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Hi Lindy,
I agree there is conflicting advice on this subject. I am currently am on the commissioning team for the new Perth Children’s Hospital, which has 11 operating theatres, including MRI and hybrid theatres. In Western Australia we have an Operational Directive from the Department of Health on Microbiological Air Sampling in Operating Rooms in Western Australia.This directive is mandatory for all WA public healthcare facilities, which makes the requirements very straight forward for me . It is also a requirement that NATA accredited laboratory must be employed for processing and provision of results. We are using a private NATA accredited laboratory here in WA.
Feel free to contact me if you have any questions. Email and mobile number below.
Regards
CathyCatherine Jones
Senior Project Officer Infection Control | Operational Readiness | Perth Children’s Hospital Project
Child and Adolescent Health Service
GPO Box D184 Perth WA 6840
E catherine.jones@health.wa.gov.au
W http://www.perthchildrenshospitalproject.health.wa.gov.au
[cid:image001.png@01CF4F51.DA3DEB30]
A West Australian State Government InitiativeDear brains trust
I have a Question around the validity of undertaking air sampling as part of infection control QA for commissioning of operating theatres.
I have read around current literature and guidelines attached it being recommended (& I have undertaken air sampling and had the micro lab previously read and report on the results which have been reviewed with the Clinical microbiologist/ID) I have attached a coupe I have looked data and used previously at what I thought were great documents!!However recently I was asked to undertake this again as we will be undertaking work in OT re our air-conditioning system and was happy to progress as previous with sir sampling . however the health laboratory I am currently working with has declined to accept and undertake the analysis and reporting as they have indicated they are not NATA accredited to undertake this analysis and reporting .
So we have been looking around for an external private laboratory to undertake this analysis and reporting at great cost to us .
However in asking around my colleagues I have also been advised that there is no current NATA credentialing for air sampling (so even the private lab we will need to use won’t be accredited accredited?)Can I clarify with anyone else working elsewhere if this is true, and /or what their experience has been in undertaken air sampling and how they have had it analysed and reported on
I am seriously wondering if I have missed anything new or different in the literature that has changed the concept of air sampling as useful tool for commissioning given if there is no there is no standard (ie NATA) of accreditation around the sample data analysis & reporting methodology and its validity then why would an air sampling need test still be recommended to be done at all if the labs are telling us the info can’t be considered accurate or correct without NATA validation
Any thoughts responses or advice greatly appreciated as we look at our next step here around value for money and safety
Kind regards
Lindy
Lindy Ryan
Infection prevention & Control Clinical Nurse Consultant (CNC) | Coffs Harbour Health Campus
Pacific Hwy Coffs Harbour NSW 2450
Tel (02) 6656 7770 | lindy.ryan@ncahs.health.nsw.gov.au
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Hi Jayne,
I am currently on the Operational Readiness Commissioning Team for the New Perth Children’s Hospital in Perth. We have 2 Hybrid OT rooms, 1 hybrid light OT and a hybrid Bi-plane OT. Our control rooms are fully enclosed with a glass viewing window. There is
speaker /intercom system in place for communication.Feel free to contact me if you want further discussion.
Regards
CathyCatherine Jones
Senior Project Officer Infection Control | Operational Readiness | Perth Children’s Hospital Project
Child and Adolescent Health Service
GPO Box D184 Perth WA 6840
Ecatherine.jones@health.wa.gov.auA West Australian State Government Initiative
—–Original Message—–
Thanks Cathy,
I have looked at the Australian facility building guideline but hasn’t really told me much in terms of specialist hybrids!! However I will contact Jed Duff and seek his advice.
The architect said they would put me in touch with other hospital in Australia- There’s one in the Gold Coast apparently that have a Hybrid OT- Fancy term for a lot of equipment costs a lot of $- but does allow for more diagnostic and minimal invasive procedure to be carried out, including Cardiothoracic surgery. So someone else out there might be familiar.
Have a great weekend. Thanks again
Jayne
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
—–Original Message—–
Hi Jayne
Could you please define what you mean by the term “hybrid” theatre? I would imagine that there are v. specific guidleines and probably Australian Standards around what areas can be termed operating theatres and also what procedures can be performed in what types of spaces (other than in the event of life-saving emergency conditions).
There is an Australian Facility Building Code or the like. Others will be able to point you to that. There may also be an ACORN Stadnard on the issue. I suggest you contact Jed Duff, ACORN President.
There are also likely to be N. American guidelines on this which whilst not directly translatable they may give you insight.
Good luck with it, an interesting idea…I wonder what has promoted the need for a “hybrid”. FYI – standardisation is much safer than hybridisation, any day.
Cheers
CathCathryn Murphy MPH PhD CIC
Chief Executive Officer & Creative Director Infection Control Plus Pty Ltd PO Box 3079 Burleigh Town 4220 OLD, AustraliaE: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W: infectioncontrolplus.com.au—–Original Message—–
Morning Brains trust 🙂
Our facility are in the process of planning for a hybrid theatre, I would like to know if there are any standards written for them? Also has anyone been involved in the planning and completion of a hybrid theatre? If so do you have open ceiling control rooms?
Our team are requesting that a 2.1 meter wall (with glass)door free is built for the control room instead of floor to ceiling wall. There reason being it’s easier to communicate with the surgeon!!
Thus far I have said NO to the 2.1 meter wall hence my question here today. I’d be happy for any advice.
Many thanks
Jayne
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
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Lyn,
We were also using the OPA in the GUS system, and changed over to the
Trophon EPR in 2009. This is an excellent system, and more user
friendly than the OPA system. There is a lot of data on this system,
just google Trophon EPR. We have been very happy with this system and
have had no problems.
Regards
Catherine Jones
CNC Infection Control
King Edward Memorial Hospital
Womens and Newborn Health Service
email: catherine.jones@health.wa.gov.au________________________________
Behalf Of Lyn A. Golden
We currently use OPA in a GUS system to process semi critical intra
cavity ultrasound probes: Radiology department would like to change to a
system that uses nebulised hydrogen peroxide.-Nanosonics Trophen EPR
Does anyone have any comments? Have you used H2O2 as a disinfectant? Is
there proof of disinfection by aerosoled particles?Cheers Lyn
Lyn Golden
Infection Prevention & Control Manager
Echuca Regional Health
P 03 54855340
F 03 54825478
Helping Everyone To Be And Stay Healthy
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