SKILL: Operation Theatre Technology

Teacher

Prof. Sunil Kumar Jha

Category

Skill Courses

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Course Name : SKILL: Operation Theatre Technology

 

Code(Credit) : ABC01(0-2-2)

Course Objectives

  • Apply the knowledge and skills of handling operation theatre room to provide safe and effective care to individual undergoing operational procedures.
  • Demonstrate relative knowledge and understanding of vital parameters to be maintained during respective operations.
  • Learn the utilization of numerous diagnostic equipment for example Ventilators, Monitors, Defibrillators, C- arm etc.

Learning Outcomes

  • Preparing for an operation and maintenance of Operation Theatre and its equipment’s
  • Assist the surgical team during operation
  • Provides support to patients in the recovery room
  • Equipment care and maintenance
  • Positioning and assistance for operation theatre procedures

Course Syllabus

Module 1: (3hrs)

Basic knowledge of Operation Theatre environment:  Floor, walls, ceilings and door, Lighting, Ventilation, Temperature and Humidity etc.

Practice:

Inspection of OT and demonstration of interior architecture of OT, Lighting, Ventilation, Temperature and Humidity etc.

Module 2: (6 hrs)

Understanding the Duty and responsibility of OT technician. The Operating List of patients, Particulars that Appear on the Operating List.

Practice:

Administration in the Operation Theatre.

Module 3: (3 hrs)

The Registers Used in the Operating Theatres; Operating Register, Register regarding abortions and pregnancy residues, Poison drug register, Specimen register for biopsies, Death register

Practice:

Preparation of The Operating list of patients; Particulars that Appear on the Operating List; Operating Register

Module 4: (6 hrs)

Risks in the Operation Theatre which can Lead to Possible Law Suits: Identification, Permission, Surgical Asepsis, Checking of Instruments, Swabs and Needles, Assistance during Operation, Keeping of Reports, Injuries, Burns, Fall, Position, Tourniquet, Electric shock, Apparatus and Other causes of injuries, Explosions, Precautionary Measures, Mental (psychological) Injuries, Violation of Privacy and Name, Care of Unconscious Patients, Improper identification of specimen, blood, medicines etc.

Module 5: (3 hrs)

Concept of Health & Disease: Definition, Dimensions, Determinants of health. Definition of disease

Practice:

Health and disease perspective & Quality of health

Module 6: (6 hrs)

Levels of Health care delivery system in India; The basic understanding of Primary, Secondary and Tertiary levels of hospitals and their functions. The basic understanding of classification of patients, difference between medicinal cases and surgical cases. 

Practice:

History taking

Module 7: (3hrs)

Structure and functions of different systems of our body 

Practice:

Physical examination (General) of the patient

Module 8: (3hrs)

Blood: Definition, Composition and function of blood cells, Blood formation and clotting, Blood group and the Rhesus factor.

Practice:

Plus, Blood pressure reading, Technique of Blood sample collection

Module 9: (3hrs)

Types of medicines need in OT: Analgesics., antipyretics, antibiotics, disinfectants, and anaesthetic agents. When they are used.

Practice:

Administration technique of different type of injections. Methods of administration of Blood transfusion, need of blood transfusion, need for IV fluid.

Module 10: (6 hrs)

Oxygen Therapy; Definition, Causes and responses to hypoxemia, Clinical signs of hypoxemia, need of oxygen therapy, Evaluation of patients receiving oxygen therapy, Hazards of oxygen therapy Precautions during oxygen therapy.

Practice:

Technique of Oxygen Therapy, Nebulization Technique

Module 11: (3 hrs)

Basics of Anaesthetics, Definition, Need for anaesthesia, Types of Anaesthesia and usage.

Practice:

Pre-Operative Assessment and preparation: Pre-aesthetic Assessment and Pre-operative Check of Patient Particulars; Pre-operative Preparation.

Module 12: (3 hrs)

Monitoring and Recording the Physiological Status; During Anesthesia and Surgery, Monitoring and Recording of the Patient’s Post-anesthetic status, Checking the drugs and equipment.

Practice:

Monitor pulse and Blood Pressure, Monitoring patients before and after administering anesthetic drugs (need, duration, and emergency signs), Emergency management to clear airway, provide critical care.

Module 13: (3hrs)

Different methods of sterilization & disinfections, Sharp or Semi-sharp Instruments, Micro-surgical and Ophthalmic Instruments, Air-powered Instruments, Electrical Instruments, Special Instruments e.g. endoscopes.

Practice:

Sterilization & disinfections process of Sharp or Semi-sharp Instruments, Micro-surgical and Ophthalmic Instruments, Air-powered Instruments, Electrical Instruments, Special Instruments e.g. endoscopes.

Module 14: (3 hrs)

Infection prevention and safety procedure, Linen and the Disposable Draping Material, Care and Handling of Clean Linen, Disposable Patient Paper Drapes.

Practice:

Draping: draping Techniques, Type of Drapes in standard OT pack

Module 15: (3 hrs)

Handling of Sutures during Surgery, Packing and Storage Methods of Suture Materials, Swabs, Needle and Instrument Counts, Counting Procedure, Incorrect Count.

Practice:

Handling of Sutures during Surgery, Packing and Storage Methods of Suture Materials, Swabs, Needle and Instrument Counts, Counting Procedure.

Module 16: (3 hrs)

Handling Septic Cases: Before the Day’s Operating Schedule, During an Operation, In Between Operations, After Completion of the Day’s Operating Schedule.

Practice:

How to manage sepsis cases: precaution in OT.

Session Plan

Session 1

Topic: Basic knowledge of Operation Theatre environment: Floor, walls, ceilings and door, Lighting, Ventilation, Temperature and      Humidity etc.

Video : https://youtu.be/pEb-dtC5WCk

Presentation : https://www.slideshare.net/rsmehta/1-concepts-of-ot-amp-setting-of-ot

Notes : https://www.djo.org.in/filedownload.aspx?id=70

Session 2

Topic: Understanding the Duty and responsibility of OT technician. The Operating List of patients, Particulars that Appear on the Operating List.

Video : https://youtu.be/nSKXQKtcCBI

Presentation :https://www.slideshare.net/vijayvandali/scrub-and-circulating-nurse

Notes :https://rmlh.nic.in/WriteReadData/LINKS/ottechnicin707857641%20%201d5a77fdb-cf18-4810-88b2-e67ada536293.pdf

Session 3

Topic: The Registers Used in the Operating Theatres; Operating Register, Register regarding abortions and pregnancy residues, Poison drug register, Specimen register for biopsies, Death register

Video : https://youtu.be/V1aXGNym8FA

Presentation :https://www.slideshare.net/doctortvrao/surgical-operation-theater-standards-drtvrao-md

Notes :http://sknmcgh.org/skn_use/manual/Operation%20Theatre%20Manual-1.pdf

Session 4

Topic: Risks in the Operation Theatre which can Lead to Possible Law Suits: Identification, Permission, Surgical Asepsis, Checking of Instruments, Swabs and Needles, Assistance during Operation, Keeping of Reports, Injuries, Burns, Fall, Position, Tourniquet, Electric shock, Apparatus and Other causes of injuries, Explosions, Precautionary Measures, Mental (psychological) Injuries, Violation of Privacy and Name, Care of Unconscious Patients, Improper identification of specimen, blood, medicines etc.

Video : https://youtu.be/swvSBuMNkvU

Presentation :

Notes :http://sknmcgh.org/skn_use/manual/Operation%20Theatre%20Manual-1.pdf

Session 5

Topic: Concept of Health & Disease: Definition, Dimensions, Determinants of health. Definition of disease

Video : https://youtu.be/8PH4JYfF4Ns

Presentation :

Notes :https://www.gfmer.ch/GFMER_members/pdf/Concept-health-Rai-2016.pdf

Session 6

Topic: Levels of Health care delivery system in India; The basic understanding of Primary, Secondary and Tertiary levels of hospitals and their functions. The basic understanding of the classification of patients, the difference between medicinal cases and surgical cases. 

Video 1 :https://youtu.be/AOAMs028uuM

Video 2:https://www.youtube.com/watch?v=PDmm_rwizHU

Presentation :https://www.slideshare.net/jamesmacroony/healthcare-delivery-system-in-india

Notes :https://www.verywellhealth.com/primary-secondary-tertiary-and-quaternary-care-2615354

Session 8

Topic: Blood: Definition, Composition and function of blood cells, Blood formation and clotting, Blood group and the Rhesus factor.

Video : https://www.youtube.com/watch?v=yj7bfZKlIp8

Presentation :

Notes :https://www.jagranjosh.com/general-knowledge/composition-and-functions-of-blood-1456814099-1

Session 9

Topic: Types of medicines need in OT: Analgesics., antipyretics, antibiotics, disinfectants, and anaesthetic agents. When they are used.

Video : 

Presentation :https://www.slideshare.net/BhaumikThakkar2/analgesics-and-anti-inflammatory-drugs

Notes :https://nios.ac.in/media/documents/SrSec313NEW/313_Chemistry_Eng/313_Chemistry_Eng_Lesson30.pdf

Session 10

Topic: Oxygen Therapy; Definition, Causes and responses to hypoxemia, Clinical signs of hypoxemia, need of oxygen therapy, Evaluation of patients receiving oxygen therapy, Hazards of oxygen therapy Precautions during oxygen therapy.

Video : https://youtu.be/FT7t9hroLLg

Presentation :https://www.slideshare.net/sinsu12/nebulization-105157952

Notes :http://www.crto.on.ca/pdf/PPG/Oxygen_Therapy_CBPG.pdf

Session 11

Topic: Basics of Anaesthetics, Definition, Need for anaesthesia, Types of Anaesthesia and usage.

Video : https://youtu.be/Qe4HQIuvclQ

Presentation :https://www.slideshare.net/mahesh0926/anesthesia-ppt

Notes :https://www.ouh.nhs.uk/patient-guide/leaflets/files/13762Panaesthesia.pdf

Session 12

Topic: Monitoring and Recording the Physiological Status; During Anesthesia and Surgery, Monitoring and Recording of the Patient’s Post-anesthetic status, Checking the drugs and equipment.

Video 1 : https://www.youtube.com/watch?v=37qWjQaKLvs

Video 2 : https://www.youtube.com/watch?v=KIW_IWBpzdA

Presentation :

Notes :

Session 13

Topic: Different methods of sterilization & disinfections, Sharp or Semi-sharp Instruments, Micro-surgical and Ophthalmic Instruments, Air-powered Instruments, Electrical Instruments, Special Instruments e.g. endoscopes.

Video :1https://youtu.be/hT--rx6pG5E

2:https://youtu.be/LSu8YmW4mhM

3:https://youtu.be/a6nmy-9uUdw

Presentation :https://www.slideshare.net/tamilsilambarasan/sterilization-and-disinfection-45668455

Notes :

Session 14

Topic: Infection prevention and safety procedure, Linen and the Disposable Draping Material, Care and Handling of Clean Linen, Disposable Patient Paper Drapes.

Video : https://youtu.be/zRtQ4zndmLw

Presentation :https://www.slideshare.net/GAMANDEEP/infection-control-and-safety-measures

Notes :https://www.who.int/gpsc/appendix17.pdf

Session 15

Topic: Handling of Sutures during Surgery, Packing and Storage Methods of Suture Materials, Swabs, Needle and Instrument Counts, Counting Procedure, Incorrect Count.

Video : https://www.oxfordmedicaleducation.com/clinical-skills/procedures/suturing-techniques/

Presentation :https://www.slideshare.net/DrShilpaShiv/sutures-and-suturing-56825193

Notes :http://sknmcgh.org/skn_use/manual/Operation%20Theatre%20Manual-1.pdf

Session 16

Topic: Handling Septic Cases: Before the Day’s Operating Schedule, During an Operation, In Between Operations, After Completion of the Day’s Operating Schedule.

Video : https://youtu.be/X6CMAPeERY8

Presentation :https://www.meht.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=7178

Notes :http://www.indmedica.com/journals.php?journalid=6&issueid=23&articleid=205&action=article

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Sunil Kumar Jha is working as the Dean of School of Paramedics and Allied Health Sciences at Centurion University of Technology and Management since 2016. He has also taken the responsibility of Director of Community Diagnostic Center. His major areas of expertise are medical diagnostics , clinical pathology, diagnostic bacteriology, histopathology and patient safety. He […]