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Re: Operating theatre design question

#70956 Quote
Lesley Alway
Participant

Author:
Lesley Alway

Email:
lesley.alway@STRATEGICHEALTH.COM.AU

Organisation:

State:

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 *

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*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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*Roel Castillo*
*Project Officer SSD*
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119-143 Missenden Road
Camperdown NSW 2050
PO BOX M33 Missenden Road NSW 2050

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