More Related Content
Similar to ot unit 3 ahs new.pptx (20)
Recently uploaded (20)
ot unit 3 ahs new.pptx
- 1. Unit -III MS.D.SELVARANI M.SC (N) ASSOCIATE PROFESSOR
- 2. Registers and packed used in operation theatre Operating register, specimen register,stock register, cancellation register,condemn register,biomedical report register,death register, Tonsillectomy pack, appendectomy pack and I&D pack
- 3. INTRODUCTION All the information and particulars of the patient which appear on the operating slip are complete and in detail and are recorded in the operating register: The patients full names and surname ,Registration number and age ,Ward in which the patient is admitted Full description of the operation performed , Initials and surname of anesthesiologist, Type of anesthesia given ,Name of scrub nurse, as well as the amount of specimens sent to the laboratory Indicate whether the patient is male or female Indicate whether the patient underwent major or minor surgery,Duration of the operation.
- 4. Every operation done in the OT, whether under general or local anesthesia, is recorded in the operation register. The operating register is a legal document, so are the operating slips, and both are stored in the section for enquiry as well as for statistical purposes for at least five years.
- 5. RECORD MAINTENANCE IN OPERATION THEATER Different registers are used in the OT, namely: Operation registers Daily register Sterilization register Temperature and humidity control register Microbiology register Water analysis and culture register Instrument register Central sterile supply department register(CSSD) Linen stock register Complaints register.
- 6. DAILY REGISTER It is a detailed record regarding the infection control activities of OT. It mentions the following: Name of the concerned cleaning staff on duty. Assessment of temperature control Samples sent from the OT for microbiological tests Biomedical waste management The fumigation details of the OT with the name of chemical reagent used is documented.
- 7. STERILIZATION REGISTERS It mentions the following details: The number of instrument sets that are sterilized along with the method of sterilization. Specific indicators are placed on all the instrument boxes to indicate the method of sterilization (plasma, ETO, Autoclave). A change in color is noted in these indicators if proper sterilization has been done. The total time taken for sterilization along with its starting and ending time is also documented The nursing staff responsible for sterilization is documented. The various files for maintaining records are steam sterilization indicator file, steam autoclave receiving and issued record, high speed autoclave indicator file, chemical integrator file, biological indicator file, Bowie Dick test file and ethylene oxide things receiving and issued record, fumigation record and autoclave maintenance record
- 8. TEMPERATURE AND HUMIDITY CONTROL REGISTER The temperature and humidity of the OT is checked every 2 hours and documented. If any deviation from the ideal temperature is noted then immediate action is taken.
- 9. Microbiology register (specimen register) Samples are sent from every new batch of ringer lactate and viscoelastic before it is used. Samples are sent from various areas of the OT every week for both fungal and bacterial culture. Samples are also sent from the air conditioning system ducts. The microbiology report of these is attached in the register.
- 10. Specimen Register for biopsies For efficient control over specimens, there is a book/ register in which all specimens are recorded, with the same information as on the label. A space is made available for the signature of the person who recorded the specimen into the book/ register, as well as the signature of the person who received the specimen at the laboratory. The specimen are clearly marked with the following information on the label: The name and surname of the patient , The registration number , The ward in which the patient is placed , The type of specimen , The name of the operation , The date and time when the specimen was taken , The required laboratory test ,The name of the surgeon , At the end of the days operating schedule the nurse checks all specimens with the entries in the book/ register.
- 11. WATER ANALYSIS AND CULTURE REGISTER Water samples for microbiological tests are sent from various areas of the OT like scrub room and sterilization room and a record of the same is maintained.
- 12. INSTRUMENT REGISTER It mentions the total number of instrument sets that are used in a single day in the various OTs. This helps in keeping a track of the OT instruments to prevent loss of instruments.
- 13. BIOMEDICAL WASTE MANAGEMENT REGISTER This includes the record maintenance of proper waste disposal from OT along with date and time.
- 14. CENTRAL STERILE SUPPLY DEPARTMENT REGISTER It mentions the details of the quantity of linen sent for sterilization and received after the sterilization procedure is over.
- 15. LINEN STOCK REGISTER It mentions in detail the linen type and quantity that the OT has, like bed sheets, towels, gowns, eye towels, trolley cover, etc.
- 16. COMPLAINTS REGISTER All complaints for the OT are recorded in this register and necessary action is taken accordingly by the OT in-charge.
- 17. Death register There is no separate death register for OTs. Operation register is used to enter the event of death with red ink. The main objective of medical staff of OTs remains the creation of a safe environment, conducive to healing, and the protection of patient privacy and integrity.
- 18. Poison drug Register A variety of medicines are used in the theatre, especially for the administering of anaesthesia. We maintain a strict control of all the different medicines, as well as proper recording into registers. Schedule 3 and 4 and Schedule 4 medicines are not stored in the same poison cupboard, but in separate cupboards, which are clearly marked Poison Schedule 5. The poison cupboards are in a proper place and must be wall- mounted ,The poison cupboards have a double lock and the keys are kept by the nurse in charge, The keys are not be given to any unauthorized person or left in drawers The poison drug register is checked once a week by the nurse in-charge /pharmacist of that section. This register is kept for at least five years.
- 19. Condemn register To maintain and regulate junk and spoiled equipments from oT.
- 20. Tonsillectomy pack The equipment required for tonsillectomy depends on the technique used. Cold tonsillectomy is performed using a Crowe- Davis or McIvor mouth gag, Allis clamp, no. 12 scalpel, curved Metzenbaum scissors, Fisher tonsil knife/dissector, Tyding snares, adenoidectomy curettes, and a St. Clair- Thompson adenoid forceps.
- 22. Appendectomy pack The operation is performed with four permanent instruments: grasping forceps, hook, scissors and needle holders. A single needled 2-0 cotton thread is used.
- 24. Incision and drainage pack It is performed by treating the area with an antiseptic, such as iodine-based solution, and then making a small incision to puncture the skin using a sterile instrument such as a sharp needle or a pointed scalpel. This allows the pus fluid to escape by draining out through the incision.