POPE 4023 PHYSICAL LAYOUT OF SURGICAL SUITE

ADVANCED DIPLOMA IN PERIOPERATIVE PHYSICAL LAYOUT OF
SURGICAL SUITE

LEADING IN SERVICES AND ACCOMMODATIONS

At the end of this presentation, the students will be able to
• Explain the principles in construction and renovation
planning of an operating department
• Describe the typess of physical plant designs and location
of Operating Theatre
• Describe the space allocation and traffic patterns

PRINCIPLES IN CONSTRUCTION AND RENOVATION • Strategic planning
PLANNING OF AN OPERATING DEPARTMENT • Plans for problems or emergencies
• Exclusion of contamination from outside the

suite with sensible traffic patterns to and from
the suites
• Separation of clean areas from contaminated
areas within the suites during the building
phase
• Noise control

PRINCIPLES IN CONSTRUCTION AND RENOVATION STRATEGIC PLANNING
PLANNING OF AN OPERATING DEPARTMENT
• Avoid as much inconvenience to facility personnel as possible
• Include facility personnel in the planning phase as much as possible
• Expedite completion as fast as possible without compromising safety of

patients, staff, and construction personnel
• Keep cost down by planning ahead
• Plan the project in steps, or phase, completing each area before starting

the next
• Minimize the ordering of supplies for patient use to only those items

needed for immediate procedures
• Resolve replacement issues current equipment in use
• Plan for the closing of rooms without too much disruption if they are to

be updated
• Determine the balance of fixed equipment versus mobile equipment for

use in several rooms
• Determine the need for dedicated rooms, such as endoscopy, cystoscopy,

minimally invasive procedure, interventional radiology, and cardiac
procedures

PRINCIPLES IN CONSTRUCTION AND RENOVATION PLAN FOR PROBLEM OR EMERGENCIES
PLANNING OF AN OPERATING DEPARTMENT
• Power, communications, medical gases, vacuum system,
waste gas scavenger, air-handlers, water, and sewage
cannot be interrupted.

• Contingency plan if any accidental cutting of lines by
construction personnel, if Legionella has grown in standing
water lines, or if Aspergillosis spores have been isolated
and transmitted to patients

• Plan for capability of construction work stoppage at a
moment's notice if requested by a surgeon during a critical
phase of surgery

PRINCIPLES IN CONSTRUCTION AND RENOVATION EXCLUSION OF CONTAMINATION FROM OUTSIDE
PLANNING OF AN OPERATING DEPARTMENT THE SUITE WITH SENSIBLE TRAFFIC PATTERNS TO

AND FROM THE SUITE

• A sealed barrier must be in place between
working ORs and the portion of the suite under
construction

• Negative pressure must be maintained in halls
with exhaust filtered to the outside of the
building

• Traffic patterns must be unobstructed for debris
removal

• Traffic pattern must be unobstructed for
bringing in construction supplies and materials

PRINCIPLES IN CONSTRUCTION AND RENOVATION SEPARATION OF CLEAN AREAS FROM
PLANNING OF AN OPERATING DEPARTMENT CONTAMINATED AREAS WITHIN THE SUITE

DURING THE BUILDING PHASE

• Patient traffic should be separated from
construction traffic

• Clean supplies are transferred in an area
separate from construction supplies

• Biologic decontamination and processing
areas remain functional at all times

PRINCIPLES IN CONSTRUCTION AND RENOVATION NOISE CONTROL
PLANNING OF AN OPERATING DEPARTMENT
• Noise pollution should be kept at a minimum
when surgical procedures are in process or the
general patient population in the hospital is
sleeping

• Vibrations from powered equipment and
jackhammers can disrupt microscopic or other
procedures

TYPES OF PHYSICAL PLANT DESIGNS AND CENTRAL CORRIDOR OR HOTEL PLAN
LOCATION OF OPERATION THEATRE DOUBLE CORRIDOR, U-SHAPE OR T-SHAPE PLAN
PERIPHERAL CORRIDOR OR CLEAN CORE PLAN
GROUPING OR CLUSTER PLAN WITH PERIPHERAL CORRIDOR

TYPES OF PHYSICAL PLANT DESIGNS AND FEATURES • In this design, the ORs are situated along a
LOCATION OF OPERATION THEATRE central corridor, with separate clean core and
FEATURES soiled work areas.

• The primary difference in this plan is that all
traffic enters and exits the surgery
department through a single entrance or a
primary entrance and holding area entrance
situated along the same corridor.

• In this design, the front entrance to each OR
is from the outer corridor, and supplies are
retrieved through a rear entrance to the room
leading to the central-core storage and work
areas.

TYPES OF PHYSICAL PLANT DESIGNS AND • In this design, the ORs are situated along a
LOCATION OF OPERATION THEATRE central corridor, with separate clean core
and soiled work areas.
FEATURES
• The primary difference in this plan is that all
traffic enters and exits the surgery
department through a single entrance or a
primary entrance and holding area entrance
situated along the same corridor.

TYPES OF PHYSICAL PLANT DESIGNS AND • In this design, the front entrance to each OR
LOCATION OF OPERATION THEATRE is from the peripheral corridor, and supplies
are retrieved through a rear entrance from the
FEATURES OR leading to the central-core storage and
work areas..

TRAFFIC UNRESTRICTED
AREA
ALLOCATION AND
PATTERNS SEMI RESTRICTED
AREA
SPACE
RESTRICTED
AREA

TRAFFIC OUTSIDE-TO-INSIDE AREA

ALLOCATION AND CHARACTERISTIC • Street clothes are permitted
PATTERNS • A corridor on the accomodates

SPACE traffic from outside, including
patients
• This area is isolated by doors
from the main hospital corridor
and elevators and from other
areas of the surgical suite
• Is serves as an outside-to-inside
access area (transition zone)
• Traffic, although not limited, is
monitored at a central location.
• The control desk is accessible
from the unrestricted area

SEMIRESTRICTED AREA

PERIPHERAL SUPPORTS, CENTRAL PROCESSING AND ORs ACCESS CORRIDORS AREA

• Traffic is limited to properly attired,
authorized personnel

• Scrub suits and head / beard
covering are required attire

• This area includes peripheral support
areas, central processing, and access
corridors to the operating rooms
(ORs)

• The patient's hair is also covered
• Bald heads are covered to prevent

distribution of dead skin cells and
dander that carry microorganisms
SPACE ALLOCATION AND TRAFFIC PATTERNS

CHARACTERISTIC

RESTRICTED AREA

OPERATING ROOMS, SCRUB SINK AND SUBSTERILE ROOMS AREA
• Mask are required to supplement OR attire
where open sterile supplies and scrubbed
personnel are located
• Sterile procedures are carried out in the OR
and procedures rooms
• There are also scrub sink area and
substerile room or clean core areas where
unwrapped supplies are sterilized
• Personnel entering this area for short
period like laboratory technicians, may
wear clean surgical cover gown or
jumpsuits to cover street clothes
• Hair / beard covering is worn, and masks
are donned as appropriate
SPACE ALLOCATION AND TRAFFIC PATTERNS

CHARACTERISTIC