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The surgical instruments are placed in metal baskets and are selected according to the type of the operation. Every basket is marked with a bar code which contains information about the type and the correct number of instruments. For every surgery specialty there are previously defined categories of instruments in the form of sets – as a model and by numbers. The surgeon has a possibility to choose instruments by size, purpose and shape. On every container there is an appropriate, tracking documentation as a form: One with an exact number and description of instruments in the container and Second one, that should be filled additionally, during the processes, with data about the team that performed the surgical intervention, everything that will be used from every container, as well as the quantity of used medical material.
The container with sets of surgical instruments, together with the usable medical material are stored in a depot, located within every surgical department. The depot is always located in the zone between the “open” spaces for movement of civilians and the “closed” spaces where only the medical personnel are moving.
Based on the needs, the medical personnel which coordinate the operation choose the appropriate sets and the required materials: sterile clothes, covers for the surgical tables and appropriate sheets for the patient.
The main medical person – host of the surgery places the containers with instruments and the materials on a table. The medical person from the hospital is wearing sterile surgical gown and sterile gloves. Sterile sheets for one-use only are placed on the required surfaces. The host of the surgery opens the containers and takes the metal baskets out of them. Once they are opened, the indicator on the container changes its color from green to red. Accordingly, they arrange the instruments on the table for surgical instruments and they count them. The person from the hospital administers the evidence form.
The patient is brought in the operating room, placed on the operating bed and appropriately covered with sterile sheets. The surgical team who will participate in the surgery arrives. Once the patient and the whole surgical team are appropriately covered, the “Mayo” table with sterile instruments is brought closer to the surgical table.
With the completion of this procedure, everything is set and the procedure may begin! If during the surgery the surgeon needs to use additional instruments, the host of the surgery can ask for an addition. The opening is done inside of the operating room where the sterile regime is already in place.
The host removes the protective sheets from the patient and puts them in a special black trashcan for hospital waste. After that, according to the protocols of the hospital, the patient is taken out of the operating room. The medical personnel remove the one-use only clothes from themselves, throw them in the black trashcan and leaves the operating room.
The host of the surgery collects the instruments in metal baskets and places them in an appropriate metal box full of decontamination liquid - “Didecyl-dimethyl ammonium chloride“. After 15 minutes, the medical person from the hospital transfers the baskets in the container in which they were packed before. Once they are closed and safe for transport again, the containers are placed on a “Shuttle trolley”, appropriate for transport of many containers at once.
The cycle of processes in the operating room is finished. The host places their gown in a black trashcan, seals it and leaves the OR. The black trashcan with the waste is taken out. The transport of the trashcans out of the surgical department is done in accordance with the local directives for environment protection against risk from biological contamination.
Employees from the hospital clean the operating room to details, after which a process of disinfection follows, with an active substance with the help of a patented method “Hygienio” which allows cleansing with steam, leaving a layer of the cleaners for the disinfection of every surface. The area can be used after 5 minutes from the active disinfection.