PROGTest#2 Flashcards

1
Q

The second principle of asepsis is:

A

Know what is CLEAN

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2
Q

_____ is a water purification process by which impurities are removed from water using a semipermeable membrane.

A

(RO) Reverse Osmosis

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3
Q

What should the first sink of a three-sink arrangement consist of?

A

A wash sink with WATER and DETERGENT/ENZYMATIC SOLUTION.

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4
Q

“Pure” water should have a pH of:

A

7

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5
Q

A _____ is an infection that occurs after surgery in the part of the body where the surgery took place.

A

Surgical Site Infection

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6
Q

Enzymatic cleaning products containing LIPASE are useful in cleaning:

A

Fat

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7
Q

The process of PRE-CLEANING should begin at:

A

IMMEDIATELY after the completion of a surgical procedure.

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8
Q

Brushes used for cleaning usually have _____ bristles.

A

Nylon

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9
Q

Enzymatic detergent solution temperatures for cleaning instruments in an ultrasonic cleaner should be between _____.

A

80F and 109F

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10
Q

What should be used for the FINAL rinse water used for decontamination cleaning?

A

(DI) Deionized Water

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11
Q

Water must be degassed each time the ultrasonic cleaner’s tank is changed because:

A

EXCESS BUBBLES from filling REDUCES the ENERGY of the CAVITATION process.

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12
Q

Type of enzyme used to break down BLOOD, MUCOUS, FECES, and ALBUMIN on instruments.

A

Protease

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13
Q

This low-level disinfectant is INCOMPATIBLE with SOAP:

A

(QUATS) Quaternary Ammonium Compounds

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14
Q

In an AUTOMATED washer, the key source of disinfection is:

A

Water Temperature

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15
Q

The use of heat to reduce the amount of microorganisms (excluding spores) on a medical device is called:

A

Thermal Disinfection

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16
Q

What is the best choice for (HLD) High-Level Disinfection of instruments?

A

(OPA) Ortho-phthalaldehyde

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17
Q

Iodophors and buffered iodines that are also members of the _____ family.

A

Halogen

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18
Q

Alcohol needs to remain in WET CONTACT with an item for at least _____ minutes in order to achieve a reasonable level of disinfection.

A

5

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19
Q

Which of these statements is MOST appropriate for pre-cleaning of instruments?

  • Keep hinged instruments CLOSED
  • Keep multi-part instruments assembled
  • Place instruments in the incorrect instrument tray
  • Disassemble multi-part instruments
A

Disassemble Multi-Part Instruments

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20
Q

Phenolics are considered a _____ disinfectant.

A

Intermediate to Low-Level

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21
Q

What is NOT a requirement of OSHA’s Bloodborne Pathogen Standard?

A

Keep biohazard areas LOCKED

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22
Q

Inanimate objects that can transmit bacteria are called:

A

Fomites

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23
Q

Which traffic control/dress code requirement applies to the “ASSEMBLY” portion of the sterile processing department?

A

Semi-Restricted

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24
Q

_____ is an infection that is NOT present when a patient is admitted to a healthcare facility. If the infection develops in a patient on or after day THREE of admission to the healthcare facility. The infection is known as a HAI.

A

Healthcare-Associated Infection

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25
Q

What technique for brushing instruments in decontamination should be used?

A

Brushing should be done under the water’s surface.

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26
Q

What instruments should not be placed in an ultrasonic cleaner?

A

CHROME-PLATED and EBONIZED Instruments

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27
Q

These instruments or objects are introduced directly into the bloodstream.

A

Critical Items

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28
Q

An emergency eyewash/shower station should be accessible within _____ seconds or 30 meters of areas of potential chemical exposure.

A

10

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29
Q

Washer traps/screens need special attention and should be inspected for debris at least _____ and cleared of any obstruction.

A

Daily

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30
Q

Cleaning verification methods help demonstrate that the cleaning process is _____ and are used for individual instrumentation and cleaning equipment.

A

Effective

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31
Q

If water temperature is too high during the cleaning process, there is a chance that the blood still on those instruments could _____.

A

Coagulate

32
Q

These items come in contact with intact mucous membranes:

A

Semi-Critical Items

33
Q

_____ is a term used to describe instruments or equipment that must receive priority processing to be made available for another procedure.

A

Turnover/Turnaround

34
Q

The use of _____ as a soaking or rinsing agent accelerates the rusting and pitting of surgical instruments.

A

Saline

35
Q

Microorganisms that can cause illness are called:

A

Pathogens

36
Q

Eyewash/Shower Stations should be activated _____ for a period long enough to verify they are performing to standards.

A

Weekly

37
Q

When transporting instruments, contaminated items should _____ from their clean and sterile counterparts.

A

Remain Physically Separated

38
Q

_____ is the absence of microorganisms that cause disease.

A

Asepsis

38
Q

When moving transport carts throughout the hospital, Central Service Technicians must always yield right of way to _____.

A

Patients and Visitors

39
Q

Detergents used in mechanical cleaners should be:

A

Low-Foaming

40
Q

Powered surgical instruments:

A

Cannot be IMMERSED

41
Q

Trays or sets with multiple levels should be _____, and each tray should be placed separately on the washer’s racks.

A

Open

42
Q

What is the first step in doffing(removing) your PPE in decontamination?

A

Remove Shoe Covers

43
Q

A stethoscope would be considered a _____ item.

A

Non-Critical

44
Q

_____ is a process that uses polymer resin combined with other additives to form a powder. The powder is then sprayed onto an instrument using an electrostatic spray gun and cured to form a high-density bond.

A

Powder Coating

45
Q

_____ is the first step in the sterilization process.

A

Cleaning

46
Q

Instrument decontamination begins:

A

At the Point of Use

47
Q

What is the 5th step in donning(putting on) your PPE?

A

Gloves

48
Q

Mechanical washers use a spray force action called:

A

Impingement

49
Q

Floors should be cleaned (wet-mopped) at least:

A

Daily

50
Q

A sponge’s structure makes them virtually impossible to completely clean, so sponges must be discarded and replaced at least _____ or after each use.

A

Daily

51
Q

_____ are microorganisms capable of forming a thick wall around themselves, enabling them to survive in adverse conditions.

A

Endospores (spores)

52
Q

Dressing forceps are similar to tissue forceps, except they have _____ instead of teeth at the distal end.

A

Serrations

53
Q

_____ is the typical method of bacterial reproduction in which a cell divides into two equal parts.

A

Binary Fission

54
Q

To test the sharpness of scissors 4.5” inches and under, you should use:

A

Yellow Test Material

55
Q

The part of the hemostat that locks and holds it in position is called the _____.

A

Ratchet

56
Q

These items come into direct contact with a patient’s unbroken skin:

A

Non-Critical Items

57
Q

A flexible endoscope would be considered a _____ item.

A

Semi-Critical

58
Q

A _____ is a cart prepared for an individual procedure. They usually contain all instruments, supplies, and utensils needed for a specific procedure.

A

Case Cart

59
Q

These bacteria are shaped like spirals:

A

Spirilia

60
Q

These bacterial can live in the absence of atmospheric oxygen:

A

Anaerobic

61
Q

Any room where glutaraldehyde is used should be well-ventilated, with a minimum of _____ air exchanges per hour.

A

10

62
Q

What is the dress requirement for staff in the Operating Room

A

Restricted

63
Q

What is Biofilm?

A

A collection of microorganisms that attach to surfaces and each other and form a colony.

64
Q

(HLDs) High-Level Disinfectants are used to process _____ items that may come in contact with mucous membranes of the body.

A

Semi-Critical

65
Q

_____ % of bacteria are beneficial and essential to our lives.

A

95

66
Q

An example of FORMAL communication would be:

A

Coaching

67
Q

What material would you use to test a Kerrison or laminectomy rongeur?

A

Index Card

68
Q

Artificial nails should not be worn in the Sterile Processing Department because they _____.

A

Harbor microorganisms

69
Q

_____ devices like gastroscopes should be stored in an approved cabinet that is clean, well-ventilated, and dust-free to keep them dry and prevent exposure to potentially hazardous microbial contamination.

A

Semi-Critical

70
Q

_____ is a chemical process applied during instrument manufacturing that provides a corrosion-resistant finish by forming a thin, transparent, oxide film.

A

Passivation

71
Q

Microgrind or Supercut blades are visually identified by their:

A

Black Rings

72
Q

The test material needed to test the sharpness of a bone curette is:

A

A Plastic Dowel

73
Q

_____ is a liquid powder-coating process that leaves a thin layer of colored nylon on the instrument. This color coding system is often referred to as “dipping”.

A

Heat-Fused Nylon

74
Q

When it is necessary to transport contaminated items using a truck or van, facility personnel must consult _____ guidelines and follow applicable state and local requirements for the safe transport of biohazard materials.

A

U.S. Department of Transportation (DOT)