Ill. Admin. Code tit. 77, § 205.1370 - Support Service Areas
a)
Controls shall be in place to prohibit unauthorized traffic in the surgical
area. Personnel who have a communicable disease shall be excluded from the
surgical area.
b) The ASTC shall
provide sterilizing facilities with high-speed autoclaves conveniently located
in a clean workroom to serve all procedure rooms. Alternate provisions,
approved by the governing body, may be made for replacement of sterile
instruments during surgery.
c) A
drug distribution workroom shall be provided for storage and preparation of
medication to be administered to patients.
d) Scrub stations with knee, foot or elbow
actuated faucets or with automatic electronic actuated faucets shall be
provided near the entrances to, but outside of, the procedure rooms. Scrub
facilities shall be arranged to minimize splatter on nearby personnel or supply
carts.
e) A soiled workroom for the
exclusive use of the surgical suite staff shall be provided. The soiled
workroom shall contain a work counter, a sink equipped for hand washing, a
waste receptacle, and a linen receptacle. This room may be used for cleaning
anesthesia equipment.
f) Fluid
waste disposal facilities shall be conveniently located with respect to the
general procedure rooms.
g) A clean
workroom or a clean supply room is required when clean materials are assembled
within the surgical suite prior to use. A clean workroom shall contain a work
counter, sink equipped for hand washing, and space for clean and sterile
supplies. A clean supply room shall be provided when the narrative program
defines a system for the storage and distribution of clean and sterile supplies
that would not require the use of a clean workroom.
h) Anesthesia storage facilities shall be
provided. Flammable anesthetics are prohibited.
i) Medical gas supply storage with space for
reserve nitrous oxide and oxygen cylinders shall be provided, with all tanks
properly secured.
j) A storage area
for equipment and supplies used in the surgical suite shall be provided. The
area shall provide protection against dust, moisture, insects, vermin, and
temperature and humidity extremes.
k) Separate facilities for staff and
personnel shall be provided for male and female personnel (orderlies,
technicians, nurses, and doctors) working within the surgical suite. Each area
shall contain separate lockers, toilets, lavatories equipped for hand washing,
and space for changing clothes, and a combined lounge area. These areas shall
be arranged to provide a one-way traffic pattern so that personnel entering
from outside the surgical area can change and move directly into the sterile
area in facility-laundered surgical attire.
l) The ASTC shall provide change areas where
patients can change from street clothes into hospital gowns in privacy and be
prepared for surgery. This shall include lockers, toilets, clothing change or
gowning areas, and space for the administration of medications.
m) The stretcher storage area shall be out of
the direct line of traffic.
n) A
janitor's closet containing a floor receptor or service sink and storage space
for housekeeping supplies and equipment shall be provided exclusively for the
surgical area.
o) Traffic patterns
in the surgical area shall be designed to facilities movement of the patients
and personnel into, through and out of defined areas, including restricted and
semi-restricted areas. Traffic flow shall be tailored to the types of
procedures offered in the ASTC.
1) Restricted
area: traffic is restricted to authorized personnel and patients. No street
clothing shall be worn in the restricted area. Health care workers shall wear
facility-laundered surgical attire. Head and facial hair shall be contained
within a protective covering. Cloth head coverings shall be laundered by the
facility and changed daily. Additional garments shall be completely contained
or covered within the surgical attire. Masks shall be worn in restricted areas
where open sterile supplies or equipment are present or scrubbed persons are
located.
2) Semi-restricted area:
traffic is restricted to authorized personnel and patients. No street clothing
shall be worn in the semi-restricted area. Health care workers shall wear
facility-laundered surgical attire. Head and facial hair shall be contained
within a protective covering. Cloth head coverings shall be laundered by the
facility and changed daily. Additional undergarments shall be completely
contained or covered within the surgical attire. Masks are not required in this
area. Patients shall wear attire appropriate for their surgical procedure and
shall wear hair covering if applicable.
p) Signage shall clearly delineate the
traffic flow and surgical attire requirements.
q) The movement of clean and sterile items
shall be separated from contaminated or dirty items by space or traffic
patterns.
r) All jewelry shall be
removed prior to the surgical scrub. Jewelry shall not be worn in the operating
room, except that anesthesia personnel may wear a watch.
s) Additional personal protective equipment
shall be worn when exposure to blood or other potentially infectious material
is anticipated.
t) Whenever
surgical attire or personal protective equipment is soiled, it shall be removed
and discarded prior to leaving the surgical area.
u) The sterile gown and gloves used when
participating in surgical procedures shall be removed and discarded.
v) The unsterile gloves worn when
participating in surgical procedures shall be removed and discarded prior to
leaving the operating room.
w) The
use of single-use coverall suits shall be determined by ASTC written
policy.
x) Shoe covers shall be
worn when it can reasonably be anticipated that splashes or spills may occur.
If shoe covers are worn, they shall be changed whenever they become torn, wet
or soiled; or daily, whichever comes first. They shall be removed and discarded
before leaving the surgical area.
y) The use of cover gowns for covering the
surgical attire when outside of the surgical area shall be determined by ASTC
written policy. Surgical attire worn into the facility from outside shall be
changed before entering the operating room. Persons exiting the facility shall
don facility-laundered surgical attire upon return to the surgical
area.
Notes
Amended at 24 Ill. Reg. 2691, effective February 18, 2000
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.