Central Service Test Study

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Soiled instruments and other items are received in the ______ area of the Central Service Dept.

Decontamination

________ is the first step in the steriliztion process.

Cleaning

Central Service Techs must wear special attire referred to as _________ to minimize their exposure to bloodborne pathogens and other contaminants.

PPE

Instruments sets and other required instrumentation needed for all surgical procedures for an entire day are usually pulled:

The day or evening before they will be used

What type of air pressure is required for decontamination areas?

negative

The use of analytical skills to solve problems and make decisions is a component of the following knowledge and skills dimensions?

employability skills

Nosocomial infections are:

those which occur in the course of being treated in a hospital.

The human resources too that identifies major tasks performed by persons in specific positions is called a:

job description

In the future, which of the following will more frequently become a requirement for working in a Central Service Dept?

Formal Education

Which of the following is the most popular title for the Central Service dept head?

Director

The largest customer of Central Service is:

the Operating Room

Which of the following is not a growing trend in Central Service?

decentralization of Central Service responsibilities

In Central Service, The concept of "one-way flow of materials" refers to the movement of products:

from soiled areas to clean processing areas within Central Service

Surgical intruments shoul be inspected:

after they are cleaned

The sterile storage area in a central service depart should be restricted to:

properly attired personnel meeting facility requirements

The term "hemi" is a

prefix

The term excises means

to cut out

Which of the following means "beside or near?

para

Which of the following surgical abbreviations might be used relating to a fractured bone?

ORIF

The root element, "gatro" refers to the:

Stomach

The suffix, "ectomy " refers to:

surgical removal

"hyperglycemia" refers to:

high blood sugar

The term "rhinoplasty," refers to:

surgical repair of the nose

Dermopathy is a/an:

skin disease

"Lithotripsy" refers to:

crushing of a stone

Subcutaneous refers to:

beneath the skin

The term, "periosteal elevator," refers to:

an instrument used to remove tissue around the bone

The term, "BKA," refers to a surgical procedure involving:

surgical removal of the leg below the knee

The ter, "CR," relates to a surgical procedure for:

treating a fractured bone without a surgical incision

This system gives the body shape and support.

Skeletal System

This tissue connects one bone to another.

Ligament

These muscles control involuntary movements like, breathing, digestion, etc.

Smooth Muscle

This surgical procedure consists of removing an ear bone that has thickened and no longer transmits sound waves and replacing it with an artificial implant to improve hearing.

Stapedectomy

More than 55% of blood is made up of this yellowish liquid.

Plasma

This organ filters the blood to remove amino acids and neutralize some harmful toxins.

Liver

This surgical procedure removes the uterus

Hysterectomy

This gland stimulates body growth.

Pituitary Gland

The lining of the uterus.

Endometrium

This surgical procedure removes tissue or displaced bone from the wrist area to release pressure on the median nerve

Carpal Tunnel Repair

The largest part of the human brain is the:

Cerebrum

This surgical procedure is the removal of a testicle.

Orichiectomy

The "throat".

Pharnyx

This surgical procedure is the removal of the gall bladder.

Cholecystectomy

The hip joint is an example of a:

Ball and Socket Joint

This tissue covers the body's external surface.

Epithelial Tissue

The brain center of a cell.

Nucleus

Cartilage is replaced by bone through a process called:

Ossification

The white portion of the eye is called the:

Sclera

The "voice box"

Larnyx

Healthy people do not harbor or transmit bacteria.
True
False

False

Anerobic bacteria require free oxygen to live.
True
False

False

Viruses are larger than bacteria.
True
False

False

The spore is the functional center of a cell.
True
False

False

Staphylococcus is classified as a gram-positive bacteria.
True
False

True

All microorganisms are harmful to humans.
True
False

False

Central Service Techs can protect patients by breaking the chain of infection.
True
False

True

Spores help some microorganisms survive in adverse conditions.
True
False

True

All bacteria require the same conditions to live and grow.
True
False

False

Psychrophiles grow best at warm temps.

False

Microorganisms reproduce by a process called:

Binary Fission

For safety purposes, Central Service Techs should consider all microorganisms in the decontamination area:

Potentially infectious

The part of a cell that controls cell function is the:

nucleus

A mode of bacteria transmission that would take place when an infectious agent was transmitted through an item such as food or water is called:

Common Vehicle

______ is an example of a fungus.

Athlete's foot

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

OSHA

Regulations under the Clean Air Act are administered by

EPA

Agency which imposes very strict labeling requirements on manufactures of chemicals used by Central Service Depart.

EPA

Healthcare Regulations and Standards provide consistency of departmental activities by outlining.

minimal performance standards

Established national emissions standards for EO used by hospitals are regulated

There are no established national emission standards

Chemical indicators are FDA _________ devices.

Class ll

Heart valves and pacemakers are examples of FDA ________

Class lll

Under current regulations who is required to report suspected medical device-related deaths to the FDA

All of the above; Device manufacturer and Hospitals

Standards and regulations help set levels of __________ in our depart.

All of the above

Medical Device reporting is regulated by the :

FDA

Sometimes state or local regulations differ from Federal regulations and when that happens, the most stringent regulations apply.
True
False

True

Following OSHA regulations for wearing Personal Protective Equipment in the Central Service Decontamination area is optional.
True
False

False

Third party reprocessors are regulated by the FDA.
True
False

True

Recommendations regarding sterilization practices are provided by AAMI.
True
False

True

ANSI is a voluntary association dedicated to infection control and prevention.
True
False

True

The organization that conducts on site surveys to evaluate healthcare organizations is the ISO.
True
False

False

Failure to receive accreditation from the Joint Commision can result in the loss of Medicare and Medicaid payments.
True
False

True

The SGNA is a good source for information about the proper processing of flexible endoscopes.
True
False

True

Class lll medical devices are identified as High Risk.
True
False

True

Re use of single use medical devices is less regulated now than it was in the 1990's
True
False

False

Each year, approximately _________ patients develop a Healthcare associated infection.

2 million

Watches and other jewelry should not be worn in the central service depart work area because

they harbor bacteria

During handwashing, hands should be lathered and scrubbed for at least:

15 seconds

To protect themselves from splashes and spills, Central Service Techs assigned to the decomtam area should wear:

Fluid Resistant Gowns

The main theory of Standard Precautions is that:

Patients may pose a risk of infection whether they have been diagnosed

Which of the following is not a requirement of the OSHA Bloodborne Pathogen Standard?

keep biohazard areas locked

Following standard protocols is required by:

OSHA

Departmental dress codes apply to:

everyone entering the Central Service Department

Inanimate objects that can transmit bacteria are called:

fomits

Floors in the Central Service Depart should be:

wet mopped daily

The absence of microorganisms that cause disease is called

asepsis

Know what is dirty, know is clean, know what is sterile, keep the three conditions separate, and remedy contamination immediately are

the principles of asepsis

What color should biohazard labels/signs be?

red/orange

The decontamination area of the Central service depart should have

10 air exchanges per hour

Which of these traffic control/dress code requirements applies to the OR?

Restricted

Which of the following is a system used to treat the final rinse water used for cleaning?

deionization

Bluish or rainbow type stains are caused by _______ in water.

iron and silicates

The ideal level of silicates in water used for cleaning is _______ ppm or less.

100

Purified water should have a ph of ____

6.5-7.5

Tap water should ideally have a chloride concentration of _____ ppm or less.

100

Water purification usually involves the use of a :

pre and post filter

Water that is turbid is :

cloudy

Water softners are used to remove ______ in the water

calcium and magnesium

Deionized water is used for:

heating/cooling therapy units

Which of the following can be removed from water when a reverse osmosis process is used:

all of the above; bacteria, pyrogens, endotoxins

Multi-enzymes cleaning products containing lipase are useful for cleaning:

fats

Which of the follwing kills microorgnaisms?

germicidal detergents

The process of pre cleaning should begin:

immediately after the completion of an invasive procedure

The main purpose of manual cleaners is to:

remove soil

Which of the following techniques for brushing instruments should be used?

brushing should be done under water

Items that have been used in patient care should be considered contaminated.
True
False

True

If soiled items are held in user units before pick up for processing, they must be kept at the patient's bedside until Central Service collect them
True
False

False

To impede the growth of bacteria, soil on used instruments should be allowed to dry
True
False

False

Users are responsible to notify Central Service if they discover instruments or equipment that are in need of repair
True
False

True

It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves
True
False

False

When moving transport carts throughout the healthcare facility, Central Service techs must always yield right of way to patients and visitors
True
False

True

Failure to perform soiled pick up rounds as scheduled can lead to instrument and equipment shortages
True
False

True

Everyone who may have contact with biohazard items must be educated about the dangers associated with those items
True
False

True

When it is necessary to transport soiled items between facilities using a truck or van, facilities must consult US dept of transportation, as well as state and local laws for transporting biohazard items
True
False

True

One goal of point of use preparation is to prevent instruments from being damaged.
True
False

True

What is the preferred pH for detergents used for most cleaning processes?

Neutral pH

Which of the following is an example of regulated medical waste?

blood soaked sponges

Which of the following statements about the use of mechanical washers is not true?

all items should be washed on the same cycle

Water must be degassed each time the ultrasonic cleaner's tank is changed, because:

excess bubbles from filling reduce the energy of the cavitation process

Specialized clothing or equipment worn by an employee for protection against a hazard is called:

Personal Protective Equipment

Written cleaning instructions for surgical instruments should be provided by:

the instrument manufacturer

Pyrogens:

are fever producing substances

Softened water:

decreases the likelihood of mineral scale deposits

The desired solution for cleaning instruments is :

a detergent

These are used to breakdown fatty tissue on instruments:

Lipase enzymes

Instrument lubrication is preformed:

after cleaning

To prevent coagulation of proteins, water temp should be:

below 43 c (110 F)

Detergents used in mechanical cleaners should be:

low foaming

Aluminum items should be cleaned:

using a to and fro motion with the grain

Powered surgical instruments:

can not be immersed

The use of heat to kill all microorganisms, except spores is called:

Thermal Disinfection

These chemicals are used on animate (living tissue) to slow the growth of microorganisms:

Antiseptics

Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as:

critical items

The process by which all forms of microorganisms are completely destroyed is called:

Sterilization

Iodophors are a member of this disinfectant family:

Halogens

Phenolics are classified as

Intermediate to low level disinfectants

Which of the following are classified as high level disinfectants?

Glutaraldehyde and OPA

Thermal disinfection is accomplished using:

heated water

How long must alcohol remain in wet contact with an item to achieve a reasonable level of disinfection?

5 minutes

Which of the following would be the best choice for high level disinfection of instruments?

OPA

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