IAHCSMM

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Flash Sterilization

Process by which unwrapped instruments are sterilized for immediate use when an emergency situation arises: (not packaged)

Implantable Devices

Should not be flash sterilized

OPA

The best choice for high level disinfection of instruments

Flagella

The part of a cell that enables it to move through liquid

Devices cannot be sterilized

When soil remains on a device after cleaning

Pathogenic

Bacteria that causes diseases

Quaternary Ammonium Compounds (quats)

Low Level disinfectant also known as wetting agent

Consignment Method

The inventory control method in which the supplier owns the ineventory, stores it at the healthcare facility, and does not charge the healthcare facility for it until it is used or lost

Ethlyne Oxide

Of the 3 major low low temperture sterilants ______ has the longest instrument turn over time

Inventory Turnover Rate

The number of times per year that inventory is purchased, consumed, and replaced

Radio Frequency I.D (RFID)

Tracking method which provides real time information

Joint Commision

Requires preventive maintenance standards to be established for medical equipment

How frequently should a sterilizer's drain strainer be removed?

Daily

Nucleus

The part of a cell that controls cell function

Feedback

A step in communication that occurs when a listener sks a question or repeats information is called

Involuntary Muscles

Work without consciousness

Sequential

The method of wrapping that creates a package within a package

100% ethylrnr oxide gas canisters should be stored:

In a chemical storage cabinet

Wicking Material

Approved absorbant material that allows for air removal, steam penetration, and that facilitates drying

Wetting Agent

Subtances that reduces the surface tension of a liquid, and allows the liquid to penetrate or spread more eaily accross the surface

The term "superheated steam" means

Dry Steam

Disinfectant

Chemical which kills most pathiogenic organisms

D- Value

The amount of time that it takes to kill 90% of the microorganisms present on an object

400 series stainless steel is also call:

Martensic

Para

Beside or near

OPA

ortho-Phthalaldehyde Solution high level disinfectant for semi-critical medical devices

AAIMI

The organization that sets recommended practices and standards for care and processing of devices and systems

Hypothermia Unit

This unit pumps heated or cooled water through a coiled pad to therpapeutically raise or lower body temperature

Mechanical Monitor Charts/Printouts

Which of the following sterilization quality assurance measurements is designed to provide a written record of sterilizer cycle activity

Hyrdo Peroxide Gas Plasma Sterilizer

Cellulosic material (paper, cotton, linen) cannot be processed in:

ORIF

Abbreviation relationg to a fractured bone

Biological Indicators

Tests which use live bacterial spores to challenge the ifficacy of the sterilization process and provide a direct measure of lethality

Lipase Enzymes

These are used to breakdown fatty deposits and adipose tissue on instruments

The Safe Medical Devices Act

Requires that the healthcare facility report malfunctions of medical devkces that have contributed to patient injury, illness, and or death to the manufacturer

Instrument (biopsy)

The largest operating channel of an endoscope

Deionization

A system used to treat the final rinse water used for cleaning

FDA

Medical Device report regulation

Chemical indicators are classified by the FDA as ______ devices

Class II

In an ABC Inventory Control System, "A" items represent

the smallest number of items and largest dollar value

Bacillus

Rod shaped bacteria

Floors in the Central Service Department should be

wet-mopped daily

Binary Fission

Process by which microorganisms are reproduced

Purified water should have a ph of

6.5-7.5

Asepsis

The absence of microorganisms

Arteries

Carry blood from the heart

Pick-n-pack system

The arrangement of plastic-paper pouches in the sterilizer, the pouches should be arranged _____

What can be removed from water when reverse osmosis process is used

Bacteria, Pyrogens, and Endotoxins

In the event of a load recall, information about specific load contents can be obtained from:

The Sterlization Log

The Mechanical Convection Sterilizer

The most efficient type of dry heat sterlizer

Mesophiles

Bacteria that grow well at body temperature and are often pathogenic to humans

Water softners are used to remove ____ in the water.

calcium and magnesium

Nephrectomy

The removal of a kidney

Which type of scope is used to visualize the lower part of the large intestine?

Sigmoidoscope

Sterile packages should be stored no lower than ____ inches from the floor

8-10

To acheive a reasonable level of disinfection, alcohol used as an intermediate-level disinfectant must remain in wet contact with the surface of the object being disinfected for a minimum of ____ minutes

5

Common Vehicle

A mode of bacterial transmission that would take place whne and infectious agent was transmitted through a item such as food or water

OSHA

Agency which may intervene in a mtter of worker protection even if there are no specific regulations covering the situation

When using the pH scale which number would suggest the most alkaline?

14

Blood-soaked sponges

regulated medical waste

Thermophiles

Bacteria that grow wll in warm temperatures (122 F- 158F)

Regulated medical waste

Must be red bagged

Outsourcing

A system which involves the transfer of control of the healthcare facility's equipment management to an external entity

Inventory Service Level

The percentage of item filled (available) when an order is placed

CJD

This prion is of special concern to Central Service Techs becauase it cannot be destroyed by normal sterilization cycles

What types of carts/baskets should be used in an EtO sterilizer?

Metal

What would be the best choice for cleaning walls fixtures and floors in the Decontamination area?

Quats

Etching

Prefered instrument marking method recommended

The agency responsible for Pre-Market requirements of medical devices is:

FDA

The knee is an example of a

hinge joint

Antiseptics

Used to slow the growth of bacteria on living tissue such as skin.

Flash sterilization is not reccommended by:

AAMI and AORN

Info on each package that identifies the date of sterilization, the sterilizer, and the sterilizer cycle run is contained in the:

Load Control Number

Negative Test

Successfully killed all the bacteria spores in a biologiacal indicator

Two most common temperature used in steam sterilization are:

250 degrees -270 degrees -275 degrees F

Geobacillus Stearothermophilus

The spore used in testing of steam sterilization is

A class C fire involves

Energized electrical equipment

In order to elevate the temperature in a steam sterilizer, you must:

Increase the steam pressure

Aeration

Process by which residual ethykene oxide is removed from sterilized items

Employees safety is regulated by:

OSHA

Parenteral solutions are administered

Intravenously

The decontamination area of CS should have

10 complete air exchanges per hour

Bowie Dick

The test used to evaluate the efficasy of air removal in a dynamic-air-removal steam sterilizer

The 2 most common techniques of flat wrap packaging are

Square-fold and envelope-fold

Enzymes are used to

break down and remove heavy soil

The maximum density recommended for linen packs is:

7.2 pounds per square foot of pack

intercosto means

between the ribs

Sclera

The white portion of the eye

SC should wash there hands at the minimum of

15 seconds

Master Gland

Pituitary

Cavitation

The physical method by which ultrasonic unit is cleaned

Impingement

The physical method by which a washer/decontaminator cleans

The pH of a solution indicates it's

acidity or alkalinity

The trachea is part of the:

respiratory system

The pancreas is part of the:

Digestive

Aerobic

Microorganisms that are capable of growing in free oxygen (requires oxygen)

Oscopy means

Visual Examination

Tympanoplasty

Reconstructs the eardrum so soundwaves can be sent to the middle and inner ear

CABG

Cardiac Surgey

Flexible Cytsoscopes provide:

Visualization of the urethra and bladder

Impregnated Gauze Strips may be sterilized using:

Dry heat Sterilization

Microgrind, or Supercut Scissors are usually identified with:

Black Handles

Arthro means

Joint

The recommended air pressure for a CS decontamination area is

Negative air pressure

An Iodophor is a

Bufferd Iodine

Phenolics are often used to disinfect

Non Critical items

The minimum recommendation for the frequency of biological testing in steam sterilizers is

Weekly and in every load that contains an implant

Chemical Indicators

Designed to measure individual package penetration

Carcinoma

Denotes a malignant tumor

Endocrine System

Controls growth and maintains body functions and chemical messengers

PCA Pump

A device that allows the auto administration of pain medication

Plastic Instruments

Should not be processed in an ultrasonic cleaner

Saturated Steam

Has a relative humidity of 97-100%

When using FIFO method of storage, each item should be:

Inspected for integrity before placing on or removing from the from the storage shelf

Whenever possible, sterile supplies should be transported:

In a closed cart

APIC

Voluntary international organization is dedicated to the prevention and control of infection

Chisels and Osteotomes should be tested using

A Plastic Dowel Rod

An _______ is a type of equipment used to clean, disinfect, and rinse flexible fiberoptic endoscopes.

Automatic endoscope reprocessor

Which packaging materials is not acceptable for use in steam sterilizatiom

Spunbond-polylefin combination pouches

Peracetic Acid

This liquid oxidizing agent is effective at low temperatures and often used to process endoscopes at point of use

Verification

Procedure performed by healthcare facilities to confirm that the sterilization validation undertaken by the equipment manufacturer is applicable to the specific setting

Voluntary

Strongly suggested for better pateint care, but not mandated. (no consequences)

Regulatory

Provide requirements imposed by the governmental agencies. (conseqeunces)

FDA (class I)

Low risks devices such as hand-held surgical instruments and ultasonci cleaners.

FDA (class II)

Include most types of sterilization equipment and biological and chemical indicators..

FDA (class III)

The are the most stringently regulated devices, include hear valves, pace makers, and other life-sustaining devices

FDA recall (class I)

High risk: product may cause serious health problems or death

FDA recall (class II)

Chance that product may cause temporary or reversible health problems

FDA recall (class III)

Little chance of causing health problems

CDC

Centers fo Disease control
(federal government agency works to promote the health and quality of life by preventing and controling disease, injury, and disablilty)

DOT

Department of Transportation
(federal government agency dedicated to ensuring a fast, safe and efficient transportation)

EPA

Environmental Protection Agency
(federal agency responsible for minimizing greenhouse gases and toxic emissions, for regulating the reuse of solid wastes for controling indoor indoor air polution and enforcing pesticide regulations)

AAMI

Association for the Advancement of Medical Instrumentation
(Research and develop new or existing recommended practices and standards that address the use, care and processing of devices and systems)

ANSI

American National Standards Institute
(Mission is to enhance the global competitiveness of US business and the American quality of life by promoting and facilitating voluntary consensus standards and ensuring their integrity)

AORN

Association of Operating Room Nurses

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