This is the 2nd volume of essentials of orientation for the health care professionals at the operation theater

1. 14 - September - 2012 Prepared By Dr Gamal Soliman 1
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
OPERATING
ROOM
orientationV2

2. 14 - September - 2012 Prepared By Dr Gamal Soliman 2
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Points to Remember about Aseptic
Technique
Adherence to the Principles of Aseptic
Technique Reflects One's Surgical
Conscience

3. 14 - September - 2012 Prepared By Dr Gamal Soliman 3
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
1. The patient is the center of the
sterile field.
2. Only sterile items are used
within the sterile field.
A. Examples of items used.
B. How do we know they are
sterile? (Wrapping, label,
storage)

4. 14 - September - 2012 Prepared By Dr Gamal Soliman 4
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
3. Sterile persons are gowned and gloved.
A. Keep hands at waist level and in sight at all
times.
B. Keep hands away from the face.
C. Never fold hands under arms.

5. 14 - September - 2012 Prepared By Dr Gamal Soliman 5
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
D. Gowns are considered sterile in front from
chest to level of sterile field, and
the sleeves from above the elbow to cuffs.
Gloves are sterile.
E. Sit only if sitting during the entire
procedure

6. 14 - September - 2012 Prepared By Dr Gamal Soliman 6
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
4. Tables are sterile only at table level.
A. Anything over the edge is considered
unsterile, such as suture or drape.
B- Use non-perforating device to secure tubing
and cords to prevent them fromsliding to the
floor.
5- Sterile persons touch only sterile items or
areas; unsterile persons touch only unsterile
items or areas.

7. 14 - September - 2012 Prepared By Dr Gamal Soliman 7
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
6. Unsterile persons avoid reaching
over sterile field; sterile persons
avoid leaning over unsterile area.
A. Scrub person sets basins to be
filled at edge of table to fill them.
B. Circulator pours with lip only over
basin edge.

8. 14 - September - 2012 Prepared By Dr Gamal Soliman 8
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
.
C. Scrub person drapes an unsterile
table toward self first to avoid
leaning over an unsterile area. Cuff
drapes over gloved hands.

9. 14 - September - 2012 Prepared By Dr Gamal Soliman 9
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
HAZARDS IN THE
SURGICAL SUITE

10. 14 - September - 2012 Prepared By Dr Gamal Soliman 10
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Electrical
Cautery Units, Defibrillators, OR Beds,
numerous pieces of equipment
All equipment must be checked for
safety before usage
Anaesthetic Waste

11. 14 - September - 2012 Prepared By Dr Gamal Soliman 11
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Radiation
Leaded aprons &
shields available for use during
procedures.
Laser Safety
Protective eyewear for patient &
Operating Team
Doors remain closed with sign -
"Danger, Laser in Use."

12. 14 - September - 2012 Prepared By Dr Gamal Soliman 12
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Sterile water
A Smoke evacuation system is to be
employed when
A Surgery high filtration masks should be
worn during procedures that produce
A plume.

13. 14 - September - 2012 Prepared By Dr Gamal Soliman 13
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
.
General Safety
Apply good body mechanics at all times when
transferring patients.
Operating room beds and gurneys will be
locked before patient transfer.
Operating safety belts will be used for all
patients

14. 14 - September - 2012 Prepared By Dr Gamal Soliman 14
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Operating safety
Never disconnect or connect electrical
equipment with wet or moist h
Discard all needles, razors, scalpel blades
and broken glass into special
identified containers.

15. 14 - September - 2012 Prepared By Dr Gamal Soliman 15
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
UNIVERSAL
PRECAUTIONS
SUMMARY

16. 14 - September - 2012 Prepared By Dr Gamal Soliman 16
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
1) Gloves should be worn for touching
blood and/or body fluids, mucous
membranes, non-intact skin, or
items/surfaces soiled with blood and/or
body fluids

17. 14 - September - 2012 Prepared By Dr Gamal Soliman 17
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
2) Gowns or aprons should be worn during
procedures that are likely to generate
splashes of blood an
d/or body fluids

18. 14 - September - 2012 Prepared By Dr Gamal Soliman 18
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
3) Masks and protective eyewear should be
worn during procedures that are
likely to generate droplets of blood and/or body
fluids into the mucou
membranes of the mouth, nose, or eyes

19. 14 - September - 2012 Prepared By Dr Gamal Soliman 19
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
4-Hands and skin surfaces should be washed
after contact with blood and/or
body fluids, after removing gloves, and between
patient contact.

20. 14 - September - 2012 Prepared By Dr Gamal Soliman 20
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Hands and skin surfaces should be washed
after contact with blood and/or
body fluids, after removing gloves, and between
patient contact.

21. 14 - September - 2012 Prepared By Dr Gamal Soliman 21
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Gloves should be worn to cleanup blood spills.
Blood spills should be wiped
and then an EPA registered tuberculocidal
disinfectant applied

22. 14 - September - 2012 Prepared By Dr Gamal Soliman 22
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
7) Healthcare workers with exudative lesions or
weeping dermatitis should not
perform direct patient care until the condition
resolves

23. 14 - September - 2012 Prepared By Dr Gamal Soliman 23
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
8) Disposable resuscitation
devices should be used in an
emergency.

24. 14 - September - 2012 Prepared By Dr Gamal Soliman 24
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
9) Occupational
Exposures:
Definition
Puncture wounds
Needlesticks/Cuts
Splashes into the
eyes,mouth, or nose
Contamination of
an open wound

25. 14 - September - 2012 Prepared By Dr Gamal Soliman 25
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Wash the area
immediately with so
- If splashed in the
eyes mouth, or nose
– have them properly
flooed with water
- Notify supervisor as
soon as possible

26. 14 - September - 2012 Prepared By Dr Gamal Soliman 26
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A
Discussion

27. 14 - September - 2012 Prepared By Dr Gamal Soliman 27
S ilv e r C r e s c e n t D is p e n s a r y – K h o b a r - K S A