JOHNY WILBERT, M.Sc [N] LECTURER, APOLLO INSTITUTE OF HOSPITAL MANAGEMENT AND ALLIED SCIENCE OPERATION THEATRE
An operating theater (also known as an operating room , operating suite , operation theatre , operation suite or OR ) is a facility within a hospital where surgical operations are carried out in a sterile environment.
Cardiothoracic surgery (also known as thoracic surgery) is the field of medicine involved in surgical treatment of organs inside the thorax (the chest)—generally treatment of conditions of the heart ( heart disease ) and lungs ( lung disease ). Orthopedic surgery or orthopedics , also spelled orthopaedic[s] , is the branch of surgery concerned with conditions involving the musculoskeletal system . Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma , spine diseases, sports injuries , degenerative diseases , infections , tumors , and congenital disorders .
Pediatric operation theatre
Recovery room
Intensive care unit
Protocols of OT
The protocols of OT include: Preparation of patient Preparation of surgeon Hand washing Gown wearing Gloves OT sterilization & air flow patterns Management of spills & body slashes
Preparation of patient: Hospitalization 2-3 days prior to surgery A good bath to clean all the dirt from the body Outside clothing should be discarded and clean hospital clothing is provided. Preparation of surgeon: Showering OT dress, cap, masks, eye protection, foot wear. preparation of surgical site:
INFECTION CONTROL
Sterilization: The process by which an article is made free of all living organisms either in vegetative or in spore state. Disinfection: The destruction or removal of all organisms capable of giving rise to infection.
Antiseptic : A chemical that is applied to living tissue, such as mucous membrane or skin to reduce the number of organisms present, through inhibition of their activity or destruction. Disinfectants : A chemical that is used on non-vital objects to kill surface vegetative pathogenic organisms but not necessarily spore forms/viruses.
ADMINISTRATIVE PROCEDURES
Important design consideration include operating room storage , lounges,dressing rooms ,restrooms and showers,sleeping facilities and adminisrative offices. One must be prepared to justify request for spaces and generate budgets.
OPERATING ROOM STORAGE Determine the number and type of operating room in the suite. Determine the equipment specific to each OR. Include storage needs of all services such as nursing,hospital monitoring,house keeping etc… Project future storage needs of various services.
LOUNGES The lounge is area of retreat from the ends of the operating room. The specific function of lounge is snacking and dinning. It can be also used for dictation , entering patient orders , conference Computers with access to the hospital information system seem essential in every lounges
DRESSING ROOMS The location of the dressing rooms within the operating room is important. Security Is another major need Conventional key based lockers must be installed. Linen control is very important while designing a dressing room.
SLEEPING FACILITIES Determine exactly who should sleep near the operating room. Then calculate the number of individuals who will require sleeping facilities at one time. Sound proofing is desirable so that everyone is not awakened when one person watches television ,receives phone calls. Showers and toilets should be adjucent . Landline telephones television and internet access is desirable.