This document discusses various myths and misconceptions around infection control practices in the operating room. It addresses topics such as appropriate OR attire and laundering, the use of masks, cleaning practices, handling of antibiotic-resistant organisms, surgical hand scrubs using alcohol vs. chlorhexidine, instrument cleaning and sterilization, and challenges with cleaning complex instruments. The document provides perspectives and recommendations from organizations like AORN, CDC and WHO on these issues.
this presentation involves the various sterilization and asepsis procedure that can be carried out in our dental clinics for proper maintenance of surgical as well as other procedures.
Infection control in dental clinic and management of sterile and contaminated...Arun Mangalathu
Sterilization , Disinfection and management of Instruments in dental clinic, Lecture delivered by Dr Arun George for indian Dental Association ,Malanadu branch during dental Assistance training programme
this presentation involves the various sterilization and asepsis procedure that can be carried out in our dental clinics for proper maintenance of surgical as well as other procedures.
Infection control in dental clinic and management of sterile and contaminated...Arun Mangalathu
Sterilization , Disinfection and management of Instruments in dental clinic, Lecture delivered by Dr Arun George for indian Dental Association ,Malanadu branch during dental Assistance training programme
Sterilization and disinfection in dental clinics /certified fixed orthodontic...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Infection Control Guidelines for Dental Clinics [compatibility mode]drnahla
Infection Control Guidelines for Dental Clinics
Infection Prevention in Dental Clinics
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Check out this introduction to Lean processes in a health care setting—touching on 5 keys to Lean success. This presentation is from a recent AORN webinar, which is available for replay at http://bit.ly/188O2uQ. Get complete Lean instruction and tools for implementation during a workshop in Denver, CO; more information on these August and September events available at http://bit.ly/14B9gLu.
Sterilization and disinfection in dental clinics /certified fixed orthodontic...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Infection Control Guidelines for Dental Clinics [compatibility mode]drnahla
Infection Control Guidelines for Dental Clinics
Infection Prevention in Dental Clinics
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Check out this introduction to Lean processes in a health care setting—touching on 5 keys to Lean success. This presentation is from a recent AORN webinar, which is available for replay at http://bit.ly/188O2uQ. Get complete Lean instruction and tools for implementation during a workshop in Denver, CO; more information on these August and September events available at http://bit.ly/14B9gLu.
by - dr. sheetal kapse, 2nd year p.g. student, dept. of oral & maxillofacial surgery, RCDSR, Bhilai, C.G. please contact for any question...email id - sheetal.kpse@yahoo.com
Why We Need to Shift Healthcare Quality Measures from Volume to ValueHealth Catalyst
Healthcare quality reporting is integral to achieving the Triple Aim and improving outcomes. But the sheer volume of quality measures has become as much a part of healthcare as healing and prevention. Recently, CMS and AHIP took the unprecedented step of aligning and consolidating measures in seven care categories. This will go a long way toward reducing the amount of time physicians and staff spend every week on quality reporting, but it’s only a beginning. Healthcare’s focus needs to shift from volume to value of quality measures, such as those that concentrate on quality of life and patient-reported outcomes. The International Consortium for Health Outcomes Measurement is setting the right example for quality measures designed to actually improve outcomes rather than just processes.
Malignant Hyperthermia - Essential Charactistics:
>An inherited disorder of skeletal muscle triggered in susceptibles (human or animal) in most instances by inhalation agents and/or succinylcholine, resulting in hypermetabolism, skeletal muscle damage, hyperthermia, and death if untreated.
>Underlying physiologic mechanism – abnormal handling of intracellular calcium levels.
Improving the Outcomes That Matter Most to PatientsHealth Catalyst
Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) have been used in healthcare since the 1970s. But the industry hasn’t had meaningful, consistent PROs and PROMs definitions until ICHOM developed one. ICHOM, a pioneer in outcomes measurement and improvement, demonstrates that healthcare organizations focused on improving patient outcomes that patients actually care about are the ones most likely to transform healthcare.
PROs and PROMs complement clinical indicators in understanding the quality of healthcare a team is delivering. For example, an improvement program for prostate cancer patients that only focuses on improving blood loss or length of stay in the hospital completely misses a patient’s biggest fears: will they need to wear pads for the rest of their life? Will their relationship with their partner be the same as it was?
By focusing on outcomes that matter most to patients, health systems will be more successful at improving outcomes. ICHOM describes five strategies for getting started with PROs and PROMs:
Find the Believers (Identify Clinician Champions)
Organize a Cross-Functional Team (with Appropriate Governance)
Invest Time and Resources
Celebrate Progress Along the Way
Use Early Successes to Scale and Spread
Aseptic Technique
The media on which you culture desirable microorganisms will readily grow undesirable contaminants, especially molds and other types of fungus, and bacteria from your skin and hair. It is therefore essential that you protect your cultures from contamination from airborne spores and living microorganisms, surface contaminants that may be on your instruments, and from skin contact.
Bacteria and other contaminants cannot fly. Nearly all forms of contamination are carried on microscopic dust particles that make their way onto sterile surfaces when they are carelessly handled. One exception is insect contamination, such as by ants for fruit flies. Fruit flies are a particular nuisance because they can crawl under the lids of agar plates and lay eggs. You would think that people doing genetics research would have developed a model by now that can't fly into other peoples' experiments!
A contaminated culture can often be rescued, however there is always the risk that you will re-isolate the wrong microorganism. Besides, you don't have that kind of time to waste. Exercise extreme care to keep your cultures pure.
We can can minimize the risks of disease transmission to our self and to the patients in the dental office through carefully following the infection control and safety guidelines,
Dr. Hesham Dameer
Safety precautions in the clinic and laboratory.pptxMustafa Al-Ali
Safety precautions in the clinic and laboratory.
Mustafa al-ali, 48
Safety precautions in the clinic and laboratory
Safety precautions in the dental clinic and laboratory are crucial to protect both patients and dental healthcare professionals. Here are some key safety measures to consider:
Personal Protective Equipment (PPE)
Hand Hygiene
Sterilization and Disinfection
Waste Management
Radiation Safety
Emergency Preparedness
Chemical Safety
Ergonomics
Personal Protective Equipment (PPE)
Personal protective equipment (PPE) should be selected based on risk assessment and tasks to be performed.
These items are designed to provide a protective barrier during dental procedures and through the sterilization process. PPE must also be considered for patients as they enter the facility and provided to administrative staff who may be screening them upon arrival.
Personal Protective Equipment (PPE)
Gown
Dental Hygiene Care Professionals (DHCP) should wear protective clothing (eg, gowns, jackets) to prevent contamination of scrubs and to protect the skin from exposure to blood and bodily fluids.
Sleeves should be long enough to protect the forearms.
Protective clothing should be changed after use or when it becomes visibly soiled by blood or other bodily fluids.
DHCP should remove protective clothing before leaving the work area.
Personal Protective Equipment (PPE)
Eyewear/Face Shields
Protective Eyewear
DHCP should wear protective eyewear with solid side shields or a face shield during procedures likely to generate splashes or sprays of blood or bodily fluids or the spatter of debris. Reusable protective eyewear should be cleaned with soap and water, and when visibly soiled, disinfected between patients.
Personal eyeglasses are not considered PPE.
Protective eyewear should be provided to patients.
Face Shields
Face shields provide full-face coverage.
Must be worn with a face mask.
Personal Protective Equipment (PPE)
Gloves
DHCP should wear gloves to prevent contamination of their hands when touching mucous membranes, blood, saliva, or other potentially infectious materials and to reduce the likelihood that microorganisms on their hands will be transmitted to patients during patient care.
Gloves should be used for one patient only and discarded appropriately after use.
Hand hygiene should be performed prior to donning gloves and immediately after glove removal.
Hand Hygiene
Hand hygiene is extremely important to prevent the spread of the SARS CoV-2 virus. It also interrupts the transmission of other viruses and bacteria, thus reducing the overall burden of disease, Dental healthcare facilities should ensure that hand hygiene supplies are readily available in every patient care location.
Pre-washing considerations
Remove jewelry, ring, watches, or bracelets
Remove artificial nails if present.
Cover skin cuts, abrasions, breaks or cracks with waterproof adhesive dressings.
Use running water; avoid dipping or washing hands in a basin of standing water
Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails. Scrub your hands for at least 20 seconds.
Brief overview of OR guideliens and basic etiquette to be maintained in OR.
For interns, undergraduate and surgical residents. This would help to learn correct protocols and unlearn wrong things. Based on evidence from recent cochrane database studies and WHO guidelines for infection control following elective surgeries.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
2. Outline
Dressing for the theatre – is it just a fashion statement?
Masks – should we wear them?
Food in the OR!
Cleaning the environment – How clean is clean?
Super Bugs – is hand washing enough?
Surgical Hand Scrubs – Alcohol vs. CHX
Instruments – is flashing good enough?
Cleaning challenging instruments – “acetabular reamers”
Artificial Fingernails – there’s no place for them in HC
I’ve never seen a body piercing there before!
The OR of the future – designed with IC in mind.
4. Evolution of OR Attire
Origins of Scrub attire
• Paralleled aseptic and sterile technique in late 19th
century
• Hunter – advocated a complete change of
costume rather than don a sterilized coat and
trousers
• Mayo (1913) –operating team wore gowns caps
and masks
• 30s and 40s scrub dresses replaced “surgeons
uniforms”
• 60s Pantsuits and scrub dresses replaced full
skirts to reduce risk of clothing contaminating the
sterile field
5. IC issues
“Germ theory” evolved in the early 19th
century
Principles of asepsis developed in mid-
19th
century
The garment of the
HCW is part of the environment that can
become contaminated
Microbes (e.g. Staph, Strep,
Pseudomonas) can adhere to fabrics
6. Survival of Microbes on Fabric
Study done at
Shiners Hospital in
Cincinnati
• Staph and Enterococci
can survive for
extended periods of
time on materials
commonly worn by
HCWs (e.g. 100%
cotton or 60/40 cotton
blend)
7. Laundering of Scrubs
“Contaminated” scrubs should be
washed in 160°F (71°C) water with 50-
150 ppm chlorine bleach and dried in a
hot dryer
8. Home laundering?
• University of Florida conducted a 4 year study to
determine the effect on perinatal infection rate of
wearing home laundered scrubs in L&D. Prior to
study rate was 1.7% - after study rate was 1.0%.
• Practice was found to costs without in SSI
9. Opinions in flux
Hospitals see scrub attire as a huge cost.
Experts in IC say “ there is no empiric data
that shows that home laundering leads to
infections than commercial laundering.
Risk factors for SSI are pre-existing
morbidity, obesity, diabetes and age.
10. Expert Opinion?
APIC/CDC – there is little evidence that scrubs
in the OR setting is a means of infection
control in a health care facility
AORN – Scrub attire is not intended to be
protective in any way: it is simply a uniform. It’s
assurance that people coming into the OR are
wearing freshly laundered attire that hasn’t
been sat upon by the dog” Dorothy Fogg
11. AORN Position
“Surgical Attire should be laundered
under controlled conditions where the
laundry facility has specific formulas
and they monitor the concentration of
chemicals”
AORN does not support home
laundering.
12. WHO/CDC
All persons entering the surgical theatre
must wear surgical attire restricted to being
worn only within the surgical area.
The design and composition of surgical
attire should minimize bacterial shedding
into the environment
No recommendations on how or where to
launder scrub suits, on restricting use of
scrub suits to the OR or for covering scrub
suits when out of the OR.
14. Masks – should we wear them?
AORN – all persons entering the restricted area
of the OR suite should wear a mask when open
sterile items and equipment present.
AORN acknowledges that there is a difference of
opinion.
CDC states “a surgical mask that fully covers the
mouth and nose when entering the OR if surgery
is about to begin, is already underway or if sterile
equipment is open.”
15. What’s the evidence?
Recent reports in the literature
advocate wearing of masks by non-
scrubbed staff with forced
ventilation is not necessary
Studies from Europe show that oral
bacteria expelled during talking by
non-scrubbed personnel not in the
immediate vicinity of the operating
site posed no risk of infection.
16.
17. What is the risk?
The risk of contamination
depends on
• Airflow
• Traffic
• Personal practices.
Best practice would require
wearing of mask,
independent of distance
until research provides
definitive answers.
18. Personal Protection
As part of Routine Practice
• Wearing a mask as part of PPE
to reduce the risk of exposure to
potentially infectious material.
19. Food in the OR?
Eating in the OR is not acceptable!
Eating, drinking, smoking,
applying cosmetics or lip balm,
and handling contact lenses in
work area where there is
reasonable likelihood of
occupational exposure to
infectious materials is prohibited.
This is an OH&S issue!
21. Cleaning the environment:
Airborne bacteria must be minimized and
surfaces kept clean.
When visible soiling or contamination with
BBF occurs during an operation, use
disinfectant to clean areas before next
operation.
There is no need to perform special cleaning
or closure of OR after contaminated or dirty
cases.
22. Recommendations
Wet vacuum the OR floor after the last
operation of the day with disinfectant.
Tacky mats at the entrance to the OR have no
IC purpose
There is no recommendation on disinfection of
surfaces or equipment in the OR between
operations if there is no visible soiling.
Routine environmental sampling is not
recommended. Perform only as part of an
epidemiologic investigation.
23. WHO recommends:
Cleaning of all horizontal surfaces every
morning
Cleaning and disinfection of horizontal
surfaces and surgical items between
procedures
Complete cleaning of the OR at the end
of the day
Complete cleaning of the entire OR annex
once a week.
24. Super bugs
CDC recommends:
• Exclude from duty surgical
personnel who have draining skin
lesions until infection has been
ruled out or personnel have been
treated and infection has
resolved.
• No need to routinely exclude
personnel colonized unless there
is epidemiological evidence of
spread in the health care setting.
25.
26. ARO Precautions
There is no evidence that wearing gloves when
touching colonized patients is necessary.
There is no evidence to support all staff wearing
a gown to enter the room.
There is no evidence for wearing a mask when
caring for a patient with ARO (may likelihood
of HCW touching their nose).
There is no evidence that enhanced cleaning is
necessary to transmission.
27. ARO Precautions
There is no evidence that wearing gloves when
touching colonized patients is necessary.
There is no evidence to support all staff wearing
a gown to enter the room.
There is no evidence for wearing a mask when
caring for a patient with ARO (may likelihood
of HCW touching their nose).
There is no evidence that enhanced cleaning is
necessary to transmission.
28. Current Recommendations
Wash your hands!
Follow Routine Practices
Use contact precautions if will be
having direct (skin to skin)
contact with the patient or their
BBF.
Use regular cleaning practices.
Antibiotic resistance ≠ disinfectant
resistance.
29. Hand Scrubs – Alcohol vs. CHX
A surgical hand disinfection should
be performed by all persons
participating in the operative
procedure.
The AORN continues to
recommend the traditional hand
scrub with an antimicrobial hand
scrub agent.
AORN acknowledges that alcohol is
an excellent skin antiseptic with a
persistent effect for up to three
hours.
30. Alcohol scrubs
Care should be exercsed to use these products
if the procedure is <3 hours.
At the present time there is sparse evidence
showing that alcohols are more or less effective
than CHX scrubs
Recommend:
• Alcohol has no cleaning ability
• First thoroughly wash hands and forearms with
soap and water
• Then apply alcohol based surgical hand scrub
according to manufacturer’s instructions.
31.
32.
33. Instruments – is flashing good
enough?
Flash sterilization should only be used for
patient care items that will be used
immediately (e.g. to reprocess an
inadvertently dropped instrument)
Instruments should not be flash sterilized
because it is convenient or because you
don’t have enough sets or to save time!
34. Flash Sterilization
A chemical integrator that confirms temperature,
pressure and steam saturation was achieved.
Instruments must be cleaned before they can be
sterilized.
Cycle 3 minutes at 132°C for non-porous, non-
lumen
Cycle 10 minutes at 132°C for porous or lumened
instruments.
Complex instruments – only at manufacturer's
recommendation.
Implants – not recommended.
Ensure staff are educated, process monitored
and audited.
36. Cleaning challenging
instruments
Reusable endoscopic instruments that
are not (or can’t be) properly cleaned
and sterilized are a major cause of
nosocomial infections (CDC).
Decontamination and removal of all
possible biomaterial is the most
important step in the sterilization
process
“When in doubt, throw it out”
37. “The infection control dream”
“An instrument that is
never reused does not
present and infection risk
to another patient!”
38. Problems with Endoscopes
Long narrow shaft are difficult if not
impossible to clean.
The more complicated the device the harder
it is to clean.
Focus is on function, not on cleaning in the
design phase.
Forces sterile processing technicians to do
what they can and hope for the best…
39. Other challenges…
Keeping the instruments free of gross soil.
Minimize time between use and cleaning
process.
Making sure the SPD staff know and use the
correct procedures.
Having the right cleaning equipment and
solutions in the right place
Complex instruments that requires time-
consuming disassembly, cleaning and
reassembly before processing…
40. Proper Steps
Begin cleaning as soon as possible (don’t let
blood and tissue dry and cake - covering with a
wet cloth is not enough.
Place the instruments in a basin of solution as
soon as they come off the procedure table.
Wipe down surfaces and flush lumens to
remove gross debris.
Separate general from specialized
instruments.
Transport to SPD.
Clean and disinfect or sterilize according to
manufacturer's written instructions.
41. Manufacturer’s Responsibility
Manufacturer’s must incorporate
“cleanability” into design.
“Manufacturer’s should provide
documentation from an independent
laboratory that proves the device can
actually be cleaned.” Dennis Maki.
42. “Acetabular Reamers”
In January 2004, a technician at a hospital in
Canada discovered that some of these
instruments could be partially disassembled
prior to cleaning. This may have not been
known by some hospitals using this
equipment and the information originally
received from the manufacturer did not
adequately describe the disassembly
procedures.
43. What about artificial fingernails?
Some folks think it’s OK
to wear acrylic nails if
they are only circulating…
Artificial should not be
worn in the perioperative
setting
AORN: Artificial nails
should not be worn.
44. Rationale
The is not evidence that artificial nails
increase the risk of SSI.
These nail may harbour organisms and
prevent effective handwashing.
High numbers of gram-negative
organisms have been cultured from
personnel wearing artificial nails!
46. Body Piercing!?!
Removing jewelry means removing jewelry!
There is a risk of burns if an electrosurgical
unit is used.
Risk is less if ESU has an
isolated generator that
eliminates the risk of alternate site burns.
Ask patients to remove body piercing prior
to coming to the hospital.
47. The OR of the Future
Designing an OR with Infection Control in mind.
48. The OR of the Future
OR designed to be large (600 sq. ft.)
allow greater separation of sterile field
and non-sterile perimeter.
Patients and OR staff have separate
entrances to avoid cross contamination
No floor penetrations and all wall and
ceiling penetrations are sealed.
49. Designing the OR for IC
An observation gallery to
minimize people going in and
out.
Hands free or voice activated
surgical equipment (robotic).
Multiple cameras for
consulting and teaching
purposes.
Hands free telephone and
voice activated devices.
Touch screen computers
instead of keyboards.
50. Designing the OR for IC
Ceiling-hung equipment booms to hold
equipment off the floor.
All utilities and medical gases originate
from ceiling to eliminate hoses and
cables running across the floor and in
and out of the sterile field.
Makes things much easier to clean and
disinfect.
51. Designing the OR for IC
Special attention given to surfaces
finishes for ease of cleaning and
durability.
• Epoxy terrazzo floor.
• Ceramic tile walls with epoxy-based grout.
• Seamless gypsum wallboard for ceiling, sealed
with epoxy paint.
• Stainless steel and glass cabinets.
52. Ventilation
Laminar flow HVAC system that
delivers air from the ceiling and
exhausts in rooms corners.
Positive pressure to outside
rooms
All ductwork insulated on the
exterior to minimize surfaces
where molds and bacteria can
grow.
53. Lighting
Voice command adjustable
lighting.
Gaskets and seals on fixtures to
promote dust control and make
cleaning easier.
54. Goals
Easier to clean faster
TAT
Shortened time frames
• Voice activated everything
moves quicker
• Patient is open on the table for
a shorter period
• Risk of infection
55. Summary
IC practice should be evidence based.
Sometimes best practice is based on
expert opinion.
It shouldn’t be “we’ve always done it that
way”.
New designs should have IC in mind.