A theatre for operations (OT) complex forms one of the “heart” of every hospital. Operating theatres The operating room (OR) surgery suite, or surgery centre, is an area inside a hospital where surgery and other procedures are performed.
The patient is the focal of the functioning OT complex. The patient is isolated for various periods, is away from loved ones, and is physically sick. Keeping vital functions in check, preventing infection, and promoting healing through security, comfort, and efficiency are important. Click for more info!
The operating rooms’ cleanliness before and after the procedure is an essential aspect of the procedure. The entire area and the medical and surgical instruments need to be cleaned and sterilized to prevent the spread of viruses, bacteria, or any other pathogens to the patient since they could infect them or put them in critical health.
The aim of controlling environmental conditions in the operating room is to limit microorganisms to an unreducible level to ensure the safest environment for the patient and healthcare professionals.
It is also crucial that the space has an airtight, watertight exterior access gate to safeguard the vital components hidden behind ceilings, walls, or floors. Even though these parts undergo regular inspections for maintenance and repairs, it is vital that they’re free of moisture to ensure they are not damaged because it could put the patient in danger.
Hospitals must pay great attention to the proper maintenance of the OR surroundings, the heating, ventilation, and air conditioning (HVAC) devices, and medical and non-medical equipment in the OR.
All personnel involved in disinfection or sterilization should adhere to aseptic guidelines. Aseptic procedures use safe and well-defined methods to reduce or eliminate the microbiological burden on the surroundings and within the instrument placed into the sterile zone during the procedure.
The operating room must have separate carts and cleaning tools.
The sanitary team must clean the operating rooms between or before the procedure; every room should have designated carts. The tools are essential to prevent the spread of infectious diseases through the wheels of medical equipment.
Operating Room Turnover Cleaning Procedures.
Hospital staff must follow specific procedures for cleaning the operating room that are designed for effective disinfecting and sterilizing the operating room. However, how they clean the surgical rooms following surgery will depend on the hospital’s policy.
After-surgery cleaning crews can include a cleaning team, janitorial services, or medical doctors tasked to take care of the post-surgery aftercare using the cleaning of the operating room checklist. One operating room cleaning procedure stipulates that hospital staff should follow these guidelines to maintain an unclean and clean operating room. Visit the website here!
Cleaning and disinfection of the operating room
Proper surface disinfection is vital in an OR equipped with HVAC to ensure an infected environment. Disinfection refers to cleaning the instrument or item to make it totally or partially free of microorganisms that can cause infection.
A good disinfectant should destroy all microorganisms but simultaneously not inflict harm on human beings. There is no doubt that a disinfectant of this kind exists.
Cleaning Process
Proper cleaning using a high-quality disinfectant is crucial since it eliminates bacteria, dust, organic matter, and other harmful substances. The disinfectant you choose should be non-carcinogenic, easy to find, and safe for employment by hospital personnel.
The most effective disinfectants, except the spores, eliminate almost 90-95 percent of the infected microbes. The dry operating complex could make microbes and possibly their spores non-viable.
The only method of wet mopping for the walls and floors is recommended within the OR complex. Make use of the 3-bucket system for mopping the floor and walls of the OT. Two buckets have RO-purified water. The third bucket is a disinfectant, which is mixed with RO water.
A dry and clean mop is immersed in buckets before an eight-point diagram of ways for cleaning is applied. The walls are also cleaned using a lint-free cloth with the 3-bucket system. Take special care when mopping from clean to unclean areas.
Sterilization
Sterilization is a procedure where all microorganisms are destroyed, which includes the spores of bacterial organisms being eliminated. The most common sterilization methods are the following.
Autoclaves with flash and glutaraldehyde versions for sterilization are unsuitable and safe for ophthalmic instruments. However, when they are used, they should be handled with care.
Ethylene oxide (ETO) sterilization was first described in 1859. The sterilization process comprises five phases -gas introduction, exposure with humidification, exposure removal, and air washes that take approximately 2 1/2 hours.
ETO Sterilization is suitable for objects that cannot withstand the extreme temperature and humidity needed for steam, like autoclave sterilization.
Biomedical Waste Management
A well-functioning BMW process is required for the effective functioning of any health facility. “biomedical trash” is any waste resulting from the treatment, diagnosis, or vaccination of humans or animals or during the research process involving testing or producing categories and biological substances.
Instruments that process to sterilize
Cleaning involves the separation of blunt and sharp instruments. The instruments are cleaned with distilled water.
After ensuring that the instruments are free of organic matter and dirt, They are cleaned using an ultrasonic cleaner made of cetrimide 15 percent and chlorhexidine-gluconate 10% for 10-20 minutes.
The ultrasonic cleaner produces sound waves with a frequency of 100,000 Hz within the liquid. It also creates submicroscopic bubbles that explode and form a tiny vacuum separating instruments from particles.
The following method of cleaning uses the technique of three bins that involve mechanical scrubbing. This is performed sequentially using a soft bristle brush, and be careful not to scratch the delicate edges of the instruments for ophthalmic use. Hollow instruments are cleaned with distilled water to ensure no organic matter remains.
The cleaned, washed instruments are air dried with an air jet high flow gun. The process removes moisture from them instantly.
The instruments that have been cleaned and dried are best packed or wrapped to sterilize them to stop dust build-up. Alternatively, the instruments could be kept in a UV-irradiated space before sterilization.
The packing process is carried out with nonwoven or woven fabric. Peel pouches may also be employed when transparency of instrumentation is essential. Bins made of stainless steel that are heat-resistant 304-grade are utilized for surgical instrument sterilization.
Each item that is packaged for autoclave should have a time and date. Steam-sterilized items should have to be utilized within 48 hours. When the sterile package is opened, the contents are unsterilized even if not being used. Create a separate storage area for sterile items.
