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sterile 2
| Question | Answer |
|---|---|
| Formal training should occur | for employees and those who move to new positions |
| Records in sterile processing must be | accurate, legible, and complete |
| External indicators can prove an item is sterile when the sterilization cycle is complete | false |
| Temperature & humidity levels need to be monitored and recorded | at least daily |
| A physical monitor on a washer disinfector is the | printout |
| Validation is a procedure used by equipment manufacturers to obtain, record, and interpret test results required to establish that a process consistently produces a sterile product | true |
| ___________ is a procedure used by a healthcare facility to confirm that the validation undertaken by the equipment manufacturer is applicable to the specific setting | Verification |
| What does the acronym DART stand for? | Dynamic Air Removal Test |
| Provide one example of something that would be informally monitored in sterile processing | dress code adherence, hand hygiene, traffic control guidelines |
| What does the acronym PCD stand for in sterile processing? | process challenge device |
| What are PSI's? | Powered Surgical Instruments |
| How are PSI's cleaned? | never submersed in water unless IFU states. hand wash only |
| Rigid Endoscopes | not flexible, hand wash only |
| Semi- rigid endoscopes | slightly bendable & used in urology & hand wash only |
| Martensitic (400 series) stainless steel | hard, used when sharp cutting edges are needed |
| Examples of instruments made of martensitic (400 series) | scissors, osteotomes, chisels, hemostatic forceps, and needle holders |
| Austenitic (300 series) stainless steel | highly corrosion resistant but not as hard as Martensitic (400 series) |
| examples of instruments made of Austenitic (300 series) | retractors, cannulas, rib spreaders, and suction devices |
| passivation | |
| Hemostatic forcep examples | rochester pean, crile hemostat, kelly hemostat |
| needleholder | mayo hegar and crile wood |
| Tissue forceps | manipulates tissue and aids in gripping tissue while providing a secure grip |
| dressing forceps | manipulates tissue and pack surgical sites |
| Tissue forceps alternative names | brown forceps & rat tooth |
| tissue forceps anatomy | has teeth on tip of instrument or (rat tooth) |
| dressing forceps anatomy | has serrations |
| dressing forceps alternative names | smooth/ plain forceps |
| scissors | cuts tissue, suture and other materials in surgical field |
| Scissors anatomy-tungsten carbide blades | gold handles that are harder/stronger blades and remains sharper for longer |
| The weakest part of an instrument is the | box lock |
| Floor grade instruments | do not have a protective passivation layer |
| Which of the following lubricants is recommended for use on surgical instruments? | water-based |
| Which of the following is not a component of a rigid endoscope? | Elevator mechanism |
| What tool is required at a minimum for instrument inspection? | Lighted magnification |
| What tool is required when assembling laparoscopic instrumentation | insulation tester |
| What number series is Martensitic Stainless Steel? | 400 |
| what is a chemical process applied during instrument manufacturing that provides a corrosion-resistant finish by forming a thin transparent oxide film. | passivation |
| What are the two types of retractors? | hand held and self retaining |
| Give an example of a highly corrosive agent that can damage a surgical instrument: | saline, bleach, dish soaps, |
| 300 series stainless steel is highly corrosion resistant | true |
| Floor grade instruments are usually made in Germany | false |
| critical water | reverse osmosis and di |
| water temp for decontamination | don't exceed 120 degrees no lower than 90 degrees |
| water soak time | 1-5 minutes |
| IUSS | immediate use steam sterilization |
| What happens if you don't allow steam instruments to properly cool down? | create condensation (sweat) by touching with cooler hand |
| Everyone who may have contact with biohazard items must be educated about the dangers associated with those items. | true |
| Central Service Technicians must wear special attire referred to as ____ to minimize their exposure to blood-borne pathogens and other contaminants. | PPE |
| Watches and other jewelry should not be worn in the Central Service department work areas because: | they harbor bacteria |
| Soiled instruments should be transported in an ______container or cart. | enclosed |
| Disposable components should be removed at point-of-use. | true |
| Items that have been used in patient care should be considered contaminated. | true |
| Central Service Technicians must be able to adapt to change | true |
| Central Service workflow can be divided into the handling of 3 categories of items: soiled items, clean items and sterile items. | true |
| Soiled instruments and other items are received in the _________ area of the Central Service Department. | decontamination |
| PPE should be changed immediately if it becomes soaked with blood or other infectious material. | true |
| Healthy people do not harbor or transmit bacteria. | false |
| Study of diseases affecting the female | genecology |
| After use, loaner instrumentation must be decontaminated before it is shipped out. | true |
| Central service technicians who do not think they are being treated appropriately by their employer should: | discuss situation with supervisor |
| Departmental dress code apply to: | everyone entering the Central/Sterile Service Department |
| When moving transport carts throughout the healthcare facility, Central Service Techs must always yield right of way to patients and visitors. | true |
| Failure to perform soiled pick up rounds as scheduled can lead to instrument and equipment shortages. | true |
| When it is necessary to transport soiled items between facilities using a truck or van, facilities must consult U.S. Department of Transportation, as well as state and local laws for transporting biohazard items. | true |
| To prevent aerosols, items should be brushed below the surface of the water. | true |
| The term "rhinoplasty," refers to: | surgical repair of the nose |
| This organ pumps blood throughout the body | heart |
| Laparoscopic instrument insulation failure can cause burns. | true |
| The number of times per year that inventory is purchased, consumed, and replaced is called the | inventory turnover rate |
| __________ is an example of a fungus. | athletes foot |
| Disposable components such as pads and tubing on patient care equipment should be: | discarded at point-of-use |
| Patient care equipment should be stored in a________ condition | ready to use (storage by OR) |
| What color should biohazard labels/signs be? | red/orange |
| The mechanical process by which an ultrasonic cleaner works is called cavitation. | true |
| Instruments received from Surgery and tagged for repair do not need to be cleaned until they come back from repair. | false |
| Specialized clothing or equipment worn by an employee for protection against a hazard is called: | personal protective equipment |
| "Hyperglycemia" refers to: | high blood sugar |
| "Dermopathy" is a(an): | skin disease |
| Log books should be maintained when using Gluataraldehyde and OPA. | true |
| Used to harvest skin grafts and reshape skin surfaces. | Dermatome/Dermabraider |
| Powered surgical instruments have one of three power sources; electricity, air, or battery. | true |
| Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function. | false |
| This procedure is performed by healthcare facilities to confirm that the sterilization validation undertaken by the equipment manufacturer is applicable to the specific setting | verification |
| Ergonomic injuries: | Are risk factor for persons who perform repetitive or physical work |
| To protect themselves from splashes and spills, Central Service Techs assigned to the decontamination area should wear: | fluid-resistant gowns |
| Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair. | true |
| Department that perform central service functions may go by other names at different facilities. For example, Sterile Processing and Distribution, Surgical Supply, etc. | true |
| Department that perform central service functions may go by other names at different facilities. For example, Sterile Processing and Distribution, Surgical Supply, etc. | false |
| Staphylococcus is classified as a gram-positive bacteria. | true |
| "Cystectomy" is : | removal of a cyst |
| The two most common techniques of flat wrap packaging are | square fold and envelope fold |
| The test used to evaluate the efficacy of air removal in dynamic air removal steam sterilizer is the | Bowie-Dick test |
| Which of the following techniques for brushing instruments should be used? | brushing should be done under the water |
| Before transport, reusable sharps should be separated from other instruments. | true |
| Central Service Technicians practice resource management when they control costs and reduce waste. | true |
| It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separated shelves. | false |
| Since modern Central Service Departments are virtually risk-free, Central Service Technicians need not to be concerned with safety. | false |
| The root element, "gastro," refers to the: | stomach |
| The suffix, "ectomy," refers to: | surgical removal |
| This surgical procedure removes the uterus. | Hysterectomy |
| The healthcare dept. responsible for researching, ordering, receiving, and managing inventory (conumable supplies). | material management department |
| "-oscopy" is : | visual examination of an organ or joint |
| Which of the following statements about endoscopes is true? | Not all endoscopes can be processed in an AER (Automated Endoscope Reprocessors) |
| All bacteria require the same conditions to live and grow. | false |
| When arranging plastic-paper pouches in the sterilizer, the pouches should be arranged: | paper to plastic |
| Before an item can be placed in a liquid chemical sterile processing system they must be: | cleaned |
| Pneumonectomy" is: | Surgical removal of the lung |
| The higher the bioburden on an object: | The more difficult it will be to sterilize |
| Sometimes State or local regulations differ from Federal regulations and when that happens, the most stringent regulations apply. | true |
| The _________ department is the major source of soiled items received by the Central Service department. | surgery (OR) |
| Disposable sharp items (i.e. blades, needles, etc.) should be removed at point-of-use and placed in a _______ container labeled biohazard. | hard-sided |
| Since Central Service Technicians do not handle money, ethics considerations do not apply to them. | false |
| Career growth and progression are virtually non-existent for Central Service Technicians. | false |
| One goal of point of use preparation is to prevent instruments from being damaged. | true |
| Automatic washers clean using a spray-force action called impingement | true |
| The majority of medical terms are of either BLANK or BLANK origin. | Greek or Latin |
| Microgrind, or Supercut Scissors are usually identified with a black handle. | true |
| The desired flow of materials in a CS Dept; from soiled to clean to sterile. | one-way flow |
| All microorganisms are harmful to humans. | false |
| Spores help some microorganisms survive in adverse conditions. | true |
| The term "BKA" refers to a surgical procedure involving: | Surgical removal of the leg below the knee (below knee amputation) |
| Pump-oxygenator that temporarily assumes the functions of the heart and lungs during open heart surgery | heart-lung machine |
| Which of the following systems provides supplies and instruments for individual surgical procedures? | case carts |
| Following OSHA regulations for wearing Personal Protective Equipment in the Central Service Decontamination area is optional | false |
| Failure to receive accreditation from the Joint Commission can result in the loss of Medicare and Medicaid payments | true |
| 1005 ethylene oxide gas canisters should be stored: | in a chemical storage closet/area |
| What is the preferred pH of detergents used for most cleaning processes? | neutral pH |
| The physical method by which a ultrasonic units clean is called: | cavitation |
| Which of the following statements about microorganisms is true? | microorganisms are necessary for life |
| Any place where two bones meet. | joint |
| Tissue forceps have teeth. | true |
| Endoscope channels should be cleaned and then left moist for storage. | false |
| When assembling an instrument set for steam sterilization | instruments should be open and disassembled to facilitate steam contact to all surfaces |
| disadvantages to a Case Cart Distribution System: | A lag time between usage and replenishment |
| Preventive maintenance: | Is designed to identify potential problems before it occurs |
| The SGNA is a good source for information about the proper processing of flexible endoscopes | true |
| The main theory of Standard Precautions is that: | Patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not |
| Floors in the Central Service department should be: | wet-mopped daily |
| Why is it important to evenly distribute large instruments in a set? | Extra condensation will make the set more difficult to dry |
| There are currently no methods available to verify cleaning process outcomes. | false |
| Written cleaning instructions for surgical instruments should be provided by: | the instrument manufacturer |
| The term "hemi" is a | prefix |
| Powered surgical instruments: | can NOT be immersed in water |
| "-itis" is: | inflammation |
| Used to repair and reconstruct teeth and jawbones. | dental drill |
| Used in open heart surgery. | sternal saw |
| In the 3 sink arrangement used for manual cleaning the third sink should contain | Distilled or deionized water (reverse osmoses) |
| The functional center of a cell that governs activity and heredity is called the: | Nucleus |
| Loaner instruments should: | be contaminated before use |
| Loaner instrumentation poses storage and workload challenges. | true |
| The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning. | false |
| Bowie dick tests should be run in: | Dynamic air removal steam sterilizers |
| Standards and regulations help set levels of BLANK in our departments | quality, Efficiency, and safety |
| If grossly soiled instruments cannot be cleaned immediately, they should be kept _________. | moist |
| Instrument sets and other required instrumentation needed for all surgical procedures for an entire day are usually pulled (collected): | the day or evening before they will be used for surgery |
| How frequently should a steam sterilizer's door gasket be inspected and cleaned? | daily |
| Prion disease that requires that instruments be processed differently than standard protocols | CJD Creutzfedt-Jakob Disease |
| Considered the master gland because it helps control the activities of all other endocrine glands. | Pituitary Gland |
| The largest organ of the body. | skin |
| During instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument's surface. | true |
| The purpose of a suction stylet is to: | Unclog the suction during surgery |
| This surgical procedure removes tissue or displaced bone from the wrist area to release pressure on the median nerve. | Carpal Tunnel Repair |
| Which of the following is a system used to treat the final rinse water used for cleaning? | Deionization |
| The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called: | Flash sterilization |
| What is the process called that allows for quick steam sterilization of unwrapped instruments for emergency use? | Flash sterilization |
| When placing ring handled instruments in an instrument tray, you should: | Unlock the handles and open the instruments |
| Sterilizer recording charts and/or printouts should be checked: | During and at the end of of each cycle |
| What type of hepatitis vaccine is strongly recommended for most healthcare workers | HEP B |
| Protects workers from occupationally-caused illnesses and injuries. | OSHA |
| Provides standards and evaluations for health care facilities. These evaluations are in the form of on-site surveys at least every three years. | Joint Commission |
| Automated supply replenishment systems: | Are computerized |
| All patient care equipment being returned must be considered __________ and handled as such , regardless of it's appearance. | Contaminated |
| Recommendations regarding sterilization practices are provided by AAMI | True |
| A solution having a 7 ph , mean? | Neutral |
| To impede the growth of bacteria, soil on used instrument should be allowed to dry. | False |
| Which of the following statements about the use of mechanical washers is NOT true? | All items should be washed on the same cycle |
| A process by which all forms of microbial life are destroyed. | Sterilization |
| A cord of fibrous tissue that connects muscle to a bone. | Tendon |
| More than 55% of blood is made up of this yellowish liquid. | Plasma |
| The brain center of a cell. | Nucleus |
| Modern powered surgical instruments are immersible. | False |
| Flash sterilization of implants is NOT recommended by | AAMI and AORN |
| Surgery that removes lymph tissue in the pharynx (throat) | Tonsillectomy |
| Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation. | OSHA |
| Class III medical devices are identified as High Risk | True |
| Water that is turbid is: | Cloudy |
| Point-of-use preparation of soiled items is normally performed by the user department. | True |
| If soiled items are held in user units before pick up for processing, they must be kept at the patient's bedside until Central Service collect them. | False |
| Which of the following surgical abbreviations might be used relating to a fracture bone? | ORIF (Open Reduction Internal Fixation) |
| The last word element in a medical term is the: | Suffix |
| Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as: | Critical Items |
| The hip joint is an example of a: | Ball and socket joint |
| Used to perform specific cutting actions such as reciprocating or oscillating. | Saw |
| What type of a pressure is required for decontamination areas? | Negative |
| Which of the following statements about flash sterilization is true? | It should be used only in emergencies |
| If a sterilizer has successfully killed all bacterial spores in a biological test | It is called negative test |
| Behavior relating to what is "right and wrong" relative to the standards of conduct for you profession are called: | Ethical behavior |
| A step in communication that occurs when a listener asks a question is called: | Feedback |
| Soiled items that are held in user departments for pick up must be stored in designated areas labeled with _________ signage. | Biohazard |
| In Central Service, the concept of "one-way flow of materials" refers to the movement of products: | From soiled areas to clean processing areas within Central Service (dirty to clean) |
| subcutaneous" refers to: | Beneath the skin |
| The basic unit of life. | Cell |
| This system gives the body shape and support. | Skeletal System |
| BLANK is defined as the state of being soiled or infected by contact with infectious organisms or other material. | Contamination |
| The human resources tool that identifies major tasks performed by persons in specific positions is called a: | Job description |
| In the event of a load recall, information about specific load contents can be obtained from | The sterilization log |
| What is the primary document used to track sterilization processes in case of a load recall? | The sterilization log |
| What type of carts or baskets should be used in an ETO sterilizer? | metal |
| Under current regulations who is required to report suspected medical device-related deaths to the FDA? | hospitals and device manufactures |
| During handwashing, hands should be lathered and scrubbed for at least: | 20 seconds |
| When speaking, you should | Concentrate on the listener rather than oneself |
| The absence of microorganisms that cause disease is called: | Asepsis |
| The decontamination area of the Central Service department should have: | 10 air exchanges per hour |
| Which of these traffic control/dress code requirements applies to the Operating Room? | restricted |
| A measurement of the ability of water to carry an electrical current. | Conductivity |
| The diffusion of water through semi-permeable membrane to eliminate impurities in the water. | Reverse Osmosis |
| In the future, which of the following will more frequently become a requirement for working in a Central Service department? | Formal education |
| The purpose of a decontamination battery is to protect PSIs from fluid invasion. | true |
| Nosocomial infections are: | hospitals associated infections during or after stay |
| Body balance is regulated by fluid in | inner ear |
| The part of a cell that controls cell function is the: | Nucleus |
| Creates and enforces laws relating to cleaner water, air, and land. | EPA |
| In this system items are owned by the vendor, but stored at the healthcare facility | Consignment |
| Regulations under the Clean Air Act are administered by | EPA |
| Having the sediment or solids stirred up to appear cloudy silicate - a mineral derived from silica which is from quartz, sand, opal, etc. | Turbidity |
| A system that includes inflatable compression sleeves and a characteristic pressure modulation in order to reduce risk of deep vein thrombosis (DVT) | Sequential compression device |
| The main purpose of manual cleaners is to: | Remove soil |
| This unit pumps heated or cooled water through a coiled pad to therapeutically raise or lower the body temperature | Hypothermia unit |
| Surgical instruments should be inspected: | After they are cleaned |
| The sterile storage area in a Central Service department should be restricted to: | Properly attired personnel meeting facility requirements |
| Instrument lubrication is performed: | after cleaning |
| Detergents used in mechanical cleaners should be: | low foaming |
| What type of detergents are optimal for mechanical cleaners? | low foam |
| Pre-cleaning, leak testing, cleaning, high level disinfection, drying, and storing is the proper sequence for processing | Flexible endoscopes |
| The term, "periosteal elevator," refers to" | An instrument used to remove tissue around the bone |
| What is the function of the surgical instrument used to remove tissue around the bone? | To remove surrounding tissue |
| After applying instrument identification tape, instruments should be autoclaved to help the tape bound to the instrument | true |
| Is it necessary to autoclave instruments after applying identification tape? | true |
| The lining of the uterus. | Endometrium |
| Kerrison Laminectomy Ronguers should be tested using: | An index card |
| Thread-like "tails" that help bacteria move through liquids are called: | Flagella |
| Leak testing should be performed on each flexible endoscope annually. | False |
| Instruments with tungsten carbide jaws can be safely cleaned in an ultrasonic cleaner. | False |
| Can instruments with tungsten carbide jaws be safely cleaned in an ultrasonic cleaner? | No, they should not be cleaned in ultrasonic cleaners |
Created by:
cgoines1