Chapter 9 Word Scramble

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Question	Answer
What directly affects sterility maintenance?	packaging materials, storage methods and conditions, handling practices, and methods of distribution.
What is shelf life?	Shelf life is the period of time during which a steril item is considered safe to use.
Shelf life is considered to be _________________ not _____________________.	Shelf life is considered to be event-related not time-relatee.
Sterile items that are protected from the environment have been proven to remain sterile for how long?	indefinitely
In most health care facilities today, items are considered to be sterile unless the packaging has been ____________, ____________, or other wise _________________.	opened, damaged, or compromised.
Whether or not there is an expiration date, damage to packaging renders an item _______________?	unsterile
Sterility maintence covers should be made of what type of materials and how thick should it be?	Sterility maintence covers should be made of plastic and be 2-3 mils thick.
How often should a package be checked for integrity?	Every time it is handled.
Inspections of packages for integrity should include what?	Examinations for holes, tears, and improper seals, which could allow the introduction of microorganisms into the package contents.
Staining on a package is an indication of what?	Staining of a package is an indication of contamination by moisture?
What happens when an item is dropped on the floor?	When an item is dropped on the floor, compression force dust, debris, or microorganisms into the package.
How can the sterility of a package be compromised?	The sterility of a package can be compromised by physical damage, such as holes and tears, can be caused by excessive or improper handling and by storage cart conditions.
What does tears and holes do a sterile package?	Tears and holes allows airborne bacteria and dust to penetrate the package, compromising the sterility of the product.
Packages should not be stored in what manner?	Packages should not be stored in a manner that will crush, bend, puncture, or compress them. Storage bins, carts, and shelves should not be overloaded.
What will moisture do to sterile packages?	Moisture will allow microorganisms from the air and surgaces to wick through the packaging materials.
Any package that is visually soild should be considered what?	Contaminated, and it's contents should be either reprocessed or discarded.
Sterile items should only be handled how many times?	4 times
Where should sterile storage areas be locatated?	Sterile storage areas should be placed adjacent to the sterilization area and away from the main traffic flow within the department.
To reduce the potential for contamination of sterile items, traffic in the sterile storage area should be restricted to who?	authorized personnel only
The ventilation system of the sterile storage department must provide how many air exchanges per hour? What should the temperature and humidy be at of the department?	Sterile storage should have at least 4 air exchanges per hour at positive pressure. The temperature should not exceed 75ºF (24ºC) and the relative humidity should not exceed 70%.
How should the temperature and humidity of the department be monitored?	Thermometer (measures temperature) and hygrometer (measures humidity)
All medical devices kept in sterile storage area must be at least how many inches from the floor to protect them from contamination during floor cleaning?	8-10 inches from the floor
As an added protection, the bottom shelf of the storage carts should be?	Solid, or impervious shelf liners or storage bins should be used.
Sterile items stored on top shelves should be how far from sprinkler heads?	18"
Shelving must be kept how far from outside walls? and why?	2" becasue temperature differences between the outside and the inside can cause moisture to condense on the surface of inside walls.
Why is cardboard and shipping materials considered soiled?	Because they harbor bacteria and insects.
Small packages and items packaged in peel pouches should be stored where?	In impervious bins
Where should heavy insturments be stored on shelving?	Middle shelves for ease of handling by staff.
Where should frequently handled instruments be stored on shelving?	Frequently used items should be used on the middle shelf and less commonly used items on other shelves.
It is helpful to store items by what?	The category (laparotomy trays together with other general service trays; and all urology trays.)Similarly products can be stored accoring to body system to facilitate their retrieval.
What aid is used to help facilitate the retrieval of items and locating where items are in sterile storage?	Locator File
What helps to minimize the need for reprocessing and to prevent outdates of dated devices?	Proper stock rotation and frequent evaluation of stock levels.
What is the fist in first (FIFO) out rule?	The First in First Out Rule is using the "oldest" supplies first promotes proper stock rotation.
Why do Outdates occur?	Outdates occur because of excessive stock or poor stock rotation.

Created by: tlwatkins