Test Prep 2 Flashcards
The exertion of power over others through intimidation, sarcasm, or bullying
Aggression
Not a good trait to have in the OR
Communicating one’s personal and professional needs to others; protecting one’s own rights while respecting those of others.
Assertiveness
Okay to be assertive, but NOT aggressive
Communication through facial expressions, posture, and gestures.
body language
agreement among the members of a group
Consensus
Verbal abuse or sabotage of people of equal job or professional ranking.
Lateral abuse
The purposeful touching of another person to convey empathy, care, and tenderness.
Therapeutic touch
Bullying, attempts to devalue, intimidate, or embarrass an individual. This occurs between two people of different hierarchy in an organization.
Vertical abuse
In conflict resolution, a solution that allows both parties in a conflict to gain.
Win-win solution
Two of the most important components of patient care, which helps to ensure quality patient care
Communication and teamwork
Guidelines for verbal communication (7)
Focus on receiver
use concrete words
do not assume response
do not judge
avoid strong emotional words
make eye contact
and on the phone do not have a conversation in the background.
_____ is the telling and retelling of events about another’s personal life, professional life or physical condition.
Gossip
Positive listening skills
Focus on sender
avoid listening for what you want to hear
don’t judge sender
watch for nonverbal cues
ask for clarification
rephrase what sender said
don’t let sender get sidetracked
ask sender to repeat
do not assume background info unless you know it
and if you find senders comments/language offensive
tell them without judgement
The goal of _________ __________ is to attempt to find a solution that is acceptable to all parties. (Lose-lose neither party is satisfied)
Conflict resolution
This is a powerful tool of communication that can be used to soothe or comfort but can also be used to demonstrate dominance.
Touch
The process by which a hospital or other health care facility is evaluated by an independent organization. Accredited facilities are those that meet the standards of the accreditation agency.
Accreditation
TJC
DNV
A large stainless steel table on which most of the sterile surgical supplies and instruments are placed for use during surgery.
Back table
Air exchange
The exchange of air between areas separated by physical boundary. Standards for air exchange are regulated by health and safety organizations.
. **minimum of 15 and a max of 20 filter air exchange per hour.
Professional who specializes in the maintenance, repair, maintenance, and safe operation of devices used in medicine, including surgical equipment.
Biomedical engineering
Organizational method of preparing equipment and instruments for a specific surgery
Case cart system
The restricted area of the operating room, where sterile supplies and flash sterilizers (IUSS) are located.
Central core
A hierarchy of personnel positions that establishes both vertical and horizontal relationships between positions.
Chain of command
Filters installed in the operating room ventilation system that removes 99.97% of particles equal to or larger than 0.3 micrometers.
High-efficiency particulate air (HEPA) filters.
A ventilation system that moves a contained volume of air in layers at a continuous velocity, with 800 to 900 air exchange per hour unidirectional flow
Laminar airflow (LAF) system
Critical care area where patients are taking after surgery for monitoring and evaluation as they emerge from anesthesia
Postanesthesia care unit (PACU)
The area of the operating room where only personnel wearing surgical attire, including mask, shoe coverings, and head coverings, are allowed. Doors are kept closed, and the air pressure is greater than that in areas outside of this area.
Restricted area
A designated area in which only personnel wearing scrubs suits and hair caps that enclose all facial hair are allowed.
Semirestricted area
An area in which surgical personnel or visitors prepare to enter the semirestricted and restricted areas. This area include the locker room and changing rooms.
Transitional area
An area that people dressed in street clothes may enter
Unrestricted area
Designated for soiled surgical sponges that must be discarded during surgery and accounted for.
Kick bucket
To contain one or two stainless steel basins, to support the lip of the basins.
Ring stand
department that receives all tissue samples and other specimens from surgery. This person is a specialist medical Doctor Who do examines specimens to determine the type of tissue or other material, to identify disease within the tissue, and create a Permanent legal record.
Pathologist
Ancillary personnel)
(Frozen sections)
The humidity level should be….
50-55%
What is the recommended air exchange?
15 to 20
Temperatures ideally kept between temp?
68-73 degrees
Sets and enforces regulations related to safety in the environment, including hazardous chemicals and radiation.
Environmental protection agency
(EPA)
Conducts research and establishes guidelines for infection control measures.
Association for professionals in infection control and epidemiology
(APIC)
The process of tracking, evaluating, and studying accidents and incidents to protect patients and employees. This department produces change in policy or enforcement of policy if the risk reaches in an unacceptable level.
Risk management
Any instruments that are not sent out of the department for the Decontamination and sterilization are brought to this room for assembly after Decontamination. Items that are particularly delicate for that are used infrequently may be processed in this area
Clean processing area
Organizational method of preparing equipment and instruments for a specific surgery
Case cart system
What are the basic design types used in surgical services departments?
race track plan, hotel plan, specialty grouping plan, peripheral corridor style
relative humidity (RH) in the OR
20-60% set by ANSI, no higher than 50%, 30-60% set by manufacturers
provides the surgical team with perioperative laboratory values used when monitoring the patient. The Blood Bank, which supplies the blood products is also located in this department
laboratory department
located outside the surgery department; it is where the final assembly, sterilization, and storage of instruments occurs as well as the storage of sterile supplies; also responsible for the processing of instruments
central sterile supply and processing department (CSPD)
sterile processing department (SPD)
central service (CS)
All doors into restricted areas must remain closed during an operation to preserve ___________________ and help prevent air contamination.
positive air pressure
ancillary department responsible for cleaning the semi-restricted and restricted areas of the surgery department
environmental services
these are connected to the health care facility’s backup generator in case of power outage and should be used for equipment that is vital to the patient’s safety, such as the anesthesia machine
red electrical outlets
green gas outlet
oxygen
blue gas outlet
nitrous oxide
yellow gas outlet
compressed air
Cabinets should be _______________ into the wall to avoid dust accumulation on their top surfaces; the door must remain closed to avoid contamination.
recessed
used for genitourinary procedures such as endoscopic prostate surgery; the tabletop is radiolucent to allow taking X-rays, and a fluid drain pan with a mesh bottom that can be attached to the end of the table
urology or cystoscopy OR table (special procedure room)
a small stand that is moved up to the operative field and extends across the patient; height is adjustable and it is draped with a sterile cover
mayo stand
consists of a low-wheel-based stand with multiple rings in which suction canisters are placed, or they are attached to the wall suction outlet and used to hang suction canisters; unsterile item that can be disposable or nondisposable
suction canister system
number of suctions per OR?
2 - one for anesthesia and one for the OR team
also called the cautery box or Bovie unit; produces an electrical current that is converted into thermal heat for cutting or coagulating tissue
electrical surgical unit (ESU)
friction between to surfaces, by proximity to an electrostatic force such as electricity or magnets
sources of static electricity
can be caused by low humidity
from cauterized or coagulated tissue caused by a laser or electrosurgery is offensive in odor and irritating to the eyes and respiratory tract
surgical plume
federal organization that is dedicated to protecting the health of worker by establishing standards that address issues related to safety in the workplace, the standards are legally enforceable in order to protect workers, and many of the standards are based on the finding of other agencies, such as NFPA, ANSI, and NIOSH
Occupational Safety and Health Administration (OHSA)
organization that establishes standards that reach across the spectrum of the health care field, including sterilization, electrical safety, levels of device safety, and use of medical devices
Association for the Advancement of Medical Instrumentation (AAMI)
What are the 3 Basic objectives in an OR
Infection Control, Environmental Safety, Efficient use of personnel time space and material resources
Why are traffic patterns important in the surgical suite?
They are used to keep general public out and designed to control the flow of traffic, decrease microorganisms, create boundaries that are the highest potential source of infection.
What is the current standard for humidity in the OR?
20% to 60%
What type of area is the locker room/lounge area?
Transitional area
Restricted area, a room that requires full surgical attire including a mask, they contain carts with specialty supplies and have direct access to IUSS, may also have the blanket warmer
sub sterile room
What substance does Intervention radiology use?
It uses radioactive material to treat and diagnose.
What types of surgery’s are performed at ambulatory surgical centers?
Minor surgery that do not require post op hospital recovery.
What does DRG stand for?
Diagnosis related group
determine the amount of money insurance and Medicare will provide
Power source for some orthopedic equipment
Nitrogen
(black cylinder)
Inactive electrode
Grounding pad
(Bovie Pad)
these are connected to the health care facility’s backup generator in case of power outage and should be used for equipment that is vital to the patient’s safety, such as the anesthesia machine
red electrical outlets
Access doors into the OR should be kept __________ during all procedures to protect the internal environment from external contamination.
closed
an articulating arm that is mounted from the ceiling; at the end of the arm is shelving that can contain a variety of equipment and outlets such as a camera box and light source or gas and electrical outlets
boom
large, ringed stands that are lined with color-coded bags indicating what is disposed of in them
linen hampers/trash containers
a disposable or nondisposable container that can be found either on the floor or hanging from the wall; needles, blades, trocars, and any other sharps must be deposited inside
sharps container
The design of the OR should include
Environment safety
Infection control
Efficient use of space/resources
Facility owned by hospital but located off the campus
Satellite surgery
They have contracts with health care providers and medical facilities to provide care for members at reduced costs. These providers make up the plan’s network
Managed care plans
(HMO and PPO)
Responsible for hiring the CEO of the hopsital
Board of Directors (Trustee)
(BOD of BOT)
Check in point for the surgical patient where the ACP, surgeon, and nurse can talk and interview the patient
Patient Holding Area
(Pre-Op Area)
Considered the MOST important skills for the CST
Management of specimens
Organization that regulates the production of BI sterilization test packs
Association for the Advancement of Medical Instrumentation
(AAMI)
Channels the electric current back to the generator
Dispersive electrode
(Inactive electrode)
(Grounding Pad)
(Bovie Pad)
Usually the hospital policy is to rescind this order when the patient is going to surgery
DNR
(The patient’s POA can request order to be continued)
The department you would contact if you had a question concerning how to prepare a certain type of specimen
Pathology
Where is infectious waste placed
Biohazard bags
Location where the active electrode should be placed when not in use
Holster
