1 Examination and Treatment Areas 2 Learning Outcomes (cont.) 3 Learning Outcomes (cont.) 4 Introduction Care and maintenance of exam room Equipment Supplies 5 The Exam Room Number and size of rooms Two per physician 6 Furnishings Arrangement Examining table Efficiency Patient comfort 7 Furnishings Items commonly found in exam rooms One or more chairs 8 Special Features The 1990 Americans with Disabilities Act (ADA) 9 Right! Apply Your Knowledge 10 Sanitization and Disinfection 11 Sanitization (cont.) Collect items for sanitization Scrub items PPE 12 Sanitization (cont.) Rubber and plastic items Ultrasonic cleaning 13 Disinfection Adequate for some instruments 14 Disinfection (cont.) Using disinfectants 15 Disinfection (cont.) Choose the correct disinfectant 16 Nice Job! Apply Your Knowledge 17 Preparation of the Exam and Treatment Areas 18 Infection Control Hand hygiene Examining Table Handwashing 19 Infection Control (cont.) 20 Infection Control (cont.) 21 Putting the Room in Order 22 Apply Your Knowledge Other than at the end of your shift, when should you disinfect the surfaces in the examination rooms? ANSWER: Whenever there is visible contamination with blood, body fluid, or body tissue. Learning Outcome: 9.3 List steps to prevent the spread of infection in the exam and treatment rooms. 23 Room Temperature, Lighting, and Ventilation 24 Lighting Accurate diagnoses Perform medical procedures 25 Ventilation Examination area should smell clean and fresh 26 Excellent! Apply Your Knowledge 27 Medical Instruments and Supplies 28 Instruments Used in a General Physical Exam 29 Instruments for a General Physical Exam (cont.) 30 Instruments for a General Physical Exam (cont.) 31 Instruments for a General Physical Exam (cont.) 32 Instruments for a General Physical Exam (cont.) 33 Supplies for a General Physical Exam 34 Supplies for a General Physical Exam (cont.) 35 Supplies for a General Physical Exam (cont.) 36 Apply Your Knowledge Good Choices! 37 In Summary 9.1 A typical examination room is about 8 by 12 feet, large enough to accommodate the physician, the patient, and one assistant. Instruments and equipment in the room should be easily accessible. 9.2 Sanitization is the scrubbing of instruments and equipment with special brushes and detergent to remove blood, mucus, and other contaminants or media where pathogens can grow. Disinfection uses special cleaning products applied to instruments and equipment to reduce or eliminate infectious organisms. 38 In Summary (cont.) 9.3 Steps involved in preventing the spread of infection in the examination room include covering the examination table with a paper cover and changing the cover between each patient. It is also important to disinfect all surfaces that come in contact with blood or body fluids after each patient, and at the beginning and end of the day. 9.4 It is important that patients feel comfortable in the examination room. A comfortably warm, well lit, and properly ventilated room will help the patient feel comfortable during his examination. 39 In Summary (cont.) 9.5 A variety of instruments and supplies are used in a general physical examination. To ensure the examination room always has the necessary instruments and supplies, the medical assistant should order and stock all supplies needed for examinations and treatment procedures; keep the instruments sanitized, disinfected, or sterilized and in working order; and place all instruments and supplies where the physician can easily reach them. 40 End of Chapter 9 As a general thing, an individual who is neat in his person is neat in his morals ~Henry Wheeler Shaw |