Re: Cardiac theatre questions

[Liza Smith (Elizabeth BellardSmith)]

Hi Michael
In answer to your questions regarding Cardiac theatre protocols.
We have two Cardiac theatres, only one theatre has direct access to the dedicated bypass pump room.
This room has two entries, one from the operating theatre and the other from the corridor.
The door is not left open to the operating theatre during procedures.
The room is divided into two areas, one side dedicated to sterile stock, the other side an area to store and prepare the bypass machines.
Hand hygiene (AHR) is attached to the entry and exit of this room so is done going in and out from either side.

The bypass lines are always set up just prior to the patient arriving for the procedure for morning and afternoon cases.
These lines are not pre-set and are not left waiting to be used for long, (sometimes a delay in patient arriving but that’s about it)
The practice of leaving any lines set up is not encouraged.

For the air conditioning filters/cycles to work effectively I was told by the engineers the doors need to be closed to allow for correct air changes and pressures to occur.

Hope this is helpful. Let me know if you need any other information.
Regards

Liza Smith
Infection Control Consultant
Monash Medical Centre
Southern Health
Melbourne
Victoria

We are reviewing our cardiac surgery theatre protocols, and have a couple of questions for those facilities with cardiac surgery theatres.

1. Do you leave the door to your bypass pump room open during procedures? If so, is it a dedicated pump room (note if it has a door or not, please!) or it is a shared pump / stock room?

2. Do you pre-set lines for bypass pumps the night before surgery? The question is related to possibly spiking fluids onto lines, but leaving the lines ‘dry’ (i.e. not fully primed or connected to pump), overnight. If you pre-set your bypass pumps overnight, what rules surrounding resetting the lines do you have? Is there a maximum time they can be left before being having to be reset?

Thanks for any and all replies, just seeking what varying practices may be out there, and what rationales there are for them.

Cheers
Michael

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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