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69 Cards in this Set

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  • Back
The _____ department is the major source of soiled items received by the Central Service department
Surgery
Soiled items that are held in user departments for pick up must be stored in designated areas labeled with ______ signage
Biohazard
If grossly soiled instruments cannot be cleaned immediately, the should be kept _______.
Moist
Tissue, body fat, blood, and other body substances are examples of ________ soil.
Gross
Disposable sharp items (i.e. blades, needles, etc.) should be removed at point-of-use and placed in a ________ container labeled biohazard.
Hard-sided
Point-of-use preparation of soiled items is normally performed by the ________.
User Department
Disposable components should be removed at _______.
Point of Use
Soiled instruments should be transported in an ________ container or care.
Enclosed
Before transport, reusable sharps should be ______ from other instruments.
Separated
Containers and carts used to transport contaminated items should not be used to transport clean items unless the have been thoroughly _________ between uses.
Decontaminated
True or False, if false explain why:
Instruments with lumens should be soaked in a horizontal position.
False - Instruments with lumens should be soaked vertically
True or False, if false explain why:
The mechanical process by which an ultrasonic cleaner works is called cavitation.
True
True or False, if false explain why: To prevent aerosols, items should be brushed below the surface of the water.
True
True or False, if false explain why:
Automatic washers clean using spray-force action called impingement
True
True or False, if false explain why:
Instruments received from surgery and tagged for repair do not need to be cleaned until they come back from repair.
False - nonfunctional instruments received from surgery must be cleaned before they are sent out for repair
True or False, if false explain why:
Powered surgical instruments should be cleaned using a mechanical cleaning process
False - Powered Surgical Instruments (PSI's) should not be cleaned using a mechanical cleaning process
True or False, if false explain why:
There are currently no methods available to verify cleaning process outcomes.
False - Along with visual inspection, there are products available that can help measure cleaning outcomes
True or False, if false explain why:
Infectious waste is regulated by the EPA.
True
True or False, if false explain why:
Horizontal work surfaces in the decontamination area should be cleaned and disinfected once per day.
False - Horizontal work surfaces in the decontamination area should be cleaned and disinfected at the beginning and end of each shift.
True or False, if false explain why:
PPE should be changed immediately if it becomes soaked with blood or other infectious material.
True
The use of heat to kill microorganisms, except spores
Thermal disinfection
Compounds that contain a positive electrical charge. They exhibit germicidal properties.
Cationic
A chemical which kills most pathogenic organisms, but does not kill spores
Disinfectant
A solution which inhibits the growth of bacteria. It is usually used topically and only on animate objects
Antiseptic
The length of time a disinfectant can be properly stored after which it must be discarded
Shelf Life
Compounds that have a negative electrical charge. They form a large group of synthetic detergents.
Anionic
The destruction of nearly all pathogenic microorganisms on an inanimate surface.
Disinfection
Relating to the destruction of bacteria
Bactericidal
The length of time (or number of uses) after which the efficiency of a disinfectant is diminished
Use Life
A process by which all forms of microbial life are destroyed.
Sterilization
Name the disinfectant:
These low-level disinfectants are often used in environmental sanitation on objects such as floors, walls, and furniture. They are incompatible with soaps. Their concentration may be diminished by some materials such as cotton, wool, filter paper, and charcoal.
Quaternary Ammonium Compounds
Name the disinfectant:
This high-level disinfectant is sued for semi-critical devices such as endoscopes. It has sterilant capabilities, but to achieve sterilization the exposure time is 10 hours or more. Once it is activated (mixed) it must be checked routinely using test strips to ensure its concentration. Because of its fumes, employees who work with it must follow specific OSHA guidelines for safety
Glutaraldehyde
Name the disinfectant:
This common disinfectant has been in use for several years. It is often used to disinfect equipment. It is inactivated by organic soil. In order to achieve a reasonable level of disinfection it must remain in wet contact with the item being disinfected for at least 5 minutes. That can be a problem because it evaporates quickly.
Alcohol
Name the disinfectant:
This relatively new high-level disinfectant is effective at room temperature and provides a fast and effective way to disinfect a side range of items. It has excellent high-level disinfection capabilities, but is not classified as a sterilant.
Ortho-Phthaldehyde
A self-retaining retractor
Gelpi
The part of a ring-handled instrument that locks the handles in place
Ratchet
Surgical instruments used to cut away at bone and tissue
Rongeurs
A chemical process applied during instrument manufacture that provides a corrosion-resistant finish
Passivation
Surgical instruments with a hollow barrel (lumen) through their center
Cannulas
Also known as 400 series stainless steel, this metal used in surgical instrument manufacture can be heat-hardened
Martensitic
Surgical instruments used to cut, incise, or dissect tissue
Scissors
Commonly found in the Operating Room, this can damage instruments with prolonged exposure
Saline
Surgical instruments used to grasp
Forceps
The part of a ring-handled instrument where the two parts meet and pivot.
Box Lock
True or False:
Tungsten Carbide Scissor blades hold a sharp edge longer than stainless steel ones.
True
True or False:
Tissue forceps have teeth and dressing forceps have serrations
True
True or False:
Double action ronguers should be tested for sharpness using tissue paper
False
True or False:
Laser-etching is a permanent instrument marking process
True
True or False:
Because they are mild cleaners, dish soaps are the cleaners of choice for surgical instruments.
False
Name the PSI:
Used to repair and reconstruct teeth and jawbones
Dental drill
Name the PSI:
Used in ear surgery and for driving very small wires through bone
Micro Drill
Name the PSI:
Used in open heart surgery
Sternal Saw
Name the PSI:
Used to remove cement
Cebatome
Name the PSI:
Used to harvest skin grafts and reshape skin surfaces
Dermatome/Dermabraider
Name the PSI:
Used to perform specific cutting actions such as reciprocating or oscillating
Saw
Name the endoscope:
Allows for visual inspection of the lower part of the large intestine
Sigmoidoscope
Name the endoscope:
Allows for visual inspection of the upper digestive tract
Gastroscope
Name the endoscope:
Used to visualize the urethra and bladder
Cystoscope
Name the endoscope:
Used to visualize the tracheobronchial tree
Bronchoscope
Name the endoscope:
Used to visualize the entire large intestines
Colonoscope
True or False:
Leak testing should be performed on each flexible endoscope annually
False
True or False:
Loaner instrument trays that are received sterile from other facilities do not need to be decontaminated and resterilized before use
False
True or False:
Endoscope channels should be cleaned and then left moist for storage
False
True or False:
Powered Surgical Instruments have one of three power sources: electricity, air, or battery.
True
True or False:
Modern powered surgical instruments are submersible
False
True or False:
Laparoscopic instrument insulation failure can cause burns
True
True or False:
The purpose of a decontamination battery is to protect PSI's from fluid invasion
True
True or False:
Dental drills are used to remove cement
False
True or False:
Automatic endoscope reprocessors are not recommended for flexible endoscopes.
False