PREPARATION OF OPERATION ROOM FOR URO / GENITOURINARY SURGERY

PREPARATION OF OPERATION ROOM FOR URO / GENITOURINARY  SURGERY

 

SO FIRST OFF ALL I WANT TO TELL YOU THAT WE THE OPERATION THEATRE TECHNOLOGISTS WORK ON ANAESTHESIA SIDE AS AN ANESTHESIA TECHNOLOGIST, SURGERY SIDE AS AN FLOOR NURSE AND  SCRUB NURSE (NOW CALLED AS SURGICAL TECHNOLOGIST ) AND IN SOME SMALL HOSPITALS WE MAY HAVE TO DO BOTH THE ROLES .

WELL IN THIS ARTICLE I AM GOING TO TELL YOU ABOUT OUR DAILY ROUTINE PROCEDURE OF PREPARATION OF OPERATION THEATRE FOR URO SURGERY

SO WHEN WE ENTER THE OR

PRE OPERATIVE PREPARATION  STARTS

1.       WE CHECK  O.R.   ITSELF

1.       CHECK  ALL THE ELECTRIC POINTS & CONNECTIONS .

2.       CHECK THE OR LIGHTS & AIR CONDITIONING SYSTEMS

3.       CHECK FOR PROPER WASH ,CLEANING &DISINFECTION.

4.       CHECK THE COMMUNICATION SYSTEM (PHONE ETC)

 

2.       ANAESTHESIA CHECK

1.       CHECK   THE MACHINE FOR ANY FAULT , FITTING , LEAK AND CALIBRATE THE MACHINE .

2.       CHECK CO2 ABSORBENT , VAPORIZERS ,PRESSURE IN CENTRAL GAS SUPPLY AND CYLINDERS.

3.       CHECK  HIGH PRESSURE AND LOW PRESSURE SYSTEMS ( BY UNIVERSAL LEAK TEST , BOBIN DIP TEST ETC)

4.       APPROPRIATE CIRCUIT SHOULD BE ATTACHED ACCORDING TO CASE.

5.       ANAESTHESIA GAS SCAVENGING SYSTEM AND SUCTION MACHINE SHOULD BE IN PROPER WORKING CONDITION

6.       NOW WE WILL CHECK RESUSCITATION  EQUIPMENTS   

1.       AMBU BAG , BAIN CIRCUIT AND O2 CYLINDER  SHOULD BE AVAILABLE.

2.       DEFIBRILLATOR

3.       SUCTION MACHINE , SUCTION CATHETER

4.       EMERGENCY DRUGS TRAY

7.       ANAESTHESIA TRAY CHECK / ANAESTHESIA INTUBATION TROLLEY

1.       CHECK ALL THE LARYNGOSCOPES

2.       FACE MASKS

3.       ET TUBES

4.       LMA

5.       STYLATES

6.       BOUGIE , SYRINGES

7.       MAGIL FORCEPS , L CONNECTOR

8.       ORAL AND NASAL AIRWAYS

9.       ADHESIVE TAPE

10.   SCISSORS

8.       SPINAL AND EPIDURAL  SET SHOULD BE AVAILABLE  IF REQUIRED .

9.       CHECKING OF MULTIPARAMETER MONITOR  (ADJUSTING DIMENSIONS OF VITALS ACCORDING TO CASE , REQUIREMENTS OF CASE )

10.   CHECKING OF EQUIPMENTS :

1.       OPERATING TABLE

2.       SUCTION MACHINE ( IF NOT DONE YET)

3.       LIGHTING SYSTEMS

4.       SYRINGE PUMP

5.       FLUID WARMER ETC.

11.   PREPARE IV LINE SET , CHECK IV STAND

12.   NOW DO SUPPLY RELATED CHECKS

1.       CHECK STOCK OF DRUGS  ACCORDING TO DRUG INVENTORY REGISTER

2.       CHECK  ALL THE DEVICES  AND  EQUIPMENTS ACCORDING TO EQUIPMENT  REGISTER     ( CANNULA , SPINAL NEEDLES , IV FLUIDS ETC. ) 

13.   FILL ALL THE REGISTERS OF INVENTORY AND  CHECKLIST OF O.R.

 

3.       SURGERY SIDE PREPARATIONS

1.       CHECK ALL THE EQUIPMENTS LIKE

1.       OT TABLE

2.       ELECTROSURGICAL UNIT

3.       LITHOPROBE

4.       C ARM

5.       H.D. MONITORS

6.       CAMERA

7.       LIGHT SOURCE

8.       OT LIGHTS

9.       AIR CONDITIONING SYSTEMS

10.   SUCTION MACHINE

11.   OTHER SPECIAL EQUIPMENTS ( ACCORDING TO CASE)

2.       CHECK FOR OTHER ITEMS THAT SHOULD BE AVAILABLE

1.       CHEATLE FORCEP

2.       POVIODINE IODINE SOLUTION / CHLOROHEXIDINE SOLUTION

3.       SURGICAL SPIRIT AND STERILIUM (HAND RUB)

4.       DISTILL WATER CANS ( ACCORDING TO CASE), BUCKET

5.       PLASTIC APRON

6.       LEAD APRON

7.       ADHESIVE TAPES LIKE MICROPORE , LEUKOPLAST AND DYNAPLASTS

8.       C ARM COVER

9.       IRRIGATION BOTTLE STAND ( LOOKS LIKE IV STAND BUT HAS DIFFERENT DESIGN TO HOLD HEAVY WATER BUCKETS)

10.   SHAVING RAZORS/ BLADES

11.   DUSTBINS

 

3.       CHECKING OF STERILE SETS REQUIRED FOR SURGERY

1.       GOWN PACK

2.       INSTRUMENTS SETS

3.       STERILE TUBES AND CATHETERS

4.       SAMPLE COLLECTION CONTAINER

5.       TELESCOPES , GUIDE WIRE AND OTHER INSTRUMENTS

6.       DATE OF CIDEX 

7.        OTHER STERILE DEVICES ( MONOPOLAR , BI POLAR ETC.)

4.        NOW DO SUPPLY RELATED CHECKS

1.       CHECK  THE  STOCK OF ALL  ITEMS ACCORDING TO INVENTORY REGISTER

2.       CHECK AND UPDATE THE ENTRY REGISTER,  INVENTORY REGISTER  AND OTHER REGISTERS

3.       CHECK FORMS LIKE CAUTI FORM , SSC FORMS, HISTOPATHOLOGY , BIOCHEMISTRY  FORMS  ETC.

 

 

AFTER CHECKING THE FOLLOWING THINGS   WE HAVE PREPARED THE O.R.  FOR SURGERY . NOW WE WILL MEET THE  FIRST PATIENT  IN PRE OPERATIVE ROOM  FOR FURTHER PROCEDURE

 

 

 

Recommended Topics

• How will you prevent heat loss in pediatric patients posted for surgery?
• ESIC old Question paper for Anesthesia and OT Technicians
• How will you prepare a patient for MRI?