Safety in OR Flashcards

1
Q

Disinfectant bleach solution ratio

A

1:10 Bleach solution

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2
Q

Disinfectant alcohol percent

A

70% isopropyl alcohol

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3
Q

Length of wet time for HIV-1 disinfectant

A

30s

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4
Q

Length of wet time for HBV disinfectant

A

10 minutes

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5
Q

Minimum air exchanges requirement

A

20 air exchanges/hour

Minimum 4 which must be fresh

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6
Q

Air exchange

A

air derived directly from outside to avoid air contaminated from other parts of hospital

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7
Q

Air inlet near _____ and exhaust near _____

A

inlet near ceiling

exhaust near ceiling

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8
Q

Humidity should be maintained at ____

A

50-65%

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9
Q

Most ORs are _______pressure

A

positive

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10
Q

Regulates purity of cylinders

A

NGA: pharmocopeia of the US

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11
Q

Regulates storage/transportation of compressed gas

A

US DOT

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12
Q

Cylinders are inspected every _____

A

10 years

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13
Q

OSHA recommended exposure level of MMA

A

100 ppm in 8 hours

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14
Q

Macroshock - pain sensed at

A

> 5mA (maximal harmless current)

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15
Q

Microshock enters through?

A

pacing wires, central line

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16
Q

Vfib can be induced with ______

A

100 microamps

0.1mA

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17
Q

Difference between macroshock and microshock

A

macro - electricity enters/exits thru skin

micro - electricity directly to myocardium

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18
Q

Goal of X-ray exposure

A

ALARA - as low as reasonably achievable

19
Q

Standards for manufacture/delivery of compressed gases

A

Compressed Gas Association

20
Q

Publishes standards for use of only nonflammable agents in OR

A

National Fire Prevention Association (NGA)

21
Q

Standard for healthcare facilities for pipeline gas sources and electrical supply to OR

A

NFPA 99

22
Q

Defines operating room standards

A

Life Safety Code

23
Q

Notify FDA if death/injury occurs with equipment

A

Safe Medical Devices Act of 1990

24
Q

CDC provides _____ for infection transmission and prevention

A

recommendations

NOT regulations

25
Q

1 ppm is how many parts?

A

1% of 1,000,000 (of means multiply)

10,000 parts

26
Q

N2O allowable standard

A

25ppm (8hr time weighted average)

27
Q

Halogenated agents - allowable standard

A

2ppm over 1hour

28
Q

Halogenated agent with N2O (25ppm)- allowable standard

A

0.5 ppm over 1 hour

29
Q

Who is in charge of sampling air and how often?

A

Hospital Biomed q 3-6months

30
Q

Macroshock first sensed at

A

1 milliamp

31
Q

Unable to “let go” (macroshock)

A

10-20 mA

32
Q

Loss of consciousness from macroshock

A

50 mA

33
Q

Macroshock amount that threatens the heart/respiratory centers

A

> 6000 mA

34
Q

Why does microshock require much less current?

A

Bypasses skins high resistance

35
Q

Exposure from x-rays is minimal beyond

A

36 inches

36
Q

Minimum recommended distance from X-ray source is _____

A

6 feet

37
Q

Where is the force of the MRI field greatest?

A

Center of scanner (“bore”)

38
Q

as the distance to the bore ______, the force of the field increases ______

A

decreases, increases exponentially

39
Q

who should not be in room of MRI?

A

Pregnant providers, morbidly obese patients (hyperthermia), infants (hypothermia)

40
Q

effect on capnography in MRI

A

prolonged upstroke and decreased value

41
Q

inert gases escape MRI intentionally or unintentionally

A

Quench

42
Q

immediate danger of quench gone wrong

A

asphyxiation/frost bite

43
Q

What to do if quench occurs and goes wrong

A

evacuate