Test 6 Flashcards

Question

Category: Cleaning, Decontamination & Disinfection While performing a daily check, you discover that the washer baskets are damaged. What is the correct course of action? A. Continue to use the baskets but monitor them closely. B. Attempt to repair the baskets yourself. C. Remove the damaged baskets and report the issue according to protocol. D. Replace the damaged baskets with any available baskets.

Answer 1

The correct answer is C. Damaged washer baskets can compromise the cleaning process and should not be used. They should be removed from service and the issue reported according to protocol. Option A is incorrect because continuing to use damaged baskets can compromise the disinfection process. Option B is incorrect as this might lead to improper repair. Option D is incorrect because not all baskets are interchangeable.

Answer 2

The correct answer is A. A worn-down brush may not effectively remove bioburden, compromising the decontamination process. It’s important to select a brush in good condition. The other options (B, C, D) would not ensure effective cleaning.

Answer 3

The correct answer is C. Discard the solution and prepare a new batch. If a quality test reveals that the MEC of a disinfectant solution is lower than the manufacturer’s recommendation, the solution may not effectively disinfect surfaces or instruments. Adding more disinfectant could disrupt the balance of the solution, and allowing it to sit longer does not increase its concentration. It’s important to prepare a new batch according to the manufacturer’s instructions.

Answer 4

The correct answer is False. While physical comfort is a significant aspect of ergonomics, it also includes designing and arranging workspaces so that they fit the employees’ physical capabilities and limitations. This includes reducing the risk of strain injuries and increasing efficiency and productivity.

Answer 5

The correct answer is B. False. Proper documentation for high-level disinfection (HLD) should include recording the technician’s information. It is important to document who performed the disinfection process for traceability and accountability purposes. The technician’s information helps track and monitor the disinfection procedures performed on specific devices.

Answer 6

The correct answer is A. True. When removing PPE, gloves should be removed first, as they are often the most contaminated. After gloves, the gown should be removed, followed by the mask and then hand hygiene.

Answer 7

The correct answer is B. False. A lower than standard humidity level can increase static electricity, which can potentially damage delicate instruments. It may also affect the comfort of the staff working in the area. Hence, any deviation from the standard humidity range should be reported and corrective action should be taken.

Answer 8

The correct answer is False. There could be many reasons why a washer-disinfector fails to effectively clean surgical instruments, such as an issue with the chemical feed line, incorrect loading, or a problem with the machine’s programming. While malfunctioning spray arms could be one cause, it is not the only one.

Answer 9

The correct answer is False. Reusables and disposables should not be placed in the same container before sorting. This could lead to contamination of reusable items and confusion during the sorting process. It’s important to always maintain separate containers for disposable and reusable items to ensure proper handling and processing.

Answer 10

The correct answer is False. The choice between reusable and single-use brushes depends on the manufacturer’s instructions and the specific cleaning requirements of the instruments. It’s not merely about durability or lifespan.

Answer 11

The correct answer is B. False. Quaternary Ammonium Compounds (quats) are classified as low-level disinfectants, not high-level disinfectants. High-level disinfectants are typically used for semi-critical items that come into contact with mucous membranes or non-intact skin.

Answer 12

The correct answer is C. In the Material Safety Data Sheets (MSDS) binder.Safety Data Sheets (SDS) for hazardous substances can be found in the Material Safety Data Sheets (MSDS) binder. The binder contains important information about the chemical composition, potential hazards, and safety precautions for each substance. Technicians should consult the MSDS binder to access the SDS for any specific substance.

Answer 13

The correct answer is B. Use the arms and shoulders for lifting, keeping the back straight. This minimizes strain on the back, reducing the risk of injury. Answer A is incorrect because lifting with the back, especially while bending at the waist, can lead to serious injury. Answer C, while generally a good advice for lifting heavy objects, can be impractical in a sterile processing environment due to spatial constraints. Answer D is incorrect as lifting quickly increases the chance of injury and also can compromise the safety of the instrument trays.

Answer 14

The correct answer is A. If the temperature in a central service department exceeds the recommended range, the appropriate corrective action is to notify the department supervisor. This allows for prompt investigation and resolution of any potential issues that may impact the effectiveness of sterilization processes or staff comfort.

Answer 15

The correct answer is C. The lighting should be adjustable to different tasks. Proper lighting is crucial to ensuring visibility and accuracy when packaging sterile items. It needs to be adjustable as different tasks may require varying levels of lighting. For example, inspecting instruments may need more light than wrapping packages. While too bright lighting (A) could cause eyestrain and glare, dim lighting (B) might not provide adequate visibility. Colorful lighting (D) doesn't have a significant impact on work efficiency and could even distract the technician.

Answer 16

The correct answer is B. Inspect each item for remaining soil or debris. Although it's important to check cleaning logs (option A), sort items (option C), and ensure no instruments are missing (option D), the first step when receiving manually cleaned items is to inspect them for cleanliness. This is to ensure that the items are indeed clean and safe for further processing or sterilization.

Answer 17

The correct answer is D. They should be segregated from facility-owned items. Loaner items should be kept separate from facility-owned items to prevent any mix-up. Option A is incorrect as the priority of processing is not based on the item’s ownership status., Option B is wasteful and is not a standard procedure, Option C is not practical because the items are usually needed for procedures.

Answer 18

The correct answer is A. Before sterilization. According to most Manufacturer's IFUs, surgical instruments should be lubricated before the sterilization process. Lubrication after sterilization (B) would contaminate the sterile instrument. While some instruments may require lubrication both before and after sterilization (C), this is not a general rule. Lubricating whenever the instrument appears dry (D) might not be in line with the Manufacturer’s IFUs.

Answer 19

The correct answer is B. Document the defect and quarantine the tube for repair or replacement. Any noticeable defect on a surgical instrument, including a small crack, should be documented and the item should be quarantined for repair or replacement. Attempting to repair the crack yourself (C) or disregarding the crack (A and D) could compromise patient safety.

Answer 20

The correct answer is A. Count sheets are used during assembly as a reference to ensure all necessary items are included in the pack. Option B is incorrect because count sheets themselves are not included in the sterilization pack. Option C is not correct because by the time sterilization occurs, it’s too late to verify contents. Option D is incorrect because count sheets are not meant to be used as wrapping material.

Answer 21

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

Answer 22

The correct answer is A. To prevent damage to lighter instruments. While maintaining balance and ensuring proper sterilization are important, the primary reason to place heavier instruments at the bottom is to prevent them from damaging lighter instruments during the sterilization process.

Answer 23

The correct answer is D. They provide a clear view of the contents. Heat-seal pouches are typically made of clear plastic on one side, allowing for easy identification of the contents without needing to open the package. While they may offer other benefits, the ability to view contents is a primary advantage.

Answer 24

The correct answer is A. When an item is missing from a tray, it is crucial to label the tray with the name of the missing item. This helps ensure proper communication and allows for the necessary steps to be taken to replace or find the item. While options B, C, and D are all important pieces of label information, they do not directly relate to a missing item situation.

Answer 25

The correct answer is C. Follow the manufacturer's instructions for proper disposal.Proper disposal of chemical solutions is essential to protect the environment and ensure compliance with regulations. The manufacturer's instructions for the specific chemical solution will provide guidance on the appropriate method of disposal. Following these instructions ensures that the chemical is disposed of safely and in accordance with regulatory requirements.

Answer 26

The correct answer is C. In this scenario, the appropriate corrective action is to add dehumidification devices. Consistently high humidity can lead to excessive moisture and compromise the effectiveness of sterilization processes. Adding dehumidification devices helps restore the desired humidity range and ensures optimal conditions for sterilization.

Answer 27

The correct answer is B. Contact the supplier and report the discrepancy. The supplier needs to be informed about the discrepancy so they can correct the issue. Simply documenting the discrepancy (option C) is not enough. Preparing and packaging the instruments as usual (option A) would be inappropriate until the discrepancy is resolved. Sending back the instruments (option D) could delay necessary procedures.

Answer 28

The correct answer is D. The safest option is to look for a different instrument in the inventory that is clearly labeled as a Love nerve root retractor. You should never assume the identity of an instrument (Option A) as this could lead to problems during the procedure. While excluding an unknown instrument (Option B) is a safer option than assuming its identity, it still leaves the set incomplete. Contacting the manufacturer (Option C) can be a good step, but it could take time and delay the procedure.

Answer 29

The correct answer is C. Heat-seal pouches. These pouches are ideal for smaller, delicate instruments. They provide a clear view of the contents and can be effectively sealed for steam sterilization. Flat wrap, rigid containers, and sequential wrap are more suitable for larger or heavier instruments.

Answer 30

The correct answer is C. Add a label stating “loaner” to the package. It is crucial to indicate on the label that the set is a loaner, which assists in tracking, usage, and return procedures. Option A is incorrect as it would fail to communicate that the set is a loaner. Option B, while signifying the urgency, does not directly address the fact that the set is a loaner. Option D is irrelevant if there's no missing item in the set.

Answer 31

The correct answer is A. True.Safety Data Sheets (SDS) can be found in the Material Safety Data Sheets (MSDS) binder. The MSDS binder is a designated location where SDSs for hazardous substances are stored. These sheets provide essential information on the chemical composition, potential hazards, and safety precautions for each substance. Technicians should consult the MSDS binder to access the SDS for any specific substance.

Answer 32

The correct answer is B. The statement is false. It is not acceptable to record the temperature and humidity of the central service department on a monthly basis. Regular monitoring is necessary to ensure that the conditions are consistently within the recommended ranges. Weekly recording allows for timely identification of any deviations and prompt corrective actions if needed.

Answer 33

The correct answer is False. Sterilization is not guaranteed if visible residue remains on instruments. It may impede the penetration of sterilizing agents to the surfaces of the instruments, thereby potentially allowing microorganisms to survive. The instruments should be thoroughly cleaned before sterilization.

Answer 34

The correct answer is False. Even in situations where no alternative is available, using a blunt or damaged instrument is unacceptable as it can endanger patient safety.

Answer 35

The correct answer is False. If there is a discrepancy between the count sheet and the actual count, it's important to resolve the issue before proceeding with packaging. The missing item should be identified and added to the tray if available. Simply proceeding and noting the discrepancy could disrupt the surgical procedure.

Answer 36

The correct answer is False. While tray liners do provide protection to instruments during transport, their primary function is to aid in the sterilization process by allowing sterilant to circulate under and around instruments. Therefore, they play a crucial role in ensuring effective sterilization.

Answer 37

The correct answer is False. Both the sterilization date and the expiration date are crucial pieces of information to include on the label. The expiration date is important to ensure that a sterile package is used within the time frame that its sterility is assured, while the sterilization date helps track the sterilization history.

Answer 38

The correct answer is A. To help in training new staff. Policies and procedures serve as a reference and training guide for staff, particularly new employees. While they may have other uses, training is the primary purpose.

Answer 39

The correct answer is A. For training new staff. Detailed records of policy and procedure in the Central Service Department are a vital resource for training new staff members. While records are used for various purposes, options B, C, and D do not accurately represent the primary use of policy & procedure documentation.

Answer 40

The correct answer is A. To provide evidence in case of a lawsuit. In case of patient infections or other complications, sterilization records can serve as evidence in legal proceedings to show whether appropriate sterilization procedures were followed.

Answer 41

The correct answer is C. 10-20. This is the recommended range of air changes per hour in the decontamination area to prevent the accumulation of contaminated air. A, B and D are not correct because they fall outside of the recommended range.

Answer 42

The correct answer is A. Daily. Air pressure in sterilization areas should be checked daily to ensure it remains within the acceptable range. B, C and D are incorrect because weekly, monthly or annually would not provide enough monitoring to ensure consistent compliance.

Answer 43

The correct answer is A. Report the incident immediately and follow exposure control plan. This process is important for limiting potential infectious exposure and adheres to typical accident/incident reporting policy. Cleaning the wound with only water (B) is not sufficient. Continuing with tasks without reporting (C) or seeking medical help without reporting the incident (D) are not recommended, as they delay potential treatment and violate safety protocols.

Answer 44

The correct answer is A. To monitor individual exposure to potentially hazardous substances. Monitoring badges are specifically used to track potential exposure to hazardous substances or radiation. They do not typically track working hours (B), provide identification (C), or control access to areas (D) in this context.

Answer 45

The correct answer is D. Whenever new equipment or procedures are introduced. Although regular competency evaluations are important (such as annually or every six months), it's crucial to update competencies whenever new equipment or procedures are introduced to ensure technicians can perform their jobs safely and effectively. Simply evaluating at hiring (A) does not account for changes over time or new introductions.

Answer 46

The correct answer is B. Implementing the safety management policies. The primary role of the Central Service Technician is to implement safety policies, not to create them (A), audit their effectiveness (C), or train others on them (D) – these are usually tasks for management or dedicated safety officers.

Answer 47

The correct answer is D. Policy and procedure documentation. While all records are important, policy and procedure documentation will directly demonstrate the department's adherence to the hospital's sterilization policies and procedures.

Answer 48

The correct answer is A. Implement daily monitoring and record-keeping of air pressure. Ensuring consistent monitoring and record-keeping is essential to meet compliance. B is incorrect because this responsibility should be a shared task to avoid errors and ensure continuity. C is incorrect because disputing the results will not solve the issue. D is incorrect because ignoring the issue will not improve compliance.

Answer 49

The correct answer is C. Inform your supervisor and request additional training. This approach ensures you receive the necessary guidance to operate the machine effectively and safely. A) and B) could lead to potential safety risks or process inefficiencies, while D) might help but isn't the most efficient solution as hands-on training could be more effective.

Answer 50

The correct answer is False. While sterilization cycle records are crucial, other types of records like quality test results, policy and procedure documentation, and staff training records could also serve as evidence of adherence to standards.

Answer 51

The correct answer is B. False. A corrective action plan is needed for any condition of non-compliance, not just those affecting patient safety. It's important to maintain all areas within compliance to regulations, as non-compliance in one area can often affect other areas as well.

Answer 52

The correct answer is False. While familiarizing new staff with their coworkers and the physical layout of the healthcare facility is a part of the orientation process, its primary purpose is to educate them about policies, procedures, state & federal regulations, disaster plan, risk management & safety management policies, and the overall operation of the facility.

Answer 53

The correct answer is B. Your personal safety is the priority. Protecting your face and letting the tray fall is the appropriate response. Options A, C, and D might cause severe injuries. In A and D, the potential for burns is high. In C, twisting your body can result in a severe back injury or sprain.

Answer 54

The correct answer is D. In a corner away from main walkways. This minimizes the risk of contamination due to heavy foot traffic or accidental contact with non-sterile items. Options A, B, and C are not recommended as these placements are more likely to disrupt traffic flow or compromise sterility.

Answer 55

The correct answer is C. Quarantine the batch and reprocess it. When a biological indicator fails to change color, it indicates potential sterilization failure. The batch should be quarantined and reprocessed. Options A, B, and D are incorrect. Ignoring it is not safe practice, repeating the sterilization cycle without quarantining the batch is risky, and using the batch could pose a threat to patient safety.

Answer 56

The correct answer is D. Patient's name. Load control numbers do not require patient's name. They typically include the date of sterilization, the sterilizer used, and the operator's identity to ensure traceability.

Answer 57

The correct answer is B. To facilitate recall and traceability. While it's true that documentation may fulfill legal requirements, account for equipment usage, and allow for operator performance monitoring, the primary reason for this practice is to ensure that in the event of a malfunction or issue, affected items can be accurately traced and recalled.

Answer 58

The correct answer is C. 40-60%. The AAMI standards state that the relative humidity in a sterile processing department should be kept between 40% and 60%. Options A, B, and D represent incorrect humidity ranges.

Answer 59

The correct answer is B. Increased risk of microbial growth. High temperatures could potentially facilitate microbial growth, affecting the sterility of the environment and the equipment. A is incorrect because higher temperatures typically increase the effectiveness of chemical sterilants, not decrease. C is incorrect because higher temperatures typically increase drying times. D is incorrect as it is a result of improper sterilization process rather than high environmental temperatures.

Answer 60

The correct answer is C. Any residue or buildup in the chamber of sterilization equipment should be cleaned as per the Manufacturer's IFU to avoid damaging the machine. Answer A might cause damage to the chamber's interior. Answer B may not effectively remove the residue and can potentially harm the machine if the soap is not compatible. Answer D can potentially corrode the metal parts of the chamber.

Answer 61

The correct answer is A. Immediately after the repair. Sterilizer tests should be performed immediately after any major repair or construction to ensure that the sterilizer is functioning properly. Answer B is incorrect as the test should be conducted before any sterilization cycles are run. Answer C is incorrect as the sterilizer should not need to cool down before testing, and answer D is incorrect because the test needs to be done before any further use, not just before the next cycle.

Answer 62

The correct answer is B. To eliminate any residual organic or inorganic matter. A burnout cycle in a dry heat sterilizer is designed to burn off any leftover organic or inorganic matter, ensuring that the chamber is clean for the next sterilization process. A is incorrect because the burnout cycle generates, rather than removes, heat. C is incorrect as calibration is not the purpose of the burnout cycle, and D is incorrect as the burnout cycle doesn't directly test the effectiveness of sterilization.

Answer 63

The correct answer is D. Gas plasma sterilization. Gas plasma sterilization uses hydrogen peroxide as the primary sterilant. The hydrogen peroxide is converted into a plasma, or highly energized gas, which can kill microorganisms. A, B, and C are incorrect because these methods do not use hydrogen peroxide as a sterilant.

Answer 64

The correct answer is A. It can disrupt the sterilization process. Incorrect filter placement can obstruct the penetration of the sterilizing agent, compromising the effectiveness of the sterilization process. B) is incorrect as incorrect filter placement can decrease, not improve, sterilization efficiency. C) is incorrect because filter placement does not affect the temperature of the package. D) is incorrect because filter placement is a crucial part of ensuring successful sterilization.

Answer 65

The correct answer is B. To indicate that the package has been exposed to the sterilization process. External indicators, such as autoclave tape, change color to indicate that the package has been exposed to the sterilization process. Answer A is incorrect as external indicators cannot verify the sterilization process's success. Answer C and D are incorrect as the indicators are not intended to identify contents or determine expiration dates.

Answer 66

The correct answer is D. Consulting the manufacturer's instructions. The disposal process for empty sterilant tanks varies depending on the sterilant used and the manufacturer's guidelines. Therefore, it's important to refer to the manufacturer's instructions to ensure proper disposal. A, B, and C may be incorrect without this context.

Answer 67

The correct answer is D. After checking the cycle parameters on the printout. Initialing the printout should be done after verifying that the sterilization cycle was successful and all parameters were met. This ensures accountability and confirms the cycle was properly completed. Initialing before the cycle (A), at the end of the shift (C), or once the items are used (B) does not provide the same level of verification and could lead to the use of improperly sterilized items.

Answer 68

The correct answer is A. Wait for the sterilizer to cool down, even if it means delaying the process. Cooling time is critical to maintaining sterility, and a sudden temperature change can compromise sterility. While it may take more time, it is crucial to ensure patient safety. Options B, C, and D are incorrect because they increase the risk of compromising sterility and/or causing injuries.

Answer 69

The correct answer is D. The specific identification of the new sterilizer. Load control numbers should include identification of the specific sterilizer to ensure traceability and quality assurance.

Answer 70

The correct answer is C. In the event of a blocked drain, the first step should be to refer to the Manufacturer's IFU for proper procedures to address the problem. Answer A is incorrect as using a metal rod could potentially damage the equipment. Answer B is not advised because a blocked drain could affect the sterilization process. Sending the equipment for repair (Answer D) without attempting to solve the issue as per the IFU is unnecessary and may lead to unnecessary downtime.

Answer 71

The correct answer is C. Perform a biological test. A biological test, which involves exposure to highly resistant bacterial spores, is the most definitive method to ensure a sterilization process is effective, especially when significant changes to cycle parameters have been made. Conducting a leak test (option A) is important for overall maintenance but does not evaluate sterilization effectiveness. Performing a Bowie-Dick test (option B) verifies air removal and steam penetration, but it does not provide a direct assessment of sterilization effectiveness. Comparing cycle times (option D) is not a direct measure of sterilization efficacy.

Answer 72

The correct answer is A. Steam sterilization. Metal instruments such as laryngoscope blades can withstand the high temperatures of steam sterilization, making it the most efficient and suitable method in this case. B is incorrect because dry heat sterilization generally requires longer exposure times and higher temperatures compared to steam, which could potentially damage delicate instruments. C and D are typically used for heat-sensitive and moisture-sensitive devices, which is not necessary for metal instruments like laryngoscope blades.

Answer 73

The correct answer is C. Within the deepest part of the tray or within the most complex instrument. Process challenge devices should be placed in the area that is hardest for the sterilant to reach, to ensure that sterilization has been achieved throughout the tray. Answers A, B, and D are incorrect as these locations do not represent the most challenging area for the sterilant to reach.

Answer 74

The correct answer is B. Adjust the sterilizer settings to match the operation manual and re-run the cycle. The discrepancy between the settings and the manual could indicate that the sterilizer is not functioning properly or it was not correctly set. The technician should adjust the settings to match the operation manual and re-run the cycle to ensure the instruments are properly sterilized. Simply ignoring the issue (A), notifying the manufacturer (C), or discarding the instruments (D) does not adequately address the immediate problem of potentially unsterilized instruments.

Answer 75

The correct answer is B. False. A cart that has been used for soiled items could still harbor microorganisms even after cleaning and therefore could compromise the sterility of the items. It is always best practice to use a separate, dedicated cart for clean or sterile items.

Answer 76

The correct answer is False. Including the sterilization date in the load log is not optional. It is a crucial piece of information necessary for recall and traceability. Without this information, it would be significantly harder to identify and locate potentially affected items in the event of a sterilization process failure.

Answer 77

The correct answer is False. Even if the operator manually records all relevant data, it is not as reliable as printer records. Maintaining accurate and reliable record-keeping is a critical part of the sterilization process. Therefore, the printer ink should be replaced as soon as possible to ensure that all records are complete and correct.

Answer 78

The correct answer is A. True. Ethylene oxide sterilization operates at a low temperature, which makes it an excellent choice for heat-sensitive devices that would be damaged by high-temperature sterilization methods.

Answer 79

The correct answer is False. Stacking rigid sterilization containers on top of each other is not recommended. Stacking can hinder the sterilant's ability to circulate freely around each container, which may affect the efficiency of the sterilization process. It's crucial to follow the manufacturer's instructions on loading the sterilizer to ensure proper sterilization.

Answer 80

The correct answer is B. False. The printout should be initialed after the completion of the cycle, not before. Initialing is a way of verifying that the cycle parameters were met and the sterilization was successful. Initialing before the cycle does not provide this verification.

Answer 81

The correct answer is A. Nodding your head while the speaker is talking is an example of active listening, as it shows that you're engaged with the speaker. Interrupting the speaker (option B), checking your phone (option C), or thinking about your response while the speaker is still talking (option D) are not examples of active listening.

Answer 82

The correct answer is D. When dealing with an irate customer, it’s crucial to stay professional, acknowledge the issue, apologize, and assure the customer that their complaint will be addressed. It’s unprofessional to blame the customer (option A), transfer responsibility (option C), or hang up the phone (option B).

Answer 83

The correct answer is C. Calling the team member for clarification is the best option. This ensures that you understand the request accurately and can respond appropriately. Ignoring the text (option A) or responding with a question mark (option B) could delay the required action. Guessing the meaning (option D) could lead to mistakes and possible patient safety issues.

Answer 84

The correct answer is A. Formal communication is most suitable when dealing with a serious issue such as a complaint about sterilization procedures. Informal communication (option B) might not convey the seriousness of the issue. Non-verbal communication (option C) is not sufficient for such an important issue. Written communication (option D) might be part of the process, but it's not the only form of communication required.

Answer 85

The correct answer is B. Providing expert opinion on sterilization procedures. As an expert in sterilization, a technician's primary role in a quality work group is to contribute knowledge and experience on sterilization procedures. They do not typically advise on policy changes (A), make decisions on purchasing new equipment (C), or manage the group's schedule (D).

Answer 86

The correct answer is D. All of the above. A sterilization technician needs to consider the complexity of the sterilization process (A), the urgency of the sterilization process (B), and the type of surgical instruments to be sterilized (C) when reading the sterilization schedule. All these factors are important for effective task prioritization and ensuring high-quality patient care.

Answer 87

The correct answer is A. Providing input on sterilization processes and procedures. The sterilization technician is the subject matter expert in sterilization processes, thus their role would be to provide relevant input and expertise. Leading the group and making all decisions (B), deciding the group’s meeting schedule (C), and overseeing the work of the operating room staff (D) are not typically within the purview of a sterilization technician.

Answer 88

The correct answer is D. Given the urgency of the situation, the best response is to call the surgeon immediately to discuss alternatives or possible delays. This allows for immediate communication and problem-solving. Ignoring the text (option A) or simply texting back (option C) may not be sufficient given the urgency of the situation. While informing your supervisor is important (option B), it should not be the only action taken as it might delay the resolution.

Answer 89

The correct answer is D. The best course of action is to report the issue to a higher authority or supervisor. Patient safety is paramount and ignoring the situation (option C) could lead to harmful outcomes. Confronting the team member in a public setting like a staff meeting (option A) can create unnecessary conflict and violate confidentiality. Discussing the issue with other team members (option B) could lead to gossip rather than a solution.

Answer 90

The correct answer is C. Given the stated urgency of the request, the best course of action is to call the surgeon immediately to get more details. While sending a formal email (option A) is a professional response, it may not be the quickest way to get the information needed. Ignoring the email (option B) would be unprofessional and could jeopardize patient care. Starting the process based on assumptions (option D) could lead to errors and should be avoided.

Answer 91

The correct answer is D. Sterilizing the equipment needed for trauma surgeries first. In emergency situations, the sterilization technician should prioritize tasks based on urgency. Although it’s important to sterilize all equipment, trauma cases often involve life-threatening situations and therefore have the highest priority. The other options may delay the delivery of needed equipment and impede patient care.

Answer 92

The correct answer is A. Inform the group of your lack of training and ask for necessary resources to get trained. Honesty and communication are crucial in any work setting. Options B, C, and D do not adequately address the issue. Learning on your own (B) or from a colleague (C) may result in improper procedures and possible patient safety risks, while quitting (D) only avoids the issue.

Answer 93

The correct answer is False. Prioritizing tasks based on their impact on patient care is an essential skill for a Central Service Technician, especially during a crisis. This enables them to focus on the most important tasks that directly affect patient care.

Answer 94

The correct answer is C. Closed cart. Closed carts are preferred for sterile storage because they provide a fully enclosed environment which minimizes the potential for contamination and helps maintain the sterility of the items inside. Open carts (option A) and semi-closed carts (option B) offer less protection and thus are not the preferred choice for sterile storage. A rack system (option D) refers to shelving, which also doesn't offer the level of protection a closed cart provides.

Answer 95

The correct answer is C. The par level of an item has been reached. Par levels indicate the minimum amount of stock that should be on hand at any given time. When par levels are reached, it is time to reorder to prevent a shortage. A is incorrect because running sterilization equipment continuously does not necessarily indicate the need for reordering. B is incorrect as back-orders might not be a direct indication of inventory replenishment need. D is not always a sign to reorder as new equipment does not necessarily mean a shortage of existing supplies.

Answer 96

The correct answer is C. Reject the delivery and report the condition to the shipping company. A damp and crushed box indicates a potential compromise in the integrity of the items inside. The contents, especially if sterile, may be contaminated or damaged. Opening the box (A) is risky because it can expose the contents to further contamination. Storing it in the quarantine area (B) is not the first step – the compromised condition should be addressed immediately to avoid further handling. Wiping the box (D) will not correct the compromised condition.

Answer 97

The correct answer is D. The CE marking. The CE marking is a certification mark that indicates conformity with health, safety, and environmental protection standards for products sold within the European Economic Area. It can be used as an assurance of sterility in the context of this question. The biohazard symbol (A) indicates potential biological hazards and not sterility. The hourglass symbol (B) is generally used to indicate that time is running out, often related to expiry dates, and doesn’t assure sterility. The green dot symbol (C) relates to recycling and not sterility.

Answer 98

The correct answer is C. A FEFO approach rotates the first expiring inventory items to be used first, ensuring longer-lasting items remain available. New inventory should be placed behind older inventory. Expired items should not be used.

Answer 99

The correct answer is D. ABC analysis. The ABC analysis is a business term used to define an inventory categorization technique often used in materials management. It is also known as Selective Inventory Control. Policies based on ABC analysis:A-Items: very tight control and accurate recordsB-Items: less tightly controlled and good recordsC-Items: simplest controls possible and minimal records. The other options (Random, Periodic, and Constant analyses) are not recognized inventory management techniques.

Answer 100

The correct answer is A. To ensure the availability and readiness of critical items in emergencies. Specialty carts such as code carts and emergency carts are tracked to ensure their readiness in times of emergency. The other options do not directly relate to the purpose of these specialty carts.

Answer 101

The correct answer is C. To ensure adequate stock levels and avoid outages. Computerized tracking systems are primarily used to monitor inventory levels and ensure that necessary supplies are always available when needed. While they might help reduce theft and costs, and could assist in tracking sterilization cycles, these are not their primary purpose.

Answer 102

The correct answer is D. The OR needs more planned and scheduled supply distribution. The nature of operations in the OR is often planned and scheduled ahead, necessitating a more organized and timed supply distribution compared to the ER, which deals with unpredictable emergencies. The other options could be true in specific scenarios but are not the main distinguishing inventory management factors.

Answer 103

The correct answer is D. In such a scenario, it’s crucial to maintain the sterility of the items. Therefore, moving the sterile items to a cooler area that meets the required temperature standards is the correct action to take. Option A is not correct because continuing normal operations could jeopardize the sterility of the items. Option B is not appropriate as fans can introduce dust and other contaminants into the area. Option C is not necessary because sterilization processes can continue, the concern is the storage of sterilized items.

Answer 104

The correct answer is C. Review the usage patterns and adjust the par level of these supplies. In this scenario, consistently running out of certain supplies could indicate that their usage has increased. Reviewing usage patterns and adjusting the par levels accordingly would help ensure that these supplies are restocked at an adequate level. A and B could be temporary solutions but wouldn't necessarily address the root cause of the problem. D might not solve the issue as the choice of inventory distribution system (exchange cart system or requisition system) does not directly influence the frequency of stockouts.

Answer 105

The correct answer is A. With limited stock, the remaining sterile gown inventory should be rationed to essential surgical services as needed until the new shipment arrives. Expired or non-sterile gowns should not be used. Canceling procedures should only be a last resort.

Answer 106

The correct answer is B. Report the incident to the supervisor and remove damaged items from circulation. In such a scenario, it's crucial to ensure that damaged items are not used which could risk patient safety. All other options either ignore the issue or deal with it inappropriately.

Answer 107

The correct answer is B. False. The unit of measure for ordering supplies could be 'each,' but it can also refer to larger quantities such as 'box,' 'package,' or 'case.' Understanding the unit of measure is crucial for accurate ordering and efficient inventory management.

Answer 108

The correct answer is False. Used instruments should never be transported with clean supplies to prevent cross-contamination. Separate carts should be designated and used.

Answer 109

The correct answer is B. False. If a product recall is issued, the product should immediately be removed from circulation. Continuing to use the product could lead to patient harm or other adverse effects.

Answer 110

The correct answer is C. Quarantine the equipment and report the issue. When equipment fails a safety check, the CRCST should not use the equipment (A), and while contacting the manufacturer may be necessary later (B), the immediate step is to isolate the equipment to prevent accidental usage and report the issue to the appropriate department or personnel for further action. CRCSTs are not typically responsible for equipment repair (D).

Answer 111

The correct answer is A. In case of a significant deviation from the required temperature or humidity parameters, the department head should be notified. The department head is directly responsible for the functioning and conditions of the department, making them the appropriate first point of contact. Options B and C may also be involved, but after the department head has been notified. Option D is not directly involved in addressing such deviations.

Answer 112

The correct answer is C. Inform your supervisor about the shortage. When supplies are missing, it's important to inform your supervisor so they can arrange to replenish them. Continuing without the supplies (option A), using unclean supplies (option B), or leaving the work area (option D) are not appropriate responses to the situation.

Answer 113

The correct answer is D. Ten. Having too many plugs at a workstation can present a fire hazard and may overload the electrical circuits. Although there's no specific number set in stone, ten plugs would be an excessive amount and would likely create a safety issue. A workstation usually should not have more than a few plugs to safely operate the necessary equipment.

Answer 114

The correct answer is D. Documentation in the Equipment Control Register is an essential step when receiving a piece of loaned patient care equipment. It aids in tracking the equipment’s movement and usage within the healthcare facility. Answer A is incorrect because the equipment must first be checked and cleaned before deployment. Answer B is incorrect because it could lead to mismanagement and tracking issues. Answer C is inappropriate and unethical.

Answer 115

The correct answer is A. Visually inspect and physically touch the surface for any debris. This method allows for a comprehensive inspection of the equipment for cleanliness. Smelling the equipment (option B) can be subjective and may not be accurate. Listening for unusual sounds (option C) and shaking the equipment (option D) are not standard procedures for checking cleanliness and can potentially damage the equipment.

Answer 116

The correct answer is B. Immediately plug the equipment in to recharge. A critically low battery could compromise the functionality of the equipment, potentially leading to treatment errors. Therefore, it's crucial to recharge the device immediately. Using the equipment until the battery drains (option A) or ignoring the battery level (option D) could lead to the device shutting down during patient care. Replacing the battery (option C) might be unnecessary and wasteful if the battery is rechargeable.

Answer 117

The correct answer is A. Manufacturer's Instruction for Use (IFU). The Manufacturer's IFU provides the most reliable and accurate information for testing medical equipment, ensuring safety and effectiveness. While hospital policies, co-worker advice, and online user guides may provide useful additional information, they should not replace the Manufacturer's IFU as the primary source of guidance.

Answer 118

The correct answer is C. Recheck the assembly against the Manufacturer's IFU. If equipment isn't working properly after assembly, it is important to compare the assembly to the Manufacturer's IFU to ensure it has been correctly put together. Distributing faulty equipment (A) could be dangerous, and while a colleague might be helpful (D), the Manufacturer's IFU is the most reliable source of guidance.

Answer 119

The correct answer is D. It should be promptly transported to a designated dirty utility area. After use, reusable patient care equipment should be taken to a designated dirty utility area where it can be cleaned and reprocessed properly. This practice reduces the risk of cross-contamination. Option A is incorrect as leaving used equipment at the patient's bedside can be a source of infection. Option B is incorrect as reusable equipment is not meant to be discarded after a single use. Option C is wrong as placing used equipment directly into storage without reprocessing can lead to contamination.

Answer 120

The correct answer is D. To benefit from the advantages of both manual and computer-based systems. A hybrid system is designed to integrate the benefits of both systems: the versatility and simplicity of manual systems, and the precision and efficiency of computer-based systems. Options A, B, and C are not the primary reasons for adopting a hybrid system.

Answer 121

The correct answer is D. Notify the supervisor about the shortage and ask if there are any additional supplies in a different location. When supplies run out, the correct course of action is to notify the supervisor so they can help resolve the issue. Ignoring the problem (option A) doesn't solve it, and could potentially lead to serious mistakes. Using makeshift labels (option B) is unprofessional and can lead to confusion. Trying to sterilize and reuse labels (option C) is not a standard practice and could compromise the sterility of the equipment.

Answer 122

The correct answer is C. Inform the requester about the situation, isolate the equipment and request for it to be professionally cleaned. Regardless of urgency, safety should always be the priority. Sending unclean or potentially contaminated equipment for use (options A and B) could cause harm to the patient and is against compliance standards. Trying to identify the unknown substance (option D) is not within the duties of a CRCST and could potentially be hazardous.

Answer 123

The correct answer is D. Immediately move the equipment to a dry area and arrange for reprocessing. This minimizes the potential for further contamination and ensures that the equipment is properly cleaned and sterilized before being used again. Option A is incorrect as water leakage does not sterilize equipment and can increase contamination. Option B is incorrect as contaminated equipment can often be reprocessed and used again. Option C is wrong because waiting for maintenance might allow the situation to worsen, causing further damage.

Answer 124

The correct answer is B) False. The order of these actions is important. A CRCST should perform hand hygiene before donning PPE to prevent contamination of the PPE, and after removing PPE to ensure that any contaminants picked up during the process are removed from their hands.

Answer 125

The correct answer is B. False. Tracking and recording the flow of all patient care equipment, regardless of ownership status, is crucial for managing inventory, predicting demand, ensuring maintenance, and facilitating patient care. Even if usage can't be perfectly predicted, historical data and other analytical methods can help approximate demand and manage the inventory effectively.

Answer 126

The correct answer is B. False. Although experience is important, the Manufacturer's IFU provides detailed and accurate instructions for equipment assembly and should be the primary source of guidance. Relying primarily on experience could lead to inconsistent or incorrect assembly.

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