Infection Control Philosophy
  The aim of ICP is to eliminate the infection 
  as quickly as possible and to ensure that 
  patients, staff,  equipment and floors are not 
  a source of infection because
   • Contamination of the operating theatre is a 
    major cause of nosocomial infection. 
   • Good hygiene practice in hospitals and in 
    operating theatres is mandatory to minimise 
    nosocomial postoperative infections. 
   Infection Control Philosophy
   Layout of theatre
   The path a patient negotiates through an operating 
   department is shaped by its design and layout of 
   the physical plant, which should be determined by 
   infection control requirements to ensure the safety 
   of both patients and service providers. 
    • Layout of rooms, equipment with operating materials, 
     cleaning and disinfection of surfaces, of anaesthetic 
     devices as well as of surgical instruments are critical in 
     infection prevention and control.
    • It is important to keep strict guidelines on theatre IPC
      Guidelines for IPC practices in the OT.
      Written guidelines for IPC practices in OT should including:
      1.  Storage of sterile and high-level disinfected instruments
      2.  Housekeeping, including schedule and procedures for:
        • Cleaning before procedures
        • Cleaning after each procedures
        • Final cleaning  at the end of the day
      3.  Patient’s skin preparation
      4.  Use of Personal Protective Equipment (PPE)
      5.  Safety practices for handling, passing and disposing of 
          sharp instruments                               
      6.  Linen management
      7.  Waste management
  The traffic flow and activity patterns for the transition 
  zone.
  •Traffic is limited to authorized 
   personnel only
  •Personnel enter in personal clothes 
   and exit into a semi-restricted or 
   restricted area with proper attire (clean 
   scrub suit)
  •Personnel enter operating rooms 
   through changing areas (room)
  The traffic flow and activity patterns for the semi-
  restricted area
  • Traffic is limited to patients and authorized 
   personnel 
  • Must have a closed storage space (closed 
   cabinets or closed room) for sterile and 
   high level disinfected supplies
  • Personnel are required to wear surgical 
   attire including head cover
  • Personnel are required to wear clean 
   closed shoes that will protect their feet from 
   fluids and dropped items