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Re: Negative Pressure – Operating Theatres

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  • #76921
    Anonymous
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    Author:
    Anonymous

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    Hi Fiona,
    Rather than alter our positive pressure theatre to negative pressure for Covid-19 suspected or positive patients needing a procedure we have created a negative pressure intubation/extubation area by utilising two pre-op holding bays. The bays have been enclosed with sealed doors and a HEPA filtered “air scrubber” creates a negative pressure environment in the area, which can be turned on when needed. Plan is to intubate the patient in the area in negative pressure and once a closed circuit is in place we can safely move the patient into the theatre nearby, and vice versa to recover the patient.

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au
    [cid:image001.png@01D64000.8A1B4930]

    Hi All,

    In response to COVID, and for future planning I have been asked to consider the creation of a negative pressure operating theatre for use in emergency surgery for a COVID positive case (e.g. C-section, post MVA).

    I am aware that this is against the usual recommendations which are for positive pressure operating theatre to reduce risk of Surgical Site Infection. However it has been raised with me that the risk of unexpected intubation of a COVID positive patient in a positive pressure theatre puts staff at risk.

    I am interested in how other facilities are responding to this issue and balancing risk to staff with risk to patient.

    Kind regards,

    Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
    Launceston General Hospital, Level 2, Launceston TAS 7250
    phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

    IPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’

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    #76928
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hi Katherine
    Do you have the details of the air scrubber unit you are using please?
    Many thanks

    Deb Rhodes
    The Royal Women’s Hospital | Locked Bag 300 | Cnr Grattan St & Flemington Rd, Parkville VIC 3052
    Days working: Mon-Fri | Pager: #52791
    Direct P: +61 3 83452794
    Unit P: +61 3 83452791
    Deb.Rhodes@thewomens.org.au | http://www.thewomens.org.au

    Hi Fiona,
    Rather than alter our positive pressure theatre to negative pressure for Covid-19 suspected or positive patients needing a procedure we have created a negative pressure intubation/extubation area by utilising two pre-op holding bays. The bays have been enclosed with sealed doors and a HEPA filtered “air scrubber” creates a negative pressure environment in the area, which can be turned on when needed. Plan is to intubate the patient in the area in negative pressure and once a closed circuit is in place we can safely move the patient into the theatre nearby, and vice versa to recover the patient.

    Regards
    Kathy

    Kathy Taylor- Infection Control Manager
    The Wesley Hospital | 451 Coronation Drive, Auchenflower QLD 4066
    t: 07 3232 7558 |m: 0427 607 812 | f: 07 3232 6043 |e: katherine.taylor@uchealth.com.au
    [cid:image001.png@01D64000.8A1B4930]

    Hi All,

    In response to COVID, and for future planning I have been asked to consider the creation of a negative pressure operating theatre for use in emergency surgery for a COVID positive case (e.g. C-section, post MVA).

    I am aware that this is against the usual recommendations which are for positive pressure operating theatre to reduce risk of Surgical Site Infection. However it has been raised with me that the risk of unexpected intubation of a COVID positive patient in a positive pressure theatre puts staff at risk.

    I am interested in how other facilities are responding to this issue and balancing risk to staff with risk to patient.

    Kind regards,

    Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
    Launceston General Hospital, Level 2, Launceston TAS 7250
    phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

    IPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’

    ________________________________

    CONFIDENTIALITY NOTICE AND DISCLAIMER
    The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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