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49 Cards in this Set
- Front
- Back
Sterilzer- Gravity Displacement Type
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30 minutes at 15-17 PSI at 121-125 degree C
15 minutes at 30-32 PSI at 132-135 degree C |
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Sterilization - Prevacum Type
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Temperatures 132-135 degree C
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Asepsis
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Preventing access of micro-organisms
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Bioburden
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Number of micro-organisms contaminating an object
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Biological Control
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Unprocessed biological monitor from the same lot as the test moniter. When cultured, serves as a control by verifying the viability of the unexposed organisms.
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Biological Moniter
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Bacterial endospore test designed to access whether sterilization has actually occured.
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Chemical Indicator
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Chemical dyes used to determine if conditons required for sterilization were met.
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Infection Control is addressed how often and by who?
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Addressed quarterly as part of Command Assurance Program by the Infection Control Officer
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HBV and HIV Testing intervals
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Initial, 6 weeks, 12 weeks and 6 months
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Infection Control Training requirements for reporting to command and thereafter.
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Within 90 days and annually afterwards
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Infectious contol training records will be maintained for how long and will include what information?
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Three years
-personnel who attended and instructor(s). -Dates -Summary |
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What percentage of people effected with HBV or HIV are unaware of their infection?
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80%
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At the beginning of the day flush each water line for at least how many minutes?
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10 minutes
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Flush handpieces for how many minutes prior to first patient and how many seconds between each patients
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Flush for one minute prior to first patient
30 seconds between patients lubricate and run for 15 seconds |
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Three 10 second rinses reduce microbial count by what percentage?
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97 % (Temporary)
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Open decanted irrigation used daily is ok for how long?
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one week
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Open decanted irrigation for surgical use is ok for how long?
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One day
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Why would you not use (what percentage) gluteraldehyde as a surface disinfectant?
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2 percent
-caustic vapors |
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Securing the DTR at end of day procedures
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-Flush High volume evacuator system with at least 1 quart of water
-spray-wipe-spray countertops etc... Flush each unit water line for 30 seconds |
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Laundry-
What temperature and for how long |
160 degrees F
25 minutes |
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Mops
-How long can they be used for? Sodium Hypochlorite dilution? |
one day
1:100 |
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What type of Flora does skin harbor (two types)?
Which is is harder to remove? |
Resident
Transient Resident is harder to remove. Transient can easily be removed. |
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Which product is not approved for handwashing?
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Aqueous quaternary ammonium compounds
-such as those containing dilute benzalkonium chloride |
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What are idophors used for?
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Gram positive and Gram negative bacteria and viruses.
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What is Chlorhexidine Gluconate
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Marketed as 4 % chlorhexidine Gluconate.
Reduces transient and residents microbial hand flora Approved for surgical scrub |
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What is the preferable for all equipment and materials?
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Heat Sterilization
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Double wrap items not in which type of sealed packages?
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Heat
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Which type of sterilization is the most effective?
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Steam Heat Sterilization
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Dry Heat Sterilization must be at what temperature or above?
Typical use? |
320 degree F or above
Typical 90 minutes at 320-345 degree F |
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Which cleaning is safer and more effective than mannual scrubbing?
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Ultrasonic
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How do you label with wrapping and packaging?
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Label packs with Identification number of the sterilizer and the dates of sterilization and expiration.
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A mixture of alcohols, formaldehyde, water and other chemicals under pressure forms a gas that can achive sterilization?
-What temperature and how many minutes? |
Chemical Vapor Sterilization
20 minutes at 270 degrees F |
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For Ethylene oxide sterilization
-Produce which type of gas -Temperatue and time? -Serious ____ problem? |
Ethylene Oxide Gas
2-3 hours at 120 degrees F OSHA |
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Used Bead Sterilizers only for _____?
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intra-appointment sterilization of clean metallic instruments
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How often do you use biological moniters?
Bowie Dick Test? |
Weekly
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Dosage Indicators?
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Chemical dyes that change color when exposed to steam, dry heat, or chemical vapors for specified period of time. Indicate if sterilization has been met.
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Process Indicators?
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Chemical dyes that change color upon short exposure to sterilizing conditions.Necessary to distinguish processed packages from those that have not been cycled.
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Guidelines for Dosage Indicators and Process Indicators?
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Use dosage indicator inside and process indicators outside each instrument pack.
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Gluteraldehyde-Based Solutions require what?
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Proper ventilation because vapors are extermely toxic. Consided high-level disinfectant
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Idophors are classifed as what and should not be used on what?
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Intermediate-level disinfectants if the product label claims tuberculocida activity.
Should not be used on white or pastels vinyls subject to staining. |
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Chlorine Dioxide-Based Solutions are what level disinfectant and are irritating to what?
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High-Level
Skin and eyes |
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Phenolics are classifed as what and used as?
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Intermediate-level
Available as sprays |
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Which concept prevents the contamination of bulk supplies?
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Unit dose concept
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How long do you soak reusable impression trays in an EPA registered disinfectant?
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10 minutes
scurb with soapy water deal in peel packs before autoclaving |
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Protheses Received
Scrub all prostetic devices with? Store the brush in? Replace solution? |
brush with Bacterological soap
Store in 2 % glutaraldehyde solution As recommended by manufacture or at least weekly autoclave brushes weekly |
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For minor adjustments and Rush cases. Barriers and Disinfectants turnaround time can be __minutes?
Incoming cases can be placed in a self-sealing plastic bag.... to be consided disinfected. |
20 minutes
5.25 percent sodium hypochlorite solution. The bag is then immersed at least one minute in a 37 % ultrasonic bath. |
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How do you disinfect film positioning devices between patients?
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Immersion in and EPA-registered chemical disinfectant such as a 2 % glutaraldehyde. Rinse throughly after disinfection.
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CSR Flow Chart
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Receiving---cleaning------processing-----sterilization---sterile storage------issue
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Chemical Disinfection
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The destruction or inhibition of most viruses and bacteria while in their active growth phase.
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