Test 4 Flashcards

Question

Category: Cleaning, Decontamination & Disinfection During a routine quality check, a CRCST technician finds that an Automated Endoscope Reprocessor (AER) failed its efficacy test. The AER was last serviced a month ago and passed all previous efficacy tests. What should the technician do? A. Run a second test to confirm the results. B. Assume it’s a one-time issue and continue using the AER. C. Service the AER immediately. D. Increase the concentration of the disinfectant in the AER.

Answer 1

The correct answer is A. Run a second test to confirm the results. This is the most prudent initial response to an unexpected test failure. Option B is incorrect because continuing to use an AER that may be ineffective could lead to patient harm. Option C could be appropriate if the test failure is confirmed, but it would be premature without confirmation. Option D is incorrect because simply increasing disinfectant concentration won’t necessarily correct an ineffective AER and could damage equipment.

Answer 2

The correct answer is D. Always refer to the manufacturer’s IFU for the correct procedures for testing equipment. Options A and B may not accurately test the functionality of the spray arms and option C only checks for obstructions but does not guarantee functionality.

Answer 3

The correct answer is C. In such a situation, it’s crucial to quarantine the sink, notify a supervisor, and follow your facility’s protocol. CJD is highly infectious and requires special decontamination procedures. Simply removing the instruments (A), discarding them (B), or cleaning the sink with bleach (D) are not sufficient actions to prevent potential contamination.

Answer 4

The correct answer is A. Proper loading of items into the washer-disinfector is important to ensure effective cleaning. Overlapping items could lead to shadowing, where some surfaces may not be adequately cleaned. The other options (B, C, D) do not guarantee effective cleaning of all surfaces.

Answer 5

The correct answer is True. OSHA requires all healthcare workers to undergo training and certification in handling bloodborne pathogens to protect them and reduce the risk of occupational exposure to infectious diseases.

Answer 6

The correct answer is False. While Jenny correctly used the spill kit, she should have reported the incident to her supervisor. All chemical spills, regardless of size, should be reported to ensure that proper follow-up procedures and preventative measures can be implemented.

Answer 7

The correct answer is B. False. Diluting a high-level disinfection (HLD) solution beyond its recommended concentration can compromise its effectiveness, leading to inadequate disinfection. It is essential to follow the manufacturer’s instructions and adhere to the proper dilution requirements to ensure optimal disinfection outcomes and patient safety.

Answer 8

The correct answer is B. False.Performing a visual check for cleanliness is an important step when transferring items to the preparation area, but it is not sufficient to ensure the proper decontamination of items. While a visual inspection can identify visible residue or contaminants, it does not guarantee the absence of microscopic pathogens or other contaminants. Additional cleaning and decontamination processes, such as mechanical or chemical cleaning, are necessary to achieve proper decontamination and ensure the safety of the items.

Answer 9

The correct answer is B. False. While it is true that an appropriate level of humidity (40%-60%) can help reduce static electricity, high humidity levels can potentially lead to increased microbial growth, damage to instruments due to rust and corrosion, and slower drying times. Therefore, maintaining the correct humidity level is crucial.

Answer 10

The correct answer is A, True. Ultrasonic cleaners function by producing sound waves that create millions of microscopic bubbles in a solution. These bubbles implode in a process known as cavitation, which helps remove bioburden from the instruments. Some ultrasonic cleaners also use heat to enhance the cleaning process.

Answer 11

The correct answer is False. The frequency of quality tests for ultrasonic cleaners is typically determined by a set schedule (often daily) and is not dependent on the volume of items cleaned. Frequency could vary depending on facility policies and manufacturer’s recommendations, but it isn’t typically linked to the volume of use.

Answer 12

The correct answer is False. Regular and emergency outlets are designed for different purposes. The emergency outlet is intended to be used in specific situations outlined in the manufacturer’s IFU, while the regular outlet is used for routine operations.

Answer 13

The correct answer is False. Magnifying devices are often required to thoroughly inspect the item for bioburden removal. Visual inspection without any aid may not detect residual contamination.

Answer 14

The correct answer is False. Special precautions must be taken with instruments used in cases of Creutzfeldt-Jacob Disease due to the highly infectious nature of the prions associated with this disease.

Answer 15

The correct answer is B. False. Rinsing is necessary after disinfecting a non-critical item to remove any residual disinfectant from the surface. Leaving disinfectant residues on surfaces can cause adverse reactions or interfere with subsequent procedures or treatments. Proper rinsing ensures the removal of disin

Answer 16

The correct answer is B. Standard cleaning and sterilization procedures are ineffective against prions Prions are difficult to remove or deactivate, and standard cleaning and sterilization procedures do not effectively eliminate them.

Answer 17

The correct answer is C. Towel clip.Towel clips are considered sharps objects in a sterile processing department. They have sharp ends that can cause injury if not handled properly. Technicians must exercise caution and follow sharps safety protocols when working with towel clips.

Answer 18

The correct answer is D. Before and after each task involving patient care items.Hand hygiene should be performed before and after each task involving patient care items. This includes handling soiled instruments, preparing sterile trays, and other tasks that require contact with patient-related materials. It helps prevent the transmission of microorganisms and ensures aseptic practices.

Answer 19

The correct answer is B. According to standards, the recommended temperature range for the work environment in a central service department is 22°C to 24°C (72°F to 75°F). This temperature range provides a comfortable and safe working environment for the staff as well as helps maintain the integrity of sterilized items.

Answer 20

The correct answer is A. If the temperature and humidity in a central service department are consistently outside the recommended parameters, the department director should be notified. They have the authority and responsibility to address the issue and take appropriate corrective actions to ensure compliance with standards.

Answer 21

The correct answer is C. Cleaning the area immediately after a spill. Spills should be cleaned up immediately to prevent the spread of contamination. While strong bleach (A) can kill pathogens, it could also damage certain surfaces or equipment and is typically not the recommended cleaning agent. Cleaning once a week (B) is not sufficient; regular and frequent cleaning is necessary in a sterile processing environment. Using hot water only (D) is insufficient as it may not remove all contaminants or kill all pathogens.

Answer 22

The correct answer is B. Catalog and inventory the instruments. Before cleaning or distributing new instruments, it's important to first catalog and inventory them. This ensures that all items are accounted for and are documented in the facility's inventory system. Option A is incorrect because new instruments may require assembly or special preparation before sterilization. Options C and D may eventually be performed, but not before the instruments have been properly cataloged and inventoried.

Answer 23

The correct answer is C. You should search for or request a 7-inch pair of Metzenbaum scissors. Including a wrong-sized instrument could potentially cause issues during the surgical procedure. Option A is incorrect because even if the item is the closest match available, it is not the correct size. Option B is incorrect as excluding the item entirely might leave the surgical team without a necessary instrument. Option D is incorrect because adding more of an incorrect item does not compensate for its size difference.

Answer 24

The correct answer is D. Even if two instruments look identical, they may not be. Catalog numbers are unique and indicate specific product attributes. Therefore, you should investigate the difference using the catalog numbers and include the correct instrument. Options A, B, and C are incorrect because they potentially result in the inclusion of the wrong instrument, which could be problematic during the procedure.

Answer 25

The correct answer is A. Partially open. Hinged instruments should be placed in a partially open position in a sterilization tray to facilitate sterilization and protect the instruments. If the instruments are fully open, they can be damaged or may damage other instruments. If they are fully closed, all surfaces may not be adequately sterilized. The arrangement does matter, so option D is incorrect.

Answer 26

The correct answer is D. To allow adequate air circulation and sterilant penetration. While other options might be valid in certain contexts, the primary reason to avoid overuse of protection devices is to ensure proper sterilant penetration and air circulation. Overuse can obstruct sterilant flow and impact the effectiveness of sterilization.

Answer 27

The correct answer is C. To allow for ease of opening without compromising sterility. The envelope fold is designed to provide a sterile barrier that can be easily opened without contaminating the contents.

Answer 28

The correct answer is D. Dry heat. Peel packs, due to their plastic component, are not suitable for dry heat sterilization because the high temperatures involved can melt or distort the plastic. They are typically used with steam, ethylene oxide, or plasma sterilization methods.

Answer 29

The correct answer is D. For event-related sterility, it is essential to indicate on the label that the sterility is based on an event, not a predetermined expiration date. This is important because the sterility is maintained unless the package is compromised. Options A, B, and C are usual parts of label information but do not address the event-related sterility directly.

Answer 30

The correct answer is A. Place a “Caution: Wet Floor” sign near the area and inform your supervisor.In this situation, the best course of action is to prioritize safety and prevent potential accidents. Placing a “Caution: Wet Floor” sign alerts others to the hazard and helps prevent slips and falls. It is also important to inform your supervisor so that appropriate measures can be taken to address the issue and ensure the safety of everyone in the department.

Answer 31

The correct answer is D. Organize a separate, clearly marked area for the trays needed for the emergency procedure. This allows for easy access and reduces the risk of delays or errors in the emergency procedure. Stacking all trays together without any specific order (option A), or stacking the trays for the emergency procedure on top of (option B) or under the regular trays (option C) could lead to confusion, potential delays, and unnecessary handling of the trays.

Answer 32

The correct answer is D. Contact the department responsible for the cart washer and have them clean the instruments. The instruments should be properly cleaned before being sent for sterilization. Option A is incorrect because the presence of residues can compromise sterilization. Option B may lead to unnecessary cleaning of already cleaned items and option C involves taking over a task that should have been completed prior to the items reaching your station.

Answer 33

The correct answer is C. Document the issue, quarantine the scope, and notify the relevant staff about the malfunctioning instrument. It is essential to prioritize patient safety over all other factors. Attempting to fix it yourself (B), ignoring the issue (A and D), or leaving it to the next shift (D) could endanger patient safety and does not follow the proper procedure for handling faulty equipment.

Answer 34

The correct answer is B. Notify the technician and suggest redistributing the instruments into two trays. Exceeding the weight limit of a sterilization tray can compromise the effectiveness of sterilization and damage the sterilizer or the instruments. The weight limit is not merely a recommendation, but a guideline that must be followed to ensure proper sterilization.

Answer 35

The correct answer is C. Tape. For a sequential wrap, a special type of tape designed for this purpose is commonly used. It provides a secure closure and can withstand the weight of heavy trays. Self-seal and heat seal are typically used with peel packs, while locks are used with rigid containers.

Answer 36

The correct answer is B. False.Sharps objects, such as skin hooks, K-wires, or towel clips, should never be discarded directly into the regular trash bin. They should be disposed of in puncture-resistant containers specifically designed for sharps disposal. This ensures the safety of waste handlers and prevents injuries that may occur when handling sharps objects in the regular trash.

Answer 37

The correct answer is False. Sliding sterilized packages, even gently, is not an acceptable practice. The act of sliding could compromise the integrity of the package and potentially introduce contaminants. Proper handling methods must be used at all times to ensure that sterility is maintained.

Answer 38

The correct answer is False. Wristwatches, like any other personal jewelry, are not allowed in the sterile processing department due to their potential to harbor and spread microorganisms. Regular cleaning does not guarantee that they will be free of microorganisms and, therefore, they are prohibited regardless of how often they are cleaned.

Answer 39

The correct answer is False. Sharpness testing for surgical scissors should be performed on a test material, not on gauze, as it can dull the blades.

Answer 40

The correct answer is False. Different surgical instruments may require different types of lubricants according to the Manufacturer’s Instructions for Use (IFU).

Answer 41

The correct answer is False. Chemical indicators are needed both on the outside and inside of the package. While the outside indicator confirms that the package has undergone the sterilization process, the inside indicator verifies that the sterilant has penetrated the package and reached the instruments inside.

Answer 42

The correct answer is B. False. After sealing a package, it is crucial to inspect it for visible damage or issues that might compromise the sterilization process. Any damage, incorrect seals, or other issues can lead to contamination of the instruments within.

Answer 43

The correct answer is A. Quality test results. Analyzing these records will allow the department to assess the effectiveness of sterilization processes and adherence to standards, thus identifying areas for improvement. The other records are important, but do not directly address standard adherence.

Answer 44

The correct answer is D. Two years. The Association for the Advancement of Medical Instrumentation (AAMI) recommends maintaining sterilization records for a minimum of two years. Other options are incorrect as they either fall short of or exceed this recommended timeframe.

Answer 45

The correct answer is C. The Central Service Department manager. The manager is typically responsible for ensuring the proper maintenance of records within their department. While other staff may assist, the ultimate responsibility rests with the department manager.

Answer 46

The correct answer is D. Association for the Advancement of Medical Instrumentation (AAMI). AAMI provides guidelines for temperature and humidity levels in sterilization areas. OSHA (A) provides guidelines for workplace safety, but not specifically for sterilization areas. CDC (B) provides guidelines for infection control, but not specifically for sterilization areas. ASHRAE (C) provides guidelines for HVAC systems, but not specifically for sterilization areas.

Answer 47

The correct answer is B. Adjust the HVAC system to increase temperature. If the temperature falls below the recommended range in the sterilization area, the HVAC system should be adjusted to increase it. A is incorrect because increasing the temperature of the sterilizers will not affect the overall room temperature. C is not a good long-term solution and could pose a safety risk. D is incorrect because changing sterilization methods is not a viable solution to a temperature issue.

Answer 48

The correct answer is A. Obtain education and training on the use of the equipment. Whenever new equipment or processes are introduced, the technician must receive the necessary training to operate it safely and effectively. While they might be asked to write a report (B), demonstrate competency (C), or present information to management (D), these are not general requirements.

Answer 49

The correct answer is B. Quality test results. These records demonstrate whether or not sterilization processes are up to standard, which is crucial when dealing with legal issues surrounding infection outbreaks.

Answer 50

The correct answer is D. Sterilization cycle records. These records should reflect all details of each sterilization cycle, including any errors or failures. Updating these records would help trace back the source of potential problems in the future.

Answer 51

The correct answer is B. Sterilization cycle records. These records document all details about each sterilization cycle, including any failures, and would provide the most direct and specific information for the review.

Answer 52

The correct answer is C. Instruct Jake to immediately report the incident and follow the exposure control plan. It’s important to ensure the incident is promptly reported and the necessary procedures are followed to minimize any potential risk. A) is incorrect as simply washing the wound is not sufficient. B) is not advisable because Jake needs to understand the importance of reporting such incidents himself. Ignoring the incident as in D) is not a responsible course of action.

Answer 53

The correct answer is False. While record keeping does serve as a record of work done, it's also a critical tool for quality control. By analyzing records, you can identify trends, issues, and areas for improvement.

Answer 54

The correct answer is False. Inventory logs can indirectly impact the quality of sterilization processes. Shortages, overstock, or outdated supplies can lead to process disruptions, inefficiencies, or use of ineffective sterilization supplies, affecting the overall quality.

Answer 55

The correct answer is False. Regardless of the severity, all accidents or incidents such as needle stick injuries should be reported following the facility's accident/incident reporting policy. It's essential for tracking, risk mitigation, and potential exposure to infectious diseases.

Answer 56

The correct answer is False. Central Service Technicians are required to maintain a record of their continuing education. This is crucial for demonstrating competencies, tracking professional development, and often for maintaining certification.

Answer 57

The correct answer is C. In case of a malfunction, you should shut down the sterilizer and notify a supervisor. This falls under proper equipment operation practices. A is incorrect as technicians should not attempt to fix sterilizers without proper training and IFU. B is unsafe, and D may not be reliable if your colleague is not trained or knowledgeable about the specific problem.

Answer 58

The correct answer is C. Stop unloading, isolate the entire load, and notify a supervisor. This is the appropriate action because an unchanged indicator could imply that sterilization did not occur properly. Therefore, the sterility of the entire load could be compromised. Options A, B, and D are incorrect because they pose the risk of using potentially unsterile instruments.

Answer 59

The correct answer is A. The department manager or supervisor. Following the identification of a sterilization process failure, the first person to be contacted should typically be the department manager or supervisor who can then decide on the appropriate next steps. B, C, and D are incorrect as the hospital administrator, infection control officer, and patient's family are typically not the first to be contacted.

Answer 60

The correct answer is C. To maintain an audit trail for quality assurance. Load control numbers are not used for billing, inventory organization, or identifying packers, but for maintaining an audit trail for quality assurance and potential recalls.

Answer 61

The correct answer is C. Association for the Advancement of Medical Instrumentation (AAMI). AAMI provides guidelines regarding the optimal conditions for sterile processing environments, including temperature and humidity. Although A, B, and D are important health-related organizations, they do not provide specific guidelines for temperature and humidity in the sterile processing department.

Answer 62

The correct answer is C. Using a printer connected to the incubator provides an accurate and permanent record of the BI test results. Answer A is incorrect as handwritten notes can be easily lost or misread. Answer B is not a reliable method of recording results as it can lead to human errors. Answer D is the least reliable method due to human memory limitations and lack of record-keeping.

Answer 63

The correct answer is B. To check for air removal and steam penetration. The Bowie Dick test is designed to detect air leaks and inadequate steam penetration. Answer A is incorrect as the Bowie Dick test does not specifically verify temperature accuracy. Answer C is incorrect because the Bowie Dick test does not test biological kill, that is the purpose of a biological indicator test. Answer D is incorrect because while it can detect air leaks, it is not specifically designed to confirm the absence of leaks, that's what the leak test is for.

Answer 64

The correct answer is D. When the sterilizer malfunctions during a cycle. A malfunction during a sterilization cycle may affect the sterilizer's ability to properly sterilize the items, making a biological test necessary to ensure its efficacy. Answer A is incorrect because routine maintenance does not necessarily affect the sterilizer's functionality. Answer B is

Answer 65

The correct answer is B. To prevent the growth of microorganisms on wet instruments. Any residual moisture on sterilized instruments can provide an environment for microorganisms to grow. The drying phase helps to prevent this by eliminating residual moisture. While A, C, and D could be considered secondary benefits of the drying phase, they do not represent its primary purpose, so they are incorrect.

Answer 66

The correct answer is A. Exposure phase. During the exposure phase, the items are subjected to sterilizing conditions (such as heat, steam, or chemical gas) for a specific amount of time to eliminate microorganisms. Although the other phases are necessary components of the overall sterilization process, the exposure phase is the most critical for the actual killing of microorganisms. Hence, B, C, and D are incorrect.

Answer 67

The correct answer is B. Presence of holes in the package. Holes in the package can allow microorganisms to infiltrate, thus compromising the sterility of the package contents. A) is incorrect because correct placement of external indicators supports, not compromises, package integrity. C) is incorrect because adequate drying post-sterilization actually maintains package integrity. D) is incorrect as a properly functioning sterilizer helps ensure sterility.

Answer 68

The correct answer is C. The type of materials included in the load. The sterilization method should be chosen based on the type of material that needs to be sterilized, as some materials may be damaged by certain sterilization methods. Answer A is incorrect because the brand of the sterilizer does not determine the sterilization method. Answer B is incorrect as the weight of the load does not directly determine the sterilization method. Answer D is incorrect because the color of the external indicators does not determine the sterilization method.

Answer 69

The correct answer is A. Depending on the type of sterilant used. Low-temperature sterilizers use different types of sterilant such as hydrogen peroxide or ethylene oxide, and each type requires different cycle parameters. Options B, C, and D are incorrect as they do not take into account the specific requirements of the sterilant being used.

Answer 70

The correct answer is D. It verifies the effectiveness of the sterilization process. Incubator temperature verification is crucial for verifying that the sterilization process has been effective. This is because certain sterilization methods, such as steam sterilization, require a specific temperature to kill microorganisms effectively. A, B, and C are incorrect as they pertain to other aspects of sterilization process.

Answer 71

The correct answer is A. Re-run the cycle. If the printout indicates that the cycle did not meet the required parameters, the cycle should be re-run after identifying and correcting any possible issue. Options B and D are incorrect because they disregard the problem and could potentially harm patients. Option C, while it might be a necessary step, the immediate action should be to re-run the cycle.

Answer 72

The correct answer is C. When dealing with unknown sterilization chemicals, the SDS is critical for understanding how to handle and use them safely. Despite the pressure to finish quickly, it's necessary to prioritize safety. Options A and D may seem expedient but could lead to unsafe conditions or ineffective sterilization. While asking a senior technician (Option B) could be helpful, it shouldn't replace the SDS, which provides comprehensive and accurate information.

Answer 73

The correct answer is C. Stop the sterilizer, quarantine the load, and report the issue. A consistent lower temperature indicates a potential failure to meet sterilization parameters, compromising sterility. It’s essential to stop the process, quarantine the load, and report the issue for corrective action. A, B, and D are incorrect because ignoring the issue, just monitoring it, or trying to compensate could lead to non-sterile items being used.

Answer 74

The correct answer is A. Wait for the maintenance team to fix the issue before sterilizing the instruments. Even though the instruments are needed, operating under non-optimal conditions could affect the sterilization process. Option B is incorrect as it could compromise the sterility of the instruments. Option C may not be feasible or safe, as other areas may not be equipped or suitable for sterilization. Option D is incorrect as changing sterilization times arbitrarily can risk ineffective sterilization.

Answer 75

The correct answer is B. Run a leak test. After a sterilizer has undergone repair, it's crucial to first run a leak test to verify the integrity of the sterilizer's chamber and door seal. Starting a sterilization cycle without doing this (option A) could be risky if there are unnoticed leaks. Performing a Bowie-Dick test (option C) or a biological test (option D) would not be appropriate as an initial step because these tests are for verifying steam penetration and sterilization efficacy, respectively, which should be checked after ensuring there are no leaks.

Answer 76

The correct answer is D. Ethylene oxide sterilization. Ethylene oxide is a low-temperature sterilization method that can be used for a variety of materials, including those which cannot withstand the high temperatures used in steam or dry heat sterilization, making it suitable for the mixed materials in this scenario. A, B, and C are not suitable for all types of materials, particularly heat-sensitive ones.

Answer 77

The correct answer is C. Discard the package, because it has been compromised. A hole in the package, even small, can allow microorganisms to enter and contaminate the sterile contents. Despite the indicator showing successful sterilization, the hole compromises the package's integrity post-sterilization. Re-sterilizing (option B) won't fix the hole, and patching the hole (option D) isn't a valid practice in maintaining sterility.

Answer 78

The correct answer is B. Replace the tank immediately before proceeding. The efficiency of the sterilization process is compromised when the sterilant tank is empty or near-empty. It is important to replace the tank immediately in this situation, even if it disrupts the work flow. Option A is incorrect because it risks ineffective sterilization. C might delay the sterilization process unnecessarily, and D is incorrect as it halts important procedures.

Answer 79

The correct answer is False. Hand hygiene is an essential practice in sterilization processing, but it's not limited to after completion of all tasks. It should be done before starting the process, between tasks, and certainly after completion. It is a critical part of infection control in healthcare facilities, and not adhering to proper hand hygiene protocols can increase the risk of cross-contamination.

Answer 80

The correct answer is B) False. Load control numbers do not require patient names. They are used for traceability and quality assurance within the sterilization process, not for patient-specific tracking.

Answer 81

The correct answer is A) True. Documenting the temperature and humidity is a crucial part of ensuring a controlled environment for sterilization. This needs to be done at least once during each shift, though more frequent monitoring may be necessary in certain situations or environments.

Answer 82

The correct answer is B. False. Not all types of medical equipment can safely be sterilized using high temperature sterilization methods. Some materials can be damaged by high temperatures and require low-temperature sterilization methods, such as ethylene oxide or gas plasma sterilization.

Answer 83

The correct answer is A. True. Incorrectly placed filters can obstruct the sterilization agent from reaching all areas of the package, thus compromising the sterilization process.

Answer 84

The correct answer is B) False. The sterilization process requires a sufficient amount of sterilant throughout the cycle to ensure effective sterilization. An almost empty tank might not provide the required amount of sterilant, potentially leading to ineffective sterilization. Thus, it is crucial to replace the tank before starting the sterilization cycle if it's near empty.

Answer 85

The correct answer is A. “Laparotomy” refers to a large incision made in the abdominal area to allow access for surgical procedures. It does not refer to a small incision (option B), a procedure to repair a fractured bone (option C), or a procedure to remove a tumor (option D), though these may be part of what is performed during a laparotomy.

Answer 86

The correct answer is C. Providing a detailed explanation of why the changes were made can help to alleviate your colleague's concerns and promote understanding. Ignoring the email (option A) or sending a brief response without explanation (option B) could leave your colleague feeling unheard or dismissed. Forwarding the email to your supervisor (option D) without responding might be appropriate in some cases, but it's usually better to address the concern directly first.

Answer 87

The correct answer is A. When patient safety is at risk, it's essential to involve the supervisor who can assess the situation and take necessary action. While it might be helpful to discuss the issue with your coworker (option B), it may not rectify the situation. Ignoring the mistake (option C) or just documenting it (option D) without taking action could compromise patient safety.

Answer 88

The correct answer is D. Implementing a combination of regular check-ins with customers, using past experiences, and adhering to the schedule. All these strategies together provide the best approach for anticipating customer needs. Sticking rigidly to the set sterilization schedule (A), checking in with customers occasionally (B), or using past experiences to predict future needs (C) are all part of the strategy, but none alone is sufficient.

Answer 89

The correct answer is B. Identifying areas of potential sterilization improvement. Sterilization technicians have the expertise to identify areas of improvement within their domain. The group's overall objectives (A) are usually decided by leadership or the group collectively. Scheduling meetings (C) or hiring new group members (D) are not typically responsibilities of a sterilization technician.

Answer 90

The correct answer is A. Asking the surgeon to slow down and repeat what they said ensures clear communication and reduces the risk of misunderstanding. Pretending to understand (option B) could lead to mistakes. Interrupting the surgeon (option C) can be seen as rude. Ending the call abruptly (option D) is unprofessional and could lead to serious consequences.

Answer 91

The correct answer is C. It is important to take all complaints seriously. The best approach is to investigate the complaint, make any necessary corrections, and communicate the steps taken to the nurse. This helps maintain trust and demonstrates commitment to quality. Calling the nurse and asking her to retract the complaint (option A) is unprofessional. Ignoring the complaint (option B) could potentially harm patient safety. Passing the complaint to another team member (option D) does not take responsibility for the issue.

Answer 92

The correct answer is C. Seek more information about the procedure and evaluate its feasibility and benefits. As a sterilization technician, it's important to stay updated with new procedures but it's also critical to evaluate them considering your expertise before adopting. Options A, B, and D do not reflect the responsibility and decision-making role of a sterilization technician in a cross-functional team.

Answer 93

The correct answer is D. Encourage the junior member to share their solution in the group meeting and support their proposal. A successful team respects and values the ideas of all members, regardless of their role or seniority. It promotes an environment where everyone feels confident to share their ideas. Option A disrespects the junior member’s ownership of the idea, option B does not directly address the issue, and option C discourages contributions from less experienced members.

Answer 94

The correct answer is C. Discuss the issue privately with the individual, suggesting they allow more time for others to contribute. This approach addresses the issue directly and respectfully, promoting healthier group dynamics. Option A doesn't address the issue, option B may escalate the situation or create a hostile environment, and option D fails to solve the problem and only abandons the group's goal.

Answer 95

The correct answer is False. When communicating medical information, it is important to use accurate and precise medical terminology to avoid misunderstandings. Colloquial or informal terms may vary in meaning and can lead to confusion or errors.

Answer 96

The correct answer is B. False. Decision making in a cross-functional team should be based on expertise and knowledge about the specific issue at hand, not necessarily on seniority. Relying solely on seniority may overlook valuable contributions from other team members.

Answer 97

The correct answer is A. The temperature and humidity of the sterile storage area should be checked and recorded once a day. Options B, C, and D are not correct as they do not reflect the correct frequency.

Answer 98

The correct answer is B. Consider it contaminated and reprocess it. If a sterile item falls on the floor, it should be considered contaminated, even if there is no visible dirt or damage. It should be reprocessed to ensure its sterility before it is returned to the sterile storage area. The other options are incorrect because they could risk compromising sterility.

Answer 99

The correct answer is D. All of the above. When establishing par levels, the cost of the supplies (A) is important to manage budgets. The rate of supply usage (B) helps determine how quickly supplies will be depleted, and the lead time to reorder and receive supplies (C) ensures that new inventory arrives before current stock runs out.

Answer 100

The correct answer is D. All of the above. Storing supplies directly on the floor can lead to contamination, damage, and cleaning challenges. Therefore, all options A, B, and C are valid reasons to avoid floor storage, making D the correct choice.

Answer 101

The correct answer is C. Heavier sterile supplies should be placed on lower shelves to avoid compromising structural shelf integrity and prevent falling hazards. Lighter packages go on higher shelves.

Answer 102

The correct answer is D. All of the above. Vendor-owned items need to be tracked to prevent loss or theft, for billing purposes, and to maintain their sterile integrity.

Answer 103

The correct answer is B. Remove the product from circulation and inform the supervisor. Upon receiving a recall notice, it's crucial to remove the product from use immediately and inform the relevant personnel. Option A is dangerous as it can lead to patient harm. Option C and D could cause delays and are not immediate actions to take in this scenario.

Answer 104

The correct answer is A. When there are missing records, you should immediately notify the manager and, if possible, review the HVAC system’s automated logs for the missing data. Option B is not correct because maintaining continuous records is crucial for quality control and regulatory compliance. Options C and D might not help in getting the missing records which are important for ensuring continued compliance and identifying any issues that might have occurred during the missing period.

Answer 105

The correct answer is B. Ask the staff member to remove the jewelry immediately. Jewelry can harbor microorganisms that can contaminate the sterile environment. The other options are not appropriate: Ignoring it (option A) risks contamination, reporting to supervisor (option C) could cause unnecessary delay, and waiting to disinfect (option D) does not address the direct cause of the potential contamination.

Answer 106

The correct answer is D. Quarantine the items and consult with the manufacturer. Even though the expiration date has not yet passed, a manufacturing date that is significantly in the past could indicate a problem with the product or a mistake on the label. It is best to quarantine the items and contact the manufacturer for clarification. Discarding the items (A) is premature without more information, while using the items (B) or storing them to be used last (C) could potentially risk patient safety.

Answer 107

The correct answer is A. Inform the vendor about the situation and request expedited delivery. As a CSSD manager, your responsibility is to ensure the timely availability of items for surgeries. Contacting the vendor to expedite delivery is the most immediate and appropriate action. Rescheduling the surgery (B) should be the last resort, ordering from a different vendor (C) might introduce more delay, and arranging an equivalent substitute (D) may not be feasible or acceptable for a complex procedure that requires a specific item.

Answer 108

The correct answer is B. False. Closed carts provide a fully enclosed environment which minimizes the potential for contamination and helps maintain the sterility of the items inside. Semi-closed carts do not offer the same level of protection as they are not completely enclosed.

Answer 109

The correct answer is False. Scope storage carts should not be tightly packed. Proper clearance is needed between scopes for ventilation to avoid recontamination.

Answer 110

The correct answer is A. True. A 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 maintaining excess inventory.

Answer 111

The correct answer is A. Reading the Manufacturer’s Instructions for Use (IFU). It’s crucial for CRCSTs to first refer to the IFU as it provides precise information on the safe operation of the equipment, maintenance, and cleaning procedures. While other options may be supplementary, they should follow the initial reading of the IFU.

Answer 112

The correct answer is D. The temperature and humidity should be checked and recorded every shift.To ensure consistent control over the work environment, temperature and humidity checks should be performed at least every shift. Options A, B, and C are all less frequent than is typically recommended and might not catch issues in a timely manner.

Answer 113

The correct answer is D. Cleaning before and after each use. Work areas need to be cleaned before and after each use to minimize the risk of contamination and to ensure a safe and sterile environment for handling patient care equipment. Options A, B, and C do not ensure adequate cleaning and may risk compromising the sterility of the work area.

Answer 114

The correct answer is A. A newly received rental ventilator should be recorded in the Equipment Control Register. This helps to track the movement and usage of the equipment within the healthcare facility. Answer B is incorrect as the equipment should not be logged in a patient chart. Answer C is incorrect because notifying the physician is not part of the process for recording equipment. Answer D is incorrect as storing the equipment without recording could lead to mismanagement.

Answer 115

The correct answer is B. Contact the supervisor or equipment manager. When the preventative maintenance label is missing, it's an indication that the equipment may not be in compliance with safety standards. It's crucial to contact the responsible party, such as a supervisor or equipment manager, for the appropriate corrective action. Using the equipment as is (option A) is risky as the safety of the equipment can't be guaranteed. Applying a new label (option C) without knowing the actual state of the equipment could lead to misinformation, and disposing of the equipment (option D) is not an immediate solution and should be the last resort after the condition of the equipment has been assessed by the responsible party.

Answer 116

The correct answer is A. To ensure patient safety. The primary reason to test any medical equipment, including an EKG machine, is to ensure patient safety. If equipment is faulty, it may result in incorrect diagnosis or harm to the patient. Options B, C, and D are valid reasons, but they are secondary to ensuring patient safety.

Answer 117

The correct answer is B. Store items according to frequency of use. When storage space is limited, the technician should prioritize the equipment's storage based on how frequently it is used. This ensures that commonly used equipment is easily accessible, which can improve efficiency. Option A is incorrect because the size of the items doesn't determine their necessity. Option C is wrong because random storage can lead to inefficiency and potential mix-ups. Option D is incorrect as the order of receipt doesn't necessarily reflect the frequency of use or importance of the items.

Answer 118

The correct answer is D. Increase in equipment lifespan. While RFID systems can improve tracking, accountability, and reduce the need for manual data entry (options A, B, and C), they do not directly increase the lifespan of the equipment (option D).

Answer 119

The correct answer is C. The equipment should be transported in a manner that maintains its cleanliness and functionality. The key to transport is to maintain the cleanliness and functionality of the equipment. Sterile drapes (option A) are not necessary unless specified by the manufacturer or hospital policy, and the speed of transport (option B) or seniority of the staff (option D) are not the primary concerns when transporting equipment.

Answer 120

The correct answer is C. Notify the department head. If the humidity level is out of the acceptable range, the first step should be to notify the department head. They can then decide on the appropriate course of action, such as adjusting the humidity control system or redirecting workloads. Ignoring the problem (option A) may result in the inefficient sterilization of instruments. Adjusting the humidity control system yourself (option B) might be beyond your duties or capabilities, and stopping processing (option D) may not be necessary if the problem can be corrected quickly.

Answer 121

The correct answer is A. Documenting the discrepancy and contacting the rental company immediately is the most appropriate action. This ensures clarity, traceability, and correct charges. Answer B is incorrect because it might cover a potential mistake by the rental company, and it's not the facility's role to make assumptions. Answer C is incorrect as it promotes negligence. Answer D is not practical, as it unnecessarily delays the availability of other correctly delivered units.

Answer 122

The correct answer is B. Consult the Manufacturer's Instruction for Use (IFU). The IFU is the best source for information on how to properly assemble patient care equipment. If John is facing difficulty, he should refer to the IFU to ensure the equipment is correctly and safely assembled. Continuing with the assembly without addressing the issue (A) could lead to a malfunctioning unit, asking a colleague (C) may not provide the detailed instructions needed, and starting again (D) without understanding the issue might result in the same problem.

Answer 123

The correct answer is C. Implement an automated transport system such as a pneumatic tube or robot system. The problem described is specific to the transportation of equipment, so solutions that target other areas (option A and D) may not solve the problem. Hiring more staff (option B) may temporarily ease the issue, but it's not a sustainable solution. An automated transport system would address the problem directly and provide a long-term solution.

Answer 124

The correct answer is False. Even if the work area appears clean, it should always be cleaned before preparing it for equipment distribution. This ensures the elimination of any potential contaminants that may not be visible to the naked eye, thereby maintaining a sterile environment for equipment processing.

Answer 125

The correct answer is B) False. While a CRCST can notice and report the problem, the replacement of batteries in medical equipment is often the responsibility of biomedical engineering or the equipment manufacturer, depending on the hospital's policy and the complexity of the device. It is crucial to always follow the hospital's policy for equipment maintenance and repair.

Answer 126

The correct answer is B) False. Different types of patient care equipment tracking systems can have different levels of efficiency and accuracy. Computer-based systems, particularly those using technologies like RFID, generally provide higher levels of accuracy and efficiency than manual systems, reducing the risk of human error and increasing the speed of operations.