CST - Chapter 4 - Part 2
-an organizational chart (organigram) is a graphic representation of the management chain of
command.
-the significance of the organizational chart is that it depicts each manager's areas of
responsibility and accountability.
-it eliminates ambiguity about who is in charge of what and the level of responsibility. -
ANS-Explain how the chain of command and the organizational chart Re interrelated.
Accessories needed for padding but should be length - ANS-The operating room table is
adjusted for height, degree o f tilt in all directions, orientation in the room, articulate breaks, and
________
Airflow and ventilation - ANS-When the door is opened, positive pressure from within the room
pushes air out and prevents it from entering the suite.
Allowing airflow from unrestricted to restricted areas can increase the risk of infection.
To reduce the risk, the air pressure in the surgical suite is maintained at level 10% higher than
the air pressure, - ANS-Explain how airflow in the operating room is managed to prevent
infection.
Back table - ANS-Holds instruments and supplies except those for immediate use
Back table - ANS-Sterile pack is placed and opened on this piece of equipment
Efficiency - ANS-________ is the economic use of time and energy to save unnecessary work,
material resources, and time.
Electricity - ANS-High risk associated with electro surgical devices.
Electricity - ANS-Red plugs
Gases - ANS-Oxygen, compressed air, nitrous oxide, and nitrogen are available through inline
system.
Gases - ANS-Used as adjuncts to anesthesia and as a power source during surgical procedure.
High efficiency particulate air (HEPA) filter - ANS-Installed in the operating room ventilation
system and removes particles.
High efficiency particulate air (HEPA) filter - ANS-Must be changed on a regular basis.
High efficiency particulate air (HEPA) filters are installed in the operating room ventilation
system and remove particles equal to or larger than 0.3 um.
HEPA filters must be changed regularly to maintain their efficiency.
Protects from bacteria and molds that easily colonize heating and cooling vents and dirty filters,
especially in burn units. - ANS-Explain the HEPA air filtering system.
Humidity and temperature - ANS-Must be kept at 30% to 60%
Humidity and temperature. - ANS-Must be maintained at 68 degrees to 73 degrees.
Intermediate but should be central core. - ANS-The ______ core contains clean and sterile
equipment and supplies.
Kick bucket - ANS-Designated for soiled surgical sponges
Kick bucket - ANS-Is constructed of stainless steel and fitted into a wheeled frame
Laminar airflow (LAF) system - ANS-400 to 600 exchanges per hour.
Laminar airflow (LAF) system - ANS-Function is to move a large volume of air containing
particles and microorganism south of the opening room.
Later in the case - ANS-The back table is a large, stainless steel table on which instruments,
supplies, and equipment needed for surgery ________
Lighting - ANS-Energy is emitted as both halogen and LED
Mayo - ANS-Is covered with a sterile drape and used for instruments and supplies that are
needed immediately during surgery
Mayo - ANS-Smaller table with one open end that can be raised and lowered
No restricted, semirestricted, and restricted - ANS-the department is separated into three
distinct areas:
Operating room table - ANS-Is covered with a firm removable pad
Pathology department, nuclear medicine, infection, biomedical engineering, materials
management, central supply, pharmacy, diagnostic tests, blood banks, risk management, central
communications, medical records, facilities maintenance, environmental services, security
officers and nutritionists. - ANS-The operating room could not function without the collaborative
effort of professionals outside the OR. What major functions do these departments implement?
People enter the operating room department directly into the restricted area. This is a central
location where visitors can be monitored and directed to change in surgical attire in order to
proceed to other areas.
Only personnel wearing surgical attire (a scrub suit and hair cap that encloses facial hair) are
allowed in the semirestricted area. The corridors between surgical rooms, the instrument and
supply processing area, storage areas, and clean utility rooms within the surgical department
are semirestricted areas.
Only personnel in complete scrub attire, including hair cap, mask, and facial hair covering are
permitted in a restricted area. These locations include the surgical suites, procedure rooms,
sterile corridor, substerile rooms between surgical suites, and those where sterile supplies are
kept. - ANS-Traffic patterns in the operating room are restricted. Describe the typical traffic
pattern for an operating room, and explain why the movement is restricted.
Prep tables - ANS-Small tables used for skin prep kits, power equipment, and extra sterile
supplies
Restricted - ANS-Only personnel in complete scrub attire, including hair cap, mask, and facial
hair covering, are permitted in the ______ area.
Ring stand - ANS-Holds wrapped basin sets
Ring stand - ANS-Is designed to support the lip of the basin
sterile and clean - ANS-The primary design goal of the floor plan is to create a clear separation
between _________ and _________ equipment.
Sterile supplies - ANS-________ in the surgical suite are stored in closed cabinets to keep them
clean.
The clean processing room- items that are particularly delicate or that are used infrequently may
be processed in this area.
If an item must be reused in a later case and there is not enough time to send it to the central
processing department, it may be cleaned and prepared in the clean processing room. -
ANS-Instruments that are particularly delicate (e.g. Eye or those used in microsurgery) might not
go to the sterile processing room. What is a more appropriate way to process instruments such
as these after a surgical procedure?
The operating room nurse educator may be a registered or certified surgical technologist with
extensive operating room experience. This individual develops and implements educational
programs, seminars, and in services (informational training on new products or techniques)
within the department. - ANS-What is the operating room educator, and what are the job duties
of this person in the operating room?
Traffic patterns - ANS-______ are physical routes for people and equipment in the health facility,
which are designed to prevent the transmission of disease.
Unrestricted area - ANS-People enter the operating room department proceed directly into the
_______ area.
