PROGTest#2 Flashcards
The second principle of asepsis is:
Know what is CLEAN
_____ is a water purification process by which impurities are removed from water using a semipermeable membrane.
(RO) Reverse Osmosis
What should the first sink of a three-sink arrangement consist of?
A wash sink with WATER and DETERGENT/ENZYMATIC SOLUTION.
“Pure” water should have a pH of:
7
A _____ is an infection that occurs after surgery in the part of the body where the surgery took place.
Surgical Site Infection
Enzymatic cleaning products containing LIPASE are useful in cleaning:
Fat
The process of PRE-CLEANING should begin at:
IMMEDIATELY after the completion of a surgical procedure.
Brushes used for cleaning usually have _____ bristles.
Nylon
Enzymatic detergent solution temperatures for cleaning instruments in an ultrasonic cleaner should be between _____.
80F and 109F
What should be used for the FINAL rinse water used for decontamination cleaning?
(DI) Deionized Water
Water must be degassed each time the ultrasonic cleaner’s tank is changed because:
EXCESS BUBBLES from filling REDUCES the ENERGY of the CAVITATION process.
Type of enzyme used to break down BLOOD, MUCOUS, FECES, and ALBUMIN on instruments.
Protease
This low-level disinfectant is INCOMPATIBLE with SOAP:
(QUATS) Quaternary Ammonium Compounds
In an AUTOMATED washer, the key source of disinfection is:
Water Temperature
The use of heat to reduce the amount of microorganisms (excluding spores) on a medical device is called:
Thermal Disinfection
What is the best choice for (HLD) High-Level Disinfection of instruments?
(OPA) Ortho-phthalaldehyde
Iodophors and buffered iodines that are also members of the _____ family.
Halogen
Alcohol needs to remain in WET CONTACT with an item for at least _____ minutes in order to achieve a reasonable level of disinfection.
5
Which of these statements is MOST appropriate for pre-cleaning of instruments?
- Keep hinged instruments CLOSED
- Keep multi-part instruments assembled
- Place instruments in the incorrect instrument tray
- Disassemble multi-part instruments
Disassemble Multi-Part Instruments
Phenolics are considered a _____ disinfectant.
Intermediate to Low-Level
What is NOT a requirement of OSHA’s Bloodborne Pathogen Standard?
Keep biohazard areas LOCKED
Inanimate objects that can transmit bacteria are called:
Fomites
Which traffic control/dress code requirement applies to the “ASSEMBLY” portion of the sterile processing department?
Semi-Restricted
_____ is an infection that is NOT present when a patient is admitted to a healthcare facility. If the infection develops in a patient on or after day THREE of admission to the healthcare facility. The infection is known as a HAI.
Healthcare-Associated Infection
What technique for brushing instruments in decontamination should be used?
Brushing should be done under the water’s surface.
What instruments should not be placed in an ultrasonic cleaner?
CHROME-PLATED and EBONIZED Instruments
These instruments or objects are introduced directly into the bloodstream.
Critical Items
An emergency eyewash/shower station should be accessible within _____ seconds or 30 meters of areas of potential chemical exposure.
10
Washer traps/screens need special attention and should be inspected for debris at least _____ and cleared of any obstruction.
Daily
Cleaning verification methods help demonstrate that the cleaning process is _____ and are used for individual instrumentation and cleaning equipment.
Effective
If water temperature is too high during the cleaning process, there is a chance that the blood still on those instruments could _____.
Coagulate
These items come in contact with intact mucous membranes:
Semi-Critical Items
_____ is a term used to describe instruments or equipment that must receive priority processing to be made available for another procedure.
Turnover/Turnaround
The use of _____ as a soaking or rinsing agent accelerates the rusting and pitting of surgical instruments.
Saline
Microorganisms that can cause illness are called:
Pathogens
Eyewash/Shower Stations should be activated _____ for a period long enough to verify they are performing to standards.
Weekly
When transporting instruments, contaminated items should _____ from their clean and sterile counterparts.
Remain Physically Separated
_____ is the absence of microorganisms that cause disease.
Asepsis
When moving transport carts throughout the hospital, Central Service Technicians must always yield right of way to _____.
Patients and Visitors
Detergents used in mechanical cleaners should be:
Low-Foaming
Powered surgical instruments:
Cannot be IMMERSED
Trays or sets with multiple levels should be _____, and each tray should be placed separately on the washer’s racks.
Open
What is the first step in doffing(removing) your PPE in decontamination?
Remove Shoe Covers
A stethoscope would be considered a _____ item.
Non-Critical
_____ is a process that uses polymer resin combined with other additives to form a powder. The powder is then sprayed onto an instrument using an electrostatic spray gun and cured to form a high-density bond.
Powder Coating
_____ is the first step in the sterilization process.
Cleaning
Instrument decontamination begins:
At the Point of Use
What is the 5th step in donning(putting on) your PPE?
Gloves
Mechanical washers use a spray force action called:
Impingement
Floors should be cleaned (wet-mopped) at least:
Daily
A sponge’s structure makes them virtually impossible to completely clean, so sponges must be discarded and replaced at least _____ or after each use.
Daily
_____ are microorganisms capable of forming a thick wall around themselves, enabling them to survive in adverse conditions.
Endospores (spores)
Dressing forceps are similar to tissue forceps, except they have _____ instead of teeth at the distal end.
Serrations
_____ is the typical method of bacterial reproduction in which a cell divides into two equal parts.
Binary Fission
To test the sharpness of scissors 4.5” inches and under, you should use:
Yellow Test Material
The part of the hemostat that locks and holds it in position is called the _____.
Ratchet
These items come into direct contact with a patient’s unbroken skin:
Non-Critical Items
A flexible endoscope would be considered a _____ item.
Semi-Critical
A _____ is a cart prepared for an individual procedure. They usually contain all instruments, supplies, and utensils needed for a specific procedure.
Case Cart
These bacteria are shaped like spirals:
Spirilia
These bacterial can live in the absence of atmospheric oxygen:
Anaerobic
Any room where glutaraldehyde is used should be well-ventilated, with a minimum of _____ air exchanges per hour.
10
What is the dress requirement for staff in the Operating Room
Restricted
What is Biofilm?
A collection of microorganisms that attach to surfaces and each other and form a colony.
(HLDs) High-Level Disinfectants are used to process _____ items that may come in contact with mucous membranes of the body.
Semi-Critical
_____ % of bacteria are beneficial and essential to our lives.
95
An example of FORMAL communication would be:
Coaching
What material would you use to test a Kerrison or laminectomy rongeur?
Index Card
Artificial nails should not be worn in the Sterile Processing Department because they _____.
Harbor microorganisms
_____ devices like gastroscopes should be stored in an approved cabinet that is clean, well-ventilated, and dust-free to keep them dry and prevent exposure to potentially hazardous microbial contamination.
Semi-Critical
_____ is a chemical process applied during instrument manufacturing that provides a corrosion-resistant finish by forming a thin, transparent, oxide film.
Passivation
Microgrind or Supercut blades are visually identified by their:
Black Rings
The test material needed to test the sharpness of a bone curette is:
A Plastic Dowel
_____ is a liquid powder-coating process that leaves a thin layer of colored nylon on the instrument. This color coding system is often referred to as “dipping”.
Heat-Fused Nylon
When it is necessary to transport contaminated items using a truck or van, facility personnel must consult _____ guidelines and follow applicable state and local requirements for the safe transport of biohazard materials.
U.S. Department of Transportation (DOT)
