Exam 3 - Surgical Suite

Question 1

Restricted Area

Answer 1

• Always wear mask and hospital scrubs
• Protect patient / supplies from infection
• No public access
• OR / scrub sinks (if someone scrubbing) / hybrid room / etc

Question 2

Hybrid room

Answer 2

• Combo of Cardiac OR and Cath Lab

- Can tell hybrid room by presence of C-Arm (for radiology)

Question 3

Wear mask in…

Answer 3

• OR
• Supply Room
• Near sink if someone scrubbing

Question 4

Wear shoe covers….

Answer 4

• If hospital policy

- If choosing to wear non hospital designated street shoes

Question 5

Surgical conscience

Answer 5

• Being aware of sterile technique and kindly bringing it to someone’s attention if sterile technique is broken
• For the sake of the patient
• Also be aware of where you are setting up and the enviornment around you

Question 6

Fomite

Answer 6

• Pathogen located on non-living equipment in the OR

EX. Machines, walls, floors, etc

Question 7

CDI 500

Answer 7

• In-line blood gas analyzer
• Measures blood gases every 10 seconds
• NOT discrete
• Does not have to be regulated by CLIA
  - ACT that regulates blood gas analyzers and handling
  - Clinical Laboratory Improvement Act

Question 8

Discrete vs Non-discrete

Answer 8

• non Discrete: In line…samples not handled by professionals
• discrete: not in-line…samples run one at a time after being gathered by professional. Regulated by CLIA

Question 9

Semi-restricted area

Answer 9

• Usually designated as restricted

- Supply rooms, hallways, work rooms, scrub areas

Question 10

Unrestricted area

Answer 10

• In street clothes

- Interact w/ surgical attire individuals

Question 11

OR

Answer 11

• Operating room
• Controlled environment (traffic in/out, equipment, air, temp)
• Highly controlled physically
• Multiple professionals
• High technology
• Surgical conscience

Question 12

Why are controlled conditions important

Answer 12

• Prevent pathogens
• Regulate traffic
• Avoid cross contamination
• Isolate bio-hazardous waste

Question 13

Sources of pathogens

Answer 13

• Skin (4 - 10K viable particles per min)
• Hair
• Nasopharynx
• Fomites
• Air transports 80-90% of contamination
• Human error

Question 14

Personal in OR

Answer 14

• Anesthesiologist
• Surgeon
• Assistant (PA, RN, Scrub Tech)
• Circulating Nurse
• OR Tech
• Lab Tech
• Perfusionist

Question 15

OR Equipment

Answer 15

• Mayo Stand
• Basin Stand
• Hamper Stand
• Over the Bed Table
• Kick Bucket
• Platform (riser, stool)
• Warmer
• Suction carrousel w/ regulator
• Electrocautery unit aka Bovie
• Pyxsis

Question 16

SWAN Catheter

Answer 16

• Pulmonary Artery catheter

- Floated into place from major vein through RA and RV into Pulmonary Artery where it is wedged via balloon inflation

Question 17

TAVR

Answer 17

• Transaortic valve replacement
• Aortic valve replacement through the femoral vein
• Done for high risk / older patients who could not handle open heart surgery and/or CPB