environment of ot

1. MAINTANENCE OF THERAPEUTIC
ENVIRONMENT IN OPERATION THEATRE
University institution of
nursing

3. THERAPEUTIC ENVIRONMENT
Therapeutic environment can be defined as the
total of all external conditions and influences
affecting an individual in the illness situation.

4. RULES TO MAINTAIN THERAPEUTIC ENVIRONMENT
1. Infection prevention in the operating room is achieved through
prudent use of aseptic techniques in order to prevent
contamination of the open wound.
2. Isolate the operating site from the surrounding
unsterile physical environment.
3. Create and maintain a sterile field in which surgery can
Be performed safely.

5. ACHIEVING A THERAPEUTIC ENVIRONMENT
1. Adequate comfort, food, cleanliness, and rest
2. Freedom from injury
3. Individualized patient care
4. Friendly, courteous, accepting atmosphere
5. Feeling of security and self worth
6. Diversional activities for the patient

6. APPLICATION OF PRINCIPLES OF
THERAPEUTIC ENVIRONMENT
• Method of vaccuming and dusting and other general
Cleaning should be done.
• All organic material should be removed from equipment or
surfaces before disinfection process.
• Cleaning and disinfection by chemicals that will not harm
surfaces, materials should be selected.
• Cleaning and disinfection solution should be used in
required concentrations for adequate time and according to
directions.
• Use disposable equipments as much as possible.

7. FACTORS AFFECTING AN OPTIMUM ENVIRONMENT
• Temperature
• Humidity
• Air movement / ventilation
• Purity of air
• Lighting
• Low noise
• Psycho-social environment

8. STEPS TO MAINTAIN THERAPEUTIC
ENVIRONMENT
• Proper preparation of client
• Hand washing
• Surgical hand scrub
• Using barriers such as gloves and surgical attires
• Maintaining a sterile field
• Using standard surgical technique
• Maintaining safe environment in operating room

9. MAINTAINING A STERILE FIELD
• A sterile field must be established and maintained in order
to reduce the risk of contaminating surgical/procedure
area.
• Placing only sterile items within the sterile field.
• Opening, dispensing, or transferring sterile items without
contaminating them.
• Considering items below the level of draped client to be
unsterile.
• Not allowing sterile personnel to reach across unsterile
Areas or vice versa or to touch unsterile items.

10. • The neckline, shoulder, and back are considered to be unsterile
Areas of the gown.
• Recognizing that the edges of a package containing a sterile item are
considered unsterile.
• Recognizing that a sterile barrier has been penetrated is considered
contaminated.
• Not placing sterile items near open windows or doors.
• Sterile drapes should be used to establish a sterile field.
• Items used within a sterile field should be sterile.
• A sterile field should be constantly monitored and maintained.
• Moisture in sterile field should be avoided. If a solution soaks through a
drape then it should be covered with another sterile drape.
• Policies and procedures for basic aseptic technique should be written,
reviewed annually and readily available.

11. PRINCIPLES IN OPERATION THEATRE
• Doors and windows must be kept close as much as
possible.
• Ward nurse must handover patient to theatre nurse with
All details like pre-medication details, iv line.
• Patient should be shifted to ot always in trolley. Patient should
remove all jewelries and in ot gown and cap.
• Initially patient is kept in preoperative room and later shifted
to theatre. Ideally anesthetist, surgeon, and theatre nurse
accompany patient.
• Ot nurse should confirm consent form, case sheet, site and side
of surgery.

12. • Separate theatre shoes should be worn by surgeon,
anesthetist, ot nurse, and assistants
• Unnecessary movements, talking loudly, commenting,
laughing should be avoided
• All person entering theatre should wear ot dress, cap, mask,
footwear
• Clothes, dress should be washed, ironed, and clean and kept
ready for everyday use.
• Mobile phones should be switched off
• Any public person or relatives should not be allowed inside
operation theatre.

13. • One senior nurse is made in charge of theatre in all
Activities
• Ot nurse and assistant should accompany patient to
postoperative nurse
• Patient should be shifted outside ot once anesthetist confirm
the fitness for shift

15. CONCLUSION
•THE OPERATION ROOM ENVIRONMENT IS A HIGH RISK ENVIRONMENT, THE RISK
CAN BE MINIMIZED BY ADHERING TO STRICT RULES AND REGULATION FRAMED BY
TIME TO TIME BASED ON EVALUATION OF RISK ENCOUNTERED BY THE HEALTH
CARE PROVIDERS, CLIENTS AND FAMILY AND HOSPITAL ADMINISTRATION