Provisional Sterile Processing technician1
Which of the following are true when loading a steam sterilizer?
All of the above; Basin sets are tilted on their edge, there should be visible space between packs and place solid containers so air can escape.
What is true about sterile tray?
All of the above; Do NOT touch until cooled, Lift instead of drag off sterilizer cart, and check external chemical indicators for correct color change.
Who should receive employee training?
All of the above; For those who will use new equipment or a new process, For new employees and those that move into another position and all CS personnel for continuing education
Which of the following is effective in establishing Central Service quality processes?
All of the above; Increased training and education, Best Practices, and Customer surveys
Which statement is true about the muscular system?
All of the above; It assists with movement, it produces body heat, it pumps blood throughout the body
Which of the following could cause chemical indicators to fail?
All of the above; Malfunction of the sterilizer, Using the wrong chemical indicator, and Using the wrong sterilization cycle
During "First in, first out" rotation, which is true statement?
All of the above; Minimal product handing decreases chance of contamination, Items are protected from dust and moisture, and Most facilities use a left-to-right system
Which of the following can negatively affect the sterilization process?
All of the above; Soil left an item, The design of the device being sterilized, and the number of bioburden present.
Which of the following is true of robotic instruments?
All of the above; They do not come apart for cleaning, They have mechanical and electrical components and they are heavier than standard equipment
Which of the following causes a wet pack?
All of the above; Using the wrong filter container, Steam sterilization and Improperly prepared packs
How often should temperature and humidity levels be monitored and documented?
At least daily
Supercut or Microgrind scissors have which color handles?
BLACK
Which department performs safety inspections and functional tests on patient care equipment?
Biomedical Engineering
Which is the FDA Class II specialized indicator run daily in a dynamic air removal sterilizer?
Bowie-Dick test
Which term describes the point where two jaws or blades of an instrument connect and pivot?
Box Lock
What is the mechanical process of a ultrasonic cleaner?
Cavitation
When unloading a sterilizer, the CST observes only one wet pack in the entire load. What should be done next?
Check the remaining sets in the load for wet packs
Which describes the pupil of the eyes?
Circular opening allowing light to enter
Which medical devices are classified as high risk?
Class III
Which of the following should the CST know to be true about loaner items before returning them to the lender?
Clean and decontaminate
Which is the most preferred shelving unit for sterile storage?
Closed
What are the three phases of the steam sterilizer cycle?
Conditioning, exposure, exhaust
What are supplies such as disposable wraps?
Consumable
Which is a surgical procedure where an opening is made into the skull?
Craniectomy
Why is steam sterilization the most commonly method used in the healthcare facility?
Cycles are fast and inexpensive
What does it mean when the dark areas are seen on the lens of endoscopes during inspection?
Damages light fibers
What is required of loaner instruments?
Decontaminate before use
Which organization regulates transportation of soiled items offsite for processing?
Department of Tranportation
What is the role of the U.S. Food and Drug Administration?
Ensuring food and drugs are safe for use
What is the role of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)?
Evaluating hopsital stays from a patient's perspective
Which best describes event-related shelf life?
Events that compromise sterility
How often should test strips to be used to test the minimum effective concentration of high-level disinfection?
Every time the solution is used
Hospitals , healthcare facilities, and manufacturer's should report medical device malfunction that lead to death or serious injury to which of the following agencies per the Safe Medical Devices Act?
FDA
Chemical indicators are _________ devices
FDA Class II
What is the step in the communication cycle where the listener asks a question?
Feedback
Which of the following statements represents the one-way flow of materials?
From dirty to clean processing
Which is a procedure to remove the stomach?
Gastrectomy
What is true about Staphylococcus?
Gram-Positive
What does the CDC provide for healthcare facilities?
Guidelines
What is advantage of a centralized central service department?
Maximizes people and services
Which FDA program provides voluntary reporting of any problems with a medical device?
MedWatch
What is the finish on an instrument with a shiny surface called?
Mirror
The central service decontamination areas should have what type of airflow?
Negative
What is true of steam-flush pressure-pulse sterilizers?
No vacuum is required
The CST should recognize a bedpan as what category of patient care items?
Non-critical
Who does not have or transmit bacteria?
None of the above
Which agency will intervene in a matter of worker protection?
OSHA
When loading a sterilizer, Where are basins placed?
On edge
Even though items can be dispensed to all areas of a facility, which is a major focus?
Operating room
How should paper/plastic pouches be arranged in the sterilizer?
Paper to Plastic
What term represents a chemical process applied during the manufacturing to provide a corrosion-resistant finish to a medical instrument?
Passivation
When documenting immediate-use steam sterilization cycles, what should be recorded?
Patient ID and reason for IUSS
Which inventory system uses established stock levels?
Periodic automatic replenishment
Which suffix means excision?
ectomy
Which of the following statements should the CST recognize about instrument tray assembly?
Place heavier items on the bottom of the tray
What is the required airflow in the prep and pack area?
Positive
When air flows into an area when the door is opened, what type of airflow is taking place?
Positive
When air flows out of an area when the door is opened, what type of airflow is taking place?
Positive
In which area of central service would the CST be working if the task was to check instruments for cleanliness and function?
Preparation & Packaging
What are the goals of point-of-use processing?
Prevent cross contamination
What represents the degree of excellence of a product or service established by a facility?
Quality
What color should biohazard labels be?
Red/Orange
which is true about case cart systems?
Reduce inventory needed in user departments
What does laminectomy mean?
Removal of lamina
What does BKA refer to?
Removal of the leg below the knee
Which term represents a procedure to view the nasal passages?
Rhinoscopy
What should the CST do when a soiled item is found during the assembly process?
Send the item back to the decontamination area
Which patient care device limits the development of deep vein thrombosis and edema for bedridden patients?
Sequential compression unit
Which is an advantage of minimally invasive surgery (MIS)?
Shorter recovery for patient
What is true about implantable devices?
Should not use immediate-use steam sterilization unless there is a tracking system in place
Which system gives the body shape and support?
Skeletal
What is true of the bottom shelf in sterile stroage?
Solid and 8-10 inches from floor
Based on the degree of infection risk, which system is used to categories patient care items?
Spaulding classification
What organization requires facilities to establish preventive standards?
TJC
What is true of a requisition inventory system?
The system may be manual or computer based
Where should the CST look for expiration dates on a product?
There is no standard location
After multi-part instruments have been cleaned and reassembled for testing, what else is true about these instruments?
They dissembled and sterilized following the manufacturer's IFU
Which is not true about tissue forceps?
They have gold handles
What is the role of the failure mode and effects analysis method in quality?
To prevent problems before they occur
Why does a CST need to know the anatomy of a sterilizer?
To understand how it operates
Which of the following statements is true of patient care equipment?
Tracking can prevent equipment shortages
Which of the following should be recognized as a correct statement about transport of items after immediate-use steam sterilization?
Transport in a manner that reduces the potential for contamination
What does the abbreviation ORIF mean?
Treating a fractured bone with a surgical incision and potential screws
What does the hourglass symbol represent on commercially-sterilized products?
Use by date
What is the most significant key to successful thermal disinfection?
Water temperature
The CST should test the sharpness of scissors that measure four inches or less with which type of material?
Yellow test material
What defines the Association of PeriOperative Registered Nurses?
A professional organization that provides guidelines for the operating room
During aseptic handwashing, how long should hands be lathered and scrubbed?
20 seconds
Which procedure is a type of repair that prevents an organ from protruding through tissue?
Herniorrhaphy
To properly inspect powered surgical instruments, what must happen first?
Hoses are pressurized
When people use information to interact with others, What is this called?
Human relations
What should the CST reference to determine the proper procedures for sterilizing a device?
IFU
When does testing of the laparoscopic insulation take place?
In the clean assembly area prior to set assembly
Which material is used to test Kerrison rongeurs?
Index Card
What can prove an item's sterility?
Internal indicators
Which should the CST know to be true about trays overhanging the sterile storage shelves?
It can cause contamination
What is true about the prefix in medical terminology?
It comes before the root
What is the most common reason for failure of steam sterilization?
Lack of steam contact with item
For which type of surgery would arthroscopy instruments be requested?
Laparoscopic surgery
When processing endoscopes, which occur first?
Leak testing
