Surgery In Brazil

According to Brazilian legislation, the capacity of the CC is established based in the ratio of surgical stream beds and room of operation. The resolution of the direction student body n 307/2002, the National Agency of Sanitary monitoring (ANVISA) of the Health department, determines a room of operation for each 50 stream beds not specialized or 15 stream beds, if cirrgicos5. For the ideal sizing, some aspects must be led in consideration as: schedule of functioning of the CC; surgical specialty (cardiologia, neurocirurgia, ortopedia, etc.); average duration of the surgery; number of surgeries per day; hospital school and amount of surgical medical and instrumental articles disponveis6. The size of the surgical room depends on the equipment necessary to the types of surgeries to be carried through; its format must be rectangular or oval. According to RDC 307/2002, how much to the size, to the rooms thus they will be classified: Small room 20m2 with minimum dimension of 3,45m, destined the specialties of otorrinolaringologia and oftalmologia. Room measured 25m2 with minimum dimension of 4,65m, destined gastric and general ace specialties. Great room 36m2 with minimum dimension of 5m specifies for the surgeries neurological, cardiovascular and ortopdicas7.

The recommendation of the Health department with regard to the physical plant of the CME is of a with no rewind continuous flow and without crossing of clean articles with the contaminated ones. Therefore, the planning of this unit is of utmost importance, considering itself the different stages of the reprocessamento of articles until its distribution to the units of hospital8. Quarrel the CC can be considered one of the units most complex of the hospital for its especificidade and constant presence of estresse. In this perspective, the Brazilian Society of Nurses of Surgical Center, Anesthetical and Central Recovery of Material and Esterilizao (SOBECC) also defines the CC as a complex area and of access restrito7.