[Fiona Randall]

An “oldie but a goodie” is the Hospital Infectioin Society working party
report on “behaviours and rituals in the operating theatre” this was
published in the journal of hospital infection quite a number of years ago
now.
http://www.his.org.uk/_db/_documents/Rituals-02.pdf The working party
reviewed all of the available evidence at the time and made recommendations
based on the level of evidence available. Theatre attire, scrubs, overgowns
& overshoes are addressed in this document.

Overgowns are not necessary outside the operating theatre. Scrubs must be
changed as soon as there is any blood/body fluid contamination regardless
of whether staff are remaining in the OT suite or leaving to go to the cafe.

I recommend a quick literature search of Pubmed for the latest
literature/evidence on this subject.

Fiona Randall
CNC Infection Prevention & Control
Wesley Mission Brisbane.

On Fri, Mar 1, 2013 at 2:40 PM, Paul Smollen wrote:

> Toni,****
>
> ** **
>
> I do enjoy this chestnut. While it is a public perception, facilities and
> us at the Ministry receive multiple complaints from visitors about this
> issues. One of the complaints we get is that the public see them in the
> gowns in the cafe and are worried they are going off to operate on their
> family member. This alone could convince your OT staff against the practice.
> ****
>
> ** **
>
> The problems lies with no valid evidence. This comment may open a can of
> worms….. but I find this should be a two way street and if OT staff want
> to walk around a hospital and outside and do all normal activities in their
> scrubs, then they should allow people to walk into an OT in street clothes.
> I really see no difference. While we are concerned with levels of evidence
> about scrubs outside an OT what level of evidence is there about wearing
> scrubs inside an OT? The scrubs are usually kept on open shelves in open
> change rooms with toilets and showers nearby. ****
>
> ** **
>
> I do know of facilities that have a lunch ordering system with their cafe
> and the food is delivered there. This may be an option you could explore.
> ****
>
> ** **
>
> Good luck with it all.****
>
> ** **
>
> Paul Smollen****
>
> *Project Manager, Healthcare Associated Infections (HAI)***
>
> *Clinical Excellence Commission** **|** *Level 14/227 Elizabeth Street,
> Sydney NSW 2000 ****
>
> T: (02) 9269 5586 *|*F: (02) 9269 5599 *| *E:
> Paul.Smollen@cec.health.nsw.gov.au **
> **
>
> http://www.cec.health.nsw.gov.au****
>
>
> *[image: cid:image001.jpg@01CCB4FA.2BC3D5E0]*****
>
> ** **
>
> *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
> Behalf Of *Toni Schouten
> *Sent:* Friday, 1 March 2013 9:29 AM
> *To:* AICALIST@AICALIST.ORG.AU
> *Subject:* Operating Theatre Attire****
>
> ** **
>
> Dear All,****
>
> The issue of where you can and cannot wear operating theatre attire
> (blues) has arisen at our facilities – again.****
>
> I would be interested to know if your facilities/organisations allow
> theatre staff to eat and drink in the on-site cafeteria if they have clean
> blues that are covered.****
>
> Food is not supplied to the OT; staff are permitted to collect food from
> the on-site cafeteria if in clean blues that are covered; there is a tea
> room but it is said that it can be over crowded at peak times.****
>
> The public perseption (and complaints received) says that they should not
> be allowed to eat and drink there.****
>
> What valid evidence is there and what do others do or say to back up that
> they should not eat and drink in on-site cafeterias (if at all). ****
>
> Look forward t your comments.****
>
> Regards, Toni.****
>
> ****
>
> Toni Schouten *CICP*****
>
> Clinica Quality Manager****
>
> Sydney Local Health District****
>
> toni.schouten@sswahs.nsw.gov.au ****
>
>
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[Fiona Randall]

Hi Sue,

The Hospital Infection Society published an document quite a while ago
which was titled “Behaviours and rituals in the operating theatre”
http://www.his.org.uk/_db/_documents/Rituals-02.pdf
This working party who wrote the document carried out a thorough literature
review and made recommendations on practices based on the literature
available and where evidence was scarce – good sensible practices.
p.19 of the document discusses footwear & recommends the use of overshoes
should cease.

Regards,

Fiona Randall
CNC Infection Control
Wesley Mission Brisbane

On Thu, Feb 7, 2013 at 12:08 PM, McLellan, Sue wrote:

> ** ** ** ** ** ** **
>
> Hi All,****
>
> ** **
>
> We are currently updating our guideline on surgical attire in the
> operating suite and are keen to discontinue the use of overshoes being worn
> in the operating suite. ****
>
> ** **
>
> Overshoes have been identified as being ineffective in reducing bacterial
> floor contamination since the early 1990s and are not recognised in the
> ACORN standards as effective. Further there is indication that there is in
> fact an increase in risk of bacterial contamination through the process of
> removing foot coverings where sound hand hygiene practices are not carried
> out.****
>
> ** **
>
> We would like to seek advice and recommendations on the feasibility of
> discontinuing the use of overshoes and theatre designated footwear and
> guide personnel to wear clean enclosed slip resistant footwear in the
> operating suite.****
>
> ** **
>
> Cheers,****
>
> ** **
>
> Sue****
>
> ** **
>
> ****
>
> *Sue McLellan**
> Infection Prevention Nurse Consultant
> Infection Prevention & Healthcare Epidemiology *****
>
>
> *t +61 3 90763139 f +61 3 9076 6093 m 0438 564 764 *****
>
> *e **s.mclellan@alfred.org.au* ****
>
>
> *Alfred Health*
> ****55 Commercial Road****
> ****Melbourne**** VIC 3004
> ****PO Box** 315** Prahran
> VIC 3181 ****Australia****
>
>
>
>
> Alfred Health incorporates The Alfred, **Caulfield** **Hospital** and ****
> Sandringham** **Hospital****
> http://www.alfredhealth.org.au
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