Chapter 4; Health care Facility Structure
& Environment
The surgical department is structured & engineered with three objectives in mind. list the
three objectives. - correct answer-a.) infection control
b.) environmental safety
c.) efficient use of personnel, time, space, & material resources
traffic patterns in the operating room are restricted. describe the typical traffic pattern for an
operating room, & explain why the movement is restricted. - correct answer-when traffic
patterns are enforced in the OR, they include entry into the OR & movement of people &
equipment within the department.
name two basic principles of infection control used in the physical design of the operating
room. - correct answer-1.) physical separation between the surgical environment & any
source of contamination
2.) containment of sources of infection
list the departments that support the operating room - correct answer-surgery offices, special
procedures room, nurse station, equipment room, equipment/supply storage rooms,
female/male locker rooms, scrub attire dispensing room, etc.
who is the operating room educator, & what are the job duties of this person in the operating
room? - correct answer-a registered nurse or certified surgical technologist with extensive
experience.
describe the chain of command & give an example of why the chain of command is
important for communicating within the department. - correct answer-a chain of command
exists to distribute power & responsibilities, keep employees aware of company news &
create a system for sharing knowledge. ex: employee reporting to a manager, who reports to
a senior manager, who reports to the vice president, who reports to the CEO.
a.) certified surgical technologist (CST) - correct answer-prepares the sterile field, assists
surgeon with draping, passing instruments, & accountability for all items in the sterile field
used in surgery.
b.) perfusionist - correct answer-provides extracorporeal (outside the body) oxygenation of
the blood during cardiac bypass procedures.
c.) anesthesia provider - correct answer-maintain meticulous assessment, monitoring, &
adjustments of the patient's physiological status during surgery.
d.) perioperative registered nurse - correct answer-provides direct patient care of daily living,
including assisting with mobility, dressing, eating, & toileting
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