The surgical environment

Question 1

How many air changes need to occur per hour?

Answer 1

20

Question 2

At least what percent of the air exchanges should be fresh air?

Answer 2

20%

Question 3

What type of air pressure is in the OR?

Answer 3

positive air pressure

Question 4

Laminar unidirectional airflow provides up to how many air exchanges per hour?

Answer 4

600

Question 5

relative humidity in the or should be maintained at

Answer 5

50 to 55%

Question 6

the room temperature should be

Answer 6

68F to 75F 20C to 24.4C

Question 7

The room temperature for pediatric, geriatric, and burn patients should be

Answer 7

up to 80*F

Question 8

Oxygen comes through what color hose

Answer 8

green

Question 9

Nitrous oxide comes through what color hose

Answer 9

blue

Question 10

Grounded wall outlets should be installed how high off the ground

Answer 10

5 feet

Question 11

The fire triangle consists of what

Answer 11

fuel, oxygen, and ignition

Question 12

Class A fire extinguishers are used for what

Answer 12

wood, paper, cloth: pressurized water or water-mist

Question 13

Class B fire extinguishers are used for what

Answer 13

flammable liquids: carbon dioxide or dry chemicals

Question 14

Class C fire extinguishers are used for what

Answer 14

electrical or laser: Halon

Question 15

Use of the fire extinguishers follows PULL. What does this stand for?

Answer 15

Pull the pin, aim the nozzle at the base of the fire, squeeze the handle, sweep from side to side.

Question 16

tort

Answer 16

a civil wrong. intentional or unintentional

Question 17

What are the 7 ways to protect a patient from laser damage?

Answer 17

1. Protect their eyes, goggles or moist pads
2. Administer anesthesia and oxygen in a closed system
3. Use nonflammable antiseptics for skin prep
4. Use fire retardant drapes
5. Moisten drapes around target area
6. Use special endotrachal tubes
7. Insert a moist sponge in rectum to prevent escape of methane gas

Question 18

What are the 10 ways to protect you from laser damage?

Answer 18

1. Wear laser safe goggle.
2. Use lens covers for microscope or endoscope
3. Post laser signs outside of room
4. Wear fire retardant gown
5. Nonreflective instruments
6. Turn off laser when not in use
7. Avoid inhaling laser plume
8. Use caution with dyes
9. Have Halon fire extinguisher
10. Avoid spills on laser generator.

Question 19

Res ipsa loquitur

Answer 19

The thing speaks for itself

Question 20

Respondent superior

Answer 20

Master-servant employment relationship.

Question 21

Corporate negligence

Answer 21

An institution is liable for failure to ensure an acceptiable level of care

Question 22

Doctrine of reasonalbe man

Answer 22

Everyone is expected to do his or her hob would any reasonalbe prudent person in similar circumstances

Question 23

Negligence

Answer 23

Lack of reasonable care by omission to fulfill a duty

Question 24

Malpractice

Answer 24

Professional misconduct, unreasonable lack of skill or judgement, or illegal or immoral conduct

Question 25

Borrowed servant rule

Answer 25

The captain or master is liable for servant’s behavior

Question 26

Iatrogenic medical injury

Answer 26

Injury sustained by the patient from activity of health care professionals.

Question 27

Primum non nocere

Answer 27

First do no harm

Question 28

Aeger primo

Answer 28

Patient first

Question 29

Liability

Answer 29

To be legally bound and responsible for personal actions

Question 30

Extension doctrine

Answer 30

The surgeon may extend the surgical procedure to correct or remove any abnormal pathology during the course of the procedure as deemed necessary

Question 31

Abandonment

Answer 31

Leaving the patient when the patient’s condition warrants the presence of the health care professional

Question 32

Defamation

Answer 32

Injury to an individual’s character orally or in writting

Question 33

Slander

Answer 33

Oral injury to one’s character

Question 34

Libel

Answer 34

Written injury to ones’ character