IAHCSMM
the amount of time it takes to kill 90% of the microorganisms present on an object is called: time-weighted average a D-value a sterilization cycle exposure time
a d-value
instrument washer sterilizers provide ______. terminal sterilization dry heat sterilization a decontam process flash sterilization for immediate use
a decontam process
when speaking, you should: be influenced by the listener's emotions concentrate on the listener rather than oneself concentrate on yourself rather than the listener use technical jargon to impress the listener
concentrate on the listener rather than oneself
t/f: since the types of surgeries performed are smaller, PPE is not required when cleaning instruments used in ambulatory surgery centers
f
t/f: stainless steel jaw needleholders last longer than Tungsten Carbide jaw needleholders
f
t/f: temperatures in a sterile storage area should be 55*F-60*F
f
t/f: the biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning
f
t/f: the international standards organization (ISO) uses routine and unannounced inspections to monitor standards in healthcare facilities
f
t/f: the number of ambulatory surgery facilities is decreasing nationwide
f
t/f: the part of the hemostat that locks and holds it in position is called the box lock
f
t/f: the spore it the functional unit of the cell
f
t/f: to impede the growth of bacteria, soil on used instruments should be allowed to dry.
f
t/f: used dental instruments pose a very low risk of blood borne pathogen exposure.
f
t/f: viruses are larger than bacteria
f
t/f: when assembling an instrument set, heavier instruments should be placed on top of lighter ones to hold them in-place
f
t/f: when transporting a cart of sterilized items from the EtO sterilizer to the aerator, you should push it, instead of pulling it, to avoid inhaling EtO fumes.
f
t/f:following OSHA regulations for wearing PPE in the CS decontam is optional
f
multi-enzymatic cleaning products containing lipase are useful for cleaning _______ protein soils starches fats sugars
fats
a step in communication that occurs when a listener asks a question is called: stereotyping feedback communication looping halo interpretation
feedback
Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant form an endoscope's channels? forced air water containing approved sterilant filtered water a heated glutaraldehyde
filtered water
100% ethylene oxide gas canisters should be stored: in a chemical storage cabinet outside in a refrigerator in a chamber heated to 75*F
in a chemical storage cabinet
a mode of bacterial transmission that would take place when an infectious agent was transmitted through an item such as food or water is called: contact common vehicle airborne vector-borne
common vehicle
Which of the following questions is open-ended? "how long have you worked here?" "do you like your job?" "what problems do you most frequently encounter on the job?" "what is the name of the central service director?"
"what problems do you most frequently encounter on the job?"
T/f: third party reprocessors are regulated by the FDA
T
t/f: cellulose-containing packaging materials are not compatible with H2O2 gas plasma sterilization
T
t/f: failure to receive accreditation from the JC can result in the loss of Medicare and Medicaid payments
T
Which of the following is NOT an acceptable sterilization packaging material? Muslin Barrier Cloth Canvas Twills
Canvas
the FDA classifies sterilization packaging as a Class I Medical Device Class II Medical Device Clas III Medical Device
Class II
patient care equipment is typically stored: in the biomedical engineering department in patient units (wards) in the central service department in sterile storage areas of the material management department
in the central service department
Electronic testing of laparoscopic insulation should be done: in the decon area prior to cleaning in the clean assembly area prior to assembly at the factory or onsite repair unit in the OR at the end of the procedure
in the clean assembly area prior to assembly
in order to elevate the temperature in a steam sterilizer, you must: increase the steam pressure decrease the steam pressure achieve ambient pressure inject boiler amine
increase steam pressure
which of the following statements is correct? informal work groups are "bad" for the organization informal work groups develop an informal communication system called the grapevine a task group is an example of an informal group employees can only be members of one formal group at a time
informal work groups develop an informal communication system called the grapevine
Phenolics are classified as: intermediate to low-level disinfectants intermediate to high-level disinfectants high-level disinfects sterilants
intermediate to low-level disinfectants
bluish or rainbow-type stains are caused by _____ in the water -chlorides and solids -iron and silicates -calcium -flouride
iron and silicates
Healthcare regulations and standards provide consistency of departmental activities by outlining: minimal performance standards equal pay practices productivity time lines all of the above none of the above
minimal performance standards
Point of use computing: is impossible in central service because of infection control requirements provide no benefit to the central service department moves computers into central service work areas eliminates data entry jobs
moves computers into central service work areas
this surgical procedure is the removal of testicles transurethral resection prostatectomy orchiopexy orchiectomy
orchiectomy
for safety purposes, CSTs should consider all microorganisms in the decontam are: gram-positive gram-negative manageable potentially infectious
potentially infectious
water purification usually involves the use of a: prefilter postfilter pre or post filter pre and post filter
pre and post filter
The term "hemi" is a prefix suffix root noun
prefix
which of the following is NOT a feature of an instrument tracking system? productivity information financial data quality assurance information product updates and recall information
product updates and recall information
Thermal disinfection is accomplished using heated chemicals heated glurataldehyde prolonged high pressure steam heated water
prolonged high pressure steam
The sterile storage area in CS department should be restricted to: CS managers and supervisors OR personnel CS employees only Properly attired personnel meeting facility requirments
properly attired personnel meeting facility requirements
Chemical indicators: prove that an item is sterile provide a visual indication that an item was exposed to a sterilization process prove that the sterilizer did not damage heat sensitive items provide information about bacterial spore kill within the sterilizer
provide a visual indication that an item was exposed to a sterilization process
patient care equipment should be stored in a ______ condition. ready-to-use ready-to-clean ready-to-inspect ready-to-sterilize
ready-to-use
what color should biohazard labels/signs be? red/orange orange/yellow orange/blue green/black
red/orange
know what is dirty, know what is clean, know what is sterile, keep the three conditions separate, and remedy contamination immediately are: the principles of asepsis the basics of blood-borne pathogen standards the principles of infection prevention and control the basics of environmental control
the principles of asepsis
Material Safety Data Sheets are provided by: OSHA FDA the risk management department the product manufacturer
the product manufacturer
in the event of a load recall, information about specific load contents can be obtained from: the CS supervisor the procedure manual the sterilization log the hospital safety directory
the sterilization log
Both AORN and the JC recommend that: the use of flash sterilization be minimized or decreased flash sterilization be performed in only one sterilizer per facility healthcare facilities get FDA approval for flash sterilization only CSTs operate flash sterilizers
the use of flash sterilization be minimized or decreased
t/f: the number of times per year that consumable items are purchase, consumed, and replaced is called the inventory turnover rate
t
t/f: the organization that conducts on-site surveys to evaluate health care organizations is the ISO
t
t/f: the place where two parts of a ring handled instrument meet and pivot is called the box lock
t
t/f: the veterans administrations (VA) hospital system has its own certification program for SPD (CS) techs
t
t/f: tissue forceps have teeth
t
t/f: tracking systems can help facilities manage costs
t
t/f: used are responsible to notify CS if they discover instruments or equipment in need of repair
t
t/f: when it is necessary to transport soiled items between facilities using a truck or van, facilities must consult US Department of Transportation, as well as state and local laws for transporting biohazard items
t
t/f: when liquid chemicals are label as both a high-level disinfectant and a sterilant, the time required to achieve sterilization is longer than the time required to achieve high-level disinfection.
t
t/f: when moving transport carts throughout the healthcare facility, CSTs must always yield right of way to patients and visitors
t
established national emissions standards for EO used by hospitals are regulated in all states in Washington DC in the western states there are no established national emissions standards
there are no established national emissions standards
The use of heat to kill all microorganisms, except spores, is called: sterilization thermal disinfection high-level disinfection mechanical disinfection
thermal disinfection
watches and other jewelry should not be worn in the CS department work areas because: they harbor bacteria they are expensive they may be damaged they may be misplaced or stolen
they harbor bacteria
The transport of flash sterilized items is difficult because: they have no protective wrapping they are wet they are hot contained in heavy trays
they have no protective wrapping
nosocomial infections are: most likely to occur during international travel caused by drug resistant organisms those without known cures those which occur in the course of being treated in a hospital
those which occur in the course of being treated in a hospital
the term "excise" means to repair to open to cut out examine
to cut out
The purpose of using a decontamination battery or cord when cleaning powered surgical instruments is: to keep fluid from entering the unit to keep functioning batteries and cords clean to prevent electrical shock to test the unit while cleaning
to keep fluid from entering the unit
Which of the following statements is correct? patient care equipment tracking requires a computer patient care equipment should only be tracked if it has a value in excess of an amount specified by the facility tracking patient care equipment can prevent equipment shortages patient care equipment must only be tracked if its usage will be charged to patients
tracking patient care equipment can prevent equipment shortages
the term "CR" relates to a surgical procedure for: treating a fractured bone without a surgical incision creating a new blood supply to an area of the heart surgical removal of the uterus surgical removal of part of the prostate gland
treating a fractured bone without a surgical incision
which type of fire extinguisher should be used on flammable liquid? type a type b type c type d
type b
the purpose of a suction stylet is to: unclog the suction during surgery clean the suction in the decon area facilitate the sterilization process provide a measuring guide for the surgeon
unclog the suction during surgery
when placing ring-handled instruments in an instrument tray, you should: lock the handles to prevent damage during sterilization arrange the instruments in alphabetical order arrange the instruments in order of their use unlock the handles and open the instruments
unlock the handles and open the instruments
Aluminum items should be cleaned: using a circular motion using a to and fro motion with the grain using a stiff metal brush using a water spray
using a to and fro motion with the grain
which of the following is NOT required for sharps safety? dispose of all single use sharps in an appropriate container never use your fingers to remove a blade from a scalpel wash all disposable sharps before discarding them separate reusable sharps from other instruments when processing
wash all disposable sharps before discarding them
floors in the CS department should be: wet-mopped daily wet-mopped weekly swept and wet-mopped weekly swept daily
wet-mopped daily
the largest customer of Central Service is: the emergency department labor and delivery material management the OR
the OR
Instrument sets and other required instrumentation needed for all surgical procedures for an entire day are usually pulled: two days before they will be used the day or evening before they will be used the morning of the planned surgery early morning (for morning procedures) and early afternoon (for afternoon procedures) on the day of the surgery
the day or evening before they will be used
information regarding cleaning processes for endoscopes should be provided by: the SGNA APIC the instrument manufacturer not be used
the instrument manufacturer
written cleaning instructions for surgical instruments should be provided by: the mechanical washer manufacturer the instrument manufacturer the detergent manufacturer the healthcare facility
the instrument manufacturer
The most efficient type of dry heat sterilizer is: the gravity convection sterilizer the mechanical convection sterilizer the dynamic air removal sterilizer the specific purpose dry heat oven
the mechanical convection sterilizer
the higher the bioburden on an object: the more difficult it will be to sterilize the less time it will take to sterilize it the more biological tests you will need in the load the longer it will take to cool after sterilization
the more difficult it will be to sterilize
How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection? 3 min 5 min 10 min 20 min
5 min
purified water pH -4.5-5.5 -5.5-6.5 -6.5-7.5 -7.5-8.5
6.5-7.5
Iodophors are a member of this disinfectant family: halogens quaternary ammonium compounds alcohol phenolics
halogens
deionized water is used for: sterile irrigation heating/cooling therapy units injection steam sterilizers
heating and cooling therapy units
which of the following is the most important priority? saving money helping patients completing assignments on time doing all work according to the state policy and procedure
helping patients
"hyperglycemia" refers to: a malignant tumor tissue death of an artery high blood sugar enlargement of the heart
high blood sugar
this surgical procedure removes the uterus hysteroscopy hysterectomy dilation and curettage bilateral-salphinoophorectomy
hysterectomy
Which of the following common items of patient care equipment limits the development of Deep Vein Thrombosis (DVT) and Peripheral Edema in immobile patients? Respirator Intermittent suction device Sequential compression unit defibrillator
Sequential Compression Unit
instrument marking tape should be wrapped approx ____ times around the instrument. 1-1.5 1.5-2 2-2.5 2.5-3
1-1.5
the decontam area of the CS department should have: 5 ari exchanges per hour 10 air exchanges per hour 15 air exchanges per hour 20 air exchanges per hour
10 air exchanges per hour
tap water should ideally have a chloride concentration of ____ ppm or less -200 -150 -100 -50
100
the ideal level of silicates in water used for cleaning is _____ ppm or less -200 -150 -100 -50
100
during handwashing, hands should be lathered and scrubbed for at least: 10 seconds 15 seconds 1 min 2 min
15 seconds
what would be the recommended exposure time for a dry heat sterilization load that was run at an exposure temperature of 320*F (160*C). 1 hr 1.5 hr 2 hr 2.5 hr
2 hrs
each year, approx _______ patients develop a health-care associated infection 1 million 2 million 10 million 20 million
2 million
the two most common temperatures used in steam sterilization are: 120*F and 140*F 100*F and 130*F 320*F and 350-355*F 250*F and 270-275*F
250*F and 270-275*F
Agency which imposes very strict labeling requirements on manufacturers of chemicals used by CS departments OSHA FDA EPA AAMI
EPA
Regulations under the Clean Air Act are administered by: OSHA FDA EPA AORN
EPA
t/f: all bacteria require the same conditions to live and grow
F
t/f: items need to be cleaned before they are sterilized, but they do not need to be cleaned before they are disinfected.
F
medical device reporting is regulated by the: NFPA EPA WHO FDA
FDA
which of the following required preventive maintenance standards be established for medical equipment? OSHA Joint Commission AAMI AORN
Joint Commission
Which of the following would be the best choice for high level disinfection of instruments? phenolics chlorine iodophors OPA
OPA
Which of the following surgical abbreviations might be used relating to a fractured bone? CABG BSO ORIF TAH
ORIF
agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation. OSHA EPA FDA AORN
OSHA
following Standard Precautions protocols is required by the? FDA NFPA EPA OSHA
OSHA
CS technicians must wear special attire referred to as ______ to minimize their exposure to bloodborne pathogens and other contaminates. PPE OSHA scrubs CDC
PPE
the unit of measure used to describe the amount of EtO in the air is called: TWA STEL PEL PPM
PPM
Which of the following tracking methods provides real time information? RFID laser-etched bar codes standard bar code dot matrix applications
RFID
the desired solution for cleaning instruments is: soap steam a disinfectant a detergent
a detergent
instrument lubrication is preformed: immediately before use after sterilization after cleaning before cleaning
after cleaning
Surgical instruments should be inspected: before the cleaned after they are cleaned after they are sterilized during storage
after they are cleaned
Which of the following statements about the use of mechanical washers is NOT true? multi-level trays should be separated trays with lids should be opened instruments should be disassembled and opened all items should be washed on the same cycle
all items should be washed on the same cycle
Under current regulations who is required to report suspected medical device-related deaths to the FDA device manufacturer hospitals all of the above none of the above
all of the above
standards and regulations help set levels of ____ in our departments quality safety efficiency all of the above none of the above
all of the above
which of the following can be removed from water when using reverse osmosis bacteria pyrogens endotoxins all of the above
all of the above
which of the following is not an example of communication? the words you speak the words you write non-verbal expressions you use a and b are examples of communication all of the above are examples of communication
all of the above
Wicking material are used to: dry instruments before sterilization allow air removal, steam penetration, and facilitate drying cushion instruments from the extreme force in steam sterilizer chambers hold water away from the bottom of instrument trays
allow air removal, steam penetration, and facilitate drying
endoscopes are often processed in a mechanical unit called: an ultrasonic cleaner a washer-decontaminator a flush-pulse endoscope reprocessor an automatic endoscope reprocessor
an AER
Kerrison Laminectomy Rongeurs should be tested using: tissue paper a plastic dowel rod rubber testing material an index card
an index card
the term, "periosteal elevator," refers to: surgical removal of tissue near the thyroid surgical removal of one-half of the stomach an instrument for cutting skin an instrument used to remove tissue around the bone
an instrument used to remove tissue around the bone
a material that removes electrons form another substance is called: an oxidizing agent a demagnetizer an atom a molecule
an oxidizing agent
These chemicals are used on animate (living tissue) to slow the growth of microorganisms: gluteraldehydes disinfectants halogens antiseptics
antispectics
Ergonomic injuries: are not a concern for central service employees are rare in today's work environment are a risk factor for persons who perform repetitive or physical work happen only in the office setting
are a risk factor for persons who perform repetitive or physical work
automated supply replenishment systems: are no longer used are used only in surgery are difficult to manage are computerized
are computerized
Pyrogens: are fever-producing substances are microorganisms that have survived sterilization cause CJD are soil particles
are fever-producing substances
The absence of microorganisms that cause disease is called? infection prevention infection control asepsis HIA-control
asepsis
______ is an example of a fungus. pneumonia tuberculosis athlete's foot herpes simplex II
athletes foot
Which of the following is the most important factor necessary for teamwork? attitude promptness loyalty cooperation
attitude
the hip joint is an example of a gliding joint ball and socket joint pivot joint hinge joint
ball and socket joint
loaner instruments should: be decontaminated if they appear soiled upon arrival be sterilized using a low temperature process be decontaminated before use not be used
be decontaminated before use
the term "hypo" means quickly above below measured
below
to prevent coagulation of proteins, water temperature should be below 43*C (110F) above 43*C (110F) below 100*C (212F) below 24*C (75*F)
below 43*C (110*F)
"subcutaneous" refers to: low sugar content in the blood displacement of the pelvic joint beneath the skin without infection; sterile
beneath the skin
The term "intercosto" means within the colon between the toes within the bladder between the ribs
between the ribs
microorganisms reproduce by a process called: repopulation binary fission replication bilateral reproduction
binary fission
Tests which use live bacterial spores to challenge the efficacy of the sterilization process and provide a direct measure of lethality are called: chemical indicator tests chemical integrator tests ampulization tests biological tests
biological tests
when patient equipment enters a healthcare facility, it must be safety checked by a ______ before it is cleared for patient use. biomedical tech infection control committee member central service tech central service director
biomed tech
technicians in the _____ department perform safety inspections and functional tests on equipment. material management infection control biomedical engineering facilities and maintenaince
biomedical engineering
Which of the following is an example of regulated medical waste? discarded sterilization wraps blood-soaked sponges used copier toner cartridges general trash from the surgery from the surgery department
blood-soaked sponges
which of the following techniques for brushing instruments should be used? brushing should be done under water brushing should be done above water brushing should be done against the grain of the device brushes made of wire are the best because of their exceptional cleaning ability
brushing should be done underwater
water softeners are used to remove ____ in the water iron and pyrogens silicates and pyrogens chloride and iron calcium and magnesium
calcium and magnesium
official inventory: does not exist in today's modern healthcare facilities can be counted as an asset to a facility's balance sheet is owned by the vendor but stored at the healthcare facility is owned by the healthcare facility but stored by the vendor
can be counted as an asset to the facility's balance sheet
Maintenance insurance: can help manage equipment costs is required by the FDA is the same as outsourcing can reduce equipment downtime
can help manage equipment costs
powered surgical instruments: can not be immerse can be immersed should be cleaned at the point of use should be cleaned using a mechanical washer
can not be immersed
heat sensitive items: cannot be flash sterilized should be disposable must not be immersed should not be used
cannot be flash sterilized
this surgical procedure removes tissue of displaced bone from the wrist area to release pressure on the median nerve carpal tunnel repair ulnar nerve trabsoisutuib arthotomy fasciotomy
carpal tunnel repair
Which of the following systems provides supplies and instruments for individual surgical procedures? exchange cart par-level case cart requisition
case cart
the largest part of the human brain is the: brain stem cerebellum cerebrum spinal cord
cerebrum
The first step inspect the insulation of a laparoscopic instrument is to: check the collar at the distal tip try to slide the insulation back check the handle for chipping or cracking visually check the instrument's shaft
check the collar at the distal tip
this surgical procedure is the removal of the gall bladder cholecystectomy colectomy parotidectomy gastrectomy
cholecystectomy
chemical indicators are FDA ______ devices class I class II class III not regulated by the FDA
class II
Heart valves and pacemakers are examples of FDA _____ medical devices class I class II class III not regulated by the FDA
class III
Before an item can be placed in a liquid chemical sterile processing system they must be: heated filled with air sterilized cleaned
cleaned
_____ is the first step in the sterilization process. receiving soaking sorting cleaning
cleaning
water that is turbid is: hot tepid clear cloudy
cloudy
When processing flexible endoscopes in a liquid chemical sterile processing system, you should: pressurize the scope before starting the machine use tap water as a prerinse connect channels to special connectors that allow liquid to flow threw them run the cycle twice to ensure the proper microbial kill has taken place
connect channels to special connectors that allow liquid to flow through them
in this system, items are owned by the vendor, but stored at the healthcare facility: just-in-time stockless min/max consignment
consignment
All patient care equipment dispensed for use must be considered _________, and handled as such, regardless of its appearance. sterile clean contaminated visibly soiled
contaminated
items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as: critical items semi-critical items non-critical items equipment
critical items
a group of employees from different departments within the healthcare facility that work together to solve operating problems is called a: decision-making team multi-dimensional team cross-functional team management-sub management ream
cross-functional team
"lithotripsy" refers to: aspiration of fatty tissue surgical removal of the ovary crushing of a stone visual examination of a joint
crushing of a stone
how frequently should a sterilizers strainer be removed and cleaned? daily after each use once weekly only when the machine's operating control gauge indicates cleaning is necessary
daily
Which of the following is NOT a growing trend in CS? decentralization of CS responsibilities the use of more reusable and more complex devices satellite-processing units with centralized management consolidation into entire integrated delivery networks
decentralization of CS responsibilities
soiled instruments and other items are received in the ____ area of central service preparation packaging decontam sterilization
decontam
Softened water: increase the likelihood of mineral scare deposits decreases the likelihood of mineral scale deposits is not compatible with detergents can cause rusting of metal instruments
decreases the likelihood of mineral scale deposits
_____ is used to treat the final rinse water used for cleaning? -water conductivity -sanitization -deionization -sterilization
deionizaiton
which of the following is the most popular title for the central service department head? coordinator director manager supervisor
director
Disposable components such as pads and tubing on patient care equipment should be: discarded at point of use be reprocessed for re-use discarded during preventive maintenance removed in the biomedical engineering departmetn
discarded at point of use
CSTs who do not think they are being treated appropriately by their employer should: find another job discuss the problem with their workplace peers discuss the situation with their supervisor accept the situation as "the way things are done" at the facility
discuss the situation with their supervisor
the movement of supplies throughout the healthcare facility is called: distribution inventory management case cart system procurement
distribution
impregnated gauze strips may be sterilized using: EtO sterilization H2O2 gas plasma sterilization dry heat sterilization steam sterilization
dry heat sterilization
The term "superheated steam" means: the type of steam necessary for high temperature sterilization steam that has had chemicals added to it to increase its temperature dry steam moist steam at sea level
dry steam
sterilizer recording charts and/or printouts should be checked: at the end of each shift every 24 hours by the supervisor during and at the end of each cycle
during and at the end of each cycle
Bowie dick tests should be run in: dynamic-air-removal steam sterilizers downward displacement sterilizers ethylene oxide sterilizers washers/sterilizers
dynamic-air-removal steam sterilizers
the purpose of a combining vowel is to: tell the primary meaning of a word suggest the meaning of the root word element ease pronunciation easy spelling
ease pronunciation
the system where items are ordered in larger quantities (i.e. by the case instead of individually) to save money is called: just-in-time min/max pick-n-pack economic order quantity
economic order quantity
which of the following is not an acceptable form of instrument marking? laser-etching acid-base etching electric etching (engraving) heat-fused nylon
electric etching (engraving)
t/f: reusable textile packaging requires less labor than disposable packaging
f
The use of analytical skills to solve problems and make decisions is a component of which of the following knowledge and skills dimensions communication abilities facility system responsibilities employability skills safety practices
employability skills
the lining of the uterus vagina endometrium fimbriae skin
endometrium
What is burning in a class C fire? wood or paper cloth or plastic flammable liquid energized electrical equipment
energized electrical equipment
this tissue covers the body's external surface epithelial tissue connective tissue muscular tissue nervous tissue
epithelial tissue
Equipment leasing and rental differ in that: leasing involves purchase; rental does not require ownership equipment rental is usually done on a shorter-term basis than equipment leasing equipment leasing involves the most expensive equipment; equipment rental involves less expensive equipment equipment leasing is an operating expense; equipment rental does not have cost implications
equipment rental is usually done on a shorter-term basis than equipment leasing
behavior relating to what is "right or wrong" relative to the standards of conduct for your profession are called: ethical behavior moral behavior legal behavior personal behavior
ethical behavior
Departmental dress codes apply to ? everyone entering the CS department only hospital employees only persons who will be spending more than 10 minutes in the CS work area only visitors such as sales reps, maintenance personnel etc.
everyone entering the CS department
Water must be degassed each time the ultrasonic cleaner's tank is changed, because: excess bubbles from filling reduce the energy of the cavitation process excess bubbles reduce the effectiveness of the detergent excess bubbles decrease the temperature of the tank
excess bubbles from filling reduce the energy of the cavitation process
the inventory system that uses two identical carts to facilitate supply replenishment is called the: case cart system exchange cart system par-level system requisition system
exchange cart system
T/F: if soiled items are held in user units before pick up for processing, they must be kept at the patient's bedside until CS collects them
f
T/f: mechanical washers and washer-decontaminators are regulated by the CDC
f
t/f: ANSI is a voluntary association dedicated to infection control and prevention
f
t/f: EtO kills microorganisms by a process called oxidation
f
t/f: EtO, H2O2 gas plasma, and ozone sterilization can all use the same packaging materials
f
t/f: a root cause analysis is a protective approach to quality
f
t/f: aeration is required for items sterilized in ozone sterilization processes
f
t/f: all flexible endoscopes have internal channels
f
t/f: all liquid disinfectants are capable of sterilization if their exposure time is increase
f
t/f: all microorganisms are harmful to humans
f
t/f: aluminum foil is an acceptable packing material for dry heat sterilization
f
t/f: anaerobic bacteria require free oxygen to live
f
t/f: because self-life is event-related, stock rotation is no longer necessary
f
t/f: computerized tracking systems are fast, but manual tracking systems are more effective for tracking data.
f
t/f: customer surveys are ineffective tools in establishing central service quality processes
f
t/f: due the the fast-paced environment in ambulatory surgery centers basic concepts of cleaning, disinfection, and sterilization are adjusted to meet faster timeline requirements
f
t/f: flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scopes function
f
t/f: gauze squares are the wicking material of choice for instrument sets
f
t/f: having a low inventory service level would increase customer satisfaction
f
t/f: healthy people do not harbor or transmit bacteria
f
t/f: if everyone develops a quality-driven focus, written policies and procedures are not necessary in the central service department
f
t/f: in an ABC analysis system, the lowest cost items receive the most attention because there are more of them
f
t/f: instruments are heat treated to give their surface a mirror (shiny) finish
f
t/f: it is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves
f
t/f: laser-finished instruments are coated with a durable protective finish that cannot be chipped or scratched
f
t/f: low temperature sterilization processes are not used in ambulatory surgery centers
f
t/f: once a tacking system is implemented, there is generally no need to update system information
f
t/f: providing quality products and services is relatively easy for CSTs
f
t/f: psychrophiles grow best at warm temperatures
f
t/f: quality processes are limited to administration and the risk management department
f
t/f: re-use of single use medical devices is less regulated now than it was in the 90s.
f
the process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called: emergency sterilization flash sterilization core sterilization rapid reprocessing
flash sterilization
to protect themselves from splashes and spills, CSTs assigned to decon should wear: double-cloth gowns blue surgical scrubs fluid-resistant gowns sterile operating room gowns
fluid-resistant gowns
inanimate objects that can transmit bacteria are called: transmission devices fomites carriers framiseals
fomites
in the future, which of the following will more frequently become a requirement for working in a CS department? on-the-job experience experience formal education reference from facility administrator
formal education
In CS, the concept of "one-way flow of materials" refers to the movement of products: from CS to surgical areas from surgical areas to CS from soiled areas to clean processing areas within CS from clean processing areas to soiled areas in CS
from soiled areas to clean processing areas within CS
the spore used in the testing of steam sterilization is: bacillus atrophaeus geobacillus stearothermophilus bacillus subtillus pseudomonas aeruginosa
geobacillus stearothermophilus
which of the following kills microorganisms? soaps detergents germicidal detergents enzyme presoaks
germicidal detergents
Which of the following are classified as high-level disinfectants? glutaraldehyde and phenolics glutaraldehyde and OPA Quarternary Ammonium Compounds and Phenolics Halogens and OPA
gluteraldehyde and OPA
Scissors with tungsten carbide cutting edges are usually identified by: black handles silver handles gold handles the letters "TC"
gold handles
the majority of medical terms are either ______ or ______ greek or french greek or latin latin or french latin and english
greek or latin
Preventative maintenance: is performed when a piece of equipment injures a patient is designed to identify potential problems before they occur is performed when a user unit notices a problem is done by central service before equipment is dispensed
is designed to identify potential problems before they occur
if a sterilizer has successfully killed all the bacterial spores in a biological test: it is called a positive test it is called a negative test it is taken out of service until it is repaired an alarm will sound at the completion of the cycle
it is called a negative test
when central service technicians have internet access at work: it should be used for work-related purposed only it may be used for any purposes as long as it doesn't interfere with work it should only be used during break time
it should be used for work-related purposes only
Which of the following statements about flash sterilization is true? it is the sterilization method of choice for metal instruments it is recommended to be used as a primary sterilization process by AAMI and AORN It reduces turnaround time because cleaning is not required It should be used only in emergencies
it should be used only in emergencies
the human resources tool that identifies major tasks performed by persons in specific positions is called a job duty list job speicification taks summary review job description
job description
in this system, the facility keeps minimal stock on hand and supplies are delivered when needed, usually just prior to use: stockless just-in-time requistion perpetual
just-in-time
Which of the following is NOT a requirement of OSHA Bloodborne Pathogen Standard? provide hepatitis b vaccine to employees at no cost observe standard precautions keep biohazard areas locked use engineering controls to prevent biohazard exposures
keep biohazard areas locked
the "voice box" pharynx larynx mouth trachea
larnyx
Which fo the following steps happens first when processing flexible endoscopes? leak-testing high-level disinfecting/sterilizing manual cleaning drying
leak-testing
the relative humidity of the CS department should be less than 75% less than 60% less than 50% less than 30%
less than 75%
this tissue connects one bone to another tendon muscle cartilage ligament
ligament
these are used to breakdown fatty tissue on instruments: protease enzymes lipase enzymes amylase enzymes neutral pH cleaners
lipase enzymes
this organ filters the blood to remove amino acids and neutralize some harmful toxins kidney pancreas liver gall bladder
liver
Detergents used in mechanical cleaners should be: low alkaline low acid low temperature low foaming
low foaming
Some plastics including formulations of spun-bound polyolefin are intended for use solely in these sterilization processes: high temperature low temperuture liquid flash
low temperature
which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity? biological tests bowie dick tests mechanical recording charts/printouts chemical integrators
mechanical recording charts/printouts
Which of the following is NOT a reason for tracking supplies, equipment, and instruments? measure item usage ensure that items can be quickly located meet CDC and OSHA requirements assist with quality processes
meet CDC and OSHA requirements
secondary containers of chemicals: must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings and directions must be labeled with a permanent marker and must state the chemical's name and designated storage location secondary containers of chemicals are not allowed in healthcare facilities there are no restrictions for secondary container labels at this time
must be labeled with a copy of the original manufacturer's label or a generic label that identifies hazard warnings and directions
what type of air pressure is required for decontam areas? negative neutral forced air positive
negative
what is the preferred pH for detergents used for most cleaning processes? low pH high pH neutral pH it depends on the water temperature and exposure time
neutral pH
which of the following is true about a valuing diversity effort? it "happens" because top-level officials require it it occurs because a central service director desires it it is a "problem" in which a committee "decides what to do" none of the above statements is correct
none of the above statements is correct
which of the following statements is true? we only communicate when we want to words mean the same to everyone a message should contain all possible information none of the above statements is true
none of the above statements is true
which of the following basic listening tactics is most useful? try to listen only for specific facts ignore any non-verbal communication "sent" by the speaker focus on the delivery of the message rather than its content none of the above tactics is a useful listening tactic
none of the above tactics is a useful listening tactic
Which of the following statements about endoscopes is true? not all endoscopes can be processed in an AER Ultrasonic cleaning is the process of choice for endoscopes flexible endoscopes are not easily damaged all endoscopes should be steam sterilized
not all endoscopes can be processed in an AER
the brain center of a cell cell membrane cytoplasm nucleus DNA
nucleus
the part of a cell that controls cell function is the: cytoplasm nucleus cell membrane capsule
nucleus
cartilage is replaced by bone through a process called: ossification classification osmosis cancellous formation
ossification
when arranging plastic-paper pouches in the sterilizer, the pouches should be arranged paper-to-plastic paper-to-paper plastic-to-plastic the way in which the most packages can be placed in the sterilizer
paper-to-plastic
the inventory system that stocks supplies by established stock levels is called: par-level case cart ADT system exchange cart
par-level
which of the following means "besides or near" para peri parta pana
para
the main theory of Standard Precautions is that: patients in high-risk categories may be infectious patients diagnosed with a specific disease may be infectious patients are generally healthy unless they show symptoms of an infectious disease patients may pose risk of infection whether they have been diagnosed with an infectious disease or not
patients may pose a risk of infection whether they have an infectious disease or not
Specialized clothing or equipment worn by an employees for protection against a hazard is called: restricted apparel safety apparel hazard equipment personal protective equipment
personal protective equipment
the "throat" esophagus larynx trachea pharnyx
pharnyx
this gland stimulates body growth adrenal gland thyroid gland pancreas pituitary gland
pituitary gland
when loading a steam sterilizer, items with solid bottoms should be: placed in a upright position loaded first placed on edge placed in a wire basket
placed on edge
more than 55% of blood is made up of this yellowish liquid. platelets red blood cells white blood cells plasma
plasma
a molecular reaction that creates an uncontrolled release of energy is called: combustion polymerization vapor density fire
polymerization
the main purpose of manual cleaners is kill microorganisms remove soil reduce cleaning costs provide back-ups if automated equipment is not working
remove soil
which of the following information is NOT included on an MSDS? special precautions physical data required inventory levels production identification
required inventory levels
which of these traffic control/dress code requirements applies to the OR? biohazard unrestricted semi-restricted restricted
restricted
if any equipment malfunction causes harm to patients, it should be: discarded immediately sent to the manufacturer for repairs sequestered for inspection by OSHA personnel returned immediately to the biomedical department
returned immediately to the biomedical department
which of the following tells a primary meaning of a word? prefix word element root word element suffix word element combining vowel
root word suffix
the _________ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness, and/or death to the manufacturer and FDA. OSHA patient safety act Safe medical devices act EPA patient security act FDA equipment notification act
safe medical devices act
the white portion of the eye is called the retina iris pupil sclera
sclera
endotracheal tubes and anesthesia breathing circuits are examples of: critical devices semi-critical devies non-critical devices surgical instruments
semi-critical devices
customer complaints are best handled through which of the following approaches? empowerment service recovery procedure compliance tactics uniform implementation of policies
service recovery
Implantable devices: should be flash sterilized in extended cycles should only be sterilized using EtO Should not be flash sterilized should be discarded if not used
should not be flash sterilized
t/f: the SGNA is a good source for information about the processing of flexible endoscopes
t
paper/plastic sterilization pouches: are not suitable for steam sterilization processes should not be placed inside of wrapped sets or containers should be used only for dry heat sterilization processes are used to package wood and cork products for sterilization
should not be placed inside of wrapped sets or containers
the endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be: colonoscope sigmoidoscope gastroscope ureteroscope
sigmoidoscope
the system that gives the body shape and support muscular system nervous system skeletal system circulatory system
skeletal system
"dermopathy" is a(n): skin disease inflammation of the liver fluid-filled sac inflammation of a joint
skin disease
these muscles control voluntary movements like breathing, digestion, etc smooth muscle cardiac muscle skeletal muscle fascia muscle
smooth muscle
this surgical procedure consists of removing an ear bone that has thickened an no longer transmits sound waves and replacing it with an artificial implant to improve hearing. tympanoplasty stapedectomy auditory implantation myringotomy
stepedectomy
the process by which all forms of microorganisms are completely destroyed is called: high-level disinfection thermal disinfection sterilization chemical disinfection
sterilization
the root element, "gastro," refers to the: colon heart muscles stomach
stomach
the last word element in a medical term is the: prefix suffix root analog
suffix
the suffix, "ectomy," refers to: surgical removal inflammation surgical revision visual examination of organs
surgical removal
the term "BKA," refers to a surgical procedure involving: treatment of a fractured bone without a surgical incision surgical removal of both the fallopian tubes and ovaries surgical removal of the leg below the knee
surgical removal of the leg below the knee
the term "rhinoplasty," refers to: surgery of a muscle wound surgical repair of the nose removal of a cyst incision of the stomach
surgical repair of the nose
T/F: items that have been used in patient care should be considered contaminated
t
t//f: it is the responsibility of all healthcare workers to report incidents or accidents that involve patients
t
t/f: CSTs can protect patients by breaking the chain of infection
t
t/f: EtO has better penetration capabilities than ozone and H2O2 gas plasma
t
t/f: EtO is a toxic gas
t
t/f: EtO, H2O2 gas plasma, and ozone sterilization processes must all be monitored using chemical, physical, and biological monitors
t
t/f: a failure mode of effects analysis tries to predict failures before they occur
t
t/f: a plane crash is an example of an external distaster
t
t/f: after applying instrument identification tape, instruments should be autoclaved to help the tape bond to the instrument
t
t/f: after use, loaner instrumentation must be decontaminated before it is shipped out
t
t/f: all costs incurred to purchase a specific supply item from its purchase through its disposal are referred to as total acquisition costs
t
t/f: all rigid sterilization containers have tamper evident seals
t
t/f: ambulatory surgery centers specialize in providing surgeries that do not require hospitalization
t
t/f: at this time, tracking systems can help manage preventative maintenance schedules.
t
t/f: before the mid-1970s, virtually all surgeries were performed in hospitals
t
t/f: cellulose materials cannot be processed with a gas plasma sterilizer
t
t/f: class III medical devices are identified as high risk
t
t/f: disposable items increase combustable load in a healthcare facility
t
t/f: during instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument's surface
t
t/f: everyone who may have contact with biohazard items must be educated about the dangers associated with those items
t
t/f: failure to perform soiled pick up rounds as scheduled can lead to instrument and equipment shortages
t
t/f: having a low stock out rate would increase customer satisfaction
t
t/f: in the dental office, clinical contact surfaces are defined as surfaces that can be directly contaminated during patient care
t
t/f: information about a device's compatibility with a specific sterilization process should be obtained from the device's manufacturer
t
t/f: input, throughput, output, and outcome are 4 main focuses of Total Quality Improvement (TQI)
t
t/f: loaner instrumentation poses storage and workload challenges
t
t/f: log books should be maintained when using glutaraldehyde and OPA
t
t/f: microgrind, or supercut scissors are usually identified with a black handle
t
t/f: most central service departments employ some sort of automated information management system
t
t/f: most states require that EtO be vented into an emission control device to prevent the gas from entering the atmosphere
t
t/f: of the three major low temperature sterilants, EtO has the longest instrument turn around time
t
t/f: one goal of point-of-use preparation is to prevent instruments from being damaged
t
t/f: quality management is patient focused
t
t/f: quality requires the efforts and participation of everyone in the healthcare facility
t
t/f: recommendations regarding sterilization practices are provided by AAMI
t
t/f: relative humidity is a required cycle parameter for ozone and EtO sterilization
t
t/f: sometimes state or local regulations differ from federal regulations and when that happens, the most stringent regulations apply
t
t/f: spores help some microogranisms survive in adverse conditions
t
t/f: staphylococcus is classified as a gram-positive bacteria
t
t/f: sterile packages should be stored no lower than 8-10 inches from the floor
t
t/f: stock locator systems should be both manual and electronic
t
Equipment should be inspected for obvious hazards such as cracked or frayed electrical cords: only by trained biomedical engineering techs only during preventative maintenance activities only when there are complaints from user department personnel whenever the equipment is cleaned
whenever the equipment is cleaned
