Ophthalmology Procedures and Theatre Design

Study Notes

A procedure room is suitable for minor surgery, such as chalazion removal, and sterile procedures.
The procedure room must meet specific requirements, such as the capacity to store essential equipment and consumables, and have a couch or slit lamp.
Minor procedures, such as corneal suture removal and anterior chamber tap, can be performed at the slit lamp using aseptic technique.
All other surgery should be performed in a dedicated operating theatre.

Theatre design should contribute to staff morale and patient comfort.
Theatres should include a communications base, an admissions lounge, a waiting area, a staff support area with changing rooms and toilets, a storage area, a disposal area, a recovery area, and theatre suites.
Planning and designing facilities for ophthalmic care require consultation with key stakeholders.
Key stakeholders include: ophthalmic surgical teams, infection control, estates, facilities, equipment (EBME), sterile services department (SSD), pharmacy and patients.
Wheelchair accessibility is crucial for all facilities.

### Anaesthetic Rooms

Anaesthetic rooms should be large enough to permit four people, the patient, and provide access to the patient from all sides.
Anaesthetic rooms should feature double doors wide enough for patients and associated equipment to enter without difficulties.

Eye skin is the primary source of bacterial intraocular contamination, so skin preparation is crucial.
Minimizing airborne contaminants can reduce the risk of infection.
Airborne microorganisms can enter surgical wounds through instruments.
A room for the care of patients with infections such as endophthalmitis or keratitis should be made available.

### References List

The document provides a comprehensive list of references and digital links to relevant research and resources.
The list includes important resources for safety, infection control, and local anaesthesia in ophthalmic surgery.