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The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
In 2009, SCOAP rolled out its most visible initiative—the Surgical Checklist. Modeled after the checklist used by pilots on commercial airlines, this checklist is now in every Washington State hospital. This list assures the entire surgical team reviews each step in the upcoming surgery at the same time and prior to the surgery itself.
The operations manual is intended to remind employees of how to do their job. The manual is either a book or folder of printed documents containing the standard operating procedures, a description of the organisational hierarchy, contact details for key personnel and emergency procedures.
Operating room management is the science of how to run an operating room suite. Operational operating room management focuses on maximizing operational efficiency at the facility, i.e. maximizing the number of surgical cases that can be carried out on a given day while minimizing the required resources and related costs.
Operating rooms are spacious, in a cleanroom, and well-lit, typically with overhead surgical lights, and may have viewing screens and monitors.Operating rooms are generally windowless, though windows are becoming more prevalent in newly built theaters to provide clinical teams with natural light, and feature controlled temperature and humidity.
The scrub nurse is also responsible for making sure all operating equipment is accounted for before and after the operation. The scrub nurse is responsible for many important technical duties. These can include ensuring they have correctly prepared the surgical instruments and trolleys and ensuring that all operating supplies have been sterilised.
Many operating room injuries could be solved by simply restraining the arms and legs. [1] Other causes of nerve or muscular damage to the extremities is caused by pressure on the body by the surgical team leaning on the patient's arms and legs. The patient's arms can be protected from these risks by using an arm sled.
An endoscopy unit consists of the following components: trained and accredited endoscopists (which are usually gastroenterologists or surgeons); trained nursing and additional staff; endoscopes and other equipment; preparation, procedural and recovery areas; a disinfection and cleaning area for equipment; emergency equipment and personnel; and, a program for quality assurance.