Test 3 Flashcards

Question

Category: Cleaning, Decontamination & Disinfection During the cleaning process of a washer-disinfector, you notice a strong smell coming from the drain. What should be your course of action? A. Continue working, as the smell does not affect the cleaning process. B. Use a drain cleaner to get rid of the smell. C. Check the drain and clean it according to the manufacturer’s IFU. D. Ask a colleague to confirm if they also smell it.

Answer 1

The correct answer is C. A strong smell could indicate a problem with the drain. You should inspect it and clean it according to the manufacturer’s IFU. Option A is incorrect because the smell could indicate a problem that may affect the effectiveness of the cleaning process. Option B is incorrect as the use of a drain cleaner might not be appropriate according to the IFU. Option D is incorrect because confirming the smell with a colleague does not resolve the potential issue.

Answer 2

The correct answer is D. The IFU provides specific guidelines for effective and safe cleaning of the instrument. It’s crucial to follow these instructions even if it seems that a different method might be more effective. The other options potentially risk the instrument’s integrity or effectiveness.

Answer 3

The correct answer is B. It’s essential to follow the established decontamination procedures. High-pressure water can increase the risk of aerosol formation, which can spread contamination. The other options (A, C, D) compromise safety or effective cleaning.

Answer 4

The correct answer is D. Dispose of the disinfectant and prepare a new one, following the manufacturer’s recommended exposure time. The exposure time specified by the manufacturer is critical to ensuring the effectiveness of the disinfectant. Reducing the exposure time could result in inadequate disinfection, and increasing the concentration or rinsing it off are not appropriate actions.

Answer 5

The correct answer is False. Sharps containers should always be closed when not in use, regardless of how full they are. This practice helps to prevent accidental needle sticks or contact with other sharps, and is part of standard sharps safety protocols.

Answer 6

The correct answer is B. False. The use of personal protective equipment (PPE) is necessary when performing high-level disinfection (HLD) to protect the technician from exposure to hazardous chemicals. Proper PPE, such as gloves and a lab coat, creates a barrier between the technician and the disinfectant solution, reducing the risk of skin contact or inhalation of fumes.

Answer 7

The correct answer is A. True.Point of use cleaning and decontamination refers to the practice of cleaning and decontaminating items immediately before their intended use on a patient. This process ensures that the items are free from contaminants and ready for safe use. Performing point of use cleaning and decontamination helps prevent cross-contamination and reduces the risk of infection during patient care.

Answer 8

The correct answer is B. False. Gloves are designed for single use and must be discarded after each use, regardless of whether they have come into direct contact with visibly soiled or contaminated materials. Reusing gloves can spread contamination and increase the risk of infection.

Answer 9

The correct answer is B, False. It’s not advisable to substitute cleaning agents even if they have the same active ingredients. Different brands may have varying concentrations of these ingredients, and they might also contain different inactive ingredients that could affect cleaning efficacy. Always follow the Manufacturer’s Instructions for Use (IFU) when selecting and using cleaning agents.

Answer 10

The correct answer is False. If a washer/disinfector fails an efficacy test, it does indicate a potential issue. However, it doesn’t necessarily mean the equipment needs to be immediately taken out of service. The first step should typically be to retest the equipment. If the failure repeats, then further investigation or service may be required.

Answer 11

The correct answer is False. The use of any cleaning agents, including drain cleaners, must always be in accordance with the manufacturer’s IFU. Using inappropriate or harsh cleaners can potentially damage the equipment.

Answer 12

The correct answer is False. Most linens used during surgery are not disposable but are instead sent to a laundry facility for cleaning and sterilization before reuse. It’s important to sort and handle these items properly to ensure they can be safely used again.

Answer 13

The correct answer is False. Overloading can lead to ineffective cleaning as overlapping instruments may not be adequately cleaned due to shadowing. Proper loading is critical for effective decontamination.

Answer 14

The correct answer is B. False. High-level disinfectants are not suitable for sterilizing medical instruments. While they can kill a broad spectrum of microorganisms, they do not guarantee the complete destruction of all microorganisms, including bacterial spores. Sterilization processes, such as steam sterilization or ethylene oxide sterilization, are required for achieving sterility.

Answer 15

The correct answer is D. Pause the operation and immediately refill the chemical. It’s important to maintain the proper concentration of the cleaning solution to ensure effective decontamination. Other options may result in inadequate cleaning and can risk the sterilization process.

Answer 16

The correct answer is A. If you hear an unusual sound, you should stop the machine and investigate the source. Continuing the cycle (option B) or ignoring the sound (option C) may lead to further equipment damage or ineffective cleaning. Increasing the speed of the cycle (option D) could worsen the problem.

Answer 17

The correct answer is A. Use heat-resistant gloves to handle the tray.Using heat-resistant gloves is the best practice when handling a tray containing hot instruments. These gloves provide protection against burns and allow the technician to safely handle the tray without risking injury.

Answer 18

The correct answer is A. To prevent cross-contamination between clean and dirty areas.The primary purpose of traffic flow management in a sterile processing department is to prevent cross-contamination between clean and dirty areas. By establishing clear pathways and separate zones for soiled and clean items, the risk of contamination is reduced, ensuring the delivery of sterile instruments to the operating room.

Answer 19

The correct answer is C. Using a computerized tracking system. This method is efficient, reliable, and reduces the chance of human error. Answer A is impractical and error-prone given the vast number of items to track. Answer B could lead to confusion and lost information, especially if handwriting is not clear or notes get lost. Answer D is also inefficient and reliant on the memory and presence of other technicians.

Answer 20

The correct answer is C. If the humidity level in a central service department falls below the recommended range, adding humidification devices is the appropriate corrective action. This helps restore the desired humidity levels and prevents excessive drying of materials during the sterilization process.

Answer 21

The correct answer is C. Personal jewelry. In a sterile processing environment, personal jewelry is not typically allowed due to the risk of it harboring and spreading contaminants. Hair coverings (A), scrub suits (B), and shoe covers (D) are all standard parts of the dress code to minimize the risk of contamination.

Answer 22

The correct answer is D. Return the items to the sender for proper cleaning. Soiled items should not be accepted at the service window. These items need to be sent back to the department responsible for cleaning to ensure proper initial cleaning before reaching the sterile processing department. While options A, B, and C might seem viable, they are not standard practice and can disrupt the workflow or pose a risk of cross-contamination.

Answer 23

The correct answer is C. The Manufacturer’s Instructions for Use (IFU). The IFU is the most reliable source for assembling, testing, and disassembling surgical instruments. Depending on memory (A), internet search (B), or a colleague's advice (D) may lead to mistakes or inconsistencies.

Answer 24

The correct answer is D. When the exact instrument size required is not available, it's critical to notify the appropriate personnel and not include a wrong size instrument. Options A, B, and C are incorrect because including a different size instrument can lead to problems during the procedure. The sizes of surgical instruments are specific for a reason and not interchangeable.

Answer 25

The correct answer is B. To facilitate sterilization and drying of instruments. Instrument organizers like stringers and racks are used to keep instruments organized and to ensure that sterilant can reach all areas of each instrument, facilitating sterilization and drying. They are not primarily for fitting more instruments into a tray (A), counting instruments (C), or adding weight to the tray (D).

Answer 26

The correct answer is D. Locks. Locks on rigid containers are critical indicators of whether or not the sterilization process was completed without interruption. If the lock is compromised or broken, it’s a clear sign that the sterilization process was not completed properly.

Answer 27

The correct answer is B. The Central Service Technician. Although the manufacturer often gives instructions and the surgeon may have preferences, ultimately, it is the responsibility of the Central Service Technician to select the appropriate packaging method based on sterilization type, item size, weight, and other factors.

Answer 28

The correct answer is C. When labeling a loaner instrument set, it is crucial to indicate that it's a loaner. This assists in tracking, usage, and return procedures. Options A, B, and D, while important to be included on the label, do not specifically address the special requirement for loaners.

Answer 29

The correct answer is A. Communicate with the charge nurse to coordinate the most opportune time for delivery. Communication and coordination are key in a healthcare setting. Rushing into operating rooms (option C) could disrupt ongoing procedures, while setting instruments aside until rooms are no longer in use (option B) does not address the known shortage. Leaving instruments in the processing area (option D) puts the onus on the surgical team to collect them, which is not their primary responsibility.

Answer 30

The correct answer is C. Report the problem and request immediate maintenance or replacement. Proper lighting is crucial to ensure visibility and accuracy when packaging sterile items. It needs to be adjustable as different tasks may require varying levels of lighting. Ignoring the problem or opting for either too bright (A) or too dim (D) light might cause eye strain, glare, or inadequate visibility. Using a desk lamp (B) could be a temporary solution but might not provide consistent or adequate lighting for all tasks.

Answer 31

The correct answer is A. Document the dullness and quarantine the scissors for repair. No matter how pressing the situation is, patient safety must always be the top priority. Using or sterilizing damaged equipment can compromise patient safety. Sharpening the scissors without appropriate training or tools could potentially damage the instrument further.

Answer 32

The correct answer is D. Ask the technician to partially open the hinged instruments instead. Fully opening the instruments can damage them or the others. Additionally, it can prevent sterilant from reaching all surfaces effectively. The best practice is to leave hinged instruments partially open.

Answer 33

The correct answer is C. Rigid containers. Due to the size and weight of orthopedic instruments, rigid containers provide the most protection. They can accommodate the size and weight and are suitable for steam sterilization. Peel packs, flat wraps, and heat-seal pouches are typically used for smaller, lighter instruments.

Answer 34

The correct answer is B. False.Hot trays should not be handled with bare hands. They should be handled using appropriate heat-resistant gloves to protect the technician's hands from burns or injuries. Using gloves provides a secure grip and minimizes the risk of accidents or dropping the hot tray.

Answer 35

The correct answer is True. Prioritization in healthcare often means providing resources where they are most needed. Even if certain items were processed later, if they are required urgently, they should be transferred first. This ensures that crucial resources are available when needed and is part of managing a rapid turnaround.

Answer 36

The correct answer is B. The statement is false. If the temperature in the central service department falls below the recommended range, immediate corrective actions should be taken. Operating outside the recommended temperature range can impact the effectiveness of sterilization processes and compromise patient safety. Adjusting the temperature, notifying the department supervisor, and investigating the cause are important steps to ensure compliance with standards and maintain a safe working environment.

Answer 37

The correct answer is False. Not all instruments require lubrication, and those that do, may require specific types or methods of lubrication as outlined in the Manufacturer’s Instructions for Use (IFU).

Answer 38

The correct answer is False. Always follow the Manufacturer's Instructions for Use (IFU) when disassembling items for cleaning, even if you are familiar with the instrument, to avoid damaging the item or missing crucial steps.

Answer 39

The correct answer is True. Cross-referencing is indeed an efficient and accurate method to confirm the identity of medical devices and instruments. By comparing items with their corresponding images and specifications in catalogues or databases, you can confirm that you have the correct items required for a specific tray or procedure.

Answer 40

The correct answer is B. False. The weight of the instruments is an important factor when choosing the packaging material. Heavier instruments require sturdy packaging like rigid containers, while lighter, delicate instruments can be packaged in peel packs or heat-seal pouches.

Answer 41

The correct answer is C. The packaging is intact with no rips or tears. Although all of these factors are important, a package that has rips or tears cannot maintain sterility regardless of the other conditions.

Answer 42

The correct answer is A. Refer to the Manufacturer’s Instructions for Use (IFU) for the specific checking process. The IFU is the most reliable source of information and provides specific guidelines for checking the functionality of new and complex instruments. While options B, C, and D may seem plausible, they do not guarantee the accuracy and correctness of the procedure.

Answer 43

The correct answer is C. Reversing sterilization procedures. Record keeping in a Central Service Department primarily serves to ensure compliance with standards and regulations, to verify staff training, and for legal documentation. Reversing sterilization procedures is a technical process, not a purpose of record keeping.

Answer 44

The correct answer is A. Quality test results. These records, including sterilization and bioburden testing, can best demonstrate the department's compliance with sterilization standards. The other options, while important, do not directly show compliance with sterilization standards.

Answer 45

The correct answer is C. In the Central Service Department. Maintenance records of sterilization equipment are usually stored in the Central Service Department for easy reference and to demonstrate compliance with maintenance standards. Other locations may have copies, but the primary records are stored in the Central Service Department.

Answer 46

The correct answer is A. Notify the department manager immediately. If air pressure is found to be out of compliance, the first step is to notify the department manager who can coordinate the corrective action plan. B is incorrect because continuing work as normal could compromise sterility. C is incorrect because shutting down the entire department may not be necessary. D is incorrect because immediate action should be taken and notifying the manager is the appropriate first step.

Answer 47

The correct answer is C. In a formal written report kept on file. Proper documentation of issues with environmental conditions in the CSSD should be formal, detailed, and kept on file for reference and tracking. A, B, and D are incorrect because these methods do not provide a reliable, traceable record of the issue.

Answer 48

The correct answer is A. Understanding the legal implications of the technician’s role. As part of their orientation, technicians must understand the legal aspects of their role, as governed by state and federal regulations. While knowing the names of regulators (B) may be useful, it's not essential. Lobbying for changes in regulations (C) is not a part of the technician’s role. Reciting all regulations verbatim (D) is unrealistic and unnecessary.

Answer 49

The correct answer is D. Sterilization cycle records. In this scenario, these records would be crucial as they track the sterilization history of the surgical instruments. Staff training records, schedules, and inventory logs do not provide specific details about the sterilization of the instruments involved.

Answer 50

The correct answer is D. Quality test results. These records would provide information on the effectiveness and efficiency of sterilization processes, thus guiding improvement efforts.

Answer 51

A. Immediately transfer sterile items to a cooler location

Answer 52

The correct answer is D. Remind your coworker about the importance of the policy and advise them to report the incident. This approach promotes a culture of safety and accountability. Although reporting the violation yourself (A and C) might be necessary in some cases, it's better to first encourage self-reporting. Ignoring the incident as in B) is not a responsible course of action.

Answer 53

The correct answer is False. Staff training records can highlight if lack of training or insufficient knowledge could be contributing to sterilization process issues, thereby playing a significant role in quality control reviews.

Answer 54

The correct answer is False. The location of record keeping is crucial. Records need to be easily accessible, protected from potential damage, and kept in an organized manner. This not only ensures data integrity but also allows for quick access in case of audits or incident investigations.

Answer 55

The correct answer is B. False. Adjusting the HVAC system should be done by a professional or someone trained in HVAC maintenance. An untrained person could potentially make the situation worse or cause harm. Any issues with the HVAC system should be reported for proper action.

Answer 56

The correct answer is C. Using caution tape to block off the area and then cleaning up the water is the best action. This ensures that no one slips and falls before the water can be cleaned up, as this is part of area-specific safety awareness. Option A, while proactive, fails to prevent possible accidents in the immediate aftermath. B might delay the resolution and D is not an appropriate response to safety hazards.

Answer 57

The correct answer is D. Let the sterilizer cool to room temperature before unloading. Hot items are likely to cause burns, and the sudden temperature change can compromise sterility. Option A is incorrect because it poses a safety risk. Options B and C are not recommended because they could potentially introduce contaminants or damage the sterilizer and the instruments inside.

Answer 58

The correct answer is A. Isolate the affected items and identify the cause of the failure. Immediately following a process failure, the affected items should be isolated and the cause of the failure should be identified. B, C, and D are incorrect because destroying the items, informing the administration, or all staff are not the immediate actions after detecting a failure.

Answer 59

The correct answer is C. Identification of the specific sterilizer. This is crucial for traceability in case of a recall or sterilization failure. Knowing which sterilizer was used can help identify potential problems with a specific machine.

Answer 60

The correct answer is D. Contact the facility’s engineering department. When humidity levels drop below recommended levels, this can potentially affect sterilization processes. Immediate corrective action should be taken by reporting the issue to the engineering department. While A is incorrect because continuing as normal could jeopardize sterility, B is incorrect because manually adding moisture could lead to uncontrolled humidity levels. C is incorrect as increasing the temperature doesn’t necessarily increase humidity.

Answer 61

The correct answer is D. Before using a new sterilization unit, it’s crucial to refer to the Manufacturer’s IFU to understand operational guidelines, setup procedures, and functional checks. Answer A is incorrect because using the machine without following the IFU can lead to improper handling or misuse. B is not sufficient to ensure the machine’s proper functioning. C is not relevant as the color of the machine has no bearing on its functionality.

Answer 62

The correct answer is B. Before the first sterilization cycle of the day. A leak test is performed daily before the first cycle to ensure there are no leaks in the chamber or the door seal that could affect the sterilization process. Answer A is incorrect because it is not practical or necessary to perform a leak test after each cycle. Answer C is incorrect because waiting to detect a potential leak could lead to multiple unsuccessful sterilization cycles, and answer D is incorrect because waiting for a week might be too late if a leak has occurred.

Answer 63

The correct answer is C. Steam sterilization can damage certain materials. EtO sterilization is often used for items that are heat-sensitive or moisture-sensitive and would be damaged by steam sterilization. Options A and B are incorrect because EtO sterilization is generally more time-consuming and expensive than steam sterilization. Option D is also incorrect, as both methods require specialized training.

Answer 64

The correct answer is D. Because moisture can interfere with the penetration of EtO gas. The presence of moisture can form a barrier that prevents the EtO gas from effectively penetrating the items to be sterilized. While B is technically true, it is not the primary concern in this context. A is incorrect because EtO gas actually requires a certain amount of moisture to be effective, and C is also incorrect because the heat produced is not typically enough to damage the instruments.

Answer 65

The correct answer is A. The package could be infiltrated by microorganisms. An incorrectly sealed sterilization package will compromise its integrity and may allow microorganisms to infiltrate, leading to unsuccessful sterilization. C) is incorrect because the sterilant would not necessarily evaporate faster. B) is incorrect because an improper seal would make the sterilization process less, not more, efficient. D) is incorrect because the seal does not affect the length of the sterilization cycle.

Answer 66

The correct answer is C. Arrange them side by side in a single layer, opened and disassembled. Proper loading of sterilizers is important for effective sterilization. Items should be prepared in a way that allows for the sterilant to contact all surfaces. Answer A is incorrect because piling instruments does not allow sterilant to reach all surfaces. Answer B is incorrect because individual containers are not required for each instrument. Answer D is incorrect as wrapping them together would prevent sterilant from reaching all surfaces.

Answer 67

The correct answer is C. At the most difficult location for the sterilant to reach. Biological tests/process challenge devices are placed at the most challenging location for sterilization to confirm the effectiveness of the process. Answer A, B, and D are incorrect because placing the biological tests at these locations does not confirm the sterilization process's effectiveness at its most challenging point.

Answer 68

The correct answer is A. Door gaskets. Before using a newly installed sterilizer, it is important to first check the door gaskets as per the manufacturer's IFU. If there are leaks or other issues with the door gaskets, the sterilization process may not be effective. Option B, drains, and C, carts, are also important to check but typically after initial door gasket check. D, incubator temperature verification, applies to the operation of an incubator, not a sterilizer.

Answer 69

The correct answer is C. The exposure time. Gravity displacement sterilization typically utilizes a temperature of 121°C or 132°C, and corresponding pressure of 15 psi or 27-28 psi respectively. However, the exposure time for unwrapped instruments should be at least 10 minutes, not 4. Therefore, the exposure time in this scenario is incorrect.

Answer 70

The correct answer is B. It is essential to prioritize safety in such situations. Even if you remember the training, trying to fix a malfunctioning sterilizer without the IFU is risky. You should shut down the sterilizer, mark it clearly as out of service, and continue with other tasks. A and D could lead to further problems or safety hazards, and while C might be appropriate in some cases, it may not be the most immediate response in a high-volume day.

Answer 71

The correct answer is D. Leave the sterilizer as it is and report the issue to your supervisor. A power outage could potentially affect the sterilizer's function, which might compromise the sterility of the items inside. Continuing to unload the sterilizer (Option A) or waiting for power to return (Option B) could result in unsterile items being used. Calling maintenance (Option C) is important, but it is more crucial to first notify your supervisor to address the issue and decide the next course of action.

Answer 72

The correct answer is C. Quarantine the single pack and reprocess it. The biological indicator's failure to change color indicates a potential process failure for that specific pack. As other packs passed, the issue seems isolated. Therefore, it's best to quarantine and reprocess the specific pack in question. A, B, and D are incorrect: Using the pack could risk patient safety; quarantining the entire load or recalling all items is unnecessary if only one pack failed.

Answer 73

The correct answer is D. Delay processing the load and inform her supervisor of the humidity issue. Regardless of the urgency, maintaining the correct environmental conditions is paramount for effective sterilization. Sarah should not proceed until the issue is resolved. Option A and B are incorrect because proceeding with the process in suboptimal conditions can lead to ineffective sterilization. C is not recommended as Sarah may not be able to accurately control the humidity level.

Answer 74

The correct answer is B. The first course of action should be to refer to the Manufacturer's IFU for troubleshooting guidelines. Answer A is incorrect as the printer is crucial for maintaining accurate records of the sterilization process. Answer C might be necessary later, but the IFU should be the first reference. Answer D is not recommended as it could lead to compatibility issues and disrupt the proper functioning of the sterilizer.

Answer 75

The correct answer is D. Air dry the instruments before use. Residual moisture on instruments can potentially harbor bacteria and compromise the sterility of the instruments. Therefore, they must be thoroughly dried before use. A and B are incorrect as they both risk compromising sterility. C is unnecessary if the instruments can be properly dried.

Answer 76

The correct answer is D. Both B and C. If a package's external indicator shows it as not processed despite going through the sterilization cycle, it suggests that either the package did not achieve sterilization, or the sterilizer is malfunctioning. Re-sterilizing the package is a good step, but checking the sterilizer for possible malfunction is also necessary to prevent further incidents.

Answer 77

The correct answer is C. Verify the temperature and drain conditions before changing the cycle. It is necessary to check these conditions before changing the cycle to ensure that the sterilizer is ready for a new process. Changing the cycle without checking could risk ineffective sterilization. Option A is incorrect as it doesn't take into account the need for adjustments between different sterilization processes. B is incorrect as it only addresses the change in cycle but not the other necessary verifications. D is incorrect as disinfecting the sterilizer is not a necessary step in this situation.

Answer 78

The correct answer is False. The cooling phase of the sterilization process is not just for convenience—it's a critical step to ensure the complete and effective sterilization of instruments. Bypassing this phase could lead to compromised sterilization and put patients at risk. While PPE is important for the safe handling of hot trays, it doesn't substitute for following the complete sterilization process.

Answer 79

The correct answer is B. False. If a sterilization cycle completes without meeting all the sterilization parameters, it is considered a potential process failure. The load should not be used and should be reprocessed to ensure sterility. Patient safety is paramount, and reprocessing the load is necessary to avoid risk of infection.

Answer 80

The correct answer is B) False. The guidelines for temperature and humidity in the sterile processing department are strict, and even minor fluctuations should be reported and corrected. These conditions have a direct impact on the effectiveness of sterilization, so maintaining them within the established range is crucial.

Answer 81

The correct answer is A. True. Leak tests are vital in verifying the integrity of the sterilizer's chamber and door seal. This is especially important after a repair or construction involving the sterilizer. Regular leak testing should also be part of routine maintenance to ensure the ongoing reliability and efficiency of the sterilizer.

Answer 82

The correct answer is B. False. The sterilization process varies depending on the type of sterilizer and the specific cycle used. This includes different temperature ranges, pressure levels, exposure times, and methods of moisture removal.

Answer 83

The correct answer is B) False. While sterilizers do have automated systems, it is still necessary to verify the incubator temperature regularly. This is to ensure that it is functioning properly and the temperature is maintained at the required level for effective sterilization. Any equipment, no matter how automated, can malfunction, and regular checks are part of standard operating procedures to ensure optimal performance.

Answer 84

The correct answer is D. Responding to the email professionally, expressing regret for the inconvenience, and assuring that the issue will be addressed is the most appropriate action. Ignoring the email (option A) is not professional. Expressing disagreement (option B) may escalate the situation. Forwarding the issue to your superior (option C) may be a good option, but the best choice is to take responsibility and assure the surgeon that the matter will be handled.

Answer 85

The correct answer is D. If a coworker is consistently not following proper sterilization protocols, it’s a serious issue that could affect patient safety. It should be reported to your supervisor. Ignoring the problem (option A) could lead to harm. Confronting the coworker angrily (option B) is unprofessional and unlikely to result in positive change. Discussing the issue with other coworkers (option C) could result in gossip and not solve the issue.

Answer 86

The correct answer is C. Asking the surgeon to explain the term not only helps you understand the discussion better but also shows your willingness to learn. Pretending to understand (option A) or ignoring the term (option B) could lead to misunderstandings. Changing the topic (option D) may seem evasive and unprofessional.

Answer 87

The correct answer is C. Both the sterilization personnel and the operating room staff. The sterilization personnel are experienced in sterilization techniques, while the operating room staff understand the specific requirements of the procedures they perform. Therefore, their collective decision is typically the best approach. Neither the operating room staff only (A) nor the sterilization personnel only (B) would have a comprehensive view of the situation, and the hospital administration (D) is usually not involved in such specific operational decisions.

Answer 88

The correct answer is D. All of the above. Anticipating customer needs in a busy hospital setting requires a combination of strict adherence to the sterilization schedule (A), using historical data to predict future needs (B), and regularly checking in with customers (C) to understand any changes in their requirements.

Answer 89

The correct answer is C. If you do not understand the surgical terminology used by your supervisor, the best course of action is to ask them directly for clarification. Ignoring the email (option A) would not help in improving your knowledge or the situation. Asking a coworker (option B) could potentially lead to misinterpretations. Relying on the internet for understanding context-specific medical terms (option D) can be risky as the information may not be accurate.

Answer 90

The correct answer is B. Sending a quick reply stating that you will provide the report later and giving a specific timeframe keeps the doctor informed and sets expectations. Not replying until you can attach the report (option A) can leave the doctor wondering if you received the email. Forwarding the email to a coworker (option C) may not be appropriate without permission from a supervisor. Ignoring the email (option D) is unprofessional and could affect your working relationship with the doctor.

Answer 91

The correct answer is C. Speak to management about the issue and suggest potential solutions such as hiring more

Answer 92

The correct answer is A. Regularly communicate with the operating room team to understand their needs and adjust your work schedule accordingly. The issue could be due to a lack of communication or a misunderstanding of needs, so improving communication should be the first step. Options B, C, and D may not address the root cause of the problem or may not be feasible (e.g., speeding up sterilization could compromise its effectiveness; purchasing more instruments might not be within your purview or budget).

Answer 93

The correct answer is C. The person with the most knowledge about the specific issue should lead the decision-making process. In a cross-functional team, decision making should not be based solely on seniority or role. It is most effective when led by the person with the most relevant expertise or knowledge about the specific issue. Options A, B, and D may ignore valuable input from other team members and can lead to less effective decisions.

Answer 94

The correct answer is True. All email communication within a hospital should be formal in nature. This ensures professionalism, clarity, and respect. It also eliminates the risk of misinterpretation or misunderstanding, which could potentially impact patient care.

Answer 95

The correct answer is False. A Central Service Technician should be familiar with surgical terminology and instrumentation. This knowledge helps them better understand and respond to the needs of the surgical team, ensures correct processing of instruments, and ultimately contributes to patient safety.

Answer 96

The correct answer is A. According to the AAMI, the recommended temperature range for the sterile storage area is 60°F to 70°F. Option B, 70°F to 75°F, and option D, 75°F to 80°F, are incorrect because they are above the recommended range. Option C, 50°F to 60°F, is also incorrect because it is below the recommended range.

Answer 97

The correct answer is D. Jewelry. Jewelry should not be worn in a sterile storage area because it can harbor microorganisms that can contaminate the sterile environment. Scrub suits (option A), hair coverings (option C), and shoe covers (option B) are all parts of the dress code designed to minimize contamination in sterile environments.

Answer 98

The correct answer is C. FIFO method means the last items received should be used first. This is incorrect. The First-In-First-Out (FIFO) method suggests that the first items received should be the first ones used. This helps prevent inventory from becoming obsolete or spoiling (A), reduces waste (B), and is particularly beneficial for items with expiration dates (D).

Answer 99

The correct answer is D. Both A and B. This practice, known as First-In, First-Out (FIFO), ensures that items with shorter expiration dates are used before those with longer expiration dates, thus minimizing waste due to expired items. Option C is incorrect as the manufacturing date is less important than the expiration date in inventory management.

Answer 100

The correct answer is B. Sterile gowns should be stored in closed, vented door cabinets up off the floor to maintain sterility and prevent contamination.

Answer 101

The correct answer is C. Timeliness of the delivery. Non-stock items are typically unique and needed for specific situations. Ensuring their timely delivery is crucial to avoid any delay in procedures. While cost, supplier, and brand might be important, they are secondary to the timeliness of the delivery in this context.

Answer 102

The correct answer is A. Just-in-Time (JIT) system. The Just-in-Time (JIT) system is a management strategy that aligns raw-material orders from suppliers directly with production schedules, thereby reducing the costs associated with inventory management. While FIFO and LIFO are inventory valuation methods and ABC analysis is a method to categorize inventory, JIT directly deals with efficient inventory distribution.

Answer 103

The correct answer is A. Upon noticing a deviation from the recommended humidity range, the first step should be to document the current reading and then notify your supervisor or department manager. Options C and D are not correct because they either ignore the issue or take an unnecessary step that could disrupt the hospital’s operations. Option B is not correct unless you are trained and authorized to adjust the HVAC system, which is not typically a responsibility of a CRCST.

Answer 104

The correct answer is D. Send the instruments directly to the decontamination area. The presence of dust suggests that the instruments may be contaminated, so they should be treated as such. Wiping off the dust (A) or washing the instruments (C) is not enough to ensure sterility, and could potentially spread the contamination. Returning the shipment (B) is a possibility, but since contamination might have occurred during shipping, it is more prudent to decontaminate the instruments.

Answer 105

The correct answer is B. Opened sterile packages returned from the OR should be considered contaminated and discarded. Even if unused, sterility cannot be ensured after opening. Restocking, re-sterilizing or returning compromised items risks patient safety.

Answer 106

The correct answer is C. Use the items nearing expiry first. This practice, known as stock rotation, ensures that no items expire before use, thereby minimizing waste. Option A does not prioritize items nearing expiry, while B results in unnecessary waste. Option D simply ignores the issue.

Answer 107

The correct answer is B. False. Sterile storage areas should be cleaned on a daily basis, regardless of whether or not there is visible dirt or contamination. This is necessary to minimize the risk of unseen contamination and to maintain a clean environment.

Answer 108

The correct answer is B, False. It is not correct to only check the integrity of items when there is visible damage to the shipping boxes. Every item in an inventory should be checked for integrity upon receipt, regardless of the condition of the shipping box. Damage to items can occur without visible damage to the shipping box, and even items in an undamaged box can be compromised due to factors like temperature fluctuations.

Answer 109

The correct answer is B. False. The ABC analysis in inventory management is based on the Pareto principle, where 'A' items are the most valuable items that account for the majority of the inventory value. 'B' items are moderately valuable, and 'C' items are the least valuable.

Answer 110

The correct answer is D. Performing in-depth equipment repairs. Although a CRCST is responsible for proper cleaning and disinfection (A), interpreting the IFU (B), and conducting basic safety checks including electrical safety (C), in-depth equipment repairs are typically the responsibility of a specialized biomedical equipment technician, not the CRCST.

Answer 111

The correct answer is D. The acceptable range of humidity in a sterile processing department is between 30% to 60%.The humidity level in a sterile processing department must be controlled to reduce the potential for microbial growth and to ensure the effectiveness of the sterilization process. A lower humidity level (20%, option A) can cause static electricity, which can potentially damage sensitive instruments. A higher humidity level (70%, option B) could increase the potential for microbial growth. Option C is incorrect as 40% is not the minimum acceptable level.

Answer 112

The correct answer is B. Check if the equipment covers are available. As part of preparing the work area, ensuring that necessary supplies like equipment covers are available is important before starting the processing and distribution tasks. While options A, C, and D might also be part of your duties, they are not the first thing you should do when preparing the work area for distribution.

Answer 113

The correct answer is A. Ventilators, IV pumps, and monitors are correct examples of patient care equipment. These devices are used to treat, assist, and monitor patients. Answer B includes the stethoscope, which isn't categorized as patient care equipment but as a medical tool. Answers C and D contain items like gauze, surgical scissors, and bandages, which are consumables and not equipment.

Answer 114

The correct answer is C. Maintaining a comprehensive Equipment Control Register is the best way to ensure the traceability of patient care equipment within a healthcare facility. This register should contain detailed information about each piece of equipment. Answer A is incorrect because human memory is fallible and not a reliable system for managing equipment. Answer B is not practical or reliable for the long term. Answer D is incorrect because verbal records are not verifiable and can easily be lost or misunderstood.

Answer 115

The correct answer is A. Label the equipment as out of service and report it to the supervisor or equipment manager. An expired preventative maintenance label indicates that the equipment may not have been serviced according to its scheduled maintenance, which could lead to potential malfunctions or safety issues. Therefore, it should be labelled as out of service and the supervisor or equipment manager should be notified. Ignoring the label (option C), attempting to perform maintenance yourself (Option B), or replacing the label (option D) without performing the necessary maintenance are not proper responses in this scenario.

Answer 116

The correct answer is C. In a dry, clean, and well-ventilated area. Sterile surgical instruments should be stored in a dry, clean and well-ventilated area to prevent microbial growth and contamination. Option A is incorrect because damp environments promote bacterial growth. Option B is incorrect because storing sterile instruments in a patient's room can expose them to pathogens. Option D is incorrect as sunlight doesn't provide sufficient sterilization.

Answer 117

The correct answer is D. Consult the tracking system to locate all units of the equipment. While all the options mentioned may eventually need to be undertaken, the most immediate and critical task is to locate all the units of the recalled equipment. Options A, B, and C may all follow, but not without first knowing where and how many units are in use.

Answer 118

The correct answer is B. Put on full PPE, perform hand hygiene, and clean the equipment according to the IFU. This ensures the safety of the CRCST and maintains the cleanliness of the equipment. Answer choices A, C, and D all involve cleaning without proper PPE, which increases the risk of exposure to blood borne pathogens.

Answer 119

The correct answer is D. Implementing a simple manual tracking system initially would be the most feasible option as it would immediately improve the situation and could then be gradually upgraded. Answer A might be impractical due to the time and resources required for immediate implementation. Answer B is incorrect as waiting for the annual review could lead to ongoing issues and potential risks. Answer C is incorrect as relying on staff memory is not reliable or sustainable.

Answer 120

The correct answer is B. Label the equipment as out of service and notify the supervisor or equipment manager. Despite the preventive maintenance label being up-to-date, the visible damage to the power cord represents a potential safety risk. Using the equipment (option A), attempting to repair the power cord (option C), or replacing the preventive maintenance label (option D) are not appropriate actions and could potentially lead to harmful consequences.

Answer 121

The correct answer is D. Immediately plug the monitor in to recharge and notify the procedure room of the situation. The battery issue could cause the monitor to fail during the procedure, so it’s crucial to charge it immediately. Moreover, informing the procedure room allows them to make an informed decision or find an alternative if necessary. Continuing to use the monitor (option A) or ignoring the situation (option B) could potentially compromise patient care. Attempting to replace the battery yourself (option C) may not be within your duties or abilities and could potentially lead to more issues.

Answer 122

The correct answer is A. Conduct an immediate inventory of all equipment. Conducting a comprehensive inventory would help in understanding the scale of the issue and identifying any patterns in the discrepancies. While notifying management (option B) and discussing it with the team (option C) may be appropriate actions, they should occur after understanding the full scope of the problem. Ignoring the discrepancy (option D) is not appropriate as it could impact patient safety and hospital operations.

Answer 123

The correct answer is False. Checking and recording the temperature and humidity at the end of each day is not frequent enough. Changes in these environmental parameters could happen throughout the day, potentially affecting the sterilization process or the sterility of stored items. Therefore, these parameters should be checked and recorded every shift to ensure consistent control over the work environment.

Answer 124

The correct answer is B) False. Even if a preventative maintenance label is up-to-date, a frayed cord is a potential safety hazard and should be addressed immediately. The equipment should not be used until the cord is repaired or replaced by a qualified technician, as it could cause electrical shock or malfunctioning of the equipment.

Answer 125

The correct answer is B. False. Storing sterile patient care equipment in a damp area is incorrect and potentially harmful. Damp areas can promote microbial growth and contribute to the contamination of the equipment. It is recommended to store sterile equipment in dry, clean, and well-ventilated areas.

Answer 126

The correct answer is B. False. Regular preventive maintenance is vital for patient care equipment. It ensures that the equipment is functioning optimally, extends its lifespan, prevents sudden breakdowns, and reduces potential hazards or harm to patients. Neglecting maintenance can lead to equipment failures, compromised patient safety, and ultimately, more costly repairs or replacements.

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