Skip to main content

Operation Theater

 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 

 



Comments

Post a Comment

Popular posts from this blog

Patient Shifting from O.T to Post Operative Care ( Part 2)

  Standard of Practice II It is the responsibility of the HCWs to safely transport a patient to the preoperative holding area or operating room. Confirm IV lines, indwelling catheters, monitoring system lines and drains, and any other lines are secure and patent, and IV bag and collection containers are hanging away from the patient’s head..  Ensure head, arms and legs are protected, adequately padded, and patient is comfortable as possible.  . The patient should be transported feet first; rapid movements, particularly when going around a corner should be avoided. Rapid movements, especially if the patient has received preoperative medications, can cause the patient to become disoriented, dizzy, and nauseated, and induce vomiting .. The staff person moving the transportation device should be positioned at the patient’s head in order to look forward for potential hazards. This also allows immediate access to the patient’s airway in case of respiratory distress or vomiting...
Post a Comment
Read more

Anatomy and Physiology of aterial line

  Anatomy and Physiology The arterial pulse may be palpated in the extremities and the neck. With the knowledge of the contour of these vessels, the operator may easily identify the location of the artery. The anatomy of every site of insertion must be analyzed to determine the landmarks, the depth, the relationship to adjacent anatomical structures, and the size of the artery.   The radial artery is superficial in the thenar area of the wrist where the radial bone joins the metacarpal bones. There, the radial pulse is best felt slightly medial to the extensor tendons of the thumb. The radial artery is a preferred site of insertion. The ulnar artery is opposite to the radial pulse in the volar aspect of the wrist at the joint of the ulnar bone to the metacarpal bones. The artery divides into 2 branches, both of which join a similar division of the radial artery to form a rich, collateral network known as the deep and superficial palma...
Post a Comment
Read more

Patient positioning on operation theater table

            Patient positioning is a improtent daily routine for a operation theater technologist , to access the surgical procedure . Different position is the cause of various physiological stress , nerve damage and pressure necrosis ,  the hypotension and hypothermia is also cause of these .             Diabetics patients with arterialdieases the elderly and those with neurological deficits are also at particular risk .               patient with rhematoid arthritis may  suffer from survical spine instantly at the atlanto occipital lavel . various types of positioning are - 1   Supine position                                                               ...
Post a Comment
Read more