This document discusses specifications for operation theatre design and layout. It describes the ideal location and various zones within an operation theatre based on sterility levels. These include sterile, clean, protective and disposal zones. Requirements for the operation theatre suite are outlined, including ventilation, lighting, medical gases, electricity and safety features. Recommendations are provided for flooring, walls, ceilings and doors. Details are also given on the scrub station and sterile preparation area.

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

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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