Review 3 Mod 2
Which of the following is not a result of Computer Integration?
Automatically provides critical update to industry standards
For a steriliant to be legally marketed in the USA the FDA requires that each sterilant
Be rigorously tested against a broad range of microorganisms
Suspected medical device-related deaths are reported by device manufacturers and hospitals to the
FDA
When packaging instruments only materials approved by _________ are used.
FDA
Which of the following organizations ensures the safety of drugs, food, and cosmetics
FDA
Which of the following statements about endoscopes is true?
Not all endoscopes can be processed in an automatic endoscope reprocessor
Which of the following is not a feature of an instrument tracking system?
Product updates and recall information
Placing warm sterilized package on a cool surface will cause
condensate to form
Three of the main phases of a terminal steam sterilizer cycle are
conditioning, exposure and exhaust
The central nervous system is the body's
control center
Which of the following provide a detailed list of tray contents
count sheets
A group of employees from different departments within the healthcare facility that work together to solve operating problems is called
cross-functional team
Factors that can cause strilant contact failure with the instrument are
crowded loads, clogged drain strainer
Bacteria require _________ to live and grow
different conditions
When instruments are assembled for testing, it should be
disassembled prior to sterilization
Central Service technicians who do not think they are being treated appropriately by their employer should
discuss the situation with their supervisor
Pathogens are _________ bacteria
disease causing
The weakest part of the steam sterilizer is the
door
Another name for super-heated steam is ____________
dry steam
Computerized tracking systems are fast but manual tracking systems are more effective for tracking.
false
Connective tissue of the body includes the skin
false
Decentralization of Central Service in now a growing trend
false
Endoscope channel should be cleaned and then left moist for storage.
false
Equipment shortages can be caused if CS technicians fail to perform soiled pickup rounds.
false
Facing paper to paper is the recommended arrangement for peel pouches in the sterilizer
false
Flexible endoscopes that fail a leak test may be used until the break impacts the scope's function.
false
Gauze squares are the wicking material of choice for instrument sets
false
High-foaming detergents are required for mechanical washers
false
Hydrogen Peroxide has the same inherent penetration capabilities as EtO
false
Hydrogen peroxide gas plasma is compatible with powders and paper
false
Hydrogen peroxide sterilizer works better when cellulose wrappers are used.
false
Immediate Use Steam Sterilization (IUSS) should be used only when there is no time to process items using the wrapped method
false
Immediate use steam sterilization (IUSS) is the process to sterilize trays for future use.
false
Implants are highly recommended to be sterilized with IUSS method
false
In mechanical washers, all items should be washed on the same cycle.
false
When water and cleaning solutions penetrates the interior of PSI's causing damage, this is called:
fluid invasion
The main theory of standard precautions is to treat all human blood and body fluids as
infectious
Demineralized (treated) water should be used to thoroughly rinse all traces of disinfectant from an endoscope
true
EtO cannot be used in sterilizing liquid because the water can become toxic
true
When a technician cannot see what is in a sink or basin they should
use a sponge forceps to grasp items
Endometrium is the lining of the
uterus
Yellow test material is used for scissors
4 inches or less
Surgical removal of the leg below the knee is abreviated
BKA
Which of the following is not part of stock rotation in Central Service Department?
.FIFO .event related .expiration date .all the answers are part of stock rotation
Which of the following is an example of communication?
.Spoken Word .Written word .Non-verbal expression .all of the above
Immediate Use Steam Sterilization documentation should include
.The name of the patient for which the items were sterilized .sterilizer number and cycle .name of the instrument strilized .all of the above
Which of the following is NOT a requirement of OSHA blood-borne pathogen standard?
.Use engineering controls to prevent biohazard exposures .Observe standard precautions .Provide hepatitis B vaccine to employees at no cost .all answers are correct
Which of the following is not recommended when loading a steam sterilizer?
.basin set should be placed facing up .there should be visible space between trays .solid containers should be placed so air can get out .all are correct
High level disinfectants may be deactivated by
.organic matter .time .dilution .all answers are true
Which of the following is not necessary when storing items on shelves?
.package integrity .expiration date .seams and filters to be sure they are intact .all answers are necessary
The OSHA PEL for Hydrogen peroxide is __________ ppm
1
OSHA requires a monitoring ppm of H202 sterilizers at
1 ppm
The minimum requird SAL for sterilants is
10-6
Sterile items should be stored following these measurements except
12-15 from ceiling
What is 270 degrees expressed in celcius
132 c
Muslin is a broad term for plain-weave cotton having approximately __________ threads per square inch
140
When examining through the lens of the rigid or semi-rigid endoscope with the paper, this paper should be held approximately __________ inches from the distal tip.
3
The relative humidity of Central Service prep and pack area should be
30% to 60%
The standard temperature where EtO turns to gas is _________ degrees F.
51.3
Proper coil size for sterilizing air hoses should be ______ to _______ inches
9-12
Tests for sterilization that uses bacteria spores
BI
Which of the following is a professional organization that writes guidelines for the operating room?
AORN
The most accepted means for providing quality assurance for H202 sterilizers is
BI
Regulatory guidelines include the regulations of which of the following:
CDC
Treating a fractured bone without a surgical incision is abreviated
CR
Chemical Indicators are class 2 devices and regulated by
FDA
Medwatch program is a federal reporting program of device related problems controlled by
FDA
Transport of biohazardous items are regulated by
DOT
Which of the following is NOT true about Laser finished intruments?
Durable protective finish cannot be chipped or scratched
Which of the following has been the primary sterilant of choice for items that cannot withstand steam since the 1960's
EtO
Which of the following basic listening tactics is most useful?
Ignore any non-verbal communication sent by the speaker
Which of the following statements is correct?
Informal workgroups develop an informal communication system called the grapevine
To minimize the spread of microorganisms
Items should be contained in an enclosed cart
Which of the following is not a reason for tracking supplies, equipment and instruments?
Meeting Centers for Disease Control and OSHA requirements
The study of microorganisms is
Microbiology
Ethylene oxide is
More toxic than hydrogen peroxide gas plasma
Which of the following material is approved for use with H202 sterilizer?
Non-cellulose items
Aerobic bacteria always require
O2
Fluid Resistant gowns used in the decontamination area to protect technicians from splashes and spills are enforced by
OSHA
Healthcare facilities are required by the ___________ to provide adequate ventilation systems, personal protective equipment and safe work operating procedures.
OSHA
Which of the following tracking methods provides real-time information?
Radio frequency identification tags
The process of monitoring requires the "4 R's". What is the meaning of the "4R's"
Run, read, record, retain
The probability of a viable microorganism being present on a product unit after sterilization is known as
SAL
Which of the following is NOT reusable packaging material.
Spunbond Polyolefin
the meaning of SAL is
Sterility Assurance Level
Which of the following is NOT true of positive air?
The door opens air flows in
The amount of EtO that remains inside a material after they are sterilized is the
The residue
Which of the following is not a characteristic of powered surgical instruments (PSIs)
They look easy to clean
No toxic sterilant residuals should be left on packaging devices after sterilization process is completed.
To avoid safety risks to patients
The 8 hour TWA is the
Total allowable worker exposure during an 8-hour period
Which of the following is NOT required for sharps safety?
Wash all disposable sharps before discarding them
Asepsis means
absence of microorganisms that cause disease
Gram stain and _______ stain are used to identify bacteria shape
acid fast
The level of expposure to a harmful substance when an employer must take required precautions to protect the worker.
action level
The EPA is responsible for regulating
air quality
the process by which ETO destroys microorganisms is
alkylation
The reason and advantage to centralize management of the sterile processing is to
allow for maximization of people and services
The circular opening of the eye controls
amount of light
Wet contact time is the
amount of time an item must remain wet with a disinfectant to achieve disinfection
Endoscopes are often processed in a mechanical unit called
an automatic endoscope reprocessor
Ergonomic injuries
are a risk factor for persons who perform repetitive or physical work
Which of the following is inflammation of the joint?
arthritis
Visual exam of a joint is termed
arthroscopy
Joint viewing requires
arthroscopy instruments
Activities that prevent infection is the basics of
aseptic technique
When setting personal goals, they should be
attainable then build on those successes
Which of the following is the most important factor necessary for teamwork
attitude
The microrganism of choice to test items sterilized by EtO method is
bacillus athrophaeus
Cell is the
basic unit of a living organism
Loaner instruments should
be decontaminated before use
the process of passivation during instrument manufacture
build a protective chromium oxide layer on the instrument's surface
Aeration is required for items sterilized
by ETO method
Detergents for cleaning most surgical instruments are
neutral
The process of changing work or working conditions to reduce physical stress is
called ergonomic
The consequences of a non-sterile item being used during surgery
can be life threatening
Tungsten carbide jaw needle holders ______ ______
can be repaired
Healthy people
can harbor or transmit bacteria
Point of use preparation of instruments
can prevent instruments from damage
Which of the following is NOT an acceptable sterilization packaging material?
canvas
The Spaulding classification system is used
categorize patient care items based on the degree of risk of infection
used to remove cement
cebatome
The _____________ is located in the floor of the sterilizer
chamber drain
Which of the following provide a written record of sterilizer cycle activities?
charts and printouts
The first step to inspect the insulation of a laparoscopic instrument is to
check the collar at the distal tip
Sterilization packaging is classified by the FDA as a ___________ packaging.
class 2
The US Food and Drug Administration classifies sterilization packaging as a _____ ________ Medical Device
class II
Semi-restricted traffic control dress code requirement applies to
clean assembly area
Before an item can be placed in a liquid chemical sterile processing system they must be
cleaned
What is the first step in the sterilization process?
cleaning
Which of the following is the removal of all visible and non-visible soil
cleaning
used to visualize the entire large intestine
colonoscope
The ability to use information gained from words or body language to interact with others
communication
This process allows a person to understand someone else's needs.
communication
A group of organs is collectively called
system
How frequently should a sterilizer's strainer be removed and cleaned?
daily
Damaged light fibers of an endoscope shows _____________ areas.
dark
Negative air flow is an engineering control in the __________ area.
decontamination
The _______ process is the most critical step in processing loaner instrumentation
decontamination
Which of the following areas receive soiled instruments?
decontamination
used to repair and reconstruct teeth
dental drill
used to harvest skin grafts and reshape skin surfaces
dermatome/dermabraider
Test strips to check MEC of glutaraldehyde and OPA are required
each time the chemicals are used
Which of the following means surgical removal
ectomyw
Arthroscopy shavers are
electric powered
AERs are better used in reprocessing
endoscopes
Which of the following is not considered one of the three occupational hazards?
ergonomic
Behavior relating to what is right and wrong relative to the standard of professional conduct are called
ethical behavior
The reprocessing of prion contaminated instruments requires
extended reprocessing protocols
A single monitoring product is capable of providing all the information necessary to ensure effective sterilization
false
Aeration is required for items sterilized in gas plasma processes
false
All Central Service departments perform the same basic services
false
All endoscopes can be processed in an AER
false
All flexible endoscopes have internal channels
false
All sonic cleaners have a decontamination cycle?
false
At least, 20 minutes is the time recommended for hand washing.
false
At this time tracking systems are unable to track worker productivity information
false
Biohazard label signs are normally red and pink
false
Both the AORN and the Joint Commission recommend that only Central Service Technicians operate immediate use steam sterilizers.
false
Canvas has been approved by FDA as one of the best sterilization packaging materials.
false
Canvas is considered the best material of choice for packaging
false
Cleaning brushes clean better when they are larger than the lumens
false
Communication skills involve only verbal and written?
false
Computer supply chain management systems are used to monitor facility assets
false
Instrument sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled early morning for morning procedures and early afternoon for afternoon procedures.
false
It's optional to put on PPE in the decontamination area according to OSHA.
false
Items contaminated with prions can be sterilized with immediate use steam sterilizers.
false
Jewelry should not be worn in the Central Service Department because it can cause reaction to the instruments
false
Leak testing should be performed on each flexible endoscope on an annual basis.
false
Loaner instrument trays that are received sterile from other facilities do not need to be decontaminated and re-sterilized before use.
false
Loaner instruments cause less space challenges
false
Mask is the PPE to put on first.
false
Medical Terminology provides the sterile processing technician with understanding of French and Latin.
false
Mirror finish and matte finish are the same
false
OSHA and EPA are in charge of Med-watch programs.
false
On the job relationships do not change when one team member has been promoted.
false
Once a tracking system is implemented, there is generally no need to update system information.
false
PPE is not required when cleaning items for immediate use steam sterilization (IUSS)
false
Patient census information used in Central service is obtained from the electronic health record.
false
Prep and pack areas of Central Service receive soiled instruments.
false
Resources found on line have already been determined to be valid before they were posted.
false
Reusable textile packaging requires less labor than disposable packaging
false
Rigid container filter retention plates should be manually cleaned and attached to the lid for mechanical cleaning
false
Steam flush pressure pulse steilizers are a type of gravity sterilizers
false
Temperature in a sterile storage area should be 55 degrees F to 60 degrees F
false
Textile packaging requires less labor than disposable packaging
false
The key to working safely is keeping the work area organized
false
The muscular system gives the body shape and support.
false
The temperature for the prep & pack area is 60-65 degrees F.
false
The three power sources of PSIs are steam, electric, and pneumatic
false
There are no problems when chemicals are mixed for high-level dinfection?
false
Transporting soiled items is acceptable if placed with clean and sterile items.
false
Used items on patient floors must be kept at the patients' bedside for pickup
false
Using latex tubing to protect delicate instrumentation is the process of choice for items to be steam sterilized
false
When combining loads, hard goods should be placed on the top shelves to allow for more efficient removal of the condensate.
false
When speaking one should be influenced by the listener's emotions.
false
When sterilizing items at the point of use a short cleaning procedure is accepted due to the urgent need for the instruments.
false
When water is seen on the outside of a pack after sterilization, the pack is considered safe to use if all other packs in the load are dry.
false
While the outside of all instruments must be dry before sterilization it is important to ensure all lumens are kept moist for sterilization
false
Wood products should be sterilied in an extended steam cycle
false
the biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning
false
Lipase enzymes are used to breakdown _________ tissue on instruments.
fatty
Leak testing happens _______ in decontamination when processing endoscopes
first
The product rotation used in the storage area of sterile processing is
first in, first out
All rigid sterilization containers have tamper-evident seals
true
Coaching is an example of
formal communication
Open Reduction Internal Fixation relates to
fractured bone
Cholecystectomy is the removal of the
gallbladder
The ___________ is designed to maintain a tight seal that prevents steam from escaping the chamber of the sterilizer
gasket
allows for visual inspection of the upper digestive tract
gastroscope
Which of the following characteristics of Staphylococcus bacterium is not true?
gram negative
Which sterilizer removes air from the chamber by steam forcing the cooler air in the chamber through the drain?
gravity
Which of the following is considered the single most important factor in reducing infections?
hand hygiene
During pasteurization ____________ is used.
heated water
What is the terminology for half as a prefix
hemi
Which of the following hepatitis diseases is transmitted by blood?
hep B
A procedure to repair a muscle layer that is allowing all part of an organ to project through an opening is known as
herniorrhaphy
Which of the following is a ball and socket joint?
hip
Below refers to an anatomy or level that is termed
hypo
Low blood sugar is termed
hypoglycemia
The process by which instruments are steam sterilized for immediate use is called
immediate use steam sterilization
Contaminated items are normally returned to the decontamination area
in a closed cart
The best way to transport items that have been processed using immediate use steam sterilization at the point use is
in a rigid container designed for immediate use steam sterilization
Electronic testing of laparoscopic insulation should be done
in the clean assembly area prior to set assembly
Under Spaulding Classification critical items are those
introduced directly into the bloodstream
Hydrogen peroxide is a popular low temperature sterilization method because of
its short sterilization cycle
the interior chamber of the sterilizer are heated by steam in the ___________ of the sterilizer
jacket
The most common reason for steam sterilization failure is
lack of steam contact with the instrument
The removal of part of the lamina is termed
laminectomy
Which of the following steps happens first when processing fllexible endoscopes?
leak testing
Which of the following is reommended for powered surgical instruments?
mechanical cleaning process
For a Central Service technician to understanding what is asked when a request is made for a surgical procedure requires
medical terminology
used in ear surgery and for driving very small wires through bone
micro dril
Healthcare regulations and standards provide consistency of departmental performance by outlining
minimal levels of quality and safety
where there is a difference between state and local regulations, the
most stringent regulations apply
Point of Use computing
moves computers into Central Service work areas
Secondary containers of chemicals
must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings
Due to event related sterility stock rotation is __________ for effetive inventory.
necessary
infections that occur in the course of being treated in a healthcare facility is
nosocomial infection
Peel pouches should be placed ____________ for sterilization
on edge, paper to plastic
The movement of products from soiled areas to clean processing areas is termed _______ ____ ______ of materials
one way flow
Craniotomy is
opening made into the skull
Visual examination is termed
oscopy
The instrument used to cut bone is known as
osteotome
Which of the following instruments does not require an index card for testing?
osteotome
H202 (gas plasma) kills microorganisms by a process called
oxidation
Some plastics including formulation of spun-bunded polyolefin are intended for use solely in these sterilization processes.
ozone and hydrogen peroxide
When arranging paper/plastic pouches in the sterilizer, the pouches should be arranged
paper to plastic
The decontamination area should have 10 air exchanges
per hour
An instrument used to remove tissue around the bone
periosteal elevator
Which of the following is considered intermediate -to-low level disinfectants?
phenolics
Which of the following identifies the supplies and instruments needed for a specific doctor and procedure
pick list
When loading a steam sterilizer, basins should be
placed on edge
Which of the following is not part of end of procedure point of use guidelines?
placing instruments in the ultrasonic cleaner
When placing curved clamp in a peel pack, the tips should always face the _____ ______ of the pack.
plastic side
A molecular reaction that creates an uncontrolled release of energy is called
polymerization
Which of the following is done at the point of use?
pre-cleaning
Bacteria are larger than viruses
true
The word element that comes before the root is
prefix
Root word element is the ____________ of a word.
primary meaning
Which of the following is abnormal form of proteins?
prions
Laparoscopic instruments insulations are tested
prior to assembly
Knowing what is expected and consistently meeting those expectations is part of
professional behavior
Items to be disinfected or sterilized at the point of use must be
properly cleaned per Manufacturer's Instructions for Use
Using a ____________ is the best way to clean a suction's lumen
properly sized brush
Which of the following is not fungi?
protozoa
Count Sheets
provide a detailed list of tray contents
AAMI (Association for the Advancement of medical instrumentation) provides
recommendation regarding sterilization practices
Which of the following is not a function of the muscular system
regulates oxygen and carbon dioxide
Binary Fission is a method of
reproduction
Which of the following does not come apart for cleaning?
robotic instruments
used to perform specific cutting actions such as reciprocating or oscillating
saw
Cellulose materials cannot be processed within ozone sterilizers
true
High-level disinfection are necessary for items categorized as
semi critical items
Surgery to straighten up the nose is termed
septoplasty
Surgical repair of the nose is termed
septorhinoplasty
Dressing forceps have
serrations
Which of the following PPE is removed first?
shoe covers
Soiled instrument found in a tray in prep and pack
should be sent back to decontamination for cleaning with the entire tray
Implantable devices
should not be sterilized by IUSS unless there is a tracking system in place to track the item to a patient
How does the technician inspect air hoses of powerred surgical devices?
should use air pressure
The endoscope that would be dispensed for a procedure that requires visualization of the lower part of the large intestine would be a
sigmoidoscope
Which of the following move only when we want them to move.
skeletal muscles
Which of the following is not a component of risk management?
staff management
To check that a laparoscopic instrument insulation is intact first
start from the collar at the distal tip
The terminal low temperature sterilization methods usedi n healthcare settings include all the following except
steam
Which of the following is NOT the responsibility of the Joint Commission
sterilization methods
used in open heart surgery
sternal saw
Beneath the skin is termed
subcutaneous
Word elements include all the following except
supplement
Bacteria that develops into spores
survive in adverse conditions
One of the most frequent causes of a clogged drain screen is
tape
The common cause of sterilizer drains being clooged is
tape
Information regarding cleaning processes for endoscopes should be provided by
the instrument manufacturer
Information about a device's compatibility with a specific sterilization process should be obtained from
the manufacturer
the higher the bioburden on an object
the more difficult it will be to sterilize
When placing instruments in a peel pack, the curved tips should always face the
the plastic side
The area in central service where instruments are checked for cleaniness and function
the prep and pack
Immediate Use Steam Sterilizaion is
the process by which instruments are sterilized for immediate use
Safety Data Sheets are provided by the
the product manufacturer
Hysterectomy is a procedure related to
the reproductive system
The coolst place in the steam sterilizer is the
thermostatic trap
The portion of the steam sterilizer that measures steam temperature and automatically controls the flow of air and condensate from the sterilizer chamber is the ___________
thermostatic trap
The U.S. or State DOT guidelines should be followed when transporting soiled instruments
to an offsite facility for processing
The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is
to keep fluid from entering the unit
Items should be brushed below the surface of water
to prevent aerosols
Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope's channels?
treated water
A primary reason that batteries do not hold charge relates to steam damage of the battery cells
true
A technician teaching others increases their own understanding of the standards
true
After sterilization the load contents may take two hours or more to cool.
true
After use, loaner instrumentation must be decontaminated before it is shipped out.
true
All chemicals used to sterilize low temperature items have some form of toxicity.
true
All mechanical cleaning equipment provides consistent process
true
All personnel entering central service department storage area should wear attire that meets facility requirements
true
All rigid containers have tamper evident seals
true
EtO is useful because it can reach and sterilize areas that other chemicals cannot. Because of this, long aeration periods are necessary before items can be used or handled.
true
Everyone entering the CS Department has to comply with departmental dress code.
true
High-level disfection done at the point of use requires logging
true
Hydrogen peroxide allows faster instrument turnaround time than EtO
true
In addtion to providing financial and operational management, information technology and systems are used to help ensure patient safety
true
Inadequate exposure time at the correct elevated temperature is a reason for sterilization failure?
true
Information Technology is often the cornerstone of initiative to transform healthcare
true
Information about chemical or hazardous substances must be available to all employees
true
Items with a standard steam sterilization cycle recommended by the manufacturer can be damaged if run in an extended cycle.
true
Lack of uderstanding of medical terminology may compromise patient care
true
Loaner instruments can cause receiving challenges
true
Low temperature sterilization requires physical, chemical, and biological monitoring
true
Microbes are useful to breakdown sewage
true
Most Central Service Departments employ some sort of automated information management system
true
Nitrogen can be used for pneumatic power
true
Packs that are improperly packaged or loaded on the sterilizer cart frequently become wet packs.
true
Personal Protective Equipment minimizes bloodborne pathogens and contaminants
true
Personal development improves employabilty skills
true
Planning and reviewing goals will identify activities to help meet those goals
true
Point of use instrument preparation helps prolong the life of instruments.
true
Prevention of cross contamination is one of the goals of point-of-use preparation.
true
Professional development provides the information and experience needed for career progress.
true
Relative humidity is a required cycle parameter for ozone and ethylene oxide
true
Return loaner items should be cleaned and decontaminated
true
Risk management programs are designed to prevent accidents and injury
true
Standards and regulations help set minimal levels of quality and safety.
true
Steam sterilization cycles are faster than gas plama sterilization
true
The first goal of ceating an instrument pack is making a pack that meets user needs
true
The most frequent cause for sterilization failure is lack of steam contact.
true
The proper handling of instruments is the responsibility of everyone who comes in contact with the instruments
true
The steam sterilization process can be affected by the design of the medical device being sterilized.
true
There are no special cleaning requirements for items contaminated with pseudomonas.
true
Time weighted average (TWA) is the amount of a substance a person can be exposed to over an eight-hour day.
true
Tracking Systems can help manage preventive maintenance schedules
true
Tracking individual instruments is important to help ensure specific instruments are kept with a specific set
true
Gold handle instruments are called
tungsten carbide
Which of the following is the surgery of the ear that reconstructs the eardrum so sound waves can be sent to the middle ear
tympanoplasty
Which of the following mechanical washers uses cavitation for cleaning instruments?
ultrasonic washers
Central Service technicians need to understand the anatomy of a steam sterilizer to
understand how the sterilizer operates
When placing hinged instruments in an instrument tray
unlock the handles and open the instruments
Which of the following microorganisms have no means of movement of their own
viruses
Impingement is the spray force action used by
washer decontaminator
The door is considered the ________ part of the sterilizer.
weakest
Which of the following is an open-endedn question?
what problems do you most encounter on the job?
