OR History
chain of command
Self contained to include the same basic perioperative services and functions as a hospital OR.
Ambulatory and Outpatient surgical facilities
_____________ as it pertains to health care institutions and facilities, is the process by which a team of professionals evaluates a health care institution's practices and policies and the outcomes of patient care.
Accreditation
Oxygen, compressed air, nitrous oxide
gases
These policies are written to clarify job descriptions and to establish the accountability of each employee
personnel policy
Types of ambulatory facilities?
Free standing
Integrated hospital based outpatient services
Self-contained
office based
________________ is the primary accreditation organization for all health care.
The Joint Commission
_______________ and _______________ is considered a specialty rooms in the OR Department, contains specialty bed and equipment .
Endoscopy and Cystoscopy
Who are some of the perioperative professionals?
Surgeon, Assistant surgeon, anesthesia provider, RN, PA, CST
________ are regulated at the federal level by the Centers for Medicare and Medicaid services, which is a federal agency within the Department of Health and Human Services.
ASCs
Ambulatory Surgical Centers
Two basic principles the operating room focus on when it comes to infection control?
Physical separation between the surgical environment and any source of contamination.
Containment of sources of infection: clean and contaminated
Restricted areas in OR
All OR's, substerile areas, central core
What is a job description and what department uses it as a tool?
A job description is a management tool to ensure that all tasks have been assigned appropriately.
Disadvantages of ambulatory Surgery
1. lack sufficient physical space or staff to carry out perioperative activities
2. Staff is assigned to areas they not usually assigned too
3. Staff is responsible for all equipment/instrumentation high standards as those in hospitals
4. Medical-legal responsibilities are increased among ambulatory staff. facility must be able to transport emergency patients quickly and efficiently.
The _______________ area is where surgical instruments and equipment are disinfected after use.
decontamination
Semi-restricted areas in OR
Supply area, scrub sinks, hallways, anesthesia room
You will find these departments within the main operating room floor.
Pathology, blood bank, lab, nuclear medicine and interventional radiology
Advantages of ASC?
Patient Acceptance
Cost Effectiveness
Ease of Scheduling cases
Control over surgical enviroment and supplies
Efficency
Specific guidelines are enforced for the movement of staff and equipment from one zone to another?
Traffic patterns
The design of the operating room is purposely created to establish ______ to prevent the transmission of ________ ____________
zones, infectious microorganisms