Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-20T13:30:24.797Z Has data issue: false hasContentIssue false

Chapter 6 - Fundamentals of Operating Department Design

Published online by Cambridge University Press:  18 August 2022

Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
Get access

Summary

This chapter explains the key aspects of operating department design that facilitate a highly skilled multidisciplinary team to provide essential care to a vulnerable group of patients. It is important that the surgical facilities are designed to support the smooth flow of patients from admission to discharge. Surgical activities are broad ranging from scheduled or unscheduled, complex, to routine day surgery. Theatre services are central within the hospital system and rely on interdependant relationships with other hospital departments. This presents organisational, planning, and design challenges, as healthcare providers seek to improve services and utilise existing infrastructure to offer facilities that meet demand in a fast-paced and progressive field. Patients are entitled to receive high-quality healthcare, which is provided safely and effectively, and theatre teams should expect to deliver those high standards of care in an appropriate workspace. Theatre design is an essential component of the perioperative pathway, allowing surgical interventions to be carried out safely and efficiently to enable the best possible patient outcomes.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

NHS Estates. (HBN 26) Facilities for surgical procedures in acute general hospitals. Available from: www.england.nhs.uk/publication/facilities-for-surgical-procedures-in-acute-general-hospitals-hbn-26/.Google Scholar
Nuffield Trust. Health and social care explained: an entry point into the many facets of the health and social care system in the UK. Available from: www.nuffieldtrust.org.uk/health-and-social-care-explained/nhs-reform-timeline/.Google Scholar
The Royal College of Anaesthetists. Perioperative medicine: the pathway to better surgical care. Available from: www.rcoa.ac.uk/sites/default/files/documents/2019-08/Perioperative%20Medicine%20-%20The%20Pathway%20to%20Better%20Care.pdf.Google Scholar
Department of Health and Social Care. Health infrastructure plan: a new, strategic approach to improving our hospitals and health infrastructure. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/835657/health-infrastructure-plan.pdf.Google Scholar
Aiken, L., Sloane, D., Ball, J., et al. Patient satisfaction with hospital care and nurses in England: an observational study. British Medical Journal Open 2018; 11; DOI 10.1136/bmjopen-2017-019189.Google Scholar
Department of Health. Surgery, health building note 10–02: day surgery facilities. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/142696/HBN_10-02.pdf.Google Scholar
Department of Health. Specialist services: health technical memorandum 08–01: acoustics. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/144248/HTM_08-01.pdf.Google Scholar
NHS Estates. Heating and Ventilation Systems: Health Technical Memorandum 03–01. Specialised Ventilation for Healthcare Premises. London: Department of Health 2007.Google Scholar
Patil, V., Joachim, S., Kuma, M., et al. Guidelines for the provision of anaesthesia services for interoperative care: the Royal College of Anaesthetists, guidelines for the provision of anaesthetic services, chapter 3. Available from: www.rcoa.ac.uk/safety-standards-quality/guidance-resources/guidelines-provision-anaesthetic-services.Google Scholar
British Standards Institute. Light and Lighting – Lighting of Work Places. Part 1: Indoor Work Places, BS EN 12464–1. London: British Standards Institute, 2011.Google Scholar
World Health Organization. Global guidelines for the prevention of surgical site infection. Available from: www.who.int/gpsc/global-guidelines-web.pdf.Google Scholar
Health and Safety at Work Act etc. 1974. Available from: www.legislation.gov.uk/ukpga/1974/37/contents.Google Scholar
Health and Safety Executive. Control of Substances Hazardous to Health (COSHH). Available from: www.hse.gov.uk/coshh/.Google Scholar
Department of Health. Heating and ventilation systems health technical memorandum 03–01: specialised ventilation for healthcare premises. Part B: operational management and performance verification. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/144030/HTM_03-01_Part_B.pdf.Google Scholar
Wroblewski, B. M.. Professor Sir John Charnley (1911–1982). Rheumatology 2002; 41: 824825.Google Scholar
National Institute for Health and Care Excellence. Hypothermia: prevention and management in adults having surgery. Available from: www.nice.org.uk/guidance/cg65/resources/hypothermia-prevention-and-management-in-adults-having-surgery-pdf-975569636293.Google Scholar
Green, J. and Dyer, I.. Measure of humidity. Anaesthesia and Intensive Care Medicine 2009; 10: 4547.CrossRefGoogle Scholar
Department of Health. Electrical services supply and distribution health technical memorandum 06-01. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/608037/Health_tech_memo_0601.pdf.Google Scholar
NHS Improvements. Operating theatres: opportunities to reduce waiting lists, February 2019. Available from: https://allcatsrgrey.org.uk/wp/download/surgery/Theatre_productivity_report__Final.pdf.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×