(A) the design of the operating room
Sitting south to north, located in the higher part of the building to keep the air clean, to prevent nosocomial infections as the principle of the ground, the walls can be flushed. To three zones are reasonably divided: that is, there are non-restricted areas, semi-restricted areas, restricted areas. There should be three channels: staff channel, patient access channel, dirt exit channel. The material should be fireproof, moisture resistance, not easy to color, to have easy to clean and other properties of the material is appropriate. Modern operating room should be designed with: air purification devices, central oxygen supply, central suction and other devices.
(B) operating room equipment
In addition to the general operating room with conventional equipment, there should be closed-circuit television, air-conditioning, high-level electric knife (imported), in order to ensure that no accidental power outage affects the operation, the hospital should be equipped with power generation facilities. Do not make the operating room floor pollution, it is best to use the exchange of carts and other modern carts.
(C) the layout of the operating room
should strive for simplicity, the cabinet should be made of moisture-resistant, solid material to facilitate cleaning. All items should be fixed settings, keep the storage in order, and strive for uniformity and standardization of each room.
Two, operating room staffing and hospital surgical beds
The ratio of operating room nurses and surgical beds should be: 2.5:1, teaching hospitals 3:1. surgical beds set up: 50 beds to set up 1 surgical beds in the Department of Surgery is appropriate, the hygienist 0.5:1 is appropriate. Set up a nurse 1 to 2 people.
Three, operating room regulations
Operating room is the operating room physicians, anesthesiologists and operating room personnel *** with the workplace, the flow of personnel, in order to ensure orderly work, not only the operation of the procedures, but also a certain system of work, in order to enable the smooth completion of the operation of various disciplines.
(a) the operating room general work system
1. All staff who enter the operating room, you must wear operating room shoes, hats, clothes and masks, leaving the operating room, you should change the outwear and shoes.
2. Visitors from outside the hospital for visiting, study and internship must be approved by the Medical Education Department or the Nursing Department and should have a fixed location.
3. For elective surgeries in all departments, the surgical notification form should be sent before 10:30 a.m. on the day before the surgery. For emergency rescue surgeries, verbal notification can be given first and the surgical notification form can be added later.
4. Surgeries are performed according to the time of the surgical notification form and must be on time. Contact the nurse for special cases.
5. Pick up the patient 30 minutes before the operation, bring along the medical record, and check the patient's name, gender, age, bed number, diagnosis, surgical site and drug sensitivity test, preoperative medication in detail. After the patient into the room, the roving nurse should review once, pay attention to the patient's surgical site clean range, jewelry, dentures, watches shall not be brought into the operating room.
6. Strict aseptic operation techniques. Aseptic surgery and bacterial surgery should be carried out in separate rooms, special infections must be special sterilization treatment.
7. Keep serious and quiet in the room, prohibit loud noise, no chatting, reading newspapers during surgery.
8. Strict implementation of indoor sanitation and hygiene treatment and isolation, disinfection and testing system, the implementation of medical safety precautions.
9. The operating room should always be equipped with a variety of emergency surgical kits and resuscitation equipment, surgical equipment shall not be borrowed, such as borrowing needs to be approved by the Department of Medicine
10. Operating room instruments should be disinfected on the basis of cleanliness and cleanliness, a variety of drugs and instruments should be placed in a fixed position, valuable instruments kept in a special person, the monthly inventory, maintenance, repair and maintenance. Narcotic poisonous products marked obvious, locked storage, general drugs daily inventory and records, a monthly inspection, a person in charge.
11. Responsible for the custody and delivery of specimens collected during the operation, ask the doctor to fill out the pathology specimens in a timely manner, delivery of the single and make a good delivery of the registration, and urge the timely delivery of the examination.