Chap 4 - The Health Care Facility. Flashcards
Accreditation.
Process by which a team of professionals evaluates a health care institutions practices and policies and the outcome of patient care.
The facility itself must…
- Provide a safe environment for patients, staff, and visitors.
- Enable the work of health care personnel in a way that encourages efficiency of time, movement, and space.
The Joint Commission.
The primary accreditation organisation for all health care facilities.
Chain of command.
A hierarchy of personnel positions that est. both vertical and horizontal relationships between positions.
Organisational chart (organigram).
A graphic depiction of an organisations chain of command that shows the lines of vertical (higher/lower) and horizontal (equal) administrative authority.
Principals of OR design.
- Infection control
- Environmental safety
- Efficient use of personnel, time, space, material resources.
Infection control.
______ is a multidisciplinary process and involves many different areas of expertise and practice.
The physical design of the OR is based on two basic principals.
- Physical separation between the surgical environment and any source of contaminations.
- Containment of sources of infection.
The Decontamination Area.
The area where surgical instruments and equipment are disinfected after use.
When complete physical separation is possible, contaminated objects are __________ in a prescribed area or a barrier.
Contained.
The surgical environment contains many potential sources of __________ _________.
Environmental Safety.
Administration.
- Individuals who manage an institution, plan its activities, and provide oversight for day-to-day operations and employees.
- Liaison between the facility and the community
Air exchange.
- The exchange of air between areas separated by a physical boundary.
- Standards are regulated by health and safety organisations.
- Positive air pressure - 10% higher in the OR
- One-way air movement
Back table.
Large stainless steel table on which most of the sterile surgical supplies and instruments are placed for use during surgery.
Biomedical engineering technician.
Professional who specializes in the maintenance, repair and safe operation of devices used in medicine.
Case cart system.
Organisational method of preparing equipment and instruments for a specific surgery.
Central core.
Restricted area of the operating room where sterile supplies and flash sterilizers are located.
Chain of command.
Relationship between management and staff members.
Decontamination area.
Room or dept., in which soiled instruments, equipment are cleaned of gross matter and decontaminated to remove microorganisms.
Efficiency.
Economic use of time and energy to prevent unnecessary expenditure of work, materials and time.
High-efficiency particulate air (HEPA) filtres.
Remove 99.97% of particles equal to or larger than 0.3 micrometers
Integrated operating room.
- Digital and computerised components can be controlled from a central location in the room.
- Components are built into the room structure as well.
Job description.
Specifies duties, responsibilities, location, pay and management structure of a job.
Laminar airflow (LAF) System.
Moves a contained volume of air in layers at a continuous velocity, with 800 to 900 air exchanges per hour.
Personnel policy:
Sets forth health care facility’s job descriptions, role delineations, requirements for employment, and rules of conduct.
Post-anesthesia care unit (PACU).
Critical care area where patients are taken after surgery for monitoring and evaluations as they emerge from anaesthesia.
Restricted area.
Area of the operating room where only personnel wearing surgical attire (masks, eyewear, shoe coverings, head coverings) are allowed.
Risk management.
Tracking, evaluating, and studying accidents and incidents to protect patients and employees.
Role confusion.
Lack of clarity about one’s job duties and requirements.
