In the traditional surgery suite design, operating rooms are grouped around a “sterile core” — from which case carts and sterile supplies are retrieved by the circulating nurse and taken into the operating rooms in preparation for surgery. A “substerile” room was typically placed between two operating rooms to provide “flash” or emergent sterilization of unwrapped items to be used immediately in the operating room. The sterile core often housed a sterilizer as well. Because the items were sterilized in open baskets that could be contaminated by improper handling and exposure during transport, the substerile rooms were placed as close as possible to the operating rooms and the sterile core was considered a restricted area.
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Incorporating the Parking Garage Into Disaster Planning
The cars, minivans and sports-utility vehicles began lining up and slowly moving forward, just as they would at a busy fast food drive-thru. But there weren’t any burgers or fries on the menu. Instead, drivers and passengers were examined by a team of Stanford doctors and nurses, all without getting out of their cars. In what is believed to be the first training exercise in the country, a team of healthcare professionals at Stanford Hospital and Clinics turned the first floor of a parking garage into a drive-through emergency room in hopes of creating a more efficient way to treat a large number of patients during an influenza pandemic or other emergency. The hospital’s medical director for disaster planning believes that drive-through triage can serve as a blueprint for hospitals nationwide and across the globe. During the flu season, emergency departments are bursting at the seams as people with limited health insurance use the emergency department as their primary care physician. According to Dr. Eric Weiss, medical director of disaster planning at Stanford Hospital and Clinics and Lucille Packard Children’s Hospital: “We have to have a new mechanism to take care of large numbers of patients during a pandemic and I think that this is going to be it.”