many factors should be considered to create a suitable environment. Key Features • Space • Environmental Conditions • Functions • Layout • Safety and Security GENERAL PRINCIPLE Efficient traffic flow to reduce cross contamination Movement from clean to contaminated area cover clothing before leaving clean area discard covering when return to clean area Movement from contaminated to clean area After proper surgical attire Doors between clean and contaminated area should be closed at all times LAYOUT OF A VETERINARY HOSPITAL Components: • Reception • Registration Counter • Examination Area • Out Patient Treatment Area • Biochemical tests lab • X-ray room Components:
• Patient Preparation Area
• Operation Room • Recovery room • Waiting Room • Hostel Facility / Kennels • Consultation Room Components: • Office • Staff room • Store room • Pharmacy • Equipments Room • Toilets DIVISION Clean area Operating room Sterile supply room Mixed area Storage area Instrument and supply processing area Utility room Contaminated area Anesthesia and surgical preparation room Dressing room Offices DESCRIPTION AND FUNCTION OF ROOMS IN THE SURGICAL AREA DRESSING ROOM Used by surgical personnel for changing into proper surgical attire Close cabinets for storing Scrub suits Shoe covers Masks Caps ANESTHESIA AND SURGICAL PREPARATION ROOM Adjacent to surgical area Should have Anesthetic equipments Laryngoscope Clippers Skin preparation materials Emergency medications Temperature should be 17° to 20°C Humidity level should be less than 50% ANESTHESIA SUPPLY ROOM Adjacent to anesthesia and surgical preparation room Contains Equipments that keep anesthesia machine working properly Endotracheal tubes Oxygen tanks Airway connectors NURSES' WORK STATION Autoclave For sterilisation Incubator/ blanket warmer For irrigation fluids For towels to wrap patients after surgery Refrigerator For medication and solutions STERILE INSTRUMENT ROOM A clean area Houses all sterilized and packaged instruments
PREPARATION ROOM
Scrub sink area
Gowning and gloving area OPERATING ROOM Rooms where surgeries are performed Floor, walls and other surface should be smooth, non porous and fireproof. Proper ventilation system Humidity – ideal level is around 50% Temperature range should be 17° to 20°C Lighting by halogen lamps Low heat production Less eye fatigue Surgical spotlight should be mounted on ceiling directly over operation table contd…..
Adjustable stainless steel operating table
Instrument table Kick bucket to discard soiled sponges etc. Anesthesia supply cart Intravenous stand Portable imaging device POSTOPERATIVE RECOVERY AREA Adjacent to surgical area Individual cages for patients Temperature – 21° to 25°C Emergency medication DAILY CARE AND MAINTENANCE OF OPERATING ROOM At the beginning of day Wipe flat surfaces of furnishings and lights with a cloth dampened with a disinfectant solution. After each surgical procedure Collect instruments and place in water and detergent solution. Collect waste materials and place in a proper container. Wipe surgical table with disinfectant. Reception Waiting Area Examination Room Out Patient Treatment Area Out Patient Treatment Area Preparation Room Preparation Room Operation Room Operation Room Laboratory X-ray Room Kennels Kennels Kennels Shed Staff Room Pet Shop Pharmacy