National Health Surveillance Agency

General Management of Technology in Health Services

Technology Unit of the Health Services Organization

SURGICAL CENTER
Unit designated for surgical development, as well as recovery
post-anesthetic mediata

I–STRUCTURE YES NOT IN

Physical area according to RDC n 50/02
. Location in a restricted circulation area
ADMINISTRATIVE AREA
Exclusive area for receiving patients
. Physical barrier between external circulation and the surgical center, with
signaling
Locker room
Structural conditions
. Separated by sex
. Place for changing and storing clothes
. Hamper
. Physical barrier
Safety and hygiene conditions
. Sink
. Dispenser with liquid soap
. Trash can with plastic bag and pedal-operated lid
. Paper towel holder
. Shower
ANESTHETIC INDUCTION AREA
Basic materials and equipment for anesthesia
. Macas
. Complete anesthesia cart02
. Complete materials for anesthesia of the own service
BRUSHING AREA
Conditions for washing and surgical hand antisepsis
. Exclusive surgical sink
. Faucet activated without hand command
. Liquid soap dispenser
. Dispenser antiseptic solution
SURGERY ROOM
Structural conditions
. Door with window

02
The car or emergency kit should contain basic medications, such as antiarrhythmic.
["antihypertensive","antihistamine","barbiturate","benzodiazepine","bronchodilator","corticosteroid","digitalis"]
diuretic, vasodilator and coronary vasoconstrictor, anticonvulsant, hypertonic and isotonic glucose, serum
physiological, calcium gluconate and distilled water. Equipment such as ambu with masks and laryngoscope
complete, endotracheal tubes with cuff, connectors, Guedel cannulas, sterile guide wire. Trays for
invasive procedures in an easily accessible location.
Note: All these materials must be adapted for pediatric and neonatology use.

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 National Health Surveillance Agency
General Management of Technology in Health Services
Technology Unit of the Health Services Organization

SURGICAL CENTER
Unit destined for surgical development, as well as recovery
intermediate post-anesthetic

. Positive pressure
. Retractable column for gas and electricity
. Grounded and identified 110V and 220V sockets
Wall respiratory assistance system
. Oxygen point
. Compressed air point
. Vacuum point
. Nitrous oxide point
. Flux meter
Furniture and other elements made of materials that are easy to clean and disinfect
. Surgical table with accessories
. Table for instruments
. Fixed and mobile auxiliary tables
. Adjustable stool
. Ceiling surgical light
. Auxiliary surgical light
. Anesthesia equipment and materials, complete
. Pulse oximeter
. Cycled ventilation device, volume (adult and pediatric)
. Heart monitor
. Electrocautery, with electric scalpel
. Emergency vehicle with defibrillator/cardioversion device02
. Surgical arch (only for orthopedic surgery room)
. Bucket to kick
. Sphygmomanometer
. Duosom stethoscope, adult
. Adult rigid laryngoscope
. Pediatric rigid laryngoscope
. Electric surgical aspirator on furniture
. Light box
. Serum support
. Hamper
. Wall clock

02
The car or emergency kit should contain basic medications, such as antiarrhythmics.
["antihypertensive","antihistamine","barbiturate","benzodiazepine","bronchodilator","corticosteroid","digitalis"]
diuretic, vasodilator and coronary vasoconstrictor, anticonvulsant, hypertonic and isotonic glucose, serum
physiological, calcium gluconate and distilled water. Equipment such as ambu with masks and laryngoscope
complete, endotracheal tubes with cuff, connectors, Guedel canulas, sterile guide wire. Trays for
invasive procedures in an easily accessible location.
Note: All these materials must be adapted for pediatric use and in neonatology.

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 National Health Surveillance Agency
General Management of Technology in Health Services
Technology Unit of the Health Services Organization

SURGICAL CENTER
Unit destined for surgical development, as well as recovery.
post-anesthetic mediated

. Trash can with milky white plastic bag and lid activated by
pedal
POST-ANESTHESIA RECOVERY ROOM - PAR
Physical area with easy access location
Measurement per stretcher according to RDC No. 50/02
Wall respiratory assistance system
. Oxygen point
. Compressed air point
. Vacuum point
. Nitrous oxide point
. Flow meter
Furniture and other elements made of material that is easy to clean and disinfect
Maca with grid
. Emergency vehicle, with defibrillator/cardioversion machine02
. Electric surgical aspirator
. auxiliary surgical light
. Table for instruments
. Hamper
. Sphygmomanometer
. Duosom stethoscope, adult
. Adult rigid laryngoscope
. Pediatric rigid laryngoscope
. Volumetric meter
. Cycling fan
. Heated humidifier with respiratory circuit
. Infusion pump
. Cylindrical debris container
Serum support
. Pulse oximeter
Conditions for washing and hand antisepsis
. Washbasin
. Faucet activated without hand command
. Liquid soap dispenser

02
The car or emergency kit should contain basic medications, such as antiarrhythmics,
["antihypertensive","antihistamine","barbiturate","benzodiazepine","bronchodilator","corticosteroid","digitalis"]
diuretic, vasodilator and coronary vasoconstrictor, anticonvulsant, hypertonic and isotonic glucose, serum
physiological, calcium gluconate, and distilled water. Equipment such as ambu with masks and laryngoscope
complete, endotracheal tubes with cuff, connectors, Guedel cannulas, sterile guide wire. Trays for
invasive procedures in an easily accessible location.
Note: All these materials must be adapted for pediatric use and in neonatology.

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 National Health Surveillance Agency
General Management of Technology in Health Services
Technology Unit of the Health Services Organization

SURGICAL CENTER
Unit dedicated to surgical development as well as recovery
post-anesthetic mediated

. Support with paper towel

. Trash can with plastic bag and foot-operated lid
Nursing station and services
Physical area with easy access location
. It attends up to 12 gurneys of RPA.
. Service area
Furniture and other elements made of easy-to-clean and disinfect materials
. Counter with sink
. Rigid container for the disposal of sharp-cutting materials
. Trash can with pedal-operated lid and white plastic bag
milky for the disposal of infectious material
Hand washing and antisepsis conditions
. Sink
. Faucet activated without hand command
. Liquid soap dispenser
. Support with paper towel
. Trash can with plastic bag and pedal-operated lid
UTILITY ROOM/PURGING
Furniture and other elements made of easy-to-clean and disinfect materials
. Service bench with sink
. Cabinet for storing clean and disinfected material
. Trash can with milky white plastic bag and a lid with activation by
pedal
. Rigid container for the disposal of perforating-cutting material
. Cleaning pit for organic waste disposal
. Hamper
Hand washing and antiseptic conditions
. Faucet activated without hand command
. Liquid soap dispenser
. Support with paper towel
. Trash can with plastic bag and pedal-operated lid
ROOM FOR STORAGE OF SUPPLEMENTARY EQUIPMENT
. Oxygen cylinder/torpedo with safety chain
. Portable X-ray
. Other equipment
LIVING ROOM FOR TEAM
CONDITIONS FOR ENVIRONMENTAL CONSERVATION AND SAFETY
. Ceiling is whole and easy to clean and disinfect.
. Integral walls that are easy to clean and disinfect
. Whole floor, waterproof and easy to clean and disinfect

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 National Health Surveillance Agency
General Management of Technology in Health Services
Technology Unit of the Health Services Organization

SURGICAL CENTER
Unit intended for surgical development, as well as recovery
post-anesthetic mediated

. Air conditioning in accordance with RDC No. 50/02

. Fire safety conditions in accordance with RDC
No. 50/02
. Orientation and safety signage
. Identification of emergency exits
. Grounded and identified 110v and 220v sockets
AREAS ADJACENT TO THE SURGICAL CENTER
Waiting room for companions
Exclusive restroom for companions
. Sink
. Support with paper towel
. Liquid soap dispenser
. Trash can with a plastic bag and a pedal-operated lid
II–HUMAN RESOURCES
. Exclusive nurse throughout the entire operating period.
. Number of nursing assistants/technicians:_________________
. Number of anesthesiologists (Check if there is one for each room):______________
. Nº de funcionários da limpeza:___________________
. Nursing staff scale in a visible location
. List of anesthetists including shifts in visible locations
. List of surgeons including on-call in a visible location
III–ORGANIZATIONAL CONDITIONS
. Book of orders and occurrences
. Scheduling of elective surgeries
. Surgery logbook
. Surgery report form
. Anesthesia record
. Patient check-in and check-out log book
. Daily Census
. Preventive maintenance record of equipment
. Manual of updated technical standards and routines available01
. Lot identified with: solution, date and validity after bottling.
. Storage and conditioning of surgical instruments,
identified and within the sterilization expiration date.
. Sanitizers used according to ordinance nº 15–
DNVS/SNVS/MS, of August 23, 1988
. Storage of medications and hospital medical materials in a location

01
The manual of standards and routines must describe actions and infection control flows, procedures
invasive or non-invasive, organizational, control and maintenance techniques, according to the activities
developed in each sector

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 National Health Surveillance Agency
General Management of Technology in Health Services
Technology Unit of the Health Services Organization

SURGICAL CENTER
Unit intended for surgical development, as well as recovery
post-anesthetic mediates

exclusively free of moisture, easy to clean and disinfect

. Medications and hospital medical material with expiration date control
validity
. Storage of controlled medications in compliance
with Ordinance no 344/98 and its updates
. Disposal of solid waste and sharp-cutting waste in compliance
with the CCI
. Correct paramentation for the team
Personal protective equipment (PPE) in sufficient quantity to meet the service demand
. Glasses
. Hat
. Mask
. Procedure gloves
. Exclusive clothing
. Probes
Specific forms for the surgical procedure
. Description of the surgical procedure
. Description of the anesthetic act
. Partogram and newborn record
. Surgical center debit (room expense)
Systematics of form filling
. Complete, legible, signed, identified, and dated records.
. Prescription and medical evolution signed and identified
. Nursing reports, legible, signed, identified and
data given
. Vital signs record
. Description of surgical and anesthetic procedures
. Partogram and newborn record (in obstetrics)

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