chapter 12: preparation & packaging
Heavier items must be placed at the _____________ of the tray to avoid damage to more delicate instruments A. top B. right side C. left side D. bottom
D
Kraft type paper is also known as A. reusable paper B. spill paper C. sterilization paper D. medical grade paper
D
Protect the alignment of forceps tips by placing all tips in the _______________ direction. A. right B. left C. opposite D. same
D
Use only ____________ pens approved for writing on the plastic surface and for the sterilization method used A. blue B. red C. ball point D. felt-tipped
D
Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords: A. Only by trained biomedical engineering technicians B. Only during preventive maintenance activities C. Only when there are complains from user department personnel D. Whenever the equipment is cleaned
D, whenever the equipment is cleaned
Which of the following statements is true about flash sterilization? A. Its the method of choice for metal instruments B. It is recommended to be used as a primary sterilization process by AAMI and AORN C. It reduces turnaround time because cleaning its not required D. It should be used only in emergencies
D. It should be used only in emergencies
When placing ring-handled instruments in an instrument tray, you should: A. Lock the handles to prevent damage during sterilization B. Arrange the instruments in alphabetical order C. Arrange the instruments in the order of their use D. Unlock the handles and open the instruments
D. Unlock the handles and open the instruments
TRUE or FALSE: Techs are responsible for monitoring prep & pack room temperature
FALSE, healthcare organization is responsible
Neat in FAN means
Pack contents must be organized, and instruments must be easy to locate
TRUE or FALSE: All instruments must be ensured dry unless otherwise indicated in the IFU
TRUE
TRUE or FALSE: In order to maintain their sterility, items must be packaged before they are sterilized.
TRUE
TRUE or FALSE: Instrument tips should always face the plastic side of the package to avoid penetrating the paper side and contaminating the contents.
TRUE
TRUE or FALSE: Instruments of the same type should be arranged together tov facilitate their location during an emergency
TRUE
TRUE or FALSE: Instruments that open , such as scissors and hemostats, should be kept in an unlocked or unlatched and opened position to enable the sterilant to reach all parts
TRUE
TRUE or FALSE: Peel pouches should be inspected to ensure there are no tears or holes
TRUE
TRUE or FALSE: Simultaneous means the package is only wrapped once but requires a special, double-layered synthetic nonwoven material bound on two or four sides
TRUE
TRUE or FALSE: Small parts, such as wing nuts, should be placed in an approved containment device
TRUE
TRUE or FALSE: Some disposable packaging materials contain expiration dates from the manufacturer
TRUE
TRUE or FALSE: The purpose of a decontamination battery is protect PSIs from fluid invasion.
TRUE
TRUE or FALSE: Third party reprocessors are regulated by the FDA
TRUE
TRUE or FALSE: When liquid chemicals are labeled as both a high-level disinfectant and a sterilant, the time required to achieve sterilization is no longer than the time required to achieve high-level disinfectant
TRUE
Packs are also known as
-kits -trays -sets
Examples of woven fabric
1. Muslin 2. Type 140 cotton 3. calico 4. barrier cloth 5.duck cloth 6. twill 7. treated barrier fabrics
6 types of chemical indicators:
1. Process indicator 2. Special Indicators 3.Single-variable indicators 4.Multi-variable indicators 5.Integrating indicators 6. Emulating indicators
Two techniques for wrapping packages is:
1. Square fold 2. Envelope fold
Three types of disposable packaging materials:
1. paper 2. polyolefin plastic 3. disposable non-woven wrap
The two type of peel pouches are:
1. paper/plastic combinations 2. spun bond-polyolefin
ANSI/AAMI ST77 recommends a maximum weight ____________ for containerized instruments sets, which includes the weight of the instruments and the instrument container
25 POUNDS
Kraft-type paper can be used in steam and ethylene oxide (EO) sterilization but cannot be used with ___________________. A. hydrogen peroxide B. white vinegar C. critical water D. detergents
A
One of the disadvantages of sequential wraps requires _____________ time for wrapping and unwrapping A. more B. less
A
Sequential means the package is wrapped ______________ and is "a package within a package". A. twice B. once C. none of the above
A
To allow space for package contraction and proper circulation, leave about ____________ of space between items in the pouch and the sealed edges. A. one inch B. two inches C. one centimeter D. two centimeters
A
In a ABC inventory control system "A" items represent A. the smallest number of items and the largest dollar value B. the largest number of items and the smallest dollar value
A, because the items have a smaller quantity therefore
Part of the assembly process for every pack includes a________________ designed to measure sterilant penetration. A. quality assurance test B. Bowie Dick test C. weight test D. heat test
A, quality assurance test
The two most common techniques of flat wrap packaging are A. Square fold and envelope fold B. Envelope and round fold
A, square fold and envelope fold
Chemical indicators are devices used to monitor: A. the presence of attainment of one or more of the parameters required for a satisfactory sterilization process B. the presence of attainment of three or more of the parameters required for a satisfactory sterilization process C. the temperature of instruments D. none of the above
A.
Super heated steam occurs: A. when dry steam becomes too hot compared to saturated steam B. when saturated steam becomes too hot compared to dry steam C. when dry steam is released D. when saturated steam is combined with dry steam
A.
Which of the following is the most important factor necessary for team work? A. Attitude B. Promptness C. Loyalty D. Cooperation
A. Attitude
Heat sensitive items: A. Cannot be flash sterilized B. Should be disposable C. Must not be immersed D. Should not be used
A. Cannot be flash sterilized
The largest part of the brain, it controls mental activities and movement. A. cerebrum B. cell C. cerebellum D. brain stem
A. cerebrum
Paper/plastic pouches must only be labeled on the ______________ side or on areas specifically provided by the manufacturer. A. plastic B. paper
A. plastic
How often should workstations be cleaned?
At least once each shift and as they become soiled
Which is more corrosion-resistant Ausenitic or Martensitic Stainless Steel?
Ausenitic
Items should be placed in the pouch so the end of the item to be grasped during presentation will be presented _______________ when the package is opened at the point of use. A. last B. open C. first D. closed
B
Procedure trays are often designed to include all or most of the items needed for a ______________________: A. major procedure B. minor procedure C. incision D. surgeon
B
Sharp points may be protected with: A. plastic coverings and containers B. tip guards, silicone mats, holding brackets, posts or foam sleeves C. foam sleeves, plastic sleeves, and plastic coverings D. holding brackets, foam sleeves, plastic sleeves, and plastic coverings
B
Technicians should never try to assemble an instrument tray from memory because: A. its against policy B. contents may change and items could be easily be forgotten C. trick question, you should always assemble trays from memory D. none of the above
B
The advantage of sequential wrap is that it affords a "second chance" for _______________________________. A. sterile processing B. sterile presentation C. cleaning D. none of the above
B
The term "single instrument" is used to describe instruments that are to be packaged __________; it can also refer to like instruments packaged _____________. A. together; alike B. alone, together C. alone; alike D. together, alone
B
The hip joint is an example of a: A. gliding joint B. ball and socket joint C. pivot joint D. hinge joint
B, ball and socket joint
The agency responsible for pre-market requirements of medical devices is A. OSHA B. FDA C. CDC D. EPA
B. FDA
The largest operating channel of an endoscope is the _________ channel. A. Lumen B. Instrument C. Cleaning D. Water
B. Instrument
In a sterilization load containing 2 small basins, the chemicals indicators will be positioned A. On the middle of the basin B. On top of the basins C. On the lowest part of the basin D. On the handles to check proper identification
B. On the top of the basins
Which of the following tells a primary meaning of a word? A. Prefix word element B. Root word element C. Suffix word element D. Combining vowel
B. Root word element
Instrument sets and other required instrumentation needed for all surgical procedures for an entire day are usually pulled (collected): A. Two days before they will be used B. The day or evening before they will be used C. The morning of the planned surgery D. Early morning (for morning procedures) and early afternoon (for afternoon procedures) on the day of surgery
B. The day or evening before they will be used
Hinged instruments may be grouped together on racks, tray pins, or stringers to ensure that instruments with locks or ratchets are maintained in the _____________ position. A. closed B. open C. they should not be grouped together D. None of the above
B. open
A process challenge device is an object that simulates a predetermined set of conditions when used to test ________________________________. A. instruments B. sterilizing agents C. weight D. procedure trays
B. sterilizing agents
Linen wrappers should be applied ____________ compressing package contents. A. with B. without
B. without
Trigger handles should be placed in the ________________ position, and power switches should be turned ____ before placing the instruments in the tray. A. open; on B. safety; off C. closed; off D. none of the above
B., safety; off
The two basic types of reusable packaging material: A. linen and contamination baskets B. cotton and suede C. woven fabric and rigid containers D. none of the above
C
To remove trapped air, gently push the pouch's ______________ and ______________ layers together, just prior to sealing. A. top; side B. bottom; side C. top; bottom D. none of the above
C
What devices can be purchased to keep hinged instruments open?: A. stringers B. containers and trays C. stringers & racks D. racks
C
Some sterile packaging is designed with __________________ so users can tell if the package has been opened A. red seals B. tape C. tamper-evident seals D. zippers
C, tamper evident seals
The lining matter of a cell between the cell membrane and cell nucleus A. Derma B. Wall C. Cytoplasm D. Plasma
C. Cytoplasm
Which of the following is NOT required for sharps safety? A. Dispose of all single use sharps in an appropriate container B. Never use your fingers to remove a blade form scalpel C. Wash all disposable sharps before discarding them D. Separate reusable sharps from other instruments when processing
C. Wash all disposable sharps before discarding them
_____________ instruments should be protected using items such as approved foam pouches, tip protectors, silicon mats, holding brackets, or posts. A. large B. small C. delicate D. electric
C. delicate
The FDA classifies sterilization packaging as a ________________ medical device
Class II
To clean a rigid sterilization container, first remove its ________________________ . A. instruments B. disposable filters C. arms D. bottom
`B.
SP techs must also arrange pack contents in a manner that facilitates the __________________________
appropriate sterilization process
The work area should be routinely cleaned to reduce ____________ and ____________.
bacteria; lint
Nail polish and artificial nails should not be worn in the prep and pack area because there is a potential for nail polish to _______________ and artificial nails to __________________.
chip; fall off
As with procedure trays, each instrument tray should have a detailed _______________________ available during instrument assembly.
count sheet
Techs must take precautions to protect instruments from possible ________________ or ________________ that may occur during handling and transport.
damage; content shifting
Instruments that have been dissembled for cleaning should be reassembled and tested for functionality, then ____________________ again for sterilization
disassembled
Functional in FAN means
each item in the pack must function as it was designed
To reduce the number of bacteria in the area, all fixtures, worktables, and furniture should be constructed of non-porous, ________________ materials
easy-to-clean
FAN stands for
functional, accurate, and neat
The most important thing to remember with all pack preparation is that all items must be _______________, ________________, _______________ because the next time the pack is accessed, it will be used for patient care.
functional, accurate, and organized
ANSI/AAMI ST79: 2017 and 2020 Amendments A1, A2, A3, A4 states all __________________________________ should be completely covered with a surgical-type ___________________________________
head & facial hair; hair covering
Rigid container systems are instrument containers that _______________ medical devices during sterilization and also protect devices from contamination during storage and transport.
hold
Before items can be assembled into trays, sets, or packs for sterilization, they must be _____________________
inspected
Accurate in FAN means
instruments must be correct, and quantities must be exact
Jewelry and wristwatches should not be worn in the area because they can harbor ___________________.
microorganisms
a wet pack is a package that contains _____________ after the sterilization process is completed.
moisture
Tamper evident seals are a sealing method that allows users to determine if sterile packages have been _______________.
opened
When the doors to the prep and pack area are opened, air flows __________________ instead of ____________ the work area.
outward; into
The difference between paper/plastic peel pouches and spun bounded peel pouches:
paper/plastic: not compatible with hydrogen peroxide spun bonded: will melt/ not compatible with steam
Should the airflow be negative or positive in the prep and pack area?
positive air pressure
A clean area of the SPD where instrument inspection, assembly, and packaging are performed?
preparation & packaging
Where area are instruments transported after they are cleaned?
preparation & packaging
Smaller groups of instruments used for minor procedures in areas outside of the OR are often called
procedure trays or floor trays
PCD
process challenge device
Natural fingernails should be clean and kept at a length that does not extend beyond ________________________
the fingertips
Who usually determines the contents for a surgical tray?
the user of the tray EX . a surgeon or the OR staff
TRUE or FALSE: Positive airflow reduces the risk of airborne bacteria being introduced the area
true
TRUE or FALSE: Tech's should minimize lint and dust in the area?
true
The first goal of pack preparation is to create a pack that meets ____________.
users' needs
The TWO methods f using flat wrap packs are:
Sequential and Simultaneous
What should techs be inspecting instruments for?
Signs of wear & for damage
