Reduction of Traffic in Clinical Areas
Only authorized personnel are allowed within the Operating
Room suite and the recovery room.
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
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
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