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Chapter5enviromentVM
Chapter5enviroment
| Question | Answer |
|---|---|
| race track is considered the | oldest design |
| 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 |
| 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 |
| 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 |
| the departments are divided into 3 areas to help protect from infection | unrestricted, semi restricted, restricted |
| in this area street clothes are allowed | unrestricted |
| the red line of death is located between | semi restricted and restricted areas |
| what is the power outlet voltage? | 220 or 110 |
| what is the red outlet for | emergency |
| what equipment do we plug into it | anything that is needed to protect the pt. anesthesia or vital to this procedure |
| what are the two suction outlets used for in the OR | surgical team and anesthia |
| What do these gas outlets stand for: Green, yellow, blue; white | green-O2; blue - nitrous oxide; yellow- compressed air; white- suction |
| what am I? I am narrow, padded and fleible | the or table |
| a Mayfield headrest is used for what | craniotomy procedure |
| the Wilson bed is used for | prone positions spinal fusion |
| what am I? I hang from the ceiling, I contain a variety of of surgical equipment, electrical and communication devices | boom |
| we use what kind of solution in the basin to rinse our instruments | saline or sterile water |
| what is the kick bucket used for | counted sponges |
| a unidirectional positive-pressure flow of air that captures microbes to be filtered out is called what | laminar airflow |
| the OR needs at least anywhere between ____to ___ air exchanges per hour | 20 to 25 |
| which group stated that HEPA filters must be used in the OR | CDC |
| how much humidity is needed in ti OR | 20-60% |
| the autoclave and a blanket warmer are in this location | substerile area |
| this room is designated wait room pre-surgery before entering quite, and can not see the or | preoperative holding |
| PACU stands for | postanesthesia care unit |
| what are the requirments for leaving the pacu | must be able to breath on own, and regain consciousness |
| who does the monitoring of BG's | perfusionists |
| what does fluoroscopy or aka C-arm do | provides real-time radiographic monitoring for orthopedic |
| 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 |
| what does SICU stand for | surgical intensive care unit |
| where do ventilator dependant patients go | sicu |
| spd stands for | sterile processing department |
| the or uses the _____ to _____ system | clean dirty |
| high voltage outlets with circuit breakers are used for what equipment | Carm units and laser |
| what type of lighting is used in the OR | halogens |
| this table is elongated holds a lots of weight and is easy to roll. | the back table |
| this is small hangs over the pt | the mayo table |
| how many hook ups for suction | at least 2 |
| noise, ionizing radiation,electricity,injury to the body, fire, explosion and injuries from sharps | physical hazards |
| laser and electrosurgical plume, pathogens found in body fluids, latex sensitivity | biological hazards |
| disinfection agents, waste anesthetic, gases, and vapors and fumes from chemical agents | chemical hazards |
| NFPA stands for | national fire protection agency |
| OSHA stands for and does what | occupational safety and health administration- they enforce what the niosh research |
| NIOSA stands for and does what | national institute for occupational safety and health- they do the research for chemicals vapors and gases |
| ANSI stands for what | American national standards institute |
| the surgical lights should be? | non-glare a blue white beam |
| something that comes from the pt can be considered | biological |
| the study of motion is called | ergonomics |
| three things that need to be to start a fire in the or | ignition, O2, fuel |
| these are examples of what: electrosurgery, lasers, fiber optic light source, defibs, sparks | source of ignition |
| these are examples of what: flammable chemical gas, vapor, ethyl alcohol and skin prep(isopropyl)drapes disposable surgical supplies | source of fuel |
| laser stands for what | light amplification by the stimulated emission of radiation |
| _______prevention is critical during laser surgry | fire |
| _______must be available for the surgical team incase of a small fire | sterile water |
| what type of fire extinguisher should be used with the laser | halon fire extinguisher |
| use ________ anesthetic when working with the laser around the oral or laryngeal | non-explosive |
| use a ______ restraint ET tube when using a laser | flame |
| what do you fill the balloon with in the ET tube during laser surgery | sterile water, use wet sponge around the tube |
| anorectal area surgeries must be packed with ________ to prevent a methane gas explosion or fire | sterile water soaked sponge |
| _________ instrumentation must be used for laser surgery | nonreflective |
| class A fire extinguishers are used for what and do we use this in the OR | wood paper fire, they are water and NO |
| class B fire extinguishers are used for what and do we use this in the OR | carbon dioxide or dry chemicals not really wanted |
| 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 |
| what does RACE stand for | rescue, alert, contain, extinguish |
| what does PASS stand for | pull pin, aim, squeeze, sweep |
| fiber optics is a | light cord 2nd most common reason for a fire |
| electric surgical unit (ESU) is called a | bovie |
| why do some burns happen? | improper grounding |
| universal precautions states that: | everyone is dirty |
| three things you do in a fire: | protect the pt, contain the fire, move anesthesia equipment away |
| use must place the sharp in the position where the surgeon can grab it with dominant hand and NOt reposition it | neutral zone |
| true or false: do we recap hypodermic needles? | NO--false |
| PEP stands for what | prophylaxis |
| _______ is known to prevent hiv transmission | zidovudine |
| PEP should be initiated within ___ hours | 2 |
| what virus has been known to spread via the plume | papillomavirus |
| PMMA stands for what | polymethyl methacrylate or aka bone cement |
| what do we use formalin for | preservationnation of tissues |
| EtO stands for what and what do we use it for | ethylene oxide sterilization of instruments kills mad cow disease |
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