Suggestions for OT management

1. OT days allocations to surgeons

2. If other surgeon want to post his case, priority to be given to the surgeon whos
OT day is originally
3. Even though allotted OT day, surgeon should post cases in defined time.( not at
11pm n claim that its his OT day)
4. OT assistant should have defined roles and rotation department wise
5. Responsibility of management of OT drugs and sutures should be allotted to
specific person to specific OT and OT manager is responsible for all OTs.
6. Anesthesia fitness some defined duration should be specified i.e. 1 pm to 2pm
likewise
7. In case of minor and day care surgery some arrangement for taking advance
payment ( to avoid drop out and smooth OT allocation)
8. Monthly one meeting of anesthesiologist, surgeon, OT manager till Ot is
functioning smoothly
9. Behavior training of OT staff regarding soft skills
10. Role defining and each person should know what he is supposed to do during
the case.
11. Comfortable working environment (as it is high risk area and everybody is
stressed )
12. if case is decided two or three days prior then some arrangement to enter its
name in OT list a day prior ( single point contact, now have to contact multiple
persons and yet not clear whether its included in the list or not)
13. night OT boy
14. in case of emergency, single point contact to arrange everything
15. If one surgeon operating two case, those cases should be given in same OT one
by one . In case other OTs are free then only second case should started in other
OT.
16. OT no 2 can be used for non-ortho non-infective cases.
17. In case of emergency , available OT can be utilised as patient's life is priority
18. Anesthesia rates should be reviewed and some guidelines if it is high risk how
much increase in anaesthesia charges will occur so that estimate giving to
patient will be easier
19. preoperative fitness guidelines should be defined according to anesthesiologist,
surgeon, physician and should be realistic. If it is going to cause financial
increase for patient then it has to be policy decision by institute.
20. Some guidelines regarding management of high risk patients and some criteria
for high risk, shifting of patient from OT to ICU
21. good recovery room where postoperative monitoring is good and responsible
person to manage it.
22. Availability of backup instrument in case of malfunctioning of any instrument
23. all should follow the rules
24. Some exceptions can be made with consideration of other associated persons