Work Organization in the Surgical Department Flashcards
Main goals of Work Organization in the
Surgical Department
Patient safety and work efficiency
Several factors to consider in Work Organization in the Surgical Department
- Areas of different restriction level
- Number and layout of rooms
- Traffic patterns
- Ventilation
- Staff qualifications
- Adequate space for staff and supplies
- Caseload of patients
Areas of different restriction level can be (3)
- Restricted area
- Semirestricted area
- Unrestricted area
Restricted areas include? (3)
Requirements for these areas?
- Operating rooms
- Sterile supply rooms
- Scrub sink area
Requirements:
* Scrubs
* Hair covering
* Mask
* Clean shoes/shoe coverings
Semirestricted areas include? (5)
Requirements for these areas?
- Hallways between operating rooms
- Instrument and supply processing area
- Storage areas
- Utility rooms
- Nurse’s workstation
Requirements (same as restricted areas’):
* Scrubs
* Hair covering
* Mask
* Clean shoes/shoe coverings
Restricted areas are ideally separated from unrestricted areas by
a locker room.
- Leaving a restricted area and planning to return – clothing covered with a closed knee-length lab coat that is discarded on return.
- Food and drink not permitted in either area
Unrestricted areas include? (5)
Requirements for these areas?
- Central control point monitoring the entrance into the restricted area
- Anesthesia and preparation rooms
- Dressing rooms
- Lounges
- Offices
Requirements:
* Scrubs
In regard to surgical procedues, an Unrestricted area is meant for the following:
- Patients clipped and vacuumed
- Initial surgical preparation
- Soiled linen and trash kept in an unrestricted area
How should Traffic patterns flow in an animal hospital emphasis on asepsis?
- Unrestricted area →
semirestricted area →
restricted area →
unrestricted area - Operating rooms limited to essential personnel and equipment.
- Traffic in and out of rooms minimized – movement of airborne contaminants reduced.
- Consider Positive air pressure (air flows from the cleanest areas to the least clean areas: high → low air pressure).
- Movement of contaminated and sterile equipment should be separated.
Requirements for an OR:
- Large enough for equipment and personnel
- Only necessary equipment (suction, access to medical gases, etc.)
- Soft, white light with regulated intensity, no heating effect, 360’C rotation.
- Adjustable surgical table (also warming if possible).
- Ventilation, optimal airflow
- 17-20’C & < 50% humidity (data variable)
- Easily cleanable surfaces (resistant to corrosive effect).
The Scrub sink area should be
- Centrally located
- Faucet ideally motion-sensitive
- Only for scrubbing hands, never to clean equipment/dispose of body fluids.
- Antiseptic soap, scrub brushes, fingernail cleaners should be avail.
The Gowning and gloving area should be
- Separate from the scrub sink area
- May be inside the operating room or just outside it.
the Nurse’s workstation (as well as instrument processing area) should be…
- Centrally located in the surgical area
- Cleaning, sterilization of instruments
- Surgery log, surgery (anesthesia) protocols
- Autoclave, refrigerator, blanket warmer, formalin containers etc.
- Instrument area Should be divided into two separate areas to prevent cross-contamination.
Describe a Minor (septic) procedures operating room
- A seperate room adjacent to the anesthesia preparation area.
- For Minor contaminated surgical procedures.
Equipment:
* Operating table
* Spotlight
* Gas, suction lines
* Suture material, instrument packs
* Antiseptic preparation materials
Maintenance of the operating room should include
At the beginning of each day
* Cleaning of flat surfaces with disinfectant
After each procedure
* Cleaning, washing, disinfecting
(Operating and instrument table, instruments, bins)
* Sterilization with UV light
After the last procedure of the day
* Cleaning, washing, disinfecting
* Examination of walls, ceiling and floor
* Equipent checked and restocked if necessary
Maintenance of other rooms in the surgery unit also vital.
