OPERATION R00M

SPECIFICATIONS
PART-2

Dr Nisar Ahmed Arain

Assistant Professor
Anesthesia/critical care/ER
How to describe????
Is it ????
OR ????
EVOLUTION OF OT
Modern operation theatre
Inside View
 OPERATION THEATRE What is it

--Complex environment of varying degree

of sterility, Integrating surgical and
Anesthetic equipment
for the safe conduct of
surgery
IDEAL LOCATION

LOCATION
1-All operation rooms in an OT complex

2-Emergency Department

3-Blood bank Department

4-Radiology Department

5-Intensive care unit

6-Central sterile supply Department

7-Complete Functional Laboratory

Types of Operation Theatre

--Based on Sterility
a-Ultra sterile (CTVS, Transplant OT)
b-Sterile
c-Septic
--Based on construction
a-Modular
b-Non-Modular
--Based on Timing of Surgery
a-Routine
b-Emergency
 OT DESIGN

--1-Nonstandard design exist

a-Must confirm to Basic Parameters so as to
maintain the “Sterile OT Environment”
--2-Zones in OT based on sterility
a-Sterile / Ultra sterile
b-Clean
c-Protected
d-Disposal
-ZONES IN OPERATION THEATRE

--OUTER ZONE
a-Rest of the hospital outside the theatre
complex
--CLEAN ZONE
a-Theatre complex outside the operating
area
--ASEPTIC ZONE
a-Operating area
--DISPOSAL ZONE
a-separate EXIT for contaminated / used linin
and instruments
-STERILE ZONE

--1-Operating suite

--2-Sterile preparation area

--3-Scrub station

--4-Gowning area

--5-Anesthesia induction area

OT attire mandatory in this area

 -CLEAN ZONE

--1-Sterilization area

--2-Store area

--3-Pre operative Area / Room

--4-Post operative Recovery Area / Room

--5-OT Staff and Doctors Rooms

OT attire mandatory in this area

-PROTECTIVE ZONE

--1-Changing Rooms

--2-Reception Area

--3-Waiting area

--4-Trolley bay

OT attire not mandatory in this area

-DISPOSAL ZONE

--1-Dirty Utility area

--2-Disposal corridor

OT attire mandatory in this area

-OT SUITE REQUIREMENTS --1-Central AC : 20—22 degree centigrade
--2-Humidity :- 50- 60%
--3-Posetive pressure ventilation
--4-Air change : 20 times / hr with recycled
air; of which 5 times with fresh air
--5-HEPA filter of “S” class
--6-Laminar air flow through different user
--7-General Lighting: Cold light even distribution
varying intensity
--8-Operation Light: Ceiling mounted cold
light shadowless Focus able beam
--9-Medical Gas Pipe line: Anesthesia gas,
Air, Oxygen, and suction
-10-Power supply: Uninterrupted (UPS)
and generator back up (safety)
-11-Earthing:All electrical equipment(safety)
-12-Fire safety: Fire/smoke detectors,
Fire hydrants & extinguishers(safety)
-13-Power switches: Away from operating
area(safety)
-FLOOR / WALL / CEILING

--Floor:
a-Non slippery, Antistatic, Non
reflective Non porous water
stain and Fire resistance
b-seamless
--Walls:
a-same quality as the floor
b-seamless
c-Usually stainless steal
--Ceiling
a-same quality as floor
b-usually stainless steal
c-Diffuser for Laminar air flow
d-Mounting for lights
-ADVANTAGES
-OT DOORS

--1-Wide doors
a-sound proof
b-Non reflective surfaces
c-Radiation resistant
d-Fire resistant

--2-Sliding type door

--3-Glass cut out for

visibility
 -SCRUB STATION

--1-For sterile hand wash

--2-Types: Stainless / Granite / Marble / Cement

--3-Gradient of basin forward and downwards

--4-Gradient towards outlet

--5-Hot water mixing Automatic or Manual

--6-Non splashing tapes: possible to change direction

--7-Elbow Foot or infra red operated tapes

--8-Soap Dispenser: Manual / Automatic

-SCRUB STATION
-STERILE PREPARATION AREA
--1-Sterile bins storage
--2-Sterile instrument tray storage
--3-Preparation of operation sets