Must-Have Requirements for a Standard Gynaecology Operation Theatre (OT)

Setting up a Gynaec Operation Theatre (OT) in your hospital or clinic? It’s a big step—but also a very rewarding one. A well-designed OT ensures smooth surgeries, patient safety, and better outcomes.

Here’s a simple guide to help you understand the basic requirements for a standard Gynae OT, especially if you’re planning for NABH accreditation or upgrading your setup.

1. Location and Layout of the OT

The OT should be located in a low-traffic, restricted zone, ideally close to the labor room and recovery area.

Include these areas in the layout:

  • Ante room (entry area)
  • Scrub area (for handwashing)
  • Sterile corridor

✅ Use positive pressure ventilation to prevent outside air from entering the OT. This keeps the surgical environment cleaner.

2. Flooring and Walls – Is Vinyl a Must?

Vinyl Flooring (Seamless Type)

  • Highly recommended, though not always mandatory.
  • Easy to clean, non-porous, and prevents infection.
  • Best when installed with coved edges for a smooth floor-to-wall transition.

Walls (Paint or Panels?)

  • Use vinyl-coated wall panels or medical-grade epoxy paint.
  • If not using vinyl, choose paint that is washable, antibacterial, fire-resistant, and meets infection control standards.

3. Ventilation – Do You Need Laminar Air Flow (LAF)?

For routine Gynae surgeries like C-sections or D&Cs, LAF is not mandatory.

However, make sure to:

  • Use HEPA-filtered air supply
  • Maintain 15–20 air changes per hour (ACH)
  • Keep the OT under positive pressure
  • Have an HVAC system that controls temperature (20–24°C) and humidity (50–60%)

4. Infection Control & Sterilization

  • Use an autoclave or have access to a central sterile supply department (CSSD)
  • Divide the OT into sterile, clean, and dirty zones
  • Install hands-free scrub stations with elbow/knee-operated taps

5. Electrical Setup & Safety Measures

  • Install shadowless OT lights
  • Use medical-grade power sockets
  • Keep emergency power backup (UPS or inverter) ready
  • Ensure fire safety compliance – extinguishers, alarms, clear evacuation plans

6. Essential Equipment for Gynaec OT

Here’s your basic equipment checklist:

  • Adjustable OT Table
  • Anesthesia machine and monitors
  • Suction machine
  • Fetal Doppler or CTG machine
  • Diathermy unit
  • Surgical kits for C-sections, D&Cs, and hysterectomies
  • Infant resuscitation area (if handling deliveries)

7. Regulatory Compliance

  • Follow NABH guidelines or local Clinical Establishment Act rules
  • Have a system for bio-medical waste disposal
  • Keep records of infection control protocols and Standard Operating Procedures (SOPs)

🟢 Final Thoughts

If you’re building or upgrading your Gynae OT, always balance your budget, patient safety, and future compliance goals.

✔️ Use vinyl flooring and antibacterial paints if you plan to go for NABH entry-level accreditation.
✔️ While laminar airflow isn’t necessary for basic gynecologic procedures, make sure you have a strong HVAC system with HEPA filters.

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