What are appropriate steps to restoring OR operations after a power outage and flooding?
Steps to Restore OR Operations after a Power Outage and Flooding
- Perform an environmental assessment by a multi-disciplinary team including:
- Infection Preventionist
- Facility Plant Engineer
- Sterile Processing Department Manager
- Assess environmental cleanliness:
- Condensation on surfaces (eg, walls, flooring)
- Terminally clean room to remove condensation on walls or flooring.
- Condensation or any signs of water damage on sterile packaging
- Reprocess or discard any sterile items with condensation or suspected water damage.
- Flooding or water damage
- Collaborate with multi-disciplinary team on an infection control risk assessment (ICRA) and
- Follow CDC recommendations for cleaning of floodwater.
- Assess power supply: Fully restored or on emergency generator?
- Operate essential equipment from emergency power outlets (red).
- If flooding occurred, work with facilities plant engineer to assess electrical safety and biomedical
engineer to evaluate electrical equipment.
- Assess HVAC system:
- Air exchanges restored?
- Do not resume elective procedures until minimum air exchanges met.
- Temperature within acceptable range?
- Do not resume elective procedures until temperature within range.
- Humidity less than 60%?
- Do not resume elective procedures until humidity within range and assess for condensation.
- If flooding occurred, work with multi-disciplinary team to follow CDC recommendations for
cleaning air ducts and vents prior to turning on HVAC system.
- Assess water supply.
- Water pressure and quality
- Do not perform procedures until water is functioning or if water supply is contaminated.
- Steam supply lines
- Do not perform procedures until steam is functioning.
- Perform quality check on steam sterilizers and automated cleaning equipment before returning to service.
- Terminally clean operating rooms.
- If flooding occurred, follow CDC recommendations for cleaning of floodwater.
- Inventory and record discarded damaged supplies for insurance claim purposes and to obtain replacements.
Updated November 19, 2012