PROGTest#3 Flashcards
When donning PPE what is the first item you put on?
Gown
IUSS sterilization is appropriate to use when:
A ONE OF A KIND instrument is dropped.
For sterilization to occur steam must:
make direct CONTACT with all surfaces.
What is the weakest part of a steam sterilizer?
The Door
Event-related sterility is the concept that:
Sterile products remain sterile until an event occurs to make them unsterile.
Which of the following involves the act or process of oxidizing?
Oxidation
For sterilization, paper-plastic peel packs should be placed:
On Edge
Loaned instruments should:
Be decontaminated before use.
The process by which all forms of microbial life (including bacteria, viruses, spores, and fungi are completely destroyed is called?
Sterilization
Informal work groups frequently develop an informal communication system called the ______.
Grapevine
During assembly, multi-part instruments should be:
Assembled to ensure they are in working condition, then disassembled for sterilization.
To ensure successful sterilization, the sterilizer should not be:
Overloaded
The sequence of steps used to address customer complains and problems in a manner that yields a win-win situation for the customer and the department is called _______.
Service Recover
Which of the following should be used to verify that sterilized items have reached room temperature?
An infrared device
A _______ is an infectious protein particle that, unlike a virus, contains no nucleic acid, does not trigger an immune response, and is not destroyed by extreme heat or cold.
Prion
_______ are microorganisms capable of forming a thick wall around themselves, enabling them to survive in adverse conditions.
Endospores (spores)
The chamber drain strainer should be removed _______ and cleaned thoroughly under running water using a mild detergent and non-abrasive brush.
At least DAILY
An inanimate object that can transmit bacteria is called a _______.
Fomite
What has a working channel (lumen) through which instruments or accessories can be passed to perform surgical procedures?
Operative Endoscopes
When sterilizing an implant, the load must:
Contain a (BI) BIOLOGICAL INDICATOR
The probability of a viable microorganism being present on a device after sterilization is called:
(SAL) Sterility Assurance Level
IUSS documentation should include the:
- Name of instrument(s) being sterilized
- Patient ID
- Sterilizer number and cycle
- Reason for the use of IUSS
Once items are removed from the sterilizer, they should be moved to a:
Designated cooling area
Which of the following sterilization methods can permeate throughout a wide range of materials to reach recessed areas?
(EO) Ethylene Oxide
__________ is the scientific study of the nature, life, and action of microorganisms.
Microbiology
After sterilized items have cooled and are ready for storage, you should place heavy items on _______ shelves to allow for safe lifting.
Middle
Which of the following may occur if packages are moist at the end of the steam cycle?
Bacteria can wick into the package
In a mixed load of textile and metal goods, the metal goods should be placed:
On the BOTTOM racks
__________ is the process in which sterilized packages are subjected to moving air to facilitate the removal of toxic residuals after exposure to a sterilizing agent such as EO.
Aeration
One or more air samples representing a full shift exposure to EO are taken to comply with OSHA’s:
(PEL) Permissible Exposure Limits
To ensure the safety of healthcare workers, __________ has established (PEL) Permissible Exposure Limits for all low-temperature sterilants.
OSHA
The door gasket should be inspected and wiped clean ______ with a clean, damp, non-linting cloth.
Daily
What should not be processed in a low-temperature gas plasma sterilizer?
Gauze Sponges
H2O2 is a highly effective sterilant that sterilizes by _______ of key cellular components.
Oxidation
The microorganism of choice for H2O2 gas plasma BIs is the _________ spore.
Geobacillus Stearothermophilus
The best way to transport soiled instruments is in:
Enclosed Carts
Items to be sterilized in low-temperature gas plasma must be packaged in:
Non-Cellulose based material
The process used to give instruments a mirror finish is called:
Polishing
The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called:
IUSS Sterilization
What can be used in an EO Sterilizer?
Tyvek Peel Packs
Scissors longer than 4.5” should be tested using:
RED test material
When cleaning shelving systems, all items should be:
Carefully removed from the shelf
________ is the process by which surgical instruments and medical devices are sterilized in their final containers, allowing them to be stored until needed.
Terminal Sterilization
Washer-disinfectors work on the principle of _______ and are effective means for cleaning and disinfecting instruments because of their spray force.
Impingement
Which packaging material is NOT recommended for the EO sterilizer?
Nylon
An emergency eyewash/shower station should be accessible within ______ seconds or 30 meters of areas of potential chemical exposure.
10
Cartridges with 100% EO should be stored in a ventilated _________ that is exhausted outside, away from heat, sparks, and sunlight.
Flammable Liquid Storage Cabinet
In a 3-sink arrangement used for manual cleaning the second sink should contain:
UTILITY or CRITICAL water
To be legally marketed in the US the _______ requires each sterilant and sterilization technology to be rigorously tested against a broad range of microorganisms.
FDA
Many microorganisms, or microbes, are harmless. In fact _____ of bacteria are beneficial and essential.
95%
The microorganism of choice for EO BIs is:
Bacillus Atrophaeus
The decontamination department of sterile processing should be under _____ pressure.
Negative
This is the term used to describe instruments or equipment that must receive priority processing to be made available for another procedure.
Turnover/Turnaround
Which of the following sterilization methods requires an emergency plan?
(EO) Ethylene Oxide
EO sterilizers should be located in a well-ventilated area, with a room air exchange rate of at least ____ changes per hour.
10
What item would be considered a “critical” item based on the Spaulding Classification system?
Needles
The more bioburden on an object:
The more difficult it will be to sterilize.
Per fire codes, stored items should be placed at least _____ inches below the ceiling or the level of the sprinkler heads to allow for proper air circulation and for water to flow unimpeded.
18
______ is the first step in the sterilization process.
Cleaning
Peel Pack Sterilization pouches are placed ____ to ____ for air and steam circulation.
Paper to Plastic
______ bacteria are bacteria that can live in the absence of atmospheric oxygen.
Anaerobic
A collection of microorganisms that attach to surfaces and each other to form a colony is known as:
Biofilm
ANSI/ASHRAE/ASHE 170 recommends that the temperature in the sterile storage area may be:
75 degrees Fahrenheit or lower
If IUSS must be used for an IMPLANT what should be in place to trace the IUSS load to the patient?
a Tracking System
An osteotome is used to:
Cut or Shave bone
Which of the following enzyme is used to breakdown fatty tissue on instruments?
Lipase Enzymes
The bottom shelf of each shelving unit must be between ____ and ____ inches from the floor.
8-10 inches
To prevent coagulation of proteins, surgical instruments should be pre-rinsed using:
Cool Water
A low-level disinfectant that is INCOMPATIBLE with soap.
(QUATs) Quaternary Ammonium Compounds
EO inactivates microbes by a process called:
Alkylation
Pneumatic-powered surgical devices require the use of _____ to function.
Compressed Air/ Gas-Powered
To properly test the sharpness of scissors 4.5” or LESS you should use:
YELLOW test material
It is important to keep packs at least _____ inches away from exterior walls, windows, and window seals where condensation can form.
2 inches
These bacteria are shaped like RODS or BRICKS
Bacillus
ANSI/ASHRAE/ASHE 170 recommends that the relative humidity (RH) of the sterile storage area be:
Less than 70%
To test the sharpness of a Kerrison Rongeur, you should use:
An Index Card
______ is a chemical process applied during instrument manufacturing that provides a corrosion-resistant finish by forming a thin, transparent, oxide film.
Passivation
_____ is the process of transmitting information from one person to another by the use of words and non-verbal expressions such as body language.
Communication
_____ is the process used by an ultrasonic cleaner in which low-pressure bubbles collapse (implode) and dislodge soil from instruments.
Cavitation
At least how many air exchanges are required per house for the sterile storage area of the sterile processing department?
4
All loaned instruments should be _____ and _____ upon their receipt and after use.
Cleaned and Decontaminated
_____ are the basic units of all living organisms and they are the smallest unit that can live, grow, and reproduce.
Cells
How often should floors be cleaned (damp mopped)?
At least DAILY
This enzyme catalyzes (changes) starch into sugars.
Amylase
_____ is a stock rotation system whereby the oldest produce ( that has been in storage the longest) is used first.
(FIFO) First In, First Out
These items usually come into direct contact with the patient’s unbroken skin.
Non-Critical Items
A wet pack should be considered _____ and must be completely reprocessed.
Contaminated
Which of the following sterilization methods requires aeration?
(EO) Ethylene Oxide
Why is it important to inspect the insulation coverings of laparoscopic instrumentation?
Failure to discover pin holes or damage to the insulation can result in leaked electricity that can cause damage to the patient.
Both AORN/TJC recommend that:
The use of IUSS should be MINIMIZED or DECREASED
During handwashing, hands should be lathered and scrubbed for at least:
20 seconds
Sterile Processing (SP) technicians MUST wear special attire called _____ to minimize exposure to bloodborne pathogens and other contaminants.
(PPE) Personal Protective Equipment
Which of the following would be an example of fungi?
- Athlete’s Foot
- COVID-19
- Ebola
- Herpes Simplex Virus (HSV)
Athlete’s Foot
High-Level Disinfectants (HLDs) MUST be tested:
PRIOR to each use
Documentation of IUSS cycles should include:
Patient ID and the REASON for the IUSS
Before items can be placed in a low-temperature sterilization processing system, the items must be:
Cleaned
Why is it important to clean and flush a steam sterilizer’s chamber drain?
Air and steam will NOT PASS out of the chamber efficiently if the drain line is BLOCKED.
This is the part of the surgical instrument that “locks” the handles in place.
Ratchet
Iodophors are buffered iodines that are also members of the _____ family.
Halogen
The most commonly encountered temperatures for Dynamic Air Removal steam sterilization are:
270F - 275F
