OPERATION THEATER
Operation theater i.e. ot is a particular place where all surgeries including new born care unit takes place . It is a sterile area . OT compound is maintaining under ot technologist . It is a area including various type of OT and blood bank , ITU , ICU , PACU , doctors room , sisters room , technologist room , sisters room and a massive storage area for all instrument used in the OT .
Advantages
1 Better ot allocation
2 Minimize infection
3 better maintenence
TYPES OF OT
1 based of sterility 1 . ultra sterility ( CTVS , ITU ) 2 . Sterile and 3 septic ,( where all emergency surgery takes place )
2 Based on construction . i.e modular which is construct during moder technologies and based ot ( which is a normal ot )
3 Based on timing 1 scudule ot 2 emergency ot
Zones in operation theater
protective zones pre and post operative room , IUC and PACU
Clean zone
Aseptic zones
Disposal zones
Pre or Post anaesthetic care units (PACU) - preferably adjacent to recovery room. These should contain a medication station, hand washing station, nurse station, storage space for stretchers, supplies and monitors / equipment and gas, suction outlets and ventilator. Additionally 80 sq ft (7.43 sq m) for each patient bed, clearance of 5 ft (1.5 m) between beds and 4 ft (1.22m) between patient bed sides and adjacent walls should be planned .
- operation rooms
The number & size can be as per the requirement but recommended size is 6.5 m x 6.5m x 3.5 m. Glass windows can be planned on one side only.
Doors : Main door to the OT complex has to be of adequate width (1.2 to 1.5 m). The doors of each OT should be spring loaded flap type, but sliding doors are preferred as no air currents are generated. All fittings in OT should be flush type and made of steel
The surface / flooring must be slip resistant, strong & impervious with minimum joints or jointless conductive tiles/ terrazzo, linoleum etc., The recommended minimum conductivity is 1m ohm and maximum 10m Ohms.
Walls- Laminated polyester or smooth paint provides seamless wall; tiles can break and epoxy paint can chip out .
Operation table : One operation table per OT
Electric point : Adequate electric points on the wall (at < 1.5 m height from the floor) (discussed later)
X-Ray illuminators : There should be X-ray film illuminators preferably recessed into the wall.
Scrub area : to be planned for atleast for 2-3 persons in each Ot .
So all about a operation theater complex
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