final exam
what are the perentage of microorganisms are harmful to humans
1 %
instrument marking tape should be wrapped approximately -------- times around the instrument
1 to 1 and a 1/2
CS should wash there hands for how long
15 seconds
the achieve a reasonable level of disinfecion, alcohol used as an intermediae level disinfectant must remain in wet contact with the surface of the object being disinfected for a minimum of ------------ minutes
5
purified water should have a ph of
6.5-7.5
sterile packages should be store no lwer than ------ inches from the floor
8-10
the organization that sets reccomended practices and standards for care and processing of devices and systems
AAMI
Sterility maintenance covers dust covers should be applied when
AFTER STERILIZATION
organinzation is dedicated to the prevention and control of infection
APIC
what is associate with a cardiac surgery?
CABG
medical devices reporting is regulated by
FDA
whicch surgical abreviation might be used to relating to a fractured bone
ORIF
A device that allows the auto administration of pain medication?
PCA pump
this liquid oxidizing agent is effective at low temperatures and often used to process endoscopes at point of use is
PERACETIC ACID
the amount of time that takess to kill 90% of the microorganisms present on an object is called
a D-valve
ortho-phthaladehyde (OPA) is classified
a high level disinfectant
chisels and osteotomes should be tested using?
a plastic dowel rod
which would be best for cleaning wall fixtures and floors in the decontam. area
a quaternary ammonium compound
the PH of a solution indicates its
acidity or alkalinity
require free oxygen is
aerobic
wicking material is used to do what
allow air removal, steam penetration and facilitate drying
these carry blood away from the heart
arteries
the absence of microogranisms that cause disease is called
asepsis
the absence of microorganisms that can cause disease is?
asepsis
disposable medical devices should be separated from reusable devices?
at the point of use
rod shaped bacteria are classified as
bacillus
loaner instruments should
be deconotaminated before used
microorganisms reproduce by a process called
binary fission
tests which use live bacterial spores to challange the efficacy of the sterilization process and provide direct measure of lethality are called
bioological indicators
microgrind or supercut scissors are identified with
black handles
which is an example of regulated medical waste
blood soaked sponges
An iodophor is
buffered iodine
water softeners are used to remove _______ in the water
calcuim and magnesium
which of thee following terms denotes a malignant tumor?
carcinoma
the distribution system used to provide specific products for individual surgical procedures is?
case cart system
the physical method by which ultrasonic units clean is called?
cavitation
which of the following sterilization quality assurance measurements is designed to measure individual package penetration?
chemical indicator
this prion is special concern to cs techs bcause it cannot be destroyed by normal sterilization cycles
cjd
chemical indicators are classified by the FDA as which class device
class 2
items requiring manual cleaning should be?
cleaned per manufacturers recommendation.
a mode of bacterial transmission that would take place when an infectious agent was transmitted through an item such as food or water its called
common vehicle
what metthod is tthee inventory control method that the suupplier owns the inventory, storeess it, and doesnt charge for it until it is used or lost
consignment
how freequently should a sterilizers drain be removed and cleaned
daily
which system is used to treat the final rinse water used for cleaninng
deionization
pancreas is component of the what
digestive system
manual cleaning in 3rd sink should contain what?
distilled or deionized water
impregnnated gauze strips may be sterilized using?
dry heat sterilization
the term superheated steam means
dry steam
the body system that controls growth annd maintains body functions and chemical messengers is called the?
endocrine system
a step in communication that occurs when a listener assks a question or repeats information
feedback
the part of the cell that enables it to move throuugh liquid
flagella
the process by which unwrapped instrumeents are steam sterilized forr immediate use when an emergency situation arises is called
flash sterilization
Precleaning, leak testing cleaning, high level disinfection, drying and storage is the proper sequence for processing what
flexible endoscopes
chlorine and iodine are members of the?
halogen family
neuralgia means
having nerve pain
what type of hepatitis virus is important in food borne illness
hepatitis A
what type of hepatitis vaccine is strongly reccommended for healthcare workers
hepatitis b
when using the ph scale which numbers would be most alkaline
highest numbers
saturated steam
humidity of 97 to 100%
cellulosic materials (paper, cotten, and linen) cannot be processed in what
hydrogen peroxide gas plasma sterilizer
this unit pumps heated or cooled water through a coiled pad to therapeuticaally rinse or lower body temperature
hypothermia unit
surgical removal of the uterus is
hysterectomy
A washer decontaminator cleans is called?
impingement
100% ethylene oxide gas canisters should be stored wheere
in a chemical storage cabinet
sterile supplies should be transported how?
in a closed cart
when using theFIFO method of storage each item should be?
inspected for integrity before placing on or removing from the storage shelf.
the largest operating channel of an endocope is the ------- channel
instrument ((biopsy))
when assembling an instrument set for steam sterilization
instruments should be open and disassembled to facilitate steam contract
the percentage of items available when an order is placed is
inventory service level
the number of times per year that inventory is purchased, consumed, an replaced
inventory turnover rate
which muscle works without conciousness
involuntary muscles
the human resource tool that identifies major tasks performed by persons in specific positions is called
job description
Arthro means
joint
which requires preventive maintenance standards to be established for medical equipment
joint commission
these are used t0 breakdown fatty deposits and adipose tissue on instruments
lipase enzymes
QUAT are classified as
low level disinfectants
is not a principle of asepsis
maintain good work flow processes
in medical term, the purpose of a combining vowel is to
make the word easier to pronounce
400 series stainless steel is also called
martensitic
which sterilization quality assurance measurements is designed to provide a written record of steriizer cycle activity
mechanical monitor charts/ printouts
these bacteria grow well at body temp. and are often pathogenic to humans
mesophiles
what types of carts/baskets should be used in an eto sterilizer
metal
healthcare regulations and standards provide consistency of dept activities by outlining
minimal performance standards
the recommended air pressure for a CS decontamination area is
negative air pressure
the removal of a kidney is called
nephrectomy
phenolics are often used to disinfect?
noncrritical items
which statements about endoscopes is true
not all endoscopes can be processed in an AER
the part of a cell that control cell function
nucleus
agency where may intervene in a matter of worker protection even if there are no specific regulations covering the situation
osha
which systems involve the transfer of the control of the healthcare facilitys equipment management to an external entity
outsourcing
of the 3 major low sterillannts which has the longest instrument turnover time
ozone
when arranging plastic-paper pouches in the sterilizer, the pouches should arrange
paper to plastic
which means besides or near
para
bacteria that causes diseases
pathogenic
the main theory of standard precautions is
patients may pose a risk of infection whether they have been diagnosed with an infectious disease or not
a system that keeps track o all incoming and outgoing suppliese so that quantities of supplies in storage are known at all times
perpetual inventory system
glands is located at the base of the brain
pituitary
which of the following should not be processed in an ultrasonic cleaner
plastic instruments
the circular opening of the eye which controls the amount of light which enters the eye
pupil
which disinfectant is also known as a wetting agent
quatternary ammonium compounds
you can reduce the combustible load of storage area by
reducing the amount of disposable supplies stored in the area
which types of trash must be red bagged
regulated medical waste
sponges used for cleaning should be
replaced daily
An implant would
require sterilization
trachea is part of what
respiratory system
what act requires tthat the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness and or death to the malfacturer and the FDA
safe medical devices act
the method of wrapping that creates a package within a package
sequential
which scope is used o visuualize the lower part of the large intestine
sigmoidoscope
designed to provide support, shape, and protection is called
skeletal system
spiral shape bacteria is
spirillum
when a flexible fiberoptic endoscope fails a leak u should
take it out of service
when a wet packs are discovered after a steam sterilization process?
the content must be repackaged and resterilized
cleaning and sterilization protocols for loaner instrumentation should be obtained from
the instrument manufacturer
the most efficient type of dry heat sterilizer
the mechanical convection sterilizer
cs largest customer is
the operating room
A hemigastrectomy is
the removal of half the stomach
in an abc inventory control system "A" items represent
the smallesst number of items and largest dollar value
in the event of a loa recall, information about specific load contents can be obtained from
the sterilization log
bacteria that grows well in warm temps (112-158) are called
thermophiles
watches and oher jewelry should be worn in the central service dept. work areas because
they harbor bacteria
the term EXCISE means
to cut out
a surgery that reconstructs the eardrum so sound waves can be sent to the middle and inner ear is?
typanoplasty
which type of fire extinguisher should be used on flammabl liquids
type b
in order to prevent breathing in bacteria you should brush?
under the surface of the water
infectious that grow only in living tissue or cells is
virus
oscopy means
visual examination
flexile cystoscopes provide?
visualization of the urethra and bladder
the minimum recommendation for frequency of biological testing in steam sterilizers is?
weekly and every load that contains an implant
floors in the cs dept. should be
wet mopped daily
which tracking method provides real time information
RFID
not acceptable for use in steam sterilization?
SPUNBOND-POLYOLEFIN COMBINATION POUCHES
forming a general opinion about a specific group and applying to every member is
STEROTYPING