Theatre discipline

adil ghauri
 SITE

Operation theatre should be sited

near
Surgical wards
Main lifts
Emergency and accident
department
Radiology department
Intensive care office
 Clean and Dirty areas
Clean and dirty areas should be well
demarcated with staff traffic to
remain minimum at clean area.
 Infection control

Important factors for controlling the

infection are

Appropriate design
Controlled air quality
Quality cleaning
Impermeable clothing
Hand scrubbing
Patient preparation
 Principles in design

Outer reception area

Clean zone

Outer reception area

 Reception office
 Reception area where patients wait for
checking in
 Area for storage of trolleys
 Area for hanging clean gowns and
overshoes for parents to wear when
accompanying children to anesthetic rooms
 Clean zone: It includes
Wide and clean corridor that allows access
to and from
 Anesthetic room
 Recovery area
 Clean storage room
 Emergency autoclave
 Staff relaxation and changing rooms
 Operting theatre
 Scrub room

It is designated as
Two doors; one to corridor and one to operating theatre
Sink with taps that can be manipulated with elbows and
soap holders that can be manipulated with foot pedals
or elbows
Good drainage and suitable panels incorporated in sink
to prevent splashing of clothes
Antiseptic floors
Easily cleaned shelves for gown packs and gloves
Adequate facilities for disposal of linen and paper
Brushes for cleaning finger nails
 OPERATING ROOM

Should have double door entrance from

anesthetic room and double door exit from
clean corridor

Should have small entrances from clean

store room and opening from scrubbing
room

A single exit door to dirty corridor

All doors should be well cleaned in order to

comply with air ventilation system
Operating theatres, recovery rooms and anesthetic
rooms must be designed to have adequate power
points and emergency electricity, piped gases,
anesthetic scavenging system, lightening and wall
suction

Cardiac resuscitation equipment must be readily

available

Temperature range between 19 degree Celsius and

22 degree Celsius with humidity of 45-50%
Operating table should be adjustable with all
working parts sealed, regularly cleaned to
ensure checked to ensure that it can be
raised and lowered smoothly within
appropriate gears for trendelenburg tilt and
lateral tiltand an adequate breaking system

Lights should be adjustable, sealed and

cleaned with facilities of light handles so
surgeon and scrub team can adjust it

Plaster work and floor should be well sealed

any defect should be repaired as matter of
emergency
Fixed surfaces should be avoided
and reliance placed on steel
trolleys
Radiographic viewers should be
inserted into wall and kept in good
repair
 EQUIPMENTS

Trolleys should be cleaned and have safety rails

with well fitting tube and mask, all of which are
regularly checked and empty cylinders replaced

Suction apparatus should be well cleaned and

checked with spare suction tubes and catheters
available

Anesthetic machine should in good working order

All electric equipments should be
regularly checked
Fire policy, regular fire drills and
weekly testing fire doors are
essential safety precautions
 Control of Air Quality

An OT should be fitted with controlled

ventilation and filters because non-visceral
bacteriological contamination of wound is
predominantly from air

For general surgical theatres the

maximum benefits are obtained from 20
air changes per hour using 5mm size filter

In orthopedic OT there should be ultra

clean air in which bacterial count is kept
below 10 CFUs per cubic mm
Additional measures include
Minimizing number of individuals
in OT
Avoiding excess movement of
individuals in OT
Ensuring that air vents are not
obstructed and that the doors are
closed