Can endoscopy and ophthalmic procedures utilise the same operating room?

[Anonymous]

Hi everyone,

I have been asked the question – is it ok to perform endoscopy procedures in
the same Operating Room in which ophthalmic procedures are also going to be
performed?

I have also been asked is it ok to perform cystoscopy procedures in the same
room in which ophthalmic procedures are performed?

Obviously I have my own opinion about this – but I am interested to hear
feedback and or any directions to an evidence based review around this topic
from my colleagues as it appears to be quite an emotive issue!

Thanks in anticipation of your responses.

Regards

Terry McAuley

Sterilisation & Infection Prevention and Control Consultant

STEAM Consulting

E: terry@steamconsulting.com.au

W: http://www.steamconsulting.com.au

A: PO BOX 779

Endeavour Hills

VIC Australia 3802

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[Michael Wishart]

Hi Terry

Story time. Years ago, I worked in a facility that had brand new state-of-the-art imaging equipment installed in a cath lab procedure room. A renowned vascular surgeon started doing all sorts of grafts endoluminally in the HEPA filtered room.

Then a gastroenterologist did an after-hours emergency colonoscopic procedure in the room (required the imaging) and it “hit the fan”, so to speak. The vascular surgeons rebelled, calling this an outrage.

The ID physician who was called to literally step between the two parties (little tiny guy, actually, quite brave I thought :)) explained that as long as the procedures (colonoscopy and vascular) were not done at the same time in the same room, the risk to any subsequent patients approaches zero if standard cleaning and any required spot cleaning is performed. He was quite factual about this.

So, my response would be along those lines. As long as environmental cleaning protocols are followed appropriately after all cases, there is no reason a procedure room or theatre cannot be shared between disciplines, even with those ”unclean’ gastroenterologists. 🙂

My opinion, anyway. No evidence based review, though, sorry.

Cheers
Michael

Michael Wishart
Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
[cid:image001.png@01CFD7EC.B488ED80]
P Please consider the environment before printing this email

[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]

Hi everyone,

I have been asked the question – is it ok to perform endoscopy procedures in the same Operating Room in which ophthalmic procedures are also going to be performed?

I have also been asked is it ok to perform cystoscopy procedures in the same room in which ophthalmic procedures are performed?

Obviously I have my own opinion about this – but I am interested to hear feedback and or any directions to an evidence based review around this topic from my colleagues as it appears to be quite an emotive issue!

Thanks in anticipation of your responses.

Regards
Terry McAuley
Sterilisation & Infection Prevention and Control Consultant
STEAM Consulting
E: terry@steamconsulting.com.au
W: http://www.steamconsulting.com.au
A: PO BOX 779
Endeavour Hills
VIC Australia 3802

CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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[Anonymous]

Thanks Michael,

That was pretty much exactly what I have said but they want me to provide
some ‘evidence’ it is ok.

Consensus of experts at least is a good start – so keep the answers coming
please people.

Cheers

Terry McAuley

Sterilisation & Infection Prevention and Control Consultant

STEAM Consulting

E: terry@steamconsulting.com.au

W: http://www.steamconsulting.com.au

A: PO BOX 779

Endeavour Hills

VIC Australia 3802

CONFIDENTIAL COMMUNICATION: The information contained in this message may
contain confidential information intended only for the use of the individual
or entity named above. If the reader of this message is not the intended
recipient, you are hereby notified that any dissemination, distribution or
duplication of this transmission is strictly prohibited. If you have
received this communication in error, please notify us by telephone or email
immediately and return the original message to us or destroy all printed and
electronic copies. Nothing in this transmission constitutes an agreement of
any kind unless otherwise expressly indicated.

Of Michael Wishart
operating room?

Hi Terry

Story time. Years ago, I worked in a facility that had brand new
state-of-the-art imaging equipment installed in a cath lab procedure room. A
renowned vascular surgeon started doing all sorts of grafts endoluminally in
the HEPA filtered room.

Then a gastroenterologist did an after-hours emergency colonoscopic
procedure in the room (required the imaging) and it “hit the fan”, so to
speak. The vascular surgeons rebelled, calling this an outrage.

The ID physician who was called to literally step between the two parties
(little tiny guy, actually, quite brave I thought J) explained that as long
as the procedures (colonoscopy and vascular) were not done at the same time
in the same room, the risk to any subsequent patients approaches zero if
standard cleaning and any required spot cleaning is performed. He was quite
factual about this.

So, my response would be along those lines. As long as environmental
cleaning protocols are followed appropriately after all cases, there is no
reason a procedure room or theatre cannot be shared between disciplines,
even with those ”unclean’ gastroenterologists. J

My opinion, anyway. No evidence based review, though, sorry.

Cheers

Michael

Michael Wishart

Infection Control Coordinator

A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E

michael.wishart@svha.org.au | W
http://www.hsnph.org.au
cid:image001.png@01CFD7EC.B488ED80
P Please consider the environment before printing this email

http://www.interactivejam.com.au/images/ACIPC-conference.jpg

Of Terry McAuley
room?

Hi everyone,

I have been asked the question – is it ok to perform endoscopy procedures in
the same Operating Room in which ophthalmic procedures are also going to be
performed?

I have also been asked is it ok to perform cystoscopy procedures in the same
room in which ophthalmic procedures are performed?

Obviously I have my own opinion about this – but I am interested to hear
feedback and or any directions to an evidence based review around this topic
from my colleagues as it appears to be quite an emotive issue!

Thanks in anticipation of your responses.

Regards

Terry McAuley

Sterilisation & Infection Prevention and Control Consultant

STEAM Consulting

E: terry@steamconsulting.com.au

W: http://www.steamconsulting.com.au

A: PO BOX 779

Endeavour Hills

VIC Australia 3802

CONFIDENTIAL COMMUNICATION: The information contained in this message may
contain confidential information intended only for the use of the individual
or entity named above. If the reader of this message is not the intended
recipient, you are hereby notified that any dissemination, distribution or
duplication of this transmission is strictly prohibited. If you have
received this communication in error, please notify us by telephone or email
immediately and return the original message to us or destroy all printed and
electronic copies. Nothing in this transmission constitutes an agreement of
any kind unless otherwise expressly indicated.

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA
network and the information held on it, all emails to and from any email
address on the “svha.org.au” domain (or any other domain of St Vincent’s
Health Australia Limited or any of its related bodies corporate) (an “SVHA
Email Address”) will pass through and be scanned by the Symantec.cloud anti
virus and anti spam filter service. These services may be provided by
Symantec from locations outside of Australia and, if so, this will involve
any email you send to or receive from an SVHA Email Address being sent to
and scanned in those locations.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.

Replies to this message will be directed back to the list. To create a new
message send an email to aicalist@aicalist.org.au

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You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.au

______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA
network and the information held on it, all emails to and from any email
address on the “svha.org.au” domain (or any other domain of St Vincent’s
Health Australia Limited or any of its related bodies corporate) (an “SVHA
Email Address”) will pass through and be scanned by the Symantec.cloud anti
virus and anti spam filter service. These services may be provided by
Symantec from locations outside of Australia and, if so, this will involve
any email you send to or receive from an SVHA Email Address being sent to
and scanned in those locations.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to products
or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives –
registration and login required.

Replies to this message will be directed back to the list. To create a new
message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without
the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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