Part Three
- Disposal of Gaon and types of hygiene of the operating room
Procedure:-
1. He takes off the gauntlet and glove before leaving the operating room .
(To prevent the spread of microbe)
2. Nursing manipulator solves the ligament of the jaw .
3. Before taking off the glove dislocates the right shoulder with the left hand or vice versa .
(The Gaon is removed first for not touching a contaminated place by hand)
4. Tightens the sleeve from the outside to the inside
(Do not touch the Gaon from the outside)
5. Grab the second shoulder with the second hand to take off the Gaon .
(Tighten the sleeve from the inside out)
6. Wrap the Gaon and fold it so that the unclean places are inside and put it in its designated place
7. Then take off the gloves
From the inside out
Turn the glove over when taking off
8. With the fingers of the hand, take off the rest of the glove, not touching it from the outside.
(For not touching the outside of the dirty wasteland by hand)
9. Dispose of the glove in the red bag .
10. The nurse sends the machines to the sterilizer to be cleaned and sterilized, and they are placed in the tray of the machines .
11. The tray of machines is then placed in a red plastic bag, sealed and marked as contaminated machines ready to be transferred to Central sterilization.
12. Any plastic, rubber or metal items used during the operation, such as anesthesia hose, or equipment, must be thoroughly washed and disinfected, and central sterilization is carried out.
(To avoid the spread of pollution)
13. The suction bottle and any suction hose is given to the nursing handler outside who holds it with a glove .
14. After that, the bottles are emptied in a special container, noting that the contents of the bottle are not spilled .
15. The bottles are carefully cleaned with detergent and bactericidal disinfectant and then dried
16. The suction hoses are rinsed first with cold water, then with detergent and disinfectant.
17. Wash and rinse thoroughly and must be scrubbed from the outside with detergent and disinfected with a disinfectant before leaving the operating room.
A figure showing the steps of taking off gloves
A figure showing the sterile and non-sterile areas in the surgical gown
Types of hygiene of the operating room
Daily cleaning of the operating room
Daily Cleaning of the Theater
Necessary tools :
- Clean towels.
- Clean brushes .
- Mop and two buckets, one with soapy water and the second with water for rinsing .
- A bucket with water and disinfectant solution.
The procedure:
1. Every morning, the worker cleans the walls, the operating floor, the floor and the sterilization basin using soapy water and a clean and dry towel, wash and dry them and keep them in the storage of hygiene items and dispose of the water resulting from the cleaning process .
2. The worker cleans the suction jars, scrapers and Betadine compressors with soap and water and then disinfects them with chlorine at a concentration of 5000 ppm.
3. The worker takes the waste out of the operating room after linking it and writing the room number on it
4. The worker cleans and disinfects the process floor using diluted chlorine at 5000 ppm .
5. The nursing handler cleans and disinfects the floor of the machines and the anesthesia machine before and after the surgical procedure using 5% diluted chlorine... Parts per million.
6. In the case of blood spills, the worker follows the blood spills Instructions As indicated in the blood spills policy.
7. The staff of the Operations Wing makes a weekly inventory of the entire Operations Wing, including walls, surfaces and floors .
Weekly cleaning of the operating room
Weekly Cleaning Of The Operating Theater
Necessary tools:
Clean towels.
Sharp brush .
Mop and two buckets, one with warm water and disinfectant and the second for rinsing .
A bucket with water and disinfectant .
(This procedure should preferably be performed by two people.)
Procedure:
1- Clean the furniture thoroughly, including things that are fixed to the wall or ceiling .
(For not touching the outside of the Dirty Glove by hand)
2- Place the furniture in the center of the room .
3- Clean the wall starting from the entrance next to the door, start from the top heading down clean in a circular motion, clean the doors and windows .
(For not touching the outside of the Dirty Glove by hand)
4- Place the furniture in the side of the room next to the door.
5- Clean half of the floor, then rinse and dry.
6- Put a quantity of water and disinfectant solution on the floor between the clean place and the place that has not yet been cleaned and pass the furniture over the disinfectant solution .
7- Clean the second half of the room in the same way.
8- Clean all the tools that were used in cleaning.
(Do not use unclean tools)
C- removal of process residues after completion of the case
Tools used::
A special plastic bag for operations before the start of the operation
Steps followed:
1. Remove the sheets used after surgery .
2. As soon as the operation is over, the sterile nurse or surgeon will remove the covers from the patient, such as removing the Gaon and the gauntlet .
3. He will make sure to unscrew the metal bracelet in the patient's hand .
4. To make sure that these metal clamps are lost in order to facilitate the work of the laundry
5. Make sure that the metal clamps installed on the sterile covers on the patient are removed.
6. Make sure that all used scalpels are removed from the patient.
7. The wrapper must be removed from the contaminated side to the opposite side to put it in its own bag .
8. All used objects, spatulas, tools, machines, a utensil and a device used for suspending solutions must be removed, cleaned and returned to the correct position.
After removing all the sheets from the patient, they are placed in a special bag, then the bag or bag is folded and all the unclean things are removed to be ready for return to the laundry.
(For protection and Prevention of transmission of infections and microbes from one case to another)
10. No sheets are removed from the operating room before the end of the operation .
11. If a plastic or metal container is used to put sheets and used items, they must be washed with detergents before using them.
(In order to avoid infection and microbes and transfer from one operation to another or from one patient to another)
12. A special blue blanking Bowl is used for each operation a clean plastic bag is used for each operation a clean one
(To prevent the transmission of infection from one operation to another to avoid the transmission of infection from one operation to another)
