Sr.Panchavarnam

The theatre manager is responsible for the effective day to day running of the theatre, and maintaining high standards.

Responsibilities◦ Administrative◦ Educational

To maintain a safe environment for the patients and staff

To ensure that the theatre runs at a high standard and sterility is not compromised.

To ensure that all equipment is well maintained.

To be aware of any infection caused by incorrect sterilization or poor scrub technique.

To observe and guide staff who need to be corrected in their techniques within the theatre.

To maintain stores, order equipment and inform the ophthalmologist of any shortage.

To check up the theatre running stock and equipment .

To support the ophthalmologist in the introduction of new ideas, techniques, and leadership of the team.

To develop and maintain an applicable theatre manual.

To develop and supervise in-service education Take care of any changes of Staff, need for new

staff or Other action.

The theatre manager has to prepare the operation list.

Insure that the cases are nor postponed. The time between two cases in the OT must be

minimal.◦ Sterilised instruments must be ready in advance.◦ If OAs in the theatre room are already in their gown

and gloves, well before the patient is sent inside the OT the duration of occupancy of the operation theatre by a particular patient will be considerably reduced.

The theatre manger is responsible for maintaining registers for future reference and also for hospital administrative purposes.

The purpose is to keep a written record of the operations performed per year. The following data is required:

Name of the patient Medical record number Date of operation Age and sex of patient Operation performed Complications, if any, Occurring during

surgery Name of surgeon

 Weekly summary of operations performed by each surgeon.

 Monthly summary of the operations performed in each category using the following data: ◦ Category◦ Number ◦ Name of the surgeon◦ Complications ◦ Patient's name and medical record number

Advantages ◦ Simple◦ Easy to use◦ Reliable

Limitations ◦ Does not hold much information◦ Sometimes illegible ◦ Difficult to trace the information quickly◦ Bulky to store

Advantages ◦ Holds more information◦ Annual, monthly and weekly statistics are easily

obtained◦ Excellent for research and recalling information,

e.g. lost patient numbers,Audit of surgical results.  Limitations Expensive Difficult to maintain Initially needs a manual back-up, thus not time savmg

The theatre manager must carefully maintain ◦ Stock register ◦ Staff meeting register

All the materials needed for the theatre should be stored in the store room.

A stock register is maintained and all entries must be registered. Stock cards should be maintained. The stock should have all the following details.◦ Name of the equipment/instrument ◦ Serial numbers (necessary for hospital insurance

policy)◦ Cost of item◦ Date of purchase◦ Manufacturer's details◦ Spare parts required for its maintenance

Theatre staff meetings are held on a regular basis.

They allow the staff time to air their thoughts. The meetings also. allow time to introduce and

inform staff about changes. It is advisable to hold these general meetings

from time to time for the staff to review their work, contribute ideas, introduce new techniques and to suggest new policies.

The minutes of the meeting are to be recorded and maintained in the register.

Education Mentoring Practical instruction Assessment Staff appraisals In-service training

Monitoring

Administrative monitoring Mechanical indicators (for sterilisers) Chemical indicators Biological indicators