Design of theatre scrub bays

[Beth Bint]

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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[Prue Wright]

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.
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[Jackie Miley]

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
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>

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[Beth Bint]

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

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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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———————————————————————————————

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.

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