[Lesley Alway]

Good Morning John, Another consideration and why scrub sinks were removed
from in operating rooms years ago is the open drain in the sink is then
inside the operating area, This is a known source of contaminates and
other high risk areas such as ICU pasteurisers are placed in the drain
system to prevent contamination.

Regards

Lesley Alway

Director

Strategic Health Resources.

6 Nathan Rd Eltham 3095

Lesley@ihc.com.au

0394390534

0408324727

*Secretary *

[image: cid:image001.png@01CE45C7.0BA90DC0]

*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Roel Castillo
*Sent:* Monday, 17 March 2014 8:48 AM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Re: Operating theatre design question

Thanks Terry

Thanks Beth

The 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

Roel

*From:* 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 question

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

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*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 question

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

*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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[Lesley Alway]

Hi Maureen , You will find references in the following ,

1.CDC Reference Guidelines- Design and Construction Standards.

2. Australian Health Facility Guidelines- Part E.

3. HB 260-2003 Hospital Acquired Infections Engineering down the Risk
Standards Australia

Kind Regards and good luck.

Lesley Alway

Director

Strategic Health Resources.

107 Mountain View Rd

Briar Hill.

Victoria.3088

Lesley@ihc.com.au

0394340344

0408324727

*Secretary *

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*From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
Behalf Of *Tony Cremin
*Sent:* Monday, 12 November 2012 10:36 PM
*To:* AICALIST@AICALIST.ORG.AU
*Subject:* Commissioning a new hospital

Hi All

We are preparing to commission our new hospital; does anyone have links to
good guidelines for microbiological commissioning please? If anyone has
recently moved into a new hospital/addition in the last few years do you
have any hot tips of what to watch out for, what to do or NOT do?

Regards

Maureen Cremin

*Regional Infection Control Co-ordinator*

*Great Southern Region*

*Southern Country Health Service*

*PO Box 252, Albany WA 6330*

*Phone 9892 2211 Fax 9892 2581 Page 171*

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[Lesley Alway]

Dear Michael,
Another issue around using Spray bottles ( aerosols) is the field of
spray of the chemical, which visually is not able to be assessed,
possess risk of contamination of sterile stock.( To show effect for
a demo but some food colouring in water and spray it spreads much
further than anticipated)

It is particularly not recommended in Sterile stock areas, Operating
rooms etc, But this principle applies anywhere sterile stock is stored
( therefore just about all areas in hospitals) this is referenced in
AS4187.
As far as cleaning units, they should be treated as buckets etc and
emptied and washer at the end of use ( if you continue using them)
could go through bowl washers. I will look up reference and send it
when I have a minute
Kind Regards

Lesley Alway
Director
Strategic Health Resources. (Infection Control Consultant)
107 Mountain View Rd
Briar Hill.
Victoria.3088
Lesley@ihc.com.au
0394340344
0408324727

—–Original Message—–
Of Michael Wishart

For many years I (and many of my infection control colleagues) have been
saying that using spray bottles for environmental cleaning is not a good
thing, due to potential OH&S risks (eg aerosolisation and inhalation of
chemicals) and the difficulties of keeping spray bottles and nozzles
clean, among other concerns.

Have again been asked to justify this position, and again I am having
difficulty finding actual evidence to support this best practice
recommendation (see
http://remotehealthatlas.nt.gov.au/0719_spray_bottle_communique.pdf for
someone brave enough to put this in writing). Does anyone have any
convincing studies or well-referenced guidelines to support this
recommendation?

Would also be interested in other views: is this considered best practice
by the infection control community in Australia?

Thanks for any discussion on this.

Cheers
Michael

Michael Wishart

Public Health Nurse,Communicable Disease Control
Logan West Moreton PHU
Ph 34131200 Fax 34131221

To contact Nursing team:
LWM_PHN@health.qld.gov.au

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