Ch. 8

Question 1

What is clean?

Answer 1

The removal of all visible and non-visible soil and other foreign material from the medical device being reprocessed

Question 2

Where does decontamination start?

Answer 2

Decontamination starts at the point of use.

Question 3

What is a decontamination area?

Answer 3

The location within a healthcare facility designated for the collection, retention, and cleaning of soiled and/or contaminated items.

Question 4

What is the goal of decontamination?

Answer 4

To remove all soil seen and unseen.

Question 5

How many air exchanges should there be in the decontamination area.

Answer 5

The ventilation system should allow for no less than 10 air exchanges per hour.

Question 6

What kind of pressure should it be in the decontamination area.

Answer 6

The area should be under negative pressure.

Question 7

What is the temperature in the CSD?

Answer 7

60°F- 65°F

Question 8

Why should the temperature be low in the CSD?

Answer 8

Low temperature keeps the technicians cool and inhibits the growth of microbes.

Question 9

What is relative humidity?

Answer 9

the amount of water vapor in the atmosphere

Question 10

What is the humidity level in the decontamination area?

Answer 10

30%-60%

Question 11

Where should emergency eyewash be located?

Answer 11

Withing 10 seconds or 30 meters of areas of potential chemical exposure.

Question 12

What is the first line of defense for reducing contaminates?

Answer 12

Maintaining a clean workspace.

Question 13

Name the 4 cleaning procedures?

Answer 13

1. Horizontal work surface cleaned and disinfected
2. Spills spot clean immediately
3. Floors disinfected and cleaned every day
4. Biohazard waste should be removed frequently

Question 14

What is biohazard waste?

Answer 14

Waste containing infectious agents that present a risk or potential risk to human health.

Question 15

Name the PPEs.

Answer 15

Head covering
Eye protection (goggles, face shield)
Fluid-resistant face mask
Strong general-purpose utility gloves
Skid-resistant decon shoe covers
Employer-provided cloth scrub attire

Question 16

The workflow goes from ____ to____.

Answer 16

Dirty to clean

Question 17

Name the 3 sinks in the 3 sink method.

Answer 17

Wash sink
Intermediate sink
Final rinse sink

Question 18

Describe the wash sink.

Answer 18

Warm water 80°F-110°F
Add chemical according to IFU
Where you remove soil
Use a brush in a to and frow motion underwater

Question 19

Why should you brush underwater?

Answer 19

To prevent aerosol ( water particles in the air).

Question 20

Describe the second sink.

Answer 20

Initial rinse
Plain or softened water
Removes chemicals or residue

Question 21

Describe the third sink

Answer 21

Final rinse
Distilled, Deionized, or Reverse Osmosis water
Rinse off cleaning chemicals and pyrogens

Question 22

Water that has had all minerals removed.

Answer 22

Deionized water

Question 23

Water that has been heated to steam then allowed to cool removed impurities

Answer 23

Distilled water

Question 24

The process of water being purified after being forced through a semipermeable membrane.

Answer 24

Reverse Osmosis

Question 25

What is the primary cleaner in the CSD?

Answer 25

Pure Water

Question 26

What is turbidity?

Answer 26

Dirty water

Question 27

Name some manual cleaning tools.

Answer 27

``` Brushes Cleaning Cloths Sponges Water irrigators Forced Instumentt Air ```

Question 28

When is manual cleaning performed?

Answer 28

On delicate devices When IFU calls for it To clean lumens Laparoscopic instruments

Question 29

Name the Mechanical Cleaners

Answer 29

Ultrasonic Cleaner Irrigation Sonic Cleaner AER Wash Cart

Question 30

What method do ultrasonic cleaners use to clean?

Answer 30

Cavitation

Question 31

Low-pressure bubbles implode and dislodge soil from the instrument

Answer 31

Cavitation

Question 32

Why should you rinse items cleaned in the ultrasonic cleaner?

Answer 32

ultrasonic cleaner dislodges the soil and pushes it to the top. The residue can settle on the instruments so they must be rinsed.

Question 33

What is an AER?

Answer 33

Automatic Endoscope Reprocessor

Question 34

What are the 3 methods of cleaning?

Answer 34

Precleaning Manual Cleaning Mechanical cleaning

Question 35

What is the advantage of mechanical equipment?

Answer 35

They save time and produce consistent processes.

Question 36

3 Types of Detergents

Answer 36

Emulsifier Surfactant Chelating Agents

Question 37

Name the 3 enzyme products.

Answer 37

Protease Lipase Amylase

Question 38

What type of soil does protease eat?

Answer 38

Protein

Question 39

What type of soil is lipase for?

Answer 39

Fat

Question 40

What type of soil is amylase for?

Answer 40

Starch

Question 41

Name the 4 Types of Chemicals

Answer 41

Enzyme products Detergents Descaler Pre-soaking chemicals

Question 42

Where are pre-soaking chemicals used?

Answer 42

At the point of use.

Question 43

Lowers surface tension and increases the solubility

Answer 43

Surfactant

Question 44

Bind substances such as oil and water together

Answer 44

Emulsifier

Question 45

A substance that produces fever when introduced/ released into the blood.

Answer 45

Pyrogen

Question 46

What are the 4 steps of cleanliness testing?

Answer 46

Swab Prepare Read Record

Question 47

Name the steps in the decontamination process.

Answer 47

Point of use cleaning Soiled receiving Cleaning Inspection

Question 48

Acuta postoperative inflammatory reaction in which a noninfectious substance enters the anterior segment and induces toxic damage to the intraocular tissues

Answer 48

Toxic Anterior Segment Syndrome (TASS)