1. The operating room table is fully adjustable to position patients in various surgical positions and orientations. It has movable sections, articulating joints, and tilt capabilities to manipulate the patient as needed.
2. Accessories like armboards, leg holders, and overhead tables provide support and access around the patient. The table also has features like smooth contours, radiolucency, and electrical or hydraulic controls for adjustments.
3. Proper positioning is important for patient safety, surgical access, and physiological needs. It prevents pressure points, maintains circulation and breathing, and positions anatomical structures for procedures. Common positions include supine, prone, lateral, lithotomy and their variations.
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.
A cardiac event monitor is a device that you control to record the electrical activity of your heart (ECG). This device is about the size of a pager. It records your heart rate and rhythm. Cardiac event monitors are used when you need long-term monitoring of symptoms that occur less than daily
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.
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.
A cardiac event monitor is a device that you control to record the electrical activity of your heart (ECG). This device is about the size of a pager. It records your heart rate and rhythm. Cardiac event monitors are used when you need long-term monitoring of symptoms that occur less than daily
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.
Nurse /doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen. During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths.
One must be aware of the anatomic and physiologic changes associated with anesthesia, patient positioning, and the procedure.
• The following criteria should be met to prevent injury from pressure, obstruction or stretching:
– No interference with respiration
– No interference with circulation
– No pressure on peripheral nerves
– Minimal skin pressure
– Accessibility to operative site
– Accessibility for anesthetic administration
– No undue musculoskeletal discomfort
– Maintenance of individual requirements
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
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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
1. Operation Theatre
Table
COMPILED AND PRESENTED BY:
DR. JUDITH JUSTIN M.TECH., PH.D.,
Prof. & Head,
Department of Biomedical Instrumentation Engineering
Faculty of Engineering
Avinashilingam University
Coimbatore - 641 108
2. INTRODUCTION
Room where surgery is performed is
called an Operating Room (OR) or
Operation Theatre
OR is different from other rooms in the
hospital because
i) The environment is controlled
ii) Special electrical wiring is done
iii) It is clean
iv) Different emergency equipment
Inside the OR, the ambient temperature is
set to between 20-21◦ C
The humidity is regulated to 50%. These
are achieved by air conditioners.
Also incorporated into the inlet path of the
air to the OR are HEPA (High Efficiency
Particle Absorbers) filters which minimize
the dust entering into the OR
3. INTRODUCTION
The operation table on which the
patient is positioned for surgery is
fully adjustable for:
• Height,
• Degree of tilt in all directions,
• Orientation in the room,
• Articular breaks and lengths
This allows manipulation of the
patient in any position while
maintaining proper body allignment.
The surface is covered with a firm pad
that can be removed for cleaning
4. ACCESSORIES
Removable arm boards: allow extension of
the patients arms and hands for IV lines. This
surgical arm board is wider and provides a
broader surface on which to place the hand
Leg holder: provide access to the knee
when it must be held up away from the table
surface. A special table top cassette
attachment accepts X-ray cassettes when
the operative procedure requires radiographs
Back table: is a large table on which all
instruments are placed during surgery.
Before surgery, a sterile linen pack is opened
on to the table and sterile supplies are
placed. After donning gloves, the nurse
arranges these in an orderly fashion
Mayo stand: is a tray supported by 2 legs
that is placed adjacent and very near to the
operative site. Instruments that are used
frequently are placed here where it is
immediately accessible. This stand is
adjustable and may be placed over(above)
the table, but never in contact with the
patient.
5. ACCESSORIES
Gerhardth (overhead) table: is a combination of
Mayo stand and backtable. The overhead table
is positioned over, but not touching the patient.
The large surface of table provides access to
numerous instruments and supplies without the
use of a back table. The sizes and contours of
the table along with all the other accessories are
standardized to accommodate all patients
irrespective of their size. The table is also made
to withstand various weights.
The table is powered by electromechanical or
electro-pneumatic methods. The table can be
operated by a hand control placed on the side.
Hand control is a membrane type, feather touch
to adjust all electro-hydraulic movements. It is
shock free, operating on DC 12V with a flexible
cable.
Most of the tables give a foot switch control
enabling the surgeon to manipulate it to his
comfort. The table is made up of stainless steel
with smooth contours. It can be cleaned easily
with spray disinfectants and blood removing
agents. Since it is electrically operated, the
leakage current should be tested periodically.
6. SPECIAL FEATURES
Operation table is used for general surgery
and other certain procedures. It provides
smooth, easy and accurate positioning.
It is fully maneuverable by finger tip
operated feather touch keys on a remote
control hand switch.
Unique, sensor controlled leveling for Lateral
and Trendelenberg positions.
Movement is controlled by high pressure
electro-hydraulic system to achieve smooth
and efficient operation, without the slightest
jerk from start to the end.
The manifold has flow control valves for
adjusting the desired speed of the table
movement to high accuracy.
Hydraulic motor pump with long operating
life is fitted with anti-vibration mountings and
auto thermal cut-off.
7. SPECIAL FEATURES …CONTD.
Remote control hand unit operates on extra safe 12V DC.
Legible and easily identifiable symbols on switches provide
correct selection of table positions at any stage of operation.
Full length cassette tunnel to move X-ray cassette. Special quick
change clamp to hold cassette firmly at any position.
Radio translucent top.
Durable & hygienic base cover made of stainless steel.
8. MANUAL ADJUSTMENTS
Head section can be moved mechanically.
Detachable for fixing neuro hand rest
Table is mounted on castor wheels, its movement in the operation
theatre is smooth
Mechanical pedal brakes for firm and rigid locking of table.
When brake is released, the table is free to move on its castors
9. ATTACHMENTS …..CONTD.
Shoulder support
Lateral support, Universal
lateral support
General purpose head
support
Knee rest
Knee crutches
Raised arm board
Arm board
Kidney elevator
Anesthetic screen frame
Cassette holder, lateral
cassette hold
Cassette tray with
adjustable rod
Douche tray, Douche tray
with drain bucket
10. IMPORTANCE OF PROPER POSITIONING
Why do we need proper positioning?
To maintain patient’s airway and avoid constriction or pressure on
the chest cavity
To maintain circulation
To prevent nerve damage
To provide adequate exposure of the operative site
To provide comfort and safety to the patient
13. SUPINE
Most common with the least amount of harm
Placed on back with legs extended and uncrossed at the ankles
Arms either on arm boards abducted <90* with palms up or
tucked (not touching metal or constricted)
Spinal column should be in alignment with legs parallel to the OR bed
Head in line with the spine and the face is upward
Hips are parallel to the spine
Padding is placed under the head, arms, and heels with a pillow placed
under the knees
Safety belt placed 2” above the knees while not impeding circulation
14. PRONE
Anesthetized supine, usually on the stretcher, prior to turning
Turning is synchronized and supported
Face down, resting on the abdomen and chest
Chest rolls x2 placed lengthwise under the axilla and along the sides of the
chest from the clavicle to iliac crests
(to raise the weight of the body off of the abdomen and thorax)
One roll is placed at the iliac or pelvic level
Arms lie at the sides or over head on arm boards (must lower arms slowly to
the ground then bring them up in an arc to place on arm boards)
Head is face down and turned to one side with accessible airway
Forehead, eyes and chin are protected
Padding to bilateral arms and under Knees
Pillow placed under bilateral feet (for maintenance of foot extension)
Female breasts and male genitalia must be free from pressure and torsion
Safety strap placed 2” above knees
15. LATERAL
Anesthetized supine prior to turning
Shoulder & hips turned simultaneously to prevent
torsion of the spine & great vessels
Lower leg is flexed at the hip; upper leg is straight
Head must be in cervical alignment with the spine
Breasts and genitalia to be free from torsion and pressure
Axillary roll placed to the axillary area of the downside arm
(to protect brachial plexus)
Padding placed under lower leg, to ankle and foot of upper leg, and to
lower arm (palm up) and upper arm
Pillow placed lengthwise between legs and between arms (if lateral
arm holder is not used)
Stabilize patient with safety strap and silk tape, if needed
16. TRENDELENBURG
The patient is placed in the supine position while the OR bed
is modified to a head-down tilt of 35 to 45 degrees resulting in
the head being lower than the pelvis
Arms are in a comfortable position – either at the side or on
bilateral arm boards
The foot of the OR bed is lowered to a desired angle
Velcro adhesive MUST be checked prior to placing the
patient on the table padding
Surgical tape may be indicated to assure the table padding is
fixed to the table to prevent pad slippage
In addition to a safety strap, strips of 3” tape may be used
to assist with holding the patient in the proper position
Used for procedures in the lower abdomen or pelvis
Enables the abdominal viscera to be moved away from the
pelvic area for better exposure
17. REVERSE TRENDELENBURG
The entire OR bed is tilted so the head is higher than the feet
Used for head and neck procedures
Facilitates exposure, aids in breathing and decreases blood supply to
the area
A padded footboard is used to prevent the patient from sliding
toward the foot
18. FOWLER’S POSITION
Patient begins in the supine position
Foot of the OR bed is lowered slightly, flexing the knees, while
the body section is raised to 35 – 45 degrees, thereby becoming
a backrest
The entire OR bed is tilted slightly with the head end downward
(preventing the patient from sliding)
Feet rest against a padded footboard
Arms are crossed loosely over the abdomen and taped or placed
on a pillow on the patient’s lap
A pillow is placed under the knees.
For cranial procedures, the head is supported in a head rest
and/or with sterile tongs
This position can be used for shoulder or breast reconstruction
procedures
19. JACKKNIFE
Modification of the prone position
The patient is placed in the prone position on the OR bed
and then inverted in a V position
The hips are over the center break of the OR bed
between the body and leg sections
Chest rolls are placed to raise the chest
Arms are extended on angled arm boards with the elbows
flexed and the palms down
A pillow is placed under the ankles to free the feet and
toes of pressure
The OR bed leg section is lowered, and the OR bed is
flexed at a 90 degree angle so that the hips are elevated
above the rest of the body
Used in gluteal and anorectal procedures
20. LITHOTOMY
With the patient in the supine position, the legs are raised
and abducted to expose the perineal region
The patient’s buttocks are even with the lower break in
the OR bed (to prevent lumbosacral strain)
The arms are placed on padded arm boards, tucked at the
sides, or placed across the abdomen
The legs and feet are placed in stirrups that support the
lower extremities
Stirrups should be placed at an even height
The legs are raised, positioned, and lowered slowly and
simultaneously, with the permission of the anesthesia care
provider
Adequate padding and support for the legs/feet should
eliminate pressure on joints and nervus plexus
The position must be symmetrical
The perineum should be in line with the longitudinal axis of
the OR bed
The pelvis should be level
The head and trunk should be in a straight line
High Lithotomy
Low Lithotomy