OR Safety

Question 1

What are the three environmental factors?

Answer 1

Physical , chemical, and biological hazards

Question 2

Explain pt safety with ionizing radiation?

Answer 2

Turn fluoroscope off when not in use
X-ray as last resort for incorrect count
Shield body parts from scatter radiation
Lead shield should always be used to protect fetus in pregnant women.

Question 3

Explain personnel safety with ionizing radiation

Answer 3

Key factors - time , distance, shielding

Avoid overexposure

Question 4

What is non ionizing radiation?

Answer 4

Radiant energy in form of heat or light that is not accumulated in body an dies not require monitoring

Question 5

What is laser?

Answer 5

Light amplification by stimulated emission of radiation

Question 6

What are safety considerations for laser?

Answer 6

Fire
Explosion
Eye an skin exposure
Laser plume

Need to wear proper mask and goggles

Question 7

What are parameters of electricity?

Answer 7

Voltage
Resistance
Current

Question 8

When is there an increased risk for a fire or explosion?

Answer 8

With head and neck injuries because of increased o2 needs

Question 9

What are the components of the fire tetrahedron?

Answer 9

Heat source/ignition
Fuel source
Oxidizer
Chemical reaction

Question 10

Tissues turn to __________ when heated

Answer 10

Gas

Question 11

When is an environment considered oxygen enriched?

Answer 11

O2 level greater than 21%

Question 12

What to do with fire and explosion

Answer 12

Know where had shut off valves are
Find fire alarm and extinguisher
Know fire escapes and keep accessible
Keep wet sponge in basin on back table

Question 13

What do you do in a small fire situation?

Answer 13

Smother with wet sponge

Remove burning material fr pt

Question 14

What should be done in the event of a big fire?

Answer 14

Stop flow of gasses to pt
Remove burning material fr pt
Care for pts needs

Question 15

What should be done if extinguishing does not work?

Answer 15

Shut off oxygen and nitrous valves

Shut off electrical equipment

Question 16

When should the OR be evacuated for a fire?

Answer 16

If fire lasts longer than 1 minute

Transport on OR table if possible

Question 17

What are some chemical hazards?

Answer 17

Anesthetic gases
Sterilizing agents (ethylene oxide, formaldehyde, glutataldehyde)
Disinfectants
Methyl methacrylate (bone cement)
Drugs and other chemicals