Chapter 8

Front 1

A process that greatly reduces the number of microorganisms on skin or other tissue.

Back 1

Antisepsis

Front 2

A small steam sterilizer used in low volume clinical settings.

Back 2

Autoclave

Front 3

Chemical agent capable of inhibiting the growth of bacteria.

Back 3

Bacteriostatic (-static mean to prevent bacterial growth

Front 4

A quality control mechanism used in the process of sterilization. It consist of a closed system containing harmless spore-forming bacteria that can be rapidly cultured after the sterilization process.

Back 4

Biological Indicator

Front 5

A method of receiving clean and sterile equipment and preparing it for transportation to a central decontamination area.

Back 5

Case Cart System

Front 6

The area of the hospital where medical devices and equipment are processed

Back 6

Central Sterile

Front 7

A process that uses chemical agents to achieve sterilization

Back 7

chemical sterilization

Front 8

To render nonsterile and unacceptable for use in critical areas of the body.

Back 8

Contaminate

Front 9

A process in which recently used and soiled medical devices are rendered safe for personnel to handle

Back 9

Decontamination

Front 10

Destruction of microorganisms by heat or chemical means. Spores usually are not destroyed by this.

Back 10

Disinfection

Front 11

A highly flammable, toxic gas that is capable of sterilizing an object.

Back 11

Ethylene oxide

Front 12

Activities or tasks that prepare used medical devices for use on another patient

Back 12

Processing

Front 13

A method that reduces the number of bacteria in the environment to a safe level

Back 13

Sanitation

Front 14

The length of time a wrapped item remains sterile after its been processed

Back 14

shelf life

Front 15

A system used to determine the level of microbial destruction required for medical devices and supplies based on the area of the body the device was used

Back 15

Spaulding system

Front 16

Able to kill spores

Back 16

sporicidal

Front 17

A process by which all microorganisms, including spores, are destroyed

Back 17

Sterilization

Front 18

Thorough cleaning and disinfection of supplies or an environment

Back 18

Terminal decontamination

Front 19

Equipment that washes and decontaminates instruments after an operative procedure

Back 19

Washer-sterilizer /disinfector

Front 20

If a chemical is labeled a ___, it is inteded for inanimate surfaces.

Back 20

disinfectant

Front 21

____ is the number and type of live bacterial colonies on a surface before it is sterilized.

Back 21

Bioburden

Front 22

Contaminated refers to any surface or tissue that has come in contact with a ___ or actual source of microorganism.

Back 22

potential

Front 23

___ is a process in which instruments and supplies are first cleaned and then processed through chemical or mechanical means so that they are safe for handling.

Back 23

Decontamination

Front 24

Disinfection kills everything but ___

Back 24

spores

Front 25

What is the process that removes most but not all microbes on inanimate surfaces.

Back 25

Disinfection

Front 26

Some disinfectants are formulated for use on surgical equipment, whereas others are used for ____ ____.

Back 26

environmental cleaning

Front 27

What are the three types of disinfection

Back 27

high, medium, and low

Front 28

What is the destruction of all microorganisms including mycobacteria, but not forms
(high, medium, or low-level disinfection)

Back 28

High-level disinfection

Front 29

What is effective against mycobacteria and most viruses. (high, medium, or low-level disinfection)

Back 29

Medium-level disinfection

Front 30

What destroys most viruses and bacteria
(high, medium, or low-level disinfection)

Back 30

low-level disinfection

Front 31

What refers to all the steps necessary to render soiled medical devices safe for use on the next patient.

Back 31

Processing

Front 32

What is the process that results in the complete destruction of all viable forms of life on an object.

Back 32

Sterilization

Front 33

Instruments are cleaned thoroughly before ___.

Back 33

disinfection

Front 34

Instruments are disinfected ___ use so that they can be safely handled by staff members.

Back 34

after

Front 35

Disinfecting instruments reduces the ____ so that instruments trays and other equipment trays and other equipment can be sterilized for a surgical case

Back 35

bioburden

Front 36

At the ____ of the case, the used instruments are removed from perioperative environment for extensive cleaning and decontamination. After this process, the instruments can be safely handled with bare hands.

Back 36

end

Front 37

What does AORN stand for?

Back 37

The Association of periOperative Registered Nurses

Front 38

A high risk infection if not properly sterilized --- high levels disinfectant like scopes (Critical, semicritical, noncritical)

Back 38

Critical Risk

Front 39

Medium risk like ET tubes, or laryngo tubes ( Critical, Semicritical, or noncritical)

Back 39

Semicritical

Front 40

Low risk like pulse oxmeter
( Critical, Semicritical, or noncritical)

Back 40

noncritical

Front 41

Soiled instruments and other surgical equipment are reprocessed in a designated area of the facility. This area is separated from other departments to prevent _____.

Back 41

cross-contamination

Front 42

What is the process that results in the complete destruction of all viable forms of life on an object.

Back 42

Sterilization

Front 43

Instruments are cleaned thoroughly before ___.

Back 43

disinfection

Front 44

Instruments are disinfected ___ use so that they can be safely handled by staff members.

Back 44

after

Front 45

Disinfecting instruments reduces the ____ so that instruments trays and other equipment trays and other equipment can be sterilized for a surgical case

Back 45

bioburden

Front 46

At the ____ of the case, the used instruments are removed from perioperative environment for extensive cleaning and decontamination. After this process, the instruments can be safely handled with bare hands.

Back 46

end

Front 47

What does AORN stand for?

Back 47

The Association of periOperative Registered Nurses

Front 48

A high risk infection if not properly sterilized --- high levels disinfectant like scopes (Critical, semicritical, noncritical)

Back 48

Critical Risk

Front 49

Medium risk like ET tubes, or laryngo tubes ( Critical, Semicritical, or noncritical)

Back 49

Semicritical

Front 50

Low risk like pulse oxmeter
( Critical, Semicritical, or noncritical)

Back 50

noncritical

Front 51

Soiled instruments and other surgical equipment are reprocessed in a designated area of the facility. This area is separated from other departments to prevent _____.

Back 51

cross-contamination

Front 52

The health care facility provides ____ policies and procedures based on the accepted standards or professional and accrediting organizations

Back 52

written

Front 53

All batches of goods processed together in a single load are identified by ___ ____ and ____

Back 53

batch number and date

Front 54

Central Sterile and perioperative personnel are involved in the coordination of roles and responsibilities that directly affect their ____

Back 54

safety

Front 55

In most facilities, ___ volume processing takes place in the health facility's Central Sterile department.

Back 55

high

Front 56

Nearly all instruments and equipment used in surgery are transferred to ___ ___ for processing

Back 56

central sterile

Front 57

The CS staff must handle extremely ____ and potentially dangerous equipment that arrives directly from the OR.

Back 57

sharp

Front 58

The ST have the responsibility to prepare equipment for processing in a way that ___ the CS personnel from injury

Back 58

protects

Front 59

Personnel in both departments also must understand the critical nature of their work- ___ prevention and patient safety

Back 59

disease

Front 60

During surgery instruments exposed to blood should be periodically wiped free of blood and debris to prevent ____ and ____

Back 60

caking and drying

Front 61

____ is NEVER used for cleaning or soaking instruments

Back 61

Saline

Front 62

Saline is never used for for cleaning or soaking instruments because it causes ____, rusting, and corrosion

Back 62

pitting

Front 63

Water is used to soak the instruments and must be ___ off the top to prevent spills during transport

Back 63

suctioned

Front 64

The PPE in central sterile consist of: Eyewear (with side shields), face mask, gloves approved for contact with chemical disinfectants, full proof body suit and sleeves, waterproof shoes and covers

Back 64

NOTE --------->>>>>>>>

Front 65

Areas that are difficult to clean must be scrubbed with a small brush. This is called "____ ____"

Back 65

manual cleaning

Front 66

The ___ cleaner removes debris from instruments by a process called cavitatioin. High-frequency sound waves are generated through a water bath.

Back 66

ultrasonic

Front 67

Only items that are____ of gross debris are processed in the ultrasonic cleaner.

Back 67

free

Front 68

The washer sterilizer/disinfector remove excessive ___

Back 68

bioburden

Front 69

After the instruments go through the washer sterilizer/disinfector they can be handled by .....??

Back 69

handled by bare hands

Front 70

Lubrication is used on ___ ___ instruments and other selected equipment according to the manufacturer's recommendations

Back 70

stainless steal

Front 71

Oils (are, are not) used for lubrication

Back 71

are not

Front 72

Oils are not used because the sterilization process may not ____ oil

Back 72

penetrate

Front 73

Attire in the clean assembly area includes ....?

Back 73

a clean scrub suit with long sleeves and a surgical cap

Front 74

Cutting instruments such as scissors, curettes, osteotomes, rongeurs, and shears should be examined for ___ along the cutting edge.

Back 74

pitting

Front 75

Sharps should be inspected to make sure the blade surfaces meet smoothly and properly. Forceps must be tested for ____.

Back 75

spring

Front 76

Any instrument found to be malfunctioning should not be packaged and sterilized; rather, it should be sent for ___

Back 76

repair

Front 77

What should instrument trays not contain separate items wrapped in peel pouch

Back 77

air can become trapped inside the pouches and prevent stream from reaching all surfaces of the items inside

Front 78

Double pouches are ____ and may prevent sterilization of the item

Back 78

not necessary

Front 79

The item in the pouch should clear the seal by at least ____

Back 79

1 in (2.5 cm)

Front 80

Air should be evacuated from the pouch before it is sealed. Otherwise, the package may ___ during sterilization

Back 80

rupture

Front 81

Each package must be properly labeled with the date of processing, name of the item and lot control number ___ be included on the label

Back 81

MUST

Front 82

When ES leaves a room what is the first thing you should check for when you go back into the room?

Back 82

make sure the OR bed is locked

Front 83

____ decontamination follows every surgical case

Back 83

Terminal