Chair side ch 20, 21 Flashcards

1
Q

Antiseptic

A

Substance for killing microorganisms on skin

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2
Q

Bioburden

A

Blood, saliva, and other fluids

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3
Q

Transfer surfaces

A

Surfaces that are not directly touched but are often touched by contaminated instruments

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4
Q

Splash, splatter, and droplet surfaces

A

Surfaces that do not contact the members of the dental team or the contaminated instruments or supplies

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5
Q

Precleaning

A

Removal of bioburden before disinfection

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6
Q

Residual activity

A

The action that continues long after initial application

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7
Q

Tuberculocidal agent

A

Capable of inactivating mycobacterium tuberculosis

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8
Q

Broad-spectrum

A

A disinfectant capable of killing a wide range of microbes

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9
Q

Iodophor

A

An EPA-registered intermediate-level hospital disinfectant

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10
Q

Synthetic phenol compound

A

An EPA-registered intermediate-level hospital disinfectant with broad-spectrum disinfection action

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11
Q

Glutaraldehyde

A

A high-level disinfectant or sterilant

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12
Q

Chlorine dioxide

A

Effective rapid-acting enviro surface disinfectant or chemical sterilant

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13
Q

Intermediate-level disinfectant

A

Destroys M. Tuberculosis, viruses, fungi, and vegetative bacteria and is used for disinfecting dental operators surfaces

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14
Q

Low-level disinfectant

A

Destroys certain viruses and fungi and can be used for general housecleaning purposes

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15
Q

Greener infection control

A

Minimizing enviro impact of infection control products and procedures

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16
Q

Why surfaces disinfected in dental rooms

A

Prevent patient to patient trans

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17
Q

What is used to prevent surface contamination

A

Sterilization and disinfectant

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18
Q

What is purpose of surface barrier

A

Prevent cross contamination

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19
Q

What agency requires use of surface disinfection

A

OSHA

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20
Q

Why surfaces precleaned

A

Remove bioburden

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21
Q

Where antiseptic used

A

On skin

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22
Q

What agency regulates disinfectants

A

EPA

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23
Q

What chemical solution recommended for heat-resistant items

A

Glutaraldehyde

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24
Q

Name for disinfectant that can leave reddish or yellowish stain

A

Iodophors

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25
Disadvantage of synthetic phenols
Leaves residual film on surfaces
26
Common term for sodium hypochlorite
Bleach
27
Which disinfectant not effective if blood or saliva present
Alcohol
28
Common use of chlorine dioxide
Surfaces disinfectant and sterilant
29
Event-related packaging
It is assumed the contents of package will remain sterile indefinitely unless compromised
30
Sterilant
Agent capable of killing all microorganisms
31
Autoclave
Piece of equipment used for sterilizing by moist heat under pressure
32
Biologic indicators
Vials or strips (spore tests) contain harmless bacterial spores used to determine wether sterilizer working
33
Chemical vapor sterilizer
Used for sterilizing by hot formaldehyde vapors under pressure
34
Critical instrument
Used to penetrate soft tissue or bone
35
Semicritical instrument
Comes in contact with oral tissues but not penetrate soft tissue or bone
36
Noncritical instrument
Come in contact with intact skin only
37
Clean area
Area of sterilization are where everything clean and sterilized are stored
38
Contaminated area
Contaminated items brought for precleaning
39
Biologic monitor
Verifies sterilization
40
Single parameter indicator
Tapes, strips, and tabs change color when exposed to certain temps
41
Endospore
Resistant dormant structure formed inside some bacteria can withstand adverse conditions
42
Ultra sonic cleaner
Loosens and removes debris by sound waves
43
Multi-parameter indicator
Reacts to time, temp, and presence of steam
44
Basic rule of workflow pattern in an instrument processing area
Single-loop
45
If instruments not processed immediately what is done
Placed in holding solution
46
Methods of precleaning instruments
Hand scrubbing, ultra sonic cleaning, thermal washer and disinfector
47
method of precleaning instruments least desirable
Hand scrubbing
48
Kitchen dishwashers cannot be used to preclean instruments because they are
not FDA approved
49
Rusting of instruments prevented by
Lubrication
50
Instruments are packaged for sterilization to
Maintain sterility
51
Why aren't pins paper clips staples used
Cause holes in packaging
52
3 forms of sterilization monitoring
Physical chemical biological
53
Where do u place a process indicator
Outside package
54
Another term for spore testing
Biological monitoring
55
Do multi parameter indicators ensure items are sterile
No
56
Best way to determine if sterilization occurred
Biological monitoring
57
What causes sterilization failure
Wrong temp, overloading sterilizer, improper contact of sterilizing agent
58
Common used forms of heat sterilization
Steam, chemical vapor, dry heat
59
Disadvantage of flash sterilization
Inability to wrap items
60
Advantage of chemical vapor sterilization
Instruments will not rust
61
Example of dry heat sterilization is
Static air
62
How do u rinse instruments that have been processed in a liquid chemical sterilant
Sterile water
63
How do u prep a high speed hand piece for sterilization
Flush water through it
64
Which heat sterilization appropriate for high speed hand pieces
Steam and chemical sterilant
65
Why is it recommended to use single use items
Reduce the chance for patient to patient contamination
65
What should you do if the barrier becomes torn
Replace it and clean/disinfect the surface under the barrier
66
Which surfaces must have barriers
Touch and transfers surfaces
67
What is the ideal disinfectant
Odorless, inexpensive, simple to use, works on surfaces with removing bioburden
68
How do you test the ultrasonic cleaner
Hold 5 x 5" sheet of lightweight aluminum foil vertically half submerged in fresh solution, run for 20 seconds, hold toward the light should be evenly marked with tiny pebbling affects over entire surface. More than half inch without pebbling is bad
69
What PPE is necessary when processing instruments
Eyewear, utility gloves, mask, protective clothing
70
Time/Temp typical steam Temps in sterilizing cycle
250°/30 minutes (Occ), 250°/15 minutes, 273°/10 minutes, 273°/3 minutes
71
What is a process indicator
Strips of paper that indicate if instruments have been exposed to a certain temperature not duration or pressure
72
What is a process integrator and where is it placed
Inside package, responding to pressure, temp, and time