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Surg Tech 101 > Surg 101--Chap 5 (Fuller) > Flashcards

Surg 101--Chap 5 (Fuller) Flashcards

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1
Q

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

A

safe environment

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2
Q

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

A

efficiency of time, movement (work), and space

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3
Q

All facility designs must meet certain objectives:

A
  1. Infection control
  2. Environmental safety
  3. Efficient use of personnel, time, space, and resources
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4
Q

Infection control is a _____ process.

A

multidisciplinary

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5
Q

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

A

infection control

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6
Q

Infection control is based on two principles:

A
  1. Physical separation between the surgical environment and any source of contamination
  2. Containment of sources of infection
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7
Q

_____ and _____ are physically separated when possible.

A

Clean and contaminated areas

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8
Q

Walls and corridors create _____.

A

separation

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9
Q

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

A

remain closed at all times

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10
Q

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

A

contained

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11
Q

Containment is _____.

A

confinement in a prescribed area or by a barrier

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12
Q

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

A

higher air pressure inside the suite

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13
Q

_____ materials are used for floors

A

Nonporous

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14
Q

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

A

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

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15
Q

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

A

fire, explosion, and electrocution

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16
Q

Efficiency is _____.

A

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

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17
Q

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

A

space

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18
Q

Intelligent design can _____.

A

reduce stress

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19
Q

Time-saving practices are implemented to _____ and _____.

A

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

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20
Q

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

A

Proper storage of sterile supplies and efficient use of space

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21
Q

Primary design goal of the floor plan is to _____.

A

create a clear separation between soiled and clean equipment

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22
Q

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

A

restricted

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23
Q

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

A

the specific location and lockout system of the entry doors

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24
Q

Traffic patterns are designed to _____.

A

reduce the spread of disease by isolating the source

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25
Q

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

A

unrestricted area

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26
Q

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

A

unrestricted area

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27
Q

Family waiting areas and outer reception areas are _____.

A

unrestricted areas

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28
Q

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

A

semirestricted area

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29
Q

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

A

semirestricted areas

30
Q

Requires the highest level of precautions against contamination.

A

sterile or restricted area

31
Q

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

A

sterile or restricted area

32
Q

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

A

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

33
Q

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

A

transitional area

34
Q

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

A

locker room/lounge areas

35
Q

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

A

Food and drink

36
Q

Basic components needed during surgery include:

A 
operating table
instrument table
ring stands for solutions
computer stations
digital imaging equipment
electrosurgical unit
37
Q

All rooms contain an _____ and _____.

A

anesthesia machine and physiological monitoring equipment

38
Q

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

A

recessed cabinets or in substerile rooms

39
Q

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

A

safety and efficiency

40
Q

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

A

operating table

41
Q

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

A

back table

42
Q

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

A

gowning and gloving

43
Q

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

A

skin prep kits, power equipment, and extra sterile supplies

44
Q

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

A

Mayo stand

45
Q

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

A

placement of instruments and supplies that are immediately required during surgery

46
Q

The Mayo stand is placed _____.

A

over or alongside the patient for quick access to instruments

47
Q

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

A

kick bucket

48
Q

The kick bucket is not a _____.

A

trash receptacle

49
Q

The kick bucket is designed for _____.

A

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

50
Q

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

A

ring stand

51
Q

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

A

Sterile water or saline

52
Q

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

A

infection

53
Q

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

A

10%

54
Q

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

A

closed

55
Q

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

A

potentially contaminated hallway air

56
Q

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

A

minimum of 15 and a maximum of 20

57
Q

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

A

0.3 micrometers

58
Q

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

A

maintain efficiency

59
Q

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

A

Laminar airflow (LAF) system

60
Q

HEPA filtered exchanges range from _____ exchanges per hour

A

400 to 600

61
Q

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

A

humidity

62
Q

TJC requires OR to be maintained at _____ relative humidity

A

50% to 55%

63
Q

OR temperature is maintained at ______.

A

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

64
Q

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

A

Patience, respect, and professionalism

65
Q

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

A 
function
administration
66
Q

Masks are required to supplement OR attire where ______.

A

open sterile supplies and scrubbed personnel are located

67
Q

Street clothes are permitted in _____.

A

unrestricted areas

68
Q

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

A

150 ft(squared) or 50 ft(squared)

69
Q

Classes or OR’s with minimal floor space are:

A

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

70
Q

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

A

smaller procedure

71
Q

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

A

sedated and physiologically supported with IV medication

72
Q

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

A

multipurpose procedure rooms

Surg Tech 101 (12 decks)

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