OT INSTRUMENTS AND TECHNIQUES

Course objectives:

• To make the students learn about the Surgical equipment’s, their use, To get hands on Sterilization of articles, Suturing and preparation of surgical trolleys.
• Understanding the job role of OT Technician; Basic concepts about routine methods of cleaning, disinfecting of articles.
• Perform routine OT procedures encompassing all major areas of the OT’s.
• Should know the various procedures of sterilization and their markers.
• The conceptual understanding of the subject provides opportunities for employability and scopes for higher education.

Learning outcomes:

At the end of the course students will be be knowledgeable in the following areas: different Operation theaters and special surgical equipments used there and cleaning and maintaining of instruements.

• In this section students will be made aware of terminology used in surgeries, various instruments and their maintenance and also learn the processing of cleaning and sterilizing the instruments.
• Reception and labeling of sterilized instruments and samples sent for examination.
• Use of antiseptics, disinfectants and various gases for decontaminating and disinfecting the articles.
• The students will learn about various Surgical procedures for assisting with surgeons and anesthesiologist.

Course Syllabus

Module I. Sterilization

Sterilization - Types Dry Heat ,Moist Heat

Sterilization And Disinfections Used In OT

Methods of checking sterilization markers (biological, chemical)

Module II. Instruments terminology and identification

Laparoscopic instruments, Cheatles Forceps, Sponge Holding Forceps, Esmach’s Bandage, Simple Tourniquet, Pneumatic Tourniquet, Common terminologies used,Bard Parker Knife Handle, Major Abdominal Incision, Artery Forceps and their Types, Instruments Used in Homeostasis, Kocher’s Forceps, Single Hook Retractors, Czerny’s Retractor, Nerve Hook retractors, Morris Retractors, Deaver’s Retractors.

 Module III. Patient positioning and Operating theater equipment :

Operation Room, operating table, Electric Cautery, Suction Machine, Nerve stimulator, Bedside Ultrasound, Fumigator  

Module IV: Patient positioning and related physiology

Positions used for surgeries under anesthesia – physiology and associated complications related to patient positioning on OT table

Module V: Wound management

Wound Types of wound, Scissors And Its Types, Sucking Material and Techniques, Disinfectants And Irritants, Dressing Procedures, Different Types of Bandages, Surgical Needle & Needle Holders, Various Types of Suture Material, Various Types of Drains Using In Surgery

Module VI: Sterilization –types Autoclave, Hot air oven, Ethylene oxide Sterilization, Disinfection and various disinfectants, Fumigation of OR, Lay out of OR

Module VII: Ten golden rules in anesthesia

General anesthesia Protocols, Consent and medico legal aspects, Biomedical waste management

X-ray shooting basic views (AP &  Lateral view)

Practical

• Sterilization
• Surgical instruments – various surgeries
• Powered Instruments
• Gloving Technique, Scrubbing Technique
• Various Equipments Used In OT

Recommended Books:

1. S Ahanatha Pillai- Manual of ANESTHESIA for Operation Theater Technicians

Course Plan

Session 1

Topic: Sterilization Study Materials:

Video- https://www.youtube.com/watch?v=hT--rx6pG5E

Slide share- https://www.slideshare.net/drsudeesh/sterilisation-30703657

Session 2

Topic: Sterilization - Types Dry Heat ,Moist Heat

Study Materials:

Video- https://www.youtube.com/watch?v=hT--rx6pG5E

Slide share- https://www.slideshare.net/drsudeesh/sterilisation-30703657

Session 3

Topic: Sterilization And Disinfections Used In OT Study Materials:

Slide share- https://www.slideshare.net/sukumartk/operation-theatre-sterilization-34608953

Video- https://www.youtube.com/watch?v=Bzn-W2zlGkk

Session 4

Topic: Methods of checking sterilization markers (biological, chemical)

Study Materials:

Basic Concept- https://www.sterislifesciences.com/products/biological-and-chemical-indicators

Session 5

Topic: Instruments terminology and identification

Study Materials:

Discussion- https://geekymedics.com/general-surgical-instruments/

https://openmd.com/guide/medical-terminology

Session 6

Topic: Laparoscopic instruments

Study Materials:

Video- https://www.youtube.com/watch?v=J8_Oab26-e4

Discussion- https://surgicaltechie.com/laparoscopy-surgery-instruments/

Session 7

Topic: General surgical equipments

 Study Materials:

Discussion- https://geekymedics.com/general-surgical-instruments/

Slide share- https://www.slideshare.net/micnashat/general-surgery-instruments

Session 8

Topic: Common terminologies

Study Materials:

Discussion- https://www.sgu.edu/blog/medical/medical-terms-abbreviations-and-acronyms/

Session 9

Topic:Recractors

Study Materials:

Slide share- https://www.slideshare.net/rako_3000/surgical-retractors-and-their-application

Session 10

Topic: Patient positioning and Operating theater equipment

Study Materials:

Slide share- https://www.slideshare.net/gangahealth/patient-positioning-in-operating-theatre-gihs

https://www.slideshare.net/KeerthiKancharla/operation-theatres

Article- https://pubmed.ncbi.nlm.nih.gov/20446625/ation/

Session 11

Topic: Operation Room, operating table

Study Materials:

Slide share- https://www.slideshare.net/GAJENDRASINGH808148/zone-in-operation-theater

https://www.slideshare.net/JudithJustin3/ot-table-87040074

Session 12

Topic: Electric Cautery

Study Materials:

Discussion - https://www.hospitalsstore.com/types-of-cautery-machine/

Slide share: https://www.slideshare.net/ashanwarnakulasuriya79/electrosurgery-64007846

Session 13

Topic: Suction Machine

Study Materials:

Notes- https://proremarks.com/medical/suction-machine-types-uses/

Session 14

Topic: Nerve stimulator

Study Materials:

Article- https://www.researchgate.net/publication/353608074_Peripheral_Nerve_Stimulation_A_Review_of_Techniques_and_Clinical_Efficacy

https://pubmed.ncbi.nlm.nih.gov/3311435/

Session 15

Topic: Bedside Ultrasound

Article- https://pubs.asahq.org/anesthesiology/article/132/4/908/108868/Perioperative-Point-of-Care-UltrasoundFrom-Concept

Slide share- https://www.slideshare.net/saneeshpj/uses-of-ultrasound-in-anesthesiology

Session 16

Topic: Fumigator

Study Materials:

Notes: https://www.slideshare.net/Aryasuresh1/fumaigation-process-in-operation-theaters

Session 17

Topic: Patient positioning and related physiology Study Materials:

Article- https://www.ncbi.nlm.nih.gov/books/NBK513320/

Slide share- https://www.slideshare.net/shylu/patient-positioning

Session 18

Topic: Positions used for surgeries under anesthesia

Study Materials:

Article- https://www.ncbi.nlm.nih.gov/books/NBK513320/

Slide share- https://www.slideshare.net/shylu/patient-positioning

Session 19

Topic: physiology and associated complications related to patient positioning on OT table

Study Materials:

Slide share- https://www.slideshare.net/shylu/patient-positioning

Session 20

Topic: Wound management

Study Materials:

Slide share- https://www.slideshare.net/sumeryadav/wound-management-29701222

Session 21

Topic: General anesthesia Protocols:

Slide share- https://www.slideshare.net/FarazaJaved/general-anesthetics-76618175

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

Session 22

Topic: Consent and medico legal aspects:

Article- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779959/

https://www.japi.org/article/files/consent_its_medico_legal_aspects.pdf

Practice Session:

Session 23

• Topic: Sterilization

Study Materials:

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

Session 24

·         Topic: Surgical instruments – various surgeries

Study Materials:

Video- https://www.youtube.com/watch?v=U8tKeMLl5p4

Session 25

Topic: Powered Instruments

Study Materials:

Article- https://www.medtronic.com/us-en/healthcare-professionals/products/neurological/powered-surgical-instruments.html

Session 26

• Topic: Gloving Technique, Scrubbing Technique

Study Materials:

Video-https://www.youtube.com/watch?v=wXJRBD_7Xvo

Session 27

·       Topic: Various Equipments Used In OT

Video- https://www.youtube.com/watch?v=tlpCdcOnY44