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surgical tech final
Terms in this set (80)
a broken glass suction bottle is returned to decontamination. which of the following should the technician do?
place is in an appropriate rigid container.
Material Safety Data Sheets (MSDS) provide heath and safety hazard and risk information on which of the following?
which of the following generally describes the correct sequence for the traffic workflow in areas in which medical devices are processed?
decontamination, assembly, packaging, sterilization, sterile storage
acrylic nails are not permitted to be worn in Prep and Packaging because they can
allow fungus to grow beneath them
which of the following agencies would approve the disinfectants used on floors and walls in the Sterile Processing and Distribution Department?
Environmental Protection Agency (EPA)
every healthcare facility has an organizational structure or chart that outlines...
departmental authority relationships
"clean to dirty" is an SPD term used to describe
what are the major physical areas of a typical Sterile Processing department?
decontamination, assembly and sterile processing, sterile storage, and distribution
loose fitting clothing and jewelry should not be worn in SPD because it....
can get caught in moving equipment
warm up jackets are recommended to be worn in prep and packaging for the purpose of....
preventing bacterial shedding from bare arms
when lifting heavy objects, which of the following muscles should bear most of the weight?
a patient contracts an infection from an improperly sterilized surgical instrument. this is an example of?
a nosocomial infection
coronary artery bypass surgery may be performed on patients with
all of the following are classified as critical medical devices except
function of gastrointestinal system is to
a liver biopsy would be performed to check for which disease?
hepatitis C virus
the growth of pathogenic bacteria in living tissue is called
nosocomial infections can be prevented by all of the following except
increasing the patients length of stay
healthcare workers are most likely to be infected by which of the following agents?
a staff member brings several contaminated trays to the SPD on a cart and requests that replacement trays be put on the same cart. the technician should
clean and dry the transport cart and send it to Distribution for the trays
all of the following items of PPE should be worn when manually decontaminating flexible fiber-optic endoscopes except
a lead apron
which of the following best describes the manual cleaning process of surgical instruments?
cleaning/brushing the instrument beneath the eater level
a tech working in Decontamination notices that the maintenance person working on the washer/sterilizer did not remove the barrier attire when the person left the area to get additional tools. the tech should
ask the maintenance person to remove the barrier attire when leaving the area.
while delivering sterile supplies to multiple nursing units, the tech is asked to take an opened/used tray to decon, best procedure?
return for the used tray after completing all deliveries, using the appropriate collection cart
when preparing the instruments from a dissection set for processing in a washer/decontaminator, the instruments should be positioned with the
retractors on the bottom of the basket and the hand-held instruments on the top
the pH of detergent solution that has been demonstrated to be the safest for cleaning surgical instruments is
which of the following solutions is generally considered most appropriate for high-level disinfection of semi-critical devices?
2% activated glutaraldehyde
the effectiveness of any chemical disinfection process depends on all the following except
cost of the chemical
after manually cleaning contaminated surgical instruments with a disinfectant solution, the next step in the decontamination process is
generally, the first step in loosening blood soils from the channels of an instrument is to soak it in
an enzymatic detergent
when cleaning an IV pump, it is important to use a germicide on the pump surface in order to
protect patients from toxic reactions due to detergent residues left on the equipment
if it is not possible to wash contaminated instruments immediately after use, they should be kept moist by
spraying with an enzymatic foam, covering them with a towel moistened with water, and placing them in a plastic bag
a tray of instruments has been brought to the Decontamination area in a saline solution. which of the following actions should the technician take?
rinse them with water and then clean them in the usual manner
an acceptable method of decontaminating an item that has been used on a patient is to
clean with a detergent solution and then use an appropriate disinfection agent
when working in the decontamination area, transmission of pathogenic organisms from used surgical instruments can best be minimized by
wearing appropriate personal protective equipment
plastic sterilization bags are generally used to package
respiratory therapy items
when using the sequential wrapping method...
apply one wrapper followed by a second one
surgical grade instruments, if properly cared for, will last longer than floor grade instruments bc they have a ...
if the OR request instruments for an emergency ruptured aortic aneurysm, the technician should send....
major vascular instruments
which of the following is the main disadvantage of using a rigid sterilization container system?
they must be assembled, processed, reassembled, and checked before each use.
containerized packaging systems are most commonly used to protect which of the following during steam sterilization?
surgical instrument sets
simultaneous wrapping means to wrap an instrument set with
a single non-woven wrapper, double-ply, bonded at the edges
clamps used for hemostasis are also designed to
minimize damage to tissues
an instrument tray for a laparotomy procedure must include
an abdominal retractor
inspection and verification of adequate cleaning is difficult with instruments with...
cotton gauze cannot be used in which sterilization process?
low temperature gas plasma
supplies contaminated with blood and body fluids that require sterilization should be
cleaned, dried and passed on to the processing area for assembly, packaging, and sterilization
which of the following items must be sterilized with an accompanying biological indicator?
if a technicians skin is exposed to liquid ethylene oxide, what should the tech do first?
wash the exposed area with large amounts of soap and water
a positive biological indicator (BI) test shows that the sterilization process
did not result in the death of all the test organisms
lot control numbers should be placed on each package sterilized and on the...
sterilization load record
a technician is asked to remove an arthroscopy set from the aerator four hours prior to the completion of aeration time. the supervisor is not available. which of the following should the tech do?
let the set complete the aeration cycle and borrow a set from another hospital
which of the following is necessary to attain the high temperature needed in a steam sterilizer?
which of the following would be the appropriate sterilization cycle for an autoclave load containing a basin set, a minor surgery set, and 12 towel packs?
270 degrees for 4 minutes, 30 psi, and 30 minutes drying time.
drains in pre-vacuum and gravity displacement sterilizers are placed at the bottom front of the sterilizers because..
the air tends to concentrate at the bottom of the chamber
to kill the remaining microorganisms on metal surgical instruments within the SPD, the most cost-efficient sterilization method is generally considered to be
steam under pressure
when heat is added to steam without increasing the moisture content, the steam is called
which of the following sterilization methods would be appropriate for petrolatum gauze dressings?
when a steam sterilizer load contains a mixture of fabric and metal items, where should the items be placed?
metal items below the fabric items
when a steam sterilizer is loaded with linen packs only, the packs should be
placed on their edges
there are two pressure gauges on a steam sterilizer. these gauges measure the pressure in the
jacket and chamber
a Bowie-Dick test should be performed in which of the following types of sterilizers?
lot control numbers are used to
enable recall following sterilization failure
all of the following are involved with the regulation and control of ethylene oxide when it is used as a sterilant except the
in which distribution system are requisitions filled and delivered as they are received?
sterility maintenance cover should be placed on sterile items when
the sterilized items cool to room temperature
which of the following statements is the primary reason that items are allowed to cool on a sterilizer cart before being placed in storage?
condensation and contamination may result if items are moved to cooler areas when they are still warm
which of the following best describes the general environmental conditions of SPD sterile storage?
controlled temperature and humidity, limited traffic
outside shopping cartons should not be brought into the SPD because they are often
which of the following is the most important factor in preventing bacteria from contaminating sterile packages?
the handling of packages
when transporting sterile packaged items by hand
place in a plastic bag or tote bin
"inventory performance" is evaluated by all of the following except
which of the following is the most efficient and cost-effective method for inventory control in the SPD ordering and data generation?
Computerized Inventory Control System
Before releasing an item to fill a sterile supply order, all of the following must be checked EXCEPT:
cost effectiveness data
a coworker is observed taking dressing supplies for use as home. which of the following would be first action to take?
tell them that this is not the right thing to do
you are taking a used IV pump from a nursing unit to be reprocessed. the nurse tells you not to take it because there is an emergency admission and the patient will need it. which of the following would be ethically correct?
call your department to have a clean pump brought to the unit right away
you are in a hurry to leave for a doctor's appointment and you forget to punch your timecard. which of the following actions should be taken?
report this to your supervisor the next day
you receive a cell phone text message from your friend while you are assembling instrument sets. which of the following is the best action to take?
ignore the text until you are on break
which of the following would be an action to take if you note that a coworker has hair hanging out of their surgical cap while assembling sets?
let them know their hair is visible
function of gastrointestinal system is to
provide the body with nutrients
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