Ch 6,10,11,12,13,14 Flashcards
Exam
1
Q
The weakest part of the steam sterilizer is the
A
Door
2
Q
Why is it important to document wet packs?
A
because of the complexity of the issue
3
Q
Placing warm sterilized packages on cool surfaces will cause ___ to form
A
Condesate
4
Q
The ___ is located in the floor of the steam sterilizer
A
Chamber drain
5
Q
The coolest place in a steam sterilizer is the
A
Thermostatic trap
6
Q
Peel punches should be placed ___ for sterilization
A
On edge, paper to plastic
7
Q
The higher the bioburden of the object
A
The more difficult it will be to sterilize
8
Q
The interior chamber walls of the sterilizer are heated by the stem in the
A
Jacket
9
Q
The __ is located in the floor of the steam sterilizer
A
Chamber drain
10
Q
___ provide a written record of sterilizer cycle activities
A
Charts and print outs
11
Q
When loading a steam sterilizer basins should be
A
Placed on the edge
12
Q
Before an item can be placed in a liqued chemical sterile processing system must be
A
cleaned
12
Q
Another name for super heated steams is
A
Dry steam
13
Q
which begins at the end of the exposure phase?
A
Exhaust
13
Q
Loaner instruments should
A
be decontaminated before use
14
Q
what happens first when processing flexible endoscopes
A
Leak testing
15
Q
regulations under the Clean air Act are administered by the
A
Environmental Protection Agency
16
Q
Failure to receive accreditation from the joint commission can result in the loss of medicare and medicaid payments
A
true
17
Q
centers for disease control guidelines are considered regulatory guidelines
A
false
18
Q
laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched
A
false
19
Q
agency which imposes very strict labeling requirements on manufactures on of chemicals used by sterile processing departments
A
Environmental Protection Agency
19
Q
reuse of single use medical devices is less regulated now than it was in 1990s
A
false
20
Q
chemical indicators are classified as
A
FDA class II medical devices
21
Q
The U.S Food and Drug administration is responsible for
A
ensuring food, drugs and cosmetics are sage for use
22
Scissors with tungsten carbide cutting edges are usually identified by
Gold handles
22
The association of periOperative Registered Nurses is
a professional organization that writes guidelines for the operating room
23
An osteotome is
use to cut or shave bone
24
containers and carts used to transport contaminated items should NOT be used to transport clean items unless they have been thoroughly ____ between cases
Decontaminated
24
loaner instruments trays that are received sterile from other facilities do not need to be decontaminated and re-sterilized before use
false
24
Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scopes functions
False
25
after use, loaner instruments must be decontaminated before it is shipped out
True
26
Automatic endoscope preprocessors are not recommended for flexible endoscopes
False
26
The purpose of the insulation covering laparoscopy instruments is to
protect the patient from electrical current
26
Wood products should be sterilized in an extended steam cycle
true
27
inadequate ___ time at the correct elevated temperature is a reason for sterilization failure
exposure
28
immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform surgery
False
28
Factors that can cause sterilant contact failure with the instrumetns are
crowded loads, clogged drain strainer
29
the most frequent cause for sterilization failure is lack of steam ___
Contact
30
The interior chamber walls of the sterilizer are heated by steam in the ___ of the sterilizer
Jacket
31
another name for super-heated steam is ___ steam
Dry
31
____ provide a written record of sterilizer cycle activities
Charts and printouts
32
Ethylene oxide is a toxic gas
true
32
the type of shelving that leaves packaging the most vulnerable is
Open
33
the bottom shelf of any sterile storage system should be
solid and 8 - 10 inches from the floor
34
Ethylene kills microorganisms by a process called oxidation
False
34
the relative humidity of the sterile processing sterile storage area should be
less than 70% humidity
34
which of the following sterilization methods can permeate throughout a wide a range of materials to reach recessed areas?
Ethylen oxide (EO)
35
sterile storage areas should
have positive airflow and at least four air exchanges per hour
36
an extended aeration cycle is required for items sterilized in ozone sterilization process
false
37
woven reusable fabrics are the packaging products of the choice for ozone sterilization
False
38
outside shipping containers
should be removed prior to placing in storage
39
Standards and regulations help set levels of ____ in our departments
both quality and safety
40
medical device reporting is regulated by the
U.S Food and Drug Administration
41
Tissue forceps have teeth and dressing forceps have serrations
True
42
To properly test the sharpness of scissors of 4 inches or less use
yellow test material
43
To properly test the sharpness of scissors of 4 1/2 inches or more use
Red and orange test material
44
When an instrument has a shiny surface it is said to have a ___ finish
Mirror
45
Recommendations regarding sterilization practices are provided by the association for the Advancement of Medical instrumentation
True
46
Voluntary standards
provide guidelines for better patient care
47
the best way to clean a suction lumen is
using the proper brush
48
instrumentations are heat treated to give their surfaces a mirror (shiny) finish
False
49
Kerrison/laminectomy rongeurs should be tested using
an index card
50
which organization writes standards related to the processing of flexible endoscopes
The society of Gastroenterology Nurses and Associates
51
Disposable items and linen should be removed at the ___
Point of use
52
Accessories for electric powered equipment include
Foot switches (pedals)
53
The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion
true
54
it is acceptable to transport soiled and clean items at the same time in the same cart
false
55
which of the following should be used to thoroughly rinse all traces of disinfectant from an endoscopes channels
Treated water
56
Point of use preparation of soiled items begins the ___ process
decontamination
57
powered surgical instruments air hoses should be pressured for proper inspection
True
58
when returning total-joint sets to the vendor
items should be cleaned and decontaminated
59
powered surgical instruments have one of three power sources: electricity, air or battery
True
60
containers dedicated to the transport of small quantities of soiled instruments should be clearly marked with a ___ label
biohazard
61
all flexible endoscopes have internal channels
False
62
placing warm sterilized packages on cool surfaces will cause ___ to form
condesate
63
Both the Association of periOperative Registered Nurses and the Join Commission recommended that
the use of immediate use steam sterilization be minimized or decreased
64
the ___ is designed to maintain the tight seal that prevents steam from escaping the chamber of a sterilizer
gasket
65
personal protective equipment is not required hen cleaning items for Immediate Use Steam Sterilization
False
65
steam flush pressure pulse sterilizers are a type of a gravity sterilizer
False
66
When using low temp methods for sterilization or disinfection of items at the point of use, item preparation is not as critical as when preparing items for terminal sterilization
False
67
items with a extended steam sterilization cycle recommended by the manufacturer can be damaged if run in an extended cycle
True
68
The weakest part of a steam sterilizer is the
door
69
how frequently should a sterilizer strainer be removed and cleaned?
Daily
70
after sterilization the load contents may take two or more hours to cool
True
71
which of the following statements about immediate use steam sterilization is true?
it should be used only when there is no time to process items using the wrapped method
72
lumens should be moist when using hydrogen peroxide as a sterilizing agent
False
73
an extended aeration cycle is required for items sterilized in ozone sterilization processes
False
74
It is optional to follow the Occupational Safety and Health Administration's regulation for wearing personal protective equipment in the Center is optional to follow the Occupational Safety and Health Administration's regulation for wearing personal protective equipment in the Central Service decontamination.
False
75
The purpose of a suction stylet is to
Unclog the suction during surgery
76
The place where the two parts of a ring handled instrument meet and pivot is called the lock box.
True
77
during instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument surface
True
78
instruments marking tape should be wrapped approximately __ around the instrument
1.5 times
78
instruments with tungsten carbide jaws can be easily identified by
the gold handles on the instruments
79
double action rongeurs should be tested for sharpness using tissue paper
false
80
under current regulations, who is requierd to report suspected medical device-related deaths to the U.S Food and Drug Administration
Device manufacture
Hospitals
All of the above
81
the society of Gastroenterology Nurses and Associates is a source for information about the proper processing of flexible endoscopes
True
82
U.S food and drug administration medical device recall
means the item(s) need to be checked or repaired
83
in order to reprocess single use devices, a hospital must be able to prove the device will act the same as it did when it was first manufactured
true
84
information regarding cleaning processes for endoscopes should be provided by
the instrument mnufacturer
85
disposable sharp items should be removed at the point of use in a ___ container labeled ____
hard sided---biohazard
86
everyone who may transport contaminated items must be trained in safe handling procedures
true
87
everyone who may transport contaminated items must be trained in safe handling procedures
true
88
arthroscopy instruments are used during
joint surgery
88
endoscopes are often processed in a mechanical unit called
an automatic endoscope reprocessor
89
the purpose of using a decontaminated (dummy) battery or hose when cleaning powered surgical instruments
to keep fluid from entering the unit
89
endoscope channels should be cleaned and then left moist for storage
false
89
the endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be a
sigmoidoscope
90
automatic endoscope reprocessors are not recommended for flexible endoscopes
false
91
to facilitate cleaning, soiled on used instruments should be allowed to dry
false
92
the sterilization method of choice for single use items is immediate use steam sterilization
false
93
items to be disinfected or sterilized at the point of use must be
properly cleaned per manufactures IFU
94
the most common reason for steam sterilization failure is
lack of steam contact with the instrument
95
when water is seen on the outside of a pack after sterilization the pack is considered safe to use is all other packs in the load are dry
false
96
implantable devices
should not be immediate use steam sterilized unless there is a tracking system in place to trace the intem to a patient
97
immediate use steam sterilization is the process to sterilize trays for future use
false
98
before an item can be place in a liqui chemical sterile processing system they must be
cleaned
99
what is the length of time after sterilization that an IUSS item can be used?
IUSS items must be used immediately
100
why is proper training for safe and effective use low-temp sterilization important?
chemicals used to sterilize instruments have toxic properties
101
hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges
false
102
sterile storage areas should
have positive airflow and at least four air exchanges per hour
103
wooven reusable fabrics are the packaging products of choice for ozone sterilization
false
104
is is important to identify devices that have high level disinfection or liquid chemical sterilization as a patient-ready because doing so
distinguishes processed devices from non-processed devices
105
the shelving system of choice for the sterile storage area is
cllosed
