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Building for the Future Looking back… moving forward

Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

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Ross Mace delivered the presentation at the 2014 Operating Theatre Management Conference. Focusing on strategies for implementing the National Safety and Quality Health Service Standards and the importance of communication to improve patient safety and clinical practice, the 2014 Operating Theatre Management Conference brought together operating room management and perioperative professionals to review current initiatives across the country. For more information about the event, please visit: http://bit.ly/optheatremgmt14

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Page 1: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Looking back…

moving forward

Page 2: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Anaesthetic machine

Page 3: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

X-ray equipment

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Operating Theatre

Page 5: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Launceston General Hospital

Page 6: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Convict Military Tent

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Colonial Hospital

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Nurse’s Home

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New theatre commissioned 1907

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Sir John Ramsay- Surgeon Superintendant

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“State of the Art” operating theatres - 1907.

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Dr. Ronald Pugh - anaesthetist

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LGH favourably compared

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Continued evolution

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Infrastructure relocated

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Operating theatres increased from 3 to 6

Page 17: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Old LGH lies derelict

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The Charles – Opus Magnum

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LGH 300 acute bed facility

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7000 cases per year

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Provides for most disciplines

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Building for the Future Preparation

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Building for the Future Preparation

Consolidation

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Building for the Future Preparation

Consolidation

Determination

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Scoping for immediate and future needs

Page 26: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Consultation requires diplomacy & assertiveness

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Expect the unexpected

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Money available

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Building for the Future

Multi story car park

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Building for the Future

Northern Integrated Care Service

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Building for the Future

Acute Medical Unit

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Building for the Future

Department of Emergency Medicine

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Building for the Future

Intensive Care Unit

Page 34: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Operating Room Suite

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Building for the Future

CSSD

Sterilisation Department plans

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Building for the Future

Short Stay Surgical Unit plans

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Building for the Future

Increase in surgical beds

Page 38: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Ageing, obesity, high unemployment

Page 39: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Future service delivery needs

Page 40: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Contraction of physical real-estate

Page 41: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

25% reduction in floor space

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Building for the Future

Opportunity for input

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Building for the Future

PACU windows

Natural light and storage requirements

Page 44: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Theatre

before after

Never enough storage

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Hybrid theatre

Goodbye storage, hello hybrid

Page 46: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Equipment list

Clinical Liaison role established

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Building for the Future

Overwhelming responsibility

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Building for the Future Appropriate training

Here, copy that.

Page 49: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future Pot hole

The Procurement Process

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Building for the Future

Everybody is a stakeholder

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Building for the Future

Consultants

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Building for the Future

Pendants, windows

Measure twice, cut once

Page 53: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

PACU equipment bay

Consultants guide and advise

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Building for the Future

Effective and efficient consultancy

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Alterations cost money

Page 56: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future Silo Syndrome

Inclusive consultation

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Building for the Future

Consider the wider impact

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Building for the Future

Infrastructural requirements

Page 59: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

On the level

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Tortuous patient pre-op journey

Page 61: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

30% off Sale

30% off sale

Budget Saving Strategy

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“Reduce the waiting list”

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Building for the Future

FTE increase from 94 to 120

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Building for the Future

Governance

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Building for the Future

Workplace Health and Safety

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Appropriate waste collection

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Building for the Future

Are we there yet?

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Suck it in

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At least I’ve got a desk!

Page 70: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Third world conditions, substandard practice

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Building for the Future

All bases loaded

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Building for the Future

Clear out the junk

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Staff kept up to date

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Building for the Future

Delays, delays and more delays

Page 75: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

2500mm

Frustration

Page 76: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Staff morale

Page 77: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Champions for the cause

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Building for the Future

The decanting period

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Building for the Future

20% increase in surgical activity

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It never rains but pours

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Building for the Future Heavy rain

Competing priorities

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Building for the Future

Maintain inherent vision

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Building for the Future

Counting down, 5,4,3…

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Building for the Future

Wow! What a ride but we made it.

Page 85: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Building for the Future

Appreciation for efforts shown

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Current state

Page 87: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Assertive, Knowledgeable Leadership

Page 88: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Assertive, Knowledgeable Leadership

Team Spirit, Respect

Page 89: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Assertive, Knowledgeable Leadership

Team Spirit

Integrity, Consistency

Page 90: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Assertive, Knowledgeable Leadership

Team Spirit

Integrity, Consistency

Timely, Accurate Communication

Page 91: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Assertive, Knowledgeable Leadership

Team Spirit

Integrity, Consistency

Timely, Accurate Communication

Appropriate Resource and Training

Page 92: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Bon Voyage!

Page 93: Ross Mace - Launceston General Hospital - Moving into New Operating Theatres

Acknowledgements:

Operating Room Suite Staff

THO-N Executive Staff

THO-N Capital Works Unit

LGH Historic Society