1. Sr.Panchavarnam

2.  The theatre manager is responsible for the effective day to day running of the theatre, and maintaining high standards.  Responsibilities ◦ Administrative ◦ Educational

3.  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.

4.  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.

5.  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.

6.  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

7.  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

8.  Advantages ◦ Simple ◦ Easy to use ◦ Reliable  Limitations ◦ Does not hold much information ◦ Sometimes illegible ◦ Difficult to trace the information quickly ◦ Bulky to store

9.  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

10.  The theatre manager must carefully maintain ◦ Stock register ◦ Staff meeting register

11.  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

12.  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.

13.  Education  Mentoring  Practical instruction  Assessment  Staff appraisals  In-service training

14.  Monitoring  Administrative monitoring  Mechanical indicators (for sterilisers)  Chemical indicators  Biological indicators