Surg 101--Chap 5 (Fuller)

Question 1

A facility must provide a _____ for patients, staff members, and visitors.

Answer 1

safe environment

Question 2

Facility must enable the work of health care personnel in a way that encourages _____, _____, and _____.

Answer 2

efficiency of time, movement (work), and space

Question 3

All facility designs must meet certain objectives:

Answer 3

1. Infection control
2. Environmental safety
3. Efficient use of personnel, time, space, and resources

Question 4

Infection control is a _____ process.

Answer 4

multidisciplinary

Question 5

Physical design of the operating room is one focal area of _____.

Answer 5

infection control

Question 6

Infection control is based on two principles:

Answer 6

1. Physical separation between the surgical environment and any source of contamination
2. Containment of sources of infection

Question 7

_____ and _____ are physically separated when possible.

Answer 7

Clean and contaminated areas

Question 8

Walls and corridors create _____.

Answer 8

separation

Question 9

The surgical department is separated from hospital corridors and units by doors that _____.

Answer 9

remain closed at all times

Question 10

When complete physical separation is impossible, contaminated objects are _____.

Answer 10

contained

Question 11

Containment is _____.

Answer 11

confinement in a prescribed area or by a barrier

Question 12

Surgical suite is contained by keeping the doors closed and maintaining a _____ than outside.

Answer 12

higher air pressure inside the suite

Question 13

_____ materials are used for floors

Answer 13

Nonporous

Question 14

National medical engineering standards for _____, _____, _____, and _____ are followed in the surgical suite.

Answer 14

electrical circuits, in-line gases, lighting, and other utilities

Question 15

Strict safety standards ensure that patients and staff members are protected from extreme hazards and accidents such as _____, _____, and _____.

Answer 15

fire, explosion, and electrocution

Question 16

Efficiency is _____.

Answer 16

a. The economic use of time and energy to save unnecessary work, material resources, and time

Question 17

Efficient use of _____ influences the use of time and contributes to the safety of personnel.

Answer 17

space

Question 18

Intelligent design can _____.

Answer 18

reduce stress

Question 19

Time-saving practices are implemented to _____ and _____.

Answer 19

increase the number of patients served and make the best use of people’s skills and abilities

Question 20

_____ and _____ protects the sterility of the items and enables staff members to find what they need quickly and retrieve it safely.

Answer 20

Proper storage of sterile supplies and efficient use of space

Question 21

Primary design goal of the floor plan is to _____.

Answer 21

create a clear separation between soiled and clean equipment

Question 22

Movement of people and equipment within and into the perioperative area is _____.

Answer 22

restricted

Question 23

Traffic into the operating room is controlled by _____ and _____.

Answer 23

the specific location and lockout system of the entry doors

Question 24

Traffic patterns are designed to _____.

Answer 24

reduce the spread of disease by isolating the source

Question 25

a. A monitored area where people entering the department may be directed to change into surgical attire.

Answer 25

unrestricted area

Question 26

Personnel dressed in street clothes and portable equipment that has not been disinfected are confined to the _____.

Answer 26

unrestricted area

Question 27

Family waiting areas and outer reception areas are _____.

Answer 27

unrestricted areas

Question 28

Only personnel wearing surgical attire (a scrub suit and a hair cap) are allowed into the _____.

Answer 28

semirestricted area

Question 29

The corridors between surgical rooms, the instrument and supply processing area, storage areas, and utility rooms are _____.

Answer 29

semirestricted areas

Question 30

Requires the highest level of precautions against contamination.

Answer 30

sterile or restricted area

Question 31

Only personnel in scrub attire (complete head, nose, and mouth covering) are permitted.

Answer 31

sterile or restricted area

Question 32

Includes the surgical suites, procedure rooms, sterile corridor or Substerile rooms, and sterile supply rooms.

Answer 32

c. Includes the surgical suites, procedure rooms, sterile corridor or Substerile rooms, and sterile supply rooms

Question 33

The locker room/lounge areas is a _____ for those who need to change from street clothes to surgical attire.

Answer 33

transitional area

Question 34

Often presents a problem for infection control because personnel in street clothes may have easy access, and traffic control is limited or absent.

Answer 34

locker room/lounge areas

Question 35

_____ and _____ must be limited to the lounge are and never taken into restricted areas.

Answer 35

Food and drink

Question 36

Basic components needed during surgery include:

Answer 36

``` operating table instrument table ring stands for solutions computer stations digital imaging equipment electrosurgical unit ```

Question 37

All rooms contain an _____ and _____.

Answer 37

anesthesia machine and physiological monitoring equipment

Question 38

Sterile supplies are stored in _____ or _____ just outside the surgical suite.

Answer 38

recessed cabinets or in substerile rooms

Question 39

Suction and in-line gas and compressed air hoses are suspended from ceiling fixtures for _____ and _____.

Answer 39

safety and efficiency

Question 40

The _____ is adjustable for height, degree of tilt in all directions, orientation in the room, articular breaks, and length.

Answer 40

operating table

Question 41

The _____ is a large, stainless steel table on which all instruments and supplies are placed.

Answer 41

back table

Question 42

All equipment is arranged on the back table in an orderly manner after _____ and _____.

Answer 42

gowning and gloving

Question 43

Other small tables are used for _____, _____, and _____.

Answer 43

skin prep kits, power equipment, and extra sterile supplies

Question 44

The _____ is a smaller table with one open end that can be raised or lowered.

Answer 44

Mayo stand

Question 45

The Mayo stand is covered with a sterile drape and used for the _____.

Answer 45

placement of instruments and supplies that are immediately required during surgery

Question 46

The Mayo stand is placed _____.

Answer 46

over or alongside the patient for quick access to instruments

Question 47

The _____ is a stainless steel or plastic bucket on castors or wheels.

Answer 47

kick bucket

Question 48

The kick bucket is not a _____.

Answer 48

trash receptacle

Question 49

The kick bucket is designed for _____.

Answer 49

soiled surgical sponges and other lightweight, non-sharp items that must be discarded during surgery and accounted for

Question 50

The _____ is used to contain one or two stainless steel basins.

Answer 50

ring stand

Question 51

_____ or _____ is poured into the basin for use during surgery.

Answer 51

Sterile water or saline

Question 52

Airflow from unrestricted to restricted areas can increase the risk of _____.

Answer 52

infection

Question 53

Air pressure in the surgical suite is maintained at a level _____ higher than air pressure in adjacent semirestricted areas.

Answer 53

10%

Question 54

The doors must remain _____ to maintain this positive pressure differential.

Answer 54

closed

Question 55

Positive pressure forces air from the OR into the hallways, preventing the _____ from entering the OR.

Answer 55

potentially contaminated hallway air

Question 56

Standard air exchange is a _____ and a _____ filtered air exchanges per hour.

Answer 56

minimum of 15 and a maximum of 20

Question 57

High-efficiency particulate air (HEPA) filters are installed in the OR ventilation system and remove particulate equal to or larger than _____

Answer 57

0.3 micrometers

Question 58

High-efficiency particulate air (HEPA) filters must be changed regularly to _____.

Answer 58

maintain efficiency

Question 59

_____ moves a contained volume of air in layers at a continuous velocity

Answer 59

Laminar airflow (LAF) system

Question 60

HEPA filtered exchanges range from _____ exchanges per hour

Answer 60

400 to 600

Question 61

_____ is controlled to reduce the risk of infection and to minimize static electricity

Answer 61

humidity

Question 62

TJC requires OR to be maintained at _____ relative humidity

Answer 62

50% to 55%

Question 63

OR temperature is maintained at ______.

Answer 63

68 to 73 degrees F (20 -23 degrees C)

Question 64

_____, _____, and _____ build interdepartmental relationships and help reduce stress and improve patient care.

Answer 64

Patience, respect, and professionalism

Question 65

Departments are distinguished by _____ (what they do) or by _____ (the sector in which they are managed).

Answer 65

``` function administration ```

Question 66

Masks are required to supplement OR attire where ______.

Answer 66

open sterile supplies and scrubbed personnel are located

Question 67

Street clothes are permitted in _____.

Answer 67

unrestricted areas

Question 68

American Institute of Architects (AIA) 2010 Guidelines state that a minimum of _____, whichever is greater, should be dedicated to equipment storage.

Answer 68

150 ft(squared) or 50 ft(squared)

Question 69

Classes or OR's with minimal floor space are:

Answer 69

Class B: 250 ft(squared) with 15 ft minimum clear dimensions at the head sides, and foot of the OR bed Class C: 400 ft(squared) with 18 ft minimum clear dimensions at the head sides, and foot of the OR bed

Question 70

Class A OR's are commonly used for _____ performed with topical, local, or limited regional blocks.

Answer 70

smaller procedure

Question 71

Class B rooms are better suited for procedures in which the patient may be _____.

Answer 71

sedated and physiologically supported with IV medication

Question 72

Class C OR's provide adequate space for typical _____.

Answer 72

multipurpose procedure rooms