specialty use. This makes scheduling, set up and turn over much easier. In some cases, specialty rooms will come into play where volumes support the design. If, for example there is a growing heart program, you may see a cluster of rooms in the renovation design that will be specialized to support these cases. Surgical equipment has been moving more and more into the dedicated room, ceiling mounted design. Equipment booms that allow for equipment to be off of the floor and that can easily be brought into the surgical field for use in a case or moved outside the field when not needed. The design needs to take into consideration patient positioning and be flexible enough to adapt. With more and more minimally invasive cases the expecta- tion for video integration has expanded to allow visualization of the case throughout the room and often in offsite educational settings. Robotics also comes into play in the design as the robot has specific special needs that need to be coordinated with all of the ceiling devices.
How has booms/ceiling solutions advanced in recent years?
ment-related discussions in operat- ing room project discussions is around booms. The trend is to include booms to clear the floor of equipment and minimize the run of cords and tubes going to the patient. This allows staff to flow easily around the room, makes equip- ment more flexible in its positioning, and re- duces tripping hazards. Although these are great outcomes of deciding to include booms in the project there is a significant cost for the equipment and structural support required to accommodate it. We have many clients that have to leverage the benefits of purchasing booms versus the cost.
Bluette: One of the most significant equip-
Rockow: Boom technology has evolved out of necessity over the past
decade to accommodate multiple large flat screen monitors and associated cabling that serve at the heart of image guided surgery and OR integration. At the same time, ceiling sup- ply unit arms and distributors are now being designed to be even more robust and adapt- able, consistent with the widely-established preference to de-clutter the OR floor. The Maquet Moduevo ceiling supply unit is distinguished by a number of performance, productivity and risk management advan- tages with the goal of making equipment management extraordinarily simple. The advanced design of our Moduevo units reflect an understanding that in a patient-focused environment, professional staff doesn’t have a moment to spare to give a second thought about the equipment and devices they’re using.
Getinge has closely examined the ways in which staff members work together in
a clinical setting, and how they access the boom-based equipment and utilities they use. In turn, Getinge’s evidence-enriched ap- proach has resulted in the creation of one of the industry’s most user-friendly ceiling sup- ply unit. For example, easy grab-and-move positioning features human-touch-sensing technology that automatically releases the unit’s brakes when the handle is gripped to help speed repositioning in rapid response situations. This is accomplished with minimal physical effort and smooth, highly controlled movements. In addition, Moduevo’s exclusive distribu- tor design is equipped with our company’s ex- clusive Ergonomic Positioning System (EPoS) that lets staff quickly attach and position any component or accessory — even brake handles requiring a power supply — without constraint on any mounting position on the distributor at any selected height.
DiLalla: Recent trends demonstrate that hospitals are considering pre-
fabricated, modular ceiling solutions such as the CLEANSUITE Ceiling System for place- ment above the sterile field. The CLEANSUITE Ceiling System integrates laminar flow air delivery, LED ceiling lights and also serves as a structural steel, space-frame for mounting lights, booms, monitors and C-arms. (CLEANSUITE is a registered trademark of Nortek Air Solutions, LLC.)
Since the product is produced and validated in a factory, it helps reduce change orders and project delays that are often associated with traditional “stick-built on-site” ceiling systems. This can help ORs get back up and generating revenues faster than traditional construction. Another advantage is that the CLEANSUITE Ceiling System delivers ISO Class 5 cleanroom level of air quality to the OR space, which greatly exceeds industry air-handling standards (ASHRAE 170). The end result is a modern installation which delivers a healthier environment for patients and clinical staff.
Aside from being able to support modern procedures, what other benefits do OR upgrades provide to patients, surgical staff and others?
Cavallaro: If done properly a calming effect can be created for the entire ex-
perience of both patient and staff. This allows for greater staff retention as well as better patient recovery experience.
Bluette: Upgrading the operating room has tremendous benefits in the
sense that the facility can install state-of-the- art equipment, which allows the surgical team to provide improved care to the patients. There are also opportunities to improve the staff flow within the room, which is critical in reducing the number of steps for staff and
18 October 2018 • HEALTHCARE PURCHASING NEWS • hpnonline.com
reducing hazards that staff face in a surgical environment.
Cadwell: The benefits that OR upgrades can provide to clinicians and
their patients include: • More efficient throughput of cases — mean- ing the ability to turn a room around from one case to another in a more efficient man- ner, saving time
• Adjacencies to central sterile that can increase productivity and turnaround of critical instrumentation
• Improved environment and acceptance from staff and surgeons
• The right technology in the right place and at the right time
• Basically, creating an efficient environment will tend to create a better experience for surgeon, staff and patient
Rockow: Every successive medical discov- ery and advancement through-
out the course of history has in some small or large way helped humankind enjoy longer, healthier lives. Patients who enter the OR — as well as their friends and family members who anxiously await word of the surgery’s out- come — will always be comforted in knowing the surgical suite is provisioned with the latest and greatest iterations of medical technology. Even more importantly, surgical staff can
enter the OR with full confidence they have the most advantageous equipment, resources and workflow strategies at their command to help achieve the positive, life-sustaining outcomes they seek.
From an administrator’s perspective, there are a number of ways for hospital leadership to calculate the benefits of an OR upgrade. But perhaps none are more compelling than tak- ing stock of the look of relief and gratitude on the faces of patients and their loved ones be- cause everything went as planned in the OR.
Matt Bottino, Director, Marketing, STERIS
OR upgrades can increase the OR’s safety, efficiency and even improve patient outcomes by enhancing the
complete continuum of care. Modern OR in- tegration connects the OR with clinical teams, information systems, and other resources out- side the OR’s walls, making every procedure a cooperative opportunity.
For example, through an integration up- grade, the clinical team within the OR has instant access to the patient medical record to ensure informed treatment and can confer- ence with a remote specialist during the pro- cedure for instant consultation. Throughout the procedure, information about case prog- ress can be captured on a dashboard, helping to improve room turnover and utilization. These are simply a few of the ways that an
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