Or space allocations & traffic pattern (24 feb-2013)


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ORPs Educational Programme
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Or space allocations & traffic pattern (24 feb-2013)

  1. 1. SPACE ALLOCATIONS AND TRAFFIC PATTERNSSpace is allocated within the OR suite toprovide for the work to be done, withconsiderations given to the efficiency withinwhich it can be accomplished. The OR suiteshould be large enough to allow for correcttechnique yet small enough to minimize themovements of the patient, personnel andsupplies.Provision must be made for traffic control.The type of design will predetermine trafficpatterns. All persons – staff, patients, andvisitors – should follow the delineatedpatterns in appropriate time.
  2. 2. UNRESTRICTED AREAStreet clothes are permitted. A corridor on the peripheryaccommodates traffic from the outside; including patients.This area is isolated by doors from the main hospitalcorridor, elevators and form the areas of the OR suite.SEMI-RESTRICTED AREATraffic is limited to properly attired personnel. Body andhead coverings are required. This area includes peripheralsupport areas and access to corridors to the Ors.RESTRICTED AREAMasks are required to supplement the OR attire. Sterileprocedures are carried out in the OR. The area also includesscrub sink areas and sub sterile rooms or clean core areawhere unwrapped supplies are sterilized.
  3. 3.  PRE-OPERATIVE CHECK-IN UNITIf remote same-day procedure is not available for admissionof patients who arrive shortly before a surgical procedure, facilitiesmust be provided within the unrestricted area of the OR suite forpatients from street clothes to gown. Lockers should be providedfor safeguarding patient’s clothes. PRE-OPERATIVE HOLDING AREAA designated room or area should be available for patientsto wait in the OR suite that shields them from potentiallydistressing sights or sounds. Hair removal and insertion ofintravenous (IV) lines, indwelling catheters, and/or gastric tubesmay be done. INDUCTION ROOMIt is where the patient waits and is prepared pre-operativelybefore administration of anesthesia. Invasive IV lines and/orregional anesthesia may be administered in this area.
  4. 4.  POST-ANESTHESIA CARE UNIT (PACU)The PACU may be outside the OR suite, or it may beadjacent to the suite so that it may be incorporated into theunrestricted areas with access from both the semi-restricted areaand an outside corridor. In the latter design, the PACU becomes avestibular area for the departure of patients. DRESSING ROOM AND LOUNGESDressing room must be provided for both men and womento change from street clothes into OR attire before entering thesemi-restricted area, and vice versa. Lockers are usually provided.Doors separate this area from lavatory facilities and adjacentlounges. PERIPHERAL SUPPORT AREASAdequate space must be allocated to accommodate theneeds of the OR personnel and support services.
  5. 5.  CENTRAL CONTROL DESK- From a central control point, traffic in and out of the ORsuite may be observed. This area usually is within the unrestrictedarea. CONFERENCE ROOMS/CLASSROOM- A conference or a classroom is located within the semi-restricted area. This is used for patient care staff in cervical stafffor teaching. SUPPORT SERVICE- The size of the health care facility and the types of servicesprovided, determine whether laboratory and radiology equipment isneeded within the OR suite.