Operation Theatre:

Our operating theatres are state-of-the-art facilities designed for optimal efficiency, and facilitate a seamless operational flow for performing complex surgical operations. Each of our operating room is equipped with sophisticated equipment, from positive pressure rooms and ceiling-mounted equipment units to the latest advancements in surgical technology for performance of the highest level. To reduce the risk of infection, all units operate with single-use surgical devices only.

We here at JIMSH have 7 Major OTs and 3 Minor OTs. The Operating rooms are spacious, easy to clean, and well-lit, typically with overhead surgical lights, and have viewing screens and monitors. Our operating rooms are windowless and feature controlled temperature and humidity. Special air handlers filter the air and maintain a slightly elevated pressure. Electricity support has backup systems in case of a black-out. Rooms are supplied with wall suction, oxygen, and other anaesthetic gases. Key equipment consists of the operating table and the anaesthesia cart. In addition, there are tables to set up instruments. There is storage space for common surgical supplies. There are containers for disposables.

Outside the operating room is a dedicated scrubbing area that is used by surgeons, anaesthetists, ODPs (operating department practitioners), and nurses prior to surgery.

Equipments

The operating table in the centre of the room can be raised, lowered, and tilted in any direction. The operating room lights are over the table to provide bright light, without shadows, during surgery. The anaesthesia machine is at the head of the operating table. This machine has tubes that connect to the patient to assist him or her in breathing during surgery, and built-in monitors that help control the mixture of gases in the breathing circuit.

The anaesthesia cart is next to the anaesthesia machine. It contains the medications, equipment, and other supplies that the anaesthesiologist may need. Sterile instruments to be used during surgery are arranged on a stainless steel table. An electronic monitor (which records the heart rate and respiratory rate by adhesive patches that are placed on the patient's chest). The pulse oximeter machine is attached to the patient's finger with an elastic band aid. It measures the amount of oxygen contained in the blood. Automated blood pressure measuring machines are used that automatically inflate the blood pressure cuff on patient's arm.

People in the operating room wear PPE (personal protective equipment) to help prevent germs from infecting the surgical incision. This PPE includes the following: a protective cap covering their hair, masks over their lower face, covering their mouths and noses with minimal gaps to prevent inhalation of plume or airborne microbes, shades or glasses over their eyes, including specialized coloured glasses for use with different lasers. A fibre-optic headlight may be attached for greater visibility, vinyl gloves on their hands; latex is used as well, but much less common due to latex sensitivity which affects some health care workers and patients long gowns, with the bottom of the gown no closer than six inches to the ground. Protective covers on their shoes if X-rays are expected to be used, lead aprons/neck covers are used to prevent overexposure to radiation. The surgeon may also wear special glasses that help him/her to see more clearly. The circulating nurse and anaesthesiologist will not wear a gown in the OT because they are not a part of the sterile team. They must keep a distance of 12-16 inches from any sterile object, person, or field.

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