Physical Environment & Safety Standards

Question 1

•Unrestricted

Answer 1

– located near the entrance

Question 2

•Semi-restricted

Answer 2

– OR attire

Question 3

•Restricted

Answer 3

– OR theaters, sterile storage areas

Question 4

•Instrument Room

Answer 4

– storage of non sterile equipments and instruments

Question 5

•Utility and Decontamination room

Answer 5

– cleaning of used instruments and prep area

Question 6

Physical
Components of the OR

Answer 6

•Equipment
•Electrical outlets - grounded
•Suction outlets – 2 suction per OR
•Gas outlets – green – O2, air – yellow, nitrogen - black

Question 7

OR Furniture

Answer 7

•Mayo stand
–Immediate necessary instruments are placed
•Back table
–Sutures, sponges or other additional supplies are obtained from this OR furniture
•Ring stand
–Used to hold sterile basins containing various fluids
•Kick bucket
–Lined with biohazard trash bags; contain soiled counted sponges

Question 8

OR Room Criteria

Answer 8

•OR walls should be nonporous and easy to clean, fire proof, non glare, non reflective
•Cabinets recessed into the wall, cabinet doors should be sliding type
•OR air flow should be unidirectional, positive laminar air pressure, with a minimum of 15 air exchanges per hour
•HEPA filters
•OR temperature should be between 68-73°F
•OR humidity between 20-60%

Question 9

Substerile

Answer 9

•Substerile is a workroom located outside the OR
–Contains a sink, sterilizer, blanket and solution warmer
–Located outside the OR so the circulator and STSR can remove instruments directly from the flash sterilizer

Question 10

Hazard Categories

Answer 10

•Physical
–Noise, ionizing radiation, electricity, injury to body, fire, explosion
•Biologic
–Laser/electrosurgical plume, pathogens, latex sensitivity, sharps injury
•Chemical
–Disinfecting agents, waste anesthetic gas, vapors and fume