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1. OPERATION R00M
SPECIFICATIONS
PART-2
Dr Nisar Ahmed Arain
Assistant Professor
Anesthesia/critical care/ER

2. Howtodescribe????

3. Is it ????

4. OR ????

5. EVOLUTION OF OT

6. Modern operation theatre
Inside View

7. OPERATION THEATRE What is it
--Complex environment of varying degree
of sterility, Integrating surgical and
Anesthetic equipment
for the safe conduct of
surgery

8. 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

10. 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

11. 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

12. -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

13. -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

14. -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

15. -PROTECTIVE ZONE
--1-Changing Rooms
--2-Reception Area
--3-Waiting area
--4-Trolley bay
OT attire not mandatory in this area

16. -DISPOSAL ZONE
--1-Dirty Utility area
--2-Disposal corridor
OT attire mandatory in this area

19. -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)

21. -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

22. -ADVANTAGES

23. -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

24. -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

25. -SCRUB STATION

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