Adriënne van der Schoor

The old hospital building The old hospital building of the Erasmus MC (the Dijkzigt hospital building) had 1,125 beds, mainly divided over two- and four-person occupancy rooms (Figure 3), and 42 Intensive Care Unit (ICU) single-occupancy beds. Bathrooms were shared and located on the ward, with an average of four patients sharing a toilet, and seven patients sharing a shower. When a patient on the ward was placed in contact isolation, i.e., standard precautions, and use of gloves and gowns, the other bed(s) in the room were blocked for admissions. For patients in isolation, a designated bathroom was appointed to that patient, or washing and toileting occurred on bed and by bedpan. Exceptions to the multiple-occupancy rooms were the ICU, the isolation department, and the hematology departments. The ICU consisted of 100% single-occupancy rooms, of which some were designated isolation rooms with an anteroom and negative air pressure. The isolation department consisted of 100% single-occupancy rooms, all with anteroom, negative air pressure and private bathrooms. The hematology departments, which were located at both location Dijkzigt and location Daniel den Hoed, consisted of a number of two- and three-patient occupancy rooms, with attached bathrooms, but the majority of the rooms were single-occupancy rooms, all with anteroom, HEPA filtered air and private bathroom. Figure 3. One side of a four-person occupancy room in the old hospital building of the Erasmus MC. The new hospital building The new hospital building was officially opened on May 18, 2018, when all patients were transferred in one day from the old hospital building to the new hospital building. All patients from the Daniel den Hoed were also relocated to the new hospital building on this date in a custom-made moving truck. The new hospital building has 525 beds, all singleoccupancy rooms with private bathrooms and rooming-in facilities (Figure 4), and 56 ICU beds. Where in the old building there was an isolation department, the isolation rooms in the new hospital building are located at multiple wards. 1 11 General introduction

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