Operations Department

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.

The medical team inside the operating room usually consists of three groups

N

The team of surgeons:

The team of surgeons consists of the surgeon who will perform the operation and his assistants.

N

Anesthesia team

It consists of an anesthesiologist who will anesthetize the patient in addition to his assistants and anesthesia technicians

N

Nursing

The nursing team inside the operating room is the nerve of the surgery and is the patient’s safety valve. The team usually consists of two nurses during surgery, one of whom is sharing surgeons with tracing, attending the surgical number needed for the operation and other requirements, and the surgeon handling what is needed for the operation, receiving them, cleaning them, and preparing them for the next step in surgery. This nurse is called a sterilization nurse (Scrub Nurse) and is responsible for checking the number The machines that are used in the operation before the wound is closed to ensure that there is no oversight and that any piece of tools was left inside the wound, as she is responsible with her colleague to count the gauze and sanitary pads used before closing the wound 

The other nurse is responsible for bringing the machines and opening the strings to her colleague, as well as bringing any requirements from outside the room during the surgery and is called (Circulate Nurse) and is responsible for counting gauze and needles before and after the operation with the nurse participating in the process as previously mentioned

Sometimes, depending on the nature and type of operation, the work may necessitate the presence of some radiologists during the time of the surgery

For the surgery to pass safely, it often requires going through the following steps

N

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

N

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

N

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

N

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

N

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.

N

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

N

The patient is completely covered except for the part where the surgery is to be performed

N

Aseptic covers are spread over the entire body, except the part for surgery.

N

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

N

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

N

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

N

After the wounds are closed, the anesthesia team will begin procedures to reverse the effect of the anesthesia and wake the patient.

N

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

N

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. 

Medical equipment and devices in the operating room:

The medical equipment and devices in the operating room differ according to each operation, but there are some equipment that must be available with each operation, whatever its type

In order to preserve your health, the safety of your patients and serve you in a safe environment, please adhere to all instructions and laws in force within the hospital

N

The operating table that the patient will lie on

N

Anesthesia device at the head of the operating table and is the largest device in the operating room. It is a complex device that contains many small parts and is used by the anesthesiologist to give anaesthesia gases to the patient, and it is also used to monitor the patient’s vital signs (heart, oxygen, heat, etc.) during the surgical procedure. There are several wires and tubes connecting the anesthesia machine with special openings in the wall or ceiling, and other wires being attached to the patient during the procedure. Special openings in the wall and ceilings are sources of gases and are central extensions through which anesthetic gases and oxygen reach the operating room. These sources are of different colours, and connected to the anesthesia machine through special tubes.

N

The Vital Signs Monitor is an essential part of the above anesthesia machine because monitoring of vital functions in the patient’s body is done through this screen that displays information such as pulse speed, blood pressure, blood oxygen, respiratory rate, electrocardiogram, temperature, in addition to other criteria

N

 There is also a panel to display x-rays, because the surgeon may need to see the patient’s photos just before the operation to shed light on the existing problem and also to inform the medical team in the operating room of that problem

N

As for the tool table, it is completely next to the patient where all the various surgical tools used by the surgeon and needed during the operation are put in addition to the surgical gauze and other equipment, provided that the type of those tools is determined according to the type of operation.

N

Operations light is the most mentioned by the patient because it is above his head or body where this light is very bright and controlled by the surgeon to illuminate the area that he wants well.

N

One of the basic devices in the operating room that the patient does not see because he has undergone an anesthetic dose, are those wires and tubes that are connected to the patient according to the type of operation and its time and other things that are taken into account

Among these wires and tubes:

  • Anesthesia tubes: They are tubes that transport anesthetic gases and oxygen and connect the anesthesia device to the patient
  • Electrocardiogram wires that are attached to special strips to be placed on the chest
  • Pressure gauge tube: It is a small air tube that connects to an air sleeve wrapped around the arm in order to measure blood pressure.
  • Oxygen Monitor Wire: It is a wire at the end of a small forceps that contains a red light and is placed on the finger or toe to monitor the oxygen in the blood.
  • Serum Tube: It is a tube that connects the serum sac (intravenous fluids) to the intravenous packaging that is inserted into the patient’s hand.
  • Coagulation wire: This wire connects the coagulation device to a metal plate or special patch that is placed on the patient’s leg.
  • Electro Surgical Unit and Bipolar Contains several keys and wires and is used to stop bleeding during surgery.
  • Suction device: used to draw blood and fluid during surgery.

 

The operations department performs the following operations

N

General Surgery.

N

Gynaecological and breast surgery.

N

Orthopaedics, arthroscopy and joint replacement surgery.

N

Obesity surgery.

N

Kidney and urinary surgery.

N

Eye surgery.

N

Otorhinolaryngology.

N

Neurosurgery.

N

Arterial surgery.

N

Jaw and face surgery.

N

Dental surgery.

N

Plastic surgery.

Share This