Re: Operating theatre design question

[Miley, Jacqueline]

Dear John and colleagues
My experience of scrub bays in some operating rooms in the UK also
exposed the problem of wet floors, the inevitable “creep” of mops into
the OR, and the worrying practice of emptying the bucket into the scrub
sink……
Various ‘solutions’ to the wet floor were problematic.
Regards
Jackie
Jacqueline Miley
Infection Prevention & Healthcare Epidemiology
Department of Infectious Diseases Alfred Health and Monash University
t 03 90763139 e J.Miley@alfred.org.au

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Behalf Of 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

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Behalf Of Roel Castillo

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

Behalf Of Beth Bint

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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Behalf Of John Ferguson

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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