Chapter 11 (Notes)

Question 1

CS professionals should be specifically trained to ensure that ___________.

Answer 1

Fluid invasion doesn’t occur

Question 2

3 main sources of power used for powered surgical instruments:

Answer 2

1. ) Electric
2. ) Compressed
3. ) Gas (pneumatic) and battery

Question 3

Most common problems associated with electric-powered equipment are:

Answer 3

1. ) Damage to electrical parts during cleaning and sterilization.
2. ) Condensation that enters the equipment when seals wear out.
3. ) Electrical contacts that become worn and affect equipment handling

Question 4

Air-powered instuments

Answer 4

Pneumatic-Powered (Sternum saws & sagittal saw and drills)

Question 5

How to create a decontamination hose

Answer 5

by cutting small pieces of damaged pneumatic hoses, placing both regulator ends on the hose,and making the hose in some way to identify it as nonfunctional. A popular way of marking the hose is with red tape.

Question 6

Clean hose with ______.

Answer 6

Mild detergent

Question 7

Proper coil size for sterilization of hose

Answer 7

9 - 12 inches

Question 8

Surgical instruments that work well with procedures performed on larger, denser bones. (Total hip and knee replacement)

Answer 8

Battery powered instruments

Question 9

How to create a decontamination battery

Answer 9

Locate a dead, unrepairable battery for each style of powered surgical instrument. Use instrument marking tape to make a red “X” on the battery packs and keep these batteries in the decontamination area. When the battery powered instrument enters the CS decontamination area, select and insert the appropriate battery pack to protect the electrical components from moisture.

Question 10

Common causes for powered equipment repairs

Answer 10

1. ) Corrosion of internal components from condensation, steam, fluid invasion or improper cleaning
2. ) Physical damage due to mishandling
3. ) Lack of or improper preventive maintenance

Question 11

The term “endoscopy” means

Answer 11

Looking inside

Question 12

The first endoscopes were developed in ________.

Answer 12

Germany (1800s)

Question 13

The flexible endoscope was introduced in the _____.

Answer 13

1950s

Question 14

Classifications for endoscopes

Answer 14

1. Rigid (Non-V/V)
2. ) Semi-rigid
3. ) Flexible (Non-V/V)

Question 15

Why do endoscope instruments have insulation covering the shaft

Answer 15

Covering protects the patient from electrical current that flows through the instrument

Question 16

Laparoscopic ring handles are available in these styles:

Answer 16

1. ) Free handle - No ratchet or spring finger, with an open and close action
2. ) Spring handle - Opens under slight tension and closes by spring action
3. ) Ratchet handle - Similar to hemostats with various locking points on the ratchet

Question 17

Arthroscopy Instruments are very ________.

Answer 17

Difficult to clean

Question 18

Flexible endoscopes can be classified as

Answer 18

1. ) Fiber optic

2. ) Video

Question 19

Basic steps required to reprocess flexible endoscopes

Answer 19

1. ) Precleaning
2. ) Leak testing
3. ) Cleaning
4. ) HLH/Sterilization
5. ) Drying
6. ) Storing

Question 20

Endoscope Daily Use Cycle

Answer 20

1. ) Storage
2. ) Transport
3. ) Use in procedures
4. ) Decontamination
5. ) Preparation and packaging (prep and pack)
6. ) Disinfection or sterilization