❓ Question regarding investigations, reviews, and studies into the operating theatres at Kalamunda District Community Hospital since 1995, with a detailed answer listing several reports and their recommendations, primarily focusing on the suitability of the theatre facilities and sterilization processes.
AnsweredQoN 1826Legislative Assembly
QuestionView source ↗
With reference to Kalamunda District Community Hospital, I ask -
(1) Since 1995, have there been any investigations, reviews or studies into the operating theatres undertaken?
(2) If so, when?
(3) What were the recommendations of any such investigations, reviews or studies?
(4) Will the Minister table the reports of any such investigations, reviews or studies?
(5) If not, why not?
(1) Since 1995, have there been any investigations, reviews or studies into the operating theatres undertaken?
(2) If so, when?
(3) What were the recommendations of any such investigations, reviews or studies?
(4) Will the Minister table the reports of any such investigations, reviews or studies?
(5) If not, why not?
AnswerView source ↗
Answered
19 March 2007
Responded by
Minister for Health
Response time
20 days
(2) a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues 28 August 2006 b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD) September/October 2006 c) Swan Kalamunda Health Service Theatre Review Options 14 December 2006 d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report 19 December 2006 e) Silver Thomas Hanley - Architectural and Engineering Review Commenced in January 2007 - currently in progress f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD December 2006 3) a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues. No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues 28 August 2006 b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD) September/October 2006 c) Swan Kalamunda Health Service Theatre Review Options 14 December 2006 d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report 19 December 2006 e) Silver Thomas Hanley - Architectural and Engineering Review Commenced in January 2007 - currently in progress f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD December 2006 3) a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues. No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
3) a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues. No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues. No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
5) 2e report is still in progress and therefore not tabled.
a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues 28 August 2006 b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD) September/October 2006 c) Swan Kalamunda Health Service Theatre Review Options 14 December 2006 d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report 19 December 2006 e) Silver Thomas Hanley - Architectural and Engineering Review Commenced in January 2007 - currently in progress f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD December 2006 3) a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues. No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
3) a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues. No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
a) Swan Kalamunda - Kalamunda Campus - Theatre Equipment/Environment Issues. No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
No specific recommendations. b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
b) Swan Kalamunda Health Service Review of Kalamunda Campus Theatre and Central Sterilisation Service Department (CSSD). · Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 1 Maintain theatre and CSSD service as is and carry the risks identified as above. · Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 2 Continue invasive surgery with major capital works and equipment purchase (to be costed). · Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 3 Only undertake Endoscopy procedures with the redevelopment of Clean Up Room and addition of Endoscopy Reprocessing Facility plus purchase of equipment. · Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 4 Closure of Theatre and CSSD pending 2 nd Stage Redevelopment of Kalamunda Campus. Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
Recommendation: To maintain service Option 3 until 2 nd stage redevelopment. c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
c) Swan Kalamunda Health Service Theatre Review Options. · Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 1 All invasive surgery and endoscopy sessions to remain at Kalamunda including CSSD. · Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 2 All surgery and endoscopy sessions to remain at Kalamunda with centralisation of sterilisation services at Swan District Hopsital CSSD. · Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 3 All invasive surgery at Swan District Hospital and endoscopy sessions only at Kalamunda (Recommended option). · Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 4 Transfer all sessions to Swan District Hospital. d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
d) Swan Kalamunda Health Service - Theatre Equipment/Environment Issues Report. The options are presented in descending order of preference. · Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 1 Undertake endoscopy procedures only with the redevelopment of the cleaning room and reprocessing facility plus purchase of additional equipment to meet the needs. · Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 2 Continue invasive surgery with major capital works to be undertaken and equipment to be purchased. Assessment could be made to transfer the reprocessing of surgical instruments to Swan District Hospital to meet sterilisation requirements. · Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 3 Closure of surgical service pending redevelopment with transfer of cases to Swan District Hospital. · Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Option 4 Maintain current services with current facility and carry the risks identified in the report. e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
e) Silver Thomas Hanley - Architectural and Engineering Review - Not applicable. f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
f) PathWest Infection Control & Occupational Infectious Disease Risks Report for the Kalamunda Campus Theatre & CSSD. · Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 1: A formal retrospective review of patients who previously underwent surgery or endoscopy in the Kalamunda Campus Theatre block or staff working in this area is not warranted due to: - lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- lack of a recognised cross-contamination event; - very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- very low risk of an unrecognised cross-contamination event; - lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- lack of evidence of a significant bloodstream infection rate or MRSA transmission rate; and - lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- lack of evidence for significant rates of staff blood-borne virus exposure events. · Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 2: A two-theatre suite performing invasive surgery should not continue in the current facilities due to: - the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- the floor plan which necessitates inappropriate patient flow and work flow patterns resulting in potential cross-contamination between clean and dirty instruments and a work hazard for staff in terms of sharps injury; - inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- inadequate airflow through the Theatre suite; - failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- failure of the stream penetration in the one working autoclave; and - reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- reliance on a bench-top steriliser. · Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 3: A one-theatre suite performing flexible endoscopic procedures may be operated with structural modifications: - the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- the current air exchanges in the theatre room are within acceptable limits for an endoscopy suite. - removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- removing the endoscope disinfection machine out of the dirty utility room into the second theatre would allow separation of clean and dirty reprocessing areas. A fume hood is required. - provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- provision of a hand basin in the dirty utility room. - provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
- provision of a larger ventilated cupboard to hang the processed endoscopes in the second theatre. · Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 4: Performance of rigid endoscopy and minor procedures requiring reusable instruments would necessitate CSSD recommissioning. · Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
· Recommendation 5: A face-to-face meeting between the relevant stakeholders would be the best way to progress future surgical and endoscopy services to be provided at the Kalamunda Campus. 4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
4) Yes. See attached reports for 2a, 2b, 2c, 2d and 2f. 2e report is still in progress and therefore not tabled. 5) 2e report is still in progress and therefore not tabled.
5) 2e report is still in progress and therefore not tabled.
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