DECK 11

Question 1

Regulated by federal government agencies in conjunction with local law enforcement agencies.

Answer 1

Hazardous Waste Disposal

Question 2

Protected Health Information (PHI)

Answer 2

Includes: medical record, payment history

Question 3

5 Steps in the Cleaning & Decontamination process

Answer 3

Steps in this process:

• Sorting
• Pre-cleaning
• Transportation
• Disassembly
• Decontamination (cleaning & disinfection)

Question 4

Disinfection process

Answer 4

Consist of two types: Manual & automated

Each process consist of a minimum of pre-soaking, cleaning, rinsing, and drying.

Question 5

3 Types of Mechanical Cleaning

Answer 5

Ultrasonic, Impingement, Chemical mechanical processing

Question 6

Uses high frequency sound waves that produce a series of implosions called cavitation.

Answer 6

Ultrasonic Cleaning

Question 7

Spray forced cleaning action

Answer 7

Impingement Cleaning

Question 8

Utilizing peracetic acid to clean to render the items “high-level disinfected”, but not sterile.

Answer 8

Chemical mechanical processing cleaning

Question 9

Used to disinfect medical equipment that cannot be subjected to steam sterilization, especially heat-sensitive, optical devices such as scopes that typically require high-level disinfection between patient uses.

Answer 9

Glutaraldehyde- based agents

Question 10

A process where all forms of microbial life are completely destroyed.

Answer 10

Sterilization

Question 11

Steam or dry heat used

Most common practice in healthcare because recognized as safest, most practical form of sterilization

Answer 11

Thermal sterilization

Question 12

Gas used as sterilization agent
Items sterilized require proper aeration before use
Sterilization process highly regulated

Answer 12

Ethylene oxide sterilization (EtO)

Question 13

Uses a high concentration of hydrogen peroxide gas plasma to sterilize items.
Has limitations in lumen lengths, diameters, & material compatibility of products to be sterilized

Answer 13

Hydrogen peroxide gas plasma sterilization

Question 14

3 types of sterilization equipment monitoring

Answer 14

Mechanical, Chemical, & Biological

Question 15

Uses gauges, graphs, & printouts; gives time & temperature information.

Answer 15

Mechanical monitoring

Question 16

The use of certain types of tapes & indicators; Indicators only show that items were exposed to heat & not that item is sterile;
Commonly used indicators are autoclave tapes, steam strips, & peel pouches w/ built in indicators;
Reacts to several parameters of sterilization rather than just one.

Answer 16

Chemical monitoring

Question 17

A live spore inside a sealed tube that is placed inside sterilizer at most challenging position & then checked to ensure live spore where killed in sterilization process.

Answer 17

Biological monitoring

Question 18

6 Categories of Waste

Answer 18

• Non-hazardous, general solid waste
• Hazardous waste
• Cytotoxic waste
• Infectious waste
• Physical hazardous waste
• Radioactive hazardous waste

Question 19

Preferred Methods for treating or disposing infectious waste

Answer 19

• Incineration: high heat burning of waste;
• Off-site disposal: transporting materials to processing plant prior to transport to landfill;
• Microwave: Uses to dispose of certain wastes;
• Chemical: neutralizes the waste at the point of use

Question 20

Minimal Linen Selection Requirements

Answer 20

• Size (cut & finish)
• Fiber contents (cotton blend 50/50 or 65/35 polyester cotton blends)
• Thread Counts (how dense the fiber? Thread counts 130, 140, 200 or above. The higher the count the more comfortable , but also more expensive)
• Color (includes investigating dying process & color steadfastness)
  Quality ( how many times washed before needing to be replaced)