Ch. 9 Examination and Treatment Areas (MA 106)

When must you disinfect surfaces in the exam room?

-after an exam or treatment when they've visibly contaminated with tissue, blood, or bodily fluids -at the end of your work shift - immediately following accidental blood and bodily fluids spills

Good lighting serves many purposes in an exam room. Name three.

-make accurate diagnosis -correctly carry out medical procedures -read orders and instructions

What tasks are involved in maintaining the instruments and supplies needed in the exam room?

-making sure they're sanitized, disinfected, and sterilized in a good working order -routinely check them for damage and report it to the physician

What tasks in the preparation of the exam and treatment area can influence a patients perception of a medical practice?

-putting the rolling stool in it's place -pushing in the exam table step -returning supplies to containers -securing sample meds, solutions, and prescription pads if used, and other items that may have been left

What are three medical instruments you can sanitize and reuse without further disinfection or sterilization?

1. blood pressure 2. ophthalmoscope 3. otoscope

List 3 factors that can have an impact on the effectiveness of a disinfectant

1. evaporation can after the solutions chemical makeup 2. if solution is used many times, it may not be as powerful as a fresh one 3. when items are wet, the surface moisture may dilute the solutions

List 4 general cleaning tasks a janitorial service might perform in a medical office

1. vacuuming 2. scrubbing floors 3. cleaning blinds 4. dusting

A 10% bleach solution

A common disinfectant used in exam areas and on surfaces is what?

Disinfection

A process that destroys most organisms, except for spores and some viruses.

Hearing

A tuning fork is used to test a patients...

An instrument use to examine the external ear canal and tympanic membrane is a tuning fork.

False, Otoscope

Sanitization involves raising the number of microoganisms on an object or surface to a fairly safe level.

False, decreasing/reduce

Bleach is an effective means of sterilization.

False, disinfection

ADA accessibility guidelines require doorways to be trimmed in metal casing.

False, require door to be 36 inches.

Sanitization

Scrubbing with special brushes and detergent to remove blood, mucus, and other contaminants or media where pathogens can grow.

Ultrasonic Cleaning

Sending sound waves through a cleaning solution to clean delicate instruments.

Where in the exam room should the examining table be placed?

Should be positioned in the center of the room of extending out from the wall.

Why is it important to maintain proper ventilation in an exam room?

So you don't have bad odor smell like urine, body odor, or lab chemicals. Especially if they are toxic or infectious.

36 inches wide

The ADA requires that doorways be at least how big?

A glass slide is an example of a consumable supply.

True

After washing your hands, you should use a clean paper towel to handle doorknobs.

True

Lubricant

Water-soluble gel used during a physical exam of the rectum or vagina.

Neutral-pH detergent

When sanitizing instruments, it is best to use which of the following?

Laryngeal Mirror

Which of the following instruments reflects the inside of the mouth and throat for exam purposes?

General Physical Examination

an exam performed to confirm a patients health or diagnose a medical problem.

Disinfectant

A chemical agent that leaves an instrument clean but not sterile is what?

The thermostat in an exam room should be set at 55 degrees to discourage the growth of bacteria.

False, 72 degrees

Putting the exam room in order is the physicians responsibility.

False, MA's responsibility

2

Ideally, how many exam rooms should a doctor have reserved for exclusive use?

Endotracheal Tube

Instrument use to establish an artificial airway.

Ophthalmoscope

Instrument used to examine the interior of the eye.

What are the disadvantages of using acid products to disinfect instruments and equipment?

They're extremely corrosive and toxic to tissue and it should be used with care.

Spores

Thick-walled, reproductive bodies capable of resisting harsh conditions.

Sanitization is a scrubbing process used to removed the microorganisms that cause disease.

True

The three methods of infection control are sanitization, disinfection, and sterilization.

True

Consumable

Lubricant is considered which of the following?

Describe the process you would use to sanitize surgical instruments

N/A

Penlight

An instrument used to check pupil response in the eye is a(n)...

Endotracheal Tube

An instrument used to establish an artificial airway is a(n)...

Sphygmomanometer

An instrument used to measure blood pressure is what?

Tape measure

An instrument used to measure size or development of a body part is a what?

Occult Blood

Blood that is not visible to the naked eye.

Fixative

Chemical spray used to preserve a specimen obtained from the body for pathologic exam.

Sterilization

Complete destruction of all living organisms.

Consumable

Description of items that are used up or emptied during an exam.

Ask the patient to wait outside just for a moment while it is claimed

If a medical assistant accidentally takes a patient into a room before it is cleaned, which of the following would be the most appropriate action to take?

Otoscope

Instrument used for inspecting the ear.

Nasal Speculum

Instrument used to enlarge the opening of the nose to permit viewing.

Accessibility

The ease with which people can move in and out of a space.

Handwashing

The first step in preventing infection transmission in the exam room is what?

Disinfection

The use of alcohol is an effective means of what?