4 Health Care Facility Structure and Environment
CHAPTER LESSON PLANS & OBJECTIVES
Lesson 4.1: The Perioperative Environment
- 1. Describe the principles of operating room design
- 2. Identify common items found in the surgical suite
- 3. Discuss the functions of various work areas in the surgical suite
Lesson 4.2: Health Care Facility Departments and Functions
- 4. List common hospital ancillary services and describe their functions
- 5. Describe three types of ambulatory surgery facilities discussed in this chapter
- 6. Discuss the advantages and disadvantages of ambulatory surgical facilities
- 7. Define health care insurance and discuss the ways patients pay for care
- 8. Define chain of command
- 9. Identify perioperative professionals and their roles
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Classroom Preparation
Lesson 4.1: The Perioperative Environment
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 1. Describe the principles of operating room design
- 2. Identify common items found in the surgical suite
- 3. Discuss the functions of various work areas in the surgical suite
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 4.1: The Perioperative Environment
STUDENT PREPARATION (1 hr)
| 1 | READ – Chapter Heading(s) • Introduction • Standards and Recommendations • Accreditation • Alignment of Terminology • Principles of Operating Room Design Infection Control Environmental Safety Efficiency ANSWER – Textbook • Review Question 4 ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 2 | READ – Chapter Heading(s) • Principles of Operating Room Design Operating Room Design The Surgical Suite Equipment and Furniture Special Procedure Room Airflow and Ventilation Lighting Gases Electricity ANSWER – Textbook • Review Question 1 • Case Study 1 ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 3 | READ – Chapter Heading(s) • Work Areas Surgical Offices Locker Room/Lounge Area Preoperative Patient Care Area Scrub Sinks Sterile Instrument Room Central Core Equipment Storage Utility Workroom and Decontamination Area Clean Processing Area Anesthesia Department Postanesthesia Care Unit Surgery Waiting Area Integrated Operating Room Systems ANSWER – Textbook • Review Questions 2, 3 ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 4.1: The Perioperative Environment
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 1 | OPERATING ROOM DESIGN: SLIDES 4-6 | • Introduction • Standards and Recommendations • Accreditation • Alignment of Terminology • Principles of Operating Room Design Infection Control Environmental Safety Efficiency |
| 2 | THE SURGICAL SUITE: SLIDES 7-10 | • Operating Room Design • The Surgical Suite Equipment and Furniture Special Procedure Room Airflow and Ventilation Lighting Gases Electricity |
| 3 | WORK AREAS: SLIDE 11 | • Work Areas Surgical Offices Locker Room/Lounge Area Preoperative Patient Care Area Scrub Sinks Sterile Instrument Room Central Core Equipment Storage Utility Workroom and Decontamination Area Clean Processing Area Anesthesia Department Postanesthesia Care Unit Surgery Waiting Area Integrated Operating Room Systems |
Learning Activities (choose one or more to equal 50 min)
| 1 | PRESENT (30 min) • Divide the students into pairs and have the groups design their own operating room and present it to the class. Appropriate Settings: Traditional/online/flipped classroom DISCUSS (20 min) • Discuss with the students the importance of the different traffic patterns in the operating room. Appropriate Settings: Traditional/online/flipped classroom |
| 2 | DISCUSS (20 min) • Discuss with the class the common equipment and supplies found in the operating room. • Appropriate Settings: Traditional/online/flipped classroom |
| 3 | DISCUSS (20 min) • Discuss with the class the functions of various work areas within the surgical suite. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
Define the surgical department and its purpose.
Discussion Guidelines: The surgical department is structured and engineered to provide a safe and efficient environment for patients and staff members. Many different designs can be used, but all must achieve the following objectives: infection control; environmental safety; and efficient use of personnel, time, space, and material resources.
Define the role of the different work areas in the operating room.
Discussion Guidelines: Surgical departments can vary widely in size, use of space, and types of work areas they contain. Regardless of the exact appropriation of space, every department strives to maintain the principles of asepsis—separating and confining contaminated areas to keep them apart from clean and sterile areas.
The surgical suite is designed in a way that facilitates good patient care. Discuss the layout of the operating room and how it can reduce surgical site infections
Discussion Guidelines: Surgical site infections cause 2% to 5% of all infections in the hospital. The design of the operating room helps facilitate the movement of microorganisms out of the room. Discuss the design of the operating room, the air flow, temperature and humidity, and what these items prevent.
Classroom Preparation
Lesson 4.2: Health Care Facility Departments and Functions
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 4. List common hospital ancillary services and describe their functions
- 5. Describe three types of ambulatory surgery facilities discussed in this chapter
- 6. Discuss the advantages and disadvantages of ambulatory surgical facilities
- 7. Define health care insurance and discuss the ways patients pay for care
- 8. Define chain of command
- 9. Identify perioperative professionals and their roles
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 4.2: Health Care Facility Departments and Functions
STUDENT PREPARATION (1 hr)
| 4 | READ – Chapter Heading(s) • Team Approach to Patient Care Pathology Nuclear Medicine and Interventional Radiology Infection Control Biomedical Engineering Materials Management Central Supply Pharmacy Laboratory Blood Bank Risk Management Department Communication Systems Medical Records Facilities Maintenance Environmental Services Security Nutritional Services • Health Care Providers ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 5 | READ – Chapter Heading(s) • Types of Ambulatory Facilities Freestanding Facility Integrated Hospital Based Outpatient Services Self-Contained Hospital Outpatient Facility Office-Based Outpatient Surgery • Outpatient Facility Design Functional Areas of an Ambulatory Surgery Facility • Regulation and Accreditation of Ambulatory Surgical Facilities ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 6 | READ – Chapter Heading(s) • Comparison of the ACS and Hospital Based Operating Rooms Disadvantages of Ambulatory Surgery Advantages of Ambulatory Surgery ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 7 | READ – Chapter Heading(s) • Health Care Financing Government Assistance Private Insurance Payment Systems ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 8 | READ – Chapter Heading(s) • Management Structure Chain of Command ANSWER – Textbook • Case Study 2 ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 9 | READ – Chapter Heading(s) • Staff Roles Personnel Policy Perioperative Professionals ANSWER – Textbook • Review Question 5 • Case Study 3 ANSWER – Workbook • Chapter 4 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 4.2: Health Care Facility Departments and Functions
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 4 | HEALTH CARE FACILITY DEPARTMENTS AND FUNCTIONS: SLIDE 13 | • Team Approach to Patient Care Pathology Nuclear Medicine and Interventional Radiology Infection Control Biomedical Engineering Materials Management Central Supply Pharmacy Laboratory Blood Bank Risk Management Department Communication Systems Medical Records Facilities Maintenance Environmental Services Security Nutritional Services • Health Care Providers |
| 5 | AMBULATORY SURGERY FACILITIES: SLIDE 14 | • Types of Ambulatory Facilities Freestanding Facility Integrated Hospital Based Outpatient Services Self-Contained Hospital Outpatient Facility Office-Based Outpatient Surgery • Outpatient Facility Design Functional Areas of an Ambulatory Surgery Facility • Regulation and Accreditation of Ambulatory Surgical Facilities |
| 6 | ADVANTAGES AND DISADVANTAGES OF AMBULATORY SURGERY FACILITIES: SLIDES 15-16 | • Comparison of the ACS and Hospital Based Operating Rooms Disadvantages of Ambulatory Surgery Advantages of Ambulatory Surgery |
| 7 | HEALTH CARE FINANCING: SLIDE 17 | • Health Care Financing Government Assistance Private Insurance Payment Systems |
| 8 | HEALTH CARE MANAGEMENT AND CHAIN OF COMMAND: SLIDES 18-19 | • Management Structure Chain of Command |
| 9 | PERIOPERATIVE PROFESSIONALS: SLIDE 2O | • Staff Roles Personnel Policy Perioperative Professionals |
Learning Activities (choose one or more to equal 50 min)
| 4 | DISCUSS (20 min) • Discuss with the class the reason and purpose of temperature and humidity control in the surgical suite. Appropriate Settings: Traditional/online/flipped classroom |
| 5-6 | PREPARE (50 min) • Students should prepare a presentation on types of ambulatory surgery facilities and the advantages and disadvantages of each. They will use this information in class to complete a class presentation. You may wish to assign a particular type of facility so that the presentations are varied among student groups. • Appropriate Settings: Traditional/online/flipped classroom |
| 7 | ANALYZE (30 min) • Divide the students into groups and present them with a health care insurance scenario and let them analyze the question, then discuss as a class. • Appropriate Settings: Traditional/online/flipped classroom |
| 8 | PRESENT (30 min) • Have the students present a PowerPoint presentation or poster board of a chain of command. • Appropriate Settings: Traditional/online/flipped classroom PREPARE (50 min) • In groups of two, students should prepare a presentation on their experience with chain of command on the perioperative team and how the members work together. They will use this information in class to complete a class presentation. • Appropriate Settings: Traditional/online/flipped classroom |
| 9 | PREPARE (50 min) • In groups of two, students should prepare a presentation on the members of the operating room team. They will use this information in class to complete a class presentation. You may wish to assign particular positions so that the presentations are varied among student groups. • Appropriate Settings: Traditional/online/flipped classroom PRESENT (30 min) • Have the students present a PowerPoint presentation or a paper on the job descriptions of each member of the operating room team. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
Define and explain the organizational chart and chain of command.
Discussion Guidelines: Hospital management and operational staff members usually are organized into separate bodies or groups of people whose joint functions and roles enable patient and community services. The administrative sector designs and implements personnel procedures, policies, and financial systems. It communicates with the public and handles overall institutional issues, such as public relations and quality assurance.
In today’s economy, hospitals have been adding more responsibility to the health care worker’s job description. A job description of the surgical team is often up for review. When you take a job, you sign a job description. Discuss why you would sign a new job description after you are employed, and can the institution have you sign a new job description?
Discussion Guidelines: In today’s ever-changing working conditions, some hospitals have you sign a new job description each year. Comparing to the previous job description, you will notice roles and responsibilities have been added or removed.
Assessments
Chapter 4: Health Care Facility Structure and Environment
ASSESSMENTS BY OBJECTIVE
| 1-9 | Workbook • Chapter 4 Evolve Instructor Resources • Test Bank Create a quiz using ExamView; sort by objective. Evolve Student Resources • Mock Certification Exam • Review Questions |
| All | Elsevier Adaptive Quizzing • Chapter 4 – Graded quizzes (Mastery Levels 1, 2, and 3) |
