Iahcsmm Workbook Chs. 8-12

Front 1

The _____ department is the major source of soiled items received by the Central Service department

Back 1

Surgery

Front 2

Soiled items that are held in user departments for pick up must be stored in designated areas labeled with ______ signage

Back 2

Biohazard

Front 3

If grossly soiled instruments cannot be cleaned immediately, the should be kept _______.

Back 3

Moist

Front 4

Tissue, body fat, blood, and other body substances are examples of ________ soil.

Back 4

Gross

Front 5

Disposable sharp items (i.e. blades, needles, etc.) should be removed at point-of-use and placed in a ________ container labeled biohazard.

Back 5

Hard-sided

Front 6

Point-of-use preparation of soiled items is normally performed by the ________.

Back 6

User Department

Front 7

Disposable components should be removed at _______.

Back 7

Point of Use

Front 8

Soiled instruments should be transported in an ________ container or care.

Back 8

Enclosed

Front 9

Before transport, reusable sharps should be ______ from other instruments.

Back 9

Separated

Front 10

Containers and carts used to transport contaminated items should not be used to transport clean items unless the have been thoroughly _________ between uses.

Back 10

Decontaminated

Front 11

True or False, if false explain why:
Instruments with lumens should be soaked in a horizontal position.

Back 11

False - Instruments with lumens should be soaked vertically

Front 12

True or False, if false explain why:
The mechanical process by which an ultrasonic cleaner works is called cavitation.

Back 12

True

Front 13

True or False, if false explain why: To prevent aerosols, items should be brushed below the surface of the water.

Back 13

True

Front 14

True or False, if false explain why:
Automatic washers clean using spray-force action called impingement

Back 14

True

Front 15

True or False, if false explain why:
Instruments received from surgery and tagged for repair do not need to be cleaned until they come back from repair.

Back 15

False - nonfunctional instruments received from surgery must be cleaned before they are sent out for repair

Front 16

True or False, if false explain why:
Powered surgical instruments should be cleaned using a mechanical cleaning process

Back 16

False - Powered Surgical Instruments (PSI's) should not be cleaned using a mechanical cleaning process

Front 17

True or False, if false explain why:
There are currently no methods available to verify cleaning process outcomes.

Back 17

False - Along with visual inspection, there are products available that can help measure cleaning outcomes

Front 18

True or False, if false explain why:
Infectious waste is regulated by the EPA.

Back 18

True

Front 19

True or False, if false explain why:
Horizontal work surfaces in the decontamination area should be cleaned and disinfected once per day.

Back 19

False - Horizontal work surfaces in the decontamination area should be cleaned and disinfected at the beginning and end of each shift.

Front 20

True or False, if false explain why:
PPE should be changed immediately if it becomes soaked with blood or other infectious material.

Back 20

True

Front 21

The use of heat to kill microorganisms, except spores

Back 21

Thermal disinfection

Front 22

Compounds that contain a positive electrical charge. They exhibit germicidal properties.

Back 22

Cationic

Front 23

A chemical which kills most pathogenic organisms, but does not kill spores

Back 23

Disinfectant

Front 24

A solution which inhibits the growth of bacteria. It is usually used topically and only on animate objects

Back 24

Antiseptic

Front 25

The length of time a disinfectant can be properly stored after which it must be discarded

Back 25

Shelf Life

Front 26

Compounds that have a negative electrical charge. They form a large group of synthetic detergents.

Back 26

Anionic

Front 27

The destruction of nearly all pathogenic microorganisms on an inanimate surface.

Back 27

Disinfection

Front 28

Relating to the destruction of bacteria

Back 28

Bactericidal

Front 29

The length of time (or number of uses) after which the efficiency of a disinfectant is diminished

Back 29

Use Life

Front 30

A process by which all forms of microbial life are destroyed.

Back 30

Sterilization

Front 31

Name the disinfectant:
These low-level disinfectants are often used in environmental sanitation on objects such as floors, walls, and furniture. They are incompatible with soaps. Their concentration may be diminished by some materials such as cotton, wool, filter paper, and charcoal.

Back 31

Quaternary Ammonium Compounds

Front 32

Name the disinfectant:
This high-level disinfectant is sued for semi-critical devices such as endoscopes. It has sterilant capabilities, but to achieve sterilization the exposure time is 10 hours or more. Once it is activated (mixed) it must be checked routinely using test strips to ensure its concentration. Because of its fumes, employees who work with it must follow specific OSHA guidelines for safety

Back 32

Glutaraldehyde

Front 33

Name the disinfectant:
This common disinfectant has been in use for several years. It is often used to disinfect equipment. It is inactivated by organic soil. In order to achieve a reasonable level of disinfection it must remain in wet contact with the item being disinfected for at least 5 minutes. That can be a problem because it evaporates quickly.

Back 33

Alcohol

Front 34

Name the disinfectant:
This relatively new high-level disinfectant is effective at room temperature and provides a fast and effective way to disinfect a side range of items. It has excellent high-level disinfection capabilities, but is not classified as a sterilant.

Back 34

Ortho-Phthaldehyde

Front 35

A self-retaining retractor

Back 35

Gelpi

Front 36

The part of a ring-handled instrument that locks the handles in place

Back 36

Ratchet

Front 37

Surgical instruments used to cut away at bone and tissue

Back 37

Rongeurs

Front 38

A chemical process applied during instrument manufacture that provides a corrosion-resistant finish

Back 38

Passivation

Front 39

Surgical instruments with a hollow barrel (lumen) through their center

Back 39

Cannulas

Front 40

Also known as 400 series stainless steel, this metal used in surgical instrument manufacture can be heat-hardened

Back 40

Martensitic

Front 41

Surgical instruments used to cut, incise, or dissect tissue

Back 41

Scissors

Front 42

Commonly found in the Operating Room, this can damage instruments with prolonged exposure

Back 42

Saline

Front 43

Surgical instruments used to grasp

Back 43

Forceps

Front 44

The part of a ring-handled instrument where the two parts meet and pivot.

Back 44

Box Lock

Front 45

True or False:
Tungsten Carbide Scissor blades hold a sharp edge longer than stainless steel ones.

Back 45

True

Front 46

True or False:
Tissue forceps have teeth and dressing forceps have serrations

Back 46

True

Front 47

True or False:
Double action ronguers should be tested for sharpness using tissue paper

Back 47

False

Front 48

True or False:
Laser-etching is a permanent instrument marking process

Back 48

True

Front 49

True or False:
Because they are mild cleaners, dish soaps are the cleaners of choice for surgical instruments.

Back 49

False

Front 50

Name the PSI:
Used to repair and reconstruct teeth and jawbones

Back 50

Dental drill

Front 51

Name the PSI:
Used in ear surgery and for driving very small wires through bone

Back 51

Micro Drill

Front 52

Name the PSI:
Used in open heart surgery

Back 52

Sternal Saw

Front 53

Name the PSI:
Used to remove cement

Back 53

Cebatome

Front 54

Name the PSI:
Used to harvest skin grafts and reshape skin surfaces

Back 54

Dermatome/Dermabraider

Front 55

Name the PSI:
Used to perform specific cutting actions such as reciprocating or oscillating

Back 55

Saw

Front 56

Name the endoscope:
Allows for visual inspection of the lower part of the large intestine

Back 56

Sigmoidoscope

Front 57

Name the endoscope:
Allows for visual inspection of the upper digestive tract

Back 57

Gastroscope

Front 58

Name the endoscope:
Used to visualize the urethra and bladder

Back 58

Cystoscope

Front 59

Name the endoscope:
Used to visualize the tracheobronchial tree

Back 59

Bronchoscope

Front 60

Name the endoscope:
Used to visualize the entire large intestines

Back 60

Colonoscope

Front 61

True or False:
Leak testing should be performed on each flexible endoscope annually

Back 61

False

Front 62

True or False:
Loaner instrument trays that are received sterile from other facilities do not need to be decontaminated and resterilized before use

Back 62

False

Front 63

True or False:
Endoscope channels should be cleaned and then left moist for storage

Back 63

False

Front 64

True or False:
Powered Surgical Instruments have one of three power sources: electricity, air, or battery.

Back 64

True

Front 65

True or False:
Modern powered surgical instruments are submersible

Back 65

False

Front 66

True or False:
Laparoscopic instrument insulation failure can cause burns

Back 66

True

Front 67

True or False:
The purpose of a decontamination battery is to protect PSI's from fluid invasion

Back 67

True

Front 68

True or False:
Dental drills are used to remove cement

Back 68

False

Front 69

True or False:
Automatic endoscope reprocessors are not recommended for flexible endoscopes.

Back 69

False