CNOR D5 Infection Prevention and Control Flashcards
(33 cards)
What are the three zones based on surgical attire?
Restricted, semi-restricted, non-restricted
AORN Guidelines Design and Maintenance
What are examples of environmental factors in a surgical setting?
- Noise
- Temperature
- Humidity
- Positive pressure
- Traffic
Berry & Kohn’s Operating Room Technique
What is the purpose of positive pressure in operating rooms?
To prevent airborne contaminants from entering the surgical area
AORN Guidelines Design and Maintenance
What should be included in proper surgical attire for restricted areas?
- Clean scrubs
- Head covering
- Beard covering
- Mask in presence of opened sterile supplies
AORN Guidelines Surgical Attire
Fill in the blank:
The area where street clothes are permitted is known as the _______ zone.
unrestricted
AORN Guidelines Design and Maintenance
What is the recommended action for cleaning between surgical cases?
Clean/disinfect from cleanest to dirtiest, top to bottom
AORN Guidelines Environmental Cleaning
What is the minimum air changes per hour (ACH) recommended for operating rooms?
20 ACH
AORN Guidelines Design and Maintenance
What is the role of HVAC in a surgical environment?
To decrease patient/staff exposure to environmental contaminants
AORN Guidelines Design and Maintenance
What type of air pressure is used to contain airborne pathogens?
Negative pressure
AORN Guidelines Design and Maintenance
What should be done immediately after a spill occurs in a surgical area?
Clean as soon as possible and apply disinfectant to the spill
AORN Guidelines Environmental Cleaning
What are the best practices for traffic control in surgical areas?
- Keep doors closed
- Maintain proper ACH
- Limit introduction of microorganisms
- Schedule breaks during least disruptive times
AORN Guidelines Design and Maintenance
What is the purpose of terminal cleaning?
To ensure operating/procedure rooms are thoroughly cleaned at the end of each day they are used
AORN Guidelines Environmental Cleaning
What should be done with items that would release blood or infectious material?
Place them in a red bag or leakproof container
AORN Guidelines Environmental Cleaning
What is the recommended dilution of sodium hypochlorite for spills less than 10 mL?
1:100 dilution prior to cleaning
AORN Guidelines Environmental Cleaning
What types of surfaces must be cleaned and disinfected after patient use?
- Floors
- Patient care items
- High-touch areas
AORN Guidelines Environmental Cleaning
What should be done with communication devices not required for surgical procedures?
Turn off or place in a monitored location outside of the procedure room
AORN Guidelines Environmental Cleaning
What are the two types of air pressure used in surgical settings?
- Positive pressure
- Negative pressure
AORN Guidelines Design and Maintenance
Fill in the blank:
The _______ zone includes areas like operating rooms and clean core rooms.
restricted
AORN Guidelines Design and Maintenance
What is the recommended cleaning strategy for high-touch areas in surgical rooms?
Clean and disinfect them after each patient use
AORN Guidelines Environmental Cleaning
What is the significance of laminar airflow in surgical environments?
It provides unidirectional airflow to minimize contamination during high-risk procedures
AORN Guidelines Design and Maintenance
What should be done if HVAC parameters are not maintained?
Report errors ASAP and follow facility policy
AORN Guidelines Design and Maintenance
What is the optimal frequency of terminal cleaning?
Unknown
AORN Guidelines Environmental Cleaning
How often should floors and horizontal surfaces be cleaned according to AAMI?
Daily
AORN Guidelines Environmental Cleaning
What does CMS check for in relation to terminal cleaning?
Evidence of terminal cleaning done on a daily basis
AORN Guidelines Environmental Cleaning