Disinfection mode of the operating unit

The operating unit is separated from the rest of the surgical room by a tambour equipped with bactericidal ultraviolet radiation sources.

The temperature in the operating room should be 21-25 "C, humidity 50-65%, air exchange - 6-10 times for an hour. The microclimate of the operating room is maintained with the help of an air conditioner, which allows air to be cleared of dust and a significant part of the microflora.cleaning of all corners and joints of walls with ceilings should be rounded. The doors of cabinets, the casing of windows and doors are made of smooth materials. The walls are covered with tiles or painted with oil paint, the floor is spread with tiles or antistatic plastic, The center is located to the center where the water flow is located. The operating room is planned taking into account the orientation of the windows to the north or the northeast. The operating table is installed perpendicular to the window. The windows of the operating room must have a small number of bindings, it is easy to open in. To reduce microbial contamination in the unit, air purifiers are installedRecycled( VOPR-0.9 and VOPR-1.5.) Strictly separate the operating room for clean and purulent operations. In the absence of conditions to fulfill this requirement, operations on purulent processes are performed on specially designated days followed by thorough disinfection of the operating unit and all equipment.

Surgical instruments, dressing material, laundry for the purulent operating room are stored separately. The combination of personnel work in clean and purulent operating rooms is not recommended.

The operating unit includes a preoperative block that serves to train the personnel and the patient for the operation. Doors leading to the preoperative and from it to the operating room should be wide enough to allow a person to walk around and walk around. And they are always closed. Walls and floor in preoperative trim as well as in the operating room. In the preoperative set 3-4 washbasins, above each sink is a tap-mixer that opens with an elbow. Next to each sink is a mirror.

Equipment preoperative for one operating table:

The operating unit must have a dressing room. In this room surgeons, operating sisters and all persons participating in the operation wear operational underwear( pajamas, slippers, hats, gowns).Before entering the operating room, the gown is removed, put on a mask, shoe covers and goes to the preoperative room, where the hands are handled and put on a sterile gown, gloves, and a mask.

Strict observance of the "red line" is necessary. All those entering the operating theater( for the "red line") should be dressed in sterile underwear. All other persons put on a four-layer gauze mask at the entrance to the operating room and carefully remove the hair under the cap, after which they put on shoe covers. For used shoe covers, a tank or a bucket with a lid is installed.

Do not allow personnel to walk in the operating unit in street shoes. Entry to the operating unit is prohibited to personnel not participating in the operation.

The shower and toilet for the personnel should be carefully isolated from the main operating rooms.

All devices, devices and other items imported and introduced into the operating unit( wheelchairs, oxygen cylinders, cardiographs, etc.) are immediately treated with rags moistened with disinfectant solution.

It is unacceptable to bring the patient to the operating table on the gurney of the department;Before the operation block of the patient it is necessary to shift to the gurney of the operating unit, which is daily disinfected.

During the operation, excessive walking is prohibited. No one present should come closer than 1 m to the instrument table or go between the instrument and operating table.

• polyethylene aprons - 4 pcs.;

• fabric covers - 10-15 pairs;

• stand for the pelvis - 2 pcs.;

• enameled basin - 2 pieces;

• sterile bix with napkins - 1 pc.;

• Korntsang;

• table for antiseptic solutions;

• a refrigerator for storage of blood and blood substitutes;

• Bix for sterile masks;

• Nail scissors:

• Hand towel - 2 pcs.;

• soap dish with soap;

• kidney-shaped tray for storage of removed preparations;

• bottle with formalin solution;

• a tripod with sterile test tubes for bacteriological studies;

• hanger for bathrobes.

Logging in and out of the operating room is only allowed between operations. The operating nurse must ensure that the nurse working in the operating room does not violate sterility. Tazes and trays should be served, without touching the fingers of their inner surface. Cover the beads open for two eyelets, approaching the bix from the rear, and thus not obstruct the approach to the bix operating nurse.

Most often, the operating nurse has to be poured into a sterile glass, a mug that is on the instrument table or in the hands of the operating sister. Before pouring any solution into sterile dishes, the operating nurse shows the operating sister a label, pasted on the dishes, which contain the necessary medicines. In order not to disturb the aseptic when pouring solutions from the bottle, the nurse must take a number of measures to ensure the preservation of sterility:

• cut the thread that strengthens the paraffin paper that closes the vial;

• Without removing this paper, take the bottle in the right hand, and the stopper - through the paper with two fingers of the left hand;

• Sipping at the stopper, uncork the bottle;Keep the cork so that it does not touch the inside of it with non-sterile fingers;

• tilt the vial, drain some solution through its edge, thus washing the neck of the vial. Then through the same place, merge the contents of the vial into a sterile glass on the operating-nurse's desk. Under the supervision of the operating sister, pour the solution at a distance, without touching the instrument table and especially its sterile glass;

• pour the right amount of solution, give the bottle an upright position, and with his left hand again clog it, without touching the inner surface of the plug with fingers.

Sometimes, during the operation, the nurse, at the request of the operating sister, searches for the necessary tool in the tool cabinet, sterilizes it and delivers it to the operating room. The operating sister must check the correctness of her actions.

Dirty linen, material and tools are cleaned by the nurse with special large forceps, while putting on rubber gloves. To do this, it is better to use non-surgical, and dense prozector rubber gloves, which are stored in a solution of antiseptic in a separate container with a lid.

It is strictly forbidden to store items that are not used during the operation in the operating room.