9. Medical Gas Storage Area;
10. Dedicated Housekeeping Aides Closets (HAC) for Clean Core and other areas within the Clean Core;
11. Dedicated Housekeeping Aides Closets (HAC) for Operating Rooms and areas directly served by the Semi-Restricted
Corridor.
12. Appropriate Staff Offices, including Charge Nurse Office, and Surgical and Anesthesia Offices as required for supervision;
13. Other support areas as deemed appropriate.
Traffic within the Surgical Suite
Surgical Staff : There are two approved patterns of traffic flow for the surgical staff. One pattern is from the staff lockers/lounge
through the semi-restricted corridor to the Scrub Stations and then into the individual Operating Rooms, with exit through the
semi-restricted corridor. The second pattern of staff traffic is from the staff lockers/lounge directly into the clean core to the Scrub
Stations and then into the individual Operating Rooms, with exit from the Operating Rooms through the semi-restricted corridor.
Possible exceptions to this flow are the "circulators," who retrieve supplies and equipment from the clean core, and the supervising
anesthesia staff, who are permitted to move from Operating Room to Operating Room via the clean core.
Patients: The patients are brought into the Operating Room from the Prep Area on a gurney. They are then transferred to the
operating table. Following surgery, the patients are brought out of the Operating Room through the semi-restricted corridor and taken
either to the PACU, Phase II Recovery or directly to the SICU.
Case Carts: Case carts to be used in procedures are brought to the Operating Rooms via the clean core on a dedicated cart lift or
dedicated clean elevator from the "clean" side of SPD. When the surgical procedure is completed, these case carts are returned via
the semi-restricted corridor to the "soiled" side of SPD on another dedicated cart lift or dedicated soiled elevator. In the event that
SPD is not located below the Surgical Suite, an alternative traffic pattern for the case carts must be established that isolates clean
and soiled case cart traffic.
Linens: Linens are brought into the Operating Rooms by way of the semi-restricted corridor. Soiled linen is bagged and removed
from the Operating Room via the semi-restricted corridor.
The "Sterile Field"
The term "sterile field" is used to describe the sterile zone in the Operating Room, which includes the space immediately surrounding
the patient's incision. The term "sterile" indicates that no undesirable microorganisms are present. The hands of the scrub team are
gloved and everything that enters this field must be sterile.
Design Guide - Surgical Service
Narrative
Guide Plate:
2b
Page 2 of 14
Date: August 2005
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