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sterile processing > Ch 6,10,11,12,13,14 > Flashcards

Ch 6,10,11,12,13,14 Flashcards

Exam

1
Q

The weakest part of the steam sterilizer is the

A

Door

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2
Q

Why is it important to document wet packs?

A

because of the complexity of the issue

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3
Q

Placing warm sterilized packages on cool surfaces will cause ___ to form

A

Condesate

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4
Q

The ___ is located in the floor of the steam sterilizer

A

Chamber drain

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5
Q

The coolest place in a steam sterilizer is the

A

Thermostatic trap

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6
Q

Peel punches should be placed ___ for sterilization

A

On edge, paper to plastic

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7
Q

The higher the bioburden of the object

A

The more difficult it will be to sterilize

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8
Q

The interior chamber walls of the sterilizer are heated by the stem in the

A

Jacket

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9
Q

The __ is located in the floor of the steam sterilizer

A

Chamber drain

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10
Q

___ provide a written record of sterilizer cycle activities

A

Charts and print outs

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11
Q

When loading a steam sterilizer basins should be

A

Placed on the edge

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12
Q

Before an item can be placed in a liqued chemical sterile processing system must be

A

cleaned

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12
Q

Another name for super heated steams is

A

Dry steam

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13
Q

which begins at the end of the exposure phase?

A

Exhaust

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13
Q

Loaner instruments should

A

be decontaminated before use

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14
Q

what happens first when processing flexible endoscopes

A

Leak testing

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15
Q

regulations under the Clean air Act are administered by the

A

Environmental Protection Agency

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16
Q

Failure to receive accreditation from the joint commission can result in the loss of medicare and medicaid payments

A

true

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17
Q

centers for disease control guidelines are considered regulatory guidelines

A

false

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18
Q

laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched

A

false

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19
Q

agency which imposes very strict labeling requirements on manufactures on of chemicals used by sterile processing departments

A

Environmental Protection Agency

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19
Q

reuse of single use medical devices is less regulated now than it was in 1990s

A

false

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20
Q

chemical indicators are classified as

A

FDA class II medical devices

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21
Q

The U.S Food and Drug administration is responsible for

A

ensuring food, drugs and cosmetics are sage for use

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22
Q

Scissors with tungsten carbide cutting edges are usually identified by

A

Gold handles

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22
Q

The association of periOperative Registered Nurses is

A

a professional organization that writes guidelines for the operating room

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23
Q

An osteotome is

A

use to cut or shave bone

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24
Q

containers and carts used to transport contaminated items should NOT be used to transport clean items unless they have been thoroughly ____ between cases

A

Decontaminated

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24
Q

loaner instruments trays that are received sterile from other facilities do not need to be decontaminated and re-sterilized before use

A

false

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24
Q

Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scopes functions

A

False

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25
Q

after use, loaner instruments must be decontaminated before it is shipped out

A

True

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26
Q

Automatic endoscope preprocessors are not recommended for flexible endoscopes

A

False

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26
Q

The purpose of the insulation covering laparoscopy instruments is to

A

protect the patient from electrical current

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26
Q

Wood products should be sterilized in an extended steam cycle

A

true

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27
Q

inadequate ___ time at the correct elevated temperature is a reason for sterilization failure

A

exposure

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28
Q

immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform surgery

A

False

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28
Q

Factors that can cause sterilant contact failure with the instrumetns are

A

crowded loads, clogged drain strainer

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29
Q

the most frequent cause for sterilization failure is lack of steam ___

A

Contact

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30
Q

The interior chamber walls of the sterilizer are heated by steam in the ___ of the sterilizer

A

Jacket

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31
Q

another name for super-heated steam is ___ steam

A

Dry

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31
Q

____ provide a written record of sterilizer cycle activities

A

Charts and printouts

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32
Q

Ethylene oxide is a toxic gas

A

true

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32
Q

the type of shelving that leaves packaging the most vulnerable is

A

Open

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33
Q

the bottom shelf of any sterile storage system should be

A

solid and 8 - 10 inches from the floor

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34
Q

Ethylene kills microorganisms by a process called oxidation

A

False

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34
Q

the relative humidity of the sterile processing sterile storage area should be

A

less than 70% humidity

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34
Q

which of the following sterilization methods can permeate throughout a wide a range of materials to reach recessed areas?

A

Ethylen oxide (EO)

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35
Q

sterile storage areas should

A

have positive airflow and at least four air exchanges per hour

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36
Q

an extended aeration cycle is required for items sterilized in ozone sterilization process

A

false

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37
Q

woven reusable fabrics are the packaging products of the choice for ozone sterilization

A

False

38
Q

outside shipping containers

A

should be removed prior to placing in storage

39
Q

Standards and regulations help set levels of ____ in our departments

A

both quality and safety

40
Q

medical device reporting is regulated by the

A

U.S Food and Drug Administration

41
Q

Tissue forceps have teeth and dressing forceps have serrations

A

True

42
Q

To properly test the sharpness of scissors of 4 inches or less use

A

yellow test material

43
Q

To properly test the sharpness of scissors of 4 1/2 inches or more use

A

Red and orange test material

44
Q

When an instrument has a shiny surface it is said to have a ___ finish

A

Mirror

45
Q

Recommendations regarding sterilization practices are provided by the association for the Advancement of Medical instrumentation

A

True

46
Q

Voluntary standards

A

provide guidelines for better patient care

47
Q

the best way to clean a suction lumen is

A

using the proper brush

48
Q

instrumentations are heat treated to give their surfaces a mirror (shiny) finish

A

False

49
Q

Kerrison/laminectomy rongeurs should be tested using

A

an index card

50
Q

which organization writes standards related to the processing of flexible endoscopes

A

The society of Gastroenterology Nurses and Associates

51
Q

Disposable items and linen should be removed at the ___

A

Point of use

52
Q

Accessories for electric powered equipment include

A

Foot switches (pedals)

53
Q

The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion

A

true

54
Q

it is acceptable to transport soiled and clean items at the same time in the same cart

A

false

55
Q

which of the following should be used to thoroughly rinse all traces of disinfectant from an endoscopes channels

A

Treated water

56
Q

Point of use preparation of soiled items begins the ___ process

A

decontamination

57
Q

powered surgical instruments air hoses should be pressured for proper inspection

A

True

58
Q

when returning total-joint sets to the vendor

A

items should be cleaned and decontaminated

59
Q

powered surgical instruments have one of three power sources: electricity, air or battery

A

True

60
Q

containers dedicated to the transport of small quantities of soiled instruments should be clearly marked with a ___ label

A

biohazard

61
Q

all flexible endoscopes have internal channels

A

False

62
Q

placing warm sterilized packages on cool surfaces will cause ___ to form

A

condesate

63
Q

Both the Association of periOperative Registered Nurses and the Join Commission recommended that

A

the use of immediate use steam sterilization be minimized or decreased

64
Q

the ___ is designed to maintain the tight seal that prevents steam from escaping the chamber of a sterilizer

A

gasket

65
Q

personal protective equipment is not required hen cleaning items for Immediate Use Steam Sterilization

A

False

65
Q

steam flush pressure pulse sterilizers are a type of a gravity sterilizer

A

False

66
Q

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

A

False

67
Q

items with a extended steam sterilization cycle recommended by the manufacturer can be damaged if run in an extended cycle

A

True

68
Q

The weakest part of a steam sterilizer is the

A

door

69
Q

how frequently should a sterilizer strainer be removed and cleaned?

A

Daily

70
Q

after sterilization the load contents may take two or more hours to cool

A

True

71
Q

which of the following statements about immediate use steam sterilization is true?

A

it should be used only when there is no time to process items using the wrapped method

72
Q

lumens should be moist when using hydrogen peroxide as a sterilizing agent

A

False

73
Q

an extended aeration cycle is required for items sterilized in ozone sterilization processes

A

False

74
Q

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.

A

False

75
Q

The purpose of a suction stylet is to

A

Unclog the suction during surgery

76
Q

The place where the two parts of a ring handled instrument meet and pivot is called the lock box.

A

True

77
Q

during instrument manufacture the process of passivation helps build a protective chromium oxide layer on each instrument surface

A

True

78
Q

instruments marking tape should be wrapped approximately __ around the instrument

A

1.5 times

78
Q

instruments with tungsten carbide jaws can be easily identified by

A

the gold handles on the instruments

79
Q

double action rongeurs should be tested for sharpness using tissue paper

A

false

80
Q

under current regulations, who is requierd to report suspected medical device-related deaths to the U.S Food and Drug Administration

A

Device manufacture
Hospitals
All of the above

81
Q

the society of Gastroenterology Nurses and Associates is a source for information about the proper processing of flexible endoscopes

A

True

82
Q

U.S food and drug administration medical device recall

A

means the item(s) need to be checked or repaired

83
Q

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

A

true

84
Q

information regarding cleaning processes for endoscopes should be provided by

A

the instrument mnufacturer

85
Q

disposable sharp items should be removed at the point of use in a ___ container labeled ____

A

hard sided—biohazard

86
Q

everyone who may transport contaminated items must be trained in safe handling procedures

A

true

87
Q

everyone who may transport contaminated items must be trained in safe handling procedures

A

true

88
Q

arthroscopy instruments are used during

A

joint surgery

88
Q

endoscopes are often processed in a mechanical unit called

A

an automatic endoscope reprocessor

89
Q

the purpose of using a decontaminated (dummy) battery or hose when cleaning powered surgical instruments

A

to keep fluid from entering the unit

89
Q

endoscope channels should be cleaned and then left moist for storage

A

false

89
Q

the endoscope that would be dispensed for a procedure that required visualization of the lower part of the large intestine would be a

A

sigmoidoscope

90
Q

automatic endoscope reprocessors are not recommended for flexible endoscopes

A

false

91
Q

to facilitate cleaning, soiled on used instruments should be allowed to dry

A

false

92
Q

the sterilization method of choice for single use items is immediate use steam sterilization

A

false

93
Q

items to be disinfected or sterilized at the point of use must be

A

properly cleaned per manufactures IFU

94
Q

the most common reason for steam sterilization failure is

A

lack of steam contact with the instrument

95
Q

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

A

false

96
Q

implantable devices

A

should not be immediate use steam sterilized unless there is a tracking system in place to trace the intem to a patient

97
Q

immediate use steam sterilization is the process to sterilize trays for future use

A

false

98
Q

before an item can be place in a liqui chemical sterile processing system they must be

A

cleaned

99
Q

what is the length of time after sterilization that an IUSS item can be used?

A

IUSS items must be used immediately

100
Q

why is proper training for safe and effective use low-temp sterilization important?

A

chemicals used to sterilize instruments have toxic properties

101
Q

hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges

A

false

102
Q

sterile storage areas should

A

have positive airflow and at least four air exchanges per hour

103
Q

wooven reusable fabrics are the packaging products of choice for ozone sterilization

A

false

104
Q

is is important to identify devices that have high level disinfection or liquid chemical sterilization as a patient-ready because doing so

A

distinguishes processed devices from non-processed devices

105
Q

the shelving system of choice for the sterile storage area is

A

cllosed

sterile processing (4 decks)

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