Operating Theatre Equipment - Gulf Medical University PDF

AT- SIE 201 Lect. 1 introduction to Operating theatre Ghazi Gasmalla Mohamed MSc Content Basic instruments by type function and name. Special instruments in OR Accessory equipment in OR Objectives At the end of this session the learner will be able to distinguish the followings; Ba...

AT- SIE 201 Lect. 1 introduction to Operating theatre Ghazi Gasmalla Mohamed MSc Content Basic instruments by type function and name. Special instruments in OR Accessory equipment in OR Objectives At the end of this session the learner will be able to distinguish the followings; Basic instruments by type function and name. Special instruments in OR Accessory equipment in OR Operating rooms Without this There is a definite (ORs) are specialized equipment in place, number of essential workspaces that OR professionals may operating room require highly struggle to deliver equipment that OR functional equipment the care that patients professionals need on of the highest quality, need. a per case basis. which surgeons and other OR personnel use to perform lifesaving procedures. Each piece of equipment serves a Here's a closer look at some of the distinct purpose and makes it easier most common required OR for OR personnel to get the job equipment that serve the needs of done. OR staff and patients everyday. 1. Utility Columns Utility columns accommodate a variety of OR-administered services, ensuring better management of workspace The columns might be retractable or fixed / raised or lowered with ease/When a utility column is raised, it provides additional space; when the column is lowered, it ensures that surgeons can hook up to various OR-administered services immediately. It is used for: 1. the distribution of communication units, electrical services and medical gases in OR suites.(surgeons can access electrical devices that are pre-wired, along with medical gas outlets that include a single 2. point connection The columns can at bethe top of the integrated unit). with a CO2 or nitrogen control panel to help surgeons deliver better patient sup Utility Column Benefits: 1. Offered in electric retractable version or fixed model 2. Accommodate up to 28 services 3. Integrated CO2 or Nitrogen control panel 4. Allows for the installation of a peripheral rail under the column to add related accessories 5. When raised, the electric retractable column allows more space. It can easily be lowered to give trouble-free 6. hook-up Electricaltodevices services are pre-wired and medical gas outlets are terminated to a single point connection at the top of the unit 2. Surgical and Exam Lights Operating on a patient is challenging, and surgical lights empower medical professionals to work in a well-lit OR at all times & to the best of their first-rate Adding ability. surgical and exam lights is necessary for an OR, regardless of a hospital's size, to be better equipped & maintain a secure, productive work environment. Ceiling surgical lights Mobile surgical lights Surgical Headlight 3. Stretchers and Stretcher Accessories 1. Transporting a patient from one room to the next in a quickly and effortlessly way. 2. Hospital stretchers are crucial for various surgical procedures, such as ophthalmologic, bariatric and pediatric. 3. They are designed to help patients remain comfortable and accessible. 4. Stretcher accessories can customize a patient transport stretcher into a specific use stretcher. For example, a pediatric enclosure accessory stretchers, making it ideal for children with the combination of the enclosure keeping them safe and the stretcher's lowest height ability. 4. Surgical Tables and Surgical Table Accessories Surgical tables are valuable for surgeons during both open and minimally invasive procedures. The tables are manufactured for general surgery, neurology procedures, and other OR applications. Whether performing general or specialized surgeries, surgical table accessories will make either more efficient and comfortable for the patient. A list of general and specific use accessories: Anesthesia Screens Arm & Hand Surgery Tables Arm Supports Clamps Drain Pans, Hoops & Screens Head Supports Leg Supports Positioners Restraint Straps Side Extensions Transfer Boards 5. Cushions and Mattresses It ensures that patient can receive support in a plush or firm bed ( Pt.is able to rest comfortable in any OR, at any time) It is designed to assist patients of all ages and sizes. Mattresses and cushions can be purchased as complete sets or as separate leg, head, or body cushions. Two of the most common surgical table cushions include: 1. Standard Surgical Table Pads Electrically conductive cushions & simple to clean. The cushions also can help patients avoid bedsores. ideal for patients during shorter medical procedures. 1. Premium Sof-Care Deluxe Surgical Table Pads For superior pressure management and enhanced positioning capabilities. The surgical table pads feature an electrically conductive four-way anti-stretch cover for increased durability, fluid-resistant seams to reduce the risk of cross-contamination. Selecting the right cushions and mattresses – and ensuring they are available to patients every day – is crucial. 6. Gel Pads and Positioners Gel pads and positioners provide, support & help patients to combat general pain and soreness, as these items enable a patient to sit or rest comfortably and avoid skin or tissue damage. Relaxer Gel Table Relaxer Gel Arm Relaxer Gel Foot Relaxer Gel Head Pads Pads and and Heel Pads Pads Positioners 7. Space Management Booms An everyday OR can become a stressful place to work if there is limited space. stress remains an ongoing problem among OR personnel, which is reflected in recent data. A study of OR personnel indicated 48 percent of nurses said they experienced "work overload" that led to increased stress levels & OR technicians usually experienced higher stress levels than other OR personnel. Physical environment factors can affect a medical professional's stress levels. Comparatively, space management booms may help medical personnel conserve space, increase their productivity, and minimize their stress levels simultaneously. Space management booms can add to almost any OR, regardless of size, and enable medical professionals to make the most of the available space in this room. 8. Sterilization and Cleaning Equipment No one wants to put themselves or their patients at risk of infection, and sterilization and cleaning equipment is available for that reason. To better understand the importance of sterilization and cleaning equipment in ORs, let's consider the results of a recent study on OR foot traffic conducted by Orthopedics. The study, which examined "the number and length of door openings during nearly 200 knee and hip arthroplasty surgeries performed at Johns Hopkins Bayview Medical Center over three months," showed excessive door openings and foot traffic could put OR personnel and their patients at greater risk of infection. 9. Disposables and Consumables Disposables and consumables help safeguard an OR surgeon as well as team members and patients consistent The disposables and consumables are designed for single use to maintain a safe work environment. Examples of disposables and consumables are: Facemasks, biohazard bags, patient care gloves, and waterproofing pads. 10. Digital Integration Systems Digital integration systems gives a central point of control for all the moving pieces in the OR. The Digital Integration System remains a top choice for surgeons because it offers: 1. Ability to Connect with Up to 10 Sources – Surgeons can transmit images to four displays at a time, and the system's windowing features empower surgeons to streamline image management. 2. Simple to Use – With a seven-button keyboard or touchscreen display, surgeons can manage image 3. sources Flexible with ease. – The system can be installed as Installation part of an equipment boom, a nurse documentation center or a nurse desk or mobile cart for added flexibility. Reception Area For Patients 1. Space for trolley 2. Clearance for orderly, nurse, anesthetist, 2 persons accompanying patient, and portable ventilator and monitors with critical emergency cases 3. Lighting 4. Doorbell, voice communication to main OR areas 5. Security 6. Video monitoring according to security policy and procedures 7. Trolley or shelves for gowns, caps, and overshoes for parents or others accompanying children or other patients into the anaesthetic room. 8. Chairs for accompanying persons in case of prolonged wait. Anaesthetic rooms 1. Access from reception area, to OR 2. Light indicating when room is in use 3. Call bell or voice intercom through to OR 4. Space as for reception area, but including anesthetist and extra nurse 5. Lighting, spot lighting, labelled light switches 6. Anaesthetic gas outlets 7. Cupboards, storage areas for equipment, supplies, stationary (these need to be listed in detail anyway at some stage - might as well be sooner) 8. Secure lockable cupboards for drugs 9. Shelves and benches, including room for writing 10.Décor soothing to patient, including murals or ceiling decorations & posters Scrub room ( may be shared between 2 or more ORs) 1. Access from corridor, access to OR, with some visibility 2. Lighting 3. Elbow taps or taps with electronic sensors, digital temperature indicators and controls 4. Timer for each tap 5. Sinks (single waist-high slanted Perspex or stainless-steel sheet down to floor runnel, rather than individual was 6. Soap pack dispensing fixtures 7. Trolley for donning gowns, gloves 8. Trolley or shelving for gloves 9. Adequate clearance for outstretched arms when gowning & gloving 10.Mirror for checking cap and mask 11.Rubbish bins Operating room - general (Separately - OR for Subspecialties) 1. Anaesthetic machine 2. Seats for anesthetist, surgeons, assistants, nurses - comfortable adjustable and mobile 3. Pendants for gases, power, suction 4. Power outlets - sockets on cords from ceilings, pendants, wall-sockets 5. Info links - phones, computers, voice free-hand, video detailed, general 6. Shelving 7. OR table 8. Room for instrument trolleys, supplies trolleys, diathermy, surgical suction, smoke evacuation, sponge racks or counting mats, video cart, other trolleys, IV stands, image intensifier, operating microscopes, second surgical team 1. Supplies - storage baskets or trolleys for commonly used materials to save fetching outside the OR 2. Storage for operating table accessories including arm rests, leggings and stirrups, positioning equipment 3. X-ray viewing boxes 4. Anaesthetic gas supply indicators 5. Lighting general, special 6. Temperature displays and controls 7. Humidity sensor & control 8. Plenum (positive pressure atmospheric) indicator & control 9. Fire sensors and sprinklers 10.Emergency call bell and intercom, with protocol for their use. 11.Hooks for x-ray gowns, OR table accessories 12.Whiteboard, possible separate device for swab counts Recovery area / ward 1. Access from OR (type of door?), to external corridor (security) 2. Nurses station allowing clear lines of sight 3. Gurney stations (?how many)with wall-mounted gas, power, monitoring, curtains, clearance for medical and nursing procedures 4. Shelving, supplies 5. Emergency call bell 6. Patient toilet 7. Portable Oxygen, suction, monitoring equipment 8. Emergency trolley with defibrillator Clean-up Maybe sited elsewhere Large enough to prevent congestion Rubbish bins - linen trolleys, infectious waste, sharps Trolleys for rubbish and soiled linen for transportation to dirty room Trolleys for transport of instruments to CSSD Standing or seated work areas with knee room Sinks and benches at correct height, spot lighting and magnification for instrument cleaning Sluices, plaster trap Ultrasonic cleaners. automatic instrument washing machines Storage for cleaning implements including special brushes Wall brackets for gloves, safety glasses, sharps containers, linen bags Shelving for instrument bays Sterilizing department / area / autoclave / liquid-soak sterilization 1. Varies according to overall hospital plans 2. Based on separate specialized advice 3. Storage areas Consumables - for each specialty 4. Refrigerators for drugs 5. Mobile equipment -microscopes, video carts, special-procedure items 6. OR table add-ons [mentioned above] 7. Trolleys, baskets for each specialty 8. Toilets, shower 9. Phone 10.Wall hooks for equipment, shadow boards Change room male, female Secure entrances Lighting, clearly labelled light switches Lockers, individual keys [secure storage for duplicate keys elsewhere, or other lock technology] Benches Linen shelves, cupboards Used linen containers Lounge / coffee areas - medical, nursing, other Seats, tables, shelves Wet area for coffee, snacks Phones Dictation facilities including small quiet bays Desk space for paperwork Refrigerator, microwave, water heater, beverages (hot, cold) Space for food or refreshment trolleys Quiet area for private conversation (if large enough) Office and administration area Separate areas for receptionist, supervisor Desk, phone, computer, stationary Answering machine General access to bookshelves for instrument directories, texts Filing cabinets for info Office area for anesthetists  Conference and discussion areas for separate listing Cleaners cupboard for separate listing X-ray processing room for separate listing Proximity to related work areas Day surgery [possibly included in design within OR] Emergency reception ICU CSSD (vertical access may be enough) Pathology (for frozen section) - or pneumatic tube or similar access, or secure area for specimen storage X-ray and other imaging department Surgical wards Holding bays with call bells for pre-operative patients References ANESTHESIA EQUIPMENT, THIRD EDITION LINK