Test 5 Flashcards

Question

Category: Cleaning, Decontamination & Disinfection You receive a new type of surgical instrument that your facility has never processed before. What is the first step in determining how to clean this instrument? A. Use the standard cleaning process B. Check the manufacturer’s IFU C. Consult with a coworker D. Test the instrument in the ultrasonic cleaner

Answer 1

The correct answer is B. Check the manufacturer’s IFU. The manufacturer’s Instructions for Use (IFU) are the primary source of information about how to clean and disinfect specific instruments. Relying on the standard cleaning process (A), a coworker’s opinion (C), or testing the instrument (D) may not provide the right information, potentially leading to damage or ineffective cleaning.

Answer 2

The correct answer is D. Report the incident to the supervisor and seek guidance. It’s important to communicate and seek guidance to determine the appropriate course of action, which might include reprocessing the instruments. Options A and B are incorrect as they could potentially compromise patient safety by assuming the ultrasonic cleaner was working effectively. Option C is an extreme action to take without consulting a supervisor or checking the efficacy of the machine.

Answer 3

The correct answer is A. If you notice the detergent is not being dispensed properly, you should refer to the manufacturer’s IFU to identify possible issues with the chemical feed line. Options B, C, and D are incorrect. Manually adding detergent (option B) may not ensure the correct dosage. Attempting to repair the dispenser yourself (option C) is not advisable without the appropriate training. Running more cycles (option D) could lead to improperly cleaned instruments.

Answer 4

The correct answer is C. Proper positioning and spacing allow for more effective exposure to cleaning agents. Although it does make visual inspection easier (A) and reduces the risk of damage (B), these are secondary benefits. Saying it’s just traditional practice (D) is not an accurate or informative explanation.

Answer 5

The correct answer is B. Semi-critical. The laryngoscope that was in contact with the mucous membranes of a patient’s mouth is considered semi-critical according to the Spaulding Classification. These items should be subjected to at least a high-level disinfection process. Non-critical disinfection is for items that only come in contact with intact skin, while critical disinfection is for items that come in contact with the vascular system or sterile tissues.

Answer 6

The correct answer is False. SDS are mandatory documents that manufacturers must provide for each hazardous chemical. They contain information on the properties of the chemical, its hazards, protective measures, and safety precautions for handling, storing, and transporting the chemical.

Answer 7

The correct answer is B. False. Critical water is required for rinsing medical devices after high-level disinfection (HLD). Critical water refers to water that has been treated to remove microorganisms, impurities, and chemicals that could compromise the disinfection process. It ensures that the equipment is thoroughly rinsed and free from any residual disinfectant or contaminants.

Answer 8

The correct answer is B. False.Maintaining positive pressure in the preparation area is not the recommended practice for preventing the escape of potentially contaminated air. Positive pressure systems are typically used in other areas of the healthcare facility to prevent external contaminants from entering. In the preparation area, negative pressure is the commonly used method to maintain appropriate air flow, which helps prevent the escape of potentially contaminated air and reduces the risk of cross-contamination.

Answer 9

The correct answer is B. False. Consistently high temperatures can affect the comfort and productivity of the staff working in the area. Moreover, an elevated temperature can increase the rate of microbial growth and may also affect the efficacy of certain disinfectants. It’s important to control both temperature and humidity within the appropriate standards.

Answer 10

The correct answer is B, False. Even if you have prepared a particular chemical solution many times, it is essential to measure accurately according to the Manufacturer’s IFU. Estimating can lead to incorrect dilutions, which could compromise the effectiveness of the cleaning process or potentially damage the equipment.

Answer 11

The correct answer is False. Documenting and interpreting quality test results should happen with every test, regardless of the result. This is a crucial part of a quality assurance testing program. Documentation provides a record of equipment performance over time, which is valuable for identifying trends, potential issues, and demonstrating compliance with standards and regulations.

Answer 12

The correct answer is False. Although washer manifolds & baskets are exposed to the wash cycle, they can still accumulate residue or become damaged, which can affect the effectiveness of the washer. They should be cleaned and checked regularly according to the manufacturer’s IFU.

Answer 13

The correct answer is True. In a two-sink method, one sink is generally used for soaking and cleaning, while the second sink is used for rinsing and sometimes for drying.

Answer 14

The correct answer is B. Insulation tester.An insulation tester is used to check the integrity of insulation in electrical cords and cables. It helps identify any potential electrical hazards and ensures the safety of the equipment. Technicians should be trained in operating insulation testers to perform this task effectively.

Answer 15

The correct answer is C. Mark it as urgent and continue with the current task, handling it next. Prioritizing does not mean neglecting other tasks, it means arranging them in an order that allows for urgent needs to be met. Answer A could lead to disruption of the whole process and inefficiencies. Answer B does not recognize the urgency, which could cause operational issues in the surgical department. Answer D could create confusion and disrupt the workflow of another technician.

Answer 16

The correct answer is D. According to standards, the recommended humidity range for a central service department’s work environment is 50% to 60%. This level of humidity helps prevent excessive drying of materials and maintains the effectiveness of sterilization processes.

Answer 17

The correct answer is A. A temperature range of 10°C to 12°C (50°F to 54°F) poses a risk to the integrity of sterilized items. This temperature is too low and may compromise the effectiveness of sterilization processes, potentially leading to inadequate decontamination of medical devices.

Answer 18

The correct answer is A. Computer keyboards. While computer keyboards might be useful in other areas of the Central Service Department, they are typically not required in the preparation and packaging area. Biological indicators (B) are used to test the sterilization process. Tip protectors (C) are used to prevent damage to delicate instrument tips, and tray liners (D) are used to cushion instruments during transportation.

Answer 19

The correct answer is C. Safety and prevention of damage to the instruments. While efficiency and sorting can be important, the primary concern should always be the safety and prevention of damage to the instruments. The order of usage (option B) or sorting (option D) can be performed after the instruments have been safely unloaded.

Answer 20

The correct answer is D. Standard office stapler. Office staplers are not used in the inspection process of surgical items. Light sources (A) are used to check the clarity of scopes, magnifying glasses (B) help identify small damages or debris, and sharpness testing blocks (C) are used to test the sharpness of cutting instruments.

Answer 21

The correct answer is D. All of the options given are valid ways to identify an unknown instrument. The product number or other identifiers on the instrument (Option A), comparing to a reference image (Option B), and consulting with knowledgeable colleagues (Option C) are all effective strategies.

Answer 22

The correct answer is C. Indicate if sterilization was successful. Instrument protection devices like foam, mats, and tray liners are not designed to indicate sterilization success. Their main purpose is to prevent damage to instruments, restrict movement during transport, and reduce metal-to-metal contact. Indicating sterilization success is the role of chemical indicators/integrators.

Answer 23

The correct answer is D. The method of sterilization to be used. The packaging method for surgical instruments must be suitable for the method of sterilization that will be used. Different materials can withstand different sterilization methods. Although size, material, and location of use can influence the choice, the sterilization method is the most critical factor.

Answer 24

The correct answer is C. Tape. For the flat wrap method, a special type of tape designed for this purpose is often used to close the package. Self-seal and heat seal are typically used with peel packs, while locks are used with rigid containers.

Answer 25

The correct answer is C. Rigid containers. These are most suitable for heavy, large instruments because they provide more protection and can accommodate their size and weight. Peel packs, flat wraps, and sequential wraps are generally suitable for smaller, lighter instruments.

Answer 26

The correct answer is B. The label information should be written on the plastic side of the peel pouch. Writing on the paper side (option A) could potentially compromise the sterility of the package as the ink can seep through the paper. Placing the label inside the pouch (option C) would make it difficult to read the information and could contaminate the contents. Writing anywhere on the pouch (option D) is not a recommended practice as it does not guarantee the readability and sterility of the package.

Answer 27

The correct answer is A. Document the issue, remove the instrument from the tray, and request a replacement.When you encounter an instrument with a defect or potential risk, it is important to prioritize patient safety. In this scenario, the instrument’s slightly bent tip may cause complications during use. By documenting the issue, removing the instrument from the tray, and requesting a replacement, you ensure that only properly functioning instruments are included in the sterile tray, reducing the risk of harm to patients.

Answer 28

The correct answer is B. In this scenario, you should document the readings for both the previous week and the current week. Accurate documentation is essential for tracking temperature and humidity trends and ensuring compliance with standards. By recording the missed week's readings, you maintain a complete and reliable record.

Answer 29

The correct answer is C. Continue with the new packing as long as it doesn't violate any sterilization standards. If the new packaging doesn't violate any sterilization standards, there is no need to repack or send back the instruments. Sending back the instruments (option A) or repacking them (option B) would be unnecessary and could delay procedures. Reporting the vendor (option D) is unnecessary unless the vendor is in violation of sterilization standards.

Answer 30

The correct answer is D. If an instrument specified in the count sheet is damaged, it is your responsibility to report it and request a proper replacement. Using a different instrument (Option A) can result in problems during the surgery. Including a damaged instrument (Option B) can be hazardous. Not including the needed instrument and just making a note (Option C) is not enough, as it could still disrupt the surgical procedure.

Answer 31

The correct answer is A. Decline, stating that this might obstruct sterilant flow and impact the effectiveness of sterilization. While protecting instruments is important, using excessive protective material such as foam can obstruct the sterilant flow and prevent it from reaching all surfaces of the instruments, thus compromising the effectiveness of sterilization.

Answer 32

The correct answer is C. Borrow an approved writing instrument from a coworker. It's important to use only approved writing instruments when labeling packages for sterilization to ensure that the ink does not compromise the sterility of the package. Option A is not suitable as an office pen is not an approved instrument and its ink might seep through or smear, compromising the readability and sterility. Option B would lead to misidentification or misuse of the package. Option D is incorrect as a marker might not be an approved instrument and can lead to the same issues as the office pen.

Answer 33

The correct answer is B. False.Insulation testers are not used to evaluate the sterility of instruments. They are electrical testing devices used to assess the integrity of insulation on electrical cords and cables. These testers help identify potential electrical hazards and ensure the safety of equipment. Sterility evaluation is performed through appropriate sterilization methods and monitoring, not with insulation testers.

Answer 34

The correct answer is B. The statement is false. The temperature in the sterilization room should be within the recommended range for sterilization processes, which is typically different from the temperature in the operating room. The temperature requirements for sterilization are specific to the sterilization method being used and are not determined based on the operating room temperature.

Answer 35

The correct answer is False. Biological indicators are not optional; they are essential supplies in the preparation and packaging area. They are used to test the effectiveness of the sterilization process by checking for the presence of specific microorganisms that should have been killed during sterilization.

Answer 36

The correct answer is True. The first step in handling a malfunctioning instrument is to quarantine it, to prevent its accidental use, and then document the issue.

Answer 37

The correct answer is False. Checking for cleanliness is usually done before checking for functionality. A clean instrument can still be non-functional, but a functional instrument can harbor bioburden if not properly cleaned.

Answer 38

The correct answer is False. The weight limits set by the manufacturer should never be exceeded, regardless of how the weight is distributed in the tray. Exceeding these limits can compromise the effectiveness of sterilization and potentially damage the sterilizer or instruments.

Answer 39

The correct answer is False. Writing directly on the sterilization wrap is not permitted because it may compromise the sterility of the package. The approved labeling method should be on the tape or approved labels only.

Answer 40

The correct answer is A. Sterilization cycle records. These records can be crucial in tracing back the instruments used in surgeries, determining whether the sterilization process was adequate and identifying any possible points of failure that could have led to infection.

Answer 41

The correct answer is A. Quality test results. These are often kept at the site of the action, for instance, where sterilization tests were conducted. The other records may be stored in a centralized location, not necessarily where the action took place.

Answer 42

The correct answer is C. Staff workload records. These records can help demonstrate workload trends and patterns that could justify the need for additional staff. Other types of records do not directly illustrate staff workload and therefore would be less relevant for this purpose.

Answer 43

The correct answer is D. All of the above. A corrective action plan for environmental conditions out of compliance should include immediate corrective action (A), identification of the problem (B), and documentation of the issue (C). Therefore, D is the correct answer.

Answer 44

The correct answer is C. Possible microbial growth on sterile items. Excessive humidity can compromise the sterility of items by creating an environment conducive to microbial growth. A and D are incorrect because increased humidity does not enhance the sterilization process or improve air quality. B is incorrect because humidity can indeed affect sterilization.

Answer 45

The correct answer is D. Providing and maintaining the supply of sterilized materials. In a disaster situation, the Central Service Technician’s primary responsibility is to ensure a steady supply of sterilized materials, as per the facility’s disaster plan. They are not typically involved in medical treatment (A), evacuation coordination (B), or triage decisions (C).

Answer 46

The correct answer is A. Minimize potential risks to patients, employees, and visitors. The primary purpose of a risk management policy is to identify, assess, and minimize any potential risks to all stakeholders. While it may indirectly cut down operational costs (B), improve equipment performance (C), or ensure legal compliance (D), these are not its central purposes.

Answer 47

The correct answer is C. Quality test results. These records provide data about the effectiveness of sterilization processes and can help identify any potential issues or areas of non-compliance.

Answer 48

The correct answer is B. Contact the HVAC repair service immediately. The temperature in the sterilization area must be within the recommended range for effective sterilization. Therefore, immediate action is needed to address the HVAC system, which likely needs adjustment or repair. A, C, and D are not incorrect actions, but they should be taken after the HVAC issue is addressed to restore the temperature to its appropriate range.

Answer 49

The correct answer is C. Pause the orientation and research the new regulation immediately. It's crucial to provide accurate and current information during the orientation. Therefore, pausing to research ensures Emma fully understands the new regulation before imparting information to the new hires. A) and D) risk providing incomplete or inaccurate information, while B) may put new hires in an uncomfortable position.

Answer 50

The correct answer is D. Conduct a thorough review of the current storage practices and procedures. This allows you to understand the issue in depth before suggesting improvements or changes. A) is incorrect as addressing safety hazards is part of everyone's responsibilities. B) might lead to other unforeseen issues, while C) might result in ineffective solutions if they are based on incomplete information.

Answer 51

The correct answer is False. Failed sterilization cycles are important to record as they help in identifying recurring issues, in enhancing procedures and ultimately in improving the overall quality of service.

Answer 52

The correct answer is False. Record keeping is not optional. Most healthcare accreditation organizations require maintaining proper records as proof of adherence to quality standards and guidelines.

Answer 53

The correct answer is False. Personnel monitoring badges are primarily used for safety purposes, such as monitoring exposure to harmful radiation or hazardous substances, not for tracking productivity or movements.

Answer 54

The correct answer is B. Before handling any unfamiliar sterilization chemical, it is essential to review the Safety Data Sheets (SDS) to understand its properties, safety measures, and handling procedures. Option A is not appropriate as general knowledge might not apply to specific chemicals. C is unreliable because colleagues may not have the correct information, and D might not provide adequate protection if the correct PPE isn’t known.

Answer 55

The correct answer is A. Use a sterilized cart dedicated for clean items. This method minimizes the risk of cross-contamination from other items or surfaces that may not be sterile. Options B, C, and D are not recommended as they pose a greater risk of compromising the sterility of the items due to potential contact with unsterile surfaces.

Answer 56

The correct answer is A. Insufficient exposure time. Sterilization parameters include time, temperature, and pressure. If the exposure time is insufficient, sterilization may not occur. B, C, and D are incorrect. Outdated equipment, not enough items, or overloading the sterilizer can cause issues, but are not directly related to the parameters of the sterilization cycle.

Answer 57

The correct answer is D. The manufacturer of the equipment being sterilized. Documentation of sterilization load contents typically includes the operator's name, the contents of the load, and the temperature during the sterilization process. It doesn't usually include the manufacturer of the equipment being sterilized, as this information does not significantly contribute to traceability or recall processes.

Answer 58

The correct answer is D. It should be documented as an integrity failure. This is because the sterilization package's compromise could have potentially exposed the sterile item within to contamination, even though the item wasn't used. The sterilization process itself was not faulty, and this wasn't a usage error, but a failure in maintaining the sterility of the item after the sterilization process.

Answer 59

The correct answer is C. Once a shift. According to AAMI, temperature and humidity in the sterile processing department should be documented at least once per shift. Options A, B, and D do not align with AAMI guidelines for frequency of recording.

Answer 60

The correct answer is B. When an error code appears on your sterilization equipment, the first step should be to refer to the error code list provided in the Manufacturer's IFU to understand the issue. Answer A is incorrect because ignoring error codes could lead to machine malfunction or ineffective sterilization. Answer C may not solve the problem and could lead to more complications. Answer D is only appropriate after understanding the error code significance as per the IFU.

Answer 61

The correct answer is C. A change in sterilization cycle parameters. Biological tests are necessary when there are changes to the sterilization process that could potentially affect its effectiveness, such as changes to cycle parameters like time, temperature, or pressure. Answer A is incorrect as the change in operator does not affect the sterilization process parameters. Answer B is incorrect as minor repairs do not necessarily require a biological test unless they impact the functionality of the sterilizer. Answer D is incorrect as a new batch of sterilization chemical would not typically require a biological test unless it's a different type of chemical.

Answer 62

The correct answer is A. Conditioning phase. During the conditioning phase of a steam sterilizer, the air is removed from the chamber and load. This allows the steam to come into direct contact with the items to be sterilized. The exposure phase is when the items are subjected to sterilization. The exhaust phase is when the steam is removed, and the drying phase is when the items are dried before removal. Hence, B, C, and D are incorrect.

Answer 63

The correct answer is C. Ethylene oxide sterilization. Ethylene oxide (EtO) sterilization is used for heat-sensitive, moisture-sensitive devices that cannot withstand the high temperatures of steam or dry heat sterilization. A, B, and D are incorrect because these methods involve heat and, in the case of A and D, moisture as well, which would be damaging to the types of items in question.

Answer 64

The correct answer is B. It does not allow for thorough drying of the items. The IUSS cycle, also known as flash sterilization, is used when items are needed immediately. Because of the rapid turnaround time, items do not always have sufficient time to dry fully. A is incorrect as IUSS is effective at killing microorganisms when used properly. C is incorrect as heat-sensitive instruments should not be sterilized using any steam sterilization method. D is incorrect as the IUSS cycle is actually faster than other cycles.

Answer 65

The correct answer is A. Moisture can lead to the growth of microorganisms. Moisture, especially if left on the packaging after the sterilization process, can compromise the package integrity and provide a medium for microorganisms to grow. B) is incorrect because moisture does not enhance the sterilization process but may compromise it. C) is incorrect as moisture does not affect the temperature inside the package. D) is incorrect because moisture does not increase the effectiveness of the sterilizer.

Answer 66

The correct answer is D. Low-temperature gas plasma sterilization. This method is ideal for heat-sensitive items because it operates at a lower temperature compared to steam and dry heat sterilization. Answer A and B are incorrect as these methods may damage heat-sensitive items. Answer C is not suitable as boiling cannot achieve sterilization, only high-level disinfection.

Answer 67

The correct answer is C. When they are empty. Sterilizer cartridges should be replaced when they are empty to ensure the effective functioning of the sterilizer. Options A, B, and D can result in wastage or inefficient use of cartridges.

Answer 68

The correct answer is B. A malfunction in the sterilizer's temperature gauge. The temperature curve on the printout is directly related to the performance of the sterilizer's temperature gauge. Irregularities may indicate a malfunction in the gauge, not necessarily a pressure valve failure (A), incorrect cycle duration (C), or improper loading (D).

Answer 69

The correct answer is D. Safety should be your top priority, and using appropriate Personal Protective Equipment (PPE) is part of area-specific safety awareness. Handling hot trays without proper PPE (Options A and C) can lead to serious burns. While waiting for the tray to cool down (Option B) might seem like a good idea, it could disrupt workflow efficiency. Reporting the damaged gloves and obtaining a new pair before handling the tray ensures both personal safety and work efficiency.

Answer 70

The correct answer is C. Quarantine the load, report the issue, and reprocess the items. If the sterilizer door was not properly sealed, the sterilization parameters might not have been met, leading to potential process failure. The best course of action is to quarantine the load, report the issue, and reprocess the items. A, B, and D are incorrect as they could lead to non-sterile items being used.

Answer 71

The correct answer is B. Record the temperature and humidity again and take necessary actions if they are out of range. Emily should trust her perception and check the environmental conditions again. If they are out of range, she should follow the proper procedures to correct them. Options A and C are incorrect because they disregard the potential issue. Option D may be premature if she hasn't confirmed the changes with actual measurements.

Answer 72

The correct answer is C. Perform a Bowie-Dick test before continuing regular operation. After a malfunction, a Bowie-Dick test is appropriate to check for proper air removal and steam penetration. Continuing regular operation (option A) is risky without ensuring proper functioning. Reporting the incident to the supervisor (option B) is a good practice, but it does not directly ensure that the sterilizer is functioning properly. A biological test (option D) would also be an important step, but it's typically performed after a Bowie-Dick test, and it's more time-consuming due to the incubation period required.

Answer 73

The correct answer is D. Inform your supervisor and stop using the sterilizer. If the seal is not functioning correctly, the sterilizer might not be able to maintain the necessary pressure and temperature conditions to achieve sterilization. Hence, it should not be used until the issue is resolved. Options A, B, and C are incorrect because they could lead to ineffective sterilization and pose a risk to patient safety.

Answer 74

The correct answer is C. Sterilize the metal items with steam sterilization and the plastic items with low-temperature gas plasma sterilization separately. Metal instruments are usually resistant to high temperatures and can be sterilized using steam sterilization. However, heat-sensitive plastic items may be damaged by high temperatures, and hence, low-temperature gas plasma sterilization is suitable. Answers A, B, and D are incorrect because sterilizing all items together might lead to damage of the heat-sensitive plastic items.

Answer 75

The correct answer is D. Report the defect and wait for further instructions. Any defect in the door gasket, even if minor, can compromise the effectiveness of the sterilization process. It is important to report the defect and not proceed until you get further instructions from a supervisor or maintenance staff. Option A is incorrect because it risks ineffective sterilization. Option B is incorrect because repairing a gasket without the proper knowledge or tools could lead to further damage. Option C might not be feasible immediately without confirmation or support from the appropriate department.

Answer 76

The correct answer is B. False. While it's important not to remove items from the sterilizer prematurely due to heat, leaving items in the sterilizer longer than necessary does not inherently compromise sterility. However, leaving items in the sterilizer does tie up the equipment and could cause workflow inefficiencies.

Answer 77

The correct answer is A) True. Including the date of sterilization in the load control number is vital as it allows for easy tracking and identification of sterilization lots in case of recall or sterilization failure.

Answer 78

The correct answer is False. Regardless of the equipment being new and guaranteed by the manufacturer, it is imperative to check its functionality and ensure error-free operation before using it. This is to ensure that the equipment operates correctly and as expected, in order to maintain the highest standard of patient safety.

Answer 79

The correct answer is B. False. While the IUSS cycle is designed for quick turnaround of instruments, it does not eliminate the need for drying time. Drying is essential to maintain the sterility of the instruments.

Answer 80

The correct answer is B. False. While successful external indicators are a positive sign, other factors such as holes, broken seals, or moisture can still compromise the package integrity post-sterilization.

Answer 81

The correct answer is B. False. The pressure reading on the sterilization printout represents the maximum pressure reached during the cycle, not the exact pressure throughout the entire cycle. The pressure can fluctuate during the cycle depending on the sterilization method and other factors.

Answer 82

The correct answer is A. Asking the surgeon politely to slow down and clarify the terms is the best course of action. It ensures clear communication and avoids potential misunderstandings. Pretending to understand (option B) could lead to mistakes. Interrupting the surgeon (option C) can be perceived as rude. Ending the call abruptly (option D) is unprofessional and could lead to serious consequences.

Answer 83

The correct answer is D. It’s important to prioritize tasks effectively. In this scenario, explaining to your coworker that you’re busy with a high-priority task and suggesting they ask for help elsewhere is the best course of action. Stopping your task to help (option A) could delay completion of the high-priority task. Ignoring your coworker (option C) is unprofessional, and telling them you’re too busy (option B) is not as helpful as explaining the situation and suggesting alternatives.

Answer 84

The correct answer is C. Taking time to explain the different processes promotes a collaborative environment and ensures the nurse can do her job effectively, which in turn ensures patient safety. Telling her to figure it out on her own (option A) or that it's not your job to teach her (option D) is not helpful. Referring her to the equipment manual (option B) might be beneficial, but it's not as effective as a person-to-person explanation.

Answer 85

The correct answer is A. Responding to a request for an urgent re-sterilization. This task has the highest priority as it directly relates to patient care. Completing routine sterilization procedures (B), attending training sessions (C), and assisting in quality control meetings (D) are important, but none have the immediate impact on patient care that urgent re-sterilization does.

Answer 86

The correct answer is B. The whole team collectively. In a cross-functional team, accountability is typically shared among all team members. The team leader (A) may guide the decision-making process, but is not solely responsible. The hospital administration (C) may approve the decision, but the team is responsible for the choice. The most senior member (D) might have more experience, but the decision is a collective responsibility.

Answer 87

The correct answer is A. The sterilization technician. The sterilization technician has the most in-depth understanding of the scientific aspects of sterilization procedures. While the team leader (B), operating room nurse (C), and hospital administrator (D) each have crucial roles in the team, understanding the scientific aspects of sterilization methods is typically the sterilization technician’s responsibility.

Answer 88

The correct answer is A. Actively listening to the nurse's concerns and explaining the rationale behind the new process shows respect, professionalism, and effective communication. Telling the nurse to accept the change without discussion (option B) can come across as dismissive and unprofessional. Hanging up the phone (option C) or diverting the call (option D) is unprofessional and could escalate the issue.

Answer 89

The correct answer is D. Apologizing for the mistake, assuring the doctor it will be addressed, and taking steps to prevent such errors in the future shows professionalism and a commitment to continuous improvement. Arguing with the doctor (option A) or ignoring their comments (option C) can escalate the situation and harm the working relationship. Complaining about the doctor’s behavior to coworkers (option B) is unprofessional and could create a negative work environment.

Answer 90

The correct answer is C. Encourage a detailed review of the pros and cons of both options and a decision based on evidence and consensus. A balanced and informed decision-making process that involves all team members ensures the best outcome. Option A and D may not consider the unique expertise of all team members, while option B overlooks the possibility of improving efficiency without incurring high costs.

Answer 91

The correct answer is D. Form a cross-functional group to examine the current process and suggest improvements. It is a balanced approach that utilizes the expertise of various team members to tackle a complex problem. Option A fails to utilize the full potential of the team, option B could compromise patient safety, and option C might not address underlying inefficiencies.

Answer 92

The correct answer is B. Shift the focus to the trauma case as it requires immediate attention. In a medical setting, emergencies often take priority over scheduled procedures. Option A does not take into account the urgency of the trauma case, option C neglects the role of a sterilization technician in facilitating emergency care, and option D falls outside the typical responsibilities of operating room staff and may compromise patient safety.

Answer 93

The correct answer is False. Active listening is a dynamic process that involves understanding, responding to, and remembering what is being said. It involves paying full attention to the speaker, showing that you're listening, providing feedback, and responding appropriately.

Answer 94

The correct answer is B. False. In a quality work group, roles and responsibilities often vary based on expertise, position, and the task at hand. The diversity of roles allows the group to tackle complex problems from various angles, enhancing the quality of solutions.

Answer 95

The correct answer is A. When humidity levels rise above the standard range in the sterile storage area, the first person to notify should be the manager of the sterile processing department. Options B, C, and D might be involved later in the process but are not the immediate point of contact for such issues.

Answer 96

The correct answer is C. Between 68 and 73 degrees Fahrenheit. The ideal temperature for sterile storage areas is typically between 68 and 73 degrees Fahrenheit (20-23 degrees Celsius). This helps maintain the integrity of the sterile packaging and items. The other temperature ranges in options A, B, and D are either too high or too low to optimally maintain sterility.

Answer 97

The correct answer is B. Increasing the par level of the frequently out-of-stock items. If certain items frequently run out, it may be necessary to increase the par level, meaning keeping more stock on hand. While increasing the frequency of supplier deliveries (A) might help, it may not be feasible due to supplier restrictions or cost. Decreasing the par level of less frequently used items (C) might free up storage space, but it wouldn't necessarily solve the issue of stockouts for the in-demand items.

Answer 98

The correct answer is A. Remove external shipping containers and corrugated cardboard before entering the sterile storage area. This procedure is crucial to minimize the potential contamination brought in from outside. Option B is incorrect because items should be unboxed and the packaging removed in a separate area before being stored. Option C and D are incorrect because they can bring contaminants into the sterile area.

Answer 99

The correct answer is A. 18 inches is the recommended clearance between the top sterile supply shelf and the ceiling to allow for proper air circulation and reduce contamination risks.

Answer 100

The correct answer is D. Open shelving units with spaced inventory improves air circulation and allows for better visibility and inventory control and rotation. Overpacking closed storage limits airflow and visibility.

Answer 101

The correct answer is A. It offers real-time tracking. An RFID system, though often more expensive initially, provides real-time tracking of items, enhancing efficiency and reducing chances of loss. The other options could be benefits but they are not the primary advantages of an RFID system.

Answer 102

The correct answer is A. Overstocking of sterile items. Overstocking can lead to items expiring before use, which is a common cause of waste and loss. Options B, C, and D are in fact best practices that help avoid waste and loss.

Answer 103

The correct answer is D. All of the above. The optimal temperature for sterile storage areas is typically between 68 and 73 degrees Fahrenheit. Therefore, if the temperature is consistently reading 76 degrees, adjusting the thermostat (option A), reporting the issue to maintenance (option B), and relocating the items to a cooler area until the issue is resolved (option C) are all appropriate actions.

Answer 104

The correct answer is D. Linens should be stored on lower shelves to prevent contamination from material falling from above. Scopes and rigid containers are heavier and should be stored on higher shelves with good ventilation.

Answer 105

The correct answer is D. When sterile supplies run out, the OR nurse or surgeon should be notified immediately that none are available rather than attempting to find non-sterile or improperly sterilized items. Proper protocols must be followed.

Answer 106

The correct answer is C. The frequency of stock outages. The primary goal of implementing an RFID tracking system is to improve inventory management, thus reducing the frequency of stock outages. While lost items (A) might be reduced, and staffing requirements (B) and total cost of inventory (D) might also be impacted, the most direct measure of the system's success would be its impact on the availability of inventory when needed.

Answer 107

The correct answer is B. False. With the Periodic Automated Replenishment (PAR) system, adjustments can indeed be made to the order quantities in response to changes in usage patterns. This system allows for flexibility and efficient management of inventory, preventing overstocking and stockouts.

Answer 108

The correct answer is False. Sterile basins should not be stored on the bottom shelves where they can become contaminated. Basins should be stored up off the floor on shelves with other small sterile items.

Answer 109

The correct answer is B. False. While manual systems can be effective, they are generally not as efficient as computerized or RFID systems. Computerized and RFID systems provide real-time tracking, reduce human error, and enhance efficiency.

Answer 110

The correct answer is C. When disinfecting patient care equipment. PPE is required when CRCSTs are exposed to potentially harmful substances, such as disinfectants and blood borne pathogens, to protect against possible infections or injuries. The other scenarios do not typically require the use of PPE.

Answer 111

The correct answer is D. The proper temperature range for the decontamination area in the sterile processing department is 68-73 degrees Fahrenheit. This temperature range ensures a balance between employee comfort and the efficiency of the decontamination process. Options A and B are below the acceptable range and could decrease the efficiency of the decontamination process, while option C exceeds the range, which could lead to increased risk of microbial growth.

Answer 112

The correct answer is D. Scalpels. Scalpels are not typically needed when preparing a work area for distribution. This task usually involves supplies like sleeves, pads, and equipment covers (options A, B, and C). Scalpels, on the other hand, are a type of surgical instrument and are not typically part of work area preparation supplies.

Answer 113

The correct answer is A. The term “one-way flow” refers to equipment moving from clean areas to dirty areas, reducing the risk of cross-contamination. Answer B is incorrect as equipment should never move from dirty to clean areas. Answer C is incorrect as equipment should not move directly from one patient to another without being properly cleaned and sterilized. Answer D is incorrect as one-way flow does not refer to single-use equipment.

Answer 114

The correct answer is C. If a rental piece of patient care equipment is found to be defective upon arrival, the appropriate action is to inform the rental company and request a replacement. Answer A is incorrect because using defective equipment can compromise patient safety. Answer B is incorrect because attempting to repair rented equipment can violate the rental agreement and potentially make the problem worse. Answer D is not an ethical or practical choice.

Answer 115

The correct answer is D. Isolate the device and notify the relevant authority. It’s important to remove any device with a damaged cord from service to prevent potential harm to patients or staff. Trying to repair the cord with electrical tape (option A) or replacing the cord yourself (option C) are unsafe practices and beyond the duties of a CRCST. Using the device until it’s no longer operational (option B) can lead to potential safety hazards.

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. Maintain regular preventive maintenance schedules. Regular maintenance is essential for ensuring the longevity of the patient care equipment. It helps identify potential problems early and keep the equipment in optimal working condition. Option A is incorrect because using equipment past its service life can compromise patient safety and equipment performance. Option C is wrong as storing equipment outdoors exposes it to unfavorable weather conditions and potential contamination. Option D is incorrect as continuous usage can lead to wear and tear, reducing equipment lifespan.

Answer 118

The correct answer is A. Difficulty in real-time tracking of equipment. Manual systems often lack the capability for real-time tracking of equipment that more advanced systems like RFID or computer-based systems can offer. Option B (high cost) is more associated with advanced systems, option C (system crashes) is more likely with computer-based systems, and option D (compatibility issues) is generally not associated with manual systems.

Answer 119

The correct answer is B. Report the situation to your supervisor. As a CRCST, it's crucial to have an accurate and continuous record of temperature and humidity. If there are gaps in the data, it should be reported to a supervisor, who can address the issue with the staff from the previous shift and ensure it doesn't happen again. Option A doesn't address the underlying problem, option C is ignoring a potential issue, and option D is beyond your responsibilities.

Answer 120

The correct answer is C. Report the issue to your supervisor. Too many plugs in a single outlet can be a safety hazard and is not in line with work area requirements. It's important to bring this to the attention of your supervisor so it can be properly addressed. Ignoring the problem (option A) or attempting to resolve it yourself by unplugging devices (option B) can lead to further complications. Taking a photo for personal reference (option D) does not solve the issue.

Answer 121

The correct answer is D. Requesting a demo or training from the rental company is the most appropriate action. This ensures that everyone who will handle the machine understands its operation, minimizing potential mishandling and enhancing patient care. Answer A might be risky if the experienced team member doesn’t understand the machine fully. Answer B might lead to misunderstanding if you are not able to interpret the instructions correctly. Answer C could be dangerous and could damage the equipment.

Answer 122

The correct answer is C. Store equipment based on the frequency of use, ensuring commonly used items are easily accessible. This strategy allows for the most efficient utilization of limited space, ensuring that frequently used items are readily available. Option A is incorrect as stacking equipment could lead to damage or improper sterilization. Option B is not ideal as returning equipment might not be an option and can disrupt patient care. Option D is incorrect because storing equipment in patient rooms increases the risk of contamination.

Answer 123

The correct answer is B) False. Although an initial safety check is crucial, regular maintenance and periodic checks are essential to ensure the continued safe operation of patient care equipment. Just because equipment passes an initial check does not guarantee it will continue to function properly without further checks.

Answer 124

The correct answer is True. Sleeves, pads, and clean labels/stickers are essential supplies when preparing the work area for distribution. They are used to protect, cushion, and identify equipment during storage and transport, ensuring safe and efficient delivery of patient care equipment.

Answer 125

The correct answer is B. False. Even if the equipment looks fine after assembly, it is important to test it as per the Manufacturer's IFU to ensure its functionality and safety. Visual inspections cannot detect internal issues or functionality problems.

Answer 126

The correct answer is B) False. Regardless of the frequency of use or the duration of use, all patient care equipment distributions should be recorded. This helps maintain a full equipment tracking record, ensuring the availability of equipment when needed, proper maintenance schedules, and can also be important for infection control purposes.

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