Test 2 Flashcards

Question

Category: Cleaning, Decontamination & Disinfection You receive a cart of soiled surgical instruments in the decontamination room. What is the first step you should take? A. Inspect the instruments for any visible damage. B. Sort the instruments based on their type and size. C. Wear appropriate personal protective equipment (PPE). D. Rinse the instruments to remove any visible debris.

Answer 1

The correct answer is C: Wear appropriate personal protective equipment (PPE). Before handling any soiled instruments, it is crucial to prioritize personal safety by wearing appropriate PPE. This includes gloves, goggles, masks, and gowns, as necessary, to protect against potential exposure to contaminants or hazardous materials.

Answer 2

The correct answer is B: Use an alternative sterilization method recommended by the manufacturer It is crucial to follow the manufacturer’s instructions for sterilization. If the manufacturer advises against steam sterilization, an alternative method should be used to ensure the endoscope’s integrity.

Answer 3

The correct answer is B. Proper hand hygiene involves lathering and scrubbing hands for an adequate duration to effectively remove microorganisms. The recommended duration for handwashing is typically 20-30 seconds. This allows enough time for the soap or antimicrobial agent to work effectively in removing dirt, oils, and microorganisms from the hands. Options A, C, and D do not align with the recommended duration for proper hand hygiene.

Answer 4

The correct answer is D. Hand hygiene is a critical component of asepsis, aiming to prevent the transmission of microorganisms and maintain cleanliness. It should be performed in the following situations: Before starting work: Hand hygiene is necessary before beginning any work, especially in healthcare settings, to ensure clean hands and minimize the risk of self-contamination and contamination of others and the surrounding environment. When entering or leaving a work area: Hand hygiene is important upon entering a work area to remove any potential microorganisms acquired during the transition. Similarly, it is crucial when leaving a work area to prevent the spread of microorganisms to other areas or individuals. Before handling instruments and medical devices for sterilization: Clean hands are essential when handling instruments and medical devices that require sterilization. Practicing hand hygiene before handling these items helps prevent the introduction of harmful microorganisms and maintains the effectiveness of sterilization processes. Therefore, the correct answer is D. Hand hygiene should be performed in all of the mentioned situations to ensure comprehensive infection control and promote a safe and hygienic environment.

Answer 5

The correct answer is D. Causative agents are microorganisms that cause infectious diseases. A causative agent is the first link in the chain of infection. If you can eliminate it, then you have broken the cycle. This can be done by initiating the appropriate processes, such as using asepsis techniques to avoid cross-contamination, physically removing the contaminated substance through cleaning, and using effective disinfection and sterilization processes.

Answer 6

The correct answer is C. Floors should be wet-mopped daily or as needed.. Option D is not correct because there is no specific method of cleaning mentioned. Simply swiping is not allowed as it would raise dust, which may land on instruments and contaminate them. Also, the floor should be wet-mopped daily even if it appears physically clean, not just when it is visibly dirty.

Answer 7

The correct answer is C. All used surgical instruments must be transported in an enclosed cart to reduce or eliminate cross-contamination. This helps maintain a safe and controlled environment for handling and transporting soiled instruments.

Answer 8

The correct answer is A. Cleaning is the first and most important step in the decontamination process. One can clean without sterilization but can never sterilize without cleaning.

Answer 9

The correct answer is D. All of the above. When setting up the wash sink in the decontamination area, the SP technician should consider multiple factors to ensure proper cleaning and decontamination of instruments. A. The first sink should be filled with water and an enzymatic solution: This is important as the enzymatic solution helps in the breakdown of organic debris on the instruments, facilitating effective cleaning. B. The temperature of the water should be between 80°F to 110°F and should be monitored: The temperature of the water is crucial for optimal enzymatic activity and detergent effectiveness. It should be within the recommended range, and regular monitoring ensures consistency. C. The detergent manufacturer’s IFU should be followed: Each detergent has specific instructions for use provided by the manufacturer. Following these instructions ensures proper dilution, usage, and effectiveness of the detergent. By considering all of these factors, the SP technician can ensure an appropriate setup of the wash sink and maintain a high standard of cleanliness and decontamination in the decontamination area.

Answer 10

The correct answer is B. Excess bubbles interfere with the cavitation process, making it less effective in the cleaning process.

Answer 11

The correct answer is A. Electroplating is the process that uses electrical current in a solution to produce a metallic coating. Impingement is the mechanical spray force action of pressurized water against instruments being processed to physically remove bio-burden. Cavitation is the process used by an ultrasonic cleaner in which low-pressure bubbles in a cleaning solution burst inward and dislodge soil from instruments. Electrophoresis is a laboratory technique used to separate DNA, RNA, and protein molecules based on their sizes and electrical charge.

Answer 12

The correct answer is B. Impingement is the process by which washer-disinfectors use a high spray force of heated water and chemicals to disinfect reusable medical devices. Cavitation is the process used by an ultrasonic cleaner in which low-pressure bubbles in a cleaning solution burst inward and dislodge soil from instruments. Electrophoresis is a laboratory technique used to separate DNA, RNA, and protein molecules based on their sizes and electrical charge. Electroplating is the process that uses electrical current in a solution to produce a metallic coating.

Answer 13

The correct answer is D. All of the above factors should be considered for the proper and effective use of the washer disinfector. When using a mechanical washer, SP technicians should keep in mind several important factors to ensure the effectiveness and proper functioning of the equipment according to the manufacturer’s recommendations. Let’s examine each option and the rationale behind it: A. Remove all disposable items, such as filters, that may clog the water: Disposable items like filters can potentially obstruct the water flow within the washer, leading to inadequate cleaning and disinfection. Removing these items ensures unimpeded water circulation and enhances the washer’s performance. B. Do not overload the water racks, and spray arms should move freely during operation: Overloading the water racks can hinder the proper circulation and distribution of water, resulting in incomplete cleaning and disinfection. It is crucial to maintain sufficient spacing between items and allow the spray arms to move freely to ensure thorough coverage of water during the washing process. C. Disassemble all instruments, and small parts should be placed inside an approved container device: Disassembling instruments before placing them in the washer allows for better access to all surfaces and ensures proper cleaning and disinfection. Placing small parts in an approved container device prevents their loss or damage during the washing cycle. It also helps in organizing and facilitating the reassembly process. By considering and implementing these factors, SP technicians can optimize the performance of the washer disinfector, promote effective cleaning and disinfection of instruments, and adhere to the manufacturer’s recommendations.

Answer 14

The correct answer is C. Antiseptics are used on the body, while disinfectants are used on non-living things.

Answer 15

The correct answer is D. Chlorine is a member of the halogen family and may be found in SPD as a hypochlorite solution.

Answer 16

The correct answer is C. Containers should be replaced when they are 75% full. Sharps containers should not be overfilled, as it increases the risk of injury and may compromise the integrity of the container. When a sharps container reaches approximately 75% of its capacity, it should be replaced to ensure safe and proper disposal of sharps. This allows for adequate space and prevents overflow or accidental exposure to used sharps

Answer 17

The correct answer is C. Use specialized oversized containers for such items If a soiled item is too large or bulky to fit in a standard container, specialized oversized containers should be used. These containers are designed to accommodate larger items safely and effectively during transportation.

Answer 18

The correct answer is A. Items that come into contact with intact skin Non-critical items in Spaulding Classification refer to items that come into contact with intact skin, such as blood pressure cuffs, stethoscopes, or crutches. These items have a low risk of transmitting infection and typically require low-level disinfection.

Answer 19

The correct answer is A. Document the issue and report it to the supervisor. If a soiled item is found to be damaged or missing parts during transportation, it should be documented, and the issue should be reported to the supervisor. This ensures proper tracking, assessment, and resolution of the issue to maintain the quality and safety of the processing operations.

Answer 20

The correct answer is C. Critical Critical items in Spaulding Classification require the highest level of disinfection or sterilization. This is because they come into contact with sterile tissues and have the highest risk of transmitting infection.

Answer 21

The correct answer is D. Channel cleaning brushes Channel cleaning brushes should be used to brush the channels. These brushes are specifically designed for the size and shape of the endoscope channels, allowing for effective cleaning without causing damage. Abrasive scrub brushes (option A) can damage the delicate surfaces of the endoscope. Toothbrushes (option B) are not suitable for cleaning endoscope channels as they may not reach all areas and can introduce contaminants. Disposable swabs (option C) are useful for cleaning external surfaces but are not effective for cleaning the channels.

Answer 22

The correct answer is D. Infection prevention The six elements of the chain of infection are causative agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host. Infection prevention refers to the measures taken to interrupt the chain of infection but is not one of the elements.

Answer 23

The correct answer is B. False In the packing area, casual clothing, such as jeans or t-shirts, is not acceptable even if they are clean and in good condition. Dress code requirements usually call for more formal attire, such as scrubs or uniforms, to maintain a professional appearance and minimize the risk of contamination. Referance Chapter: Assembly and Packaging

Answer 24

The correct answer is A. All of the above. When selecting packaging materials for delicate surgical instruments, it is important to consider their compatibility with sterilization methods, their resistance to tears, punctures, and moisture, and their ability to provide cushioning and protection to the delicate instruments.

Answer 25

The correct answer is B. Discard the material and replace it with a new, undamaged one. Even a small tear near the seal of a packaging material can compromise its integrity and the sterility of the packaged items. It is crucial to discard the damaged material and replace it with an undamaged one to ensure the packaging process is carried out properly.

Answer 26

The correct answer is C. Explain the dress code requirement and provide the staff member with suitable footwear options. In this scenario, it is important to address the dress code requirement immediately to maintain a safe working environment. By explaining the requirement and offering suitable footwear options, you can ensure compliance with the dress code policy.

Answer 27

The correct answer is B. Dispose of the expired lubricant and find a replacement from the department’s stock. Using expired lubricant may compromise the effectiveness and quality of lubrication. It is important to dispose of the expired lubricant and find a replacement from the department’s stock to ensure proper lubrication of the equipment

Answer 28

The correct answer is C: Consult the manufacturer’s instructions for specific decontamination guidelines. Complex robotic surgical instruments have unique decontamination requirements. It is essential to consult the manufacturer’s instructions or guidelines for specific decontamination procedures to ensure proper cleaning and maintenance of these instruments.

Answer 29

The correct answer is B: Familiarize yourself with the manufacturer’s instructions before operation. Familiarizing yourself with the manufacturer’s instructions is essential to ensure safe and effective operation of the heat sealer. Following the recommended guidelines helps prevent accidents and damage.

Answer 30

The correct answer is D. The importance of point-of-use treatment and transportation of surgical instruments includes the removal of gross soil to prevent damage, prevention of cross-contamination to keep others safe, and ensuring timeliness in handling and processing instruments. All of these factors contribute to maintaining quality and safety in instrument management.

Answer 31

The correct answer is C. Report the incident to a supervisor and seek immediate medical attention In the event of a sharps injury, it is crucial to report the incident to a supervisor or responsible authority within the healthcare facility. Seeking immediate medical attention is also necessary to assess the injury, receive appropriate treatment, and follow any necessary protocols for potential exposure to infectious materials.

Answer 32

The correct answer is D. All of the above Preparing the work area before packaging serves multiple purposes. It ensures compliance with regulatory requirements, enhances the efficiency of the packaging process, and minimizes the risk of contamination by creating a clean and organized environment.

Answer 33

The correct answer is A. Before each use Sharpness testing should be performed before each use of surgical instruments to ensure their sharpness and prevent potential harm during procedures.

Answer 34

The correct answer is C. It offers an extra layer of protection against contamination. Double pouch packaging provides an extra layer of protection against contamination, which enhances the sterility and integrity of the packaged item.

Answer 35

The correct answer is C. The expiration date of a sterilized item must be followed and cannot be extended based on visual inspection or personal judgment. It is essential to adhere to established expiration dates to maintain patient safety.

Answer 36

The correct answer is B. On the plastic side of the peel pouch. When labeling a peel pouch, it is recommended to write the necessary information on the plastic side of the peel pouch. This ensures that the label remains visible and legible even after sterilization.

Answer 37

The correct answer is B. Attach the leak tester and pressurize the scope without submerging it in water A dry leak test for a flexible endoscope should be performed by attaching the leak tester to the endoscope and pressurizing the scope without submerging it in water. The dry leak test is conducted to check whether the endoscope is watertight and free from any leaks. The scope is pressurized using a hand pump or an automated system, and the pressure is monitored using a gauge. If the pressure drops during the test, it indicates a leak in the endoscope, and it should be sent for repair. This method of leak testing is recommended by some manufacturers and is an important step in ensuring the integrity of the endoscope before further cleaning and disinfection processes.

Answer 38

The correct answer is B. Precleaning The first step in the cleaning process for flexible endoscopes is precleaning. Precleaning involves the removal of gross debris from the external surfaces and internal channels of the endoscope. It is important to begin cleaning at the point of use to prevent blood or protein material from drying on the instrument.

Answer 39

The correct answer is D. To remove gross soil from instruments. The primary purpose of point-of-use preparation is to remove gross soil from instruments before their transport to the central service decontamination area. It is the initial step in the cleaning process.

Answer 40

The correct answer is B. They should be placed in a separate container. Reusable sharps, such as needles and cutting edges, should be separated from other instruments during point-of-use preparation. Placing them in a separate container reduces the risk of injuries from sharps and facilitates easy identification

Answer 41

The correct answer is A. Soft, lint-free cloth or sponge Using a soft, lint-free cloth or sponge is recommended to clean the exterior of the endoscope during the cleaning process to avoid damaging the equipment

Answer 42

The correct answer is B. Yellow test material Scissors 4″ or smaller should be tested using yellow test material (latex or latex-free). This material is suitable for testing the cutting ability of small scissors.

Answer 43

The correct answer is D. Chemical disinfectants Chemical disinfectants used in Central Service areas can be classified as hazardous waste due to their potential environmental and health risks. Proper disposal methods for these chemicals should be followed to prevent contamination and harm to the environment.

Answer 44

The correct answer is D. Chemical Reaction The fire triangle consists of three components: combustible/flammable substance, source of ignition, and source of oxygen. These three elements must be present simultaneously for a fire to occur. The combustible/flammable substance provides the fuel, the source of ignition initiates the fire, and the source of oxygen sustains the combustion process. The chemical reaction is not a separate component but rather the result of the interaction between the three components.

Answer 45

The correct answer is B. False The procedure used by healthcare facilities to confirm that the validation undertaken by the equipment manufacturer applies to the specific setting is called verification, not validation. Verification and validation are two distinct terms with different meanings in the context of healthcare facilities: Verification: Verification refers to the process used by healthcare facilities to confirm that the validation performed by the equipment manufacturer applies to their specific setting. It involves checking and ensuring that the equipment functions as intended and meets the specified performance criteria within the facility’s unique environment. Verification assures that the equipment will perform effectively and reliably in the specific healthcare setting. Validation: Validation, on the other hand, is the procedure conducted by the equipment manufacturer to demonstrate and document that their equipment meets predefined specifications and requirements. It involves rigorous testing and analysis to verify the performance, safety, and efficacy of the equipment. Validation ensures that the equipment is designed and manufactured to perform consistently and accurately as intended. Therefore, in the given statement, the correct answer is B. False, as verification is the procedure used by healthcare facilities to confirm the applicability of the manufacturer’s validation to their specific setting.

Answer 46

The correct answer is B. False Education and training records should be updated regularly for existing staff to document ongoing training, certifications, and professional development.

Answer 47

The correct answer is C. A STAT order refers to an urgent or emergency request for supplies or materials that are needed immediately. In this scenario, the manager recognized the urgency of the situation and placed a STAT order with the supplier to ensure the prompt delivery of label rolls. STAT orders are commonly used in healthcare settings when there is a critical need for essential items to maintain uninterrupted workflow and patient care.

Answer 48

The correct answer is C. Tamir’s certification information, including the certification name and date of achievement. Documenting Tamir’s certification information, including the certification name and date of achievement, in his education and training records is essential. It provides proof of his qualifications and demonstrates his commitment to maintaining expertise in the field of instrument sterilization.

Answer 49

The correct answer is B: Discard the package and use an alternative sterile item. The correct answer is Indicator tape on packaging serves as a visual indicator of proper sterilization. If the tape does not indicate sterilization, it is not safe to assume that the contents are sterile. Discarding the package and using an alternative sterile item is the appropriate action to avoid potential contamination.

Answer 50

The correct answer is C: Look for the SDS on the manufacturer’s website or contact the manufacturer. SDS provides important information on hazards, handling, and disposal of chemical solutions. If you cannot find the SDS, check the manufacturer’s website or contact them directly for the necessary information.

Answer 51

The correct answer is B. OSHA functions mainly to ensure safe and healthy working conditions for workers in the United States. It requires employers to provide free personal protective equipment (PPE) and Hepatitis B vaccines to employees who may be exposed to blood and other bodily fluids.

Answer 52

The correct answer is B. The FDA regulates high-level disinfectants and Liquid Chemical Sterilants (LCS) used to process medical devices and surgical instruments. OSHA (Occupational Safety and Health Administration) functions mainly by ensuring safe and healthy working conditions for workers by setting and enforcing standards and providing training, outreach, education, and assistance. AAMI (Association for the Advancement of Medical Instrumentation) is a non-profit organization that develops and publishes standards detailing the proper production quality for medical instrumentation and the procedures in which they are used. HSPA (Healthcare Sterile Processing Association)

Answer 53

The correct answer is A. Permissible exposure limit (PEL) is the maximum amount or concentration of a chemical that a worker may be exposed to under OSHA regulation. Time-weight average (TWA) is the amount of substance an employee should be exposed to over eight hours per day. Sterility assurance level (SAL) is the probability of viable microorganisms being present in a device after sterilization.

Answer 54

The correct answer is A. Joint Commission International (JCI) is a private nonprofit organization that develops standards for healthcare facilities and often arrives unannounced at an inspection facility.

Answer 55

The correct answer is B. To ensure proper air filtration and ventilation Appropriate air exchanges in Central Service work areas are crucial to ensure proper air filtration and ventilation. This helps maintain a clean and safe environment by removing contaminants and ensuring the circulation of fresh, filtered air

Answer 56

The correct answer is A. Positive air pressure in the clean area and negative air pressure in the dirty area. It is recommended to maintain positive air pressure in the clean area and negative air pressure in the dirty area of the Central Service department. This helps prevent cross-contamination by ensuring that air flows from the clean area to the dirty area, minimizing the risk of contaminants spreading to clean areas.

Answer 57

The correct answer is A. All employees. All employees in the Central Service department are responsible for identifying and reporting workplace hazards. Creating a culture of hazard identification and reporting empowers employees to contribute to maintaining a safe work environment.

Answer 58

The correct answer is D. All of the above. Employees can contribute to risk management in the Central Service department by following established protocols and procedures, suggesting improvements to existing processes, and actively participating in risk assessments and safety audits. Their involvement strengthens the overall risk management efforts.

Answer 59

The correct answer is B. It may lead to an investigation of sterilization process effectiveness. Accurate and complete records are essential to demonstrate compliance with standards and regulations, and the absence of proper documentation may raise concerns about the effectiveness and reliability of the sterilization processes.

Answer 60

The correct answer is D. All stakeholders, including manufacturers, healthcare providers, and industry experts AAMI standards are developed through a collaborative effort involving all stakeholders, including manufacturers, healthcare providers, and industry experts. This diverse input ensures that the standards reflect a comprehensive understanding of the field and promote the best practices and safety measures.

Answer 61

The correct answer is C. High risk In a Class I FDA recall, the product poses a high risk of causing serious health problems or death. The recall is initiated to address this significant health risk.

Answer 62

The correct answer is D. To provide detailed safety information about hazardous materials. A Material Safety Data Sheet (MSDS) is a document that provides detailed safety information about hazardous materials. It includes information on potential hazards, proper handling and storage procedures, emergency response measures, and more.

Answer 63

The correct answer is C. Immediately remove the device from inventory and follow the recall instructions. In this scenario, receiving a recall notification indicates potential safety concerns with the specific medical device. The appropriate action is to immediately remove the device from inventory and follow the recall instructions provided by the supplier to ensure patient safety and compliance with regulatory requirements.

Answer 64

The correct answer is B. FDA (Food and Drug Administration) The Safe Medical Devices Act of 1990 mandates healthcare facilities to report medical device malfunctions to the FDA.

Answer 65

The correct answer is B. Association for the Advancement of Medical Instrumentation The abbreviation AAMI stands for the Association for the Advancement of Medical Instrumentation. AAMI is an internationally recognized organization that plays a crucial role in developing standards, guidelines, and best practices for the medical device industry. Their work focuses on promoting the safe and effective use of medical instruments, improving patient care, and advancing healthcare technology.

Answer 66

The correct answer is C. Class III. Class III FDA recalls involve devices with low risk and are not likely to cause adverse health consequences. However, the recall is necessary to address the violation of FDA law, ensuring compliance with regulations.

Answer 67

The correct answer is A. True According to the principle of asepsis techniques, any open surgical instrument tray should be considered dirty.

Answer 68

The correct answer is B. False The information classifies EtO as a toxic gas classified by OSHA as a carcinogen and reproductive hazard.

Answer 69

The correct answer is B. Inform your immediate supervisor. When the temperature exceeds the recommended range in the Central Service area, it is important to notify your immediate supervisor. They will assess the situation and take appropriate actions to address the deviation, such as contacting the facilities department.

Answer 70

The correct answer is B. Remove some instruments to allow adequate steam circulation. Overloading the sterilizer chamber can compromise steam circulation, leading to ineffective sterilization. In this scenario, it is important to remove some instruments to ensure proper steam penetration and adequate sterilization of all items. Referance Chapter: High-Temperature Sterilization

Answer 71

The correct answer is D. Investigate the issue, document it, and notify the appropriate personnel and reprocess it The indicator tape not changing color may indicate a potential problem with the sterilization process. It is important to investigate the issue, document the occurrence, and notify the appropriate personnel, such as the supervisor or infection control team, for further assessment and corrective actions. Referance Chapter:Monitoring and Recordkeeping

Answer 72

The correct answer is A Clean it daily with a non-abrasive brush and mild detergent.. The chamber drain strainer should be removed at least daily and cleaned under running water using a non-abrasive brush and a mild detergent. This helps ensure efficient air removal and prevents blockage.

Answer 73

The correct answer is A. The jacket plays a crucial role in the proper functioning of sterilization equipment by providing insulation and minimizing heat loss. It helps maintain the desired temperature and prevents fluctuations that could affect the sterilization efficacy. By circulating steam in the jacket, the equipment achieves efficient heating and ensures the sterilization process is effective. Understanding the different components of sterilization equipment, such as the jacket, is essential for operating and monitoring the equipment effectively. It helps ensure that proper sterilization conditions are maintained, resulting in the safe and effective sterilization of instruments and equipment in the central service department.

Answer 74

The correct answer is B. The chamber drain is located at the center or in front of the floor of the steam sterilizer.

Answer 75

The correct answer is C. The process whereby steam enters the chamber and, because air is heavier than steam, it forces the cooler air to the bottom of the chamber.

Answer 76

The correct answer is B. Ethylene Oxide Gas is a toxic gas classified by OSHA as a carcinogen and reproductive hazard.

Answer 77

The correct answer is D. All of the above. Ethylene Oxide should not be used to sterilize liquids because it will combine with the liquid and may produce harmful chemical by-products. Devices with an energy source could create a spark in the sterilization chamber during the sterilization cycle. Leather items contain chemicals used in the tanning process that will combine with Ethylene Oxide to form chlorohydrin, which can cause negative health effects.

Answer 78

The correct answer is B. Potential hazards and precautionary measures Safety Data Sheets (SDS) for sterilization chemicals provide information about potential hazards associated with the chemical, such as health effects, flammability, or reactivity. They also provide precautionary measures for safe handling, storage, and disposal.

Answer 79

The correct answer is B. When working with any quantity of the chemical. Personal protective equipment (PPE) should be worn when working with any quantity of sterilization chemicals to minimize the risk of exposure. PPE may include gloves, goggles

Answer 80

The correct answer is C. They accommodate workers of different heights and sizes. Adjustable workstations contribute to ergonomics in Central Service by accommodating workers of different heights and sizes. This ensures that each worker can adjust the workstation to their specific needs, promoting proper posture and reducing the risk of musculoskeletal injuries.

Answer 81

The correct answer is A. The facilities/ Engineering department. If the humidity level in the Central Service area falls below the recommended range, it is necessary to inform the facilities/Engineering department. They are responsible for maintaining the appropriate environmental conditions and can take corrective measures.

Answer 82

The correct answer is C. Daily The chamber drain strainer of the steam sterilizer should be removed and cleaned at least Daily. This helps prevent the buildup of debris, sediment, or any other contaminants that may impede proper drainage and affect the sterilization process. Regular cleaning ensures the strainer functions effectively and maintains the sterility of the chamber.

Answer 83

The correct answer is A. Once a week Leak tests should be performed at least once a week in an empty sterilizer chamber. This test is important to ensure the integrity of the chamber and the sealing mechanisms. By conducting regular leak tests, any potential leaks or issues can be identified and addressed promptly, ensuring the sterilization process is effective and the chamber maintains its functionality and safety.

Answer 84

The correct answer is A. To remove air and facilitate steam penetration. The vacuum system in a high-temperature sterilizer is designed to remove air from the chamber, creating a vacuum environment. This allows for better steam penetration and ensures efficient sterilization of the items being processed.

Answer 85

The correct answer is C. Plasma sterilization Plasma sterilization is a low-temperature method that involves the use of hydrogen peroxide gas plasma and radiofrequency energy. This process creates a plasma state in the chamber, which generates reactive species that sterilize the items.

Answer 86

The correct answer is A. Bacillus atrophaeus spore Bacillus atrophaeus spore is the microrganism of choice for biological monitoring in EtO sterilization.

Answer 87

The correct answer is B. To determine the minimum amount required for each item Establishing par levels for inventory items involves determining the minimum quantity of each item that should be maintained in stock. Par levels ensure that an adequate supply is available to meet demand and enable timely stock replenishment

Answer 88

The correct answer is A. To remove residual EtO from the chamber. Aeration is the process in which sterilized packages are subjected to moving air to remove toxic residuals, such as EtO, after exposure to the sterilizing agent.

Answer 89

The correct answer is C. 40% to 80% The recommended relative humidity range critical to the penetration of bacterial cells and successful sterilization in EtO sterilization is 40% to 80%.

Answer 90

The correct answer is A. Bowie-Dick test The Bowie-Dick test is used to evaluate the air removal capability of a prevacuum steam sterilizer. This test aims to detect air entrapment within the sterilizer by using a specific test pack that contains a temperature-sensitive indicator. If the indicator shows a uniform color change, it indicates that the sterilizer effectively removed air during the pre-vacuum phase.

Answer 91

The correct answer is D. All of the above Perforated or mesh-bottomed trays or baskets enhance air removal, steam penetration, and condensate drainage.

Answer 92

The correct answer is A. With visible space between packs Solid containers should be positioned in a way that allows air to exit and steam to enter, with visible space between packs to allow steam circulation and drying.

Answer 93

The correct answer is B. 121°C (250°F) Steam sterilization typically requires a minimum temperature of 121°C (250°F) to achieve effective sterilization. This temperature ensures the destruction of microorganisms, including bacterial spores.

Answer 94

The correct answer is D. Ethylene oxide sterilizer Ethylene oxide sterilizers are used for sterilizing heat and moisture-sensitive items that cannot withstand the high temperatures of steam sterilization.

Answer 95

The correct answer is B. Root cause analysis refers to the process of identifying the fundamental cause or causes of an issue or problem. In this case, the team is asked to contribute their ideas on the key underlying factor that may be causing the incidents to address them and improve quality production and monitoring.

Answer 96

The correct answer is B. Appendicitis Appendicitis refers to the inflammation of the appendix. It is a common condition that often requires surgical removal of the appendix through an appendectomy.

Answer 97

The correct answer is A. Prioritize preparing critical instruments for the emergency surgery. In this scenario, patient safety and immediate needs take precedence. Prioritizing the task of preparing critical instruments for the emergency surgery ensures that essential equipment is readily available when needed, aligning with the central service department’s primary objective of supporting patient care.

Answer 98

The correct answer is C: Discuss the suggestion and evaluate its feasibility. The correct answer is In this scenario, the team should discuss the technician’s suggestion and evaluate its feasibility. Dismissing the suggestion without consideration may disregard a potentially valuable improvement. Implementing the suggestion immediately without discussion may lead to unforeseen issues and lack of buy-in from the rest of the team. Assigning the technician the task alone may create a burden and hinder teamwork. By discussing the suggestion and evaluating its feasibility, the team can collectively decide on the best course of action.

Answer 99

The correct answer is D: All of the above. To stay updated on the latest trends and advancements in the CS field, Carlos should attend educational conferences, pursue additional technical certifications, and engage in regular on-the-job training. These activities provide opportunities for learning and professional growth.

Answer 100

The correct answer is C: Respond promptly, expressing the need for prioritization and suggesting an alternative time for assistance. In customer relations, it is important to respond to requests promptly and professionally. The technician should acknowledge the request, explain the current workload, and propose an alternative time for assistance, demonstrating a willingness to help while managing priorities effectively.

Answer 101

The correct answer is B. The correct answer is B. AAMI stands for Association for the Advancement of Medical Instrumentation.

Answer 102

The correct answer is A. Rongeur A rongeur is a surgical instrument used to remove bone fragments or to scrape soft tissue.

Answer 103

The correct answer is C. Consider the urgency and importance of each task. Prioritization involves assessing the urgency and importance of each task. By considering these factors, one can make informed decisions about the order in which tasks should be addressed to ensure optimal efficiency and patient safety.

Answer 104

The correct answer is C. Both the potential risks and benefits. When evaluating different options, it is important to consider both the potential risks and benefits associated with each option. This comprehensive evaluation allows for a balanced decision-making process that takes into account the potential positive outcomes and the potential negative consequences.

Answer 105

The correct answer is C. It promotes a positive work environment. Effective teamwork in Central Service promotes a positive work environment. When team members work together collaboratively, support each other, and communicate effectively, it creates a sense of camaraderie and job satisfaction, leading to a more enjoyable work experience.

Answer 106

The correct answer is C. Clear communication and collaboration Effective teamwork in central service operations relies on clear and open communication among team members. This allows for the sharing of information, coordination of tasks, and collaboration on problem-solving. Competition among team members (option A) can lead to a breakdown in teamwork and hinder productivity. Independent decision-making (option B) may lead to inconsistent outcomes and a lack of alignment within the team. Task delegation to a single team member (option D) can create a bottleneck and overload a single individual, impacting efficiency and teamwork.

Answer 107

The correct answer is C. Balancing workload among team members Balancing workload among team members can be an ethical dilemma in Central Service. It requires fair distribution of tasks and resources, considering the well-being and job satisfaction of all team members, and ensuring equitable workloads.

Answer 108

The correct answer is A. True Inventories are the various equipment or consumable items used in providing healthcare services for patients. They can be reusable inventories, such as medical devices and sterilization containers, or consumable inventories, such as wrapping sheets and processing chemicals.

Answer 109

The correct answer is B. False Wet packs are considered contaminated and should not be used. They should be documented, reported, and undergo further investigation and reprocessing before being considered sterile and safe for use.

Answer 110

The correct answer is B. False Sterile items should never be stored directly on the floor, as it increases the risk of contamination.

Answer 111

The correct answer is C. Total quality improvement refers to a system or approach that aims to measure the current output of a process or production and make modifications or improvements to increase its efficiency and effectiveness. It focuses on continuous improvement and enhancing overall quality.

Answer 112

The correct answer is E. All of the above factors should be considered when choosing shelving in the SPD. When selecting shelving in the SPD, it should be designed to protect the sterile product, be easy to clean, and be properly sized to accommodate the stored items without overhanging.

Answer 113

The correct answer is A. Sterile storage rooms Sterile storage rooms should have positive air pressure relative to adjacent areas. This helps prevent the entry of contaminants from outside areas, ensuring the maintenance of sterility within the storage environment.

Answer 114

The correct answer is C. 4 The sterile storage room requires a sufficient number of air exchanges per hour to maintain air quality and minimize the risk of contamination. A recommended range for air exchanges in the sterile storage room is minimum 4 exchanges per hour. This helps to remove airborne particles, control humidity levels, and promote a clean and sterile environment for storing sterile supplies and instruments.

Answer 115

The correct answer is A. Periodic automated replenishment system Periodic automated replenishment is a system that automatically restocks supplies at predetermined intervals or when inventory levels reach a specified par level. It helps ensure that supplies are consistently available without the need for manual intervention or constant monitoring.

Answer 116

The correct answer is D. Just-in-time inventory system The just-in-time inventory system focuses on minimizing inventory levels by delivering supplies exactly when they are needed. This system helps reduce inventory holding costs and eliminates the need for excessive storage space while ensuring that supplies are available in a timely manner.

Answer 117

The correct answer is A. First in First Out FIFO stands for First in First Out. It is an inventory rotation method where the oldest inventory items are used or sold first, ensuring that the items with the earliest expiration dates or manufacturing dates are consumed or distributed before newer items.

Answer 118

The correct answer is A. True Patient care equipment must undergo proper cleaning and decontamination processes to maintain a safe and hygienic environment. Following facility protocols and manufacturer’s instructions ensures that the equipment is effectively cleaned, reducing the risk of cross-contamination and infection transmission.

Answer 119

The correct answer is B: Document the leakage and report it to the appropriate personnel for repair. . Leakage from an endoscope’s channels can compromise its functionality and safety during medical procedures. It is important to document the observation, report it to the appropriate personnel, and follow facility protocols for repair or replacement. Patient safety should be the priority, and using a faulty endoscope (option A or D) is not recommended.

Answer 120

The correct answer is C: Immediately report the incident to your supervisor and follow the facility’s protocol for needlestick injuries. Needlestick injuries carry the risk of exposure to bloodborne pathogens. It is crucial to report such incidents immediately and follow the facility’s protocol for needlestick injuries, which may include medical evaluation, documentation, and necessary follow-up actions.

Answer 121

The correct answer is A. The root word in medical terminology indicates the primary meaning of a term and can often provide insight into the specific area of the body where a procedure is to be performed. The root word serves as the foundation upon which prefixes and suffixes are added to create more complex terms. For example, let’s consider the term “Cardiology.” In this term, the root word is “Cardio,” which is derived from the Greek word “cardia” meaning “heart.” By recognizing the root word, we understand that “Cardiology” pertains to the study or field related to the heart. Similarly, let’s examine the term “Dermatology.” The root word here is “Dermat,” derived from the Greek word “derma” meaning “skin.” Understanding the root word allows us to identify that “Dermatology” refers to the branch of medicine focused on the study and treatment of skin conditions. In another example, the term “Hepatitis” consists of the root word “Hepat,” which comes from the Greek word “hepar” meaning “liver.” By recognizing the root word, we can infer that “Hepatitis” is related to inflammation of the liver. By analyzing the root word, we gain valuable information about the specific area of the body that a medical term is referring to. It forms the core of the term’s meaning and provides a foundation for understanding the terminology used in various medical procedures and conditions.

Answer 122

The correct answer is B. CABG stands for Coronary artery bypass graft, which is a surgical procedure used to treat coronary heart disease.

Answer 123

The correct answer is B. Perform a thorough inspection and cleaning of the equipment Before accepting loaned pateint care equipment into the Central Service department, it is important to perform a thorough inspection and cleaning of the equipment. This ensures that the equipment is in proper working condition, clean, and safe for use.

Answer 124

The correct answer is A. Occupational Safety and Health Administration. OSHA stands for Occupational Safety and Health Administration. It is a federal agency responsible for enforcing workplace safety and health regulations to protect employees.

Answer 125

The correct answer is B. Manufacturer’s IFU When testing atient care equipment, it is essential to consult the Manufacturer’s IFU for specific testing instructions. The manufacturer’s instructions provide accurate and detailed information on how to properly test and maintain the equipment, ensuring its functionality and safety.

Brainscape's Knowledge GenomeTM

Test 2 Flashcards

Brainscape's Knowledge Genome^TM