The surgical environment Flashcards
How many air changes need to occur per hour?
20
At least what percent of the air exchanges should be fresh air?
20%
What type of air pressure is in the OR?
positive air pressure
Laminar unidirectional airflow provides up to how many air exchanges per hour?
600
relative humidity in the or should be maintained at
50 to 55%
the room temperature should be
68F to 75F 20C to 24.4C
The room temperature for pediatric, geriatric, and burn patients should be
up to 80*F
Oxygen comes through what color hose
green
Nitrous oxide comes through what color hose
blue
Grounded wall outlets should be installed how high off the ground
5 feet
The fire triangle consists of what
fuel, oxygen, and ignition
Class A fire extinguishers are used for what
wood, paper, cloth: pressurized water or water-mist
Class B fire extinguishers are used for what
flammable liquids: carbon dioxide or dry chemicals
Class C fire extinguishers are used for what
electrical or laser: Halon
Use of the fire extinguishers follows PULL. What does this stand for?
Pull the pin, aim the nozzle at the base of the fire, squeeze the handle, sweep from side to side.
tort
a civil wrong. intentional or unintentional
What are the 7 ways to protect a patient from laser damage?
- Protect their eyes, goggles or moist pads
- Administer anesthesia and oxygen in a closed system
- Use nonflammable antiseptics for skin prep
- Use fire retardant drapes
- Moisten drapes around target area
- Use special endotrachal tubes
- Insert a moist sponge in rectum to prevent escape of methane gas
What are the 10 ways to protect you from laser damage?
- Wear laser safe goggle.
- Use lens covers for microscope or endoscope
- Post laser signs outside of room
- Wear fire retardant gown
- Nonreflective instruments
- Turn off laser when not in use
- Avoid inhaling laser plume
- Use caution with dyes
- Have Halon fire extinguisher
- Avoid spills on laser generator.
Res ipsa loquitur
The thing speaks for itself
Respondent superior
Master-servant employment relationship.
Corporate negligence
An institution is liable for failure to ensure an acceptiable level of care
Doctrine of reasonalbe man
Everyone is expected to do his or her hob would any reasonalbe prudent person in similar circumstances
Negligence
Lack of reasonable care by omission to fulfill a duty
Malpractice
Professional misconduct, unreasonable lack of skill or judgement, or illegal or immoral conduct
Borrowed servant rule
The captain or master is liable for servant’s behavior
Iatrogenic medical injury
Injury sustained by the patient from activity of health care professionals.
Primum non nocere
First do no harm
Aeger primo
Patient first
Liability
To be legally bound and responsible for personal actions
Extension doctrine
The surgeon may extend the surgical procedure to correct or remove any abnormal pathology during the course of the procedure as deemed necessary
Abandonment
Leaving the patient when the patient’s condition warrants the presence of the health care professional
Defamation
Injury to an individual’s character orally or in writting
Slander
Oral injury to one’s character
Libel
Written injury to ones’ character
