Lab Matters Fall 2019 | Page 30

FROM THE BENCH Renovation Realities: Ensuring Continuity of Operations During Critical Repairs by Anthony H. Gonzalez, PhD, HCLD(ABB), Chief, Public Health Laboratory Services, Sacramento County Department of Health Services A laboratory is more than a room where specimen testing is performed; it has an infrastructure that includes lighting, bench space, heating, air conditioning and air flow control for Biosafety Level Three areas and biological safety cabinets (BSC). But let’s not forget another important part of the infrastructure: the floor. Laboratory floors take a regular beating from movement of heavy equipment such as freezers, large incubators and centrifuges, constant cart and foot traffic, and chemical and stain spills. Our laboratory floor was not holding up. From the Ground Up During a site visit from county facilities personnel, we pointed out cracks and tears in the glued-on linoleum. The next thing we knew, we were sitting at a table with county architects, engineers, plumbers, electricians and contractors having conversations about capping off water, gas, vacuum and air lines; moving 220 volt cables around; and dismantling benches and sinks. Mysteriously, laying down a laboratory floor was left out of our microbiology training syllabus. While we were somewhat overwhelmed, we had been down this road once before. Several years ago, new seamless linoleum flooring was installed in other sections of our laboratory. Unfortunately, the new seamless flooring developed the same problems seen in the old flooring. As a result, Facilities decided on a different floor type for the entire laboratory: a poured epoxy floor onto the base concrete. While this was better for longevity and a tighter bond with the concrete floor, we now had a larger issue: how to keep the laboratory working during this major renovation project. 28 LAB MATTERS Fall 2019 “Before” and “after” views of the laboratory floor. Photo: Sacramento County Keeping Operations Moving The new floor installation was planned in phases that related to laboratory section rooms. Serology was first to get its new floor, followed by bacteriology, mycobacteriology, media prep and specimen receiving. Using imagination and lots of ingenuity, we ensured that the section that was being renovated was able to move or merge into a similar section. As each section got its new floor, we continued moving the work from one location to another. Movers, plumbers, carpenters and electricians completely disassembled each section. Afterwards electricians and plumbers removed electrical outlets and disconnected water and gas lines. Each section’s BSC was decontaminated, disassembled and moved to predetermined storage spaces. Freezers and refrigerators were moved to other areas of the laboratory. alternate sites. We found new ways to direct workflow under new and confined conditions. These conditions were at first disorienting. Instead of going down one hallway you went down another or turned left instead of right to get to a particular section. The watchwords were “remain flexible”. Flexibility is Key…and A Really Good Plan After months of dust and noise, we are all back in our places with new floors. Along the way, we learned a few things. For example, we realized that specimen receiving operations worked better at its alternate site. In addition we learned the value of our watchwords and remain committed to carrying them forward in other projects and in our mission to provide quality public health laboratory test results. n Prior to a section’s complete disassembly, the laboratory staff moved small instruments, reagents, microscopes and ancillary supplies to pre-planned PublicHealthLabs @APHL APHL.org