Disinfection mode operation unit
operation unit is separated from the rest of the surgical department of a vestibule, equipped with germicidal ultraviolet light sources.
temperature in the operating room should be 21-25 "C, humidity 50-65%, air exchange - 6- 10 times per hour microclimate is maintained by operating the air conditioner, which allows you to clean the air of dust and a large part of the microflora
..For ease of cleaning every nook and walls meet ceilings should be rounded. The doors of the cabinets, window frames and doors are made of smooth materials. The walls are covered with tiles or paint with oil paint, the floor spread tile or anti-static plastic, creating a small bias toward the center, where the drainwater. Plan operating in view of the orientation of the windows on the north or north-east. The operating table is set perpendicular to the window. windows OS should have a small number of covers, easy to open in. to reduce the microbial load in a block mounted hoods mobile retsikulyarnye (0.9-Issuesand Issues-1.5
surgical instruments, bandages, underwear for purulent operating stored separately.The combination of staff in a clean and purulent operating is not recommended.
The structure of the operation unit includes a pre-operative, which is used for training and patient for surgery.Doors leading to the preoperative and out of the operating room should be wide enough to let the gurney and the person walking around.And always closed.The walls and floor pre trim as well as in the operating room.In the pre-set 3-4 sink for washing hands, above each sink - faucet-mixer which elbow opens.Next to each sink is placed mirror.
preoperative facilities based on a operating table:
As part of the operation unit should be dressing room.In this room, surgeons, surgical nurses and all persons involved in the operation, put operating underwear (pajamas, slippers, hats, bathrobes).Before entering the operating unit coat removed, put on a mask, shoe covers and tested in the pre-operative, which produces treatment of hands and put on sterile gown, gloves and mask.
should be strict adherence to the "red line."All members of the operating room (for the "red line") must wear sterile linen.All other persons before entering the operating room wearing a four-gauze mask and carefully clean the hair under a hat, then put on shoe covers.For the used set of shoe covers a tank or bucket with a lid.
not allow walking personnel in the operating theater in street shoes.Entrance to the operating unit personnel not involved in the operation is prohibited.
shower and toilet for staff must be carefully isolated from the main operating rooms.
All devices, equipment and other articles imported and introduced into the operating unit (wheelchairs, oxygen tanks, cardiographs, etc.) just before it is treated with a cloth moistened with a disinfectant solution.
inadmissible to bring up the patient to the operating table in the wheelchair space;operating unit in front of the patient is necessary to pass on the gurney operating unit, which is disinfected daily.
During the operation prohibited excessive walking.None of those present must not approach closer than 1 m to the tool table or pass between the tool and the operating table.
• polyethylene aprons - 4 pcs .;
• shoe cloth - 10-15 pairs;
• Stand pelvis - 2 pcs .;
• enamel basin - 2 pcs .;
• sterile dressing box of tissues - 1 pc .;
• table for antiseptic solutions;
• refrigerator for storing blood and blood products;
• Bix for sterile masks;
• scissors for cutting nails:
• hand towel - 2 pcs .;
• soap dish soap;
• reniform tray for storing remote agents;
• bottle of formalin solution;
• tripod with sterile swabs for bacteriological research;
• rack gowns.
Log in and operating out of it is only allowed between operations.Operating sister must ensure that a nurse working in the operating room, did not break sterility.Pots and pans should be submitted without touching his fingers inside of their surface.Covers Bix open two tabs, coming back to the Bix, and thus does not obstruct the approach to operating Bix sister.
Most often operating an aide has to be poured into a sterile cup, mug, located in the tool table or in the hands of the operating sisters.Before pouring any solution into a sterile container, operating orderly showing the operating sister label pasted on the dishes, which contains the necessary medicines.Not to break asepsis when pouring fluids from a bottle, the nurse is required to take a number of measures to ensure the preservation of sterility:
• Cut the thread, reinforcing a wax paper covering the vial stopper;
• without removing this paper, take a bottle in his right hand, and the plug - in paper with two fingers of his left hand;
• sip of cork, uncork a bottle;a stopper to keep so as not to touch the inner part of non-sterile fingers;
• tilting the bottle, pour over the edge a little bit of the solution, so washing the neck of the bottle.Then, through the same place to merge the contents of the vial into a sterile glass on the table of the operating sisters.Under the supervision of the operating sisters pour the solution in the distance, without touching the tool table and the more it sterile glass;
• filling the desired amount of the solution to give the bottle upright, and again clog his left hand, without touching the inner surface of the fingers cork.
Sometimes in the course of the operation at the request of a nurse operating sister searches the desired tool cabinet tool, sterilize it and delivers the operating room.Operating sister must verify the correctness of its actions.
contaminated underwear, materials and tools special nurse removes large forceps, at the same time putting on rubber gloves.It is better to use non-surgical, dissecting and dense rubber gloves, which are stored in an antiseptic solution in a separate bowl with a lid.
Never deposited on the floor of items that are not used during the operation.