Operating room instructions

Operating room instructions and preoperative measures:

دستورالعمل اتاق عمل

  1. After controlling the patient’s condition and raising the railing next to the stretcher and transferring her to recovery by anesthesia, surgeon, scrub and circular, the patient is handed over to the recovery manager with a full report.
  2. Samples of exponential control pathology and after ensuring the completeness and correctness of the special label and special sheet by the scrub or circular nurse, are registered in the special pathology office and the patient is delivered to the operating room.
  3. The correct report of the operation is written and completed and handed over to the recovery manager.
  4. Surgical instruments are properly collected by the scrub and assisted in its washing and disinfection.
  5. The operating room manager is informed of the room’s readiness for washing and is supervised for washing and cleaning.
  6. In the event of any abnormal problems or issues, the operating room manager will be notified immediately.
  7. The patient’s condition when entering the recovery is recorded by the recovery nurse stating the time of arrival.
  8. The airways are checked for openness and suctioned if necessary.
  9. In the absence of neck injury, the patient’s head is rotated to 10’s to make discharge easier and easier to breathe.
  10. The pulse oximetry device is connected to the patient.
  11. The patient’s vital signs are taken and recorded every 15 minutes and reported to the surgeon and anesthesiologist. Any changes in consciousness and vital signs are reported immediately to the anesthesia room.
  12. Precise control of the patient’s connections (drain, homogene, chest tube) is performed regularly and the connections are fixed correctly.
  13. Check for burns, redness, blisters.
  14. In case of consciousness, vital signs are confirmed and the patient’s condition is favorable, after registration, permission is given to leave and be sent to the ward for transfer.
  15. The patient’s condition at the time of transfer to the ward is fully recorded in the file, stating the measures taken and the measures that need to be followed.
  16. The telephone report of the patient’s condition will be reported to the nurse in charge of the ward.
  17. The in-person patient will be handed over to the ward staff upon reporting the cases of paragraph 14.
  18. After controlling the patient’s condition and raising the railing next to the stretcher and transferring her to recovery by anesthesia, surgeon, scrub and circular, the patient is handed over to the recovery manager with a full report.

Postoperative measures:

دستورالعمل اتاق عمل

  1. Samples of exponential control pathology and after ensuring the completeness and correctness of the special label and special sheet by the scrub or circular nurse, are registered in the special pathology office and the patient is delivered to the operating room.
  2. The correct report of the operation is written and completed and handed over to the recovery manager.
  3. Surgical instruments are properly collected by the scrub and assisted in its washing and disinfection.
  4. The operating room manager is informed of the room’s readiness for washing and is supervised for washing and cleaning.
  5. In the event of any abnormal problems or issues, the operating room manager will be notified immediately.
  6. The patient’s condition when entering the recovery is recorded by the recovery nurse stating the time of arrival.
  7. The airways are checked for openness and suctioned if necessary.
  8. In the absence of neck injury, the patient is rotated to one side to facilitate discharge and respiration.
  9. The pulse oximetry device is connected to the patient.
  10. The patient’s vital signs are taken and recorded every 15 minutes and reported to the surgeon and anesthesiologist. Any changes in consciousness and vital signs are reported immediately to the anesthesia room.
  11. Precise control of the patient’s connections (drain, homogene, chest tube) is performed regularly and the connections are fixed correctly.
  12. The location of the cautery plate is controlled for burns, redness, blisters.
  13. In case of consciousness, vital signs are confirmed and the patient’s condition is favorable, after registration, permission is given to leave and be sent to the ward for transfer.
  14. The patient’s condition at the time of transfer to the ward is fully recorded in the file, stating the measures taken and the measures that need to be followed.
  15. The telephone report of the patient’s condition will be reported to the nurse in charge of the ward.
  16. The in-person patient will be handed over to the ward staff upon reporting the cases of paragraph 14.

Operating room wash instructions:

شستشوی اتاق عمل

  1. Dilute all prepared equipment and disinfectant solution as instructed (disinfectant solution must be freshly prepared)
  2. Washing starts from the highest part like a sialitic lamp.
  3. All parts, even the base of the equipment, are cleaned by the rotational movement of the fabric.
  4. After cleaning the surgical environment, the shelves and walls are cleaned.
  5. All operating room equipment, both stationary and mobile, such as a stethoscope, fluoroscope, sialytics, etc., is carefully cleaned and disinfected.
  6. After finishing the surfaces, the floor is thoroughly cleaned.
  7. Note:
    1. This wash should be done at the beginning and end of each day.

2. Cleaning of beds, tables, surfaces, and floors should also be performed between surgeries.

3. Thorough cleaning of the entire operating room area, packing warehouse, walls and ceiling and ceiling lights can be done weekly.
4. The equipment must be collected, taken out and cleaned by the end of the operation
5. After weekly washing, if there is no air conditioning system, radiation can be used to sterilize the space and parts that are not accessible.
6. All work is done by trained staff and supervised by a nurse, scrubber, circular or surrogate.
7. Separate detergents should be used for each room and the rest should be sterilized if possible, sterilized if possible and completely sterile with a standard solution if not possible.
8. Separate fabric should be used for different parts and accessories of each room.

Instructions for washing surgeon equipment in the operating room:

1- Surgical instruments (inside operating rooms): placed in large steel containers containing Deconex 53 Plus and transferred to the washing section after 20 minutes for washing and rinsing.

2- Equipment that is washed by anesthesia personnel, such as guides, endotracheal tubes, anesthesia filters, etc., which should preferably be disposable, but if reused, will be disinfected according to Deconex 53 Plus instructions.
After initial decontamination with Deconex, all equipment is rinsed with plain water and prepared with dry lint-free cloth for packing.
In the case of infectious devices, it is done much more carefully.

Packing instructions in the operating room:

1- Surgical instruments: After washing and drying, they are placed in large cloths (their) and inside it, the D-class chemical indicators are placed and packed, and the autoclave adhesive, which includes the Class A indicator, is glued on it.

2. Medical bandages are usually wrapped in graph paper and pasted on them as a marker from a Class A autoclave test.

3- Small devices such as pliers that are used continuously, after packing with “pack paper” are placed in the autoclave of the operating room and in each autoclave cycle, a class D chemical indicator is placed to ensure the accuracy of sterile operation in each control cycle. To be.