PROGTest#2 Flashcards by Ku`uipo H

The second principle of asepsis is:

Know what is CLEAN

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_____ is a water purification process by which impurities are removed from water using a semipermeable membrane.

(RO) Reverse Osmosis

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What should the first sink of a three-sink arrangement consist of?

A wash sink with WATER and DETERGENT/ENZYMATIC SOLUTION.

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“Pure” water should have a pH of:

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A _____ is an infection that occurs after surgery in the part of the body where the surgery took place.

Surgical Site Infection

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Enzymatic cleaning products containing LIPASE are useful in cleaning:

Fat

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The process of PRE-CLEANING should begin at:

IMMEDIATELY after the completion of a surgical procedure.

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Brushes used for cleaning usually have _____ bristles.

Nylon

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Enzymatic detergent solution temperatures for cleaning instruments in an ultrasonic cleaner should be between _____.

80F and 109F

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What should be used for the FINAL rinse water used for decontamination cleaning?

(DI) Deionized Water

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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.

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Type of enzyme used to break down BLOOD, MUCOUS, FECES, and ALBUMIN on instruments.

Protease

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This low-level disinfectant is INCOMPATIBLE with SOAP:

(QUATS) Quaternary Ammonium Compounds

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In an AUTOMATED washer, the key source of disinfection is:

Water Temperature

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The use of heat to reduce the amount of microorganisms (excluding spores) on a medical device is called:

Thermal Disinfection

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What is the best choice for (HLD) High-Level Disinfection of instruments?

(OPA) Ortho-phthalaldehyde

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Iodophors and buffered iodines that are also members of the _____ family.

Halogen

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Alcohol needs to remain in WET CONTACT with an item for at least _____ minutes in order to achieve a reasonable level of disinfection.

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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

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Phenolics are considered a _____ disinfectant.

Intermediate to Low-Level

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What is NOT a requirement of OSHA’s Bloodborne Pathogen Standard?

Keep biohazard areas LOCKED

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Inanimate objects that can transmit bacteria are called:

Fomites

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Which traffic control/dress code requirement applies to the “ASSEMBLY” portion of the sterile processing department?

Semi-Restricted

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_____ 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

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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.

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.

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.

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)