Exam 5: Physical Environment and Safety Standards

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Which governmental agency mandates that operating rooms have a biohazard exposure control plan and make personal protective equipment available for personnel at risk?

(Multiple Choice)
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Infectious, blood-saturated and dripping, regulated medical waste should be contained and discarded in red bags with a biohazard symbol.

(True/False)
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Polymethyl methacrylate is a gas used to sterilize heat-sensitive surgical instruments, but must be aerated from items before use on the patient.

(True/False)
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What is the name of the system attached to all anesthesia machines to remove waste anesthesia gases?

(Multiple Choice)
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Equipment with the highest potential for serving as ignition sources in surgical fires include all of the following EXCEPT:

(Multiple Choice)
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Which of the following is the type of head fixation device that attaches to the operating table used frequently for craniotomy procedures?

(Multiple Choice)
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Which of the following should be used by surgical team members to prevent potential injury from tasks involving heavy lifting, moving of equipment or patients, and long periods of standing or sitting?

(Multiple Choice)
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Match each term below with its description
Ignition source caused by friction between two surfaces and electron transfer; resulting in sparks or palpable shocks
CSPD
Category of "sharp" that has a beveled point and hollow cannula and either should not be recapped or should involve using the one-handed scoop method if recapping is necessary
Pre-op holding
Real-time intraoperative radiography that emits large amounts of ionizing radiation and requires use of a C-arm image intensifier
Laser
Correct Answer:
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Premises:
Responses:
Ignition source caused by friction between two surfaces and electron transfer; resulting in sparks or palpable shocks
CSPD
Category of "sharp" that has a beveled point and hollow cannula and either should not be recapped or should involve using the one-handed scoop method if recapping is necessary
Pre-op holding
Real-time intraoperative radiography that emits large amounts of ionizing radiation and requires use of a C-arm image intensifier
Laser
Separate department with direct or indirect connections to OR suite where instrument decontamination, assembly, and sterilization takes place and may include hospital materials storage
Fluoroscopy
Surgical energy that uses intense focused light beams and is an ignition source for surgical fires if proper precautions not taken
Static electricity
Area of an operating room suite where patients have IV lines started, sign consents, interview with surgeons, anesthesia providers, and nurses prior to transfer to the OR for procedures
Laminar flow
Connection points for negative pressure lines that allow for removal of irrigation and body fluids from the surgical site or by the anesthesia provider for management of patient secretions
Anesthesia cart
Positive pressure gradient that prevents airborne contaminants in the corridors from entering the OR when doors are opened
Hypodermics
Area of an operating room suite adjacent to an OR, which may contain a scrub sink or immediate-use steam sterilizer
Suction outlets
Equipment used by CRNA or MD for induction, maintenance, monitoring, and reversal of a patient undergoing surgery
Substerile
(Matching)
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What is the term used for the process of cleaning an OR after one procedure and preparing for a subsequent one?

(Multiple Choice)
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Which of the following is NOT a category of hazard for OR personnel or surgical patients?

(Multiple Choice)
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Unless the patient is at risk of hypothermia, the temperature range in the OR should be between:

(Multiple Choice)
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All of the following are articulating breakpoints or removable sections of an operating table EXCEPT:

(Multiple Choice)
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What is the chemical name of the powder and liquid mixture used as bone cement for placement of prostheses?

(Multiple Choice)
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Which characteristic of surgical overhead lights allows the surgeon to differentiate between the colors of arterial and venous blood or subtle color changes in tissues?

(Multiple Choice)
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Which type of procedure would require an operating table with a fluid drain pan attachment?

(Multiple Choice)
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Which of the following is the large piece of OR furniture onto which most sterile supplies are opened and organized for use during a case?

(Multiple Choice)
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An operating room where a surgical procedure is in progress would be considered what type of area?

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The emergency shut-off valve for the supply of oxygen into an operating room is designated by which color?

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What distance from the impact site of a laser beam on tissue should the smoke evacuator be positioned to capture 98% of the plume?

(Multiple Choice)
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Where are surgical instrument "booms" mounted in an operating room?

(Multiple Choice)
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