SP ch.5-6

Quality assurance checks are performed for which of the following? A. All answer choices are correct. B. For performance of the individuals and the entire department C. For positive performance data D. For production and error data

A. All answer choices are correct.

Which list of parts to assess on a rigid or hard-sided pan before use is the most complete? A. Filter retention plate, container lid, disposable filter, container, carrying handle, and locking mechanism B. Lid, gasket, filter area, and safety handle C. Tamper proof lock, filter retention plate, disposable filter, handles, lid, and gasket D. CI, safety handles, gasket, tamper evident lock, and lid

A. Filter retention plate, container lid, disposable filter, container, carrying handle, and locking mechanism

When is immediate-use steam sterilization (IUSS) utilized? A. IUSS is used when an instrument is needed right away for surgical procedure that is underway. B. IUSS is used when an item cannot be sterilized with high heat. C. IUSS is not allowed any longer; this is old technology. D. IUSS is approved on a case-by-case basis according to the IFU.

A. IUSS is used when an instrument is needed right away for surgical procedure that is underway.

Which statement is true regarding the presets of an autoclave? A. Presets are determined by the department and programed for common cycle runs. These presets make for more efficient operations. B. All answers are correct. C. All presets are decided by leadership and cannot be changed once they are programmed. D. Presets are required to eliminate mistakes.

A. Presets are determined by the department and programed for common cycle runs. These presets make for more efficient operations.

In the incident of a sentinel event, what would be the proper course of action after it is reported? A. An OSHA investigation would happen to find answers. B. A root cause analysis (RCA) would be performed as required by TJC. C. A total quality management (TQM) meeting would occur to determine what to do to improve the processes so this event will never occur again. D. Disciplinary hearing would occur to find out who is to blame.

B. A root cause analysis (RCA) would be performed as required by TJC.

What are the basic working parts of a steam autoclave? A. Presets, door, gasket, and drain B. Door, touchpad, hinges, drain, and internal shelves C. Door, gasket, inner chamber, drain, touchpad, thermostatic trap, and readout D. Door, steam valves, exterior casing, inner chamber, and thermostatic valve

C. Door, gasket, inner chamber, drain, touchpad, thermostatic trap, and readout

Tamper evident locks are used in which capacity? A. On the inside of the hard-side sterilization pans B. On only one side of hard-sided sterilization pans for cost saving reasons C. Used on any packaging that has been sterilized D. On both sides of the outside of hard-sided sterilization pans

D. On both sides of the outside of hard-sided sterilization pans

Packaging for sterilization that uses CSR wrap comes in which options? A. Woven and nonwoven B. CSR wrap and blue wrap C. Single ply, double ply, and muslin D. Single ply and double ply

D. Single ply and double ply

Which of the following are considered chemical indicators? A. Tape that seals an instrument pan or package B. Class 4 internal indicator C. Class 3 internal indicator D. Tamper evident locks with a built-in indicator

D. Tamper evident locks with a built-in indicator

What types of packaging material are reusable and able to be sterilized more than once? A. None of the answers are correct. B. Paper surgical towels C. Muslin wraps only D. Woven materials such as Muslin wrap and duck cloth

D. Woven materials such as Muslin wrap and duck cloth

Which of the following answers best describes the proper loading of wrapped items in a steam sterilizer? A. Wrapped items should be all loaded into a large basket apart from other textiles. B. Wrapped items should be stacked on top of one another neatly in rows or stacks. C. Wrapped items must remain flat without touching the inner chamber of the autoclave. D. Wrapped items should be placed on edge and with enough space between for the steam to properly circulate.

D. Wrapped items should be placed on edge and with enough space between for the steam to properly circulate.

Which best describes the dynamic air removal sterilizer? A. Steam enters the inner chamber, and the air is pumped out in the preconditioning phase. B. As steam enters the chamber, the air left inside is much heavier and will fall to the bottom of the chamber by simple by gravity. C. There is no such thing as a dynamic air removal sterilizer. D. A pump will drive steam into the chamber, displacing any air left at the bottom out the drain.

A. Steam enters the inner chamber, and the air is pumped out in the preconditioning phase.

Which agency(s) has the power to create mandatory IUSS protocols? A. TJC, CMS B. FDA C. AORN D. TJC, CDC, FDA

A. TJC, CMS

What are class 6 indicators? A. They are designed to react to all critical parameters of a specific sterilization cycle. B. All answer choices are correct. C. They are the same as class 5 integrating indicators. D. They can be used in any sterilization cycle; these are multipurpose indicators.

A. They are designed to react to all critical parameters of a specific sterilization cycle.

Why are hard-sided pans used in the tray assembly process? A. They are durable and easy to store. B. They are durable, cost effective to purchase, and eliminates the use of single use items. C. All answer choices are correct. D. They are durable, easy to store, and can be used for any size instrument.

A. They are durable and easy to store.

When considering tray assembly, which statement is the most correct? A. Tray assembly requires the sterile processor to critically think about the correct pan, filter selection and CI placement. B. Baskets do not have to match pans by size if they fit inside. Extra room is permissible. C. Tray assembly requires the sterile processor to decide on the type of pan and sterilization required. D. Tray assembly requires the sterile processor to decide if a pan of instruments needs to be on one level or two levels inside of a pan.

A. Tray assembly requires the sterile processor to critically think about the correct pan, filter selection and CI placement.

Lean Six Sigma is defined as what? A. There is no such thing as Six Sigma Lean. Only the term Lean is used in healthcare settings. B. A specific strategy to optimize performance of a facility, department, or process with the goal of creating a repeatable performance that is close to perfection with little to zero waste. C. This is a cost saving strategy designed to limit waste. D. This is not used in the healthcare setting as it is a manufacturing concept and does not translate.

B. A specific strategy to optimize performance of a facility, department, or process with the goal of creating a repeatable performance that is close to perfection with little to zero waste.

Which best describes the gravity air displacement sterilizer? A. Gravity will move steam into the chamber, and any air remaining will fall to the bottom, but it must be pumped out before the cycle begins. B. Air leaves the inner chamber out the drain at the bottom. Air is cooler so it will sink. C. Gravity air displacement means the air is pumped out of the chamber, then gravity sends it out of the sterilizer through a drain. D. Air leaves the inner chamber out the drain at the bottom. Air is cooler so it will sink, but still needs to be pumped out for proper sterilization.

B. Air leaves the inner chamber out the drain at the bottom. Air is cooler so it will sink.

When unloading items from a steam autoclave what safety concerns should you have? A. Caution to not touch the packages during removal due to contaminating them. B. All answer choices are correct. C. Caution when opening the autoclave door as escaping steam under pressure is dangerous. D. Caution to not touch the packages during removal as they are extremely hot.

B. All answer choices are correct.

Which statement is correct about peel packing for sterilization? A. The material must be IFU specific to the type of sterilization being utilized. B. All answer choices are correct. C. The packaging must be protected from punctures from instruments inside by using tip protectors. D. If appropriate, it is permissible to double peel pack items.

B. All answer choices are correct.

What is a biological indicator? A. Staphylococcus Aureus B. Highly resistant live bacterial spores in a growth media C. Highly resistant live virus in a growth media D. Any live microorganism

B. Highly resistant live bacterial spores in a growth media

What must be performed when cleaning a rigid container pan? A. Wipe off obvious debris B. Inspection of latches, lid gasket, filter retention plate, and carrying handle C. Removal of any loose instruments from the pan D. Inspect and remove any dents found

B. Inspection of latches, lid gasket, filter retention plate, and carrying handle

Where is the label applied on a peel pack type of package? A. An indelible marker must be used on the Tyvek side of the pouch. B. Labels are applied on the plastic side of the pouch. C. Labels are applied on the SMS wrap side. D. If you can see the item inside, you do not need to label it.

B. Labels are applied on the plastic side of the pouch.

What is a sterile processor looking for when inspecting paper filters that go inside the hard sided pan? A. As long as the paper filter covers the entire retention plate, that is all that matters. B. Proper size, manufacturers (according to IFU), holes, tears, and stains in the paper before placing it into the pan retention plates C. Making sure the filter is the correct shape to match the retention plate D. Filters are optional, as long as there is a chemical indicator in place.

B. Proper size, manufacturers (according to IFU), holes, tears, and stains in the paper before placing it into the pan retention plates

Who will inspect the chemical indicators (CIs) placed inside of an instrument pan after sterilization? A. The sterile processor B. The OR personnel responsible for setting up the surgical procedure C. Only the registered nurse (RN) D. Only the surgical technologist

B. The OR personnel responsible for setting up the surgical procedure

Which statement is true about tip protectors? A. They do not have holes due to contamination. B. They have holes to allow sterilant to pass through. C. These are nice to have but are optional and considered a luxury item in SPD. D. They are considered reusable.

B. They have holes to allow sterilant to pass through.

Which statement best describes flash sterilization? A. This is a current sterilization technique that sterilizes items in a specialized, covered pan. B. This is the old way of sterilizing uncovered instruments in a pan and now has been replaced with IUSS that uses a covered, protected pan. C. Flash sterilization is just another name for IUSS. The protocols are exactly the same. D. The item that has become contaminated is sent back through the reprocessing cycle, but with higher temperatures.

B. This is the old way of sterilizing uncovered instruments in a pan and now has been replaced with IUSS that uses a covered, protected pan.

Spunbonded-polyolefin-plastic pouches are also known as A. Paper pouches B. Tyvek pouches C. Penetrating pouches D. Flat wrap pouches

B. Tyvek pouches

Which of the following are used for correct tray assembly? A. Stacking multi layers is not advised; if a tray is big enough every item can fit on one level. B. Using the correct size internal basket ensures proper sterilization. C. An instrument recipe known as a pick sheet is not necessary once the sterile processor has memorized the necessary items that go into a tray. D. Hard sided pans must be used in every instance of pan assembly.

B. Using the correct size internal basket ensures proper sterilization.

BI

Biological indicator

What is a sentinel event? A. An incident that causes serious injury. If death occurs, it is called an internal incident and is investigated. B. An event that occurs within a healthcare facility causing harm to property and is reported to OSHA for further investigation. C. An incident that causes death or serious injury. D. An incident that results in severe injury to a person, requiring a federal investigation.

C. An incident that causes death or serious injury.

Package selection starts with which step? A. Selecting proper packaging material B. Selecting the CIs C. Attaining a count or pick sheet D. Selecting proper instruments

C. Attaining a count or pick sheet

The FDA classifies packaging material for sterilization as A. Class I Medical Device. B. Class I Medical Wrap. C. Class II Medical Device. D. Class II Medical Wrap.

C. Class II Medical Device.

Regarding hard sided pans, what are the gaskets in the lids designed for? A. Lids do not have gaskets. B. It allows steam to escape during the steam sterilization process. C. The gasket assures a snug fitting seal of the lid to the pan. D. It is an oil seal for steam sterilization.

C. The gasket assures a snug fitting seal of the lid to the pan.

What is one reason a BI might show positive? A. Air is removed within the cycle. B. Steam is present in the cycle. C. The incorrect BI was used in the load. D. Wetness or wet packs are present in the cycle.

C. The incorrect BI was used in the load.

Why are chemical indicators (CIs) important? A. They are live spores and will show proof of heat exposure in the autoclave. B. They are proof of exposure to oxygen. C. They are proof of exposure to a sterilant. D. They are hazardous to handle with bare hands.

C. They are proof of exposure to a sterilant.

Which statement is true about chemical indicators? A. They are a biohazard and need to be disposed properly. B. They are considered optional, depending on type of sterilization used. C. They are single use only. D. They are reusable.

C. They are single use only.

What is the definition of a wet pack? A. Dampness visible on the outside of a package following sterilization of any type B. Visible pooling of water inside the sterilizer C. Visible wetness seen or felt on or in a package after steam sterilization D. All answer choices are correct.

C. Visible wetness seen or felt on or in a package after steam sterilization

CMS

Centers for Medicare and Medicaid Services

CI

Chemical Indicator

CQI

Continuous Quality Improvement

To complete assembly of a rigid or hard side pan assembly accurately, which items must be used? A. Correct size pan and lid, internal basket is optional B. Hard side pan with filter holder in the bottom of the pan only C. Correct size pan and lid without gaskets D. A proper fitting internal basket, CIs in opposite corners of the basket, external hard-sided pan with matching lid, and gasket in good condition

D. A proper fitting internal basket, CIs in opposite corners of the basket, external hard-sided pan with matching lid, and gasket in good condition

What type of pan is acceptable for IUSS? A. A sealed pan, with paper filters in the lid, and a gasket in the bottom to allow steam out B. An open, autoclavable pan with the appropriate CIs on the inside C. A pan sealed on top with holes on the bottom to allow steam in and out D. A sealed, autoclavable pan with the appropriate CIs on the inside

D. A sealed, autoclavable pan with the appropriate CIs on the inside

Which answer is correct regarding advantages to using hard sided or rigid container systems for sterilization? A. Provide a barrier to microorganisms B. Sturdy and protective of instruments for processing, storage and transport C. Eliminates the risk of woven and nonwoven material being torn in the sterilization cycle D. All answer choices are correct.

D. All answer choices are correct.

Which statement is applicable to unloading a steam sterilizer? A. Cooling time does not vary. B. Cooling time can vary depending on the packaging type used in the load, volume of items within each wrapping, materials sterilized, and humidity of the room. C. None of the answers are correct. D. Cooling time can vary depending on the type of sterilizer used, the packaging type in the load, and the humidity of the room.

D. Cooling time can vary depending on the type of sterilizer used, the packaging type in the load, and the humidity of the room.

Which of the following best defines tamper evident seals? A. An item that shows proof an item was not used in surgery B. Items used only on equipment to indicate that it is ready to be used on a patient C. A disposable indicator that proves an item remains clean and ready for use D. Disposable item added to the outside of a package or hard side pan to determine if an item has been opened

D. Disposable item added to the outside of a package or hard side pan to determine if an item has been opened

Labeling a package for sterilization must contain which of the following? A. type of sterilization used, date sterilized, item name, initials of sterile processor, facility name B. Item name and date C. Nothing D. Item name, date, initials of sterile processor who wrapped item, lot control number, sterilization identifying information

D. Item name, date, initials of sterile processor who wrapped item, lot control number, sterilization identifying information

The heat sealer helps to accomplish which task in packaging? A. These machines are outdated and not used in sterile processing any longer. B. All answer choices are correct. C. Seals the instrument inside after sterilization. D. Makes a complete seal of the peel packages to keep sterility intact.

D. Makes a complete seal of the peel packages to keep sterility intact.

Which statement is true about materials used in packaging an item for sterilization? A. Must be usable with any sterilant available B. Must be effective, regardless of cost C. Must be able to tie shut properly to seal it D. Must be lint-free

D. Must be lint-free

ETO

Ethylene Oxide, a gas used for sterilization

IUSS

Immediate-Use Steam sterilization

NCAQ

National Committee for Quality Assurance

PCD

Process Challenge Device

QA

Quality Assurance

RCA

Root Cause Analysis

SMS

Spunbond Meltblown Spunbond

SFPP

Steam-Flush Pressure Pulse

HCAHPS

The Hospital Consumer Assessment of Healthcare Providers and Systems

TQI

Total Quality Improvement