Chapter 9

Beginning with the step on top, list the steps for scrubbing instruments to be sanitized?

1. Drain the disinfectant solution from the sink or container 2. Rinse each instrument under hot, running water 3. Scrub each instrument with hot, soapy water and a plastic scrub brush 4. Rinse the soap from the instrument 5. Place the instrument in a towel and roll it dry

Beginning with the first step on top, list the steps for sanitizing an instrument with an ultrasonic cleaner?

1. Fill the ultrasonic cleaner with water 2. Add ultrasonic cleaning fluid 3. Place instruments in the ultrasonic cleaner 4. Close the lid and turn on the machine 5. Dry each instrument

Beginning with the first on top, list the steps to disinfect room surfaces?

1. Remove any visible from room surface with disposable paper towels 2. Thoroughly wipe all surfaces with disinfectant 3. Remove and replace protective coverings, like plastic wrap, if they have become contaminated 4. When you have finished cleaning, dispose of the paper towels in the biohazardous bag

Eight steps in the disinfection of an exam room

1. Wash your hands and put on utility gloves 2. remove any visible soil from exam room surfaces with disposable paper towels or a rag, 3. thoroughly wipe all surfaces with the disinfectant 4. in the event of an accident involving a broken glass container, use tongs, a dustpan and brush, or forceps to pick up shattered glass, which may be contaminated 5. Remove and replace protective coverings, such as plastic wrap or aluminum foil, on equipment if the equipment of the coverings have become contaminated. After removing the coverings disinfect the equipment and allow it to air-dry 6. When you finish cleaning, dispose of the paper towels or rags in a biohazardous waste receptacle 7. Remove the gloves and wash your hands 8. If you keep a container of 10% bleach solution on hand for disinfection purposes, replace the solution daily to ensure its disinfecting potency

Which is the most commonly used surface disinfectant?

10% bleach solution

Medical office refrigerators that store testing kits and blood specimens should be kept at which temperature?

36 - 42 degree F

Spores

A resistant form of certain species of bacteria

Lubricant

A water-soluble gel used during examination of the rectum or vaginal cavity

Which of the following are indication for handwashing?

After removing gloves, after blowing your nose, after using the bathroom

Cleaning products used on human skin to reduce or eliminate infectious organisms are

Antiseptics

Occult Blood

Blood contained in some other substance, not visible to the naked eye

Fixative

Chemical spray used for preserving a specimen obtained from a body for pathologic exam

Floor

Clean, dry, free of objects, rug without tears

A medical assistant must perform specific tasks to prepare and maintain and exam room.

Cleaning the exam table between patients, changing the exam paper between patients

Disinfection is defined as

Destroying most microorganisms

Disinfection

Destruction of pathogenic microorganisms or their toxins or vectors by direct exposure to chemical or physical agents

Cleaning products used primarily on inanimate objects to reduce or eliminate infectious organisms are

Disinfectants

The main purpose of an exam room are to

Enable the physician and clinical staff to meet privately with the patient to review the patients symptoms, enable the physicians and clinical staff to meet privately with the patient to provide necessary treatment and or follow up care

Which of the following instruments or equipment should go through the process of sanitization?

Exam table, stethoscope, blood pressure cuff

All disinfectants can be used interchangeably

False

A physician assesses the health of a patient by performing a

General Physical Examination

When handling disinfected items , you should handle them with

Gloves, Sterilization forceps, Transfer forceps

A well-lit exam room helps prevent healthcare workers from

Having Accidents

Cabinets and Drawers

Keep close when not in use

The exam room is used to

Listen to patients signs and symptoms, examine patients, dispense treatment

The care and maintenance of the medical office is generally the responsibility of which team member?

Medical Assistant

Furniture

No rough edges, no sharp corners

Cervical Scraper

Obtain cervical secretion

Eye

Ophthalmoscope

Which of the following are task done to prepare an exam room?

Organizing, cleaning, restocking

Ear

Otoscope

Change Paper

Patient is in for a pre-employment physical, patient is in for a blood pressure check

When preparing instrument sanitization you should

Place them in a sink or container with a neautral pH

Sanitization

Reduction in the number of the microorganisms on an object or a surface to a fairly safe level

Knee

Reflex Hammer

Cords/cable

Run alon walls, no overloaded extension cords

Which of the following describes sanitized equipment?

Scrubbed to remove contaminants

Blood Pressure

Sphygmomanometer

The complete destruction of all living organisms is

Sterilization

Breath Sounds

Stethoscope

Disposable instruments are examples of

Supplies

Consumable

Supplies that can be emptied or used up in an exam

Cotton-Tipped Applicators

Swab or clean open areas or mucous membrances

The job of ordering supplies and keep instruments sanitized, disinfected, or sterilized and within reach of the physicians is the job of

The Medical Assistant

The American with Disabilities Act of 1990 (ADA) requires which of the following for exam rooms?

The doorway should be at least 36 inches wide

Which type of rooms are most conductive to providing good patient care?

Those that smell fresh and are well lit, those that are clean, well-lit, and a comfortable temperature

Specimen Containers

Transport collected specimens

The process by which instruments are cleaned through the use of sound waves through a solution is

Ultrasonic Cleaning

Disposable Gloves

Use as a personal protection equipment

Sanitization is the process of

Using special brushes and detergents to remove blood and debris from instruments or equipment, preparing equipment for disinfection and sterilization

Glass Slides

View microscopic organisms with a microscope

Disinfection is typically sufficient if

You are using a laryngoscope, you are using glassware, instruments will not break through open skin

Surfaces must be disinfected

after accidental blood spills, at the end of a work shift

The correct room temperature helps patients feel

comfortable

A medical assistant is able to promote infection control by

disinfection work surfaces in the exam room. using disposable paper on exam tables, using proper hand hygiene

Ways to ensure that the exam room is safe for patients and staff include

locking drawers with instruments and medication, securing a rolling stool

Which of the following is the most important factor in determining the number of exam rooms in a medical practice

number of physicians

The furnishings in an exam room should be arranged for

patients comfort and efficiency for the physicians

Change paper & spray

patients is in for her yearly PAP smear, office is closing for the day, patient is in for an I&D

When trying to eliminate an odor, its important to

remove the source of the odor

Sterilization

the destruction of all microorganisms including bacterial spores, by specific means