KMC COLLAGE OF NURSING
MEERUT
Observation report
ON
Operation Theater
Submitted To Submitted By
Mr. Ravi Kumar Harshika Nain
MSc 2nd year
Singh
Assistant Professor
VISIT TO OPERATION THEATER
INTRODUCTION: As part of curriculum colleges planned and organized duty
at KMC Hospital Meerut for students under the guidance of faculty as below.
Operation theatre suite is one of the important special departments of a hospital. An operating room
is a particular room where the surgery and surgical procedures are conducted. It is technically a
therapeutic aid in which a team of surgeons, anaesthetists, nurses and sometimes pathologists and
radiologists operate upon or care for the patients .In any hospital, the Operation Theatre is said to
be the primary source of revenue generation with around 50-60 percent of revenue earned just by this
area. This is more so for surgical specialities .The OT complex in a hospital also represents an area
of considerable expenditure in a hospital budget and requires maximum utilization to ensure optimum
cost-benefit. Lowutilization of operating rooms has been a problem in some hospitals and overwork
a cause for concern in others.
AIMS OF VISIT:
To explore out the physical set up of the OT.
To find out the organizational structure of OT.
To know the how service and facilities provided to Patient.
To make them feel special.
INTRODUCTION We reached their along with all the team members at 10:00 am.
Firstly, we gathered in the meeting hall where the incharge of OT gave introduction
about the OPERATION ROOM and facilities rendered by them. Later on, she gave us
the orientation of OT and introduced us to their members & tell about instruments.
DEFINITION
“An Operation Theatre is that specialized facility of the hospital where life saving or life improving
procedures are carried out on the human body by invasive methods under strict aseptic conditions in
a controlled environment by specially trained personnel to promote healing and cure with maximum
safety ,comfort and economy.”
OBJECTIVES :
1. To assess the overall utilization of operation theatre in terms of hours.
2. To identify the bottle neck, if any, in proper and efficient utilization of Operation Theatre time and
based on that, suggest remedial measures for improving the Operation Theatre Utilization.
3. To determine the extent to which different specialties are utilizing the allocated hours.
4. To assess the factors affecting the utilization
5.To study the facilities provided in the Major Operation Theatre
Planning
Operating rooms as required
Pre-operative holding and preparation area
Induction room
Recovery room(s)
Sterilizing facilities. High speed autoclaves/flash sterilizers
Medication storage with refrigeration facilities
Scrub facilities as described earlier
An enclosed soiled work room with a clinical sink, work counter, waste receptacle and
linen receptacle. This room can also be used for soiled holding
Fluid waste disposal facilities
Clean work room/ clean supply room
Medical gas storage facilities for reserve gas cylinders
Anaesthesia work Room for cleaning, testing and storing anaesthesia equipment
Equipment storage room
Staff clothing change area for all categories of staff
doctors, nurses, technicians and orderlies
separate for men and women with lockers, toilets, and washing facilities, shower and place
for changing
Staff lounge and toilet facilities may be combined for male and female personnel,
but preferably separate for doctors and nurses.
Dictation and report preparation area accessible from the lounge area.
Storage area for portable X-ray equipment, stretchers, other items of equipment
Janitor’s closet with service sink and storage of housekeeping equipment, supplies, etc.
Consultation and conference room
.
Administrative and clerical area for clerical work, scheduling, etc.
Family waiting room(s) outside the operating rooms complex
privacy essential.
Service Area
Service area should include-
A control station located so as to permit patient observation of all units into thesuite.
A sub-sterile area between two or more operating areas for flash sterilizer, sterile
supplystorage area and hand washing station.
Scrub facilities near the entrance of each operating room.
Dirty utility for collection and disposal of soiled material.
Clean (sterile) supply room.
Medical gas storage facilities.
Anesthesia workroom for cleaning, testing and storing anesthesia equipment
Equipments and Appliances in OT Suite
The important major equipment required for a major surgeries areas follows:
Heart lung machine
Anaesthesia machines
Defibrillator
Flash sterilizer
Deep freezer (for frozen section)
Instrument trolleys
C-arm fluoroscopy machine
Operating tables
Suction apparatus
Shadowless ceiling lamp and Shadowless pedestal lamps
Close-circuit TV camera
Electrical communication system
Operating microscope
Surgical diathermy machine
DATA ANALYSISPHYSICAL FACILITIES General facilities
DESCRIPTION PRESENT ABSENT
OT supervisor’s office
Staff lounge
Operating rooms
Pre-operative preparation area
Induction room
Anesthetic room(s)
Recovery room
Holding area
Post anesthetic care units
Anaesthesia work room
Scrub facilities
Knee / elbow operated taps in
the scrubroom
Electronically controlled
activated taps
Clean work room
DESCRIPTION PRESENT ABSENT
Medical gas storage facilities
Medication storage facilities
Equipment storage room
Stretchers
Doctors
Nurses
Locker
Toilets
Generator
Invertor
UPS
Electronically controlled
activated taps
The students asked questions/queries to the guides and they answered all
of them. The students were very happy after this visit and they got ample
knowledge about OT
This visit was enhance the gain knowledge of MSc Nursing
Students, was got immensely benefitted by the detailed explanation of OT.
Since the 2nd Year MSc Nursing students.
Finally from this visit, It was a joyous occasion with full of satisfaction
that the team could bring some rays of happiness among the elderl
BIBLIOGRAPHY
Gupta S., Kant S., Chandrashekhar R., Satpathy S. Modern Trends in Planning andDesigning
of the Hospitals. New Delhi: Jaypee Brothers Medical Publishers, 2007;pp.50-59
Sakharkar B.M., Principles of Hospital Administration and Planning. New Delhi:
JaypeeBrothers Medical Publishers (P) Ltd, 1998; pp.197, 199-201.
Kunder G.D. & Co. Hospitals Facilities Planning and Management. New Delhi: TataMcGraw-
Hill Publishing Co. Ltd. 2004;pp.184, 262,266-267
Joshi, D.C. Hospital Administration.New Delhi: Jaypee Brothers Medical
Publishers,2009;p.250.
Kunders G.D., Gopinath S., Katakam A.K. Hospitals. New Delhi : Tata McGraw-Hill
Publishing Co.Ltd.1998;p.183