Health Care Facility Structure and Environment Flashcards
Process by which a team of professionals evaluates a health care institutions practices and policies and the outcome of patient care.
Accreditation
The primary accreditation organization for all health care facilities
The Joint Commission
A hierarchy of personnel positions that est. both vertical and horizontal relationships between positions.
Chain of command
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 area where surgical instruments and equipment are disinfected after use
The Decontamination Area
__________ ________ are physical routes for people and equipment in the health care facility and are specifically designed to prevent transmission of infection
Traffic Patterns
This area is centrally located where visitors can be monitored and directed to change into surgical attire in order to proceed to other areas.
Unrestricted
Only personnel wearing surgical attire are allowed into this area.
Semirestricted
Only personnel in complete scrub attire, including hair cap, mask, and facial hair coverings are permitted into this area.
Restricted
A surgical room that contains the equipment and technology for special use.
Special Procedure Room
The standard air exchange is ____ air exchanges per hour.
15-20
This filtering system removes particles equal to or larger than 0.3 Micro Meters.
High-efficiency particulate air filters
The current standard for humidity in the OR is…
30%-60%
The OR temperature is maintained at…
68-73º F or 20-23º C
Any instruments that are not sent out of the department for decontamination and sterilization are brought to …
Clean Processing Area
This contains clean and sterile equipment supplies
The Central Core
The department that receives all the tissue samples and other specimens from surgery.
Pathology
The department involved the use of radioactive materials or radiopharmaceuticals to diagnose and treat disease.
Nuclear medicine
This department uses radiography, MRI, CT, Ultra sound, and other imaging techniques.
Interventional Radiology
The department that specializes in the prevention and control of hospital acquired infection.
Infection Control.
This department maintains the safety and the operating conditions of many hospitals medical devices including those used in surgery.
Biomedical Engineering
This department is the purchasing and logistics center for goods and supplies.
Materials Management
The department that distributes disposable items, linens, and equipment.
Central Supply
This department preforms diagnostic tests where personnel examine and analyze body tissue , fluids, & cells.
Laboratory
The department that provides products for transfusion, in the surgical, postanesthesia care and medical units.
Blood Bank
This department surveys and tracks the number of and exact nature of adverse or sentinel events given in a period of time.
Risk Management Department
This department is responsible for receiving, maintaining, and transferring all patient records.
Medical Records
Department responsible for environmental systems in the hospital such as the hospitals power source, ventilation, inline gases, light, heat and electricity.
Facility Maintenance
Personnel that perform essential cleaning and decontamination services for all departments of the hospital.
Environmental services
Private insurance require regular payments by an individual or group of individuals, who in turn receive partial or total payment reduction rates for their benefits.
PPO or Preferred Payment Organization
Contracts with specific healthcare providers to deliver service using techniques and standards that are designed to be economical and efficient.
HMO or Health Maintenance Organization
Created and maintained by the American Medical Association to provide consistent Medical Terminology for medical procedures.
Current Procedural Terminology (CPT)
Identify
Has a specific use designated for soiled surgical sponges, and other lightweight, nonsharp, items that must be discarded during surgery and accounted for.
Kick Bucket
Identify
Is covered with a sterile drape and used for instruments and supplies that are needed for immediate use during surgery.
Mayo Stand
Identify
Is adjustable for height, degree of tilt in all directions, orientation and the room, articular breaks, and length in the OR.
OR Table
Identify
Is a large stainless steel table on which all instruments and supplies are placed except those in immediate use.
Back Table
Identify
Is used to contain one or two stainless steel basins.
Ring Stand
_____ moves a contained volume of air in layers at a continuous velocity.
Laminar Airflow System (LAF)
Specialist in pain management and is responsible for meticulous assessment, monitoring, and adjustment of the patients physiological status.
Anesthesiologist
Functions as a circulating nurse or a scrub
RN
Prepares equipment and instruments before surgery, ensuring all devices are safe and operative
CST
Completed an educational program for assisting the surgeon during a procedure
CST-CSFA
Responsible for the sage management and sterilization of equipment in preparation for and after it is used in surgery and other care units.
Central Sterile Processing Technician
Provides guidance and training in company’s products.
Medical Industry Rep
Provide extra corporeal oxygenation of the blood during cardiac bypass procedures in which the hear is placed in standstill.
Cardiovascular Perfusionist
Room temperature for infants
85 degree
Color of the gas outlet for oxygen
Green
Color of the gas outlet for nitrous oxide
Blue
Identify
Used to provide safe elevation in the OR.
Standing stool
Identify
Mostly used by anesthesia to hang fluids. Also, might be used to attach the OR drapes
IV Pole
Color of the gas outlet for nitrogen, which can be used to operate some surgical equipment
Black
Identify
Used for safe disposal of all contaminated sharps - puncture proof, marked with biohazardous waste symbol
Sharps Container
Identify
Helps to prevent venous stasis and decrease the change of thrombus formation
Sequential Compression Device (SCD)
Identify
Provides a concentrated area of light on the wound site for visualization
Head light
Identify
Separates used sponges for ease of count. Has 10 individual compartment
Sponge collection bag
Identify
Used to perform surgical scrub. Soft foam side for upper arms, and bristles for fingernails and hands
Scrub brush
Identify
Used to perform the surgical scrub, does not require water. Also, comes in several different brand names.
Waterless Scrub
CANNOT BE USED BY JUNIOR STUDENTS
Identify
Used to keep the patient warmed during the intraoperative and postoperative periods
Bair Hugger
Identify
Designed to enhance minimally invasive
Robot
Identify
During robotic procedures this is where the surgeon sits. also, designed to allow the surgeon to control the movements of the instruments
Surgeon Console
Organizational method of preparing equipment & instruments
case cart system
Occupational Safety and Health Administration
OSHA
Many surgical suite designs include an enclosed area that is directly adjacent to the operating room and may be entered through a common door between the two or more operating rooms.
Substerile rooms
A patient emerging from anesthesia faces many physiological risks including airway obstruction, cardiac arrest, hemorrhage, neurological dysfunction, hypothermia, and pain. Therefore patients are taken directly from surgery to the ________________ _______ _______.
postanesthesia care unit (PACU)
Identify
Has CO2 settings and tank, light source, and monitor
Laparoscopy Tower
Identify
Helps protect against potential OR hazards
DO NOT CONNECT CHEST TUBES TO THIS DEVICE
Neptune Suction
Identify
Helps to create a bloodless field. It is frequently used on the proximal aspect of an extremity.
Tourniquet
Identify
Often referred to as high stirrups
Candy cane stirrups
Identify
Often referred to as yellofins
Allen stirrups
Identify
Where surgical scrub takes place
Scrub sink
Identify
Often referred to as a Davis Roller
Patient Transfer Roller
