Introduction

The Main OT Complex located in First Floor (KRISHNA) of the KLES Hospital & MRC at Belgaum constitutes the hub centre of the various surgical procedures conducted in this hospital. It has been designed to provide Nine Operation Theatres along with its ancillary departments as a compact setup covering 3500sq mtrs built-up area, Various surgical disciplines like General Surgery, Gyne. & Obstetric, Orthopedic, ENT, Ophthalmology and other specialized fields like Paediatric Surgery, Plastic & Reconstructive Surgery, Laparoscopic & Endoscopic Surgery, Urology, Neuro Surgery and Cardio Vascular Surgery conduct the operations.

The OT Complex is designed to provide effective barrier against infection by way of controlled movement of the staff, equipment and patients through the protective zone, clean zone and sterile zone. The disposal zone is provided in the rear corridor of OT. The details about enclosures in each zone are as under.

Protective zone - Changing rooms and Recovery wards, CCTV room etc.

Clean Zone - Clean movement and rest area, sterile stores. General supply storeroom, X-Ray Dark room, Lab and Rapid autoclave room, staff base including office of the Director OT and the Anesthesiologist's room and Dictation Secretariat.

Sterile Zone - The operating room and its ancillaries.

Disposal Zone - The disposal corridor also has Electrical and AC plant control rooms and a lift to carry the soiled linen to laundry and the OT waste to the hospital incinerator. The OT waste disposal is guided by the standard colour code system.

Each operation theatre is provided with the scrub room, sterile instruments room, the induction room, exit room and instrument wash room, all having a direct access to the operating room. The sterile instrument room and their wash room are designed to have  access to two adjacent operation rooms to ensure economic use of the concerned staff and supply of instruments required for adjacent operation theatres.

OT lighting -. In the Operating rooms, sophisticated shadow less lights manufactured by the Martin and Confident group have been provided. The rest of lighting without glare is provided by the fluorescent tubes PL lamps and incandescent bulbs.

Ventilation- The Air flow for each OT suite containing adequate humidity is filtered through Micro and HEPA filters and is cooled to the desired standard. Air in the OT flows from inside outwards through the air inlets located in the OT roofs. Another air flow system of adequately cooled & filtered air is provided to the rest of the enclosures in the clean zone.

Anesthetic gases and Oxygen supply - Nitrous Oxide, Oxygen, Compressed Air and vacuum system are provided through the pendant boxes fitted inside each OT which also has a clock and a telephone provided in it. The latter three are piped to the induction room and post operative recovery ward also.

Electricity Supply - The Main electricity supply is stepped down through transformers and stabilizers to provide regular stable voltage. For emergency electricity supply, stand by generators have been provided. An UPS also been provided for the Cardiac OT.

Water Supply - The water supplied through main source, is filtered through filter plant, and pumped to the overhead tanks. Hot water is supplied through boilers.

Fire Fitting Arrangements- Effective Fire Fitting system is provided by fire extinguishers Fire hose, reels and related installations.