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Lecture For Students

The document discusses the importance of teamwork in the operating theatre and outlines various zones, attire, requirements, instruments, equipment, linens and dressings needed to ensure a sterile environment and successful operations. It notes that while the operation may be successful, the patient died due to poor sterilization, emphasizing the critical role of sterilization in patient outcomes and operating theatre success.

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Phyu Sin Kyi Cruz
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46 views

Lecture For Students

The document discusses the importance of teamwork in the operating theatre and outlines various zones, attire, requirements, instruments, equipment, linens and dressings needed to ensure a sterile environment and successful operations. It notes that while the operation may be successful, the patient died due to poor sterilization, emphasizing the critical role of sterilization in patient outcomes and operating theatre success.

Uploaded by

Phyu Sin Kyi Cruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Operation theatre

Team work – Chain of team work

Operation is successful but patient is death


because poor sterilization
Team work
Two team
Sterile team – Surgeon, Assistant
Surgeon, Scrub
Unsterile team – Anaesthetist, Circulating
Nurse, Technician ( perfusionist,
Biomedical Engineering)
Zones
Four Zones
 Zone (1) – Unrestricted Zone
- From ward to runner room
 Zone (2) – Semi-restricted Zone
- Runner room to changing room
 Zone (3) - Restricted Zone
- After changing room to operation room
 Zone (4) – Disposal Zone
- Instruments and equipment are cleaned
and biohazardous waste is disposed
OT Attire (Dress)

• Need changing dress with head to toe for


reduce self protection
OT Requirements
 Operation room for General Surgery ( for
Two Team)
20 ‘ 20‘’ 10‘ = 400
Operation room for Special Surgery (for
Three Team)
20 ‘ 30‘’ 10‘ = 600
 Big enough for free circulation
 Two openings
- Towards scrub area
- Towards sterile area
 Openings fitted with swing doors.
 Marble or polished stone flooring
 Glaze tiled walls
 No false ceiling
 Well ventilated
 Air circulation by positive pressure through High efficiency
particulate air filter ( HEPA) system (0.3ú)
 As per US Public Health services minimum requirement for OR
air are 25 changes hour , positive pressure compared with
corridors temperature between 18& 24º C humidity of 50 to
55%
 Operation table to be kept away from the entrance and head
end should be close to the sterile area
O.T WITH HEPA FILTER
Instruments and Equipments
Operation table – comfortable position
Anaesthetic Machine & Gas Line
Tralley – patient tralley, Mayo’s, square,
over bag tralley
Celling Light – mobile light ( shadow less
and heat resistance)
Suction
Cautery – monopolar and bipolar (ESU)
BP Apparatus
Drip stamp
X- ray Box
Sterilizer – Boiler, Autoclave (Steam), Hot Air Oven
S.S Stool – mobile stool, fit stool, step stool
Instruments (critical instruments)
Instruments tray and pin
Equipments – cheatle forceps, BK, Jar, Long-tray,
Large.bowl
Ventilator, Defribulator, monitor
Infusion syringe
Soiled basin – kick basin
Mackintosh- table cover
Wall clock
White board
 Cup board
Extension box
Arm board
Sand bag, pillows
 Plastic container
 Anaesthetic Equipments – blade, ET.
Tube, guide (steel let), magay forceps,
gelly, syringe,stretho , ryle’s tube,
orropharyngeal airway, tape
Linen
 ST – surgical towel ( 30 30, 45 45, 60 60)
 Bed sheet
 Draw sheet
 Table sheet
 Split towel
 Skin towel
 Gown
 Turkish
 Abdominal pad or sponge
 Hand towel
 Blanket
 Legging
 Cautery Bag
 Camera Bag
Dressing
Dip; syringe
Free needle
Drip set, blood set, scalp vein set
 I.V cannula ( various sizes)
 Plaster tape
 Cotton
 Gauze
 Bandage – roller, elastic , triangle bandage, T-
Bandage,
POP
 Solutions
Spinal Needle & Epidural Needle
Disp; Glove
 Surgical Glove ( Various Sizes)
 Surgical Powder, Ointment, TEO
 Surgical Blade
Sutures
 Needle ( free)
 Drainage tube
Catheter – urinary, suction, epidural, nasal
Urine bag
Ryle’s tube
 Liquid Paraflim
Glycerine
Sofratulle
3-ways ( stop cock)
 Extension

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