Ch. 3, 4 & 7
as part of the exposure control plan, one must
get a confidential medical evaluation when exposed to blood, or other bodily fluids
staphylococcus aureus is a:
gram positive coccus
which type of microorganism has the ability to slow down its own metabolism and become dormant?
gram-positive bacillus
Waterless hand antiseptics are NOT appropriate when:
hands are visibly soiled
There is a high patient census, and there are no IV Pumps available in the CS/SPD department for distribution. Which of the following actions would be the most effective?
have staff check the units more frequently
vancomycin-resistant enterococcus (VRE) can survive on hard surfaces for 5-7 days, and on hands for:
hours
what is the best way to transport an IV pump to CS/SPD after patient use?
in a covered cart, or closed plastic bag
what type of contact transmission occurs when the disease-causing agent is transmitted from a reservoir to a susceptible host by means of an inanimate object?
indirect
Which is used to administer and regulate the flow of intravenous fluids and/or medications?
infusion pump
which is used to administer and regulate the flow of intravenous fluids and/or medications?
infusion pumps
What are two characteristics of decontamination detergents?
low-sudsing, free-rinsing
Identify the instrument:
mayo-hegar needle holder
microorganisms are measured in:
microns
which of the following pathogens is the cause of tuberculosis?
mycobacteria
A healthcare-aquired infection is generally called
nosocomial infection
An infection caused by a needle stick enters through which portal of entry?
parenteral tissue
it is possible to contract bloodborne disorders such as AIDS, hepatitis B or C from a puncture to the nail bed during a pedicure or manicure. What is the portal of entry to the body in this case?
parenteral tissue
which of the following is not part of the final preparation of patient care equipment for reuse?
placement of disassembled parts into a plastic bag
What type of cleaning implements are recommended for general cleaning?
plastic or nylon brushes
CJD (Creutzfeldt-Jakob disease) is caused by:
prions
of the following, which is described as an abnormal protein in the brain that causes rapid neurodegenerative disorder that may cause death?
prions
who performs preventative maintenance on the PCEs?
qualified staff
what color do gram-negative microorganisms stain?
red or pink
humans, animals, and non-living sources of infection are examples of:
reservoirs
the pathogens that cause tuberculosis, whooping cough, pneumonia, measles, mumps and smallpox are discharged through the:
respiratory tract
the shape of cocci can be spherical, or:
round
A small cut is noted in the cord of an IV pump. Which of the following steps should the CS/SPD technician take?
send to the biomedical engineering department (after decontaminating it)
which of the following pieces of equipment is used in the prevention of blood clots?
sequential compression device
protozoa are:
single-celled microorganisms
What is the ideal cleaning agent to use for cleaning mammary sizers?
soap
Identify the instrument:
spencer stitch
the shape of streptococcus is:
spherical
the shape of a spirochete is
spiral-like
a dehydrated microorganism with thick, shell-like wall is known as a:
spore
which of the following can survive extreme heat, lack of water, and exposure to many toxic chemicals and radiation?
spores
which of the following is used to test the effectiveness of sterilization cycles?
spores
The decontamination area temperature and humidity need to be maintained and monitored daily at these value ranges:
temp: 60-65 F, Hum: 30-60%
Which disinfectant is to be used for patient care equipment?
the disinfectant recommended by the equipment manufacturer
one of the most common portals of exit in the transmission of disease is:
the respiratory tract
Lyme disease is generally transmitted by:
vectors
the single most effective way to prevent infection in the healthcare environment is to:
wash hands
factors included under the concept of standard precautions are the following, except:
wearing a mask
the minimum time needed for effective hand washing is
20 seconds
The AAMI recommendations for sink dimensions (width, depth and height):
4 in. wider than largest tray 8-10 in. deep 36 in. from floor
which concentration is most effective in alcohol hand sanitizers?
60% to 95%
What is considered neutral pH?
7
healthcare-acquired infections account for more than:
70,000 deaths annually
water that has been contaminated by the feces of humans, or other animals is most notably responsible for:
gastrointestinal diseases
bloodborne pathogen exposure is regulated by:
OSHA
which organization requires that all healthcare facilities to launder PPE and uniforms visibly soiled with blood or infectious material, not at home?
OSHA
In applying or donning PPE, mark each item with a corresponding number from the order of the first to the last, as it should be worn/done per CBSPD:
1. shoe covers 2. wash hands 3. gown 4. mask 5. goggles/face shield & head cover 6. gloves
bacteria are measured in microns, which are:
1/25 thousandths of an inch
What is the ideal water temperature for enzymatic detergents?
109 - 140 F
Patient care equipment must be processed
After each use
which of the following best describes a prion?
An Abnormal Protein
Prions are of concern in health care because they
Are difficult to kill by usual sterilization methods
which of the following diseases is not caused by a virus?
CJD
which of the following is not a disease spread by droplets?
HIV
the three pathogens most important to healthcare workers are:
HIV, Hepatitis B and Hepatitis C
In order to survive, aerobic bacteria require:
Oxygen
which of the following is true of fungi?
They include single celled yeasts
True or False? Ultrasonic cleaners do not disinfect instruments thus, SPD techs must wear gloves when handling these instruments.
True
the skin is the largest organ of the body, and plays a significant role in defending it against disease. True or False:
True
When should multi-part items be disassembled for cleaning:
Whenever recommended by the device manufacturer
Bacteria are unicellular and reproduce by:
binary fission
which of the following is not a requirement for bacteria to survive?
bright light
a slimy, waxy covering of the bacterial cell wall.
capsule
The unit calls for a machine to exercise the knee of an acute total knee arthroplasty patient. Which of the following would be sent?
continuous passive motion device
if a patient is admitted into the emergency ward after losing consciousness from drowning while ice skating on thin ice, what is not required?
cpm machine
Ideally which department is responsible for making certain that patient care equipment is cleaned before it is to be delivered?
decontamination
Ideally, soiled surgical instruments should be transported immediately to which area of the CS/SPD?
decontamination
If you are responsible for cleaning the whole CS/SPD area, according to the standard work flow, which area should be cleaned last?
decontamination
The first step in ensuring that patients receive safe products for reuse and that the potential for spreading infection from those items is eliminated:
decontamination
Defined as cleaning agents that lower surface tension, dislodging soil and dissolving or suspending them in the solution for removal by washing and rinsing.
detergent
the principal route of nosocomial infections is:
direct contact
The term pathogenic means:
disease producing
___________ have thick, shell-like walls and are difficult to kill.
endospores
which of the following bacteria is known as "commensal organism" possessing the ability to live on or within another organism without causing harm?
enterococcus
If instruments are to be pre-treated at the point of use, what is the recommended soaking agent?
enzymatic gel or foam
if a bacillus can switch from being aerobic to anaerobic, it is considered:
facultative
the general term for any inanimate object involved in the spread of infection is:
fomite