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Re: Operating theatre design question

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Roel Castillo
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Thanks Terry
Thanks Beth

The SMEs have spoken. To my experience, the disconnect between architects and clinicians will certainly impact on the latter, patient care being compromised. What may I suggest is to sit down and exhaust all possible clinical input before agreeing to the design.

Good luck
Roel

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Beth Bint
Sent: Monday, 17 March 2014 8:37 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Operating theatre design question

Good morning John

The Australian Health Facilities Guidelines illustrates very clearly operational flows and air pressure controls required for operating units refer Part B Health Facility Briefing and Planning: 520 Operating Theatres p 41 to p 44.

Scrub bays must have negative air pressure in relation to the operating theatre which would not be possible if the scrub bays are incorporated in to the theatre room.

Regards

Beth

Beth Bint

Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House, Wollongong Hospital 2500, NSW
Tel. 02 4222 5869 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of John Ferguson
Sent: Sunday, 16 March 2014 11:30 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Operating theatre design question

Dear Brains trust

A colleague (a healthcare architect) has been planning the perioperative suite and the surgeons have insisted on placing the scrub bay on the theatre side of the exit bay. See extract from the scheme design drawing below (attached). They seem to believe that the air pressurisation in the theatre will keep water spray/bugs etc out of the main area of the OR. Also they dont want to have to gown then go back out scrub and then return to the theatre through the doors to glove and operate.

Placing scrub bays inside ORs is not a practice that I have seen anywhere else in the world has anyone experience with this please?

My view is that this is not a practice to support but Id be interested in other views and evidence please!

Kind regards
John

Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health
Infectious Diseases Physician, Division of Medicine, John Hunter Hospital
Clinical Microbiologist, Hunter Area Pathology, Pathology North
Conjoint Associate Professor, University of Newcastle, Adjunct Professor, University of New England
Locked Bag 1, Newcastle Mail Centre, NSW 2310
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org

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