Staff Members - Benha University
DEVELOPING AND VALIDATING STANDARDS FOR OPERATING ROOMS AT BENHA UNIVERSITY HOSPITALS
• 2007
Publication Information
Authors
PROF DR AHMED SHAWKY EZAT
PROF DR ABD EL-RAHIM SAAD SHOLAH
PROF DR. HARISA MOHAMED ALI EL-SHIMY
DR. SALWA IBRAHIM MOHAMED
Hoda Abd Alla Saleh Ahmed
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publication.type
International
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Abstract
This study aims at developing standards for the operating department at Benha university Hospitals and measuring its validity and applicability. Subjects of this study were 70 nurses working at (general surgery, orthopaedic, urosurgery, neurosurgery and ENT) ORs and 36 experts of jury group. Tools for this study were four: 1) perioperative standard questionnaire, 2) observational checklist 3) nursing audit 4) nurses opinionaire. And the Results of this study indicated that:
- There was no operating department philosophies, organizational chart, job description, policies & procedures manual and no written guidelines for infection control in ORs.
- All circulating nurses done the following items unsatisfactory; sterilization & disinfection, sanitation of all rooms and equipment used, preoperative skin or body cavity preparations, effectively prepare the environment, documents and reports patients' conditions.
- All scrub nurses done the following items in a satisfactory result, (more than 60%) preparing the equipment for each specified surgery and handling the surgeon with sterile equipments.
- Also, all scrub nurses done the following items unsatisfactory (less than 60%); assuring that surgical services are consistent with patients needs, using approaches to effectively monitor and evaluate patients' conditions and using approaches to effectively count sponges, gauze and instruments before wound closure.
- The Highest percent (55.7%) of nurses viewing the direction of OR department by a registered professional nurse is not important.
- The majority (98.6%) of nurses viewing the anesthesia nurse as OR staff is important.
- The highest percent of the nurses’ opinions viewing the documentation of the following items is not important; types and amount of all fluids administered, unusual events during surgical procedures, adverse reactions and measures used to manage them, blood loss, urinary and drainage output, tubes and drains.
The study concluded that the proposed operating rooms standards were validated and agreed by external and internal jury and examined its applicability in the operating rooms. Also, It is recommended that the developed OR standards be used in the hospital. It should be disseminated to the staff of all operating rooms at Benha university Hospitals. Also it must be revised periodically to keep up to date with recent changes.
- There was no operating department philosophies, organizational chart, job description, policies & procedures manual and no written guidelines for infection control in ORs.
- All circulating nurses done the following items unsatisfactory; sterilization & disinfection, sanitation of all rooms and equipment used, preoperative skin or body cavity preparations, effectively prepare the environment, documents and reports patients' conditions.
- All scrub nurses done the following items in a satisfactory result, (more than 60%) preparing the equipment for each specified surgery and handling the surgeon with sterile equipments.
- Also, all scrub nurses done the following items unsatisfactory (less than 60%); assuring that surgical services are consistent with patients needs, using approaches to effectively monitor and evaluate patients' conditions and using approaches to effectively count sponges, gauze and instruments before wound closure.
- The Highest percent (55.7%) of nurses viewing the direction of OR department by a registered professional nurse is not important.
- The majority (98.6%) of nurses viewing the anesthesia nurse as OR staff is important.
- The highest percent of the nurses’ opinions viewing the documentation of the following items is not important; types and amount of all fluids administered, unusual events during surgical procedures, adverse reactions and measures used to manage them, blood loss, urinary and drainage output, tubes and drains.
The study concluded that the proposed operating rooms standards were validated and agreed by external and internal jury and examined its applicability in the operating rooms. Also, It is recommended that the developed OR standards be used in the hospital. It should be disseminated to the staff of all operating rooms at Benha university Hospitals. Also it must be revised periodically to keep up to date with recent changes.