PROGtest#5 Flashcards

1
Q

Behavior relating to what is right and wrong relative to the standards of professional conduct is called:

A

Ethical Behavior

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2
Q

Coaching is an example of:

A

Formal Communication

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3
Q

When using social media, which of the following is true?

-Heated discussions should be avoided
-Shared information may infringe on patient rights
-When posting pictures, confirm the pictures are approved

A

All of the above

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4
Q

A (BI) Biological Indicator that is incubated without being sterilized is called:

A

A CONTROL

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5
Q

Failure mode and effects analysis (FMEA) tries to predict:

A

A product failure before it occurs.

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6
Q

(RCA) Root Cause Analysis:

A

Looks at a poor outcome to prevent its reoccurrence.

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7
Q

Quality control indicators:

A

-Used to determine how well the department is meeting OBJECTIVES
-Includes RCA and FMEA
-Should be monitored periodically to ensure

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8
Q

FMEA is a quality method:

A

That identifies and prevents problems before they occur.

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9
Q

Technicians in the _____ department perform safety inspections and functional tests on equipment:

A

Biomedical/Clinical Engineering

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10
Q

When patient equipment enters a healthcare facility, it must be safety checked by a/an _____.

A

Biomedical Technician

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11
Q

Requires that (PM) preventative maintenance standards be established for medical equipment:

A

TJC (The Joint Commission)

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12
Q

Patient care equipment should be stored in a _____ condition:

A

Ready to dispense

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13
Q

When transporting soiled medical equipment:

A

Choose a route that minimizes contact with patients

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14
Q

Equipment leasing and rental differ in that:

A

Equipment rental is usually done on a shorter-term basis than Equipment Leasing

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15
Q

PM is:

A

Preventative Maintenance
-designed to identify potential problems BEFORE they occur

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16
Q

If a user discovers equipment that needs repair, they are responsible for notifying the:

A

Biomedical Engineering Department

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17
Q

The inventory system that stocks supply by pre-established stock levels is called a/an:

A

PAR System

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18
Q

Quality processes in decontamination include:

A

Measuring Chemicals

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19
Q

The movement of supplies throughout the healthcare facility is called:

A

Distribution

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20
Q

Items like disposable wraps are called:

A

Consumable Supplies

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21
Q

Product expiration dates are located on this part of each package:

A

There is no standard placement for expiration dates

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22
Q

This inventory system uses preference cards:

A

Case Cart

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23
Q

A disadvantage of an exchange cart replenishment system is:

A

It requires DUPLICATE inventory

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24
Q

Monitoring records must be:

A

-Accurate
-Legible
-Complete

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25
Q

External Indicators:

A

Show the item was exposed to a sterilization process

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26
Q

A physical monitor on a washer-disinfector is the:

A

Printout

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27
Q

A BI is called positive when:

A

There is growth in the ampule after incubation

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28
Q

Chemical Indicators can show a failed result because of:

A

-Sterilizer Malfunction
-Using an incorrect sterilization cycle
-Using the wrong CI

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29
Q

Employee training should occur:

A

For both new employees and employees who move to a new position

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30
Q

The Sterile Storage process begins:

A

When the STERILIZER DOOR is OPENED

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31
Q

Know what Date of Manufacture Symbol looks like

A
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32
Q

This type of CI is also called a verification indicator and is a cycle-specific indicator. It is designed to react to all critical parameters of a sterilization cycle:

A

Type 6

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33
Q

What is the item used daily to ensure that AIR REMOVAL is happening in a pre-vacuum steam sterilizer?

A

Bowie-Dick Test

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34
Q

The shelving system of choice for the sterile storage area is:

A

Closed

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35
Q

Trays that overhang shelving systems:

A

Can become contaminated

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36
Q

The bottom shelf of any sterile storage system should be:

A

SOLID
8-10 inches from the floor

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37
Q

Which of the following is the most important factor for effective teamwork:

A

Attitude

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38
Q

Kerrison and laminectomy rongeurs should be tested using:

A

An index card

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39
Q

Which of the following can be removed from outer shipping cartons in the breakout area and placed don’t a sterile storage shelf?

A

Shelf Cartons

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40
Q

What is the concept of event-related shelf life?

A

A package remains sterile until an event occurs to the package that may compromise its sterility.

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41
Q

(EO) Ethylene Oxide sterilized items are aerated to remove residual:

A

EO (Ethylene Oxide)

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42
Q

What is the (PEL) Permissible Exposure Limit

A

The maximum amount or concentration of a chemical that a worker may be exposed to under OSHA regulations

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43
Q

Which of the following is NOT recommended for use as a packaging material with EO sterilization?

A

Aluminum Foil

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44
Q

(SDSs) Safety Data Sheets are provided by:

A

The product manufacturer

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45
Q

Which of the following is compatible with H2O2 gas plasma sterilization?

A

Metal

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46
Q

When combining loads on a sterilizer cart, the proper way to load a sterilizer is to place:

A

Rigid containers on the bottom shelf

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47
Q

The CMS states that IUSS should NOT be performed on:

A

Implants unless there is a documented EMERGENCY

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48
Q

(SP) Sterile Processing Technicians need to understand the anatomy of a Steam Sterilizer in order to:

A

Understand how the sterilizer operates

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49
Q

The weakest part of a steam sterilizer is the:

A

DOOR

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50
Q

Both AORN and TJC recommend that:

A

The use of IUSS be minimized or decreased

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51
Q

When can a sterilizer cart be unloaded?

A

When an infrared device shows that the items have cooled to room temperature.

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52
Q

The largest customer of Sterile Processing is:

A

The (OR) Operating Room

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53
Q

When you are loading the steam sterilizer, it is important to remember:

A

-Basin sets should be placed on EDGE and TILTED
- Solid containers should be placed so that air can escape
-There should be visible space between packs

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54
Q

Which of the following is a disadvantage of rigid sterilization containers?

A

Additional cycle time may be required to thoroughly dry the contents

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55
Q

One benefit of using a sterilizer with a jacket is that the jacket

A

Minimizes the amount of condensation(moisture) that forms when hot steam contacts the chamber walls

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56
Q

How should a freshly sterilized set or item be tested to determine if it is cool enough to transport?

A

Use an infrared device

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57
Q

The process by which instruments are sterilized for urgent use is called:

A

IUSS (Immediate Use Steam Sterilization)

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58
Q

Heart valves and pacemakers are classified by the FDA as:

A

Class 3 medical devices

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59
Q

What type of packaging system can be used for IUSS

A

A containment device that has been validated for IUSS

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60
Q

Count sheets are used to:

A

Provide a detailed list of tray contents

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61
Q

When placing hinged instruments into an instrument tray you must:

A

Unlock the handles and open the instruments

62
Q

Some factors that can cause sterilant contact failure are:

A

Devices with soil remaining

63
Q

When soiled instrumentation is found during the assembly process, the:

A

The instrument and the tray it was in should be sent to the decontamination area for re-cleaning

64
Q

What can create a pathway for microorganisms to travel from the outside of a package to the inside of a package?

A

Moisture

65
Q

When double peel packing using plastic peel packs:

A

Seal a pack, place it inside another slightly larger outer pack, and seal the outer pack

66
Q

When sterile storage shelves are cleaned, what should happen to the sterile packages on the shelves? They should be:

A

Carefully removed from the shelf during cleaning

67
Q

The first step to inspect the insulation of a laparoscopic instrument is to:

A

Check the collar at the distal tip

68
Q

To prevent instrumentation breaking in a washer-disinfector, how should delicate instruments be loaded?

A

Confined in approved, small, perforated baskets with approved lids

69
Q

Pneumatic cords are a cleaning concern because:

A

They are dark in color, so gross soil is difficult to see

70
Q

SEMI-Rigid Endoscopes:

A

Are used during urological procedures

71
Q

In a peel pack, instrument tips should be placed towards the:

A

Plastic side of the package

72
Q

Which of the following is an advantage of minimally invasive surgery (MIS)?

A

Shorter recovery times

73
Q

Items to be disinfected or sterilized at the point of use must be:

A

Properly cleaned per the manufacturer’s IFU

74
Q

Supercut or microgrind scissors are usually identified by:

A

Black Handles

75
Q

Hemostatic clamps and other instrumentation that ar introduced directly into the bloodstream are classified as:

A

Critical Devices

76
Q

Surgical instrumentation is carefully inspected for cleanliness and functionality in the _____ area of the Sterile Processing Department.

A

Preparation and Packaging

77
Q

The purpose of a suction stylet is to:

A

Unclog the suction during surgery

78
Q

The US FDA classifies sterilization packaging as a:

A

Class 2 Medical Device

79
Q

_____ is a process that uses polymer resin combined with other additives to form a powder that is then sprayed onto an instrument:

A

Powder Coating

80
Q

Outside shipping containers:

A

Should be removed before bringing items into the sterile storage area.

81
Q

The origin of most medical terms is either:

A

Greek or Latin

82
Q

How are items that have been processed using HLDs dried?

A

With HEPA-filtered air

83
Q

The use of heat to kill all microorganisms except spores is called:

A

Thermal Disinfection

84
Q

When sterile processing technicians assemble instrument sets:

A

Heavier instruments should be placed on the bottom of the tray

85
Q

What are classified as HLDs?

A

Glutaraldehyde and OPA

86
Q

How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection?

A

5-10 minutes

87
Q

When is point-of-use treatment performed?

A

Immediately AFTER use

88
Q

How often should eyewash/shower stations be activated to verify that they are performing to standards?

A

Weekly

89
Q

Devices listed as CRITICAL items must be _____ before being used.

A

Sterilized

90
Q

Water must be degassed each time the ultrasonic cleaner’s tanks is changed because the excess bubbles:

A

Reduce the energy of the CAVITATION process

91
Q

During instrument manufacturing, the process that is used to build a protective layer of CHROMIUM OXIDE on the instrument’s surface is called:

A

Passivation

92
Q

Instrument lubrication is performed:

A

AFTER cleaning

93
Q

Powered surgical instruments:

A

Cannot be IMMERSED

94
Q

A low-level disinfectant that is incompatible with soap:

A

(QUATS) Quaternary Ammonium Compounds

95
Q

Which of the following is an acceptable sterilization practice?

A

Preparing instruments so the sterilant can easily contact all surfaces

96
Q

Sterile Processing workflow should go from:

A

Soiled to Clean

97
Q

Automatic dosing units are used to:

A

Deliver a SPECIFIC and CONSISTENT amount of detergent to water to produce the CLEANING SOLUTION

98
Q

These types of chemicals are used on animate (living tissue) items to slow the growth of microorganisms:

A

Antiseptics

99
Q

Thermal Disinfection is accomplished using:

A

Heat

100
Q

Which of the following organizations CONDUCTS ONSITE SURVEYS of healthcare facilities:

A

(TJC) The Joint Commission

101
Q

Before transporting any soiled devices, Sterile ProcessingTechnicians should be aware of:

A

The ERGONOMIC principles of LIFTING, PUSHING, and PULLING

102
Q

The tissue covers the body’s external surface:

A

Epithelial Tissue

103
Q

Tissue, Body Fat, Blood, and other bodily substances are all examples of:

A

Gross Soil

104
Q

The floors and walls in the decontamination area of Sterile Processing should be:

A

Constructed to TOLERATE cleaning chemicals

105
Q

This agency may intervene in a matter of worker protection, even if there are no specific regulations covering the situation:

A

(OSHA) Occupational Safety and Health Administration

106
Q

Healthcare regulations and standards provide consistency in departmental activities by outlining:

A

MINIMUM levels of QUALITY and SAFETY

107
Q

To prevent aerosolization

A

Items should be brushed BELOW the surface of the water

108
Q

The US DOT enforces statutes relating to the transportation of:

A

CLEAN and SOILED instruments between facilities

109
Q

During handwashing hands should be lathered and scrubbed for at least:

A

20 seconds

110
Q

Injuries or disorders of the muscles, nerves, tendons, and/or joints are called:

A

Musculoskeletal Disorders

111
Q

An FDA Class 1 Medical Device recall:

A

This means HIGH RISK; there is a reasonable chance the product will cause serious health issues or possibly death

112
Q

Watches and other jewelry should NOT be worn in the Sterile Processing work areas because:

A

They harbor bacteria

113
Q

The suffix -oscopy means:

A

Visual Examination

114
Q

Microbiology is the study of:

A

Microorganisms

115
Q

Floors in the Sterile Processing Department should be:

A

Wet Mopped Daily

116
Q

This agency regulates the manufacturer of all Medical Devices. It also regulates sterilants, HLDs, packaging materials, and quality monitors such as biological indicators that are used in the Sterile Processing Department.

A

FDA

117
Q

The term -intercostal means:

A

Between the ribs

118
Q

When putting on your PPE, the first thing you should put on is your:

A

Gown

119
Q

Microorganisms reproduce by a process called:

A

Binary Fission

120
Q

Is Staphylococcus Aureus classified as a GRAM-POSITIVE bacteria? (T/F)

A

True

121
Q

What could be a consequence for a healthcare facility NOT following regulations and standards?

A

The facility could face LEGAL consequences

122
Q

Due to the difficulty of cleaning items that have been contaminated with prions:

A

-Disposable instruments SHOULD be used during the procedure
-Heat-sensitive items should NOT be used because they will likely be destroyed during cleaning
-If REUSABLE items are used, guidelines suggest disposing of the items contaminated with HIGH-RISK tissue

123
Q

Considered the single most EFFECTIVE and IMPORTANT factor in REDUCING infections:

A

Hand Hygiene

124
Q

The throat is also called or known as the:

A

Pharynx

125
Q

Soiled instruments and other items are received in this area of the Sterile Processing Department

A

Decontamination

126
Q

The pupil is the:

A

Circular opening that controls the amount of light entering the eye

127
Q

The absence of microorganisms that cause disease is called:

A

Asepsis

128
Q

The surgical procedure to remove the stomach:

A

Gastrectomy

129
Q

Anaerobic bacteria can survive WITHOUT:

A

Oxygen

130
Q

The functional center of a cell (the “brain center”) that governs activity and heredity is called the:

A

Nucleus

131
Q

Robotic Instruments:

A

Are processed in the same manner as laparoscopic instruments

132
Q

KNOWING and UNDERSTANDING medical terminology helps SP Technicians:

A

Understand what is asked when REQUEST is made

133
Q

Asepsis can be defined as the:

A

ABSENCE of microorganisms that cause disease

134
Q

The suffix -ectomy means:

A

Surgical Removal

135
Q

Hypoglycemia means:

A

Low Blood Sugar

136
Q

The use of test strips to test the MINIMUM EFFECTIVE CONCENTRATION in HLD solutions is required how often?

A

EACH TIME the solution will be USED

137
Q

What is NOT a common bacterial SHAPE?

A

Cylindrical

138
Q

_____ is the first step in the STERILIZATION process.

A

Cleaning

139
Q

Decontamination of instruments and equipment starts:

A

At the Point of Use

140
Q

The use of analytical skills to solve problems and make decisions is a component of which of the following knowledge skills dimensions?

A

Employability Skills

141
Q

The term -excise means to:

A

Cut Out

142
Q

A group of employees from different departments within the healthcare facility that works together to resolve operating problems is called a:

A

Cross-Functional Team

143
Q

The most direct theory of Standard Precautions is:

A

To treat all human blood and bodily fluids as if they were all infectious.

144
Q

The basic unit of a living organism is a:

A

Cell

145
Q

Which of these have no means to move on their own?

A

Viruses

146
Q

Loaner instruments should:

A

Be decontaminated BEFORE use

147
Q

Survey readiness is the responsibility of:

A

It is EVERYONE’s responsibility

148
Q

Six Sigma FOCUSES on:

A

The delivery of “near” perfect products

149
Q

Using information gained from communication to interact effectively with others is known as:

A

Human Relations Skills

150
Q

Instrumentation should be kept together with their sets in the user are because:

A

-Chance an instrument will be lost is DECREASED
-REDUCES the risk that multi-part components will be misplaced
-REASSEMBLING of the set will not be delayed