basic introduction to an operation - or design and aseptic techniques

33
Basic Introduction to an Operation Reynaldo O. Joson, MD 1985;2001

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Page 1: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Basic Introduction to an Operation

Reynaldo O. Joson, MD

1985;2001

Page 2: Basic Introduction to an Operation - OR Design and Aseptic Techniques

The Operating Room

Basic Architectural Design

Page 3: Basic Introduction to an Operation - OR Design and Aseptic Techniques

The Operating Room

Basic Architectural Design

Aseptic / Antiseptic Rationale

Page 4: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 5: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Match

1. Most sterile zone

2. Most unsterile zone

A. Zone I - outer

B. Zone II - middle

C. Zone III - inner

Page 6: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Match

1. Most sterile zone - C

2. Most unsterile zone - A

A. Zone I - outer

B. Zone II - middle

C. Zone III - inner

Page 7: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Proper Operating Room Attire

Aseptic / Antiseptic

Rationale

Page 8: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Proper Operating Room Attire

Clean OR gown / scrub suit

Clean cap and mask

Clean slippers

Page 9: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 10: Basic Introduction to an Operation - OR Design and Aseptic Techniques

- All hairs in the head except eyebrow should be covered by cap and mask.

- Nose and mouth should be covered by mask.

To minimize droplets into operating field!

Page 11: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Scrubbing the Upper Extremities

before operating and assisting in operation

Aseptic / Antiseptic

Rationale

Page 12: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Extent of scrubbing the upper extremities

Page 13: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Rinsing after

scrubbingImproper way!

Hand position

after rinsing

Page 14: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Rinsing after

scrubbing

Which is the proper way?

A. Hands up

B. Hands down

Page 15: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Rinsing after

scrubbing

Which is the proper way?

A. Hands up

A. Hands up

B. Hands down

Page 16: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Hand position

after rinsing

Which is the proper way?

A. Hands up

B. Hands down

A

B

Page 17: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Gowning with Sterile Attire

Aseptic / Antiseptic

Rationale

Page 18: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 19: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 20: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Match:

1. Sterile areas of gown

2. Nonsterile areas of gown

A. Shaded area

B. Unshaded area

Page 21: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Match:

1. Sterile areas of gown - A

2. Nonsterile areas of gown - B

A. Shaded area

B. Unshaded area

Page 22: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Wearing Sterile Gloves

Aseptic / Antiseptic

Rationale

Page 23: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 24: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 25: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Prepping of Operative Field

Aseptic / Antiseptic

Rationale

Page 26: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 27: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 28: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Draping of Operative Field

Aseptic / Antiseptic

Rationale

Page 29: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 30: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 31: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Preventing Contamination of Operative Field and

Instruments

Aseptic / Antiseptic

Rationale

Page 32: Basic Introduction to an Operation - OR Design and Aseptic Techniques
Page 33: Basic Introduction to an Operation - OR Design and Aseptic Techniques

Surgical Instruments

Types, Uses, and How to Handle