Wk 1

Question 1

What surgery allows for faster recovery and lower infection risk

Answer 1

Hybrid theatres and keyhole operations

Question 2

What are the three models of OR

Answer 2

Racetrack: 1 supplies area supplies all OR

Single corridor: all areas feed off one corridor , multiple supply areas

Small clusters: everything in a single hub with supplies for each hub

Question 3

ORs are close to: (EX Partner CIB)

Answer 3

ED
X-Ray
Pathology
CSSD (sterilisation) 
ICU
Blood bank

Question 4

Construction of the rooms

Answer 4

Seamless
Fireproof
Waterproof
Non-reflective
Hard
Non-porous

Question 5

Lighting in the OR

Answer 5

Intense 
Shadowless
Daylight quality
Freely moveable
Produce minimal heat
Easily cleaned 
Disposable light covers to maneuver

Question 6

Communication in the OR

Answer 6

Telephone
Stentofon
Overhead paging 
Pagers
Alar system:call light 
Resus bell
Computer systems

Question 7

Layout of scrub area

Answer 7

Transition: change room
Unrestricted: preop and recover room -street clothes
Semi-restricted: peripheral support areas - street clothes or scrubs
Restricted: scrub areas, OR

Question 8

Ideal surgery conditions

Answer 8

Humidity 50-60%: decrease bacteria and static

Temp 20-22: decreases metabolic demand/comfort of operating room, inhibits bacteria growth

Air control: HEPA (high efficiency particulate air) filters, positive pressure, closed rooms, laminar flow, anaesthetic gas scavenger system

Question 9

Peri-op phases

Answer 9

Assessment of systems
Decision to operate 
Hospital management 
Day/surgery ward
Preop bay or holding bay
Anaesthetic room
Intraoperative
Post op, recovery room , PACU 
Home recovery

Question 10

Role of anaesthetist

Answer 10

Type of anaesthetic to use
Monitor/maintain ABC
Manage pain, nausea, vomiting
Post op nursing requirements 
Documentation

Question 11

Anaesthetist technician role

Answer 11

Helps anaesthetist prepare equipments
Checks patient into anaesthetic room
Check equipment at start of day
Restock supplies at end of day

Question 12

Surgeon role

Answer 12

Prepare pt
Schedule elective lists
Booking of emergency cases
Instrument and equipment required
Surgical assistants
Infection control
Documentation

Question 13

Perfusionist role

Answer 13

Assist anaesthetist during cardiac bypass procedures

Question 14

Orthopaedic technician role

Answer 14

Care and maintenance of instruments
Ordering instruments and prostheses
Assist with positioning
Liaise with product representatives

Question 15

Orderly role

Answer 15

Pt transport and transfer
Assistance with pt positioning
Assist with waste and cleaning
Deliver urgent bloods, specimens

Question 16

Radiographer role

Answer 16

Pre, intra, post X-rays

Question 17

CSSD staff role

Answer 17

Provide sterile supplies

Involves cleaning, checking, packaging, disinfecting and sterilisation

Question 18

ACORN (Australian college of operating room nurses) objectives

Answer 18

1. Disseminate info to members on issues of significance
2. Provide and facilitate professional development
3. Identify and examine issues and relevant problems
4. Advise authorities on periop related health issues
5. Act as a resource by fulfilling advisory roles and provide consulting services
6. Initiate research to seek solutions to issues
7. Take action on problems of significance
8. Promote growth in the organisation

Question 19

Define perioperative

Answer 19

Time surrounding a pt’s surgery all procedure.

Includes admission, anaesthesia, surgery and recovery