Chapter 4 - The Health Care Facility
accreditation (of a health care facility) - correct answer-the process by which a hospital or
other health care facility is evaluated by an independent organization
administration - correct answer-individuals who manage an institution, plan its activities, and
provide oversight for day-to-day operations and employees; liaison between the facility and
and the community
air exchange - correct answer-the exchange of air between areas separated by a physical
boundary; standards are regulated by health and safety organizations
positive air pressure - 10% higher in the OR
one-way air movement
back table - correct answer-large stainless steel table on which most of the sterile surgical
supplies and instruments are placed for use during surgery
biomedical engineering technician - correct answer-professional who specializes in the
maintenance, repair and safe operation of devices used in medicine
case cart system - correct answer-organizational method of preparing equipment and
instruments for a specific surgery
central core - correct answer-restricted area of the operating room where sterile supplies and
flash sterilizers are located
chain of command - correct answer-hierarchy of personnel positions that establishes both
vertical and horizontal relationships between positions
decontamination area - correct answer-room or dept in which soiled instruments and
equipment are cleaned of gross matter and decontaminated to remove microorganisms
efficiency - correct answer-economic use of time and energy to prevent unnecessary
expenditure of work, materials and time
high-efficiency particulate air (HEPA) filters - correct answer-remove 99.97% of particles
equal to or larger than 0.3 micrometers
integrated operating room - correct answer-digital and computerized components can be
controlled from a central location in the room; components are built into the room structure
as well
job description - correct answer-specifies duties, responsibilities, location, pay and
management structure of a job
, laminar airflow (LAF) system - correct answer-moves a contained volume of air in layers at a
continuous velocity, with 800 to 900 air exchanges per hour
organizational chart - correct answer-graphic depiction of an organization's chain of
command and shows the lines of administrative authority
personnel policy - correct answer-sets forth health care facility's job descriptions, role
delineations, requirements for employment, and rules of conduct
postanesthesia care unit (PACU) - correct answer-critical care area where patients are taken
after surgery for monitoring and evaluations as they emerge from anesthesia
restricted area - correct answer-area of the operating room where only personnel wearing
surgical attire (masks, eyewear, shoe coverings, head coverings) are allowed
risk management - correct answer-tracking, evaluating, and studying accidents and incidents
to protect patients and employees
role confusion - correct answer-lack of clarity about one's job duties and requirements
semirestricted area - correct answer-designated area in which only personnel wearing scrub
suits and hair caps are allowed
The Joint Commission - correct answer-accrediting organization for hospitals in the US
traffic patterns - correct answer-movement of people into, out of, and within the operating
room
transitional area - correct answer-area in which surgical personnel or visitors prepare to
enter the semi restricted and restricted areas (includes locker rooms and changing rooms)
unrestricted area - correct answer-an area that people dressed in street clothes may enter
racetrack operating room - correct answer-suites are around the outside
operating table - correct answer-adjustable for height, degrees of tilt in all directions,
orientation in the room, articular breaks, and length
Mayo stand - correct answer-small table with an open end that can be raised and lowered
kick bucket - correct answer-designated for soiled sponges and other lightweight, non sharp
items that must be discarded during surgery and accounted for
ring stand - correct answer-used to contain one or two basins; sterile water or saline is
poured into
Extra Items in OR - correct answer-Operating Table--Elec/Gas
Outlets--Lights--Monitors--Computer--Anesthesia machine--
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