Section 205.1370  Support Service Areas

a)         A control station shall be located to permit visual surveillance of all traffic that enters the operating suite.

b)         Sterilizing facilities with high speed autoclaves conveniently located to serve all procedure rooms shall be provided. Approved alternate provisions may be made for replacement of sterile instruments during surgery.

c)         A drug distribution station shall be provided for storage and preparation of medication to be administered to patients.

d)         Scrub stations with knee, foot or elbow actuated faucets or with automatic electronic actuated faucets shall be provided near the entrances to, but outside of, the procedure rooms.  Scrub facilities shall be arranged to minimize splatter on nearby personnel or supply carts.

e)         A soiled workroom for the exclusive use of the surgical suite staff shall be provided.  The soiled workroom shall contain a work counter, sink equipped for handwashing, waste receptacle, and linen receptacle.  This room may be used for cleaning anesthesia equipment.

f)          Fluid waste disposal facilities shall be conveniently located with respect to the general procedure rooms.

g)         Clean workroom

1)         A clean workroom or a clean supply room is required when clean materials are assembled within the surgical suite prior to use.  A clean workroom shall contain a work counter, sink equipped for handwashing, and space for clean and sterile supplies.  A clean supply room shall be provided when the narrative program defines a system for the storage and distribution of clean and sterile supplies that would not require the use of a clean workroom.

2)         An autoclave shall be incorporated into the clean workroom.

h)         Anesthesia storage facilities shall be provided.  Flammable anesthetics are prohibited.

i)          Medical gas supply storage with space for reserve nitrous oxide and oxygen cylinders shall be provided, with all tanks properly secured.

j)          Storage area for equipment and supplies used in the surgical suite shall be provided.

k)         Staff and personnel facilities shall be provided for male and female personnel (orderlies, technicians, nurses, and doctors) working within the surgical suite.  The areas shall contain lounge, lockers, toilets, lavatories equipped for handwashing, and space for changing clothes. These areas shall be arranged to provide a one-way traffic pattern so that personnel entering from outside the sterile area can change, gown, and move directly into the sterile area.  Space for removal of scrub suits and foot covers shall be designed so that personnel using it will avoid physical contact with clean personnel.

l)          Change areas where patients can change from street clothes into hospital gowns in privacy, and be prepared for surgery, shall be provided.  This shall include lockers, toilets, clothing change or gowning areas, and space for the administration of medications.

m)        The stretcher storage area shall be out of the direct line of traffic.

n)         A janitor's closet containing a floor receptor or service sink, and storage space for housekeeping supplies and equipment, shall be provided exclusively for the surgical suite.

(Source:  Amended at 24 Ill. Reg. 2691, effective February 18, 2000)