Final Exam Flashcards
After sterile scrub surgeons are considered_
Surgically Clean
When all bacteria and spores are killed
Sterile
Scopes in mouths are _
Semi critical
Scopes where incision is made are _
Critical
How long for glutaraldehyde to disinfect vs sterlize
20 min disinfect 10 hours sterilize
When is terminal clean preformed
At the end of the day or after dirty case
Why do we not use saline when disinfecting
It is corrosive
What do we use to break down bioburden
enzymatic solution
Hot water can _ bioburden
Flashbake
Ultrasonic uses what to clean
Cavitation- small bubbles
What step is after ultrasonic cleaner
Lubrication (milking)
What do we do to clean suction tubes
Brushes and syringes of distilled water
What disease is related to spores
CJD
Polymethyl methacrylate is a gas used to sterilize heat-sensitive surgical instruments, but must be aerated from items before use on the patient.
False
Locker rooms, administrative offices, and the departmental main desk are examples of semirestricted areas in the OR suite.
True
What is the recommended weight of an instrument set according to AAMI Guidelines?
25 lbs
Which of the following is NOT part of a three-prong plug?
bipolar wire/prongs
Which of the following is the acronym used to remember the steps to take in the event of a surgical fire?
RACE
The part of the complete ESU circuit that delivers alternating current back from exposed tissue to the ESU generator is the
patient return electrode (grounding pad)
What distance from the impact site of a bovie on tissue should the smoke evacuator be positioned to capture 98% of the plume?
2 cm
Which of the following is the large piece of OR furniture onto which most sterile supplies are opened and organized for use during a case?
Back table
What are the Centers for Disease Control and Prevention (CDC) guidelines for OR air exchanges per hour?
20-25 , 20% fresh air
Which of the following national agencies is an arm of the CDC and functions under the U.S. Department of Health and Human Services to research and establish permissible exposure limits for chemical vapors and gases?
NIOSH
Which of the following organizations sets standards for sterilization, and use of medical devices?
AAMI
What is Ethylene Oxide used for in the healthcare field?
Sterilizing agent
What is the abbreviation for the sets of references that provide information about all potentially hazardous chemicals used in the perioperative setting and must be accessible to health care workers?
MSDS (medical saftey data sheet)
What regulatory agency defined standard precautions in 1996?
CDC
Which governmental agency mandates regulation on noise levels and laser safety standards?
OSHA
Another name for glutereldyhyde
Cidex
BI for low temp sterilization
Bacillus atrophaeus
BI for steam sterilization
Geobacillus stearothermophilis
Packaging should include
Product name, initials, Julien date, department, load cycle
Example of event related sterility
Dropping something in the OR
Packaged items that fall on the ground are sterile
False
Bowie Dick test
preformed before airvac test
Levels of cleaning
Cleaning - removes gross debris (bioburden)
low level disinfectent - kills most bacteria
high level disinfectant- kills all microorganisms except spores and prions
Sterilization- kills all microorganisms
IUSS
Immediate use steam sterilization
1 reason for SSI
Staphylococcus aureus
Nosocomial infection
Acquired within the facility
Times for steam sterilization instrument wrapped
gravity - 30 mins
displacement- 4 minutes
time for steam sterilization unwrapped
gravity - 3 mins
displacement- 3 mins
Time for steam sterilization with Lumens
gravity - 10 mins
displacement- 4 mins
Bowie Dick test
used everyday to test prevac sterilizer cycle (air removal)
Chemical indicatiors
Change colors to verify sterilization
EtO
Ethylene oxide- for materials that cannot handle high temp steam (rubber), most popular chemical agent
High level disinfectant compounds
Glutaraldehyde, sodium hypochlorite (bleach),
Intermediate level disinfectant compounds
Phenol (carbolic acid), quats, alcohol,
What to do with used CJD instruments
Destruct
What should never be used in IUSS
implants
What is used to describe wrappers that do not let water through
impervious
