Introduction to Intra -Operative Nurse and Operation Theater Technique

Subject: Medical and Surgical Nursing II (Theory)

Overview

Intraoperative or perioperative nursing is a nursing speciality that deals with patients who are undergoing an invasive procedure such as surgery. Perioperative nurses collaborate closely with surgeons, anesthesiologists, nurse anesthetists, surgical technician, and nurse practitioners. They primarily provide preoperative, intraoperative, and postoperative care in the operating room.

Intra-operative or perioperative nursing is a nursing speciality that works with patients who are undergoing surgery or other invasive treatments. The surgical technologist, anesthesiologist, nurse anesthetist, surgeon assistance, and perioperative nurses work in close collaboration. They mostly work in operating rooms, providing preoperative, intraoperative, and postoperative care.

Medicologicsl and Ethical consideration in Nursing activities

Operation Theater Technique

Maintaining aseptic technique: Aseptic technique is a process involving a collection of precise procedures and practices carried out with extreme attention in order to reduce pathogenic contamination. The measures prevent undesirable microbes from entering the environment. We all know that germs are prevalent everywhere in the environment, including air currents, on surfaces, and so on. These bacteria can infect us and cause serious diseases, particularly if we have had surgery or have a wound. As a result, maintaining an aseptic atmosphere is critical.

Sterilization

Sterilization is the process of efficiently killing or eliminating transmissible agents such as fungi, bacteria, viruses, spores, and so on from a surface, equipment, food or pharmaceutical object, or biological culture medium. Sterilization is the process of killing or eradicating all forms of microbiological life in a material or object, including its endospores. Sterilization can be accomplished via heat, chemicals, irradiation, high pressure, or filtering.

Classification

  • Physical sterilization includes:

  • Heat sterilization

    • Moist heat sterilization (autoclaving)

    • Dry heat sterilization

  • Radiation

  • Chemical sterilization includes:

  • Ethylene oxide

  • Chlorine bleach

    • Glutaraldehyde and formaldehyde

    • Hydrogen peroxide

Heat sterilization: Moist heat sterilization (Autoclaving)

  • A versatile autoclave heat sterilization process.

  • Steam heated at 121-134 degrees Celsius is often used in autoclaves. A holding duration of at least 15 minutes at 121 degrees Celsius or 3 minutes at 134 degrees Celsius is required to ensure sterility.

  • Liquids and instruments bundled in layers of cloth frequently require more sterilizing time since they take longer to achieve the appropriate temperature.

  • All fungi, bacteria, viruses, and bacterial spores will be rendered inactive by proper autoclave treatment, which can be quite resistant.

Radiation sterilization

  • This procedure is costly. However, it is now used to sterilize plastic items such as disposable saline sets, catheters, Ryles tubes, disposable syringes, and so on that will not withstand heat sterilization, as well as sharp instruments such as hypodermic needles and scalpel blades.

  • There are methods to sterilize using radiation such as x-rays, gamma rays, and so on.

Precaution

  • All items must be clean and dry.

  • The wrapper and container must allow steam to penetrate the articles.

  • The drum should not be overfilled, nor should the container be packed too tightly.

  • Cans and jars must be opened and tilted sideways to allow steam to enter the contents.

  • Hot air oven with dry heat

  • Dry heat requires a greater temperature than moist heat to sterilize since it is less penetrating and requires a longer exposure. Dry heat is inexpensive and simple to apply.

 

 

 

Things to remember
  • Intraoperative or perioperative nursing is a nursing speciality that deals with patients who are undergoing an invasive procedure such as surgery.

  • Perioperative nurses collaborate closely with surgeons, anesthesiologists, nurse anesthetists, surgical technician, and nurse practitioners.

  • They typically provide preoperative and after care in the operating room.

Questions and Answers

Intraoperative or perioperative nursing is a nursing specialty that works with patients who are undergoing an invasive procedure such as surgery. Perioperative nurses collaborate closely with surgeons, anesthesiologists, nurse anesthetists, surgical technologist, and nurse practitioners. They primarily provide preoperative, intraoperative, and postoperative care in the operating room.

Mediological and Ethical Consideration in Medical Activities

  • Operation theater technique
  • Maintaining of aseptic technique: aseptic technique is the method involving a set of specific procedure and practices conducted with most caution, so as to minimize the pathogenic contamination. The procedures ensure that unwanted microorganisms enter the environment. We all know that microorganisms are found everywhere in the environment, including air currents, on surfaces, etc. these microorganisms can infect our and lead to grave infections, especially when one has undergone or surgery or has a wound. Thus, maintenance of aseptic environment is highly important.
  • Sterilization

Sterilization is the process that effectively kills or eliminate transmissible agents such as fungi, bacteria, viruses, spores etc. from a surface , equipment, article of food or medication, or biological culture medium. Killing or removing all form of microbial life including their endospores in the material or an object is called sterilization. sterilization can be achieved through the application of heat, chemical, irradiation, high pressure or filtration.

Classification

  • Physical sterilization includes:
  • Heat sterilization.
    • Moist heat sterilization.
    • Dry heat sterilization.
  • Radiation.
  • Chemical sterilization includes:
  • Ethylene oxide.
  • Chlorine bleach.
    • Glutaraldehyde and formaldehyde.
  • Hydrogen peroxide.
  • Heat sterilization: moist heat sterilization (autoclaving).

Autoclaving

  • A broad technique for autoclave heat sterilization.
  • Typically, stems used in autoclaves are heated to 121–134 degrees Celsius. A holding period of at least 15 minutes at 121 degrees Celsius or 3 minutes at 134 degrees Celsius is necessary to ensure sterility.
  • Liquid and tools bundled in layers of fabric typically require more time to sterilize since they may take longer to achieve the necessary temperature.
  • All fungi, bacteria, viruses, and bacterial spores will be rendered inactive by proper autoclave treatment, which can be quite a resistance.

© 2021 Saralmind. All Rights Reserved.