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Final Review

QuestionAnswer
What states that All patient information is highly confidential and should NEVER be discussed with anyone at any time unless it is required for the direct care of the patient? HIPPA
This process is defined by AAMI as the removal of contamination from an item to the extent necessary for further processing or for the intended use. cleaning
What type of stainless steel is used to manufacture scissors, forceps, osteotomes, and chisels? 400 series
What type of material is used the most in the manufacturing of surgical instrumentation? stainless steel
What is the proper order of how work progresses through the CSPD? Decontam, Prep and pack, sterilizer, sterile storage
What is defined as microorganisms on a contaminated item? Bioburden
What type of stainless steel is used to manufacture basins, bowls, and malleable retractors? 300 series
The two steps in the process of decontamination? manual cleaning and thermal process
As defined by OSHA what is defined as "the use of physical or chemical means to remove, inactivate or destroy blood borne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface of decontamination
A Sales Rep brings in a new Stryker Drill for Dr Bridwell to try during a total hip procedure. What is the first step that should be taken? Ask for written instructions.
The temperature in the decontamination department: 60°-65° F
Sharps in the decontamination department should be confined and contained in what type of leak proof container? impervious
After thoroughly cleaning a contaminated item the most important step in the decontamination process is to _____________ the item. rinsed
Humidity level in a CS department should be kept at what percent? 30-60%
Instruments in the OR that are just opened but not used still have to go through the decontam process, only when? every time and always considered contaminated
What is the groups or collections of microorganisms that adhere to the surface of any object that comes into contact with nonsterile water? biofilms
What when used in small amounts is extremely corrosive to surgical instruments, and it's use in the decontamination process is prohibited? bleach
A pH level of 7 is considered? neutral
Instruments should never be stored _________________, and all instruments should be sterilized as soon as possible after cleaning. wet
The air pressure in the decontamination department should be what? negative
How many air exchanges per hour is the decontamination department suppose to have? 10
How often is the temperature and humidity levels suppose to be documented? daily
What forms a protective slimy film on top of water and on instruments during the decontamination process? biofilms
A pH level of below 7 is considered? acidic
Items that have been presoaked or treated must be ____________ thoroughly before further cleaning, because the presoaking or treatment agent may not be compatible with the detergents used for cleaning. rinsed
A pH level above 7 is considered? alkaline
Biofilms adhere to all surfaces, but they form more slowly on smooth surfaces than on rough surfaces. In healthcare settings, the items most affected by biofilms are those with? lumens, serrated surfaces, difficult-to-reach surfaces
What kind of detergents contain organic substances that assist in the breakdown of protein soils and blood? Enzymatic detergents
When using enzymatic detergents higher water temperatures are not to be used because it will break down, or destroy, the enzymes, making them? less efficient
Temperatures below ______________ all have adverse affects, making enzymes sluggish and reducing their effectiveness. 109° F
Water temperatures of _________________ are best for enzyme based products 140°F
Enzymes can be used individually or in combination in the formulation of enzymatic detergents. Which enzymatic detergent breaks down blood, mucus, feces, and albumin? protease
Enzymes can be used individually or in combination in the formulation of enzymatic detergents. Which enzymatic detergent breaks lipase which breaks down fat (eg., bone marrow and adipose tissue)? lipase
Enzymes can be used individually or in combination in the formulation of enzymatic detergents. Which enzymatic detergent catalyzes starches and breaks down carbohydrates? amylase
What kind of detergents can be used to remove severe stains on stainless steel instruments? organic acid
What kind of cleaning agents are available for removing stubborn soils and stains; however, these are specially formulated agents that can be difficult to remove and must be thoroughly rinsed away? non-abrasive
What are organic compounds, i.e. they are made from products found in nature? By themselves they are poor cleaners and can be difficult to rinse off. soaps
There must be some type of action that enhances the cleaning process, such as ____________ on the surfaces. This is created by scrubbing in manual cleaning, by the continuous spraying of cleaning solutions against the device surfaces in a mechanical washe friction
What type of items must be opened during the cleaning process? hinged
What type of equipment cannot be immersed? powered
Manual cleaning may be the only effective method for certain instrumentation such as devices with? lumens
Detergents that are meant to bind with soils and keep them suspended in the solution so they can be removed during the rinsing process are use for what type of cleaning? manual
Using more detergent than called for does not improve the cleaning action; in fact, it can impede the process by leaving residuals behind that do not rinse off and that will build up over time, causing instruments to? bind and/or corrode
Detergent solutions must be changed frequently to reduce the bioburden (contamination) and to prevention of what to cleaned items and the environment? recontamination
Just as cleaning is the most important step in the decontamination process, what is the most important step in the cleaning process because it removes loosened soils and debris? rinsing
For either manual or mechanical cleaning, the final rinse should be performed with what type of water to prevent mineral deposits? treated
What kind of bristle brushes are not generally recommended because they can damage the protective layer of the surgical instruments? But these brushes can, however be used on tungsten carbide jaws of needle holders, which are difficult to clean because of metal
To maintain accreditation and receive payments from insurance companies, a healthcare facility must pass the __________________________. jc inspection
What kind of pads should not be used because they will scratch device surfaces, providing places for bacteria and debris to collect and promoting corrosion? abrasive
What are not acceptable for use, because they harbor bacteria, cannot be easily cleaned or disinfected, and break apart during use, leaving small particles in the serrations of instruments? sponges
To prevent the formations of __________________ all cleaning implements should be regularly cleaned and disinfected or sterilized (at minimum at the end of each shift). biofilms
This is an automated cleaning equipment, that transmits sound waves through a cleaning solution. ultrasonic
This mechanical action is called ___________________ it is very effective in cleaning hard-to-reach areas such as box locks, serrations, ratchets, and the teeth on instruments. cavitation
This type of detergent has a pH level higher than 11. These detergents are the most effective in removing heavy organic soils, but may accelerate the corrosion of surgical instruments and may leave scale deposits on equipment highly alkaline
To reduce the potential of corrosion highly alkaline detergents are best used in a multistep process: first the alkaline wash, then a ______________________, the a regular rinse. neutralizing acid rinse
What should not be placed over instruments? bowls and emisis basins
What type of chemicals are used to process endoscopes? This process allows endoscopes for immediate reuse at the end of the process. high-level disinfectants
Cart washers are mechanical cleaners that _________________ metal surgical case carts, supply carts, and even rigid sterilization containers. sanitize
What types of instruments present unique challenges for cleaning because of their design and the nature of the soils deposited on them (fatty marrow soils)? orthopedic
All orthopedic sets should be soaked in a what type of enzyme solution that has been prepared in accordance with the detergent manufacturers instructions? lipolytic
All instruments and devices received from another facility or company or owned and brought in by a surgeon for a case must be considered contaminated and should be completely? reprocessed
As for ALL medical devices processed in the CS/SPD, who is required to provide the instructions for cleaning and sterilization? manufacturer
Where is the first area to accept responsibilities into the healthcare facility? recieving
Loaner sets are often multi-level; if so each level should be cleaned how? seprately
When instruments are "opened but not used" and returned to the CS/SPD from user departments, they are considered? contaminated
To prevent damage, powered equipment should never be immersed in a solution, or come in contact with what type of solution? saline
Instruments should never be placed on top of fiberoptic cables because of the _______ inside could be damaged. glass rods
What type of endoscopes are extremely difficult to clean because of their numerous small channels (lumens) and size (some of these devices are more then 6 feet long)? flexible
Flexible endoscopes must always be _________________ before any manual precleaning is performed. leak-tested
The scope should be flushed with ____________ isoprpyl alcohol to facilitate drying. 70%
Toxic anterior segment syndrome (TASS) is defined as an acute inflammation of the anterior chamber (segment) of the eye after what type of surgery? cataract
A simple test for ultrasonic cleaners is to place a piece of what in the unit? aluminum foil
According to this organization the efficacy of cleaning processes should be verified on a regular basis to demonstrate consistency and efficiency. JC
What process kills most microorganisms but not necessarily bacterial spores? disinfection
What method of destruction is required to destroy prions? extended sterilization
What method of destruction is required for bacterial spores? sterilization
What method of destruction is required for mycobacteria (tuberculosis)? high level disinfection
What level of disinfection is required for nonlipid, small viruses? intermediate level disinfection
What is the method of destruction required for fungi? intermediate level disinfection
What level of destruction is required for vegetative bacteria? low level disinfection
What level of destruction is required for lipid, medium-sized viruses? low level disinfection
In order for the disinfectant to enter the cell, there must be a balance between the inside of the cell and the solution outside of the cell that allows for the process of? osmosis
This type of disinfectant is a low-level, environmental disinfectant that is effective against gram-positive bacteria. Quaternary ammonium compounds
This solution is severely corrosive and should never be used on surgical instruments. bleach
What halogen is generally used as a skin antiseptic to reduce the microorganisms on the skin iodine
What solution is used to prepare skin before surgery when it is mixed with detergents? It is also used to scrub or clean the skin and wounds. idophors
What formulations are staining and, if allowed to pool on the skin, can cause burns? iodine
This is a carbolic-acid-based product and it is effective against vegetative bacteria, fungi, and the micobaterium that cause TB: phenolocs
This disinfectant should not be used for surgical instrumentation. If items are disinfected with a this product and are allowed to remain in contact with the skin for a prolonged period of time, they can irritate the skin or mucous membranes and depigment phenolics
The product is effective antiseptics and sanitizers capable of killing a variety of bacteria, mycobacteria, and fungi. gluteraldehyde
This high-level disinfectant is used on immersible items such as flexible and rigid endoscopes. gluteraldehyde
Although compliance with AAMI standards are not legally required, AAMI standards for sterilization is recognized as what type of practice? good practice
What is an established norm determined by opinion, authority, research, and/or theory? standard
This type of flow is how people move through the department. people flow
A instrument salesmen enters the CSPD area without the proper attire ie. hair covering, shoe covers, and/or scrubs/jumpsuit. What should you do? Explain to the sales rep the policy and show him where the proper attire is located.
HIPPA states that all patient information is confidential. Who has the right to confidential patient information? The people responsible for providing direct patient care of the patient.
This type of control limits access to the CS/SPD department. traffic control
These statements are based on sound principles of practice that are based upon scientific data and opinions of experts. recommended practice
American National Standards developed by the Association for the Advancement of Medical Instrumentation (AAMI) is an example of a? standard
These agencies: Environmental Protection Agency (EPA), Food and Drug Administration (FDA), the Occupational Safety and Health Administration (OSHA), and State Health Departments all issue? regulations
Although compliance with AAMI standards are not legally required, AAMI standards for sterilization is recognized as what in the CS/SPD? good practice
Who regulates all medical devices? FDA
These organizations: International Association of Healthcare Central Service Material Management (IAHCSMM) and Association of periOperative Registered Nurses (AORN) issue? Recommended Practices
Who registers and regulates disinfectants and controls emissions under the Clean Air Act and into Water in the Clean Water Act? EPA
What requires medical device manufacturers and distributors to report patient deaths, serious injuries, and serious device malfunctions? Medical Device Reporting Regulation
EO, antimicrobial pesticides, disinfectants, sterilants, and sporicides are substances that is used in the CS/SPD and regulated by? EPA
Who regulates the reprocessing of single-use devices by health care facilities and third party reprocessors? FDA
Who regulates occupational exposure to airborne contaminants, blood borne pathogens, and communication of workplace hazards? OSHA
Emergency eye wash stations should have should provide at least how many gallons of water per minute continuously for 15 minutes? 0.04
What requires facilities to obtain and make available to employees a Material Safety Data Sheet (MSDS) for each chemical used in the workplace? Hazardous Communications Standard
These devices only touch skin and only come into contact with persons indirectly. non-critical
Emergency Eye Wash Stations should permit ____________________ operation, stay-open feature, have the ability to flush both eyes at the same time, be connected to warm not hot water to prevent burns to both eyes. hands free
All emergency eye wash stations should be located within how many seconds of travel time of all chemicals used in CS/SPD? 10 seconds
Colonoscope, is an example of what type of device? semi-critical
What type of fire extinguisher is used on paper or wood fires? A-Type
These type of devices touch intact mucous membranes during use and they may be either sterilized or high level disinfected. semi-critical
A hospital is only accredited for how many years? 3 years
What defines what one must do? a policy
These devices can either be cleaned and then disinfected with an intermediate-level disinfectant, sanitized with a low level disinfectant or simply cleaned with soap and water. non-critical
This type of fire extinguisher contains water. A-type
These devices should be sterilized when used and thus require sterilization between uses. critical
What kind of injuries is the most common injury for CS/SPD workers? back
When pouring out blood or body fluids to prevent splashes and splattering of the fluids it is mandatory for CS/SPD workers to utilize what? PPE's
When pushing, pulling, or lifting heavy items it is important for all CS/SPD worker to use? good body mechanics
The use of PPE's is required by which agency to prevent the CS/SPD worker from being exposed to blood and body fluids? OSHA
This type of fire extinguisher is used on electrical fires. B-Type
Loose fitted clothing is not recommended in the CS/SPD because they can get caught on equipment and cause? injury
A pacemaker set and a total hysterectomy tray is examples of what type of devices? critical
What are not permitted in the CS/SPD because they will not protect your feet from injuries from dropped items? opended toe shoes
This type of fire extinguisher can be used on any type of fire. ABC type
A blood pressure cuff is an example of what type of device? non critical device
Scrubs should be laundered by who? hospital
Which type of fire extinguisher contains ammonium phosphate? ABC Type
The agency does not recommend the wearing of artificial nails because of the danger of fungal contamination under the nail, which can contaminate packs. CDC
The floors in the CS/SPD should be damp mopped when how often when the department is in operation? nightly
Who are the customers of the "CSPD"? patients and their family, doctors, nurses, and hospital staff
Finger nails should be trimmed to how long? 1/4"
Which fire extinguishers contains carbon dioxide? B-type
What is not recommended to be worn in the CS/SPD because it can bring contaminants into and out of CS/SPD and can be a safety issue? jewlery
Collection of data and identification of issues are part of what type of program? quality assurance program
Which agency requires annual competency? JC
Which type of training ensures that all CSPD staff are learning the same information in the same manner? standardized training
Quality issues can be identified by? random audits
What is the proper order of how work progresses through the CSPD? Decontam, Prep and pack, sterilizer, sterile storage
This is a principle, rule, or law designed to control or govern behavior. Compliance with is mandatory or required by law regulation
What devices are exposed to normally sterile areas of the body? critical devices
This system consists of bones and the ligaments and cartilages that bind bones together at their joints. skeletal system
What makes up about 1/2 of the body's bulk muscles
What allows for food, nutrients, and wastes to be passed into and out of the cell? cell membrane
What is the fundamental unit of life? cell
Another word for this layer of skin is subcutaneous layer. hypodermis
What receives food and mixes it with gastric juices, begins the digestion of proteins, moves chime into the duodenum, and prevents back flow of chime? Limited absorption takes place here. stomach
Which system protects against injury and the introduction of foreign microorganisms or toxins into the body? circulatory system
Loose fitted clothing is not recommended in the CS/SPD because they can get caught on equipment and cause? injury
A pacemaker set and a total hysterectomy tray is examples of what type of devices? critical
What are not permitted in the CS/SPD because they will not protect your feet from injuries from dropped items? opended toe shoes
This type of fire extinguisher can be used on any type of fire. ABC type
A blood pressure cuff is an example of what type of device? non critical device
Scrubs should be laundered by who? hospital
Which fire extinguishers contains carbon dioxide? B-type
This type of fire extinguisher should never be used on an electrical fire. A-type
What is the proper order of how work progresses through the CSPD? Decontam, Prep and pack, sterilizer, sterile storage
This is a principle, rule, or law designed to control or govern behavior. Compliance with is mandatory or required by law regulation
What devices are exposed to normally sterile areas of the body? critical devices
This system consists of bones and the ligaments and cartilages that bind bones together at their joints. skeletal system
What makes up about 1/2 of the body's bulk muscles
What allows for food, nutrients, and wastes to be passed into and out of the cell? cell membrane
What is the fundamental unit of life? cell
Another word for this layer of skin is subcutaneous layer. hypodermis
What receives food and mixes it with gastric juices, begins the digestion of proteins, moves chime into the duodenum, and prevents back flow of chime? Limited absorption takes place here. stomach
Which system protects against injury and the introduction of foreign microorganisms or toxins into the body? circulatory system
What protects the organs of the thorax and the upper abdomen? thoracic cage
Which bone supports the tongue and functions in swallowing? hyoid
What scope is used to screen for colon cancer? colonoscope
What is the pelvis considered? irregular bone
This layer of skin is deeper and thicker then the top layer of skin and is consider to be the middle layer of skin. This layer of skin contains nerves and blood supply. dermis
Which organ produces bile? liver
What is the outer surface of the cell, which protects the cell from physical injury? cell wall
Generally the greater amount of ____________, the more rapidly chemical reactions take place. heat
What receives the chime from the stomach as well as secretions from the liver and pancreas, chemically and mechanically breaks down the chime, absorbs nutrients, and transports waste to the large intestine by peristalsis? small intestine
What forms a protective membrane between the bone and the soft tissue of the central nervous system? meninges
Diseases and conditions of the reproduction system include endometriosis, cervical cancer, ovarian cysts, and prostate disease. What medical device below is used during procedures of the reproductive system? hysterscope
Understanding of what sciences provides the CS/SPD technician with the knowledge that will help them prioritize instrumentation for scheduled surgeries, recognize how and where the instrumentation is utilized, and become a more rounded and informed memebe anatomy and physiology
Created by: tlwatkins on 2008-10-22



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