Chapter 5 - Special Facilities Flashcards
What SHOULD the design of a surgical facility accommodate?
Species to be operated on and complexity of procedures.
What is recommended for most survival surgery performed on rodents and other small species?
An animal procedure laboratory that is dedicated to surgery and related activities when used for this purpose, and managed to minimize contamination from other activities conducted in the room at other times.
Why are centralized surgical facilities advantageous?
Cost-effective in equipment, conservation of space and personnel resources, reduced transit of animals, enhanced personnel safety and professional oversight of both facilities and procedures.
For most programs, functional components of aseptic surgery include what five areas? How SHOULD these areas be designed? How can this be achieved?
Surgical support, animal preparation, surgeon’s scrub, operating room, and postoperative recovery. Designed to minimize traffic flow and separate the related non-surgical activities from the surgical procedure in the operating room. Achieved via physical barriers, but may also be achieved by distance between areas or timing of appropriate cleaning and disinfection between activities.
Why SHOULD surgical facilities be separate from other areas? How can traffic in the OR be reduced?
Minimize unnecessary traffic and decrease the potential for contamination. Traffic reduced via installation of an observation window, a communication system, and judicious location of doors.
What SHOULD be key considerations in the design of a surgical facility?
Control of contamination and ease of cleaning.
What SHOULD interior surfaces of surgical areas be constructed of?
Monolithic materials that are impervious to moisture.
What are three ways to reduced contamination in the OR?
Ventilation systems supplying positive-pressure filtered air, careful location of air supply and exhaust ducts, appropriate room ventilation rates.
To facilitate cleaning, operating rooms SHOULD:
Have as little fixed equipment as possible.
What SHOULD the surgical support area be designed for? What else is commonly placed here?
Washing and sterilizing instruments and storing instruments and supplies. Autoclaves
What is a desirable feature in the animal preparation area?
Large sink to facilitate cleaning of the animal and the operating facilities.
What SHOULD be available for staff?
Dressing area to change into surgical attire.
What SHOULD the scrub area for surgeons be equipped with?
Foot, knee, or electric-eye surgical sinks.
Why SHOULD the scrub area be outside the operating room and animal preparation area?
To minimize the potential for contamination of the surgical site by aerosols generated during scrubbing.
What SHOULD a postoperative recovery area provide?
Physical environment to support needs of animal during period of anesthetic and immediate postsurgical recovery. Should be sited to allow adequate observation of animals.
What SHOULD postoperative recovery caging be designed for?
Ease of cleaning and supporting physiologic functions.
Although a postoperative recovery area for farm animals may be modified or nonexistent in some field situations, what precautions SHOULD be taken?
Minimize risk of injury to recovering animals.
What mechanisms are typically implemented by barrier facilities?
Airlock or special entries, dedicated clothing and footwear or freshly laundered, sterile, or disposable outer garments. Feed and bedding are autoclaved or gamma-irradiated by supplier and decontaminated on entry. Water may be autoclaved or subject to specialized treatment. Caging and other materials may be sterilized after washing before reuse. Strict operating procedures. Only animals of defined health status received, and prohibited from re-entry once they leave without retesting. Personnel entry restricted with access limited to those who are appropriately trained,
Why might shared animal imaging resources be preferable?
Expensive to acquire and maintain, may require specialized support space and highly trained personnel to operate
What type of cross-contamination is possible via imaging resources? Why?
Between groups of animals, different species, or between animals and humans. Devices may be difficult to sanitize.
What SHOULD occur if the imaging resource is located outside the animal facilities? If possible, animals SHOULD not be moved past which areas?
Appropriate transportation methods and routes SHOULD be developed to avoid inappropriate exposure to humans and animals in transit. Should not move past offices, lunch rooms, or public areas where animals are likely to be present.
As imaging may require the subject to be immobile, what provisions SHOULD be made?
Provision for delivery of anesthetics and carrier gas, scavenging of waste anesthetic gas, and adequate animal monitoring.