Progressive Six Exam Flashcards
(175 cards)
1
Q
Information technology is often the cornerstone of initiatives to transform healthcare (T or F)
A
True
2
Q
Disposable items increase combustible load in a healthcare facility. (T or F)
A
True
3
Q
Enabling people to use information gained to interact with others is known as
A
Human relations
4
Q
At this time, tracking systems are unable to track worker productivity information.
A
False
5
Q
A step in communication that occurs when a listener asks a question is called
A
Feedback
6
Q
Improving professional development skills is an important part of
A
Career advancement
7
Q
The U.S. Food and Drug Administration Class II chemical indicator run daily in dynamic air removal sterilizers is called
A
Bowie-Dick Test
8
Q
Always wearing personal protective equipment in the decontamination area is a quality process. (T or F)
A
True
9
Q
Product expiration dates are located on this part of each package.
A
There is no standard place to look for an expiration date.
10
Q
When patient equipment enters a healthcare facility, it must be safety checked by a ___________ before it is cleared for patient use.
A
Biomedical technician
11
Q
These are used to breakdown fatty tissue on instruments
A
Lipase enzymes
12
Q
Anaerobic bacteria require oxygen to live (T or F)
A
False
13
Q
The absence of microorganisms that cause disease is called
A
Asepsis
14
Q
Immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform the surgery (T or F)
A
False
15
Q
When an instrument has a shiny surface it is said to have a _________ finish
A
Mirror
16
Q
Lumens should be moist when sterilized using hydrogen peroxide as a sterilizing agent. (T or F)
A
False
17
Q
Most Central Service departments employ some sort of automated Information management system (T or F)
A
True
18
Q
Ethylene oxide gas canisters should be stored
A
in a containment locker
19
Q
Knowing what is expected and consistently meeting those expectations are part of
A
Professional behavior
20
Q
Improving employability skills requires
A
identifying goal requirements
21
Q
Sterile packages should be stored no lower than eight to 10 inches from the floor. (T or F)
A
True
22
Q
Combining vowels are used to
A
help with pronunciation of the word
23
Q
If soiled instruments are to be transported to an off site facility for processing
A
they should be transported following the U.S. or state Department of transportation guidelines
24
Q
The decontamination area of the central service department is where instruments are carefully checked for cleanliness and function. (T or F)
A
False
25
Arthroscopy instruments are used during
Joint surgery
26
Some plastics including formulations os spun-bonded polyolefin are intended for use in these sterilization processes
Ozone and hydrogen peroxide
27
The amount of time an item must remain wet with a disinfectant to achieve disinfection is called
Wet contact time
28
The drain screen in the steam sterilizer must be cleaned
at least daily
29
This surgical procedure removes the uterus
Hysterectomy
30
Recommendations regarding sterilization practices are provided by the association for the Advancement of Medical Instrumentation (T or F)
True
31
Which of the following is NOT a result of computer integration?
a. ) Eliminating redundant entry of information
b. ) Promotes efficiency
c. ) Automatically provides critical update to industry standards
d. ) Reduced inaccurate and conflicting information
c.) Automatically provides critical update to industry standards
32
A plane crash is an example of an external disaster (T or F)
True
33
Effective communication skills will resolve all communication problems (Tor F)
False
34
Professional development is a commitment to continuous learning (T or F)
True
35
In addition to providing financial and operational management, information technology systems are used to help ensure patient safety. (T or F)
True
36
Which of the following is true about a valuing diversity effort?
a. ) it "happens" because top-level officials require it
b. ) It occurs because a Central Service director desires it
c. ) It is a "program" in which a committee "decides what to do"
d. ) None of the above statements is correct
d.) None of the above statements is correct
37
Safety relates to freedom from damage, risk or injury. (T or F)
True
38
Personal development is mandatory while professional development is only needed for career advancement. (T or F)
False
39
Employee training should occur
for both new employees and employees who move to a new position.
40
If everybody develops a quality-driven focus, written policies and procedures are not necessary in the Central Service department (T or F)
False
41
The movement of supplies throughout the healthcare facility is called
distribution
42
All patient care equipment that was dispensed for use must be considered _________ and handled as such, regardless of its appearance.
contaminated
43
What is the preferred pH for detergents used for most cleaning processes?
Neutral pH
44
All microorganisms are harmful to humans (T or F)
False
45
Inanimate objects that can transmit bacteria are called
fomites
46
All items sterilized or high-level disinfected at point of use must be carefully monitored and logged (T or F)
True
47
Instrument marking tape should be wrapped approximately _______ around the instrument
1.5 times
48
Hydrogen peroxide kills microorganisms by a process called oxidation (T or F)
True
49
Event related shelf life means items are safe until opened for use. (T or F)
False
50
The term ectomy means
surgical removal
51
The proper handling of instrumentation is the responsibility of
everyone who comes in contact with the instrumentation
52
A pick list contains information that
identifies the supplies and instruments needed for specific doctor and procedure
53
After use, loaner instrumentation must be decontaminated before it is shipped back to the vendor (T or F)
True
54
Cellulose material cannot be processed within a hydrogen peroxide sterilizer (T or F)
True
55
Which of the following would be the best choice for high-level disinfection of instruments?
a. ) Phenolics
b. ) Chlorine
c. ) Iodophors
d. ) Orth-phthalaldehydes
d.) Orth-phthalaldehydes
56
The steam sterilization process can be affected by the design of the medical device being sterilized. (T of F)
True
57
Organs are two or more cells that are similar (T or F)
False
58
Organization that writes standards relating to the processing of flexible endoscopes
The Society of Gastroenterology Nurses and Associates
59
Traffic control/dress code requirements applies to the clean assembly area of Central Service
Semi restricted
60
Computerized tracking systems are fast, but manual tracking systems are more effective for tracking (T or F)
False
61
Which of the following information is NOT included on a safety data sheet?
a. ) Special precautions
b. ) Physical data
c. ) Required inventory levels
d. ) Product identification
c.) Required inventory levels
62
Customer complaints are best handled through
Being cheerful and courteous
63
Networking inside ones profession can help increase knowledge toward advancement, while networking outside ones professional does not. (T or F)
False
64
Which of the following is NOT a feature of an instrument tracking system?
a. ) Productivity information
b. ) Financial data
c. ) Quality assurance information
d. ) Product updates and recall information
d.) Product updates and recall information
65
This process allows a person to understand someone else's needs.
Communication
66
Safety data sheets are provided by
the product manufacturer
67
One important step in preparing for an interview is
anticipating possible interview questions
68
Sterilizer load records should contain
items and quantity sterilized.
69
The quality method failure mode and effects analysis is
a quality method to prevent problems before they occur
70
A disadvantage of exchange cart system is
they require duplicate inventory
71
Patient care equipment should be stored in a _______ condition.
"ready to dispense"
72
Cleaning brushes
should be cleaned and sterilized at least daily
73
Microbiology is the study of
microorganisms
74
The basics of aseptic technique
are activities that prevent infection
75
To sterilize items using immediate use steam sterilization, the items's manufacturer instructions must state the item can be sterilized using an immediate use steam sterilization cycle (T or F)
True
76
Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched (T or F)
False
77
Information about a device's compatibility with a specific sterilization process should be obtained from the device's manufacturer. (T or F)
True
78
Temperatures in the sterile storage area be 64 to 78 Fahrenheit (T or F)
False
79
The suffix -tome means
cutting instrument
80
It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves (T or F)
False
81
Soiled instruments and other items are received in the _______ area of the central service department.
decontamination
82
What should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope
Treated Water
83
When placing instruments that open in an instrument tray
Unlock the handles and open the instrument
84
Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as
critical items
85
Gravity steam sterilizers use a pump or water injector to remove air from the chamber. (T or F)
False
86
The procedure to remove the stomach is
gastrectomy
87
Failure to receive accreditation from The Joint Commission can result in the loss of Medicare and Medicaid payments (T or F)
True
88
Tracking method that provides real-time information
Radio frequency identification tags
89
Healthcare facilities using ethylene oxide should have a dedicated ventilation system to remove residual ethylene oxide during the exhaust cycle. (T or F)
True
90
Which of the following is an example of communication?
a. ) Spoken word
b. ) Written words
c. ) Non-verbal expression
d. ) All of the above
d.) All of the above
91
Professional development skill building activities include:
a. ) team building activities
b. ) Public speaking
c. ) writing
d. ) All the above
d.) All the above
92
A group employees from different departments within the healthcare facility that work together to solve operating problems is called a
cross-functional team
93
Which of the following is NOT a component of risk management?
a. ) Injury management
b. ) Claims management
c. ) Staff management
d. ) Accident reporting
c.) Staff management
94
Planning and reviewing goals will identify activities to help meet those goals. (T or F)
True
95
Documentation of immediate use steam sterilization cycles should include
patient identification and reason for immediate use steam sterilization cycle
96
Quality requires the efforts and participation of everyone in the healthcare facility. (T or F)
True
97
Supplies such as disposable wraps are called
consumable
98
Preventive maintenance
is designed to identify potential problems before they occur.
99
Detergents used in mechanical cleaners should be
low foaming
100
When cleaning prion contaminated instruments no special cleaning procedures are required only following standard cleaning protocols and manufacturer's instructions for Use. (T or F)
False
101
Hand hygiene is considered the single most important factor in reducing infections. (T or F)
True
102
Immediate use steam sterilization documentation should include:
a. ) name of patient for which the items were sterilized
b. ) sterilizer number and cycle
c. ) name of the instrument sterilized
d. ) all of the above
d.) all of the above
103
An osteotome is
used to cut or shave bone
104
Woven reusable fabrics are the packaging products of choice for ozone sterilization. (T or F)
False
105
Sterile items should be stored at least ________ inches below sprinkler heads
18
106
What means beside or near
Para
107
Decontamination of instruments and equipment starts
at the point of use
108
All central service departments perform the same basic services. (T or F)
False
109
Leak testing should be performed on each flexible endoscope annually. (T or F)
False
110
When placing instruments in a peel pack, the tips should always face the paper side of the pack. (T or F)
False
111
Devices listed as critical items, must be __________ prior to use.
Sterilized
112
When combining loads, hard goods should be placed on top shelves to allow for more efficient removal of the condensate. (T or F)
False
113
Items that are wrapped moist can be cause of wet packs (T or F)
True
114
A herniorrhaphy surgical procedure is
repair of the muscle layer that is allowing all or part of an organ to project through an opening.
115
Voluntary standards
provide guidelines for better patient care
116
Tracking individual instruments is important to help ensure specific instruments are kept with a specific set. (T or F)
True
117
Personal headsets should not be used in the Central Service department because they
reduce the ability to hear telephones, alarms and coworkers.
118
Which of the following is NOT required for sharps safety?
a. ) Dispose of all single use sharps in an appropriate container
b. ) Sharp ends should be pointed away from anybody's body during transport
c. ) Wash all disposable sharps before discarding them
d. )All of the above are related to sharps safety
c.) Wash all disposable sharps before discarding them
119
On the job relationships do not change when one team member has been promoted. (T or F)
False
120
Hospitals can effectively validate sterilization processes. (T or F)
False
121
Six Sigma focuses on :
a. ) reducing defects
b. ) delivering near perfect products
c. ) strives to eliminate variations in the process
d. ) all of the above
d.) all of the above
122
The "Hour Glass" symbolizes
use of date
123
The ___________ requires that the healthcare facility report malfunctions of medical devices that have contributed to prevent injury, illness and/or death to the manufacturer and the U.S. Food and Drug Administration.
Safe Medical Devices
124
Because of the cavitation and impingement action of mechanical cleaners there is no need to pre-clean items that will be processed in a mechanical cleaner. (T or F)
False
125
When cleaning items contaminated with pseudomonas,
there are no special cleaning requirements for items contaminated with pseudomonas
126
The decontamination are of the Central Services department should have
negative air flow
127
Before an item can be placed in a low-temperature sterilization processing system they must be
cleaned
128
Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders (T or F)
False
129
Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges. (T or F)
False
130
When transporting sterile items in an approved vehicle, soiled items can be transported in the same cart as long as they are on different shelves from clean or sterile items. (T or F)
False
131
the term hyster means
uterus
132
Items should be contained for transport
to minimize the spread of microorganisms
133
In Central Service, the concept of "one-way flow of materials" refers to the movement of products
from soiled areas to clean processing areas within Central Service
134
The muscular system:
a. ) assist w/ movement
b. ) produces heat for the body
c. ) pumps blood throughout the body
d. ) is all of the above
d.) is all of the above
135
U.S. Food and Drug Administration Medical Device recall
means the item(s) need to be checked or repaired
136
Endoscope cameras are sealed instruments so fluid invasion is not a concern during the cleaning process. (T or F)
False
137
The U.S. Food and Drug Administration classifies sterilization packaging as a
Class II Medical Device
138
The relative humidity of the assembly area should be
30% to 60%
139
The use of test strips to test the minimum effective concentration in high-level disinfection solutions is required
each time the solution will be used
140
After sterilization the load contents may take two hours or more to cool. (T or F)
True
141
What is the most important factor necessary for teamwork?
Attitude
142
Information about chemical or hazardous substances must be available to all employees. (T or F)
True
143
The following resources will help a technician stay current in the Central Service field:
a. ) Conferences
b. ) On-the-job training
c. ) Continuing education
d. ) All of the above
d.) All of the above
144
A biological indicator that is incubated without being sterilized is called
control
145
Not following established policies and procedures will result in lower quality program. (T or F)
True
146
Capital equipment items are
items with a higher purchase cost
147
Equipment leasing and rental differ in that
equipment rental is usually done on a shorter-term basis than equipment leasing
148
Powered surgical instruments
cannot be immersed
149
Prions are
abnormal forms of proteins
150
To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination area should wear
fluid-resistant gowns
151
When transporting items that have been immediate use steam sterilized, it is required that
They be transported in such a manner the reduces the potential for contamination.
152
Instruments with tungsten carbide jaws can be easily identified by
the gold handles on the instrument
153
Exposure monitoring is _____ for all personnel using a hydrogen peroxide sterilizer.
not required
154
All items should be removed from storage shelves prior to cleaning the shelf (T or F)
True
155
The term ante means
before
156
Endoscopes should be cleaned and the internal channels left moist for storage
False
157
Gauze squares are the wicking material of choice for instrument sets (T or F)
False
158
Pasteurizers disinfect using
heated water
159
When loading a steam sterilizer, basins should be
placed on edge
160
This tissue covers the body's external surface
Epithelial tissue
161
U.S. Food and Drug Administration recall may be either mandatory or voluntary (T or F)
True
162
Central Service technicians who do not think they are being treated appropriately by their employer should
discuss the situation with their supervisor
163
Healthcare facilities are required by the ________ to provide adequate ventilation systems, personal protective equipment and safe work operating procedures?
Occupational Safety and Health Administration
164
Steps toward attaining professional goals in Central Service include:
a. ) certification
b. ) education conferences
c. ) professional groups
d. ) all the above
d.) all the above
165
There are currently no methods available to verify cleaning outcomes (T or F)
False
166
Viruses use this method of transportation to move
Viruses have no means of movement on their own
167
The best way to clean a suction lumen is
using the proper sized brush
168
Jewelry is discouraged in sterile storage it can damage or contaminate packages. (T or F)
True
169
Automatic endoscope reprocessors are not recommended for flexible endoscopes. (T or F)
False
170
When using high-level disinfectants it is important to remember they may be deactivated by
organic matter
171
Peel pouches should be placed __________ for sterilization.
on edge, paper to plastic
172
The brain center of a cell is called the
nucleus
173
Coaching is an example of
formal communication
174
The process of changing work or work conditions to reduce physical stress is
called ergonomics
175
When water is seen on the outside of a pack after sterilization the pack is considered safe to use if all other packs in the load are dry. (T or F)
False
