STERILE PROCESSING FINAL EXAM STUDY GUIDE CHAPTERS 1-23 (LATEST UPDATE RATED A+), Exams of Engineering

Download STERILE PROCESSING FINAL EXAM STUDY GUIDE CHAPTERS 1-23 (LATEST UPDATE RATED A+) and more Exams Engineering in PDF only on Docsity! STERILE PROCESSING FINAL EXAM STUDY GUIDE CHAPTERS 1- 23 (LATEST UPDATE RATED A+) What is Central Service ? - answerCentralized distribution of supplies to all customers in the hospital. What is the Central Service One Way Work Flow ? - answer- Decontamination (soiled) -Preparation, Packaging, Sterilization (clean) -Sterile Storage (sterile) What is the purpose of a One Way Work Flow ? - answerTo prevent cross contamination. Decontamination - answerPhysically or chemically render instruments or equipment that may be contaminated with harmful micro organisms to make it safe to handle. Negative air flow - answerAir flows into a room from other surrounding areas, pressure is less thanother adjacent areas. Positive Air Pressure - answerMaintains air flow out of a room, this helps with keeping all dust particles and microorganisms out. Standard Precautions - answerTreat everyone and everything as infected /contaminated. Job Description - answerDefine and communicate job duties and requirements in organization. Nosocomial Infection - answerHospital Acquired Infection. Textile Packaging Materials should be held at a room temperature of and a relative humidity of for a minimum of prior to sterilization. - answer-64-72 degrees F -35-70% -2 Hours Superheating - answerWhen steam is at a temperature which exceeds that of saturated steam at thesame pressure. Linen packaging material is limited to a size of ,not weigh more than , and maximum density must not exceed . - answer-12x12x20 -12 lbs -7.2 lbs What is a wet pack? - answerContainers with moisture after the sterilization process is complete. What are the 2 flat wrapping techniques and the 2 folds? - answer-Sequential are tested with an index card at least 5 times. should be tested using 3"x 5" indexcards. - answer-Bone cutters -Rongeurs Name at least 10 of the 15 solutions that can damage surgical instruments. - answer1. Saline 2. Betadine 3. Peroxide 4. Dish soaps 5. Soaking in water 6. Soaking in saline 7. Bleach 8. Iodine 9. Hand soaps 10. Laundry detergents. How is an eraser test performed? Explain and be specific. - answerAfter a stain is discovered, use the eraser to remove the discoloration, look at the metal below the discoloration to determine if there are any tiny pit marks. If pit marks are discovered, this is corrosion. Take instruments out of rotation. Why do we use lubricants on instruments? Where is it applied? Please explain. - answer- Extendsthe life of instruments and makes it easier for surgeon to use. -Lubricants are applied at instruments' hinged area or any working component such as amoving/sliding area. Name the 9 body systems. - answer1. Skeletal 2. Muscular 3. Nervous 4. Endocrine 5. Reproductive 6. Urinary/Excretory 7. Respiratory 8. Digestive 9. Circulatory Cells reproduce by a phase called . - answerMitosis. What are the 5 main functions of the skeletal system ? - answer1. Give the body shape and support. 2. Allow movement. 3. Protect vital organs. 4. Reproduce vital organs. 5. Store calcium. What are the different types of joints? - answer-Gliding joints -Ball and socket joints -Pivot joints -Hinge joints What are the 3 membranes that surround the brain and provide nourishment and protection? - answer1. Pia mater (inner) 2. Arachnoid mater (middle) 3. Dura mater (outer) The brain is divided into 3 parts, what are they? - answer1. Cerebrum (largest portion) 2. Cerebellum 3. Brain Stem What is the primary function of the Endocrine System? - answerTo secrete hormones. The pancreas has 2 primary hormones that it produces, what are they? What is their function? -answer1. Insulin- reduces the level of sugar in the blood stream. 2. Glucagon- increases the blood sugar level. What is the alimentary canal? What does it consists of? - answerPathway that food takes through the digestive system. Consists of; mouth, esophagus, stomach, small intestine, large intestine, rectum, and anus. example of each. - answer1. Class I Medical devices- low risk, no pre- market approval. Ex:Ultrasonic cleaners 2. Class II Medical devices- medium risk, needs 510k. Ex: Sterilizers 3. Class III Medical devices-high risk, requires pre-market approval. Ex: Heart valves What is a 510k application vs Pre-market approval ? - answer-510k application is used when there are changes in the product. -Pre-market approval is done when there is a new product being released. Due to the Safe Medical Devices Act of 1990, healthcare facilities are required to report events tothe FDA and manufacturer within _________________________ working days. - answer10 What are the categories for FDA recalls ? What is their risk? What can it cause? - answerClass I- Highrisk, causes serious health/death Class II-medium risk, causes temporary health problems Class III-low risk, low chance of causing health issues What is the Umbrella? Please illustrate. - answer(U.N.S.A.F.E.J.O.E) CDC - answerCenters for Disease Control. Federal agency that issues infection control guidelines. EPA - answerEnvironmental Protection Agency. Establishes in 1970 to enforce federal laws pertaining to air and water pollution and other environmentally related statues. DOT - answerDepartment of Transportation. Federal agency that regulates labeling and containment of hazardous waste, biohazard items and minimally processed items for transport. OSHA - answerOccupational Safety and Health Administration. Primary role is to protect workers from conditionally caused illnesses and injuries. AAMI - answerAssociation for the Advancement of Medical Instrumentation. Develops recommended practices and standards. ANSI - answerAmerican National Standards Institute. Standards are submitted to ANSI for approval, such as AAMI. AORN - answerAssociation of Operating Room Nurses. Dedicated to providing optimal care to the surgical patient. APIC - answerAssociation for professionals in Infection Control and Epidemiology. Voluntary international organization dedicated to the prevention and control of infections and related outcomes. -OR: scrubs, hair cover, and face mask may be required. -Normal traffic areas: regular street attire. Fomites - answerInanimate objects that can transmit bacteria. Any items brought in by the vendors should be kept in the . - answerBreakout area Asepsis - answerThe absence of microorganisms tat cause disease. Aseptic Technique - answerAny activity or procedure that prevents infection or breaks the chain of infection. Medical Asepsis - answerProcedures performed to reduce the number of microorganisms or minimize their spread. Surgical Asepsis - answerProcedures performed to eliminate the presence of all microorganisms and/or to prevent the introduction of microorganisms into an area. What are the 5 basic principles of Asepsis? - answer1. Know what is dirty. 2. Know what is clean. 3. Know what is sterile. 4. Keep the 3 conditions seperate. 5. Remedy contamination immediately. Conductivity - answerA measurement of the ability of water to carry an electric current. What causes hard water stains ? - answerCalcium and Magnesium What causes rainbow stains on stainless steel? - answerSilicates Purified water should have a pH of . - answer6.5-7.5 What is the level of Silicates in water used for cleaning ? - answer100 ppm or less What is the level of Chloride ? - answer100 ppm What is Reverse Osmosis? - answerThe diffusion of water through a semi-permeable membrane toeliminate impurities in the water. What are enzymes ? - answerCatalysts that breakdown or "digest" large organic molecules to facilitate their removal. Protease - answerEnzymes that break down proteins. Lipase - answerEnzymes that break down fats. Amylase - answerEnzymes that break down starches. Free Rinsing - answerRemoval of any residue of cleaning agents and chemicals remaining after thecleaning process. What is the preferred transportation method ? Why? - answerClosed transport system to avoid cross contamination. 8. Rubber What process is used for Ultrasonic Cleaners? please explain. - answerCavitation process, which iswhen ultrasonic vibrations create tiny air bubbles that grow larger until they implode (collapse). This process reaches small areas that brushes cannot reach. What process is used for Mechanical Washers? - answerImpingement, which is a spray force of water. What are prions? What do they cause? - answerA sort of virus that is hard to kill, has a misfolded protein, it lacks DNA and RNA. It causes Mad Cow Disease, and TSE (Transmissible Spongiform Encephalopathy) Shelf life vs Use life? - answer-Shelf life: Length of time a disinfectant can be properly stored till expired. -Use life: Length of time or number of times disinfectant can be used until efficiency (strength) or disinfectant is diminished. What is MEC and what level should it be at? - answerMEC is a test used to check the effectiveness ofthe chemical concentration level, which should be at 0.3% or higher for OPA. Fill in the blanks in the Spaulding Classification System. - answerBody Contact Destruction Method Item Class Intact skin High- Level Critical Name 3 types of PSI? - answer1. Electrically powered instruments 2. Pneumatic powered instruments 3. Battery powered instruments What is an AER? - answerAutomatic Endoscope Reprocessors, they clean, disinfect, and rinse flexible endoscopes. Name 5 advantages of using AERs. - answer1. Timed cleaning 2. Consistent exposure 3. Timed contact Trays must be or bottom ensure good circulation. - answer- perforated -meshed To properly decontaminate instruments must be and to the smallest part. - answer-opened -disassembled Up to of microorganisms can be removed with thorough cleaning. - answer-99% Terminal Sterilization - answerSterilizing wrapped instruments in full cycle. What are the 3 types of Flash Sterilization cycles? - answer-gravity displacement -pre-vacuum -express What are the phases for flash sterilization ? - answer1.Condition 2.Exposure 3.Exhaust/Dry What is the Atmospheric room pressure at sea level ? - answer-14.7^15 psi At 270 degrees, pressure should be at least . - answer-27 psi Chemical Indicator vs Class 5 integrator ? - answer-CI reacts to one or more parameter. -Class 5 monitors all critical parameters. Peracetic Acid - answerA liquid oxidiZing agent that is an effective biocide at low temperature. Bowie Dick Test - answerAKA Residual Air Removal test, must be ran everyday to check the efficiency of the sterilizers air removal system during the pre-vac cycle to detect inadequate air removal or air leaks in the chamber. What should Flash Documentation contain ? - answer-Patient's name -contents of the flash cycle -type of sterilization cycle -cycle parameters -reason for flash sterilization -signature of staff person responsible for release of the load Negative BI result should not be the only one depended on to prove all items in loads are sterile, also check for what? - answer-chemical indicators -class 5 integrators -mechanical monitor printout -Bowie dick test results Conduction - answerHeat transfer from one part of an item to another. Convection - answerHeat transfer from one point to another as gas or liquid circulates. Saturated steam - answerSteam that contains the maximum amount of water vapor. airborne concentration of a contaminant to which an employee may be exposed over the duration assigned to that contaminant. What is the aeration time for EtO sterilized items ? - answer-8 hours at 140 degrees F -12 hours at 122 degrees F Aeration - answerA process in which a device is actively subjected to moving air. When transferring loads to the aerator, do not the load to prevent from inhaling any fumes. - answerPull, push Gas plasma kills by what process ? - answerOxidation Name the different inventory control methods. - answer-Min/max System -Economic Order Quantity -Stockless supplies -Just-in-time System -Consignment System What are 2 inventory tracking systems ? - answer-Bar codes -Radio Frequency Identification Patient Care Equipment - answerPortable equipment used to assist in the care and treatment of patients. Who is responsible for performing safety inspections and function tests on medical equipment ? -answer-Biomedical Engineering Department Biomed Techs perform periodical or scheduled safety inspections established by . - answer-Joint Commission