene compliance (HHC) rates before entering a patient's room among nurses. The intervention centred on the use of threat to professional identity to prompt improved HHC. Through questionnaires administered to intervention participants and the implementation facilitator, together with independent observation of intervention delivery, we examined whether the steps in the Theory of Change occurred as expected. We found that aspects of the implementation-including mode of delivery, use of incentives, and how nurses were recruited and complied with the intervention-affected reach and likely effectiveness. While components of the intervention's mechanisms of impact-such as the element of surprise-were successful, they ultimately did not translate into performance of the target behaviour. Performance was also not affected by use of an implementation intention as repeated performance of HHC over years of being a nurse has likely already established well-ingrained practices. Context did have an effect; the safety culture of the units, the involvement of the Nurse Managers, the level of accountability for HHC in each unit, and the hospitals themselves all influenced levels of engagement. These conclusions should have implications for those interested in the applicability of 'wise' interventions and those seeking to improve HHC in hospitals.

Could Spatial Awareness Affect Situation Awareness: A Conceptual Examination.

The purpose of this study was to explore the relationship between situation awareness (SA) and the physical environment in patient rooms through building a conceptual model. Nurses work in very complicated and dynamic environments where having high levels of SA could be critical for their performance. Studies have also shown that nurses' awareness of the physical environment and patient room is a part of their awareness of dynamic situations in which nurses' spatial awareness may play a role in SA. Despite literature outlining the importance of SA, there is a lack of studies exploring the relationship between the two. A literature review was conducted for the study from nursing and psychology databases. Thirty-three articles, books, and dissertations from a scoping review were included for in-depth review. An in-depth review of the harvested literature indicated that there is in fact a relationship between these two phenomena. Founded on Endsley's model of SA, the literature review in this study offers a conceptual model that articulates a plausible causal pathway between the physical environment and SA. There are a lot of studies focusing on SA and various aspects of it related to nursing, but almost none mention the physical environment and its impact on SA. The current inquiry suggests that spatial awareness plays a prominent role in SA.

Investigation of Acinetobacter baumannii Outbreak in a Burn Unit Revealed a Surprising Environmental Source.

We describe an outbreak of Acinetobacter baumannii in a 15-bed regional burn unit in an academic tertiary care medical center, and the investigations and control measures used to halt the outbreak are described.Nine cases of A. baumannii were reported in our burn unit in a one-year period, which was higher than our expected number of two-three cases per year. Our burn unit director requested an outbreak investigation, and our hospital's infection control department investigated thoroughly and found a source for that outbreak, which was never reported as a source in the previous literature. We identified table fans as the source of this outbreak. We then developed a strict fan policy, and after implementation of the policy, and terminal cleaning of rooms, only two cases per year of A. baumannii were reported in the next three-year period. We concluded that the table fans were colonized with A. baumannii and since they were used interchangeably in all patient rooms, caused this outbreak. There are no specific joint commission guidelines for the use of fans in hospitals. While fans can be used for the comfort of the patient, we should be cautious not to spread infections.

Ventilation strategies based on an aerodynamic analysis during a large-scale SARS-CoV-2 outbreak in an acute-care hospital.

This study aimed to investigate ventilation strategies to prevent nosocomial transmission of coronavirus disease 2019 (COVID-19). We conducted a retrospective epidemiological investigation of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in a teaching hospital (February-March 2021). The largest outbreak ward was studied, and measurements were taken to determine the pressure difference and air change per hour (ACH) of the rooms. Airflow dynamics were assessed using an oil droplet generator, indoor air quality sensor, and particle image velocimetry in the index patient's room, corridor, and opposite rooms, by varying the opening and closing of windows and doors. During the outbreak, 283 COVID-19 cases were identified. The SARS-CoV-2 spread occurred sequentially from the index room to the nearest room, especially the opposite. The aerodynamic study demonstrated that droplet-like particles in the index room diffused through the corridor and the opposite room through the opening door. The mean ACH of the rooms was 1.44; the air supply volume was 15.9% larger than the exhaust volume, forming a positive pressure. Closing the door prevented diffusion between adjacent rooms facing each other, and natural ventilation reduced the concentration of particles within the ward and minimised their spread to adjacent rooms. Spread of droplet-like particles between rooms could be attributed to the pressure difference between the rooms and corridor. To prevent spread of SARS-CoV-2 between rooms, increasing the ACH in the room by maximising ventilation and minimising the positive pressure through supply/exhaust control and closing the room door are essential.

Relating clustered noise data to hospital patient satisfaction.

Hospital noise can be problematic for both patients and staff and consistently is rated poorly on national patient satisfaction surveys. A surge of research in the last two decades highlights the challenges of healthcare acoustic environments. However, existing research commonly relies on conventional noise metrics such as equivalent sound pressure level, which may be insufficient to fully characterize the fluctuating and complex nature of the hospital acoustic environments experienced by occupants. In this study, unsupervised machine learning clustering techniques were used to extract patterns of activity in noise and the relationship to patient perception. Specifically, nine patient rooms in three adult inpatient hospital units were acoustically measured for 24 h and unsupervised machine learning clustering techniques were applied to provide a more detailed statistical analysis of the acoustic environment. Validation results of five different clustering models found two clusters, labeled active and non-active, using k-means. Additional insight from this analysis includes the ability to calculate how often a room is active or non-active during the measurement period. While conventional LAeq was not significantly related to patient perception, novel metrics calculated from clustered data were significant. Specifically, lower patient satisfaction was correlated with higher Active Sound Levels, higher Total Percent Active, and lower Percent Quiet at Night metrics. Overall, applying statistical clustering to the hospital acoustic environment offers new insights into how patterns of background noise over time are relevant to occupant perception.

Practice patterns and trends in surgical treatment for chronic lung infections: a survey from the Brazilian Society of Thoracic Surgery.

Chronic lung infections represent a diversity of clinical entities that combined respond to significant public health, particularly in developing countries. However, there is no data regarding the practice patterns, surgeons' preferences, and technological usage, especially among Brazilian surgeons, in the setting of the surgical treatment of chronic lung infections. We, therefore, surveyed Brazilian thoracic surgeons from the Brazilian Society of Thoracic Surgery (SBCT) about practice patterns and trends in surgical treatment for chronic lung infections. A cross-sectional anonymous survey of all thoracic surgeons from the Brazilian Society was conducted in 2019. As the study was purely descriptive no further statistical evaluation was performed. The responsive rate was 34% (259/766) from 23 of the 26 states in Brazil. A total of 141 (54.4%) participants reported their institution as a surgical reference for chronic infection lung disease, only 13.1% of surgeons have a high-volume service (more than 11 cases operated annually). The majority (76.2%) of respondents performed 1-5 surgical resection to treat tuberculosis (TB) sequelae, but only 62 (30.1%) had performed more than one resection to treat active TB. Chronic lung infection (76%) and hemoptysis (66%) were the most common symptoms as surgical indications. A proportion of 42.2% of the respondents do not have and/or perform routine drug sensitivity tests. In addition, 19.3% of respondents were not familiar with the recommendations of surgery in the treatment of pulmonary TB. Video-assisted thoracoscopic surgery (VATS) is available for 80% of respondents, while robotic surgery is for only 10%. Most (86%) surgeons have access to surgical staplers. Among the structural resources, respiratory isolation beds in the intensive care unit (ICU) (80%) and ward (79%) are frequently available resources. However, less than 12% of surgeons have in their institution a specific operating room for sputum-positive patients. Lung resection for chronic infectious disease is an essential area of activity for thoracic surgeons in Brazil, which occurs mainly in the public sphere, with no concentration of cases per surgeon or institution. The lack of adequate resources in many centers justifies the creation of reference centers for improving care for these patients.

Transient yet Settled: The Rooms for Tuberculosis Patients in Turkish Sanatoria

Sanatoria designed for tuberculosis treatment aimed to allow patients to convalesce by two main approaches: by encouraging patients to become part of social/public life while learning to live with TB, and by softening the ‘hospital’ feeling by providing individualised rooms as spaces of convalescence. Despite their sterile appearances and clinical atmospheres, sanatoria were also emotionally charged spaces that aimed to convey a sense of belonging for the patients. For this reason, the patients were encouraged to personalise their main living environment, i.e., their rooms, which became their temporary homes, and a permanent sense of belonging was thus created in spaces of transience. However, this belonging was only temporary, and later the rooms were cleaned to spotless perfection: as soon as the patients checked out, their rooms were instantly and deeply sanitised, and any traces of the patients were erased. The aim is to discuss the role of design in this contrast between the physical transience of the medical body and the spiritual longevity of the homelike space in a medical environment: Turkish sanatoria in providing convalescence to TB patients offered the feeling of ‘home’ in their spaces of transience.

Analysis of the Role of Nursing Intervention in Operating Room in the Prevention of Incision Infection in Orthopedic Aseptic Surgery

Objective: To explore and analyze the role of nursing in the operating room in the prevention of incision infection in aseptic orthopedic surgery. Methods: 68 patients that underwent aseptic orthopedic surgery in our hospital from January 2021 to December 2022. They were divided into a research group (n = 34) and a control group (n = 34) by the random number table method. The patients in the control group received conventional nursing intervention in the operating room, and the patients in the study group received the optimized and modified nursing intervention in the operating room; then, the related indicators of nursing intervention of the two groups were compared. Results: The incidence of incision infection in the study group was lower than that of the control group (P &lt; 0.05); the average duration of surgery and length of stay the study group were lower than those in the control group (P &lt; 0.05); the stress response indexes of patients in the study group were lower than those in the control group 24 hours after operation (P &lt; 0.05); the degree of satisfaction of the patients in the study group to the services provided by the nursing staff was significantly higher than that of the control group (P &lt; 0.05). Conclusion: High-quality nursing intervention in the operating room for aseptic orthopedic surgery patients can significantly reduce the incidence of incision infection, reduce the stress response caused by surgery, shorten the duration of surgery and length of stay, and improve nursing satisfaction, which makes it worthy of popularization.

Novel Electronic Health Records-Based Consultation Workflow Improves Time to Operating Room for Vascular Surgery Patients in an Acute Setting

Inefficient clinical workflows can have downstream effects of increased costs, poor resource utilization, and worse patient outcomes. The surgical consultation process can be complex with unclear communication, potentially delaying care for patients requiring time-sensitive intervention in an acute setting. A novel electronic health records (EHR)-based workflow was implemented to improve the consultation process. After implementation, we assessed the impact of this initiative in patients requiring vascular surgery consultation. An EHR-driven consultation workflow was implemented at a single institution, standardizing the process across all consulting services. This order-initiated workflow automated notification to clinicians of consult requests, communication of patient data, patient addition to consultants' lists, and tracking consult completion. Preimplementation (1/1/2020-1/31/2022) and postimplementation (2/1/2022-12/4/2022) vascular surgery consultation cohorts were compared to evaluate the impact of this initiative on timeliness of care. There were 554 inpatient vascular surgery consultations (255 preimplementation and 299 postimplementation); 45 and 76 consults required surgery before and after implementation, respectively. The novel workflow resulted in placement of a consult note 32min faster than preimplementation (preimplementation: 462min, postimplementation: 430min, P=0.001) for all vascular surgery consults. Furthermore, vascular surgery patients with ASA class III or IV status requiring an urgent or emergent operation were transported to the operating room 63.3% faster after implementation of the workflow (preimplementation: 284min, postimplementation: 180min, P=0.02). There were no differences in procedure duration, postoperative disposition, or intraoperative complication rates. We implemented a novel workflow utilizing the EHR to standardize and automate the consultation process in the acute inpatient setting. This institutional initiative significantly improved timeliness of care for vascular surgery patients, including decreased time to operation. Innovations such as this can be further disseminated across shared EHR platforms across institutions, representing a powerful tool to increase the value of care in vascular surgery and healthcare overall.

Management Orthopedic Patient With Covid 19, A Picture Of Patient Safety

This study will describe management policies to maintain hospital services by putting safety and analyze epidemiological data on orthopedic patient with covid-19 infection who were admitted during covid-19 pandemic. A retrospective descriptive study of orthopedic patients with covid-19 infection profile during 1st wave of covid-19 Pandemic (January - March 2021). Modification of patient and staff work flow were also made, based on risk of transmissions, this include rescheduling elective surgery and promoting telemedicine. For patient who were admitted for urgent surgery, transition room were made for screening covid-19 infection before operation, there also a negative pressure operation room for patient who need an emergency operation. There were 38 orthopedic patients admitted to transition room, 18 patient (47.36%) were confirmed covid-19 infection. There are slight fewer female patient with confirmed Covid-19, compare to the male patient 8 (44.4%) vs 10 (55.6%) patient. The Patient’s age ranged from 5 to 79 years old, with average of 46.27 years old (SD 20.63). With most patient were 56-65 years old. The patients’ diagnosis and demographics data were described in table 1. Five patients (27.8 %) with mild covid-19, nine patients (50 %) with moderate covid-19 and four patients (22.2 %) with severe covid-19. Among 18 patients with confirmed covid-19, seven patients (38.9%) had hypertension and three patients(16.7%) had diabetes . The Laboratory data shows 13 patients (72.7%) had abnormal NLR with all patients had increased D Dimer. Average length of stay were 12.78 days, Range 2 days to 21 days; SD 5,53) with eleven patients (61.1%) underwent operation procedure and 7 (38.9%) patients were on conservative treatment. There was 1 (1.8%0 death case recorded, among patients with confirmed COVID-19, this was a C3 Spinal Cord Injury patient with tetraplegia and respiratory failure. During this period there were 16 (2.5% from 636 staff) were diagnosed with covid-19, among them 60% in red area ( operation room, Emergency unit, polyclinics, isolation room and laboratory). There were no documented in hospital death among orthopedic patient with confirmed covid-19 who underwent surgery procedure. Covid-19 had disrupted many aspects in hospital services. Our Hospital had develop new policies and strategies to minimize covid-19 transmission during the 1st wave covid-19 pandemic. Preoperative screening, proper personal protective equipment’s, and strict transmissions control successfully minimize covid-19 transmission in our hospital. Orthopedics patient with Covid-19 infection, that require urgent surgery were admitted to isolation room. Prompt treatment according to WHO Guideline were given.

Enhancing Triage Efficiency and Accuracy in Emergency Rooms for Patients with Metastatic Prostate Cancer: A Retrospective Analysis of Artificial Intelligence-Assisted Triage Using ChatGPT 4.0.

Accurate and efficient triage is crucial for prioritizing care and managing resources in emergency rooms. This study investigates the effectiveness of ChatGPT, an advanced artificial intelligence system, in assisting health providers with decision-making for patients presenting with metastatic prostate cancer, focusing on the potential to improve both patient outcomes and resource allocation. Clinical data from patients with metastatic prostate cancer who presented to the emergency room between 1 May 2022 and 30 April 2023 were retrospectively collected. The primary outcome was the sensitivity and specificity of ChatGPT in determining whether a patient required admission or discharge. The secondary outcomes included the agreement between ChatGPT and emergency medicine physicians, the comprehensiveness of diagnoses, the accuracy of treatment plans proposed by both parties, and the length of medical decision making. Of the 147 patients screened, 56 met the inclusion criteria. ChatGPT had a sensitivity of 95.7% in determining admission and a specificity of 18.2% in discharging patients. In 87.5% of cases, ChatGPT made the same primary diagnoses as physicians, with more accurate terminology use (42.9% vs. 21.4%, p = 0.02) and more comprehensive diagnostic lists (median number of diagnoses: 3 vs. 2, p < 0.001). Emergency Severity Index scores calculated by ChatGPT were not associated with admission (p = 0.12), hospital stay length (p = 0.91) or ICU admission (p = 0.54). Despite shorter mean word count (169 ± 66 vs. 272 ± 105, p < 0.001), ChatGPT was more likely to give additional treatment recommendations than physicians (94.3% vs. 73.5%, p < 0.001). Our hypothesis-generating data demonstrated that ChatGPT is associated with a high sensitivity in determining the admission of patients with metastatic prostate cancer in the emergency room. It also provides accurate and comprehensive diagnoses. These findings suggest that ChatGPT has the potential to assist health providers in improving patient triage in emergency settings, and may enhance both efficiency and quality of care provided by the physicians.

"It's So Easy" for Prelicensure Nursing Students to Enter a Patient's Room.

"It's So Easy" for Prelicensure Nursing Students to Enter a Patient's Room.

Where’s the Marker? Perceptions of Whiteboards in the Emergency Department

BackgroundIn the emergency department, bedside whiteboards are used to help improve communication, teamwork, and collaboration among health care providers. In addition, previous studies have shown that whiteboards aid the patient with the identification of their health care providers, plan of care, expected length of stay, and overall patient satisfaction. PurposeThis evidence-based evaluation project assessed the perceptions of emergency department health care providers on their awareness of the effectiveness of bedside whiteboards, whether there are challenges with using them, and whether they are being updated and used consistently. MethodA survey was utilized to evaluate emergency department health care providers (nurses, patient care technicians, and attending providers) on their perceptions of bedside whiteboards in the patient rooms using a 10-question survey. OutcomesThe survey was sent via email to 135 emergency department health care providers, with 64 respondents. The survey results showed that 41.3% of the respondents agreed that bedside whiteboards promote patient satisfaction, 36.5% agreed that they promote patient safety, 53.1% agreed they take minimal completion time, and 50% felt they help keep patients informed about care. However, 85.9% of participants felt bedside whiteboards are not updated consistently, and 81.2% felt they are not updated consistently among all 3 shifts. In addition, 73.4% reported that they lack access to materials to update the whiteboards and 38.1% were neutral regarding whiteboards promoting patient safety. ImplicationsProper materials (markers and erasers) are integral to bedside whiteboard use. Continued staff education on the function of bedside whiteboards may improve proper whiteboard use.

Barge Planning for Covid-19 Patient Isolation

The ship is a means of water transportation that is widely used, one of its functions is to transport passengers. Barge is a type of ship with a flat hull or a large floating box, barges generally do not have a propulsion system but nowadays many barges have a propulsion system which is usually called a Self Propelled Barge. While barges are usually used to transport dry bulk goods or liquid bulk or recently also used to transport containers in connection with short sea shipping. So that in this study the aim is to design a general plan for room arrangement for the isolation room for COVID-19 patients. the need to design a room arrangement for the isolation room for covid-19 patients and the need to know the number of patients that can be brought. Equipped with several safety components, medical equipment, hospital facilities or a preventive measure that must exist in an emergency condition. The safety components on board must be managed as well as possible and must go through inspection procedures before being installed on the ship. This serves to ensure that everything is in good and optimal condition. This research will provide methods of data collection, design of plain lines and general plans, determination of load space capacity. The results obtained are barges with a capacity Alternative 1 patients amounted to 32 people and alternative 2 amounted to 48 people. From this capacity, the stability of the ship has met the requirements.