the ot nursing is an essential concept that every student nurse must have an adequate knowledge in order to counteract the issues related to OT nursing.
Prevention of Accidents in An Operation Theatre-NURSINGMariaKuriakose5
This is a PowerPoint made to explain various hazards in an operation theater and with its preventive measures.This will hepl the nursing students to go through the important points rather than going into deep studies.
Prevention of Accidents in An Operation Theatre-NURSINGMariaKuriakose5
This is a PowerPoint made to explain various hazards in an operation theater and with its preventive measures.This will hepl the nursing students to go through the important points rather than going into deep studies.
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
by - dr. sheetal kapse, 2nd year p.g. student, dept. of oral & maxillofacial surgery, RCDSR, Bhilai, C.G. please contact for any question...email id - sheetal.kpse@yahoo.com
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
by - dr. sheetal kapse, 2nd year p.g. student, dept. of oral & maxillofacial surgery, RCDSR, Bhilai, C.G. please contact for any question...email id - sheetal.kpse@yahoo.com
Learn about AORN's recommended practices for surgical attire in the perioperative setting. This presentation is from a webinar on August 8, 2012. Listen to the webinar for free to learn more, and you can also earn 1.0 contact hour: www.aorn.org/PreviouslyRecordedWebinars
Discover evidence-based practices to prevent sharps injuries and to reduce blood borne pathogen exposure to perioperative patients and personnel. This presentation is from a recent AORN webinar. Listen to the replay for free at http://bit.ly/1asAKXx. When registering for the replay, you can also earn one contact hour through June 27, 2014.
Developing competencies for occupational therapy education and practiceErganen
A presentation on developing competencies for occupational therapist including; what are competencies, why are they important and how to develop competencies. In the end there are references for further resources
Minor Oral Surgical Procedures / oral surgery courses training by indian dent...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
1. Safety is everybody’s business. According the Hippocratic oath from 5th century : “ Never do harm to anyone” Safer Surgery can be defined as a reduction in avoidable harm to a surgical patient
2. It is a part of medical specialty that uses operative manual and instrumental technique on a patient to investigate or treat a pathological condition. Surgical team: 1. Surgeon 2. Surgeon’s assistance 3. Anesthetist 4. Scrub nurse 5. Scouting nurse 6. Surgical technologist
3. Time or duration when patient admitted and discharge after completion of surgery. So, surgical safety has broadly included in different phases: 1. Preoperative(Diagnosis, investigation) 2. Per operative 3. Postoperative(Up to discharge)
4. 1. Adverse events: An incident which result in harm to the patient. 2. Near Miss: An incident which could resulted in unwanted harm but did not. 3. No-harm events: An incident that occur and reach to the patient but result in no injury.
5. An article in the Gurdian newspaper UK in March 2013 claimed that “five worst medical” nightmares a Pt faces, three related to surgery: 1. Wrong site surgery 2. Wrong patient surgery 3. Retained instruments and swabs The rate of harm in surgical patient is unknown but probably occur in about 10% surgical patient, though much of this harm will be minor.
6. 1. Patients themselves. 2. Healthcare professional 3. System failure. 4. Medical complexity
7. Patients Themselves 1. A variety of presentation. 2. Differing co-morbidities 3. Differing response to treatment 4. Patients are reluctant to speak up. 5. Refuse to co-operate 6. Hide and seek
8. Healthcare professional 1. Inadequate Pt assessment(delay or error in Diagnosis) 2. Failure to use or interpret appropriate test 3. Error in performance of an operation and test. 4. Inadequate monitoring or follow-up. 5. Deficient training or experience 6. Fatigue, overwork or time pressure. 7. Personal or psychological factor i.e. drug abuse or depression. 8. Lack of recognition of the danger of medical errors.
9. System failure 1. Poor communication between healthcare provider. 2. Inadequate staffing level 3. Overreliance on investigation 4. Lack of coordination at handover 5. Drug similarities. 6. Equipment failure due to lack of skilled operators. 7. Inadequate system to report and review patient safety incident.
10. Medical complexity 1. Advance and new technologies(laparoscopic, robotic surgery) 2. Potent drug and their side effects and interaction. 3. Working environment- Surgical ICU, HDU and Operation theatre
11. Surgery is one of the most complex health intervention to deliver. More than 100 million people worldwide require surgical treatment every year for different reason. Great Professor of Surgery Sir Alfred Cuschieri and other describes surgical errors in different categories that committed by the surgeons during care of the Patients.
12. 1. Diagnosis and management erro
The correct application of the safety check steps in our routine theatre operations and procedures will greatly reduce surgically related mortality and morbidity.
ENHANCING THE EFFICIENCY OF POST MORTEM DIAGNOSIS BY IMPROVING THE POST MO...asha ann philip
A postmortem examination, is the examination of the body/carcass after death. Post mortem is performed to obtain an accurate cause of death and when done properly which involves looking at the animal as a whole, as well as looking at each individual organ within the body.The efficiency of postmortem diagnosis depends on facilities and techniques that are used during PM, thorough knowledge, health aspects/biosafety and other supporting diagnostic methods.
General principles of periodontal surgery
All surgical procedures should be carefully planned. The patient should be adequately prepared medically, psychologically, and practically for all aspects of the intervention.
Surgical periodontal procedures are usually performed in the dental office.
The following findings may indicate the need for a surgical phase of therapy:
1. Areas with irregular bony contours, deep craters, and other defects usually require surgical approach.
2. Pockets on teeth in which a complete removal of root irritants is not considered clinically possible may call for surgery. This occurs frequently in molar and premolar areas.
3. In cases of furcation involvement of grade II or III, a surgical approach ensures the removal of irritants; any necessary root resection or hemisection also requires surgical intervention.
4. Intrabony pockets on distal areas of last molars, frequently complicated by mucogingival problems, are usually unresponsive to nonsurgical methods.
5. Persistent inflammation in areas with moderate to deep pockets may require a surgical approach. In areas with shallow pockets or normal sulci, persistent inflammation may point to the presence of a mucogingival problem that needs a surgical solution.
Patient Preparation
Reevaluation after Phase I Therapy.
Almost every patient undergoes the so-called initial or preparatory phase of therapy, which basically consists of thorough scaling and root planing and removing all irritants responsible for the periodontal inflammation. These procedures (1) eliminate some lesions entirely; (2) render the tissues more firm and consistent, thus permitting a more accurate and delicate surgery; and (3) acquaint the patient with the office and the operator and assistants, thereby reducing the patient’s apprehension and fear.
Premedication
For patients who are not medically compromised, the value of administering antibiotics routinely for periodontal surgery has not been clearly demonstrated. However, some studies have reported reduced postoperative complications, including reduced pain and swelling, when antibiotics are given before periodontal surgery and continued for 4 to 7 days after surgery.
Smoking
The deleterious effect of smoking on healing of periodontal wounds has been amply documented. Patients should be clearly informed of this fact and asked to quit or stop smoking for a minimum of 3 to 4 weeks after the procedure. For patients who are unwilling to follow this advice, an alternate treatment plan that does not include more sophisticated techniques (e.g., regenerative, mucogingival, esthetic) should be considered.
Problem Statement.pptx stating an acurate problem and reseaech questions are ...Ram Prasad
Knowing the research question and concept of making absolute problem statement is the essential role of the researcher for the successful research outcomes
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
3. Essentials required for OT
1. Location with in the hospital
2. Quantity
3. Size
4. Design
5. Equipment required
4. Parameters for OT
1. Avoid unrelated hospital traffic
2. Avoid outdoor noise
3. Keep a provision for future
expansion
4. Sliding doors
5. Smooth non slippery floors
6. Easy access to departments
5. • Provision for high efficiency
autoclave
• Radiology film illuminators
• Emergency communication system
6. Location with in the hospital
1. Centralization
2. Help in optimum man power
3. Avoid crowding
4. Easy team training
5. Minimization of issues related to
surgical supplies
6. Effective supervision
7. Should be easy accessible to
1. Surgical wards
2. Location of blood bank
3. CSSD
4. Proximity of diagnostic such as
radiology, pathology,ICU.
8. Size of OT
1. QUANTITY
based on
1. Cost benefit consideration
2. Patient load and disease occurrence
3. Availability of space
4. Number of surgical beds
5. Average length of stay of surgical
patients.
12. Zone 1
Also called as outer zone and
unsterile zone or non restricted zone
or interchange area.
This zone avoids the exposure to
contaminated areas after changing to
surgical attire.
13. Zone 2
Also called as middle intermediate
zone or semi restricted area and should
be in-between two zones.
This should be large to receive the
supplies for surgery.
14. Zone 3
Also called as inner most or most
sterile area or restricted zone.
22. The staffing can be measured in many
ways,
1. Number of hours worked
2. Hours associated with direct patient
care
3. Workload calculation
23. Benefits of good staffing
1. Improves patient outcome
2. Lowers mortality rate
3. Increase OT efficiency
4. Reduce patient waiting time for
surgery
5. Balance workload
24. OT staffing is based on
1. Total number of hours of cases
2. Number of cases operated per day
3. Type of cases
4. Nature of cases
5. Prescribed norms and policies and
procedures
26. 1. Functions of OT
2. Duties and responsibilities of
doctors and nurses and technicians
3. Checklist for preparing OT for
surgeries
4. Maintenance of records of surgeries
27. 5. Methods of aseptic techniques
should be followed
6. Maintenance of sterility in different
zones.
7. Disposal of Medical Waste
34. 1. Pre operative check for the
availability of the materials for
surgery
2. Psychological preparation of the
patient
3. Follow correct aseptic techniques
4. Positioning of the patient
35. Proper administration of medications
as per policies.
Delivering of high quality patient
care.
Nursing care based on EBP.
Participate in risk assessment and
reporting.
36. Assess, plan , implement and
evaluate care.
Maintaining of resources
Organize and prioritize the workload
Support other staffs in maintaining
health
41. General Principles
Aware of the dress
policy
No one should go out after
change into OT attire
All staffs must
change to OT
attire
Must change
the attire if
any soiling
occur
Focuses on
maintaining
Asepsis
Safety spectacles should be worn when required
42.
43.
44.
45.
46.
47.
48.
49. Air conditioning unit 1
Anaesthesia machine 1
C/S set 1
Instrument table 1
Laparotomy set 1
Laryngoscope 1
OR light 1
OR table 1
50. Oxygen unit 1
Spinal set 1
B P apparatus adult 1
B P apparatus paediatric 1
Stethoscope 1
Suction apparatus 1
Wheeled stretcher 1
51.
52. Criteria for selection of suture
Tissue contamination
Surgeon
preference
Speed of
healing
Cost &
availability
Aesthetic concern
Tension desired in wound healing
53. Absorption Material structure
Material origin
Absorbable
Non
Absorbable
Monofilament
Multifilame
nt
Natural Synthetic
1. Polyglycotic
acid
2. Catgut
3. Polydiaxone
1. Silk
2. Catgut
3. Nylon
4. Polyster
1. Catgut
2. Nylon
3. Stainless steel
4. polypropylene
1. polygly
cactin
2. polyest
er silk
1. silk
2. catgut
1. all other
available
sutures
Types of suture
61. DEFINITION
Waste generated in the diagnosis, treatment
and immunization of human beings or
animals, in research or in the production and
testing of biological products.
65. Option Waste Category
Cat 1
Human anatomical waste (human
tissues, organs, body parts)
Cat 2
Animal waste animal tissues,
organs, body parts carcasses,
bleeding parts, fluid, blood and
experimental animals used in
research, waste generated by
veterinary hospitals/ colleges,
discharge from hospitals, animal
houses)
66. Option Waste Category
Cat 3
Microbiology & Biotechnology waste
(wastes from laboratory cultures,
stocks or specimens of micro-
organisms live or attenuated vaccines,
human and animal cell culture used
in research and infectious agents from
research and industrial laboratories,
wastes from production of biological,
toxins, dishes and devices used for
transfer of cultures)
67. Cat 4
Waste Sharps (needles, syringes, scalpels
blades, glass etc. that may cause puncture
and cuts. This includes both used &
unused sharps)
Cat 5
Discarded Medicines and Cytotoxic drugs
(wastes comprising of outdated,
contaminated and discarded medicines)
Cat 6
Solid Waste (Items contaminated with
blood and body fluids including cotton,
dressings, soiled plaster casts, line
beddings, other material contaminated
with blood)
68. Cat 7
Solid Waste (waste generated from
disposable items other than the waste
sharps such as tubing, catheters,
intravenous sets etc.)
Cat 8
Liquid Waste (waste generated from
laboratory & washing, cleaning , house-
keeping and disinfecting activities)
Cat 9
Incineration Ash (ash from incineration of
any bio-medical waste)
Cat 10
Chemical Waste (chemicals used in
production of biological, chemicals, used in
disinfect ion, as insecticides, etc)
70. Colour
Coding
Type of
Containers
Category Treatment Options
as per Schedule 1
Yellow Plastic bag 1,2,3,6 Incineration/deep burial
Red
Disinfected
Container/
Plastic bag
3,6,7 Autoclaving/Microwaving
/Chemical Treatment
Blue/
White
transluc
ent
Plastic
bag/puncture
proof
container
4,7 Autoclaving/Microwaving
/ chemical treatment and
destruction/shredding
Black Plastic bag 5,9,10
(Solid)
Disposal in secured
landfill