Physical Environment & Safety Standards Flashcards
•Unrestricted
– located near the entrance
•Semi-restricted
– OR attire
•Restricted
– OR theaters, sterile storage areas
•Instrument Room
– storage of non sterile equipments and instruments
•Utility and Decontamination room
– cleaning of used instruments and prep area
Physical
Components of the OR
•Equipment
•Electrical outlets - grounded
•Suction outlets – 2 suction per OR
•Gas outlets: green – O2, air – yellow, nitrogen - black
OR Furniture
•Mayo stand
–Immediate necessary instruments are placed
•Back table
–Sutures, sponges or other additional supplies are obtained from this OR furniture
•Ring stand
–Used to hold sterile basins containing various fluids
•Kick bucket
–Lined with biohazard trash bags; contain soiled counted sponges
OR Room Criteria
•OR walls should be nonporous and easy to clean, fire proof, non glare, non reflective
•Cabinets recessed into the wall, cabinet doors should be sliding type
•OR air flow should be unidirectional, positive laminar air pressure, with a minimum of 15 air exchanges per hour
•HEPA filters
•OR temperature should be between 68-73°F
•OR humidity between 20-60%
Substerile
•Substerile is a workroom located outside the OR
–Contains a sink, sterilizer, blanket and solution warmer
–Located outside the OR so the circulator and STSR can remove instruments directly from the flash sterilizer
Hazard Categories
•Physical
–Noise, ionizing radiation, electricity, injury to body, fire, explosion
•Biologic
–Laser/electrosurgical plume, pathogens, latex sensitivity, sharps injury
•Chemical
–Disinfecting agents, waste anesthetic gas, vapors and fume
What color is the gas outlet for O2?
green
What color is the gas outlet for air?
yellow
What color is the gas outlet for nitrogen?
black
Examples of Physical hazards
Noise, ionizing radiation, electricity, injury to body, fire, explosion
Examples of Biologic hazards?
Laser/electrosurgical plume, pathogens, latex sensitivity, sharps injury