Operating room environment
It is very important because the staff itself is an important source of pollution, clean operating room in 80% of the dust from the people. So, good personnel management is the key to good management of operating room
1, into the operating room staff dress code to enter the operating room staff, need to change the operating room to provide clean clothing, shoes, hats, masks, hats to cover all the hair, masks cover the nose and mouth, cut nails; all wear ill surgical patients No clothes, wearing a hat isolated and replace lathes.
      2, strictly limit the number of operating room personnel and visitors flow into the operating room surgery is not more than three people each from the surgical staff kept 30 cm or more, can not stand too high, can not move around frequently indoors and avoid loud conversations can not be the sterile zone against cough, Keep quiet.
3, may not work has nothing to do with items not allowed into the operating room with newspapers, magazines, books into the operating room; In addition to long procedures, provided by the liquid beverage outside the operating room, operating room can not eat a restricted area.

      First, strict management and operating room main entrance
Infection control is a control concept of the whole process, requiring the entire surgical process control. So, clean operation between the door should be closed, in order to maintain the operating room positive pressure and cleanliness. After such surgery into the operating room staff and visitors to minimize personnel moving around, are not interchangeable between channeling surgery, such as no people in and out, temporary control of the door in the closed state, in order to avoid contamination of air flow caused by frequent switching door. Through the corridor outside the door, forbidden to open surgery, the surgery is relatively fixed between the specialist press, the use of goods placed positioning; strengthen the work program of the nurses, preoperative fully prepared materials and equipment, in order to reduce the number of out of the operating room.
Second, the strict separation of clean sewage flow line
Operating room clean sewage area clear, short process, Czech Republic, reasonable, sub-contaminated areas, clean area, the area between the sterile area clear sign. Equipped operating room sterile surgical room, among general surgery, among contaminated surgery, set a limit between each surgical operating table. The establishment of operating room staff channel, channel and dirt path surgical patients. The health care workers, patients and clean as clean flow line items; after surgical instruments, dressings, dirt as dirt logistics lines, strict distinction. Operation of waste and garbage into yellow medical waste bag, no leakage and outside cleaning, transit passage and do not pollute the environment, the need to ensure the cleanliness of charity purify air cleansing operation and surgical processes. Infection among surgical operation located in the outermost regions. Then sets sterile surgical surgery should do first, do the surgery infection, surgery must be performed in a special infection among surgical infection, infection after special instruments and cloth preliminary disinfection in the operating room, sealed away.

Third, strengthen sanitation management
All cleaning work must be clean operation of wet cleaning. Shadowless operating room, operating table, instrument car, closet surface and ground, a day before surgery and after the end of surgery, the wet wipe method for cleaning and disinfection. Wipe the height of the wall surface 2 ~ 2.5 m, without cleaning, disinfection between surgery and may not be used continuously. Thorough cleaning once a week, equipment, goods before entering the clean operating room should be installed, wipe clean, flat car transport isolation of patients, one with a disinfectant, surgical staff slippers, replacement by the workers soaking with disinfectant every day dry cleaning. Monthly operating room to clean air, surface, hand surgeon for bacterial culture.

Fourth, the purification system requirements
During the surgery can not open the window, you can not use electric fans. Clean operating room before starting the work day ahead of 30 min open air purification system, then surgery should be completely closed purification station 20 min before they can be used to stop the operation when the operating room, generally do not shut down the wind system to maintain indoor humidity and air circulation, reduce indoor bacteria.

 Maintenance, five filters, purification system replacement
 Operating room technicians responsible for checking the air conditioning control panel display case every day, is responsible for the maintenance of purification systems. Primary filter once a week, cleaning outlet, the early, middle and high filter replacement, depending on the manufacturer's recommendations, product type, frequency of use, engineers regularly make the interior pressure detected value, and monthly for Indoor air bacterial culture conditions.
Ed purification effective control of the operating room flow, logistics and strengthen the management of the purification process, indoor air this environment is handled well, the monthly per operating room air culture are consistent with the Ministry of Health issued the "operating room air hygiene Science Standards ", in line with standard operating room clean air the number of colonies of cleansing operation provisions on the prevention and reduction of wound infection in surgical patients, improve the quality of operation played a significant role.