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Design of theatre scrub bays

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  • #68924
    Beth Bint
    Participant

    Author:
    Beth Bint

    Email:
    Beth.Bint@SESIAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Good Afternoon

    We are currently undertaking the design of a new theatre suite. During this process discuss has arisen regarding the need for dedicate doorways to exit the scrub bays into the operating theatre, compared single doorway for entering and leaving the scrub bay and then using a shared corridor ‘entrance bay’ to enter the theatre. See table below for illustration of flow. Could you please advise if your theatres have this layout and if there have been any issues arise from this.

    We would also be interested in opinions regarding the potential hazards associated with this design.

    theatre

    *
    Opening doors

    patient bed

    anaesthetic bay

    No door –>

    Scrub sinks

    theatre corridor

    Thank you for your assistance
    Beth

    Beth Bint

    Clinical Nurse Consultant | Infection Management and Control Service
    Level 1 Lawson House, Wollongong Hospital 2500, NSW
    Tel. 02 4222 5898 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

    [cid:image001.jpg@01CD0825.900AA000]

    ———————————————————————————————

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    #68925
    Prue Wright
    Participant

    Author:
    Prue Wright

    Email:
    Infection.Control@HURSTVILLEPRIVATE.COM.AU

    Organisation:

    State:

    Hi Beth,

    The problem I see is that the scrubbed personnel will have to walk past the patient’s bed through an area open to the general corridor; entering the OT through the same door as people going in and out. There is a potential for being collided with by porters and other staff entering or leaving the theatre.

    The enclosed scrub area is a good feature; but there is only one way in and out; another potential for contamination.

    It would be ideal to have a flow into the scrub area and then to the OT without backtracking or having to mix with general traffic.

    Regards

    Prue Wright

    Infection Control Co-ordinator

    Hurstville Private

    Good Afternoon

    We are currently undertaking the design of a new theatre suite. During this process discuss has arisen regarding the need for dedicate doorways to exit the scrub bays into the operating theatre, compared single doorway for entering and leaving the scrub bay and then using a shared corridor ‘entrance bay’ to enter the theatre. See table below for illustration of flow. Could you please advise if your theatres have this layout and if there have been any issues arise from this.

    We would also be interested in opinions regarding the potential hazards associated with this design.

    theatre

    Opening doors

    patient bed

    anaesthetic bay

    No door

    Scrub sinks

    theatre corridor

    Thank you for your assistance

    Beth

    Beth Bint

    Clinical Nurse Consultant | Infection Management and Control Service
    Level 1 Lawson House, Wollongong Hospital 2500, NSW
    Tel. 02 4222 5898 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

    http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Illawarra-Shoalhaven-LHD.jpg

    ———————————————————————————————
    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

    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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    #68927
    Jackie Miley
    Participant

    Author:
    Jackie Miley

    Email:
    jmiley@BROOKES.AC.UK

    Organisation:

    State:

    Hi Beth
    I concur with the statements made about through flow, but perhaps the
    number of doors opening into the theatre should also be considered, eg many
    new NHS facilities may have an outer door between the scrub room and a
    corridor, but no door between the scrub room and the theatre – the
    distances and ventilation are adequate to avoid splashing and aerosols.
    Door openings, especially to facilitate the passage of scrub personnel
    (wide open) may disturb large amounts of air, and interfere with whatever
    laminar flow, other ventilation you plan to reduce air movements across
    sterile fields.
    Regards

    *Jackie *

    *Jackie Miley* MSc, PG Cert Public Health, Cert Infection Control,
    Dip Rn.

    Senior Lecturer Infection Prevention and Control & Continuing Professional
    Development
    Course Leader MSc Infection Prevention and Control
    Course Leader Short Course Infection Prevention & Control

    Oxford Brookes University
    Faculty of Health and Life Sciences
    Jack Straw’s Lane
    Marston
    Oxford OX3 0FL

    jmiley@brookes.ac.uk

    On 22 March 2012 19:57, Prue Wright wrote:

    > Hi Beth,****
    >
    > ** **
    >
    > The problem I see is that the scrubbed personnel will have to walk past
    > the patients bed through an area open to the general corridor; entering
    > the OT through the same door as people going in and out. There is a
    > potential for being collided with by porters and other staff entering or
    > leaving the theatre.****
    >
    > ** **
    >
    > The enclosed scrub area is a good feature; but there is only one way in
    > and out; another potential for contamination.****
    >
    > ** **
    >
    > It would be ideal to have a flow into the scrub area and then to the OT
    > without backtracking or having to mix with general traffic.****
    >
    > ** **
    >
    > Regards****
    >
    > ** **
    >
    > Prue Wright****
    >
    > ** **
    >
    > Infection Control Co-ordinator****
    >
    > Hurstville Private****
    >
    > ** **
    >
    > Ph: (02) 9579 7777****
    >
    > Fax: (02) 9570 8359****
    >
    > Mob: 0409 311 057****
    >
    > ** **
    >
    > Email: InfectionControl@hurstvilleprivate.com.au****
    >
    > ** **
    >
    > ** **
    >
    > *From:* AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
    > Behalf Of *Beth Bint
    > *Sent:* Thursday, 22 March 2012 12:48 PM
    > *To:* AICALIST@AICALIST.ORG.AU
    > *Subject:* Design of theatre scrub bays****
    >
    > ** **
    >
    > Good Afternoon****
    >
    > ** **
    >
    > We are currently undertaking the design of a new theatre suite. During
    > this process discuss has arisen regarding the need for dedicate doorways to
    > exit the scrub bays into the operating theatre, compared single doorway for
    > entering and leaving the scrub bay and then using a shared corridor
    > entrance bay to enter the theatre. See table below for illustration of
    > flow. Could you please advise if your theatres have this layout and if
    > there have been any issues arise from this.****
    >
    > ** **
    >
    > We would also be interested in opinions regarding the potential hazards
    > associated with this design.****
    >
    > ** **
    >
    > theatre****
    >
    > ** **
    >
    > ** **
    >
    > ****
    >
    > Opening doors****
    >
    > patient bed****
    >
    > ** **
    >
    > anaesthetic bay****
    >
    > ** **
    >
    > No door ****
    >
    > ** **
    >
    > Scrub sinks****
    >
    > ** **
    >
    > theatre corridor****
    >
    > ** **
    >
    > ** **
    >
    > Thank you for your assistance****
    >
    > Beth****
    >
    > ** **
    >
    > *Beth Bint*
    >
    > Clinical Nurse Consultant | *Infection Management and Control Service*
    > Level 1 Lawson House, Wollongong Hospital 2500, NSW
    > Tel. 02 4222 5898 | Fax. 02 4222 5367 |
    > beth.bint@sesiahs.health.nsw.gov.au
    >
    >
    > [image:
    > http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Illawarra-Shoalhaven-LHD.jpg%5D
    > ****
    >
    > ** **
    >
    > ———————————————————————————————****
    >
    > ** **
    >
    > Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice****
    >
    > ** **
    >
    > This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.****
    >
    > ** **
    >
    > This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.****
    >
    > Messages posted to this list are solely the opinion of the authors, and
    > do not represent the opinion of AICA. ****
    >
    > 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 authors, and
    > do not represent the opinion of AICA.
    >
    > 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 authors, and do not represent the opinion of AICA.

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    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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    #68928
    Beth Bint
    Participant

    Author:
    Beth Bint

    Email:
    Beth.Bint@SESIAHS.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Thank you
    Beth

    Beth Bint

    Clinical Nurse Consultant | Infection Management and Control Service
    Level 1 Lawson House, Wollongong Hospital 2500, NSW
    Tel. 02 4222 5898 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

    [cid:image001.jpg@01CD0B47.67336F20]

    Hi Beth,

    The problem I see is that the scrubbed personnel will have to walk past the patient’s bed through an area open to the general corridor; entering the OT through the same door as people going in and out. There is a potential for being collided with by porters and other staff entering or leaving the theatre.

    The enclosed scrub area is a good feature; but there is only one way in and out; another potential for contamination.

    It would be ideal to have a flow into the scrub area and then to the OT without backtracking or having to mix with general traffic.

    Regards

    Prue Wright

    Infection Control Co-ordinator
    Hurstville Private

    Good Afternoon

    We are currently undertaking the design of a new theatre suite. During this process discuss has arisen regarding the need for dedicate doorways to exit the scrub bays into the operating theatre, compared single doorway for entering and leaving the scrub bay and then using a shared corridor ‘entrance bay’ to enter the theatre. See table below for illustration of flow. Could you please advise if your theatres have this layout and if there have been any issues arise from this.

    We would also be interested in opinions regarding the potential hazards associated with this design.

    theatre

    *
    Opening doors

    patient bed

    anaesthetic bay

    No door –>

    Scrub sinks

    theatre corridor

    Thank you for your assistance
    Beth

    Beth Bint

    Clinical Nurse Consultant | Infection Management and Control Service
    Level 1 Lawson House, Wollongong Hospital 2500, NSW
    Tel. 02 4222 5898 | Fax. 02 4222 5367 | beth.bint@sesiahs.health.nsw.gov.au

    [cid:image001.jpg@01CD0825.900AA000]

    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

    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 authors, and do not represent the opinion of AICA.

    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

    ———————————————————————————————

    Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

    This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

    This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.

    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

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