operating room

In the Name of God

The History of Tabriz Taleghani Educational and Treatment Center

The Operating Room & CRS Staff

The Head of Operating Room: Dr. Lotfi
The Supervisor of Operating Room: Mrs. Zahra Mohammadpour
CRS Staff:Mrs. Hosseinpour
Personnel: 43
Operating Room Technician:16
Nurses: 9
Operating Room Operator: 6
Operating Room Expert:1
Anesthetic Technician: 12
Assistant Service:8

Operating Room Environment
The operating room is divided to four specific sections

Protected or External Section

Entrance section of patients, staffs, equipments and supplies

Internal or Clean Section (with a yellow line)

Patients, staffs, equipments and supplies are under control.
Special clothes of operating rooms are used

Sterile Section (with a red line)

It includes operating room and sterile

Disposal or Dirty section

Waste and dirty sheets are put in this section.
The section where all the staffs have the right to ennter the operating room.
The Yellow Line Section

This section includes the following areas:

Admission or Transfer of Patients
The men's and women's dressing room.
The storage of operating room
The location of dirty and infected equipments
Several working rooms

The Red Line Section

The region or the section that the surgical group can only enter.
No one can enter this section unless she / he wears the operating room clothes. The dominant criterial of this section is the red line policy.

People who enter this section play a significant role in the operating room.
Operating Room
Anesthetic Room
The preparation and hand-washing room (scrub)
The storage of keeping essential equipments of operating room.

Introducing the Operating Room of the Hospital
The Nurse Station
This ward is equipped with a computer for recording the patients’ surgical procedures, entering, leaving, medication and supplies.

Essential and required records and forms are kept at the nurse station

The Operating Rooms

Operating room 1 and 2 which are in the corridor are special rooms for female surgeries and cesarean.

Rooms 3 and 6 are used for surgeries that require lithotomy position.
Room 4 is used for laparoscopy and ENT.
Room 5 is used for general surgeries, the oligarchy and female surgeries.
All operating rooms are equipped with anesthetic devices such as a monitoring, an anesthetic machine, a suction device, etc.
Surgery Equipment's include an operating bed (table), an electrical coupling device a suction device, etc.
Drug storage and used equipments are located between rooms 1 and 2 and the staffs use them to equip the rooms at the beginning of per shift.
Recovery ward: This ward is located at the end of the operating room corridor that includes 7 stretcher trolleys, 3 fixed monitors, 2 portable monitors, a pulse oximeter, an anesthetic device and a drug trolley.
Scrub ward: There is a scrub sink between two rooms for washing ,which contains a diluted brown betadine pump, an alcoholic scrub fluid pump and washing liquid with the tissues.
Doctors' Roomis a place to write the patients' profiles.
Staffs' Room: It's equipped with two computers for registering the sub- sterile storage. It's a section to keep the necessary supplies for surgery based on routine list.
Brush washing Area: This place is located in the corridor for washing and putting the brushes separately there. The brushes are hung in order to be dried. This ward contains a steal shelf for keeping the washing supplies and it is separated from the corridor by a big door.
Physical properties of the sterile center: The best place for CRS ward in near the operating room to sterile the equipments and avoid some problems such as waste of time, energy and damages of the equipments and devices during the operation. And the desired device is delivered promptly to the operating room.
The dirty and non- sterilized area must be quite distinctive. In order to do this, it's necessary to apply a board and a label.
The clean, dirty and sterile sections must be completely apart and the commuting tothem must be totally controlled. The entrance door of CRS ward should be large enough to allow the trolley to be crossed and exited as easily as possible.
At the entrance of the CRS, the red line policy is strictly required to maintain the privacy of the sterile section and it's mandatory to install the board and provide the required warnings.
At the entrance of the CRS ward, a place should be considered as a dressing room for changing the clothes of scrubs. This section should also include a required place to accommodate the volume of CRS activity and the place of shoes and slippers (clean/dirty). In the center of the sterile section, a door should be considered for commuting of the staffs and the other extra people must be limited and completely controlled. A window is dedicated to deliver and replace of the devices. The sterilization equipment section must be separated from CRS ward. The existence of two 300- liter autoclaves will supply the requirement of all wards of this center easily.

The day of operation is determined according to the requested plan of doctors that elective operations are performed according to the list of operation. At the same time, a room is assigned to an emergency operation.
Planning: the staff schedule is written by supervisors for one month. The division of tasksis planned on a daily routine and each operating room has a team that includes one anesthetic and two other staff.
Staff uniform includes a green or blue gown and pants, a green or white scarf, white socks and white or green closed shoes.
- There are doctors' and female staff's dressing room that includes three rooms and a corridor outside of the operating room (yellow zone). This section is not only for a dressing room, but also it's a place for resting and dining room for staff which is connected to the operating room through a corridor and two doors on the sides and the commute of the staff is done through there. In the external corridor of the operating room, there is a room which is dedicated to male doctors and personnel, includes a W.C. a table and a chair, an electrical samovar, closets, etc.
- There is a SterilizationDepartment CSSD

At end of the external corridor that has dirty, clean and sterilizedareas. There is a set washing device, a tool of washing sink, an air compressor, and consumer supplies in the dirty section.

There are two tables, tool cupboards, two autoclaves devices, a V-pack device in the clean section. Dirty tools are washed in the washing section and packed and autoclaved in the clean section.
There is a sterilized storage for keeping packs and sterilized supplies at the end of the CSR ward which connected to an operating room (recovery) with a little door.
A leader is chosen for each group (anesthetics, operating room, CSR) to make the affairs easier.
Delivery of ward supplies should be done person to person (face to face) before leaving per working shift. It means that evening and night supplies should be prepared and delivered to the operating room and CRS ward before leaving the morning shift.
The responsibility of all affairs is associated with supervisor in the morning shift and a responsible is determined for evening and night shifts.
All special cases and situations are recorded and followed up later.

The List of Operating Room Equipments
1) Anesthetic Machine:                       7
2) Vital Sign Monitor:                        12
3) Syringe Driver (pump):
4) Defibrillation:                                   2
5) Capnograph Machine:                   4
6) Suction device:                               13
7) Electrocautery Machine:                5
8) Operating Room Bed:
9) Surgical Light:                                   6
10) Baby Warmer:                               6

11) Serum Boiler:                            1
12) Ligasure Device:
13) Patient Warmer:
14) Pulse Oximeter:
15) Neopuff Devices:
16) Video Laryngoscope:
17) Hood:
18) Laparoscopic Camera:                  2
19) Cold Light Source:                         2
20) Gas Source:                                     2
21) Endometrium:                                1
22) Portable Air Conditioner:            1
23) Fixed and Portable X-ray Light:   1, 6
24) Baby Incubator:                             1
25) Sonic:                                                1
26) CRS Equipments:
27) Autoclave Device:                          2
28) Set Washing Device:                     1
29) Packing Device:                              1
The List of Surgeries
2) All Gynecological Surgeries
3) All ENT Surgical Procedures
4) All General Surgeries (like Biliary Surgery, Appendix, and Different Types of Cysts)
5) Types of Laparoscopic Surgeries

Excellent

Good

Medium

Weak

Tabriz University of Medical Sciences

Tabriz University of Medical Sciences

operating room