CER Progress Test Four Flashcards
Specific tasks to be done, time horizons for these tasks, and resource allocation are all part of an effective:
a. preventative maintenance program
b. leak testing policy
c. action plan
d. all the above
Action Plan
Quality management measures for endoscopes include repair cost per procedure for each endoscope: True or False
True
When receiving a loaned endoscope that is made by a different manufacturer than what the facility uses, competencies do not need to be done, as long as the endoscope is the same type as the one the facility sent out for repair: True or False
False
Surveyors may ask staff in the endoscope reprocessing area to demonstrate departmental protocols for damaged endoscopes: True or False
True
This department is responsible for providing input into the endoscope use and handling system:
a. reprocessing
b. infection prevention
c. User
d. all the above
All the above
Endoscope leak testing can identify the following problem with a flexible endoscope:
a. user neglect
b. O-rings that are not properly seated
c. damage due to using the wrong cleaning chemicals
d. all the above
O-Rings that are not properly seated
During leak testing, an increase in pressure when moving the elevator levers indicates a leak in the system: True or False
False
When sending a damaged endoscope out for repair, best practices require placing the endoscope in a reprocessing tray to protect it from further damage: True or False
False
Pressurizing a damaged endoscope for cleaning may prevent further damage to that endoscope: True or False
True
When preparing an endoscope for shipping, it is not necessary to include a description of the problem because the service company will inspect the entire endoscope after it is received:
True or False
False
Regulations and standards establish:
a. effective processing guidelines
b. minimum levels of quality and safety
c. a method that has consistently shown superior results
d. all the above
Minimum levels of quality and safety
This organization is responsible for promoting health and quality of life:
a. APIC and Epidemiology
b. US FDA
c. CDC
d. EPA
Centers for Disease Control and Prevention
This regulatory department issues registration numbers for disinfectants:
a. US FDA
b. EPA
c. APIC and Epidemiology
d. AAMI
Environmental Protection Agency
This agency is responsible for enforcing proper labeling of biohazardous material:
a. CMMS
b. US FDA
c. OSHA
d. DOT
Department of Transportation
Failure to follow this agency’s standards can result in loss of all federal funding:
a. OSHA
b. US FDA
c. CMMS
d. CDC
Centers for Medicare and Medicaid Services
The US FDA provides regulatory standards for employee safety:
True or False
False
This action is taken by the US FDA when a medical device is defective or poses a health risk:
a. validation
b. citation
c. 510K
d. recall
Recall
Violating Health Insurance Portability and Accountability (HIPAA) rules may result in job loss. True or False
True
This organization developed and released ST79 and ST91, two important documents that are important to endoscope reprocessing:
a. OSHA
b. USFDA
c. CMMS
d. AAMI
Association for the Advancement of Medical Instrumentation
Common pitfalls for endoscope reprocess include:
a. fatigue
b. misinformation
c. lack of prioritization
d. all the above
All the above
The responsibility for safe and successful reprocessing of endoscopes rests with the :
a. reprocessing technician
b. Instruction for use
c. People who manage the system
d. All the above
People who manage the system
When staff members are properly trained and competent with the process, there is no need for process audits: True or False
False
Information posts are a good way to quickly spread the word of an issue or process change: True or False
True
Delays in reprocessing endoscopes may result in the formation of biofilms and dried soil on/in the endoscope: True or False
True
Not wearing proper PPE when processing endoscopes can:
a. Be an OSHA violation
b. Expose the employee to infectious microorganisms
c. cause cross contamination
d. all the above
All the above
It is important to use enzymatic solution during leak testing of an endoscope because escaping air bubbles are easier to see:
True or False
False
Fluid invasion can occur when:
a. a water resistant cap is not fully on and locked
b. the detergent is mixed too strong
c. there are delays in reprocessing
d. all the above
A water-resistant cap is not fully on and locked
Storing endoscopes with valves and water caps in place may:
a. impede air circulation and trap moisture
b. cause black spots on the lens
c. damage the internal channels
d. cause cross contamination of other endoscopes
Impede air circulation and trap moisture
It is important to change endoscope procedures based on current printed articles: True or False
False
Endoscopes can be used for routine and therapeutic treatments.
True or False
True
The most complex type of endoscope is the:
a. semi-rigid endoscope
b. hysteroscope
c. laparoscope
d. flexible endoscope
Flexible endoscope
The insertion tube of a flexible endoscope can contain the:
a. instrument channel
b. control head
c. scope body
d. light guide connector
Instrument channel
Which of the following statements is true?
a. the average turnaround time for a flexible endoscope is 30 minutes
b. flexible endoscopes should be replaced every two months
c. more healthcare associated infections are linked to contaminated endoscopes than any other device
d. one million endoscopes are performed each year
More healthcare associated infections are linked to contaminated endoscopes than any other device.
An arthroscope is used to:
a. examine the inside of an endoscope
b. examine a joint
c. examine the bladder
d. examine the neck
Examine a joint
Operative (therapeutic) flexible endoscopes are used to identify possible disease. True or False
False
Flexible endoscopes can be used to remove small organs, such as the gallbladder: True or False
False
Which of the following is NOT a purpose of flexible endoscopes:
a. obtain tissue samples
b. search for causes of specific symptoms
c. remove some forms of cancer
d. implant stents
Implant stents
Information for reprocessing specific endoscopes can be found:
a. in the endoscope manufacturer’s IFU
b. on the CDC website
c. in the sterilizer’s IFU
d. in the endoscope manufacturer’s safety data sheet
In the endoscope manufacturer’s IFU
This endoscope has a movable elevator mechanism that has been linked to infection:
a. colonoscope
b. enteroscope
c. duodenoscope
d. choleodochoscope
Duodenoscope
The portion of the flexible endoscope that contains water/suction valves and angulation knobs is the:
a. light connector
b. universal cord
c. working channels
d. control body
Control body
Symbiotic bacteria are bacteria that are harmful to humans:
True or False
False
Endoscopes can become contaminated from:
a. poor manufacturer’s processing instructions
b. using contaminated water
c. damage
d. all the above
All the above
Bacteria spores are resistant to:
a. radiation
b. heat
c. chemicals
d. all the above
All the above
Viruses are larger than bacteria. True or False
False
While bacteria can be pathogenic, fungus and parasites cannot by pathogenic. True or False
False
Endoscopes that have been high-level disinfected should be stored on open wire shelving. True or False
False
When airflow is negative, that means air flows into that area. True or False
True
Doors and pass through windows between the decontamination and disinfection area should remain closed, however, they may remain opened between the disinfection and sterilization area: True or False
False
When sending endoscopes from the user area to the decontamination area, endoscopes and their accessories, such as forceps and wires, should be transported together in the same closed container:
True or False
False
Physical barriers between soiled and clean area can prevent aerosols from entering the clean area. True or False
True
When physical barriers between soiled and clean are not possible, the use of _____ can minimize the risk of cross contamination.
a. policies
b. procedures
c. training
d. all the above
All the above
The process of rendering a clinically used device safe and ready for reuse is the definition of:
a. decontamination
b. disinfection
c. reprocessing
d. sterilization
Reprocessing
Medical devices that have been improperly reprocessed may:
a. transmit disease
b. cause damage
c. cause device failure
d. all the above
All the above
The words “cleaning” and “decontamination” mean the same thing:
True or False
False
Standard dress code for the reprocessing area includes:
a. facility-cleaned uniform or scrub attire
b. hair cover
c. not wearing jewelry or watches
c. all the above
All the above
Critical components of successful cleaning include:
a. following the manufacturer’s IFU
b. paying attention to detail
c. using good work practices
d. all the above
All the above
The first step in leak testing is to check the endoscope for tears and holes. True or False
True
The leak detector should be connected to the _____ portion of the endoscope:
a. air and water valves
b. biopsy valve
c. venting connection
d. insertion tube
Venting Connection
Because endoscopes were pre-cleaned at the point of use, PPE is not required when cleaning flexible endoscopes: True or False
False
Endoscopes with major leaks cannot be cleaned before being sent out for repair. True or False
False
After pre-cleaning at the point of use, valves should be reattached to the endoscope for transport to the reprocessing area: True or False
False
Leak testing should be performed:
a. after point of use pre-cleaning
b. before manual cleaning
c. after every procedure
d. all the above
All the above
Reprocessing residues, such as detergent, can interfere with the patient’s healing process: True or False
True
Many residues can be prevented by:
a. careful cleaning
b. copious rinsing
c. using lint free cloths
d. all the above
All the above
Reusable cleaning brushes should be cleaned and disinfected at least once per shift. True or False
False
Manual high-level disinfection has a greater risk of chemical exposure than high-level disinfection using an automated equipment reprocessor. True or False
True
When manual cleaning endoscopes, the cleaning solution should be changed.
a. each shift or when debris is notice
b. for each endoscope
c. at least twice per shift
d. for every other endoscope
For each endoscope
When cleaning the lumens of an endoscope, the brush should be rinsed before pulling it back through the channel.
True or False
True
Early detection of endoscope damage can protect the patient and:
a. decrease the processing time
b. is required by the US FDA
c. Reduce repair costs
d. All the above
Reduce repair costs
When preparing an endoscope for high-level disinfection, it is important to put the valve cover back on the endoscope to help ensure the disinfectant can get inside the lumens: True or False
False
When inspecting an endoscope light cord, broken light fibers can be detected by:
a. using a borescope
b. small nicks in the sheath
c. black spots on the end of the cord
d. scratches in the lumens
Black spots on the end of the cord
Visual inspection of flexible endoscopes should occur:
a. before the procedure
b. during the procedure
c. after cleaning
d. all the above
All the above
The use of a _____ during the endoscope inspection process allows the technician to inspect the inner channels of the endoscope:
a. magnifying lens
b. borescope
c. microscope
d. all the above
Borescope
Using a venting ca during sterilization will cause the endoscope sheath to rupture: True or False
False
The following should be documented each time an item is high-level disinfected:
a. name or initials of the person performing the high level disinfection
b. Minimum effective concentration
c. date and time of the HLD process
d. all the above
All the above
The high-level disinfectant solution in an AER should be tested for the minimum effective concentration:
a. daily
b. each shift
c. before each use
d. all the above
Before each use
PPE should be changed before removing an endoscope from an AER or soak basin: True or False
True
When using an AER with an automated cleaning cycle, it is still necessary to thoroughly manually clean the endoscope before using the automated cycle. True or False
True
When manually rinsing an endoscope after high-level disinfection, the endoscope should be rinsed:
a. at least three times using fresh water for each rinse
b. once with sterile water
c. with a diluted disinfectant
d. per the manufacturer’s IFU
Per the manufacturer’s IFU
All endoscopes should be high-level disinfected or sterilized between each patient: True or False
True
Most multi-part flexible endoscopes and their accessories must be disassembled for sterilization: True or False
True
When the color of chemical indicator tape used to seal flat wrap changes, it indicates that the item is sterile: True or False
False
Gas plasma sterilizers must be in an area physically separated from all other work areas: True or False
False
The OSHA requires a method to alert employees to emergency situations for this type of low-temperature sterilizer:
a. ethylene oxide
b. hydrogen peroxide gas plasma
c. vaporized hydrogen peroxide
d. all the above
Ethylene oxide
All flexible endoscopes should have a ventilation adaptor or water-resistant cap in place when undergoing ethylene oxide sterilization:
True or False
False
Peel pouches are an acceptable packaging material for ethylene oxide sterilization: True or False
True
When carrying flexible endoscopes, they should always be held at the:
a. distal end
b. proximal end
c. light cable connection area
d. control head
Control Head
Sterilized flexible endoscopes should be stored:
a. in the same manner as high level disinfected endoscopes
b. in closed cabinets
c. on solid wire shelving in the sterile storage area
d. in the same manner as other sterilized devices
In the same manner as other sterilized devices
High level disinfected and stored flexible endoscopes should be reprocessed _____
a. after 72 hours
b. after seven days
c. every Monday
d. at a time interval determined by the facility
At a time interval determined by the facility
When storing flexible endoscopes, the terms expiration date and hang time mean the same thing: True or False
True
Cross contamination while handling contaminated endoscopes can be prevented by using:
a. directional workflow
b. personal protective equipment
c. proper signage
d. all the above
All the above
When valves are placed back on a flexible endoscope for storage:
a. they can trap moisture and facilitate microbial growth
b. it keeps the valves with the proper endoscope
c. it keeps the valves from getting lost
d. all the above
They can trap moisture and facilitate microbial growth
During inspection of a rigid endoscope, it is important to check the:
a. internal optics
b. image
c. distal end under magnification
d. all the above
All the above
Rigid endoscopes that are approved for steam sterilization can also be IUSS : True or False
False
The distal end of a rigid endoscope is the end closest to the eye:
True or False
False
Using the wrong size light cable can cause damage to a rigid endoscope: True or False
True
After manual cleaning, rigid endoscopes should be placed in an automated washer-disinfector for thorough cleaning: True or False
False
Rigid endoscope lens damage can easily occur from:
a. dropping
b. bending
c. excessive heat
d. all the above
All the above
If a flexible endoscope is properly reprocessed, it can have an indefinite shelf life: True or False
False
Detergents used to clean endoscopes should be:
a. high foaming
b. non-foaming
c. alcohol-based
d. acid-based
Non-foaming
