Items smaller than a golf ball in a medical office reception area are __________.

Chapter 7 Patient Reception1.What type of patient reception room should an pediatric office have:

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2.What could assist in reducing the noise in a medical office:

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3.What should you do to help relieve symptoms of carpal tunnel syndrome:

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4.A coat rack is an example of:

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5.What is the Olders Act of America:

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6.What are the examples of the warm color wheel:

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7.What are some samples of choking items for a child:

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Review 111The first impression a patient gets of a medical office is of the __________.reception area

An emergency light is a battery powered light source that is designed to activate during a power outage to guide people towards the exits. Emergency lighting is mandatory for modern commercial and residential buildings. When a major power failure occurs during an emergency a building can become very dark. This makes finding the exits difficult and may be life threatening. To avoid this, exit signs and emergency lighting need to be installed inside buildings to indicate the fastest way to the exits.
  • Maintained - a maintained emergency light is continuously on and when the power fails it switches to a battery powered emergency output.
  • Non-maintained - a non-maintained emergency light is not normally lit and activates only when the power fails.
  • Sustained - a sustained emergency light has two lamps: one lamp is powered by the 240V mains and the other lamp is activated only only when the power fails (this type is also called Combined).

Non-maintained emergency lights turn on only during a power failure. Maintained emergency light illuminate continuously and continue to work during a power failure which enables them to function as both a standard light as well as an emergency light. If the area in question requires constant lighting then a maintained emergency light is better because only one light is needed. However, if the area does not need lighting then a non-maintained light is sufficient. Sustained emergency lights were developed because globes would fail after prolonged use, so using a sustained light ensured you were always sure of lighting when you needed it. Now most emergency lights are moving to LED, so sustained lights are slowly being phased out. Every class 5, 6, 7, 8 or 9 building with a floor area of more than 300m² must have emergency and exit lights. Emergency lights must be installed in all common areas, escape routes and exits of multi-residential buildings as well as government and commercial buildings that are occupied by employees, customers and the general public. Installation needs to illuminate hazards along an evacuation route such as stairs, corners and uneven paths as well as fire fighting equipments such as extinguishers and fire blankets. Exit signs must be installed above exits, at the top of staircases, balconies, above doors in the path of evacuation and where an escape path to an evacuation changes direction. Exit signs must be illuminated and be visible at all times. The height of an exit sign is determined by the maximum viewing distance from the exit sign as follows:
  • 16m - between 100mm and 150mm
  • 24m - between 150mm and 200mm
  • 32m - between 200mm and 250mm
  • 40m - between 250mm and 300mm

Emergency lights must be installed at regular intervals around a building to illuminate escape paths from a building. Areas that require emergency lights include:
  • Exit doors
  • Corridor intersections and changes in direction
  • Escape routes
  • Stairs, escalators and ramps
  • Different floor levels
  • Rooms without windows
  • Medium and large toilets
  • Firefighting equipment
  • Lifts
  • Large rooms

The Australian standard for emergency lighting is AS 2293 - Emergency escape lighting and exit signs for building. This standard has three parts:
  • 2293.1 Part 1: System design, installation and operation (AS/NZS 2293.1:2018)
  • 2293.2 Part 2: Routine service and maintenance (AS/NZS 2293.2:2019)
  • 2293.3 Part 3: Emergency luminaires and exit signs (AS/NZS 2293.3:2018)

The objective of the AS 2293 standard is to provide designers, installers and certifiers of emergency lighting with the relevant requirements and guidance to ensure an acceptable level of illumination for the safe evacuation of people from spaces in an emergency situation. Australian Standards AS S2293 state that exit signs and emergency exit lights must stay illuminated for a minimum of 90 minutes. Exit signs must be green with a contrast of white to green to be no less than 4:1. In addition, exit signs should use pictograms instead of the word EXIT. Exits to the left must show a left arrow and exits to the right must show a right arrow. Exit signs must be mounted not less than 2 metres and not more than 2.7 metres above floor level, or immediately above the doorway if the doorway is higher than 2.7 metres. The Australian Standard AS S2293 states that exit signs and emergency lights must be tested every 6 months by a suitably qualified person for a 90 minute power drop. In addition they must be cleaned at least once every 12 months.
  1. Walk around the premises noting large open areas and potential hazards in an evacuation.
  2. Identify what route people would take if an evacuation was to occur.
  3. Evaluate what fire safety equipment and evacuation measures are in place including fire fighting and first aid equipment, fire detection and alarm systems, location of evacuation hazards, employees' understanding of escape routes and evacuation, testing of emergency equipment and high-risk areas of ignition.
  4. Create and implement a plan of improvements to existing systems and equipment, including that the emergency lighting in place is adequate and compliant.
  5. A record of the improvements made to the emergency lighting must be documented and stored in a safe location. This must include a plan for testing the lighting on a regular basis.
  6. The emergency lighting document needs to be reviewed on a regular basis.

The various categories of emergency lights include:

Blade exit signs


Box exit signs


IP rated (weatherproof) exit signs


IK rated (vandalproof) exit signs


Emergency downlights


Emergency oyster lights


Emergency LED batten lights


Emergency flood lights

All exit signs and emergency lights will have a LED indicator which will be either red or green. A green indicator means that the light's battery is being charged. All exit signs and emergency lights have a test button next to their indicator. Pressing this button will temporarily put the light into its emergency mode. Having non-compliant emergency lighting is an indictable offence which carries a maximum penalty of:
  • Corporations - $3 million penalty
  • Individuals - significant financial penalty and up to 5 years imprisonment

The Australian Standard AS S2293 requires that:
  • Floor levels in general areas should have 0.2 lux minimum
  • Floor levels in all stairways, ramps and fire isolated passageways should have 1 lux minimum

The emergency lighting classification consist of a pair of letters followed by a number (such as D40) as follows:
  • The classification is used to determine the light mounting height and spacing for design, installation and assessment.
  • Every emergency light is assessed for illumination along its transverse and longitudinal planes.
  • The first part of the classification is a letter: A, B, C, D or E which represents five different classes of light distribution curves.
  • The second part of the classification is a number from 0 to 180 which represents degrees on an axis.
  • This classification is then used, via a table, to determine the mounting height and spacing of the light for a given classification.
Disclaimer: this web page is provided on the basis that readers will be responsible for making their own decisions and assessment on emergency lighting and are advised to verify all statements and information with qualified emergency lighting experts. Lighting Style does not accept any liability for any injury, loss or damage incurred by use of or reliance on this information. Readers of this page are cautioned not to place any reliance on material herein.

1

The first impression a patient gets of a medical office is of the?

2

The best type of lighting to us in a geriatric medical office is ? lighting?

3

When a fairly bright light is used in medical offices it?

ALLOWS PATIENTS TO SEE THEIR SURROUNDINGS

4

The best way to determine the appropriate level of lighting for the patient reception area is to?

CONSULT AN ELECTRICIAN OR LIGHTING SHOWROOM SALESPERSON

5

Which type of lighting could be hazardous and result in patients tripping or bumping into hard to see objects?

6

A disadvantage of extremely bright light is that it?

7

The best way to maintain appropriate room temperature in the reception area is to?

PERIODICALLY SURVEY PATIENTS TO SEE IF THEY ARE COMFORTABLE

8

Which patients are especially sensitive to cooler temperatures?

9

In which type of practice might you want to increase the temperature setting?

10

The purpose of piping music into a reception area is to?

PROVIDE A SOOTHING BACKGROUND SOUND

11

What type of music would you commonly find in an obstetric/gynecology practice?

12

Children's folk music should be piped into a(n) ? practice?

13

Appropriate music choices for general-practice medical offices are?

CLASSICAL, LIGHT JAZZ, AND SOFT ROCK

14

Cool colors include white, blue and

15

What kind of impression do cool colors create in the reception area?

16

What should you consider when choosing the color family for a medical office?

THE MOOD YOU WANT TO CREATE

17

Warm colors include hot pink, red, and

18

Colors fall within which two areas?

19

A lively atmosphere is produced by ? colors?

20

Which type of fabric creates a formal appearance?

21

An advantage of carpeting in a medical office is that it?

22

The purpose of specialty items in a reception area is to?

ADD A FINISHING TOUCH THAT IS PLEASING OR HELPFUL TO PATIENTS

23

An example of an appropriate specialty item in a medical office is a?

24

When selecting specialty items in a medical office, consider?

25

Coffee tables or low tables with sharp edges are?

A HAZARD TO THE ELDERLY AND SMALL CHILDREN

26

The MAJOR disadvantage of having live plants in a reception area is that they?

MAY CAUSE ALLERGIES OR BE POISONOUS IF EATEN BY SMALL CHILDREN

27

Items smaller than a golf ball in a medical office reception area are?

A CHOKING HAZARD FOR YOUNG CHILDREN

28

A good rule of thumb for the placement of furniture is to allow ? square feet of space per person?

12 SQUARE FEET OF SPACE PER PERSON

29

A 120 square foot room (10 feet by 12 feet) can comfortably accommodate ? people

30

How should the chairs in the reception area be placed to produce the greatest amount of floor area?

31

A disease or condition that can easily be transmitted from one individual to another is called?

32

The single most important factor that affects a patients perception of a physicians office is?

33

Which of the following is a specific housekeeping task the medical assistant may perform?

34

The appropriate way to handle patients who smoke is?

POST "THANK YOU FOR NOT SMOKING" SIGNS IN THE RECEPTION AREA

35

A primary advantage of placing illuminated red EXIT signs above doorways is that they?

HAVE A BACKUP POWER SYSTEM AND REMAIN LIT IN A POWER OUTAGE

36

Which of these guidelines should you follow when selecting magazines for a medical office?

SUBSCRIBE TO SEVERAL MAGAZINES ON ONE TOPIC

37

A pediatric playroom should include?

A "WELL" SIDE AND A "SICK" SIDE FOR WELL AND SICK CHILDREN

38

Which of the following should be included when creating a reception area that is accessible to patients with special needs?

PROVIDE HANDRAILS IN THE HALLS AND BATHROOMS

39

When arranging a reception area, which type of chairs would best accommodate elderly patients?

A FEW STRAIGHT- BACKED CHAIRS

40

The Older Americans Act protects the elderly population against abuse, neglect and?

41

One reason elderly patients may face discrimination is that?

WITH AGE COME MEDICAL CONDITIONS THAT CREATE PHYSICAL LIMITATIONS

42

The best way to determine the number of parking spaces a medical offices needs is to?

CALCULATE THE AVERAGE TIME A PATIENTS SPENDS IN THE OFFICE AND THE NUMBER OF APPOINTMENTS SCHEDULED DURING THAT TIME

43

Which of the following would you include when establishing a medical office in a culturally diverse area?

PROVIDE READING MATERIAL IN THE SECOND MOST PROMINENT LANGUAGE

44

Which of the following patients is at greatest risk if another patient who is highly contagious comes into the office?

IMMUNOCOMPROMISED PATIENT

45

Immunocompromised patients?

DO NOT HAVE THE ABILITY TO FIGHT OFF DISEASE

46

An example of an immunocompromised patient is?

A PATIENT RECIEVING CHEMOTHERAPY

47

The most appropriate way for a highly contagious patient to be seen in a medical office is to?

BRING THE HIGHLY CONTAGIOUS PATIENTS IN ONE CORNER OF THE RECEPTION AREA

48

Which of the following is an example of reading materials that should NOT be placed in the reception area?

TECHNICAL MEDICAL JOURNALS

49

Which of the following guarantees health care for a specific group of citizens regardless of their ability to pay?

50

According to the OSHA computer workstations checklist, when working at a computer, in what position should you hold your head?

UPRIGHT OR IN-LINE WITH THE TORSO

51

According to the OSHA computer workstation checklist, when working at a computer, wrists and hands should be?

52

When working at a computer, position your chair so that your lower legs are?

PERPENDICULAR TO THE FLOOR

53

In a well-designed computer workstation, the monitor should be positioned?

AT A DISTANCE THAT ALLOWS YOU TO READ THE SCREEN WITHOUT LEANING FORWARD OR BACKWARD

54

Which of the following is NOT a symptom of carpal tunnel syndrome?

55

Sheila, a new coworker, tells you that she sometimes has trouble grasping things because of weakness in her fingers and hands. She suspects that she may have carpal tunnel syndrome, but is not sure what to do about it. You suggest that she?

POSITION THE KEYBOARD SLIGHTLY LOWER THAN YOUR ELBOWS

56

Which of the following is typically NOT included in a new patient registration packet?

LIVING WILL/DURABLE POWER OF ATTORNEY FORM

57

Bailey is manning the reception desk this afternoon. A patient arrives and is bleeding heavily from a wound on his arm. He looks as though he is about to pass out. What should Bailey do?

NOTIFY A MEMBER OF THE CLINICAL STAFF IMMEDIATELY

58

How long before an office opens should the person opening the office arrive?

59

What is the first priority in opening the office and beginning the day, after you have unlocked the door and turned off the security system?

RETRIEVE VOICEMAIL OR ANSWERING SERVICE MESSAGES

60

Which of the following is NOT typically an activity involved with closing the office at the end of the day?

61

Shalysse is scheduled to open the medical office this morning. The clinic opens at 8 AM, so she arrives at 7:25 to open the office. As she is walking from her car to the building, she hears footsteps behind her and turns around, but no one is there. She continues to walk toward the building, but hears the noise again. Again, no is there when she turns around. What should she do?

NOTIFY THE FACILITIES SECURITY

62

Bill is looking over the documents the patient handed him and notices that the social security number on the documents is not the same as the number the office has on file for this patient. When Bill asks the patient about it, the patient states that the office has always had his social security number wrong, he has given up trying to get it fixed. He claims that the SSN on the document is the correct #. What should Bill do?

TRY TO FIND OUT FI SUSPICIOUS BEHAVIOR BY THIS PATIENT HAS BEEN REPORTED BEFORE

How much furniture should there be in a patient reception area?

Arrange furniture to accommodate for your flow of patients, plus any friends or family members that may visit during recovery. A good rule of thumb is 12 feet of floor space per person. Patient privacy equals comfort; space chairs evenly throughout the room, including single arm chairs in nooks and corners.

What should you consider when choosing the color family for medical office?

With this in mind, you should go with colors that are known for welcoming people. Warm colors include brown, yellow, red, and pink. It's worth considering cool colors, too, because they can remind clients of water, grass, and other relaxing aspects of nature. Cool colors include green, blue, and purple.

Which of the following is an example of reading materials that should not be placed in reception area?

Professional journals and newsletters, however, should not be placed in the reception area.

How often should children's toys in the medical office be sanitized?

Clean stationary toys with hospital approved disinfectant at least once per day when in use and when visibly soiled. 2.