Nursing Department

OPERATION ROOM Scope of Service

Original Issue Date: March 2009 Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 1 of 7

1.0

Scope of Service: We serve patients of both genders and all ages who will undergo Operation. We provide Quality Nursing Care to all patients 24 hours a day. Almost 9500 patients per year submitted for operation. We maintain and preserve patients health, prevent complications, promote and support patients physiological needs. Operating Room Department Main 1.1 Layout of the Unit 1.1.1 1.1.2 Location: Receiving Room: Ground Floor Main Building Receiving area for patients coming from the ward or Accident and Emergency Department. For pre-anesthetic preparation of patients awaiting for surgery, administration of Spinal and Epidural Anesthesia and Insertion of Intravenous cannula. Communication station: Extension 1040/1042 Computer devices are available Intero-office memos are posted Room where surgeons write their postoperative surgical notes and orders. 2 telephones are provided: Extension - 1038

1.1.3

Induction Room:

1.1.4

Nurses Station:

1.1.5

Doctors Room:

Original Issue Date: March 2009 Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 2 of 7

1.1.6

Bed Capacity:

7 Operating Rooms

1.1.6.1 Room 1 Dental, ENT and General Surgery 1.1.6.2 Room 2 Plastic, ENT and General Surgery 1.1.6.3 Room 3 Urology Surgery 1.1.6.4 Room 4 ENT Surgery 1.1.6.5 Room 5 Cardiac, Ophthalmology, Orthopedic and Neuro Surgery 1.1.6.6 Room 6 - Plastic, Orthopedic, and Neuro Surgery 1.1.6.7 Room 7 - General Surgery 1.1.7 1.1.8 1.1.9 Recovery Room/Post Anesthesia Care Unit: 7 10 bed capacity Catheterization Laboratory: For Cath-Lab Procedures Common Stock Room: Operating Room Surgical and Anesthesia Supplies are stored

1.1.10 Dirty/Clean Utility Rooms 1.1.11 Equipment Stock Room: 2 Microscopes 3 TV Monitors 1 orthopedic table with complete accessories Dressing and Locker Rooms (1 for Male and 1 for Female)

1.1.12 Changing Rooms:

1.1.13 Electrical Room 1.2 Scope of Care

Original Issue Date: March 2009 Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 3 of 7

1.2.1

Types of Patients 1. Ambulatory seen from the Out-Patient Department or Accident and Emergency Department and admitted on or the day of surgery. 2. In-Patients admitted in the ward on or before the day of surgery. 3. Day Cases admitted during the day of the surgery and will be discharged several hours post-operatively on the same day. 4. Emergency and Urgent Cases patients come from the Accident and Emergency Department and may be directly brought to OR for surgery or admitted first in the ward and procedure done in few hours later. 5. Special Cases elective cases but scheduled after the OPD time or during Fridays. e.g. Cardiac and Plastic surgery cases.

1.2.2

Pre and Post Specialties Patients admitted in the OR Department for surgical intervention vary from surgical specialties as follows: 1. General Surgery 2. Thoracic 3. Cardiac 4. Orthopedic 5. Neurosurgery 6. Gastro-Endoscopic and Laparoscopic Procedures 7. ENT 8. Dental 9. Ophthalmology 10. Urology 11. Plastic Surgery 12. Pediatric Surgery

Original Issue Date: March 2009 Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 4 of 7

Operating Room Department OB 1.1 Layout of the Unit 1.1.1 1.1.2 Location: Receiving Area: OPD 4 Third Floor Receiving area for patients coming from the ward or AED. Communication station: Extension 2336 Computer devices are available Intero-office memos are posted Room where surgeons write their postoperative surgical notes and orders. 1 telephone is provided: Extension - 2334 3 Operating Rooms 4 bed capacity

1.1.3

Nurses Station:

1.1.4

Doctors Room:

1.1.5 1.1.6 1.1.9

Bed Capacity:

Recovery Room/Post Anesthesia Care Unit: Common Stock Room:

Operating Room Surgical and Anesthesia Supplies are stored Where dirty or used instruments are placed after the surgery. Dressing and Locker Rooms (1 for Male and 1 for Female)

1.1.10 Utility Rooms:

1.1.12 Changing Rooms:

1.2

Scope of Care 1.2.1 Types of Patients 1. Ambulatory seen from the Out-Patient Department or Accident and Emergency Department and admitted on or the day of surgery. 2. In-Patients admitted in the ward on or before the day of surgery 4

Original Issue Date: March 2009 Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 5 of 7

3. Day Cases admitted during the day of the surgery and will be discharged several hours post-operatively on the same day 4. Emergency and Urgent Cases patients come from the Accident and Emergency Department or Labor and Delivery Department and may be directly brought to OR for surgery or admitted first in the ward and procedure done in few minutes or hours later. 1.2.2 Pre and Post Specialties Patients admitted in OB-OR Department for surgical, therapeutic and diagnostic procedure or intervention: 1. Dilatation and Curettage 2. Caesarean Section 3. Laparoscopic Procedures 4. Perineal Repair 5. Hysterectomy / Laparotomy 6. Cervical Cerclage 7. Salphingo-Oophorectomy 8. Total Abdominal Bilateral Salphingo-Oophorectomy 9. Myomectomy 10. Colporraphy Operating Room Department Minor OR 1.1 Layout of the Unit 1.1.1 1.2.2 Location: OPD 2 Room 22

Pre and Post Specialties: Patients who will undergo Operation under Local Anesthesia. e.g. Incision and Drainage, simple excision of cysts, etc.

2.0

References: 2.1 AHH NUR - OR 002, November 2009

Original Issue Date: March 2009 Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 6 of 7

3.0

Approval Section:

Prepared by: __________________________________ Ms. Bella M. Samonte Clinical Quality Assurance Manager ______________ Date

__________________________________ Ms. Jasmin Aeryll T. Lapnawan Department Quality Coordinator (OR PACU Nurse) Reviewed by :

______________ Date

__________________________________ Ms. Pacita C. Frias Nursing Department Head

______________ Date

__________________________________ Dr. Abdulaziz Dorra Head of the Surgery Department

______________ Date

__________________________________ Dr. Mohammad Askar Chief of Anesthesia/Head of Operating Room Approved by :

______________ Date

__________________________________ Dr. Abdulaziz Al Hammadi Vice Director of Medical Affairs

______________ Date

Original Issue Date: March 2009 Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 7 of 7

__________________________________ Dr. Reema Al Hammadi Director of Medical Affairs

______________ Date

__________________________________ Mr. Mohammad Al Hammadi Executive Director

______________ Date