Unique insights into the OP/IS service centre
July 3, 2023
5 min
Almost regardless of the diagnosis with which patients come to Zollikerberg Hospital: They will come into contact with the DLZ OP/IS. The teams headed by Prof. Dr med. Dr phil. Adrian Reber and Vera Sobieralski are responsible for anaesthesia consultations, recovery room care, the pain service, anaesthesia, operation of the outpatient operating centre (AOZ), instrument care, sterile goods preparation and operation of the intensive care unit - and all of this 24/7, year after year. But how is this possible?
Vera Sobieralski, Head of Service Centre Operating Theatres and Intensive Care Unit
We can cover this range because we are service providers through and through. We offer patient care services for all clinics at Zollikerberg Hospital. This makes our tasks extremely interdisciplinary.
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Before the operation: the anaesthesia consultation
Uncertainties before an operation are quite normal. Questions often revolve around the anaesthetic. At Zollikerberg Hospital, everything important is discussed with patients during the anaesthesia consultation. The nurse asks for the necessary information, discusses it with the anaesthetist and passes on the information gathered. The subsequent teams are thus optimally prepared and the patients know that they are always well looked after.
After the operation: recovery room care
After the operation, the anaesthetist and the anaesthesia nurse ensure that the patient wakes up well and hands them over to the nursing staff in the recovery room. Patients are monitored here for at least two hours and are given something to drink. As soon as all vital signs are stable, the relevant department is informed and the patient is transferred to their room. If necessary, the nursing staff from the pain service will visit the patient in their room on the same day. A visit is also offered the next day.
The outpatient surgery centre
Various operations are now only performed on an outpatient basis. For patients, this has the advantage that an operation is associated with a significantly shorter hospital stay. In turn, the outpatient surgery centre challenges the DLZ OP/IS team in a completely different way. This is the right area for professional colleagues who like quick changes and are prepared to simply do whatever comes up.
Some may wonder whether the risks for patients are not higher during an outpatient operation than during an inpatient stay after a surgical procedure. This can be answered in the negative with a clear conscience. There are very clear guidelines for the outpatient setting. Patients can only be operated on as outpatients if all of these requirements are met. If something changes from the initial situation during the operation, it is still possible to redistribute or switch from outpatient to inpatient.
Right in the centre: instrument care
In the operating theatre, surgeons must be able to rely blindly on their counterparts. The instrumentation specialists are there to closely support the surgeons. Today, there is a training programme for surgical technology specialists. This function has few interfaces with other nursing professions. However, it works most closely with the anaesthesia nurses. Building a relationship with the patient is not a priority in this role.
Perfectly prepared for internal and external colleagues: sterile goods preparation (AEMP)
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"We are very proud that our AEMP has been ISO 13485:2012 certified since 2013," says Vera Sobieralski and continues: "This certification is like a seal of quality and enables us to fulfil orders for internal customers as well as external hospital customers. The requirements for sterile processing are justifiably very high. That's why specific training is needed today."
Environmental protection is also important to the teams at the DLZ OP/IS. They are actively committed to minimising waste. For example, reusable products are preferred to disposable products, even if they are more expensive. Aluminium is collected and attention is paid to plastic. What is feasible is done. The use of certain chemicals is unavoidable in sterile processing. When using them, care is taken to use effective chemicals that are as environmentally friendly as possible.
PS: Details about work in the intensive care unit will soon be available in an interview with Dr Lars Jansen, Head of Anaesthesia and Intensive Care.
Author:inside
Prof. Dr. med. Dr. phil. Adrian Reber
Chief Physician, Head of Service Centre Operating Theatres and Intensive Care Unit, Hospital Management
Spital Zollikerberg
Anästhesie und Intensivstation
Trichtenhauserstrasse 20
8125 Zollikerberg
Vera Sobieralski
Head of Service Centre Operating Theatres and Intensive Care Unit, Hospital Management
Spital Zollikerberg
Anästhesie und Intensivstation
Trichtenhauserstrasse 20
8125 Zollikerberg
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