Deck 10: Physical Facilities

Question 1

It is acceptable to prop OR doors open during or in between surgical procedures.

Answer 1

False
The room air circulation is higher pressure than in the halls to minimize the amount of dust and debris pulled in toward the sterile field.Closing the OR doors decreases the mixing of air within the OR with that of the corridors,which may contain higher microbial counts.Air pressure in the room is disrupted if the doors remain open.

Question 2

In what transition zone area is it acceptable for patients to wait before receiving anesthesia and to be given invasive lines and regional anesthesia?

A)Preoperative holding area
B)Induction room
C)Postanesthesia care unit
D)Dressing room

Answer 2

B
Some hospitals have an induction room adjacent to the OR where a patient waits and is prepared before the administration of anesthesia.Invasive lines are placed and/or regional anesthesia may be induced here.

Question 3

Where in the surgical environment would you find the receptionist,pneumatic tube system,and computer systems used to retrieve patient records?

A)Conference room
B)Support service office
C)Central control desk
D)Central processing area

Answer 3

C
This desk is in the unrestricted area where communication is coordinated,a tube system can be used to deliver paperwork and specimens,and patient information may be obtained.

Question 4

Swinging doors are the preferred door type in the OR.

Question 5

Which is one of the components of a substerile room?

A)Instrument decontamination sink
B)Medication storage cabinet
C)Anesthesia intubation cart
D)Steam sterilizer

Question 6

Fiberoptic cables should not be detached from the instrument.

Question 7

During construction of the OR,negative pressure must be maintained in halls,with exhaust filtered to the outside of the building.

Question 8

It is desirable to have all ORs be the same size.

Question 9

Which is one use of the OR ceiling?

A)Surface mount for lighting devices
B)Blood barrier
C)Location of the air conditioning unit
D)Storage site for overhead equipment

Question 10

In what room might a laparoscopic cholecystectomy be performed?

A)Endoscopy room
B)Interventional radiography room
C)Minimally invasive surgery room
D)Cystoscopy room

Question 11

Which is one of three areas into which the surgical suite is divided?

A)Sterile area
B)Negative pressure area
C)Unrestricted area
D)Waiting area

Question 12

The ratio of intensity of general OR lighting should not exceed 1:5.

Question 13

Which is one of the three storage areas found within the perioperative area?

A)Contaminated instrument storage
B)Minimally invasive procedure room
C)Sterile supply room
D)Contaminated equipment storage

Question 14

Which is an equipment item commonly found in each OR?

A)PYXIS medication machine
B)Mayo stand
C)Crash cart
D)Scrub sink

Question 15

What is the recommended ratio of fresh air exchanges to recirculated air per hour in Class A ORs?

A)5 air exchanges with 1 exchange of outside air
B)10 air exchanges with 2 exchanges of outside air
C)15 air exchanges per hour with 3 exchanges of outside air
D)25 air exchanges with 5 exchanges of outside air

Question 16

The OR temperature should be maintained within a range of _________________ to___ ° F and _________________to_____% humidity.(Insert numbers only.)

Question 17

How many clocks should be in each OR?

A)At least three
B)One
C)Two
D)None

Question 18

What type of filter is used in the OR setting that eliminates almost all dust particles?

A)HEPA
B)NIOSH
C)EPA
D)ACH