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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 don’t 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 I’d be interested in other views and evidence please!
Kind regards
John[cid:image001.png@01CF410A.DE25A080]
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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Hi John,
I have seen this type of design in New Zealand and in some VERY old theatres
but it is not consistent with current perioperative practices in my
experience.So in my opinion, no it is not acceptable to have the scrub bay inside the
theatre.I am also concerned about the description of gowning then scrubbing and then
gloving – the actual practice is to scrub, then enter the OR to gown and
glove.I don’t have time to dredge up evidence to support this – but maybe checking
the references in the Australasian Health facility Design Guidelines and the
equivalent American guidelines may be useful.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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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
don’t 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 I’d be interested in
other views and evidence please!Kind regards
John
cid:image001.png@01CF1C1A.3FD5FE30
Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England HealthInfectious 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 EnglandLocked 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.orghttp://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-H
ealth-Hunter-New-England-LHD.jpgMESSAGES 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
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the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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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[cid:image001.jpg@01CF41BC.04870B90]
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 don’t 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 I’d be interested in other views and evidence please!
Kind regards
JohnDr 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.orgMESSAGES 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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Thanks Terry
Thanks BethThe 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
RoelFrom: 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 questionGood 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[http://www.health.nsw.gov.au/images/communications/e-signatures/images/NSW-Health-Illawarra-Shoalhaven-LHD.jpg]
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 questionDear 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
JohnDr 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.orgMESSAGES 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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