COVID-19 Procedure: Surgical Operations for Suspected or Confirmed Patients:

COVID-19 Procedure: Surgical Operations for Suspected or Confirmed Patients

This process template is part of our COVID-19 Procedures pack. 

It is built as a reproduction of the procedures outlined in the Handbook of COVID-19 Prevention and Treatment (2020) produced by The First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU). 

FAHZU had great success in combatting the novel Coronavirus COVID-19 and this handbook outlines best-practices, procedures, and useful charts for hospitals and medical centers to practically employ. 

The items contained within the handbook were compiled according to clinical experience. 

You can edit this process template to adapt it to the specific needs of your institution. When you come to follow the procedure, you can run this template as a checklist. You can add form fields throughout the checklist to gather information. You can connect your Process Street account with other platforms via automation to automatically store or utilize any data entered into your checklists. 

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You can find the full handbook embedded below.

Process Street is not a medical institution and the items contained in this process template are illustrative and not intended to be understood as medical advice. Please refer to the attached PDF document for any and all medical or operational recommendations. 

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Requirements for Operation Rooms and Staff PPE:

Arrange the patient in a negative pressure operating room

Arrange the patient in a negative pressure operating room. Verify the temperature, humidity and air pressure in the operation room.

  • 1
    Temperature
  • 2
    Humidity
  • 3
    Air pressure

Prepare all required items for the operation

Prepare all required items for the operation and use disposable surgical items if possible.

All surgical personnel should put on PPE in the buffer room

All surgical personnel (including surgeons, anesthesiologists, hand-washing nurses, and charge nurses in operating room) should put on their PPE in the buffer room before entering the operating room: Put on double caps, medical protective mask (N95), medical goggles, medical protective clothing, boot covers, latex gloves, and powered air-purifying respirator.

  • 1
    Double caps
  • 2
    Medical protective mask (N95)
  • 3
    Medical goggles
  • 4
    Medical protective clothing
  • 5
    Boot covers
  • 6
    Latex gloves
  • 7
    Powered air-purifying respirator

Wear disposable sterile operating clothes and gloves

The surgeons and the hand-washing nurses should wear disposable sterile operating clothes and sterile gloves in addition to the PPE as mentioned above.

Assess whether the patient needs caps and masks

Patients should wear disposable caps and disposable surgical masks according to their situation.

Charge nurses are ready to deliver items from buffer area

The charge nurses in the buffer room are responsible for delivering items from the buffer area to the negative pressure operating room.

Check the operation room is tightly closed off

During the operation, the buffer room and the operating room shall be tightly closed, and the operation must be carried out only if the operation room is under negative pressure.

Exclude irrelevant personnel from entering the operating room

Irrelevant personnel shall be excluded from entering the operating room.

Procedures for Final Disinfection:

Disinfect reusable medical devices

Reusable medical devices shall be disinfected according to the disinfection procedures of SARS-CoV-2 related reusable medical devices;

Disinfect and dispose of medical fabrics

Medical fabrics shall be disinfected and disposed of according to the disinfection procedures for SARS-CoV-2 related infectious fabrics.

Disinfect the surfaces of objects

Surfaces of objects (instruments and devices including device table, operating
table, operating bed, etc.);

  • 1
    Visible blood/bodily fluid pollutants shall be completely removed before disinfection (handled in accordance with disposal procedures of blood and bodily fluid spills).
  • 2
    All surfaces shall be wiped with a disinfectant containing 1000 mg/L active chlorine and allowed to sit for 30 minutes with the disinfectant.

Disinfect all walls and floors

  • 1
    Visible blood/bodily fluid pollutants shall be completely removed before disinfection (handled in accordance with disposal procedures of blood and bodily fluid spills).
  • 2
    All surfaces shall be wiped with a disinfectant containing 1000 mg/L active chlorine and allowed to sit for 30 minutes with the disinfectant.

Disinfect the indoor air

  • 1
    Turn off the fan filter unit (FFU)
  • 2
    Disinfect the air by irradiation by ultraviolet lamp for at least 1 hour
  • 3
    Turn on the FFU to purify the air automatically for at least 2 hours.

Sources:

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