L1 Work organization in surgical department

Question 1

Main goals in organization and what to consider

Answer 1

Patient safety & work efficiency
Consider:
Different restriction levels
Number & layout of rooms
Traffic patterns
Ventilation
Staff qualifications
Adequate spaces
Caseload

Question 2

Different restriction levels

Answer 2

Restricted, semirestricted & unrestricted

Question 3

Biosecurity

Answer 3

A set of measures to prevent introduction and spread of infectious diseases

Question 4

Clothing requirements for semirestricted & restricted areas

Answer 4

Scrub suit
Hair covering
Mask
Clean shoes / coverings

Question 5

Clothing requirement for unrestricted area

Answer 5

Scrub suit

Question 6

What are restricted areas (3)

Answer 6

Operating rooms, sterile supply rooms, scrubs sink area

Question 7

What are semirestricted areas (5)

Answer 7

Nurse’s workstation
Hallways between operating rooms
Instrument and supply processing area
Storage
Utility rooms

Question 8

Traffic pattern regulations (5)

Answer 8

1. Unrestricted => semirestricted => restricted => unrestricted (cycle)
2. Operating rooms limited only to essential personnel & equipment
3. Traffic in & out of rooms minimized - movement of airborne contaminants ↓
4. Positive air pressure (airflow from cleanest to least clean areas)
5. Movement of contaminated & sterile equipment separated

Question 9

Requirements for operating room (7)

Answer 9

1. Large enough for essential equipment and personnel
2. Only necessary equipment
3. Adjustable surgical table (warming if possible)
4. Soft, white light with regulated intensity, no heating, 360° rotation
5. Ventilation, optimal airflow
6. 17-20℃ & humidity < 50%
7. Easy cleanable surfaces (resistant to corrosive effect)

Question 10

Lightning requirements for operating room

Answer 10

Soft, white light with regulated intensity, no heating effect, 360° rotation

Question 11

Requirements for scrub sink area 3

Answer 11

1. Centrally located
2. Motion sensitive / foot pedal
3. Antiseptic soap, scrub brushes, fingernail cleaners

Question 12

Requirements for gowning & gloving area

Answer 12

Separate from scrub & sink area, can be inside operating room

Question 13

Requirements for nurse’s workstation & instrument and supply processing area (5)

Answer 13

1. Centrally located in the surgical area
2. Cleaning, sterilization of instruments
3. Surgery log, surgery anesthesia protocols
4. Autoclave, refrigerator, blanket warmer, formalin containers…
5. Divided into 2 separate areas to prevent cross-contamination
   (storage can be combined here)

Question 14

Requirements for anesthesia and patient preparation room (3)

Answer 14

1. Necessary equipment & drugs
2. Transportable crash cart
3. 17-20℃ & humidity <50%

Question 15

Minor (septic) procedures operating room

Answer 15

It is separate room adjacent to the anesthesia preparation area. Minor contaminated surgical procedures done here. Equipments:
- Operating table
- Spotlight
- Gas, suction lines
- Suture materials, instrument packs
- Antiseptic preparation materials

Question 16

Requirements for recovery room (4)

Answer 16

1. Oxygen supply
2. Warming possibilities
3. Monitoring
4. 21-25℃

Question 17

How to maintenance operating room

Answer 17

1. Clean flat surfaces with disinfectant at the beginning of each day
2. Clean, wash & disinfect after each procedure and sterilization with uv-light (all surfaces, instruments…)
3. Same after last procedure + examination of ceiling, floor & walls, equipments checked
4. Maintenance of other rooms in surgery unit also necessary!