2-The Operating Room Environment.pdf

Designing of Operating Room AWAD MOHAMMED ALQAHTANI BSc of Anesthesia Technology King Khalid University, Muhayil Asir 1 Operating Room Suite The entire area in which surgical operations are performed and materials are prepared and stored...

Designing of Operating Room AWAD MOHAMMED ALQAHTANI BSc of Anesthesia Technology King Khalid University, Muhayil Asir 1 Operating Room Suite The entire area in which surgical operations are performed and materials are prepared and stored for surgery, is called the operating room suite or the Surgical Suite. However, in the hospital practice it is also called “Operating Room" (OR) 2 What is the PACU? PACU stands for post-anesthesia care unit. "Post" means "after," so you can probably guess that the PACU is where you go after your operation is done. This is the "wake-up" room, and that's exactly what you'll be doing there — waking up! 3 Physical Design of the OR Suite The location of the OR- in the hospital is made to be easily accessible to and from surgical patient support departments It is located and designed in an area where traffic is limited and the 4 general public does not have access  The monitoring equipment and anesthesia used during surgery are usually kept at the head of the bed. The anesthesiologist sits here to monitor the patient's condition during surgery. To keep the OR germ free, the people who work there wear caps over their hair and masks over their mouths and noses to avoid spreading germs. They even wear booties over their shoes! They might all look alike, but everyone 5 in the OR has a different job. OR- Attire  Scrub suit  Hair cover  Shoe covers and/or mask may be required  Jewelry, cosmetics, artificial nails are restricted 6  PHYSICAL COMPONENTS ELCTRICAL OUTLETS – 110/220, must be 5’ above the floor. Explosion proof, Red Outlets are connected to the emergency generator SUCTIONS OUTLETS – each OR must have at least 2 suction outlets; one for the surgical team, one for anesthesia GAS OUTLETS and Cylinders (Color coded) – oxygen – green; Nitrogen – black, Nitrous oxide – Blue, Air- Yellow, Carbon dioxide – Grey; outlets--- walls, ceiling, or mobile tanks; emergency shut off valve in exterior hall 7  Cont. LIGHTS – regular overhead, OR spot lights VIEWING BOX – to view diagnostic images OPERATING TABLE – Narrow, padded and flexible, traditional beds are manual, modern is electrical, mobile; features: Break points or bendable – knee, waist, and head Removable sections at the head and foot Height can be adjusted Wide base to prevent tipping Rails along side for attachments 8 Other OR beds- cysto, fracture- radiolucent  Cont. CLOCKS AND TIMERS – Wall mounted, easily readable face, and a sweeping second hand; additional timer COMMUNCATION SYSTEM – Telephone; intercom system for intra-department (room to room; front desk) and inter-department use (pathology, radiology) some are foot operated COMPUTER TERMINAL – For the circulator to fill out intra-op record, lab reports, order supplies for the room 9 OTHER – Closed circuit TV ANESTHESIA MACHINE Monitoring equipment Supplies 10 Anesthesia Cart 11 Crash Cart 12 PACU 13 Cylinders 13 Questions are welcome 14 Thank You 15  Reference Clinical Anesthesiology 6th edition 2018 the Author ; G.Morgan. Maged Mikhail and Michael Murray, chapter 2, page : 10 16