Reduction of Traffic in Clinical Areas


 
POLICY:
 
Only authorized personnel are allowed within the Operating 
Room suite and the recovery room.
 
PROCEDURE:
 
1.  In order to reduce sources of contamination, only 
    authorized persons shall be allowed in the Procedure 
    Rooms and OR suites;  Authorized personnel will 
    generally be limited to physicians involved in the case
    and procedure personnel assigned to the case.
 
2.  All persons entering the surgical suite shall be properly 
    attired; no visitors are allowed in surgical areas 
    without the permission of the surgeon.
 
3.  Non-facility health care personnel shall be allowed only 
    at the discretion of the Medical Director with the 
    concurrence of the surgeon and/or the anesthesiologist.
    To be considered for Observer status, such personnel must
    have a legitimate medical interest in the outcome of the
    case.
 
    Specialized Observers with a legitimate medical interest
    in the case may include an outside surgical supply 
    company representative who deals with surgical equipment 
    pertinent to the case.
 
    All Observers must sign an appropriate, HIPAA-compliant
    confidentiality form.
 
4.  All doors shall be kept closed in any area used for 
    procedures while any procedure is underway; doors 
    separating visitor and office areas shall be kept 
    closed at all times.
 
5.  Family members/patient caregivers may be permitted into
    pre- and post-surgical areas only with the permission of
    the Medical Director or designee.
 
Approved By Governing Board    
SE.5
Control #110.0
GUPTA GASTRO