Central Sterile Service Fundamentals, Exercises of General Surgery

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IAHCSMM Sterile Processing and

Distribution SPD Class Instrument Exam

Review Questions and Answers 100% Pass

| Graded A+

David Mungai [Date] [Course title]

IAHCSMM Sterile Processing and

Distribution SPD Class Instrument Exam

Review Questions and Answers 100%

Pass | Graded A+

Information technology is often the cornerstone of initiatives to transform healthcare - Answer>> True Disposable items increase combustible load in a healthcare facility - Answer>> True Enabling people to use information gained to interact with others is known as - Answer>> human relations At this time tracking systems are unable to track worker productivity information. - Answer>> false A step in communication that occurs when a listener asks a question is called - Answer>> feedback Improving processional development skills is an important part - Answer>> career advancement The U.S. Food and Drug Administration Class II Chemical indicator run daily in dynamic air removal sterilizers is called - Answer>> Bowie Dick test Always wearing personal protective equipment in the decontamination area is quality process - Answer>> true Product expiration dates are located on this part of each package

• Answer>> there is no standard place to look for an expiration date

Sterile packages should be stored no lower than 8 to 10 inches from the floor - Answer>> true Combining vowels are used to - Answer>> help with pronunciation of the word If soiled instruments are to be transported offsite facility for processing - Answer>> They should be transported following the U. S. or state Department of transportation guidelines The decontamination area of the Central Service department is where instruments are carefully checked for cleanliness and fuction - Answer>> false Arthroscopy instruments are used during - Answer>> joint surgery Some plastics including formulations of spun-bonded polyolefin are intended for use in the sterilization processes - Answer>> ozone and hydrogen peroxide The amount of time an item must remain wet with a disinfectant to achieve disinfection is called - Answer>> wet contact The drain screen in a steam sterilizer must be cleaned - Answer>> at least daily This surgical procedure removes the uterus - Answer>> hysterectomy Recommendations regarding sterilization practices are provided by the Association of Medical Instrumentation - Answer>> true

Which of the following is NOT a result of computer integration - Answer>> Automatically provides critical update to industry standards A plane crash is an example of an external disaster - Answer>> true Effective communication skills will resolve all communication problems - Answer>> False Professional development is a commitment to continuous learning

• Answer>> true In addition to providing financial and operational management information technology system are used to help ensure patient safety - Answer>> true Which of the following is true about a valuing diversity effort. - Answer>> none of the above Safety relates to freedom from damage, risk or injury - Answer>> true Personal development is mandatory while professional development is only needed for career advancement - Answer>> false Employee training should occur - Answer>> for both new employees and employees who move to an new position If everyone develops a quality driven focus, written policies and procedures are not necessary in the Central Service Dept. - Answer>> false

A pick list contains information that - Answer>> identifies the supplies and instruments needed for a specific doctor and procedure After use loaner instrumentation must be decontaminated before it is shipped back to the vendor - Answer>> true Cellulose materials cannot be processed within a hydrogen peroxide sterilizer - Answer>> true Which of the following would be the best choice - Answer>> ortho-phthalaldehydes The steam sterilization process can be affected by the design of the medical device being sterilized - Answer>> true Organs are two or more cells that are similar - Answer>> false Which organization writes standards relating to the processing of flexible endoscope - Answer>> the society of gastroenterology nurses and Assoc. Which of these traffic control/dress code requirements applies to the clean assembly area of Central Service - Answer>> semi restricted Computerized tracking systems are fast but manual tracking systems are more effective for tracking - Answer>> false Which of the following information is not included on a safety data sheet - Answer>> required inventory levels Customer complaints are best handled through which of the following approach's - Answer>> Being cheerful and courteous

Networking inside ones profession can help increase knowledge toward advancement while networking outside ones profession does not - Answer>> false Which of the following is NOT a feature of an instrument tracking system - Answer>> product updates and recall information This process allows a person to understand someone else's needs - Answer>> communication Safety data sheets are provided by - Answer>> the product manufacturer One important step in preparing an interview is - Answer>> anticipating possible interview questions Sterilizer load records should contain - Answer>> items and quantity sterilized The quality method failure mode and effects analysis is a - Answer>> quality method to prevent problems before they occur A disadvantage of an exchange cart system is - Answer>> they require duplicate inventory Patient care equipment should be stored in a ---- condition - Answer>> ready to dispense Cleaning brushes - Answer>> should be cleaned and sterilized at least daily Microbiology is the study of - Answer>> microorganisms

Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as - Answer>> critical items Gravity steam sterilizers us a pump or water injector to remove air from the chamber - Answer>> false The procedure to remove the stomach is - Answer>> gastrectomy Failure to receive accreditation from the Joint Commission can result in loss of Medicare and Medicaid payments - Answer>> true Which of the following tracking methods provides real time information - Answer>> radio frequency identification tags Healthcare facilities using ethylene oxide should have a dedicated ventilation system to remove residual ethylene oxide during the exhaust cycle - Answer>> true Which of the following is an example of communication - Answer>> Spoken words, written words, non-verbal expressions Professional development skill building activities include - Answer>> team building activities, public speaking, writing A group of employees from different departments within the healthcare facility that work together to solve operating problems is called - Answer>> decision making team, multi-dimensional team, cross functional team, management sub management team

Which of the following is NOT a component of risk management - Answer>> Staff management Planning and reviewing goals will identify activities to help meet those goals - Answer>> true Documentation of immediate use of steam sterilization cycles should include - Answer>> patient identification and reason for the immediate use steam sterilization cycle. Quality requires the efforts and participation of everyone in the healthcare facility - Answer>> true Supplies such as disposable wraps are - Answer>> consumable Preventative maintenance - Answer>> is designed to identify potential problems before they occur Detergents used in mechanical cleaners should be - Answer>> low foaming When cleaning prion contaminated instruments no special cleaning procedures are required only following standard cleaning protocols and the manufacturer's instructions for use - Answer>> false Hand hygiene is considered the single most important factor in reducing infections - Answer>> true Immediate use steam sterilization documentation should include - Answer>> name of the patient for which the items were sterilized, sterilizer number and cycle, name of the instrument sterilized

A herniorrhaphy surgical procedure is - Answer>> repair of a muscle layer that is allowing all or part of an organ to project through an opening Voluntary standards - Answer>> provide guidelines for better patient care Tracking individual instruments is important to help ensure specific instruments are kept with a specific set - Answer>> true Personal headsets should not be used in Central Service department because they - Answer>> reduce the ability to hear telephones, alarms and coworkers Which of the following is NOT required for sharps safety - Answer>> wash all disposable sharps before discarding them On the job relationships do not change when one team member has been promoted - Answer>> false Hospitals can effectively validate sterilization process - Answer>> false Six sigma focuses on - Answer>> reducing defects, delivering near perfect products, strives to eliminate variations in the process The hour glass symbolizes - Answer>> use by date The ------ requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness and or death to the manufacturer and the U.S. Food and Drug Administration - Answer>> Safe Medical Devices Act

Because of the cavitation and impingement action of mechanical cleaners there is not need to pre-clean items that will be processed in a mechanical cleaner - Answer>> false When cleaning items contaminated with pseudomonas - Answer>> there are no special cleaning requirements for items contaminated with pseudomonas The decontamination area of the Central Service department should have - Answer>> negative air flow Before an item can be placed in a low temperature sterilization processing system they must be - Answer>> cleaned Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders - Answer>> false Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges - Answer>> false When transporting sterile items in an approved vehicle, soiled items can be transported in the same cart as long as they are on different shelves from clean or sterile items - Answer>> false The term hyster means - Answer>> uterus Items should be contained for transport - Answer>> to minimize the spread of microorganisms In Central Service the concept of one way flow of materials refers to the movement of products - Answer>> from soiled areas to clean processing area within Central Services

Not following established policies and procedures will result in a lower quality program - Answer>> true Capital equipment items are - Answer>> items with a higher purchase cost Equipment leasing and rental differ in that - Answer>> equipment rental is usually done on a shorter term bases than equipment leasing Powered surgical instruments - Answer>> can not be immersed Prions are - Answer>> abnormal forms of protein To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination are should wear - Answer>> fluid resistant gowns When transporting items that have been immediate use steam sterilized, it is required that - Answer>> they be transported in such a manner that reduces the potential for contamination Instruments with tungsten carbide jaws can be easily identified by

• Answer>> the gold handles on the instrument Exposure monitoring is ---- for all personnel using a hydrogen peroxide sterilizer - Answer>> not required All items should be removed from storage shelves prior to cleaning the shelf - Answer>> true The term ante means - Answer>> before

Endoscope should be cleaned and internal channels left most for storage - Answer>> false Gauze squares are the wicking material of choice for instrument sets - Answer>> false Pasteurizers disinfect using - Answer>> heated water When loading a steam sterilizer basins should be - Answer>> placed on edge This tissue covers the body's external surface - Answer>> epithelial tissue U.S. Food and Drug Admin recalls may be either mandatory or voluntary - Answer>> True Central Service techs who do not think they are being treated appropriately by their employer should - Answer>> discuss the situation with their supervisor Healthcare facilities are required by the --- to provide adequate ventilation systems, personal protective equipment and safe work operating procedures - Answer>> Occupational Safety & Health Administration Steps toward attaining professional goals in Central Services include - Answer>> certification, educational conference, professional groups There are currently ne methods available to verify cleaning process outcomes - Answer>> false