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Case study on Operation Theater
- 1. CASE STUDY ON OPERATION THEATER PRESENTED BY Neeraj Kumar Shukla MHA-II
- 2. CASE STUDY ON OT AIM : To solve problems of OT services and give presentation. 1. Following complaints were being received by the Medical Superintendent from patients as well as the OT staff of a 400 bedded hospital – a. Air conditioning of OT is ineffective. b. Many people were around inside the OT c. Short supply from CSSD d. Frequent postponement and cancellation of surgery.
- 3. 2. The Medical Superintendent on analysis of hospital statistics found there was a relative increase in length of stay of surgical cases over last six months as compared to the figures of previous years. He also found that post-operative infection rate has increased to 10%. Medical Superintendent therefore ordered the hospital OT committee to go into reasons for unprecedented rise in hospital infection rate and to recommend remedial measures. OBJECTIVES: Develop operating procedure for optimum utilization of O.T. Maintenance of high standards of asepsis.
- 4. TASK: Define the problems Critical analysis of problem Possible reasons of the problem Collection of facts and figures Alternate solutions to the problem Selection of best alternative solution with reasons Action plan of remedial measures. EXPECTED PRODUCT: Optimum utilization of OT Maintenance of high standard of asepsis
- 5. PROBLEMS a. Air conditioning of OT is ineffective. b. Many people were around inside the OT c. Short supply from CSSD ( Central Sterile Supply Department) d. Frequent postponement and cancellation
- 6. Air conditioning of OT is ineffective: Absenteeism of technicians Old machinery No cleaning of the filters Less maintenance Continuous functioning SOLUTION: Recruit sufficient no. of technicians Formulate standard of procedures Replace with new machines
- 7. Many people were around inside the OT: No security personnel on duty Less active staff Too many surgeries Less awareness No specific guidelines for attendants SOLUTION: Allot proper place for attendants Formulate guidelines Display sign boards for restricted areas Recruit security personnel Entry only for authorized personnel
- 8. Short supply from CSSD: Insufficient equipment Less no. of staff No specific procedures Excessive workload Less no. of autoclave machines Staff not trained (new staff) Inventory control not followed strictly SOLUTION: Replace faulty equipments Training to CSSD staff Ensure availability of sufficient autoclave machines Maintain inventory control
- 9. Frequent postponement and cancellation: Insufficient staff Absenteeism of staff Less no. of rooms for operation Insufficient supply of equipment Staff is not skilled SOLUTION Recruit optimum no. of staff Training of staff Ensure adequate supply from CSSD Penalty for absenteeism
- 10. RESPONSIBLE PERSONNELS OT In-charge Security In-charge Human Resource Department Nursing In-charge Medical superintendent Nursing superintendent Administration department House keeping staff Technicians
- 11. Optimum utilization of OT: Timely preparation of patients for operation theatre Realistic scheduling Single Director for operation theatre Services Provision of a new date immediately if an operation is cancelled Choice of dates for operation Provision for emergency surgery
- 12. Maintenance of high standard of asepsis: Disinfection and sterilization of instruments Environmental cleaning All items used within a sterile field must be sterile A sterile field should be maintained and monitored constantly Sterilization indicators must be present A surgical scrub is performed as per as the “WHO hand hygiene guidelines” Removal of dirty materials from the suite without passing through clean areas