CST Progress Tests 4 & 5

Bacteria that require oxygen are called

aerobic

Endoscopes are often processed in a mechanical unit called

an automatic endoscope reprocessor

Kerrison/laminectomy rongeurs should be tested using

an index card

The hip joint is an example of a

ball and socket joint

Point-of-use preparation

beings the cleaning process

Temperature in the preparation and packaging area should be

between 68 and 73 degrees Fahrenheit

Microorganisms reproduce by a process called

binary fission

Which of the following is NOT an acceptable sterilization packaging material?

canvas

The first step to inspect the insulation of a laparoscopic instrument is to

check the collar at the distal tip

When mixing several low-to intermediate-level disinfectants together, it is important to remember

chemicals should not be mixed

This surgical procedure is the removal of the gall bladder

cholecystectomy

This the first step in the sterilization process

cleaning

To prevent coagulation of proteins, instruments should be pre-rinsed using

cool water

Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as

critical items

Steam sterilization is the most commonly used method for sterilization used in healthcare because

cycles are fast and inexpensive

The weakest part of a steam sterilizer is the

door

The only way to interrupt the transmission of a causative agent is to

eliminate it

All bacteria require the same conditions to live and grow

false

Aluminum foil is an approved packaging material for use in ethylene oxide sterilizers

false

Because self life is event related, stock rotation is no longer necessary

false

Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function

false

Following Occupational Safety and Health Administration regulations for wearing personal protective equipment in the Central Service decontamination area is optional

false

Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges

false

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 collects them

false

It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves

false

Lumens should be moist when using hydrogen peroxide as a sterilizing agent

false

Multiple drug resistant organisms are a declining threat to patients in healthcare facilities

false

Personal protective equipment is not required when cleaning items for immediate use steam sterilization

false

Powered surgical instruments should be cleaned using a mechanical cleaning process

false

Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders

false

The part of a hemostat that locks and holds it in position is called the box lock

false

When placing instruments in a peel pack, the tips should always face the paper side of the pack

false

In the future, which of the following will more frequently become a requirement for working in a Central Service department?

formal education

The staining method most frequently used to identify the shape and characteristics of bacteria is called

gram

Sterile storage areas should

have positive airflow and at least four air exchanges per hour

When assembling instrument trays

heavier instruments should be placed on the bottom of the tray

Devices categorized as semi-critical items, must be at least _______________ prior to use

high-level disinfected

The process by which instruments are sterilized for immediate use is called

immediate use steam sterilization

Phenolics are classified as

intermediate-to low-level disinfectants

Which of the following statements about Immediate Use Steam Sterilization is true?

it should be used only when there is not time to process items using the wrapped method

The human resources tool that identifies major tasks performed by persons in specific positions is called a

job description

Which of the following is NOT a requirement of the Occupational Safety and Health Administration Bloodborne Pathogen Standard?

keep biohazard areas locked

Which of the following steps happens first when processing flexible endoscopes?

leak testing

Standards and regulations help set

minimal levels of quality and safety

What is the most common pH for detergents used for most cleaning processes?

neutral pH

What exposure monitoring is required for all personnel using a hydrogen peroxide sterilizer?

no monitoring is required

Which of the following statements about endoscopes is true?

not all endoscopes can be processed in an automated endoscope reprocessor

Heavy items should be placed

on the middle shelves

When using high-level disinfectants it is important to remember that they may be deactivated by

organic matter

When arranging paper/plastic pouches in the sterilizer, the pouches should be arranged

paper-to-plastic

This gland stimulates body growth

pituitary gland

More than 55% of blood is made up of this yellowish liquid

plasma

Airflow in the prep and pack area should be

positive

Surgical instruments are carefully inspected for cleanliness and function in the ______________ area of the Central Service department

preparation and packaging

The purpose of the insulation covering laparoscopy instruments is to

protect the patient from electrical current

Regulations and standards provide information to help ensure

quality and safety

What color should biohazard labels/signs be?

red/orange

Outside shipping containers

should be removed prior to placing the items in storage

Implantable devices

should not be immediate use steam sterilized unless there is a tracking system in place to trace the item to a patient

This surgical procedure consists of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing

stapedectomy

The process by which all forms of microorganisms are completely destroyed is called

sterilization

The root element gastro refers to the

stomach

A septoplasty is

straightening the nose

The suffix -ectomy means

surgical removal

One common cause of a clogged drain screen is

tape

Instrument sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled

the day or evening before they will be used

Written cleaning instructions for surgical instruments should be provided by

the device manufacturer

The higher the bioburden on an object

the more difficult it will be to sterilize

When transporting items that have been immediate use steam sterilized, it is required that

they be transported in such a manner that reduces the potential for contamination

Jewelry should not be worn in the Central Service department work areas because

they harbor bacteria

All items sterilized or high-level disinfected at the point-of-use must be carefully monitored and logged

true

All rigid sterilization containers have tamper-evident seals

true

Cleaning is defined as the removal of all visible and non-visible soil

true

During instrument manufacture the process of passivation helps build a protective chromium oxide layer on the instrument's surface

true

Ethylene oxide, hydrogen peroxide and ozone sterilization process must all be monitored using chemical, physical and biological monitors

true

Information about a device's compatibility with a specific sterilization process should be obtained from the device's manufacturer

true

Loaner instrumentation can cause receiving challenges

true

Microgrind or supercut scissors are usually identified with a black handle

true

Not understanding medical terminology may compromise patient care

true

One goal of point-of-use preparation is to prevent instruments from being damaged

true

One of the goals of stock arrangement is to provide minimal product handling while allowing first in, first out rotation

true

The first sink bay in the decontamination area should be filled with a neutral detergent or enzyme

true

The guidelines for sterile storages are the same for both items sterilized in house and for items purchased sterile

true

The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion

true

The steam sterilization process can be affected by the design of the medical device being sterilized

true

Tissue forceps have teeth

true

Using the wrong container filter or poor filter placement can be a cause of a wet pack

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 biohazardous items

true

The best way to clean a suction lumen is

using the proper sized brush

Arthroscopy means

visual exam of a joint

The term oscopy means

visual examination

In an automated washer they key source of disinfection is

water temperature

Floors in the Central Service department should be

wet-mopped daily

To properly test the sharpness of scissors four inches or less use

yellow test material

During handwashing, hands should be lathered and scrubbed for at least

20 seconds

Regulations under the Clean Air Act are administered by

Environmental Protection Agency

When placing sterile items on the shelf, check

-package integrity -an expiration date -seals and filters to be sure they are intact *all the above

When loading a steam sterilizer

-basin sets should be placed on edge and tilted -solid containers should be placed so air can get out -there should be visible space between packs *do all of the above

Under current regulations who is required to report suspected medical device-related deaths to the U.S. Food and Drug Administration?

-device manufacturer -hospitals *all of the above

Due to the difficulty of cleaning items contaminated with prions

-disposable instrument should be used during the case -heat sensitive items should not be used as they will probably be destroyed during cleaning -if reusable items are used guidelines suggest disposing of the items contaminated with high risk tissue *all the above