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Chapter 5 physical environment Flashcards | StudBud
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Chapter 5 physical environment
Chapter 5 physical environment
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Answers
1
What is PMMA?
Positive Masters Movement Association. A movement for surgeons rights
Positive Mental Attitude. The mindset a Surgical Tech should have
Polymethyl methacrylate a glass subsitute
2
How much exposure in gravity displacement is required for sterilization of wrapped instruments?
30 minutes @ 250 F
35 minutes @ 250 F
40 minutes @ 250 F
25 minutes @ 250 F
3
What is PEP?
Power Exposure Points
Protect the Exposed Patient
Post exposure prophylaxis
4
What part of the anesthesia cart will remove waste gases?
Pressure regulator
Flow control valve
Gas ventilator with bag attachment
gas-scavenging system
5
What is formalin?
A medication that will prevent blood clots
A medication that will prevent hypotension
A medication that will prevent hypertension
preservative for tissue specimens to be sent to the pathology department
6
How do you operate a fire extinguisher?
SWEEP, Squeeze, Wet the flame, extinguish, extra extinguish, Put away ext.
PASS- Pull, Aim, Squeeze from 8ft back, Sweep nozzle Back and forth
7
what is ergonomics
The arrangement of things in the OR
Personal impact of duties of the job description and use of equipment
The order in which you should open supplies in the OR
The amount of time allotted for a surgery
8
What piece of OR furniture is most proximal to the Op Site
back table
prep table
ring stand
mayo stand
9
How far away from the laser impact site should the smoke evacuator be placed?
0.8mm to 0.4mm ideal 0.4mm
0.5mm to 0.3mm ideal 0.3mm
0.7mm to 0.4mm ideal 0.5mm
0.3mm to 0.1mm ideal 0.1mm
10
Why do doors remain closed in the OR
To protect the internal environment from external contamination
To keep a low temperature during a procedure
To help keep the OR quiet
11
Where is latex derived from -What percentage of HC workers are allergic
Rubber trees, 5-12% are allergic
Rubber trees, 5 to 15% are allergic
Rubber trees, 17-23% are allergic
Rubber trees, 8 to 17% are allergic
12
What should the temperature in the OR be kept at?
65-73 degrees
67-72 degrees
Between 65-70 degrees
Between 68-73 degrees
13
What is PACU
another word for NSII
Partial Assessment Counter Underlayment
Potential Acceptance into Counciling
Post-anesthesia care unit
14
Know why the OR is designed the way it is
To control traffic and supply each OR with needed supplies
To be able to access the OR immediately after entering the hospital
To efficiently be able to have a good turnover rate
For traffic and ventilation patterns
15
Process by which all microorganisms including spores are destroyed
Disinfection
Sterilization
Decontamination
Terminal cleaning
16
safety steps when using x-ray (radiation) in the OR
Wear a mask the covers the entire face and lead apron.
Lead apron, shoes, gloves, and mask.
Cover your abdominal area with any solid material. Make sure to wear a mask
Wear a lead apron and thyroid shield.
17
Term given to the continuous flow of air from inside the operating room outward
Negative air pressure
Positive air pressure
Laminar air flow
18
which area must the surgical tech wear scrub attire; complete head, nose and mouth cover
Anesthesia workroom
Operating room
Corridor between surgical rooms
PACU
19
Components of ESU and creators of it in 1926
Harvey Cushing MD, and William Bovie. the machine itself
Harvey Cushing MD, and William Bovie. Buttons on the front, on/off switch
Harvey Cushing MD, and William Bovie. Three prong cord, handle for movement
Harvey Cushing MD, and William Bovie. Generator and handpiece
20
what immunoglobulins cause a type 1 allergic reaction?
immunoglobulin C
immunoglobulin D
immunoglobulin A
immunoglobulin E
21
Who maintains the safety and operating conditions of many operating room devices?
surgeon
Surgical Tech
Medical staff
biomedical personnel
22
CSPD
Creation of surgical instrumentation department
Central Sterile Supply and Processing Department
Controlled Sterile Processing Department
23
know the type of ventilation system used in the OR
Negative air pressure to provide clean air
Positive air pressure to provide clean air
24
Where are sponges from the operative field discarded?
Kick bucket
The trash
Straight into the dumpster
Linen Hamper
25
What is a neutral zone and what is its purpose?
Place to put instruments when you are completely done using them
Area to help prevent sharps injuries intraoperatively
Area to put bloody materials
Zone where only the ST is able to use
26
The Bowie-Dick test is a:
Biological indicator
Indicator for air leaks
Indicator for water leaks
Chemical indicator for sterilization
27
what equipment provides the highest potential for OR fires
ESU, Biohazard bags, OR lights
Oxygen, anesthesia cart, ESU
ESU, fiber optic lights, laser fibers and beams
ESU, Laser, Generator
28
Unrestricted area
Require proper OR attire including masks
Include inside the OR itself
near the entrance, isolated from the main hospital coridoors. normalClothes
29
Administrative offices the main desk and locker rooms are semi-restricted area
True
False
30
What is a fire triangle?
Source of ignition, flammable gas or liquid, extinguishing of the flame
Source of ignition, O2, Co2
Source of ignition, flammable gas or liquid, O2
31
What type of bed would a cystoscopy procedure require
One where cautery is being used
genitourinary procedures such as endoscopic prostate surgery
One where the patient is in Supine position
One where the patient is in prone position
32
Semi-restricted area
Contain dressing rooms and preoperative holding
Dont require OR attire
OR attire is required, surgical scrub suit and hair covers.
33
What are some table attachments for positioning?
Leg stirrups and arm boards on rails found on the side
You can't attach anything to the OR table.
Extension for taller patients, sealed suction cup areas.
34
Who is AAMI and what do they do
They count each instrument in each OR
including sterilization, electrical safety, levels of device safety
They prevent workplace injuries by keeping track of sharp objects in OR's
Association for the Advancement of Medical Instrumentation
35
What is static electricity and how is it created?
Can be source of ignition
Friction between two forces proximity to an electrostatic force or magnets
Created when something is not dried properly. can create fires
36
How many air exchanges per hour must take place in the OR
30-35
15-20
20-25
18-23
37
Pre-op holding
where patient is taken after surgery
PACU
where the patient is prepared for surgery
38
What would you use to put out a fire involving a laser generator?
Fire extinguisher
Drapes
Sterile water
Combustion towel
39
Process in which microorganisms are destroyed with the use of heat or chemical means:
decontamination
Disinfection
Sterilization
terminal cleaning
40
Suction outlets
Each OR must have at least two
Each OR should have at least four
Each OR should have at least three
Each OR should have at least one
41
how small of particles will a smoke evacuator filter?
1.1 to 0.5 um
0.1 to 0.5 um
1.3 to 1.7 um
0.3 to 0.7 um
42
How long must instruments be dry prior to soaking in cidex to achieve disinfection?>
20 Minutes
10 hours
24 hours
30 minutes
43
What is the 2 and 3 prongs for in an electrical plug?
3rd prong supplies electricity, 2 prongs prevent electrocution
The third prong is so the plug doesnt get pulled from the wall.
Electricity supplied through 2, 3rd prevents patient electrocution
All prongs supply electricity. 3rd prong is incase the cord is pulled.
44
What do proper body mechanics do for us
help protect the body from injury
Makes sure we are in the correct position for every situation
45
Where do instrument "booms" originate from
Ceiling
floor
Anesthesia cart
OR table
46
the color of emergency shut off valves for oxygen Green
Green
Orange
Yellow
Red
47
why do OR overhead lightbulbs approximate sunlight
So it is bright
So they can use solar panels which is safer energy
So they produce heat and keep the patient warm
So they provide glare-free illumination
48
Hypodermics
Should never be recapped
Should be placed in a sealed container when done being used.
Shouldn't be used during surgery
Should be thrown away
49
What diagnostic test emits ionizing radiation
Endoscopy
CT scan
Fluoroscopy
Mammography
50
Restricted area
only surgeons and ST's are able to enter
Street clothes are acceptable
Proper OR attire including masks are required
Open to the public
51
What are some parts of the OR table
Wheels, brake locks, remote to move the table.
Breakpoints/bendable areas, removeable sections and attachments
Mattress, pillow, sheets, blankets and sometimes drapes
Side lamps, length extension for taller patients, buttons to move it.
52
All of the following areas are considered unrestricted EXCEPT the:
Dining area
OR suite changing room
Surgical suite
Family waiting room
53
Who is NIOSH and what is their role in the OR
Helps prevent injuries in the OR
research oriented in establishing exposure limits for chemicals gas/vapor
National institute for occupational safety and health
Similar to OSHA but deals only with equipment
54
Who is OSHA
Occupational Sharing and Help Administration. Provides any assistance neede
Occupational Safety and Health Administration. Workplace safety
55
Where and how are infectious, blood-saturated and dripping medical wastes discarded?
Linen hamper
red-colored biohazard bags. Contaminated sharps in a sealed container
Sealed in an enclosed container that will be immediately thrown out.
Kick bucket
56
Process by which used equipment, medical devices and instruments are made safe to handle.
sterilization
Disinfection
Terminal cleaning
Decontamination
57
What is a back table and what is it used for?
holds sharp instruments during surgery
most sterile supplies are opened and organized
Goes over the patient. holds sterile supplies
where sharps box and other things are held
58
What does pathology do?
Designates the neutral zone in each OR
Testing, processing, and diagnosing specimens
Studies the patients medical history to determine what can and cant be used
59
What is the dry erase board used for in the OR?
Sponges, sharps, instrument counts and other important information
The surgeon
60
Know all forms of PPE and what they are used to protect you from
shoes and goggles
Drapes, blankets, pillows, gowns, goggles
Sponges, drapes, covers
Eye-wear, gloves, gown/apron, waterproof shoe covers
