The operations department of Istiklal Hospital is characterized by a high level of preparation and sterilization, in which a specialized team of nurses and health care workers do work to implement surgical interventions safely and soundly. Being a basic department in our hospital departments was taken into account during the design in choosing the appropriate location for operating rooms within the hospital building taking In consideration of many matters so that these rooms are not separated from the main path of the hospital and are close to the emergency and intensive care department, and the floors and walls were covered with anti-static material that does not run out of water or rays, which allows frequent cleaning Because these surfaces tolerate frequent cleaning and removal of contaminants using appropriate detergents and disinfectants
Our operations department is isolated from the rest of the departments in a place that is less crowded because the number of people and their movement affects the number of microbes and increases the risk of infection, and side rooms have been allocated for the post-operation. But the most important issue in this section of the hospital lies in sterilization and cleaning between the operation and the other, provided that the patient enters the operating room after sterilization of all of the above and was used in the previous process, which must be done with careful and careful care.
It is a section subject to a special ventilation system different from the rest of the departments to ensure the provision of a suitable and sterile atmosphere to prevent infection, viruses and germs in the surgical site.
From here, our hospital today put in its first considerations the issue of sterilization and cleaning of operating rooms and equipment in it, as well as following strict conditions in personal hygiene for everyone who works in it, and this section of the hospital is extremely important in the provisions of international accreditation certificates obtained by the hospital where there is Very precise standards and specifications make it imperative for each hospital to have a high-level operating theatre of hygiene, sterilization and development.
The success of any surgery depends on several factors, the most important of which are the operating room and the work system in the operating room where the work system within the operating room is characterized by very strict laws in order to maintain the patient’s safety and the most important of these laws is the sterilization law, which is one of the most important means of safety for the patient.
For the surgery to pass safely, it often requires going through the following steps
Preparation of the patient’s operating room begins and the process that will take place before the patient enters the operations department, where the type of surgery and the number of surgical requirements are reviewed and completed. They are also processed and ascertained as sterilized in addition to the room that must be clean and sterilized. All trash bins inside the room are free of any gauze or cotton Or needles too
The room is equipped with the medical and surgical equipment and devices required for the type of operation. For example, in endoscopic surgeries, the surgical endoscope is equipped, sterilized, and its machines and equipment are prepared.
There are special surgeries that require preparation of the microscope to assist in these operations
A step (Time Out) in which the patient is received by operating theatre nursing, reviewing the patient’s data with the patient himself and matching it with the wristband surrounding the wrist that includes the data
(Name, medical number, age, medical condition, name of the operation to be performed, and name of the surgeon) and it is reviewed with the patient himself, as well as reaffirming the part on which the surgery will be performed, such as the right or left hand, leg or kidney … etc
The patient is matched by the anesthesia team in the preparation room or as soon as the patient enters the operating room where the data and type of operation are reviewed with the patient. Then the anesthesia team begins to anesthetize the patient according to the type of anesthesia agreed upon
The surgical team will be present in the room in the meantime, where they will also review the patient’s data and confirm with the patient the type of surgery and the position of the surgery. They also place any marks on the skin before anesthesia is bound.
In the meantime, the nurse who will assist in the process, will have been sterilized, equipped and opened the tools and machines on the sterile table.
The surgical team begins to sterilize one by one or together in the sterilization chamber, which contains sterilization basins that are operated by either the elbow or the foot. The sterilization basins are controlled by the legs.
The sterilization process includes washing hands to the elbows with sterile liquid such as betadine for five continuous minutes. It also includes rubbing the nails with a special brush, then drying his hand and wearing sterile clothes prepared for him with nursing assistance in addition to washing hands to the elbows, rubbing the nails, and between the fingers with a sterile brush. A sterile solution such as betadine is used to sterilize the part in which surgery will be performed and sterilize the parts adjacent to it, for example if the surgery in the abdomen, the middle of the chest to the middle of the thigh are sterilized … If the surgery is in the hand, for example, the arm as a whole is sterilized
The patient is completely covered except for the part where the surgery is to be performed
Aseptic covers are spread over the entire body, except the part for surgery.
Electrocautery, aspiration, speculum devices and the rest of the equipment needed by the team for the operation are tested before any incisions are made in the body
After asking the anesthesiologist to obtain permission to start the operation, the surgeon begins with the surgical incision with a set of time. Throughout the period of the surgery the patient remains under continuous follow-up with the anesthesia team where vital signs are monitored regularly
When the surgery is finished and before the wound is closed, the nursing team begins counting the surgical tools, as well as reviewing the number of gauze envelopes and towels that were opened and matching them to the number that is physically located inside the room. The wound will never be closed until after the operations nurse has completed the number and agreed to close
After the wounds are closed, the anesthesia team will begin procedures to reverse the effect of the anesthesia and wake the patient.
Both the surgeon and the anesthesiologist write down all the steps and procedures that they took during the operation on a form prepared for that, where they are preserved in the patient’s file to return to them when necessary
The patient is transferred to the recovery room accompanied by a doctor, anesthesia technician and operations nurse to check on his condition. The patient is received by nurses of the recovery room where he is closely followed. Follow-up vital indicators are done such as pulse, pressure and temperature for the period that the anesthesiologist deems appropriate before authorizing the transfer of the patient to his room again.