Chapter5enviroment
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| race track is considered the | oldest design
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| this design of the OR has the ORs situated along a central corridor with separate clan and solid work areas. Single entrance in and out | hotel plan
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| this design of the OR has all of the OR's grouped by specialty (nero, ortho) they have there own solid instrument work area | specialty grouping
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| the humidity should be placed at what degree for most operations? and what is exempted from this temp? | 68 and 73 degree unless it is a peds and then its warmer
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| the departments are divided into 3 areas to help protect from infection | unrestricted, semi restricted, restricted
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| in this area street clothes are allowed | unrestricted
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| the red line of death is located between | semi restricted and restricted areas
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| what is the power outlet voltage? | 220 or 110
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| what is the red outlet for | emergency
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| what equipment do we plug into it | anything that is needed to protect the pt. anesthesia or vital to this procedure
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| what are the two suction outlets used for in the OR | surgical team and anesthia
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| What do these gas outlets stand for: Green, yellow, blue; white | green-O2; blue - nitrous oxide; yellow- compressed air; white- suction
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| what am I? I am narrow, padded and fleible | the or table
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| a Mayfield headrest is used for what | craniotomy procedure
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| the Wilson bed is used for | prone positions spinal fusion
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| what am I? I hang from the ceiling, I contain a variety of of surgical equipment, electrical and communication devices | boom
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| we use what kind of solution in the basin to rinse our instruments | saline or sterile water
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| what is the kick bucket used for | counted sponges
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| a unidirectional positive-pressure flow of air that captures microbes to be filtered out is called what | laminar airflow
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| the OR needs at least anywhere between ____to ___ air exchanges per hour | 20 to 25
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| which group stated that HEPA filters must be used in the OR | CDC
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| how much humidity is needed in ti OR | 20-60%
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| the autoclave and a blanket warmer are in this location | substerile area
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| this room is designated wait room pre-surgery before entering quite, and can not see the or | preoperative holding
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| PACU stands for | postanesthesia care unit
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| what are the requirments for leaving the pacu | must be able to breath on own, and regain consciousness
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| who does the monitoring of BG's | perfusionists
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| what does fluoroscopy or aka C-arm do | provides real-time radiographic monitoring for orthopedic
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| what protective equipment do you need to wear to use the C-arm and why do you wear them | lead aprons and thyroid shields to protect from ionizing radiation
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| what does SICU stand for | surgical intensive care unit
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| where do ventilator dependant patients go | sicu
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| spd stands for | sterile processing department
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| the or uses the _____ to _____ system | clean dirty
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| high voltage outlets with circuit breakers are used for what equipment | Carm units and laser
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| what type of lighting is used in the OR | halogens
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| this table is elongated holds a lots of weight and is easy to roll. | the back table
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| this is small hangs over the pt | the mayo table
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| how many hook ups for suction | at least 2
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| noise, ionizing radiation,electricity,injury to the body, fire, explosion and injuries from sharps | physical hazards
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| laser and electrosurgical plume, pathogens found in body fluids, latex sensitivity | biological hazards
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| disinfection agents, waste anesthetic, gases, and vapors and fumes from chemical agents | chemical hazards
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| NFPA stands for | national fire protection agency
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| OSHA stands for and does what | occupational safety and health administration- they enforce what the niosh research
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| NIOSA stands for and does what | national institute for occupational safety and health- they do the research for chemicals vapors and gases
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| ANSI stands for what | American national standards institute
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| the surgical lights should be? | non-glare a blue white beam
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| something that comes from the pt can be considered | biological
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| the study of motion is called | ergonomics
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| three things that need to be to start a fire in the or | ignition, O2, fuel
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| these are examples of what: electrosurgery, lasers, fiber optic light source, defibs, sparks | source of ignition
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| these are examples of what: flammable chemical gas, vapor, ethyl alcohol and skin prep(isopropyl)drapes disposable surgical supplies | source of fuel
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| laser stands for what | light amplification by the stimulated emission of radiation
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| _______prevention is critical during laser surgry | fire
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| _______must be available for the surgical team incase of a small fire | sterile water
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| what type of fire extinguisher should be used with the laser | halon fire extinguisher
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| use ________ anesthetic when working with the laser around the oral or laryngeal | non-explosive
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| use a ______ restraint ET tube when using a laser | flame
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| what do you fill the balloon with in the ET tube during laser surgery | sterile water, use wet sponge around the tube
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| anorectal area surgeries must be packed with ________ to prevent a methane gas explosion or fire | sterile water soaked sponge
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| _________ instrumentation must be used for laser surgery | nonreflective
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| class A fire extinguishers are used for what and do we use this in the OR | wood paper fire, they are water and NO
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| class B fire extinguishers are used for what and do we use this in the OR | carbon dioxide or dry chemicals not really wanted
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| class C fire extinguishers are used for what and do we use this in the OR | Halon agent gas rolls on the fire yes we use this
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| what does RACE stand for | rescue, alert, contain, extinguish
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| what does PASS stand for | pull pin, aim, squeeze, sweep
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| fiber optics is a | light cord 2nd most common reason for a fire
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| electric surgical unit (ESU) is called a | bovie
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| why do some burns happen? | improper grounding
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| universal precautions states that: | everyone is dirty
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| three things you do in a fire: | protect the pt, contain the fire, move anesthesia equipment away
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| use must place the sharp in the position where the surgeon can grab it with dominant hand and NOt reposition it | neutral zone
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| true or false: do we recap hypodermic needles? | NO--false
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| PEP stands for what | prophylaxis
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| _______ is known to prevent hiv transmission | zidovudine
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| PEP should be initiated within ___ hours | 2
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| what virus has been known to spread via the plume | papillomavirus
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| PMMA stands for what | polymethyl methacrylate or aka bone cement
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| what do we use formalin for | preservationnation of tissues
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| EtO stands for what and what do we use it for | ethylene oxide sterilization of instruments kills mad cow disease
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