QUESTIONS AND ANSWERS 100% CORRECT.
What should the sterilizer access area pressure be? -Correct Answer: Negative w/10 air exchanges per hour
What two steps are involved in decontamination? -Correct Answer: 1. Manual and/or automated mechanical
cleaning
2. application of a thermal or chemical disinfection process
Define Cleaning... -Correct Answer: The removal of contamination from an item to the extent necessary for
further processing or for the intended use.
nosocomial infections are well documented and caused by... -Correct Answer: poor or ineffective
decontamination of instruments
What are Employee hazards in the decontamination process? -Correct Answer: Technicians work with a
large amount of 1) unidentified bioburden 2) wet enviornment 3) handling contaminated sharps 4) must
know procedures for proper handling, equipment, cleaning/sterilization agents
How do you properly clean a device? -Correct Answer: follow the device manufacturer's written
instructions What is the starting point in sterilization? -Correct Answer: Cleaning
Define decontamination -Correct Answer: The process of cleaning surgical instruments, patient care
devices, and all involved surfaces in order to render areas and items safe for handling and/or further
processing
What are physical safety hazards? -Correct Answer: -good body mechanics -correct body techniques and
posture for lifting, pushing, pulling, and reaching -should be alert and correct anything that is a potential
injury -lifts to lift heavy supplies, available work material, adjustable chairs, padding on sharp edges,
correct height tables -proper clothing can prevent injury
What is the weakest point of an instrument? -Correct Answer: Box lock and jaws
What does the ABC system stand for? -Correct Answer: A: large dollar amount items not used frequently B:
moderately priced and used frequently
C: items w/ low dollar value
What is just in time distribution? -Correct Answer: Items are distributed to department by vendor no need
for sterile storage or inventory control.
What are specialty/ procedure carts? -Correct Answer: Carts placed in specific departments based on
procedures
personalized to needs of departments easily accessible.
What is case cart distribution? -Correct Answer: visually in specialty areas case carts are delivered to
, department case cart is specialized to departments needs
What is the exchange cart distribution? -Correct Answer: Two identical carts are made one is out in the
department and other stays in SPD
What is par level distribution? -Correct Answer: There is fixed inventory and when items become low they
are replenished from the stockroom per department/specialty
What is demand distribution? -Correct Answer: An instrument/cart must be ordered in order to get it
What are the most common distribution systems? -Correct Answer: 1) demand 2)par-level 3)Exchange
4)case carts 5) Specialty 6) Just in time
What is the air pressure of the sterile storage area? -Correct Answer: positive air flows out
What is shelf life -Correct Answer: period of time which a sterile item is considered safe to use event
related not time related
When are packs most vulnerable to contamination? -Correct Answer: Immediately after sterilization
What is it when a sterilizer's ability is tested under worst case conditions? -Correct Answer: Small load
testing
What is it called when a sterilizer is tested for sterilization under actual use conditions? -Correct Answer:
Max load testing
How often is a Bowie Dick test ran? -Correct Answer: Daily for dynamic air removal sterilizers How much
space should be between packages and chamber wall? -Correct Answer: one inch
How should paper-plastic pouches be placed in a sterilizer? -Correct Answer: plastic to paper or paper to
plastic tilted on side
How should basins be placed in a sterilizer? -Correct Answer: on tilted side same direction
What should be placed on the bottom of the rack in a mixed load? -Correct Answer: metal instruments basin
other metal items
What should be placed on the top shelf? -Correct Answer: textile packs and paper/plastic pouches
Textile packs should be placed how in a sterilizer? -Correct Answer: sides Solid bottom trays should be
loaded now? -Correct Answer: tilted on sides
How should mesh bottom containers be loaded into the sterilizer? -Correct Answer: flat on rack
If packages are still moist when the sterilizer doors are open bacteria can do what? -Correct Answer: wick
through the package
How does steam sterilization occur? -Correct Answer: by condensation
What cases are proven to have prions? -Correct Answer: 1) neurosurgery
2) opthamology (eye)