Unit 240: Perioperative Theatre Safety and Practice

1. Introduction to Perioperative Theatre Safety

• Significance of safety in perioperative environments
• Common risks: accidents, injuries, errors during surgery
• Impact on patient outcomes and staff wellbeing

2. Personal Protective Equipment (PPE) in the Perioperative Setting

2.1 Types of PPE

• Gloves, masks, gowns, eye protection, face shields

2.2 Proper Usage and Protocols

• Donning and doffing procedures
• Compliance and monitoring

2.3 Importance for Healthcare Workers and Patients

• Prevention of infection transmission
• Protection against bloodborne pathogens and contaminants

3. Sterile Technique and Aseptic Practices

3.1 Principles of Sterility

• Definition and importance of sterile fields
• Contamination risks and how to avoid them

3.2 Hand Hygiene

• Techniques and timing
• Alcohol-based hand rubs vs. soap and water

3.3 Gowning and Gloving

• Correct procedures and common errors

3.4 Sterile Draping

• Purpose and methods
• Maintaining sterility during surgery

4. Surgical Site Infection (SSI) Prevention

4.1 Preoperative Skin Preparation

• Antiseptic solutions and application methods

4.2 Antimicrobial Prophylaxis

• Timing and selection of antibiotics

4.3 Handling of Surgical Instruments

• Cleaning, sterilization, and aseptic handling
• Avoiding cross-contamination

5. Fire Safety Measures in the Operating Room

5.1 Fire Prevention Techniques

• Identification of ignition sources, fuel, and oxygen enrichment
• Safe use of electrosurgical devices and lasers

5.2 Emergency Response Procedures

• Steps to take in case of fire
• Use of fire extinguishers and evacuation protocols

5.3 Fire Drills and Staff Training

• Importance and frequency
• Roles and responsibilities during emergencies

6. Patient Positioning and Transfer Techniques

6.1 Importance of Proper Positioning

• Access to surgical site and patient safety

6.2 Techniques to Prevent Pressure Injuries

• Use of padding and support devices
• Regular repositioning considerations

6.3 Safe Transfer Practices

• Minimizing risk of falls and musculoskeletal injuries to patients and staff
• Use of transfer aids and team coordination

7. Equipment Safety and Maintenance

7.1 Inspection and Maintenance Protocols

• Routine checks and documentation
• Identifying malfunctions and reporting

7.2 Safe Use of Surgical Equipment

• Training requirements
• Equipment handling during procedures

8. Communication and Teamwork in the Operating Room

8.1 Importance of Effective Communication

• Clear, concise information exchange
• Use of standardized communication tools (e.g., SBAR)

8.2 Collaboration Strategies

• Role clarity and mutual respect
• Conflict resolution

8.3 Enhancing Patient Safety and Surgical Outcomes

• Team briefings and debriefings
• Encouraging speaking up and vigilance