responsilities and introduction of operation thatre assistant

1. Blessing Institute of
paramedics
Mirpurkhas Campus
PRRSENTED BY : ALI REHMAN MARI
SUBJECT : OPERATION THEATRE (OTA)
TOPIC : DUTIES OF OTA

2. DUTIES OF OTA
The job of OT Technician is maintenance of theater; preparation, sterilization and
provision of OT instruments for surgical procedures; maintenance of OT equipment;
assistance to surgeon, anesthetist and OT nurse during surgical An operation
theatre technician is an allied healthcare professional.
They are trained to assist Doctors or Surgeons during surgery. Operation theatre
technology course is a job-oriented paramedical course. During an operation,
various equipment, anesthesia and instruments are involved. An operation theatre
technician is trained to handle different equipment, arrange surgical instruments,
provide an adequate dose of anesthesia and assist the Doctor or Surgeon
performing the surgery.

3. Parts of OT
An operation theatre has mainly three units: the preoperative area, the operative area
and the post operative care unit.
Preoparative area : The preoperative holding area of the past was a waiting area for
patients before surgery. Today it has evolved into a specialty area that is staffed by
perianesthesia nurses who provide nursing assessment, monitoring, teaching, and
emotional support to patients in a fast-paced environment.
The operative system area : An operating theatre, operating room, surgery suite or a
surgery centre is a room within a hospital within which surgical and other
operations are carried out.
The post operative :It’s very important that you follow your doctor’s instructions
after you leave the hospital. Take medications as prescribed, watch out for potential
complications, and keep your follow-up appointments.

4. THE OT TECHNICIAN HAS TO ASSIST THE ANESTHETISTS .
 HE ALSO HAS TO ASSIST THE SURGEONS .
 HE IS HAS TO MAINTAIN THE INVENTORY OF OPERATION THEATRE .
 ALSO HE SHOULD LOOK AFTER THE INSTRUMENTS AND EQUIPMENT BY
 PROPERLY CLEANING AND DISINFECTING THEM .
 REPORTING THE DAMAGED EQUIPMENT .
 THE WORK OF OT TECHNICIAN CAN BE DIVIDED INTO THREE PARTS
 BEFORE SURGERY
 DURING SURGERY
 AFTER SURGERY
 BEFORE SURGERY

5.  FIRST OFF ALL YOU SHOULD WEAR THE OT ATTIRE ( OT DRESS , MASK , CAP , SLIPPERS ETC )

 CHECK ALL THE ELECTRIC POINTS , PLUGS , LIGHTS , CENTRAL GAS SUPPLY , SUCTION MACHINE , O2 CYLINDERS ,
DIATHERMY MACHINE , MONITORING EQUIPMENT AND SURGICAL MICRO SCOPES ETC.
 SWITCH ON ANAESTHESIA MACHINE AND CALIBRATE IT . ALSO CHECK THE OXYGEN AND NITROUS CYLINDER ,
SODA LIME , BATTERY BACK UP ETC.
 PREPARE INTUBATION TROLLEY WHICH INCLUDES LARYNGOSCOPES , ET TUBES , LMA , NASAL AND ORAL AIRWAYS ,
MAGILL FORCEP THROAT PACK , ET TUBE FIXING , STYLATES ETC.
 OT TABLE , OT LIGHTS SHOULD BE CHECKED .
 CHECK SUCTION MACHINE , SUCTION CATHETER
 CHECK MONITORING EQUIPMENT AND ITS ATTACHMENTS LIKE ECG LEAD , SPO2 PROBE , BP CUFF ETC. FOR PROPER
DISINFECTION .
 CHECK STOCK & EXPIRY OF DRUGS , I V FLUIDS AND FILL THE INVENTORY REGISTER

6.  PUTTING IV LINES
 INDUCTION OF ANAESTHESIA BY GIVING DRUGS , ASSIST IN INTUBATION / LUMBAR PUNCTURE / BLOCK
 POSITIONING OF PATIENT
 DURING THE SURGERY

 ASSIST SURGEON IN HIS WORK
 MAKE POSITION OF PATIENTS
 PLAYING ROLE OF FLOOR NURSE OR SCRUB NURSE .
 AFTER SURGERY
 ASSIST ANESTHETIST IN REVERSAL OF PATIENT
 DO DRESSING OF WOUND
 ACCOMPANY THE PATIENT TO RECOVERY AND PUTTING PROBES AND OXYGEN OR HELP IN TRANSFER OF CRITICAL
PATIENTS FROM OT TO ICU , MRI ETC.
 APART FROM THIS

7.  KEEP RECORD OF DRUGS AND OTHER PRODUCTS USED DURING THE
SURGERY .
 GET CONSENT SIGNED FROM DOCTOR
 HELP IN CLEANING OR FUMIGATING OT
 GIVE SHOCK TO THE PATIENT USING DEFIBRILLATORS DURING
RESUSCITATION .


8.  CHECK / PREPARE EMERGENCY MEDICINE (ATROPINE , MEPHENTERMINE AND
XYLOCARD , FLUSH )
 IV FLUID SHOULD BE WARMED AT BODY TEMP
.
 KEEP THINGS READY ACCORDING TO THE CASE LIST
 EXAMINE THE PATIENT PREPARATION IN PRE OPERATIVE ROOM
 CHECK FOR CONSENT
 WHEN PATIENT ARRIVE IN OT
 ASSIST THE ANESTHETIST IN
 MONITORING

10. Different positions of operations
 The five basic positions used for surgery are supine, lithotomy, sitting, prone,
and lateral. Improper technique can lead to injury in any of these positions.
 Supine In supine position, the patient is face up with their head resting on a pad
positioner or pillow and their neck in a neutral position. The patient's arms,
maintained in a neutral thumb-up or supinated position, may be tucked at their
sides or abducted to less than 90 degrees on arm boards.

11. lithotomy
 The Lithotomy Position can be used during childbirth since it provides the
doctor with good access to the mother and the baby. It was used as the
standard position for childbirth procedures, but recently, most hospitals have
shifted to using birthing beds or chairs.

12. Sitting
 Fowler's position, also known as sitting position, is typically used for
neurosurgery and shoulder surgeries. The beach chair position is often used for
nasal surgeries, abdominoplasty, and breast reduction surgeries.

13. Prone
 The Prone position is a patient position used during surgical procedures that
provide surgical access to the dorsal aspects of the patient’s body
 The prone position offers surgical access to the dorsal (posterior) aspects of the
patient’s body, such as the spine, neck, and shoulders. The prone position
produces an increase in functional residual capacity and alterations in the
distribution of both ventilation and perfusion throughout the lungs.

14. Diathermy
 Diathermy is the use of high frequency alternate polarity radio-wave electrical
current to cut or coagulate tissue during surgery. It allows for precise incisions to
be made with limited blood loss and is now used in nearly all surgical disciplines.