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TEAM: A

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by

Andrew Roberts

on 3 October 2013

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Transcript of TEAM: A

DATE: 3rd October 2013
CREATED BY: ABBASI, GRIFFITHS, DAVIS, ROBERTS, CARTWRIGHT, RYAN, JAMES, THOMAS

TEAM: A
OPERATING DEPARTMENT DESIGN
Coffee Room
Reception
Waiting Room
Sluice
Sluice
Seminar/Training Room
Changing Rooms
Scrub Room
Scrub Room
Anaesthetic Room
Anaesthetic Room
Scrub Room
Scrub Room
Anaesthetic Room
Anaesthetic Room
Theatre 4
Theatre 3
Theatre 2
Theatre 1
ITU
Female Recovery
Male Recovery
Staff Toilets
COSHH Regulations (2002)
Chemical Spillage Kit
Call fire brigade if more than 5 Litres

Dignity and Respect is
down to you!
Radios, calming music or option for service user to bring music for local, spinal procedures. Could even supply head phones or TVs in waiting rooms.

Waiting room just for family, carers, etc.

Segregated Recovery for male and female service users
Separate theatre complex for paediatrics.
Automatic closing doors. Pros and cons.
Frosted Glass on doors and windows.
'In Use' light system outside the anesthetic room and theatres.
One way system design feature within the theatres.
Security in the theatres (limited access to public, swipe cards).
Privacy and Dignity of Service Users
in the Operating Theatre Department
Gloves
Aprons/Gowns
Face/eye Protections
Use of sharp instruments
Waste disposal
UV shoe cleaner
Needle & Swab checks
Uninterrupted movement
Triangular arrangement
Entering one point leaving from another
Short travel of distance
Separates and control of public

Staff Requirements
Staff
- Lockers
- NFC Access
-‘Cat-Flap’ technology
Visitors
- E-record entry and swipe card generation
Patients
- GPS and barcoded wristband
- Error prevention
Drugs
- Pharmacy designed
- iDrug register
- Touch ID – signing for drugs
- Storage (Misuse of Drugs Act 1973)
- NFC Access for emergency
Equipment
- Theft prevention GPS
Security
Easy links to blood bank, radiology, pathology
Not top floors
Avoiding outdoor noise/ traffic
As close to the ventilation system as possible
Numerous theatre departments within the hospital

Location
Facilities are important to keep staff morale high
- Happy workforce, Happy patient
Stress-free, calm environment
- Cater for all
- Room Aesthetics
- Quiet, relaxing areas
Basic facilities and equipment available
- Coffee room facilities - TV's, Xbox, Michelin Star Cafe, Laptops
- Changing room facilities - Organised uniforms and lockers
- Educational rooms
- Conferencing and meeting rooms
Technology available to aid work
- Cutting edge technology throughout the department


Dispenser and sink location
Hand cleaning agent
Dispenser design
Information posters located by dispensers
Light scanners
Doors on exits to rooms open with ‘no touch switches’



Hand Washing Facilities
Ventilation
- Lamina Flow
- Air conditioning
Lighting
- Natural light
- General Lighting 500 lux
- Low heat LED operating lights 25,000-125,000
Pendants
- Gas and electricity points
Surgical Control Panel
- Temperature 18-24ºc
- Humidity 40/50%
Storage
- Duel access cupboards
Construction
- Floors and Walls


TSC
Conference/Meeting Room
Administration Offices
Storage Cupboard
Pharmacy Cupboard
Pharmacy Cupboard
Storage Cupboard
Porters
HSWA (1974)
Fire Triangle
Fire Exits – Fire Doors – Extinguishers - Alarms

Multiple electrical outlets/circuits
Regular check of appliances
Contingency Plan

Environmental Emergencies
Personal Protective
Equipments (PPE)
Traffic Flow
S
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Theatre Design
References
Essex-Loprest, M. 1999. Department of medical history. The Lancet. Operating Theatre Design, 353 pp. 1007-1010.
Harsoor, S S and Bala Bhaskar, S. 2007. Designing an Ideal Operating Room Complex. Indian Journal of Anaesthesia 51(3), pp. 193-199
McQue, H. 2009. General Operating Theatre Design [Online]. Available at: http://www.hospitaldesigntips.com/2009/03/general-operating-theatre-design/[Accessed: 26 Sept 2013]
 Starkstrom. Surgeons’ Control Panels [Online] Available at: http://www.starkstrom.com/products/operating-room/surgeons-control-panels/[Accessed: 26 Sept 2013
Infection Prevention Model Policy /Author: Welsh Healthcare Associated Infection Programme (WHAIP). 2009
Infection Control Today (ICT) / Tips for PPE Usage, Compliance / Author: Greg Taylor/ Sept 2012
10 KEYS TO EFFICIENT TRAFFIC FLOW AND HOSPITAL LAYOUT / Author: Daniel D./ Jan 2005
Hughes, S. & Mardall, A. 2009. Oxford Handbook of Perioperative Practice. Oxford: Oxford University Press 
Gupta, K. 2007. Modern Trends in Planning and Designing of Hospitals: Principles and Practice. New Dheli : Jaypee Brothers Medical Publishing Ltd.  
Porteous, M. & Baeuerle, S. 2010. Techniques and Principles for The Operating Room. New York : Thieme.
 Pudner, R. 2010. Nursing the Surgical Patient. London: Elsevier Limited.
Bunch, P., et al (1998). Principles of Safe Practice in The Perioperative Environment. London: National Association of Theatre Nurses
Davey, A. and Ince, C. S. (2000). Fundamentals of Operating Department Practice. London: Greenwich Medical Media.
Goldman, M. A. (1996). Pocket Guide to the Operating Room. Philadelphia: F. A. Davis
Phillips, N. (2007). Operating Room Technique. 11th Edition. Maryland: Mosby
Bergin, J., 2013. Visitors to the Operating Department. Available At: http://www.tamesidehospital.nhs.uk/documents/visitorstotheoperatingdepartment.pdf [Accessed: 30/09/2013].
Ingersoll Rand, 2012. Healthcare – Operating Room. Available At: http://www.doorsecurity.ca/images/File/Healthcare-%20Operating%20Room.pdf [Accessed: 30/09/2013].
Kaseva, V., Hamalainen, T. D. and Hannikainen, M. AWireless Sensor Network for Hospital Security:
From User Requirements to Pilot Deployment. In: EURASIP Journal on Wireless Communications and Networking. New York: Hindawai, Article ID 920141, 15 pages.
Picton, Catherine, 2012. Professional Standards for Hospital Pharmacy Services. Available At: http://www.rpharms.com/hospital-pharmacy-services/professional-standards.asp [Accessed: 30/09/2013].
Portsmouth Hospital NHS Trust, 2012. Controlled Drugs Management. Available At: http://www.porthosp.nhs.uk/Downloads/Clinical-Policies/Controlled%20drugs%20management.doc [Accessed: 30/09/2013].
The Association of Anaesthetists of Great Britain and Ireland, 2006. Controlled Drugs in Perioperative Care. Available At: http://www.aagbi.org/sites/default/files/controlleddrugs06_0.pdf [Accessed: 30/09/2013].
Misuse of Drugs Act (Safe Custody) 1973. Available At: http://www.legislation.gov.uk/uksi/1973/798/made [Accessed: 30/09/2013]
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2527046/
Berry, K. 2012. Working Environments: Operating Room Architecture and Design And The Effects On Staff Morale. International Academy for Design and Health. (Online) http://www.worldhealthdesign.com/Operating-room-architecture.aspx Accessed on: 29th September 2013.
Clarke, P and Jones, J. 1998 Brigden's Operating Department Practice. Edinburgh: Churchill Livingstone
Fortunato, N. 2012 Berry % Kohn's Operating Room Technique. 12th Edition. St Louis: Mosby.
SmartGlass Medical Ltd. 2013. MRSA located on 1 in 5 hospital curtains. (online) Available at http://www.smartglassmedical.com/mrsa-located-on-1-in-5-hospital-curtains.html (accessed 29/09/2013)
Woogara, J (2005). Patients' Privacy of the Person and Human Rights. Nursing Ethics. DOI: 10.1191/0969733005ne789oa
Woodward, S. (2010). Patient dignity and privacy: Same-sex accommodation. Patient Prospective. Bulletin of The Royal College of Surgeons of England, Volume 92. DOI: 10.1308/147363510X481610
Reed, P. Smith, P. Fletcher, M. & Bradding, A. (2003). Promoting the Dignity of the Child in Hospital. Nursing Ethics. DOI: 10.1191/0969733003ne540oa
John M. Boyce, J.M. & Pittet, D. (2002) ‘Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA’ Hand Hygiene Task Force. Infection Control and Hospital Epidemiology Vol. 23 No. 12
Vane, E. A. P., Drost, E. & Elder, D. & Yvonne Heib (2005) ‘Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments’ Advances in Patient Safety: From Research to Implementation (Volume 3: Implementation Issues).

Images from:
www.aurora-clinics.co.uk/blog/general-news/should-plastic-surgical-procedures-be-carried-out-in-a-laminar-flow-theatre/
www.oherlihyconsulting.com/page3.html
www.s-craft.eu.com/spill-kits/spill-kit-f.aspx
www.en.wikipedia.org/wiki/flashlight

Security
Sub-Sterile
Storage Room
Blood Bank
Full transcript