Section 14(14) in Tamil Nadu Clinical Establishments (Regulations) Rules, 2018
(14)Operation Theatre. -(a)Minor Operation Theatre. - Where septic cases and minor surgeries like abscess, Incision and Drainage (I&D) and septic cases like amputations etc., are carried out.(i)Space. - Sufficient space - not less than 100 square feet with adequate lighting and ventilation.(ii)Staff. - All surgeries in minor operation theatre shall be carried out by qualified doctor only. However dressings can be done by a Nurse or a Nursing Assistant.(iii)Equipments. - Operation table.- Focus light- Sterilizer- Auto clave- Bins- Saline Stand- Minor surgical equipments- Regional Anaesthesia equipment- Sterile gloves- Sterile syringes- Drugs as required- Drugs for emergency tray- Boyle's apparatus with Oxygen cylinder, Nitrous Oxide Cylinder (Desirable)- Suction apparatus- Baby resuscitation set(iv)Records. - Records of all surgeries done in minor operation theatre shall be entered in a register.(b)Main Operation Theatre. -(i)Space. - Shall have sufficient space with a minimum of 150 square feet is essential, well lit preferably air-conditioned. Other than the operating room, there shall be provision for patient waiting and a cot provided for postoperative recovery. Sufficient space shall be available for autoclave and sterilization and for scrubbing. Running water from the tap shall be available in the scrub room. Ultra violet lamps shall be fitted in the operation theatre. Sufficient arrangements for formalisation of operation theatre. Swab for culture to be taken from operation theatre at least once a month.(ii)Staff. - A qualified nurse shall be the head of nursing staff in the Operation Theatre. Anaesthesia to be provided by a qualified Anaesthetist or by a doctor only who is trained in anaesthesia. Surgeries shall be performed by qualified doctors only.(iii)Equipments. - Operating table- Focus Light preferably wall mounted- Boyle's apparatus with sufficient cylinders- Monitoring devices like(a)Cardiac monitor - must(b)Pulse Oximeters - must- Suction apparatus preferably two- Sterilizer, Autoclave- Surgical equipments for surgery- Sterile bin- Stretcher for shifting of patient- Anaesthesia Kit.(iv)Records. - Record of all surgeries performed shall be available in a register duly with name, age, sex, address of patient, Surgeon, Anaesthetist and Staff Nurse also to be entered. Biopsy reports also shall be entered.
