A pick list contains information that
Identifies the supplies and instruments needed for a specific doctor and procedure
The basic unit of a living organism
Cell
What is the name of the surgical procedure where an opening is made into the skull?
Craniotomy
The decontamination area of the Central Service department is where instruments are carefully checked for cleanliness and function
False
The term "periosteal elevator" means
an instrument used to remove tissue around the bone
Viruses
have no means of movement on their own
The sterile storage area in a Central Service department should be restricted to
properly attired personnel meeting facility requirements
The abbreviation BKA refers to a surgical procedure involving
surgical removal of the leg below the knee
The body's control center is the
central nervous system
The prefix word element
comes before the root
The muscular system
assists with movement. produces heat for the body. pumps blood throughout the body. (is all of the above)
Microbes
can be found on hair and skin. are useful to break down sewage. can produce toxins. (are all of the above)
Prefix, suffix and roots are called word elements are contained in all medical terms
False
The pupil of the eye is the
Circular opening that controls the amount of light entering the eye
Skin is a type of connective tissue
False
An advantage of centralizing Central Service management is
more instruments can be processed faster than in a decentralized department
Prions are
abnormal forms of protein
A herniorrhaphy is a surgical procedure which
repairs a muscle layer that is allowing all or part of an organ to project through an opening
The abbreviation CR relates to a surgical procedure for
treating a fractured bone without a surgical incision
Bacteria which cause disease are called
pathogens
The U.S. Food and Drug Administration is responsible for
ensuring food, drugs and cosmetics are safe for use
The basics of aseptic technique is
activities that prevent infection
The decontamination area of the Central Service department should have
negative air flow
Decontamination of instruments and equipment starts
at the point of use
The decontamination area should have
negative air flow in relation to the other areas of the department
The proper handling of instrumentation is the responsibility of
everyone who comes in contact with the instrumentation
Centers for Disease Control guidelines are considered regulatory guidelines
False
One of the goals of point-of-use preparation and transport is to
prevent cross contamination
When putting on personal protective equipment it is important to put the mask on first
False
To prevent aerosols, items should be brushed below the surface of the water
True
The suffix -ectomy means
surgical removal
The surgical procedure removes the uterus
Hysterectomy
When cleaning prion contaminated instruments no special cleaning procedures are required only following standard cleaning protocols and the Manufacturer's Instructions for Use
False
Healthy people do not harbor or transmit bacteria
False
When cleaning items contaminated with pseudomonas
there are no special cleaning requirements for items contaminated with pseudomonas
The purpose of learning medical terminology is
to provide the Operating Room and medical staff with the foods and services they need
Which organization conducts onsite survey of healthcare facilities?
The Joint Commission
Automatic washers clean using spray-force action called impingement
True
The federal program designed for the voluntary reporting of device related problems is called
MedWatch
When removing personal protective equipment, remove __________ first
show covers
Which of the following tells a primary meaning of a word?
Root word element
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
Which of these traffic control/dress code requirements applies to the clean assembly area of Central Service?
Semi restricted
End of procedure point-of-use guideline include removing gross soil, disassembling of multi-part instruments, and ensuring instruments are kept moist
True
The Association of PeriOperative Registered Nurses is
a professional organization that writes guidelines for the Operating Room
Subcutaneous means
beneath the skin
Spores help some microorganisms survive in adverse conditions
True
Which of the following surgical abbreviations might be used relating to a fractured bone?
ORIF
Only good oral and written communication skills are necessary to provide or obtain information
False
Soiled instruments and other items are received in the _____________ area of the Central Service department
decontamination
A system is
A group of organs
The procedure to remove the stomach
gastrectomy
The system used to categorize patient care items based on the degree of risk of infection
Spaulding Classification System
An osteotome is
used to cut or shave bone
When returning loaner items to the vendor
all items should be cleaned and decontaminated
The first goal of creating an instrument pack is
create a pack that meets user needs
Positive air flow means when the door is opened, air flows out of instead of into the area
True
Molds, mushrooms and yeast are common
fungi
The surgery of the ear that reconstructs the eardrum so sound waves can be sent to the middle ear
tympanoplasty
Dark areas on the lens of an endoscope are?
Damaged light fibers
Soiled instruments and other items are received in the ___________ area of the Central Service department
decontamination
Pasteurizers disinfect using
heated water
Which of the following statements about the use of mechanical washers is NOT true?
All items should be washed on the same cycle
Agency which may intervene in a matter of worker protection even if there are no specific regulations covering the situation
Occupational Safety and Health Administration
Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched
False
Healthcare-associated infections are
those which occur in the course of being treated in a healthcare facility
Viruses are larger than bacteria
False
The system that gives the body shape and support
skeletal system
Devices categorized as semi-critical items, must be at least _______________ prior to use
high-level disinfected
Electronic testing of laparoscopic insulation should be done
in the clean assembly area prior to set assembly
Count sheets
provide a detailed list of tray contents
Central Service technicians must wear special attire referred to as _________ to minimize their exposure to bloodborne pathogens and other contaminants
PPE
The temperature in the decontamination area should be between
60 to 65 degrees Fahrenheit
Staphylococcus is classified as a gram-positive bacteria
True
Kerrison/laminectomy rongeurs should be tested using
an index card
Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope's channels?
Treated water
The prefix hemi-
means half
The term septorhinoplasty means
surgical repair of the nose
Powered surgical instrument air hoses should be pressurized for proper inspection
True
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
Arthroscopy instruments are used during
joint surgery
The term itis means
inflammation
Bacteria that do not require oxygen to live are called
anaerobic
Instruments with tungsten carbide jaws can be easily identified by
the gold handles on the instrument
Robotic instruments
do not come apart for cleaning. have mechanical and electrical components in the proximal end of the instrument. are heavier than standard laparoscopic instruments. (are all of the above)
An important reason for instrument preparation to begin at the point-of-use is
it helps prolong the life of the instruments
The mechanical process by which an ultrasonic cleaner works is called cavitation
True
Clean multi-part instruments that have been assembled to test for functionality should
be disassembled and sterilized following manufacturer's Instructions for Use
To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination area should wear
fluid-resistant gowns
These are used to breakdown fatty tissue on instruments
lipase enzymes
This is the lining of the uterus
Endometrium
Healthcare regulations and standards provide consistency of departmental activities by outlining
minimal levels of quality and safety
When a soiled instrument is found during the assembly process
the instrument and the tray it was in should be sent to the decontamination area for re-cleaning
Skeletal muscles
move only when we want them to move
The virus that causes hepatitis B is transmitted by
blood
Departmental dress codes apply to
everyone entering the Central Service department
All sonic cleaners have a decontamination cycle
False
Chemical indicators are _________ devices
FDA Class II
The main theory of standard precautions is
to treat all human blood and body fluids as infectious
Failure to perform soiled pick u rounds as scheduled can lead to instrument and equipment shortages
True
Rigid container filter retention plates should be
removed from the container and lid and cleaned separately
The absence of microorganisms that cause disease is called
asepsis
The amount of time an item must remain wet with a disinfectant to achieve disinfection is called
wet contact time
When an instrument has a shiny surface it is said to have a ________________ finish
mirror
The word laminectomy means
removal of part of a lamina
Recommendations regarding sterilization practices are provided by the Association for the Advancement of Medical Instrumentation
True
Hand hygiene is considered the single most important factor in reducing infections
True
Contaminated items may be returned to Central Service
during scheduled soiled pick up rounds. by staff from user departments. in case carts. (all the above)
Sometimes state or local regulations differ from federal regulations and when that happens, the most stringent regulations apply
True
Items should be contained for transport
to minimize the spread of microorganisms
Cleaning brushes
should be decontaminated at least daily
The term hypo means
below
The process by which instruments are sterilized for immediate use is called
Immediate Use Steam Sterilization
Steam sterilization is the most commonly used method of sterilization used in healthcare because
cycles are fast and inexpensive
When placing sterile items on the shelf, check
package integrity. an expiration date. seals and filters to be sure they are intact. (all the above)
Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges
False
Implantable devices
should not be immediate use steam sterilized unless there is a tracking system in place to trace the item to a patient
One common cause of a clogged drain screen is
tape
The best way to clean a suction lumen is
using the proper sized brush
Which of the following statements about endoscopes is true?
Not all endoscopes can be processed in an automated endoscope reprocessor
When using high-level disinfectants it is important to remember that they may be deactivated by
organic matter
Which of the following steps happens first when processing flexible endoscopes?
Leak testing
All rigid sterilization containers have tamper-evident seals
True
Tissue forceps have teeth
True
Under current regulations who is required to report suspected medical device-related deaths to the U.S. Food and Drug Administration?
Device manufacturer. Hospitals. (All of the above)
Floors in the Central Service department should be
wet-mopped daily
The staining method most frequently used to identify the shape and characteristic of bacteria is called
gram
During instrument manufacture the process of passivation helps build a protective chromium oxide layer on the instrument's surface
True
The first step to inspect the insulation of a laparoscopic instrument is to
check the collar at the distal tip
When arranging paper/plastic pouches in the sterilizer, the pouches should be arranged
paper-to-plastic
Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as
critical items
The first sink bay in the decontamination area should be filled with a neutral detergent or enzyme
True
Regulations under the Clean Air Act are administered by the
Environmental Protection Agency
If soiled items are held in user units before pick up for processing, they must be kept at the patient's bedside until Central Service collects them
False
Jewelry should not be worn in the Central Service department work areas because
they harbor bacteria
One goal of point-of-use preparation is to prevent instruments from being damaged
True
During handwashing, hands should be lathered and scrubbed for at least
20 seconds
All bacteria require the same conditions to live and grow
False
The term oscopy means
visual examination
Instrument sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled
the day or evening before they will be used
A septoplasty is
straightening the nose
Personal protective equipment is not required when cleaning items for immediate use steam sterilization
False
The weakest part of a steam sterilizer is the
door
Because shelf life is event related, stock rotation is no longer necessary
False
Aluminum foil is an approved packaging material for use in ethylene oxide sterilizers
False
Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders
False
Endoscopes are often processed in a mechanical unit called
an automatic endoscope reprocessor
Which of the following is NOT an acceptable sterilization packaging material?
Canvas
Phenolics are classified as
intermediate- to low-level disinfectants
Cleaning is defined as the removal of all visible and non-visible soil
True
Standards and regulations help set
minimal levels of quality and safety
When it is necessary to transport soiled items between facilities using a truck or van, facilities must consult U.S. Department of Transportation, as well as state and local laws for transporting biohazardous items
True
Which of the following is NOT a requirement of Occupational Safety and Health Administration Bloodborne Pathogen Standard?
Keep biohazard areas locked
Due to the difficulty of cleaning items contaminated with prions
disposable instrument should be used during the case. heat sensitive items should not be used as they will probably be destroyed during cleaning. if reusable items are used guidelines suggest disposing of the items contaminated with high risk tissue. (all
Arthroscopy means
visual exam of a joint
The hip joint is an example of a
ball and socket joint
All items sterilized or high-level disinfected at the point-of use must be carefully monitored and logged
True
When loading a steam sterilizer
basin sets should be place on edge and tilted
One of the goals of stock arrangement is to provide minimal product handling while allowing first in, first out rotation
True
What exposure monitoring is required for all personnel using a hydrogen peroxide sterilizer?
No monitoring is required
To properly test the sharpness of scissors four inches or less use
yellow test material
Loaner instrumentation can cause receiving challenges
True
When placing instruments in a peel pack, the tips should always face the paper side of the pack
False
When mixing several low- to intermediate-level disinfectant together, it is important to remember
chemicals should not be mixed
Powered surgical instruments should be cleaned using a mechanical cleaning process
False
Following Occupational Safety and Health Administration regulations for wearing personal protective equipment in the Central Service decontamination area is optional
False
It is acceptable to transport soiled and clean items at the same time in the same cart if they are place on separate shelves
False
What color should biohazard labels/signs be?
Red/orange
Microorganisms reproduce by a process called
binary fission
Not understanding medical terminology may compromise patient care
True
This the first step in the sterilization process
Cleaning
This surgical procedure is the removal of the gall bladder
Cholecystectomy
When transporting items that have been immediate use steam sterilized, it is required that
they be transported in such a manner that reduces the potential for contamination
Using the wrong container filter or poor filter placement can be a cause of a wet pack
True
Heavy items should be placed
on the middle shelves
Lumens should be moist when using hydrogen peroxide as a sterilizing agent
False
Outside shipping containers
should be removed prior to placing the items in storage
Microgrind or supercut scissors are usually identified with a black handle
True
Point-of-use preparation
begins the cleaning process
The only way to interrupt the transmission of a causative agent is to
eliminate it
Which of the following statements about Immediate Use Steam Sterilization is true?
It should be used only when there is not time to process items using the wrapped method
The guidelines for sterile storage are the same for both items sterilized in house and for items purchased sterile
False
Information about a device's compatibility with a specific sterilization process should be obtained from the device's manufacturer
True
The higher the bioburden on an object
the more difficult it will be to sterilize
Sterile storage areas should
have positive airflow and at least four air exchanges per hour
The part of a hemostat that locks and holds it in position is called the box lock
False
The purpose of the insulation covering laparoscopy instruments is to
protect the patient from electrical current
Airflow in the prep and pack area should be
positive
The process by which all forms of microorganisms are completely destroyed is called
sterilization
What is the most common pH for detergents used for most cleaning processes?
neutral pH
Surgical instruments are carefully inspected for cleanliness and function in the _____________ area of the Central Service department
preparation and packaging
This surgical procedure consists of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing
stapedectomy
Multiple drug resistant organisms are a declining threat to patients in healthcare facilities
False
The root element gastro refers to the
stomach
The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion
True
Temperature in the preparation and packaging area should be
between 68 and 73 degrees Fahrenheit
In an automated washer the key source of disinfection is
water temperature
Written cleaning instructions for surgical instruments should be provided by
the device manufacturer
In the future, which of the following will more frequently become a requirement for working in a Central Service department?
Formal education
More than 55% of blood is made up of this yellowish liquid
Plasma
Bacteria that require oxygen are called
aerobic
The suffix -ectomy means
surgical removal
To prevent coagulation of proteins, instruments should be pre-rinsed using
cool water
Regulations and standards provide information to help ensure
quality and safety
When assembling instrument trays
heavier instruments should be placed on the bottom of the tray
Devices categorized as semi-critical items, must be at least ____________ prior to use
high-level disinfected
The human resources tool that identifies major tasks performed by persons in specific positions is called a
job description
This gland stimulates body growth
Pituitary gland
The steam sterilization process can be affected by the design of medical device being sterilized
True
Ethylene oxide, hydrogen peroxide and ozone sterilization process must all be monitored using chemical, physical and biological monitors
True
Kerrison/laminectomy rongeurs should be tested using
an index card
Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function
False