IAHCSMM 8TH Edition Progress Test # 4(Complete)2022/2023

The process by which instruments are sterilized for immediate use is called Immediate Use Steam Sterilization Steam sterilization is the most commonly used method of sterilization used in healthcare because cycles are fast and inexpensive When placing sterile items on the shelf, check All the above package integrity an expiration date seals and filters to be sure they are intact Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges. False Implantable devices should not be immediate use steam sterilized unless there is a tracking system in place t o trace the item to a patient One common cause of a clogged drain screen is tape The best way to clean a suction lumen is using the proper sized brush Which of the following statements about endoscopes is true Not all endoscopes can be processed in an automated endoscope reprocessor When using high-level disinfectants it is important to remember that they may be deactivated by organic matter Which of the following steps happens first when processing flexible endoscopes leak testing All rigid sterilization containers have tamper-evident seals True Tissue forceps have teeth True Under current regulations who is required to report suspected medical device-related deaths to the U.S. Food and Drug Administration? All of the above Device manufacturer Hospitals Floors in the Central Service department should be wet-mopped daily The staining method most frequently used to identify the shape and characteristics of bacteria is called gram During instrument manufacture the process of passivation helps build a protective chromium oxide layer on the instrument's surface True The first step to inspect the insulation of a laparoscopic instrument is to check the collar at the distal tip When arranging paper/plastic pouches in the sterilizer, the pouches should be arranged paper-to-plastic Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as critical items The first sink bay in the decontamination area should be filled with a neutral detergent or enzyme True Regulations under the Clean Air Act are administered by the Environmental Protection Agency (EPA) 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 collects them. False Jewelry should not be worn in the Central Service department work areas because they harbor bacteria One goal of point-of-use preparation is to prevent instruments from being damaged. True During hand washing, hands should be lathered and scrubbed for at least 20 seconds All bacteria require the same conditions to live and grow False The term oscopy means visual examination Instrument sets and other required instrumentation needed for all scheduled procedures for an entire day are usually pulled the day or evening before they will be used a septoplasty is straightening the nose Personal protective equipment is not required when cleaning items for immediate use steam sterilization False The weakest part of a steam sterilizer is the door Because shelf life is event related, stock rotation is no longer necessary False Aluminum foil is an approved packaging material for use in ethylene oxide sterilizers False Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders False Endoscopes are often processed in a mechanical unit called an automatic endoscope reprocessor Which of the following is NOT an acceptable sterilization packaging material Canvas Phenolics are classified as intermediate- to low-level disinfectants Cleaning is defined as the removal of all visible and non-visible soil. True Standards and regulations help set minimal levels of quality and safety When it is necessary to transport soiled items between facilities using a truck or van, facilities must consult U.S. Department of Transportation, as well as state and local laws for transporting biohazardous items True Which of the following is NOT a requirement of the Occupational Safety and Health Administration Bloodborne Pathogen Standard? Keep biohazard areas locked Due to the difficulty of cleaning items contaminated with prions All of the above disposable instrument should be used during the case heat sensitive items should not be used as they will probably be destroyed during cleaning if reusable items are used guidelines suggest disposing of the items contaminated with high risk tissue Arthroscopy means visual exam of a joint The hip joint is an example of a ball and socket joint All items sterilized or high-level disinfected at the point-of-use must be carefully monitored and logged True When loading a steam sterilizer do all of the above basin sets should be placed on edge and tilted solid containers should be placed so air can get out there should be visible space between packs One of the goals of stock arrangement is to provide minimal product handling while allowing first in, first out rotation True What exposure monitoring is required for all personnel using a hydrogen peroxide sterilizer No monitoring is required To properly test the sharpness of scissors four inches or less use yellow test material loaner instrumentation can cause receiving challenges True When placing instruments in a peel pack, the tips should always face the paper side of the pack False When mixing several low-to intermediate-level disinfectants together, it is important to remember chemicals should not be mixed Powered surgical instruments should be cleaned using a mechanical cleaning process False Following Occupational Safety and Health Administration regulations for wearing personal protective equipment in the Central Service decontamination area is option False It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves False What color should biohazard labels/signs be Red/Orange Microorganisms reproduce by a process called binary fission Not understanding medical terminology may compromise patient care True This the first step in the sterilization process cleaning This surgical procedure is the removal of the gall bladder Cholecystectomy When transporting items that have been immediate use steam sterilized, it is required that they be transported in such a manner that reduces the potential for contamination Using the wrong container filter or poor filter placement can be a cause of wet pack True Heavy items should be placed on the middle shelves Lumens should be moist, using hydrogen peroxide as an agent, when sterilized False Outside shipping containers should be removed prior to placing the items in storage Microgrind or supercut scissors are usually identified with a black handle True The purpose of the insulation covering laparoscopy instruments is to protect the patient from electrical current Airflow in the prep and pack area should be positive The process by which all forms of microorganisms are completely destroyed is called sterilization What is the most common pH for detergents used for most cleaning processes neutral pH Surgical instruments are carefully inspected for cleanliness and function in the area of the Central Service department preparation and packaging 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 Multiple drug resistant organisms are a declining threat to patients in healthcare facilities False The root element gastro refers to the stomach Point-of -use preparation begins the cleaning process The only way to interrupt the transmission of a causative agent is to eliminate it Which of the following statements about Immediate Use Steam Sterilization is true It should be used only when there is not time to process items using the wrapped method The guidelines for sterile storage's are the same for both items sterilized in house and for items purchased sterile. True Information about a device's compatibility with a specific sterilization process should be obtained from the device's manufacturer True The higher the bioburden on an object the more difficult it will be to sterilize Sterile storage areas should have positive airflow and at least four air exchanges per hour The part of a hemostat that locks and holds it in position is called the lock box False The purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion True Temperature in the preparation and packaging areas should be between 68 and 73 degrees Fahrenheit In an automated washer the key source of disinfection is water temperature Written cleaning instructions for surgical instruments should be provided by the device manufacturer In the future, which of the following will more frequently become a requirement for working in a Central Service department Formal education More than 55% of blood is made up this yellowish liquid Plasma Bacteria that require oxygen are called aerobic The suffix-ectomy means surgical removal To prevent coagulation of proteins, instruments should be pre-rinsed using cool water Regulations and standards provide information to help ensure quality and safety When assembling instruments trays heavier instruments should be placed on the bottom of the tray Devices categorized as semi-critical items, must be at least prior to use high-level disinfected The human resources tool that identifies major tasks performed by persons in specific positions is called a job description This gland stimulates body growth Pituitary gland The steam sterilization process can be affected by the design of the medical device being sterilized True Ethylene oxide, hydrogen peroxide and ozone sterilization process must all be monitored using chemical, physical and biological monitors True