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STANDARDS
creating better hospitals
Dr.T.V.Rao MD
7/9/16
Hospitals Continues to be a
Great Risk to many who avail
the Services
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Why Standards
Infection Control a Priority in
Operation
Theaters
According to
Nosocomial
infection national
Surveillance
services (NINSS) in a
hospital, infections
acquired hospitals
are likely to
complicate illness,
causing anxiety,
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Objective 1
1 by giving clinicians, hospital
administrators and public
health officials information on
the role and patterns of
surgical safety in public health
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Objective
2
by defining a
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minimum set of
uniform measures
or surgical vital
statistics, for
national and
international
surveillance of
surgical care;
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Objective 3
by identifying a
simple set of
surgical safety
standards that
can be used in all
countries and
settings and are
compiled in a
surgical safety
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Objective 4
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by testing the
checklist and
surveillance
tools at pilot
sites in all WHO
regions and then
disseminating
the checklist to
hospitals
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Consequences of
Infections in Surgical
The delay inPatients
recovery and
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We Lack basic
guidelines to Structure
Operation Theaters
the
In developing
countries like India,
where there is no
uniform guidelines,
many OTs are built
and maintained
according to the
individuals knowledge
level, availability of
funds, technical staff,
and equipment's
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INTERNATIONAL
FEDRATION OF
INFECTION CONTROL
(IFIC)
States it is now accepted
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Conditi
on
Conventio
nal
ULTRA7/9/16
Empty
During
operation
Empty
During
<35
<
180
<1
<20(periphery)
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*STANDARD DESIGNIING OF
OPERATING THEATERS.
Factor HTM 2025 ASHRAE
Pressur
e
Positive
pressure with
respect
Pressure
differential
should be
around 9 up to
30 Pa.
Positive
pressure by
to corridor and
adjacent area
supplying 15%
excess air
Air
Primary
Primary filter
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25%
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Humidit 55%
y
5%
45% 55%
Range for
working
condition
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condition
Dr.T.V.Rao MD @Infection control
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Air Exchanges
Rates
Required 20
ACH for the
system
Air Velocity
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Noise
Level
Maintain at
50 -55 dBA
Lighting
Operating
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Maintain positive
pressure
with
respect
Dr.T.V.Rao MD
@Infection
control
to corridor and
Positive
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Air
Filter
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Primary and
Secondary filter- 8090 %
HEPA filter-95% or
more efficiency
based on EU
Primary filter
25%
Secondary
filter
90%
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References
1.CLINICAL GUIDELINE FOR THEATRE PRACTICE
STANDARDS GENERIC
Royal Cornwall Hospital NHS
2WHO Guidelines for Safe Surgery 2009 Safe Surgery
Saves Lives
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*Source of Information
on following resources
Source:
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doctortvrao@gmail.com
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