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What is the area temp and humidity for decontam? 60 - 65 degF 30 - 60% humidity What is the air exchange rate and pressure type for decontam? 10 air exchanges per hour under negative pressure What is the area temp and humidity for the sterile storage area? 68 - 75 degF 35 - 70% humidity What is the area temp and humidity for the prep and packaging area? 68 - 73 degF ideal humidity 50% no lower than the 35% The main role of sterile processing is to: provide dependable reliable services to enhance the quality of patient care Ethics is the practice of: doing the right thing What established sterilization practice standards based on opinion, research, and/or theory? AAMI (Association for the Advancement of Medical Instrumentation) What does the EPA, FDA, OSHA, and state departments of health (DOH) primarily issue? regulations Who writes the standards for CS/SPD practices? AAMI (Association for Advancements in Medical Instrumentation) The Health InsurancePortability and Accountability Act provides for which ethical issue? confidentiality If healthcare facilities reprocess single-use devices, the devices must be cleared by: FDA
OSHA has a great effect on CS/SPD by its regulation of occupational exposure to airborne contaminants, exposure from bloodborne pathogens, and what else? Communication of workplace hazards What does the Medical Device Reporting regulations require? Healthcare facilities to report deaths or serious injuries from medical devices Collection of data and identification of issues are part of what kind of program? Quality assurance To ensure that all employees are learning the same information, training should be : standardized Which branch of science refers to the form and organization of body parts? anatomy Which branch of science refers to the function of specific body parts? physiology What are the smallest and most numerous structural units possessing the basic characteristics of life called? cells What is NOT an environmental factor required for the life of a cell? cold DNA is found which part of the cell? nucleus What are the complex structures with specialized functions within the body known as? organs Red blood cells develop in which part of the body? bone marrow Where are the smallest bones of the body found? middle ear What supports the tongue and the function in swallowing? hyoid bone The skull, hyoid, vertebral column, and thoracic cage are a part of what? axial skeleton Muscles make up what part of the body's bulk? 1/ Which bones can be found in the axial skeleton? sternum Which bone is a part of the appendicular skeleton? humerus The femur, tibia, and fibula are bones of the: lower limbs The humerus, radius, and ulna are bones of the: upper limbs What do smooth muscles lack? striations What connects muscle to bone?
microns What shape are streptococcus? spherical What shape are spirochetes? spiral Bacteria are unicellular and reproduce by: binary fission What shape are cocci? round Which type of organism has the ability to slow down its metabolism and become dormant? gram positive bacillus What shape are bacilli? rod Which of the following is NOT a requirement for a bacteria to survive? bright light What is used to test the effectiveness of sterilization cycles? spores What is a dehydrated cell with a thick, shell like wall? spore Which microorganism that has a slime like outer covering? capsule What do aerobic bacteria require to survive? oxygen What is CJD (Creutzfeldt Jakob Disease) caused by? prions What are protozoa? single celled microorganisms Which requires a living host to multiply? viruses What pathogen is the cause of tuberculosis? mycobacteria What is true about fungi? they include single celled yeast What is an example of a disease that is not caused by a virus? CJD Why are prions a concern in health care? they are difficult to kill by usual sterilization methods What BEST describes a prion? an abnormal protein What kind of coccus is staphlyococcus aureus? gram positive coccus How long can VRE (Vancomyocin Resistant Enterococci) survive on the hands?
hours What is a healthcare acquired infection usually called? nosocomial infection How many annual deaths are attributed to healthcare acquired infections? 90, Where does the principal living reservoir of human disease come from? the human body What disease is contaminated water from humans and other animal feces most notably responsible for? gastrointestinal disease What is the general term for any inatimate object involved in the spread of infection? fomite Which disease is NOT spread by the spread of droplets? measles Where are the pathogens that cause tuberculosis, whooping cough, pneumonia, measles, mumps, and smallpox discharged through? respiratory tract What are the living things called that are responsible for causing disease? vectors What is one of the most common portals of exit in the transmission of disease? the respiratory tract Which portal of entry does an infection caused by a needle stick enter through? parenteral tissue What is the single most effective way to prevent infection? washing your hands What is the MINIMUM time needed for effective hand washing? 15 seconds Unless the water turns off automatically, the water should be: turned off using a disposable towel Who regulates bloodborne pathogen exposure? OSHA Which concentration is most effective in alcohol hand sanitizers? 60 - 95% When is it not appropriate to use waterless hand antiseptics? when hands are visually soiled Under standard precautions, all blood and other potentially infectious materials are: handled as if they were infectious When must a confidential medical evaluation be performed? any time an employee is exposed to blood or body fluid According to the AAMI, "The removal of contamination from an item to the extent necessary for further processing or for the intended use" defines: cleaning
cleaned as specified by the manufacturer How should fiberoptic light cables be cleaned? using a soft cloth and detergent Before it is manually cleaned, what must be done to a flexible endoscope? it must be tested for leaks What should happen to all instruments that are received from another facility? they should be completely reprocessed What material can be used as a simple test to check the functioning of the ultrasonic cleaner? aluminum foil The TOSI line of products is used to verify the effectiveness of: mechanical washers What is the process that kills most microorganisms but not necessarily spores called? high level disinfection According to Spaulding's classification of medical devices, a semi-critical item requires which form of disinfection? high-level Which level of disinfection is needed for the destruction of HIV? low-level What does the ability of a disinfectant to perform correctly rely on? whether it remains wet for the stated amount of time Which class of disinfectant does sodium hypochlorite belong to? halogens Which disinfectant should NEVER be used as an environmental disinfectant? glutaraldehyde Which of the following will be noted on an improperly cleaned instrument that has been disinfected in ortho- phthaldehyde? blue stain Which area of information is NOT necessary to be recorded on the high level disinfectant record? whether it was completely dry or not Which sterilization method is suitable for these packaging materials?Textiles, non-wovens, polyolefin wraps, paper- plastic pouches and rolls, and rigid sterilization containers. steam Which sterilization method is suitable for these packaging materials? Textiles, non-wovens, polyolefin wraps, aper plastic pouches, Tyvek (all plastic pouches), polyethylene, and most rigid sterilization containers. ethylene oxide Which sterilization method is suitable for these packaging materials? Polyolefin wraps, Tyvek (all plastic) pouches, and certain rigid containers? low temp gas plasma (LTGP) Which sterilization method is suitable for these packaging materials? Metal and glass containers, aluminum foil, glassline envelopes. dry heat
Which sterilization method is suitable for these packaging materials? Non-woven cellulosic wrap (paper) and certain containers. ozone Which sterilization method is suitable for these packaging materials? Polyolefin wraps and Tyvek (all plastic) pouches that have been validated for use with low temp hydrogen peroxide? low temp hydrogen peroxide (V-Pro! Low Temp Sterilization System) A unit calls for a patient-cooling machine. What would be sent? hypo/hyperthermia machine Which piece of equipment is used in the prevention of blood clots? sequential compression device When should patient care equipment be used to prevent blood clots? after each use What should patient care equipment be cleaned with before it is disinfected? cleaned with detergent What is the BEST way to transport an IV pump to CS/SPD after patient use? in a covered cart of closed bag Which disinfectant is to be used for patient care equipment? the disinfectant recommended by the device manufacturer What is NOT a part of the FINAL preparation of patient care equipment for re-use? placement of disassembled parts into a plastic bag A small cut is noted in the cord of an IV pump that has been disinfected. What steps steps should the CS/SPD technician take? send it to the biomedical engineering department Patient care equipment that is soiled needs to be: contained during transport There is a high patient census and there are no IV pumps available in the CS/SPD department for distribution. What steps should be taken? have staff check the units more frequently Which series of stainless steel is used to manufacture malleable retractors? 300 What would be used to hold back tissue or organs? retractor What is the weakest part of an instrument? the box lock What is the most difficult part of the hemostat to clean? the box lock What is the FINAL stage in manufacturing a surgical grade instrument? passivation What are scissors with black handles called? super sharps What is the layer of a surgical instrument created by the passivation process called?
each level What is the MAXIMUM size and weight of a textile pack? 12"x12"x20" 12 pounds What do basin sets need to prepared for sterilization with? an absorbent material between each basin What is NOT one of the basic principles of packaging/ the material must be acceptable for all types of sterilization What can inhibit sterilization penetration? a wrapper that is too large About how much space should be left between an item and the inside edges of a peel pouch? 1" Which packaging material is acceptable for steam sterilization? non-woven wraps Which packaging material is acceptable for low temp gas plasma (LTGP) and ozone sterilization? Tyvek Tamper evident seals on rigid containers include: latches and locks When rigid containers are processed in a steam sterilizer, where must they be placed? lat on the cart during sterilization What is the absence of all forms of microbial life, including spores, known as? sterility Where is the sterilizer's heat sensing thermometer located? the drain line In a non-tabletop steam sterilizer, where are PCDs (Process Challenge Devices or test packs) placed to present the greatest challenge to the steam sterilizer? over the drain What are the three parameters of steam sterilization? steam under pressure time temperature What is the MINIMUM exposure time for wrapped goods in a prevac steam cycle at 275degF? 3 minutes When is immediate use steam sterilization (flash) appropriate? a one of a kind instrument is dropped Unless otherwise specified by the device manufacturer, instruments used on patients with known or suspected CJD should be: decontaminated as usual What is the recommended cycle for processing decontaminated instruments from a suspected CJD case? 18 minutes 273degF prevac cycle
What must steam do, in order for sterilization to occur? make direct contact with all surfaces What steps should be taken when a wet pack is noticed while unloading the sterilizer? reprocess the item Which method of sterilization is used to sterilize liquids? gravity steam What can occur if packages are moist at the end of the steam cycle? bacteria can wick into the package During sterilization, how should paper plastic peel packs be placed? on their edge In a mixed load of textile and metal goods, how should the textile packs be placed in the sterilizer? on the top rack During sterilization, how should basin sets be positioned? tilted on their side When are you allowed to stack rigid sterilization containers on the autoclave rack? when the manufacturer provides technical data stating that it is acceptable What is used to verify that the sterilizer air removal mechanism is functioning properly? Bowie Dick test Which monitoring method verifies that conditions within the load were adequate to kill bacterial spores? biological What is the correct action to take if a written item needs to be removed from the load record? draw a line through the item and initial What kind of monitoring process is the Bowie Dick test? chemical What is a class 5 indicator called? integrator or integrating indicator What is a class 1 indicator also called? Process indicators or external CIs (Chemical Indicators) ex: indicator tape What is an example of a Class 2 indicator? the bowie dick test What is an example of a class 3 indicator or single variable indicator? a glass ampule containing a chemical that melts when the sterilization temp is achieved When should class 6 indicators (emulating indicators) be used? only in the specific cycle for which they are labeled What is the Bowie dick test used to monitor? dynamic air removal cycles What should you do if the bowie dick test fails the first time? report to the supervisor for further instruction What is the correct sterilizer setting for the bowie dick test?
