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Hello to you all & Happy 2018 !!!!
Just reaching out for some thoughts / experience others who may have built new Operating theatres (we are building 4 new ones to add to our existing 8) and one of these 4 new theatres will also have capacity be an interventional suite for vascular surgery (it will not be a dedicated room though)
In previous times when building new operating theatres I have not been in support for the inclusion of the installation of additional permanent cabinets with horizontal and vertical dust collecting surfaces etc for the storage of catheters / vascular access devices to be permanently stored within this room with Interventional capacity that will be located within the operating suite…………
My interest is around considerations that due the nature of our operating rooms needing to be multi purposed (especially in regional areas where we can be limited with our OT room availability and not have the luxury of spare rooms) & given the need for all of our operating rooms to be able to be used for all types of surgery & they must be able ready , easy to clean & adaptable for all types of surgery …not just dedicated to one type (interventional).
In previous times when I have worked elsewhere we have been able to provide the additional vascular equipment on specialized covered mobile trolleys so they can be moved in & out of the Operating room as may be required when the room is required for other types of surgery
Anyhow I am getting a bit of a pushback from some of our surgeons who are insisting that it is the norm to build interventional rooms within the OT complex with the additional cabinetry built in on the walls for vascular equipment and that they MUST have this layout and not having this will disadvantage them and potentially the patient. Also this will help with storage of sterile stock issues for this new build given there is not much
So I am wondering what others may have done / considered in building their new operating theaters which may have included capacity for interventional technology and if I am being too restrictive / old school / behind the times etc in not feeling OK / comfortable Infection control wise that we would be doing what best to reduce cross infection transmission risks with supporting the building in of permanent cabinets & creating additional surfaces etc etc into a new operating theatre design as part of the instillation of the interventional technology …….. When we have no consideration for increasing cleaning staff , cleaning times or cleaning processes at this time ?
Its just not sitting right with me at this time…but I am torn …hence your thoughts/ advice most welcome…. Where is & what is the risk in 2018 and beyond in this instance??
Many thanks
Lindy
Below advice from HI AHFG team regarding storage within 75m2 theatre
Wires/catheters are usually stored within hanging cabinets (FF-73931 Specialist Catheter Cabinets) within the theatre however the preferred model needs to be confirmed with Users. The AusHFG Standard Component for cath labs also includes hanging storage for catheters within the room as below.[cid:image001.png@01D3895A.B3560F60]
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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Hi Lindy,
We have built 40 Technical Suites at the new RAH which can adapt to any type of surgery.
Specific suites have had certain technical equipment built in to them accommodate their complex surgeries.
With regard to sterile stock equipment the suites are divided into 10 and there is a shared surgical sterile stores between each 10 Tech Suites.
The specialities i.e. Vascular, Cardiology etc have movable case carts as per below. The same with storage of sterilised scopes as they are in portable trolleys.
They have a cleaning schedule and are the responsibility of the team to manage.
This has removed any issues with regard to cabinetry and made the suites larger. It also means workflows have had to change and it limits hoarding of equipment.
I hope that helps Lindy.[cid:image003.jpg@01D2B9BC.B7CA14B0]
Kind RegardsMarija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image004.jpg@01D38A01.ABF84010]Hello to you all & Happy 2018 !!!!
Just reaching out for some thoughts / experience others who may have built new Operating theatres (we are building 4 new ones to add to our existing 8) and one of these 4 new theatres will also have capacity be an interventional suite for vascular surgery (it will not be a dedicated room though)
In previous times when building new operating theatres I have not been in support for the inclusion of the installation of additional permanent cabinets with horizontal and vertical dust collecting surfaces etc for the storage of catheters / vascular access devices to be permanently stored within this room with Interventional capacity that will be located within the operating suite…………
My interest is around considerations that due the nature of our operating rooms needing to be multi purposed (especially in regional areas where we can be limited with our OT room availability and not have the luxury of spare rooms) & given the need for all of our operating rooms to be able to be used for all types of surgery & they must be able ready , easy to clean & adaptable for all types of surgery …not just dedicated to one type (interventional).
In previous times when I have worked elsewhere we have been able to provide the additional vascular equipment on specialized covered mobile trolleys so they can be moved in & out of the Operating room as may be required when the room is required for other types of surgery
Anyhow I am getting a bit of a pushback from some of our surgeons who are insisting that it is the norm to build interventional rooms within the OT complex with the additional cabinetry built in on the walls for vascular equipment and that they MUST have this layout and not having this will disadvantage them and potentially the patient. Also this will help with storage of sterile stock issues for this new build given there is not much
So I am wondering what others may have done / considered in building their new operating theaters which may have included capacity for interventional technology and if I am being too restrictive / old school / behind the times etc in not feeling OK / comfortable Infection control wise that we would be doing what best to reduce cross infection transmission risks with supporting the building in of permanent cabinets & creating additional surfaces etc etc into a new operating theatre design as part of the instillation of the interventional technology …….. When we have no consideration for increasing cleaning staff , cleaning times or cleaning processes at this time ?
Its just not sitting right with me at this time…but I am torn …hence your thoughts/ advice most welcome…. Where is & what is the risk in 2018 and beyond in this instance??
Many thanks
Lindy
Below advice from HI AHFG team regarding storage within 75m2 theatre
Wires/catheters are usually stored within hanging cabinets (FF-73931 Specialist Catheter Cabinets) within the theatre however the preferred model needs to be confirmed with Users. The AusHFG Standard Component for cath labs also includes hanging storage for catheters within the room as below.[cid:image001.png@01D3895A.B3560F60]
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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.
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
Apologies please find attached the trolley picture.
Kind Regards
Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image001.jpg@01D38AB3.EF211C60]Hi Lindy,
We have built 40 Technical Suites at the new RAH which can adapt to any type of surgery.
Specific suites have had certain technical equipment built in to them accommodate their complex surgeries.
With regard to sterile stock equipment the suites are divided into 10 and there is a shared surgical sterile stores between each 10 Tech Suites.
The specialities i.e. Vascular, Cardiology etc have movable case carts as per below. The same with storage of sterilised scopes as they are in portable trolleys.
They have a cleaning schedule and are the responsibility of the team to manage.
This has removed any issues with regard to cabinetry and made the suites larger. It also means workflows have had to change and it limits hoarding of equipment.
I hope that helps Lindy.[cid:image003.jpg@01D2B9BC.B7CA14B0]
Kind RegardsMarija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
[cid:image003.jpg@01D38AB3.EF211C60]Hello to you all & Happy 2018 !!!!
Just reaching out for some thoughts / experience others who may have built new Operating theatres (we are building 4 new ones to add to our existing 8) and one of these 4 new theatres will also have capacity be an interventional suite for vascular surgery (it will not be a dedicated room though)
In previous times when building new operating theatres I have not been in support for the inclusion of the installation of additional permanent cabinets with horizontal and vertical dust collecting surfaces etc for the storage of catheters / vascular access devices to be permanently stored within this room with Interventional capacity that will be located within the operating suite…………
My interest is around considerations that due the nature of our operating rooms needing to be multi purposed (especially in regional areas where we can be limited with our OT room availability and not have the luxury of spare rooms) & given the need for all of our operating rooms to be able to be used for all types of surgery & they must be able ready , easy to clean & adaptable for all types of surgery …not just dedicated to one type (interventional).
In previous times when I have worked elsewhere we have been able to provide the additional vascular equipment on specialized covered mobile trolleys so they can be moved in & out of the Operating room as may be required when the room is required for other types of surgery
Anyhow I am getting a bit of a pushback from some of our surgeons who are insisting that it is the norm to build interventional rooms within the OT complex with the additional cabinetry built in on the walls for vascular equipment and that they MUST have this layout and not having this will disadvantage them and potentially the patient. Also this will help with storage of sterile stock issues for this new build given there is not much
So I am wondering what others may have done / considered in building their new operating theaters which may have included capacity for interventional technology and if I am being too restrictive / old school / behind the times etc in not feeling OK / comfortable Infection control wise that we would be doing what best to reduce cross infection transmission risks with supporting the building in of permanent cabinets & creating additional surfaces etc etc into a new operating theatre design as part of the instillation of the interventional technology …….. When we have no consideration for increasing cleaning staff , cleaning times or cleaning processes at this time ?
Its just not sitting right with me at this time…but I am torn …hence your thoughts/ advice most welcome…. Where is & what is the risk in 2018 and beyond in this instance??
Many thanks
Lindy
Below advice from HI AHFG team regarding storage within 75m2 theatre
Wires/catheters are usually stored within hanging cabinets (FF-73931 Specialist Catheter Cabinets) within the theatre however the preferred model needs to be confirmed with Users. The AusHFG Standard Component for cath labs also includes hanging storage for catheters within the room as below.[cid:image001.png@01D3895A.B3560F60]
Lindy Ryan
District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
http://www.health.nsw.gov.au[http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]
“Wise and humane management of the patient is the best safeguard against infection”
(Florence Nightingale Circa 1860)________________________________
This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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.
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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