Chapter 14

Front 1

Point-of-use

Back 1

Occurs when a medical device is processed immediately before use, and/or close to the patient care area.

Front 2

Flash sterilization

Back 2

The process by which unwrapped instruments are sterilized for immediate use when an emergency situation arise.

Front 3

Flash sterilization can be accomplished with three types of Cycles what are they?

Back 3

Gravity Cycles

Pre vacuum Cycles

The express cycle

Front 4

Gravity Cycles

Back 4

Are traditionally called flash cycles and they may be pre-programmed into the control systems of steam sterilizers.

Front 5

Pre vacuum Cycles

Back 5

We're added to sterilizers used in operating rooms when more complex operating room instrumentation(ex ortho/neuro) were manufactured to permit gravity and pre vacuum sterilization

Front 6

The express cycle

Back 6

Is a limited application cycle for a single instrument wrapped in a single layer wrap.

Front 7

Porous

Back 7

Possessing or full of pores(minute openings)

Front 8

The ventilation system should provid at least how many air exchanges.

Back 8

10 air exchanges per hour

Front 9

Class 5(chemical integrators)

Back 9

Integrating indicators designed to react to all critical parametres over a specificed range of sterilization Cycles

Front 10

Conventional biological indicators(BIs) are

Back 10

Strips that have been populated with a standardized viable population of bacterial spores.

Front 11

The incubation temperature for geobacillus stearothermophilus is

Back 11

122-140°F (50-60°C)

Front 12

For routine monitoring AAMI recommends that a biological test be done at least

Back 12

Weekly preferable everyday that the sterilizer is used

Front 13

The residual air removal test is know as the

Back 13

Bowie-Dick Test

Front 14

Pounds per square inch gauge(psig)

Back 14

A measure of ambient air pressure the pressure that a gas would exert on the walls of a 1 cubic foot container

Front 15

The documentation for each flash cycle should include the:

Back 15

*Patient name

*Contents of The Flash sterilization load

*Type of sterilization cycle used

*Cycle parameters

*Reason for Flash sterilization *Signature of Staff person

Front 16

Critical devices

Back 16

Instruments are objects introduced directly into the bloodstream or other normal sterile areas of the body(ex:surgical inst,cardiac catheters,&needles)

Front 17

Semi-critical devices

Back 17

Those which come in contact with none intact skin or mucous membrane(ex:endoscopes, anesthesia breathing circuits)

Front 18

Non-critical devices

Back 18

Those that contact intact skin(ex:crutches,bed boards)

Front 19

Oxidation

Back 19

The process by which a molecule atom or ion loses an electron. The act or process of oxidizing, chemical breakdown of nutrients for energy

Front 20

Molecule

Back 20

The smallest quantity of matter that can exist in a free state and retain all of its properties

Front 21

Atom

Back 21

The fundamental unit of a chemical element

Front 22

Ion

Back 22

An electronically charged particle that is formed by the loss or gain of one or more electrons

Front 23

Electron

Back 23

A negatively charged particle that moves around the nucleus(central core) of an atom

Front 24

Oxidizing agent

Back 24

A material that removes electrons from another substance

Front 25

Oxidative chemistries

Back 25

A class of compounds that contain an addition atom of oxygen bound to oxygen and that uses oxidation to interrupt cell function

Front 26

Macromolecules

Back 26

Large molecules(proteins, carbohydrates, lipids, and nucleic acids) within a microorganism

Front 27

Peracetic acid(PA)

Back 27

A liquid oxidizing agent that effectively kills bacteria at low temperatures.

Front 28

PA has been used in a liquid chemical sterile processing system since when

Back 28

1988

Front 29

Sterilization documentation is not required for items that are flash sterilized (true or false)

Back 29

False

Front 30

Instruments must be clean before flash sterilization (true or false)

Back 30

True

Front 31

Flash sterilization is rarely performed in hospitals (true or false)

Back 31

False it's perform in every hospital of the country

Front 32

Peracetic acid is a liquid oxidizing agent that effectively kills bacteria at low temperatures (true or false)

Back 32

True

Front 33

Currently there are no process monitors available for peracetic acid sterilization processes (true or false)

Back 33

False: A microprocessor that continually detects & monitors various process parameters through ever cycle.

Front 34

A diagnostic cycle on the peracetic acid system should be run everyday (true or false)

Back 34

True

Front 35

Hydrogen peroxide is an example of an oxidative chemistry (true or false)

Back 35

True

Front 36

Liquid peracetic acid is difficult to rinse from items

Back 36

False

Front 37

Ethylene oxide is not used for a point-of-use processing because of its long cycle items (true or false)

Back 37

True

Front 38

High-level disinfection is appropriate for a semi-critical devices (true or false)

Back 38

True