Management and staffing

QUESTION:

I am wondering what the recommendations are for the perioperative around the theatre complex for visitors/staff that must attend a theatre. I was of the understanding that perioperative attire was to be worn around the entire complex not just within anesthetic induction / operating theatre. What is the standard surrounding the 'visitor' entry into theatre and what standards apply? Where does this border begin and end within the theatre complex?

ANSWER:

Reading the standard 'Visitors to the perioperative environment' in conjunction with 'Management of the perioperative environment' will assist to clarify the situation in regard to visitors for you. The standard 'Perioperative attire' addresses the wearing of theatre apparel within the perioperative unit. Standard statement 4 in 'Infection prevention'  clearly stresses the importance of regulating the perioperative environment, minimising the introduction of microorganisms and maintaining zone conformity. Move forward to the planning and design standard, Standard statement 4, which discusses zones, unrestricted, semi-restricted and restricted areas, as well as the wearing of perioperative/surgical attire.



QUESTION:

I was just wondering if you could please direct me to what the standards are for a recovery room to run. That is, what qualifications and ratio of nurses to bays/theatres.

BRIEF ANSWER:

ACORN standard 'Staffing requirements' provides guidance for managers relating to adequate staffing and skill mix to ensure safe and effective perioperative care.

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QUESTION:

Is it appropriate if you are given two packets of sponges to count them consequently [sic] 1,2,3,4,5,6,7,8,9,10 but place both lots of sponges in their allotted 5? Or when counting do you need to count the ten sponges as 1,2,3,4,5 and then another 1,2,3,4,5?

BRIEF ANSWER:

ACORN recognises that there may be variations in each healthcare facility in relation to this standard but recommends in ACORN standard Management of Accountable Items Used During Surgery/Procedures in the Perioperative Environment, Standard Statement 1, that each healthcare facility is responsible for developing clear policies and procedures underpinned by ACORN and other relevant standards. 

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QUESTION:

For local cases, how many minimum staff nurses are needed to be in an operating room for it to run?

BRIEF ANSWER:

The ACORN Standard Staffing Requirement in the Perioperative Setting provides guidance on safe and effective staffing in the perioperative setting. Criteria 4.6 states the minimum number of  qualified nursing staff should be 3.5 per room, including anaesthetic nursing staff, plus two nurses in the room, plus 0.5 RN to provide assistance and support.

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