Fire and Electrical Safety in the OR Flashcards

1
Q

3 components of the fire triangle

A

-Fuel Source
-Ignition Source
-Oxidizers

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2
Q

Surgical prep solutions, alcohol, petroleum-based ointments, facial hair, surgical drapes, gloves, breathing circuits, dressings, ETT

A

Fuel sources

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3
Q

Oxygen, air, nitrous oxide

A

Oxidizers

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4
Q

Electrosurgeries (ESU’s), fiberoptics, high-speed drills, lasers, monitors, defibrillators, desiccated anesthesia soda lime

A

Ignition sources

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5
Q

Where do 85% of surgical fires occur

A

High risk cases involving the
-Head
-Neck
-Upper chest

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6
Q

3 modern safety devices

A

-Polarized plugs
-Three pronged (grounding) plug
-Ground fault circuit interrupter (GFCI)

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7
Q

Red light wavelength

A

620-750 nm

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8
Q

Factors affecting how much light is absorbed by the sample (Beer’s Law)

A

A= abc

a= Absorptivity
b=Increasing the distance the light beam travels through the sample
c= Concentration of analyte

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9
Q

Current flows in one direction

A

Direct Current Circuit (DC); commonly battery powered

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10
Q

Current periodically changes direction

A

Alternating Current Circuit (AC); Derive energy from wall outlets or AC generators

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11
Q

What kind of current does OR equipment operate one

A

Alternating Current Circuit (AC)

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12
Q

Type of circuit that allows one pathway for current flow

A

Series circuit; ex: a multibattery flashlight- voltages of battery simply add together

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13
Q

Type of circuit that has more than one path it can take; resistors are connected in parallel to create a unique current

A

Parallel circuit

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14
Q

Household circuits are usually:

A

Parallel circuits

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15
Q

The energy required to push electrons through a material

A

Resistance

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16
Q

Ohm’s Law measures

A

Resistance and conductance

17
Q

Any substance that does not allow the flow of electrons

A

Insulator

18
Q

Any substance that permits the flow of electrons

A

Conductor

19
Q

Example of a conductor

A

Metals

20
Q

What do all stationary electric charges possess

A

Electric potential energy

21
Q

Electric potential energy is measured in what?

A

joules

22
Q

What is an example of something that has electric potential energy

A

Defibrillator (joules)

23
Q

What kind of wavelength does deoxygenated hemoglobin absorb?

A

visible red wavelength= 660 nm

24
Q

What kind of wavelength does oxygenated hemoglobin absorb?

A

infrared= 940 nm

25
Q

Every energized device or electrical circuit has the potential for producing an electric shock

T or F

A

True

26
Q

A relatively large amount of current flows through the body potentially resulting in injury or death

A

Macroshock

27
Q

A relatively small current is delivered externally and finds its way to the heart via a low resistance pathway

As little as 100 microA can cause v.fib

A

Microshock

28
Q

The longer the individual is in contact with a current, the greater the damage.

T or F

A

True

29
Q

If there is a surgical fire, what would you immediately pull?

A

ETT

30
Q

What is the oxidizer in 95% of surgical fires?

A

Oxygen. Heavier than air, it can accumulate around and under drapes

31
Q

Ways to prevent surgical fires

A

-Fire drills, education, trainings

-Avoid open air oxygen delivery (especially in head, neck, upper chest; turn O2 off when possible, ex: when surgeon closing)

-Administer supplemental O2 via ETT or LMA (closed systems=less fire risk than open- NC, mask)

-Limit supplemental O2 < 30%

-Turn O2 off 1 min before ESU

-Avoid pooling of prep solutions and allow to dry

-Continuous suction-scavenger systems

-Coat facial hair with water-soluble lubricant

-Use moistened sponges

-Laser resistant ETT’s for high risk cases

-Water and extinguishers immediately available

32
Q

Mnemonic for fire safety

A

R escue
A alarm
C ontain
E xtinguish

33
Q

Mnemonic for fire extinguisher

A

P ull pin
A im at base of fire
S queeze handle
S weep side to side

34
Q

3 components of the fire triangle

A

Fuel source
Ignition source
Oxidizers