Progressive Six Exam Flashcards
Information technology is often the cornerstone of initiatives to transform healthcare (T or F)
True
Disposable items increase combustible load in a healthcare facility. (T or F)
True
Enabling people to use information gained to interact with others is known as
Human relations
At this time, tracking systems are unable to track worker productivity information.
False
A step in communication that occurs when a listener asks a question is called
Feedback
Improving professional development skills is an important part of
Career advancement
The U.S. Food and Drug Administration Class II chemical indicator run daily in dynamic air removal sterilizers is called
Bowie-Dick Test
Always wearing personal protective equipment in the decontamination area is a quality process. (T or F)
True
Product expiration dates are located on this part of each package.
There is no standard place to look for an expiration date.
When patient equipment enters a healthcare facility, it must be safety checked by a ___________ before it is cleared for patient use.
Biomedical technician
These are used to breakdown fatty tissue on instruments
Lipase enzymes
Anaerobic bacteria require oxygen to live (T or F)
False
The absence of microorganisms that cause disease is called
Asepsis
Immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform the surgery (T or F)
False
When an instrument has a shiny surface it is said to have a _________ finish
Mirror
Lumens should be moist when sterilized using hydrogen peroxide as a sterilizing agent. (T or F)
False
Most Central Service departments employ some sort of automated Information management system (T or F)
True
Ethylene oxide gas canisters should be stored
in a containment locker
Knowing what is expected and consistently meeting those expectations are part of
Professional behavior
Improving employability skills requires
identifying goal requirements
Sterile packages should be stored no lower than eight to 10 inches from the floor. (T or F)
True
Combining vowels are used to
help with pronunciation of the word
If soiled instruments are to be transported to an off site facility for processing
they should be transported following the U.S. or state Department of transportation guidelines
The decontamination area of the central service department is where instruments are carefully checked for cleanliness and function. (T or F)
False
Arthroscopy instruments are used during
Joint surgery
Some plastics including formulations os spun-bonded polyolefin are intended for use in these sterilization processes
Ozone and hydrogen peroxide
The amount of time an item must remain wet with a disinfectant to achieve disinfection is called
Wet contact time
The drain screen in the steam sterilizer must be cleaned
at least daily
This surgical procedure removes the uterus
Hysterectomy
Recommendations regarding sterilization practices are provided by the association for the Advancement of Medical Instrumentation (T or F)
True
Which of the following is NOT a result of computer integration?
a. ) Eliminating redundant entry of information
b. ) Promotes efficiency
c. ) Automatically provides critical update to industry standards
d. ) Reduced inaccurate and conflicting information
c.) Automatically provides critical update to industry standards
A plane crash is an example of an external disaster (T or F)
True
Effective communication skills will resolve all communication problems (Tor F)
False
Professional development is a commitment to continuous learning (T or F)
True
In addition to providing financial and operational management, information technology systems are used to help ensure patient safety. (T or F)
True
Which of the following is true about a valuing diversity effort?
a. ) it “happens” because top-level officials require it
b. ) It occurs because a Central Service director desires it
c. ) It is a “program” in which a committee “decides what to do”
d. ) None of the above statements is correct
d.) None of the above statements is correct
Safety relates to freedom from damage, risk or injury. (T or F)
True
Personal development is mandatory while professional development is only needed for career advancement. (T or F)
False
Employee training should occur
for both new employees and employees who move to a new position.
If everybody develops a quality-driven focus, written policies and procedures are not necessary in the Central Service department (T or F)
False
The movement of supplies throughout the healthcare facility is called
distribution
All patient care equipment that was dispensed for use must be considered _________ and handled as such, regardless of its appearance.
contaminated
What is the preferred pH for detergents used for most cleaning processes?
Neutral pH
All microorganisms are harmful to humans (T or F)
False
Inanimate objects that can transmit bacteria are called
fomites
All items sterilized or high-level disinfected at point of use must be carefully monitored and logged (T or F)
True
Instrument marking tape should be wrapped approximately _______ around the instrument
1.5 times
Hydrogen peroxide kills microorganisms by a process called oxidation (T or F)
True
Event related shelf life means items are safe until opened for use. (T or F)
False
The term ectomy means
surgical removal
The proper handling of instrumentation is the responsibility of
everyone who comes in contact with the instrumentation
A pick list contains information that
identifies the supplies and instruments needed for specific doctor and procedure
After use, loaner instrumentation must be decontaminated before it is shipped back to the vendor (T or F)
True
Cellulose material cannot be processed within a hydrogen peroxide sterilizer (T or F)
True
Which of the following would be the best choice for high-level disinfection of instruments?
a. ) Phenolics
b. ) Chlorine
c. ) Iodophors
d. ) Orth-phthalaldehydes
d.) Orth-phthalaldehydes
The steam sterilization process can be affected by the design of the medical device being sterilized. (T of F)
True
Organs are two or more cells that are similar (T or F)
False
Organization that writes standards relating to the processing of flexible endoscopes
The Society of Gastroenterology Nurses and Associates
Traffic control/dress code requirements applies to the clean assembly area of Central Service
Semi restricted
Computerized tracking systems are fast, but manual tracking systems are more effective for tracking (T or F)
False
Which of the following information is NOT included on a safety data sheet?
a. ) Special precautions
b. ) Physical data
c. ) Required inventory levels
d. ) Product identification
c.) Required inventory levels
Customer complaints are best handled through
Being cheerful and courteous
Networking inside ones profession can help increase knowledge toward advancement, while networking outside ones professional does not. (T or F)
False
Which of the following is NOT a feature of an instrument tracking system?
a. ) Productivity information
b. ) Financial data
c. ) Quality assurance information
d. ) Product updates and recall information
d.) Product updates and recall information
This process allows a person to understand someone else’s needs.
Communication
Safety data sheets are provided by
the product manufacturer
One important step in preparing for an interview is
anticipating possible interview questions
Sterilizer load records should contain
items and quantity sterilized.
The quality method failure mode and effects analysis is
a quality method to prevent problems before they occur
A disadvantage of exchange cart system is
they require duplicate inventory
Patient care equipment should be stored in a _______ condition.
“ready to dispense”
Cleaning brushes
should be cleaned and sterilized at least daily
Microbiology is the study of
microorganisms
The basics of aseptic technique
are activities that prevent infection
To sterilize items using immediate use steam sterilization, the items’s manufacturer instructions must state the item can be sterilized using an immediate use steam sterilization cycle (T or F)
True
Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched (T or F)
False
Information about a device’s compatibility with a specific sterilization process should be obtained from the device’s manufacturer. (T or F)
True
Temperatures in the sterile storage area be 64 to 78 Fahrenheit (T or F)
False
The suffix -tome means
cutting instrument
It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves (T or F)
False
Soiled instruments and other items are received in the _______ area of the central service department.
decontamination
What should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope
Treated Water
When placing instruments that open in an instrument tray
Unlock the handles and open the instrument
Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as
critical items
Gravity steam sterilizers use a pump or water injector to remove air from the chamber. (T or F)
False
The procedure to remove the stomach is
gastrectomy
Failure to receive accreditation from The Joint Commission can result in the loss of Medicare and Medicaid payments (T or F)
True
Tracking method that provides real-time information
Radio frequency identification tags
Healthcare facilities using ethylene oxide should have a dedicated ventilation system to remove residual ethylene oxide during the exhaust cycle. (T or F)
True
Which of the following is an example of communication?
a. ) Spoken word
b. ) Written words
c. ) Non-verbal expression
d. ) All of the above
d.) All of the above
Professional development skill building activities include:
a. ) team building activities
b. ) Public speaking
c. ) writing
d. ) All the above
d.) All the above
A group employees from different departments within the healthcare facility that work together to solve operating problems is called a
cross-functional team
Which of the following is NOT a component of risk management?
a. ) Injury management
b. ) Claims management
c. ) Staff management
d. ) Accident reporting
c.) Staff management
Planning and reviewing goals will identify activities to help meet those goals. (T or F)
True
Documentation of immediate use steam sterilization cycles should include
patient identification and reason for immediate use steam sterilization cycle
Quality requires the efforts and participation of everyone in the healthcare facility. (T or F)
True
Supplies such as disposable wraps are called
consumable
Preventive maintenance
is designed to identify potential problems before they occur.
Detergents used in mechanical cleaners should be
low foaming
When cleaning prion contaminated instruments no special cleaning procedures are required only following standard cleaning protocols and manufacturer’s instructions for Use. (T or F)
False
Hand hygiene is considered the single most important factor in reducing infections. (T or F)
True
Immediate use steam sterilization documentation should include:
a. ) name of patient for which the items were sterilized
b. ) sterilizer number and cycle
c. ) name of the instrument sterilized
d. ) all of the above
d.) all of the above
An osteotome is
used to cut or shave bone
Woven reusable fabrics are the packaging products of choice for ozone sterilization. (T or F)
False
Sterile items should be stored at least ________ inches below sprinkler heads
18
What means beside or near
Para
Decontamination of instruments and equipment starts
at the point of use
All central service departments perform the same basic services. (T or F)
False
Leak testing should be performed on each flexible endoscope annually. (T or F)
False
When placing instruments in a peel pack, the tips should always face the paper side of the pack. (T or F)
False
Devices listed as critical items, must be __________ prior to use.
Sterilized
When combining loads, hard goods should be placed on top shelves to allow for more efficient removal of the condensate. (T or F)
False
Items that are wrapped moist can be cause of wet packs (T or F)
True
A herniorrhaphy surgical procedure is
repair of the muscle layer that is allowing all or part of an organ to project through an opening.
Voluntary standards
provide guidelines for better patient care
Tracking individual instruments is important to help ensure specific instruments are kept with a specific set. (T or F)
True
Personal headsets should not be used in the Central Service department because they
reduce the ability to hear telephones, alarms and coworkers.
Which of the following is NOT required for sharps safety?
a. ) Dispose of all single use sharps in an appropriate container
b. ) Sharp ends should be pointed away from anybody’s body during transport
c. ) Wash all disposable sharps before discarding them
d. )All of the above are related to sharps safety
c.) Wash all disposable sharps before discarding them
On the job relationships do not change when one team member has been promoted. (T or F)
False
Hospitals can effectively validate sterilization processes. (T or F)
False
Six Sigma focuses on :
a. ) reducing defects
b. ) delivering near perfect products
c. ) strives to eliminate variations in the process
d. ) all of the above
d.) all of the above
The “Hour Glass” symbolizes
use of date
The ___________ requires that the healthcare facility report malfunctions of medical devices that have contributed to prevent injury, illness and/or death to the manufacturer and the U.S. Food and Drug Administration.
Safe Medical Devices
Because of the cavitation and impingement action of mechanical cleaners there is no need to pre-clean items that will be processed in a mechanical cleaner. (T or F)
False
When cleaning items contaminated with pseudomonas,
there are no special cleaning requirements for items contaminated with pseudomonas
The decontamination are of the Central Services department should have
negative air flow
Before an item can be placed in a low-temperature sterilization processing system they must be
cleaned
Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders (T or F)
False
Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges. (T or F)
False
When transporting sterile items in an approved vehicle, soiled items can be transported in the same cart as long as they are on different shelves from clean or sterile items. (T or F)
False
the term hyster means
uterus
Items should be contained for transport
to minimize the spread of microorganisms
In Central Service, the concept of “one-way flow of materials” refers to the movement of products
from soiled areas to clean processing areas within Central Service
The muscular system:
a. ) assist w/ movement
b. ) produces heat for the body
c. ) pumps blood throughout the body
d. ) is all of the above
d.) is all of the above
U.S. Food and Drug Administration Medical Device recall
means the item(s) need to be checked or repaired
Endoscope cameras are sealed instruments so fluid invasion is not a concern during the cleaning process. (T or F)
False
The U.S. Food and Drug Administration classifies sterilization packaging as a
Class II Medical Device
The relative humidity of the assembly area should be
30% to 60%
The use of test strips to test the minimum effective concentration in high-level disinfection solutions is required
each time the solution will be used
After sterilization the load contents may take two hours or more to cool. (T or F)
True
What is the most important factor necessary for teamwork?
Attitude
Information about chemical or hazardous substances must be available to all employees. (T or F)
True
The following resources will help a technician stay current in the Central Service field:
a. ) Conferences
b. ) On-the-job training
c. ) Continuing education
d. ) All of the above
d.) All of the above
A biological indicator that is incubated without being sterilized is called
control
Not following established policies and procedures will result in lower quality program. (T or F)
True
Capital equipment items are
items with a higher purchase cost
Equipment leasing and rental differ in that
equipment rental is usually done on a shorter-term basis than equipment leasing
Powered surgical instruments
cannot be immersed
Prions are
abnormal forms of proteins
To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination area should wear
fluid-resistant gowns
When transporting items that have been immediate use steam sterilized, it is required that
They be transported in such a manner the reduces the potential for contamination.
Instruments with tungsten carbide jaws can be easily identified by
the gold handles on the instrument
Exposure monitoring is _____ for all personnel using a hydrogen peroxide sterilizer.
not required
All items should be removed from storage shelves prior to cleaning the shelf (T or F)
True
The term ante means
before
Endoscopes should be cleaned and the internal channels left moist for storage
False
Gauze squares are the wicking material of choice for instrument sets (T or F)
False
Pasteurizers disinfect using
heated water
When loading a steam sterilizer, basins should be
placed on edge
This tissue covers the body’s external surface
Epithelial tissue
U.S. Food and Drug Administration recall may be either mandatory or voluntary (T or F)
True
Central Service technicians who do not think they are being treated appropriately by their employer should
discuss the situation with their supervisor
Healthcare facilities are required by the ________ to provide adequate ventilation systems, personal protective equipment and safe work operating procedures?
Occupational Safety and Health Administration
Steps toward attaining professional goals in Central Service include:
a. ) certification
b. ) education conferences
c. ) professional groups
d. ) all the above
d.) all the above
There are currently no methods available to verify cleaning outcomes (T or F)
False
Viruses use this method of transportation to move
Viruses have no means of movement on their own
The best way to clean a suction lumen is
using the proper sized brush
Jewelry is discouraged in sterile storage it can damage or contaminate packages. (T or F)
True
Automatic endoscope reprocessors are not recommended for flexible endoscopes. (T or F)
False
When using high-level disinfectants it is important to remember they may be deactivated by
organic matter
Peel pouches should be placed __________ for sterilization.
on edge, paper to plastic
The brain center of a cell is called the
nucleus
Coaching is an example of
formal communication
The process of changing work or work conditions to reduce physical stress is
called ergonomics
When water is seen on the outside of a pack after sterilization the pack is considered safe to use if all other packs in the load are dry. (T or F)
False
