Editorial | |
Operating Room World: One Day Challenges and Interactions | |
Masoud Parish1, Haleh Farzin1, Mehdi Khanbabie Gol2, Dawood Agamohammadi1, Mehdi Sasani3 | |
1Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran 2School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran 3Neurosurgery Department, American Hospital, Koc University School of Medicine, Istanbul, Turkey |
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CJMB 2018; 5: 170–171 Viewed : 3612 times Downloaded : 2679 times. Keywords : Operating Room, Day Challenges, Interactions |
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Abstract | |
When sun rises, the hyperactive day begins in operation room (OR). Management of OR needs regular programs for human and
material resources. For deciding about OR programs,
there should be requirement to obtaining information of
multidisciplinary stakeholders (1). It appears that we go to
OR, we enter to new world in new time zone and time will
stand here (2). It is well known that trained staff are required
for coordination between OR and several departments
and providing advanced patient care. The major duties of
these personnel, especially surgery and anesthesia nursing
included to keep patient safety and navigation of various
type of surgery throughout their course. OR staff work in
closed, relatively isolated environment and spent several
hours of their life here! (3). I think that OR environment
looks like fish aquarium, we swim in it and everyone has
her or his responsibilities, move toward our unit. It seems
crowd but substantially beautiful picture. Stress is a main
challenge in OR, that is, the personnel must communicate
with each other and patients (4), Raji et al concluded in
their study that in academic areas is even more in personnel
communication, practice, feelings and humiliating
experience fields and they must determine priority in
few times and coping with their stress (5). Surgeons and
anesthesiologists complete this scenario. However, what
are the final goal of these precise efforts? It is clear that
improving of efficiency plays key role in OR, it can be
achieved by increasing work or lowering costs. Parish
et al suggested that to prevent delays in post-anesthesia
care unit (PACU) and discharge time, it is important to
select proper anesthetic techniques, especially because of
growing number of outpatient surgery and anesthesia (6-
8). Costs for maintenance of OR environment, numbered
staff and different instruments. Start time is a cornerstone
of OR (9). On the other hand, nurses of OR interpret
efficiency as improvement of knowledge and training for
patient care whereas OR manager understands efficiency
as production per minute or completing programs (10).
Although usage of simpler devices and dressing can help
to save time, it means to compromise of any unnecessary
parameters which do not affect results. "Eliminate and
streamline" are OR mention (11). Oh, I forgot writing
about cancellation and its consequences. Cancellation of
planned operations is main and long- standing occurrence
in OR. It has significant financial, psychological and social
implication on patients and their families. The reasons
for cancellation vary among between different countries
such as lack of medically fitting for operation, lack of
bed, unnecessary interventions and occasionally, patient
turning up for surgery. Some of them are avoidable but
remainder are not (12). So, we have very little knowledge
about sound levels in OR environment (13).
Now, this time is afternoon, all surgeries were terminated,
patients were transported to their departments. You can sit
and drink a cup of tea in your pavilion because emergency
cases can arrive at any time. |
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