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Surgical Technology > Final Exam > Flashcards

Final Exam Flashcards

1
Q

After sterile scrub surgeons are considered_

A

Surgically Clean

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2
Q

When all bacteria and spores are killed

A

Sterile

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3
Q

Scopes in mouths are _

A

Semi critical

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4
Q

Scopes where incision is made are _

A

Critical

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5
Q

How long for glutaraldehyde to disinfect vs sterlize

A

20 min disinfect 10 hours sterilize

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6
Q

When is terminal clean preformed

A

At the end of the day or after dirty case

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7
Q

Why do we not use saline when disinfecting

A

It is corrosive

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8
Q

What do we use to break down bioburden

A

enzymatic solution

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9
Q

Hot water can _ bioburden

A

Flashbake

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10
Q

Ultrasonic uses what to clean

A

Cavitation- small bubbles

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11
Q

What step is after ultrasonic cleaner

A

Lubrication (milking)

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12
Q

What do we do to clean suction tubes

A

Brushes and syringes of distilled water

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13
Q

What disease is related to spores

A

CJD

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14
Q

Polymethyl methacrylate is a gas used to sterilize heat-sensitive surgical instruments, but must be aerated from items before use on the patient.

A

False

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15
Q

Locker rooms, administrative offices, and the departmental main desk are examples of semirestricted areas in the OR suite.

A

True

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16
Q

What is the recommended weight of an instrument set according to AAMI Guidelines?

A

25 lbs

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17
Q

Which of the following is NOT part of a three-prong plug?

A

bipolar wire/prongs

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18
Q

Which of the following is the acronym used to remember the steps to take in the event of a surgical fire?

A

RACE

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19
Q

The part of the complete ESU circuit that delivers alternating current back from exposed tissue to the ESU generator is the

A

patient return electrode (grounding pad)

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20
Q

What distance from the impact site of a bovie on tissue should the smoke evacuator be positioned to capture 98% of the plume?

A

2 cm

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21
Q

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?

A

Back table

22
Q

What are the Centers for Disease Control and Prevention (CDC) guidelines for OR air exchanges per hour?

A

20-25 , 20% fresh air

23
Q

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?

A

NIOSH

24
Q

Which of the following organizations sets standards for sterilization, and use of medical devices?

A

AAMI

25
Q

What is Ethylene Oxide used for in the healthcare field?

A

Sterilizing agent

26
Q

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?

A

MSDS (medical saftey data sheet)

27
Q

What regulatory agency defined standard precautions in 1996?

A

CDC

28
Q

Which governmental agency mandates regulation on noise levels and laser safety standards?

A

OSHA

29
Q

Another name for glutereldyhyde

A

Cidex

30
Q

BI for low temp sterilization

A

Bacillus atrophaeus

31
Q

BI for steam sterilization

A

Geobacillus stearothermophilis

32
Q

Packaging should include

A

Product name, initials, Julien date, department, load cycle

33
Q

Example of event related sterility

A

Dropping something in the OR

34
Q

Packaged items that fall on the ground are sterile

A

False

35
Q

Bowie Dick test

A

preformed before airvac test

36
Q

Levels of cleaning

A

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

37
Q

IUSS

A

Immediate use steam sterilization

38
Q

1 reason for SSI

A

Staphylococcus aureus

39
Q

Nosocomial infection

A

Acquired within the facility

40
Q

Times for steam sterilization instrument wrapped

A

gravity - 30 mins
displacement- 4 minutes

41
Q

time for steam sterilization unwrapped

A

gravity - 3 mins
displacement- 3 mins

42
Q

Time for steam sterilization with Lumens

A

gravity - 10 mins
displacement- 4 mins

43
Q

Bowie Dick test

A

used everyday to test prevac sterilizer cycle (air removal)

44
Q

Chemical indicatiors

A

Change colors to verify sterilization

45
Q

EtO

A

Ethylene oxide- for materials that cannot handle high temp steam (rubber), most popular chemical agent

46
Q

High level disinfectant compounds

A

Glutaraldehyde, sodium hypochlorite (bleach),

47
Q

Intermediate level disinfectant compounds

A

Phenol (carbolic acid), quats, alcohol,

48
Q

What to do with used CJD instruments

A

Destruct

49
Q

What should never be used in IUSS

A

implants

50
Q

What is used to describe wrappers that do not let water through

A

impervious

51
Q
A

Surgical Technology (2 decks)

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