IAHCSMM Progress Test 3 Review

Instrument marking tape should be wrapped approximately _____________ around the instrument

1.5 times

The relative humidity of the CS prep and pack area should be

30% to 60%

True or False The part of a hemostat that locks and hold it in position is called the box lock

False rachet

How long must alcohol remain in wet contact with an items to achieve a reasonable level of disinfection?

Five to 10 minutes

which of the following statements about endoscopes is true? a) Not all endoscopes can be processed in an automatic endoscope reprocessor b) ultrasonic cleaning is the process of choice for endoscopes c) flexible endoscopes are not easily damaged d) all endoscopes should be steam sterilized

a) not all endoscopes can be processed in an automatic endoscope reporcessor

How are pneumatic-powered instruments powered?

air powered

Endoscopes are often processed in a mechanical unit called

an automatic endoscope reprocessor

Kerrison/laminectomy rongeurs should be tested using

an index card

chemicals used on animate (living tissue) to slow the growth of microorganisms

antiseptics

which of the following are classified as high-level disinfectants? a) Glutaraldehyde and phenolics b) Glutaraldehyde and ortho-phthalaldehydes c) Quaternary ammonium compounds and phenolics d) Halogens and ortho-phthalaldehydes

b) Glutaraldehyde and ortho-phthalaldehydes

loaner instruments should

be decontaminated before use

Which of the following is NOT an acceptable sterilization packaging material? a) Muslin b) Barrier cloth c) Canvas d) Twills

c) Canvas

The first step to inspect the insulation of a laparoscopic instrument is to

check the collar at the distal tip

items introduced directly into the bloodstream or other normally sterile areas of body are classified as

critical items

Laparascopic hooks and spatulas are used to

cut and/or cauterize

When to you check endoscope, light source and carrier (fiber optic cord) to ensure they are in working order?

each time endoscope is processed

use of test strips to test minimum effective concentration in high-level disinfection solutions is required

each time the solution will be used

endoscopic instruments used to cut or cauterize during surgery have insulation covering the shaft. This protects patient from

electrical current that flows through the instruments

can detect microscopic holes in shaft of a larparascopic instrument

electronic testing device

Flexible intubation scopes are used to check the placement of

endotracheal tubes during intubation

True or False when using glutaraldehyde techs should always wear latex gloves

false nitrile or burly gloves

HLD solutions approved for endoscope disinfections are

glutaraldehyde, ortho-phthalaldehyde (OPA) and peracetic acid

Scissors with tungsten carbide cutting edges are usually identified by

gold handles

iodophors are a member of this chemical family

halogens

thermal disinfection is accomplished using

heat

Electronic testing of laparoscopic insulation should be done

in the clean assembly area prior to set assembly

phenolics are classified as

intermediate to low-level disinfectants

Primary carriers/sources of light for endoscopic surgery

light-emitting diodes (LED)

Endoscopic procedures allow a physician to

look inside the body through use of endoscope

Examples of complex designs, such as resectoscopes, require special attention be paid to all areas where debris could remain

lumens, hinges and covered spaces

To inspect the insulation, locate

metal collar at the distal tip

General rule is that a rigid endoscope should

not be bent fiber optics are housed between inner and outer tubes and transmit light from light guide post to distal end of endoscope

When using high-level disinfectants it is important to remember they may be deactivated by

organic matter

Which of the following would be the best choice for high-level disinfection of instruments?

ortho-phthalaldehydes

Some plastics including formulations of spun-bonded 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

Electronic testing with an approved testing device should be done

prior to set assembly on the clean side of CS dept

Majority of flexible endoscopes require a leak test be performed

prior to submerging device during cleaning and pior to HLD or sterilization

count sheets

provide a detailed list of tray contents

Mechanical and electrical components of robotic instruments are located

proximal end of instrument

low level disinfectant compatible with soap

quaternary ammonium compounds

Semi-rigid endoscopes are useful where the line to the surgical site is

relatively straight but some slight bending of the scope shaft may be needed to access site (bladder surgery)

The endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be a

sigmoidoscope

process by which all forms of microorganisms are completely destroyed is

sterilization

Flexible endoscopes are used where

straight line access is not possibl, such as viewing esophagus, lung, kidney or large instestine

Rigid endoscopes are appropriate for viewing anatomy where there is

straight-ligh access to the site

Information regarding cleaning processes for endoscopes should be provided by

the instrument manufacturer

use of heat to kill all microorganisms, except spores, is called

thermal disinfection

The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is

to keep fluid from entering the unit

Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope's channel?

treated water

thoroughly rinse the endoscope and flush the working channel what to remove all traces of enzymatic solution

treated water

The purpose of a suction stylet is to

unclog the suction during surgery

When placing hinged instruments in an instrument tray

unlock the handles and open the instruments

Semi-rigid endoscopes are primarily used in

urology to view the bladder and the distal portion of the ureter

An osteotome is

used to cut or shave bone

The best way to clean a suction lumen is

using the proper sized brush

In an automated washer they key source of disinfection is

water temperature

To properly test the sharpness of scissors four inches or less use

yellow test material

The US Food and Drug Administration classifies sterilization packaging as a

Class II Medical Device

The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning

False

True or False Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function

False

True or False Gauze squares are the wicking material of choice for instrument sets

False

True or False Instruments are heat treated to give their surface a mirror (shiny) finish

False

True or False Reusable textile packaging requires less labor than disposable packaging

False

True or False Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders

False

True or False Using latex tubing to protect delicate instrumentation is the process of choice for items to be steam sterilized

False

True or 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

Which of the following steps happens first when processing flexible endoscopes?

Leak-testing

After use, loaner instrumentation must be decontaminated before it is shipped out

True

True of False Operative rigid endoscopes hav a working channel that allows surgeon to pass instruments to perfrom surgery

True

True or False After applying instrument identification tape, instruments should be autoclaved to help the tape bond to the instrument

True

True or False All rigid sterilization containers have tamper-evident seals

True

True or False Cellulose materials cannot be processed within ozone sterilizers

True

True or False During instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument's surface

True

True or False Loaner instrumentation can cause receiving challenges

True

True or False Microgrind or supercut scissors are usually identified with a black handle

True

True or False Proper light is critical factor in endoscopic procedures, as the quality of the image or pictures is largely dependent on light quality and quantity

True

True or False Temperatures in a sterile storage area should be 55 degrees F to 60 F

True

True or False The place where the two parts of a ring handled instrument meet and pivot is called the box lock

True

True or False Tissue forceps have teeth

True

True or False When placing instruments in a peel pack, the tips should always face the plastic side of the pack

True

all flexible endoscopes have internal channels

True