Chapter 21: Sterilization + sanitation instruments

Sterile transfer forceps are used to transfer sterile supplies, equipment, and other surgical instruments to:

A sterile field

How should an autoclave be loaded?

Load the items loosely to allow steam to circulate throughout.

The physician will be performing a prostate biopsy on a patient. You are assembling the necessary equipment and you notice that the Dittel urethral sound is in the autoclave and the wrapping is still a little damp. What should you do?

Obtain another Dittel urethral sound

What is the item listed that helps with insertion of an anoscope or proctoscope?

Obturator

You have wrapped several empty containers with lids to go into the autoclave for sterilizing. How should they be placed?

On their sides with the lids off

The goal of surgical asepsis is to:

Prevent microbes from spreading to or from patients

Which of the following is an instrument used to indicate the angle and depth of an operative area?

Probe

This instrument holds open layers of tissue, exposing the areas beneath.

Retractor

Which of the following is used to assess the depth of the uterus?

Uterine sound

Autoclave tape is used to secure the contents of a packet for autoclaving, to record the date and the initials of the person who wrapped it, and to:

Verify exposure to steam by the appearance of dark stripes on the tape

As soon as the autoclave has finished its cycle, removed the contents immedietely. True or false?

false

Autoclaves are used to sterilize all types of instruments and equipment. True or false?

false

Everyone in the medical office should work together to maintain inventory, keep maintenance schedules, and place orders.

false

Everyone in the medical office should work together to maintain inventory, keep maintenance schedules, and place orders. True or false?

false

Items used during sanitation should be rinsed in cold water to be used again when dry. True or false?

false

Major breaks in sterile technique can lead to infection the body cannot fight while slight breaks are not problematic. True or false?fd

false

Most microorganisms can be seen with the naked eye. True or false?`

false

The directions for sterilizing instruments and equipment is the same for all autoclave makes and models. True or false?

false

Use tap water to fill the reservoir tank of the autoclave. True or false?

false

When sanitizing instruments you will need to wear gloves but not a gown or eye protection. True or false?

false

When you remove a recently sterilized package, you will remove it from the back of the storage cabinet. True or false?

false

the directions for sterilizing instruments and equipment is the same for all autoclave makes and models

false

Surgical instruments used to grasp, handle, and compress, pull or join tissue, equipment or supplies are AKA:

forceps

Surgical instruments used to grasp, handle, compress, pull or join tissue, equipment, or supplies are AKA

forceps

Surgical instruments used to grasp, handle, compress, pull, or join tissue, equipment, or supplies are known as:

forceps

When washing hands prior to surgical procedure, you must include the hands and

forearms for 5 - 10 mins

If a piece of equipment cannot _____ w/o all of its components or if some of those components have a short life, replacements must be available.

function

Kelly clamps are widely used in procedures in this medical specialty:

gynecology

Strips with impregnated spores are autoclaved then cultured to determine

if all spores were destroyed by the autoclaving process

Grooves, straight or crisscrossed, etched or cut into the blades or tips of an instrument called serrations or teeth are used for what purpose?

improving the grasp on tissue

Grooves, straight, crisscrossed, etched or cut into the blades or tips of of an instrument called serations or teeth are used for what purpose?

improving the grasp on tissue

What should be kept on file and consulted when ordering supply replacements or maintenance of equipment in the medical office?

instruction manuals

Before sterilizing some instruments, you are going to check them to be sure they are in good working order. Which of the following steps can be skipped?

none

Which of the following is sufficient pressure for an autoclave to sterilize its contents?

15 pounds

In most cases, the autoclave temperature desired is

250ºF for 20 to 30 minutes

A patient is having a bandage removed and you are bringing the bandage scissors. You choose the kind with:

A blunt tip on the bottom blade

How frequently should the autoclave be cleaned?

According to the manufacturer's directions

Items used during sanitation should be rinsed in cold water to be used again when dry.

False

When sanitizing instruments, you will need gloves but not a gown or eye protection.

False

Which regulation requires that all companies, including medical offices, using hazardous materials have safety data sheets (SDS) available to their employees?

Right to know

What are you required to add to the safety binder for any supplies or equipment containing hazardous materials?

SDS sheet

The purpose of autoclaving is:

Sterilization

Which of the following statements about sanitation and disinfection techniques is not accurate?

These practices are sufficient to process surgical instruments.

Hemostats are a type of forceps used:

To establish hemostasis by grasping blood vessels

Instruments or equipment subject to damage by water should not be sterilized in the autoclave.

True

What instrument used for biopsy involves removing a small, round piece of tissue?

a biopsy punch

One way to sterilize supplies is by using ethylene oxide, which is

a gas

Surgical asepsis requires the _____________ of microorganisms, infection, and infectious material on instruments, equipment, and supplies.

absence

Which of the following are correct uses of forceps?

all of the above

Which of these protects healthcare employees from hazardous materials in the workplace?

all of the above

which of the following are correct uses of forceps

all of the above

The material applied to the outside of a wrapped package ready to autoclave that indicates that the wrapped items were exposed to steam is

autoclave tape

The material applied to the outside of a wrapped package ready to autoclave that indicates that the wrapped items were exposed to steam is:

autoclave tape

An instrument should be inspected to ensure proper working order

before sterilization

Soaking instruments in glutaraldehyde is a form of:

cold sterilization

You are preparing surgical instruments for sterilization. After taking apart any removable sections and checking the integrity of the equipment, you should first rinse the instruments with:

cool water

Which of the following is the best way to show that sterilization has taken place inside wrapped instrument packs that have been autoclaved?

culture test

Which of the following is the gynecologic instrument used for scraping the endometrium?

curet

A Keyes cutaneous punch is used for which medical specialty?

dermatology

What are notched mechanisms that click into position to maintain tension on opposing blades or tips of the instrument?

ratchets

What are notched mechanisms that click into position to maintain tension on the opposing blades or tips of the instrument?

ratchets

Which instrument is used to hold open layers of tissue, exposing the areas beneath?

retractor

Which of the following hold open layers of tissue, exposing the areas beneath?

retractor

The directions for sterilizing instruments and equipment is the same for all autoclave makes and models.

right to know

Before instruments are sterilized, what must you do first so that sterilization will work effectively?

sanitize

This item is a small surgical knife.

scalpel

Improper loading of the autoclave will prevent what from penetrating the items inside the packs completely, compromosing the sterility of the contents?

steam

Any break in which technique, no matter how small, can lead to infection the body cannot fight.

sterile

Processes used in clinics and medical offices to ensure invasive instruments are free from microorganisms including spores includes which technique?

sterilization

Progresses used in clinics and med. offices to ensure invasive instruments are free from microorganisms including spores includes which technique?

sterilization

The purpose of autoclaving

sterilization

Which of the following is not a commonly used surgical instrument?

straight needle

What tissue or product would be cut using curved surgical scissors?

superficial or delicate tissue

What process is used to free an item or area from all microorganisms?

surgical asepsis

The components of the autoclaving process are time,

temperature, pressure, and steam

This type of forceps is used in gynecology to grasp and hold tissue:

tenaculum

Which gynecology instrument is used for grasping and holding tissue with hook-like tips?

tenaculum

The autoclave has two chambers: an outer one where pressure builds and an inner one where

the sterilization occurs

Spring forceps are AKA

thumb forceps

Spring forceps are also known as:

thumb forceps

Which of the following tools is used to maintain the integrity of the sterile field by holding the sterile drapes in place, allowing exposure of the operative site?

towel clamps

witch of the following tools is used to maintain the intergity of the sterile field by holding the sterile drapes in place, allowing exposure of the operative site?

towel clamps

Sterilizer forceps are used to

transfer sterilized instruments

A tonometer is the instrument used to measure intraocular pressure to diagnose glaucoma. True or false?

true

If sterilization was not achieved during autoclaving, the entire load must be resterilized before any of those items can be used in surgical procedures. True or false?

true

It would be a mistake to set the autoclave time before the appropriate temp is reached. True or false?

true

Wax pellets are a form of sterilization indicator.

true

Wax pellets are a form of sterilization indicator. True or false?

true