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This focuses on the proper handling, sterilization, and distribution of medical instruments and equipment to ensure patient safety in healthcare settings.
The agency that supervises the development, testing, purity, safety, and effectiveness of prescription and over-the-counter medications is known as the:
Endotracheal tubes and anesthesia breathing circuits are examples of
The hollow center of a needle
Does successful sterilization begin with?
Water molecules that attach to drug molecules
Since the types of surgeries performed are smaller, PPE is not required when cleaning instruments used in ambulatory surgery centers.
When transporting soiled materials, they should be?
In a dental office, clinical contact surfaces are defined as surfaces that can be directly contaminated during patient care.
Sterilization involves the use of a physical or chemical procedure to
A laminar flow hood where the ari crosses the work area in a horizontal direction
When a solution has a greater osmolarity than that of blood, it is called
When opening an ampule, snap the ampule neck
Quarternary ammonium compounds or quats, are used to disinfect the surfaces of which area?
Ambulatorysurgery centers specialize in providing surgeries that do not require hospitalization
The continuous movement at a uniform rate in one direction is called.
Which of the following sterilization methods would be appropriate for petrolatum gauze dressings?
Which of the following items MUST be sterilized with an accompanying biological indicator?
Cavitation is a mechanical action that involves the use of ?
Hydrogen peroxide is an example of an oxidative chemistry
Sterile packs should be stored at least ____ away from exterior wall. Sterile packs should be stored at least ____ above the floor and at least ___ from the sprinklers heads.
There are two pressure gauges on a steam sterilizer. These gauges measure the pressure in the
Which of the following publications is the official information on generic equivalence?
When a needle damages the rubber closure of a parenteral container causing fragments to fall into the container, it is called
A tray of instruments has been brought to the Decontamination area in a saline solution.Which of the following actions should the technician take?
The Veterans Administration (VA) hospital system has its own certification program for SPD (CS) Technicians
Simultaneous wrapping means to wrap an instrument set with?
Which of the following is neccessary to attain the high temperature needed in a steam sterilizer?
Which of these does not need to be sterilized?
Liquid peracetic acid is difficult to rinse from items
Which solution is placed in and emptied from the peritoneal cavity to remove toxic substances?
Drains in pre-vacuum and gravity-displacement sterilizers are placed at the bottom front of the strilizers?
When a steam sterilizer is loaded with linen packs only, the packs should be
A technician 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 technician should?
All of the following agencies are involved with the regulation and control of ethylene oxide when it is used as a sterilant EXCEPT the?
Outside shipping cartons should NOT be brought into the SPD because they are often?
When using the sequential wrapping method?
Peristaltic, cassette, and elastomeric pumps are examples of
Which of these medical equipments is not reusable?
Am ambulatory surgery center and an urgent care facility are the same thing.
"Clean to dirty" is an SPD term used to describe?
The methods that maintain sterility products is
What would you decribe this ?
Which of the following statement is correct?
Flash sterilization is rarely performed in hospitals
Sterilization documentation is not required for items that are flash sterilized
Different types of syringe tips
A speicially designed minibag where a drug is put into the SVP fluid just prior to administration
To remove stubborn stains from instruments it is recommended to use?
State boards of pharmacy:
Small-volume parenterals are:
A positve biological indicator shows that the sterilization process?
Heat sensitive items
A patient contracts an infection from an improperly sterilized surgical instrument.This is an example of?
Heparin 20,000 units in 1 ml. You wish to give 15,000 units. How many ml will you administer?
Both AORN and the Joint Commission recommend that
All personal electrical devices brought into CS/SPD for use int the department must be?
Which of these methods of sterilization does not involve electromagnetic radiation?
A drug's molecular weight divided by its valence, a common measure of electrolyte concertation is
A material that removes electrons from another substance is called
Name the action in which a drug in a higher concentration solution passes through a permeable membrane to a lower concentration solution.
If contents of a container of instruments is not clearly visible, the CS/SPD technician should
When using the laminar flow hood, a technician should work inside the hood at least
The transport of flash sterilzed items is difficult because
You are to use 2.4 ml of diluent to reconstitute a vial of medication. what size of syringe should be used?
High level disinfection is appropriate for semi critical devices
Which of these is not a division of sterility services?
Bacteria that require oxygen are called?
Irregaton solutions are administered
Which of the following statements about flash sterilization is true
Ethylene Oxide is not used for point of use processing because of its long cycle times
How should fiber-optic light cable be stored?
Which distribution system requires the using department to be responsible for maintaining inventory levels?
Freeze dried
A filter placed immediately before a solution patients vein is
If a technician's skin is exposed to liquid ethylene oxide, what should the technician do FIRST?
An acceptable method of decontaminating an item that has been used on a patient is to?
After manually cleaning contaminated surgical instruments with a disinfectant solution,the NEXT step in the decontamination process is?
Low temperature sterilization processes are not used in ambulatory surgery centers.
Desi drugs not considered to be therapeutically equivalent, and generally pre-date the FDA's testing standards. Examples are:
When processing flexible endoscopes in a liquid chemical sterile processing system you should
Instruments must be cleaned before flash sterilization
The rate (in ml/hour or ml/minute) at which the solution is administered to the patient is
When the cause of process failure is immediately indentified in sterilization, Majority of the time it involoves?
Before releasing an item to fill a sterile supply order, all of the following must be checked EXCEPT ?
Which concentration term used with parenteral solutions does not use the drugs molecular weight to determine its value
If it is not possible to wash contaminated instruments immediately after use, they should be kept moist by?
Multidose vials
There are different types of extinguishers what does a Type ABC contain?
One of the most important factors in successful cleaning of lumened devices is?
The effectiveness of any chemical disinfection process depends on all the following EXCEPT?
When arranging plastic/paper peel pouches in the sterilizer they should be positioned standing up right on edge with?
Which of the following is the MOST important factor in preventing bacteria from contaminating sterile packages?
If a laminar flow hood is turned off between aseptic procession sessions, how long should it run before it is used again?
Pyrogens
When loading mechanical washers in the decontamination area, which type of personal protective is not required?
Surgical grade instruments, if properly cared for, usually last longer than floor grade instruments because they have a?
Which part of an administration set is used to set the flow rate
The water-detergent solution in the ultrasonic cleaner must be degassed before it is uesd to remove?
Varying bones reflect different functions, what type of bone is a flat bone?
Implantable devices
When heat is added to steam without increasing the moisture content, the steam is called ?
When working in the decontamination area, transmission of pathogenic organisms from used surgical instruments can BEST be minimized by?
Due to the fast-paced environment in ambulatory surgery centers basic concepts of cleaning, disinfection and sterilization are adjusted to meet faster timeline requirements.
Before an item can be placed in a liquid chemical sterile processing system they must be
All of the following items of personal protective equipment should be worn when manually decontaminating flexible fiber-optic endoscopes EXCEPT?
The PH of dtergent solution that has been demonstrated to be the safest for cleaning surgical instruments is
The resulting solution when a drug is added to a parenteral solution
A liver Biopsy would be performed to check for which disease?
Ambient aeration refers to aeration that takes place in?
The horizontal laminar flow hoods, air blows
Which of the following is an ethical responsibility of an individual working in Central Processing Department?
Today, healthcare organizations recognize that package sterility is?
What is the easiest method of sterilization?
The sum of the atomic weights of a molecule
Externally purchased sterilized itmes should be moved from receiving to sterile storage areas in?
The purpose of USP/NF 797 is the prevent harm and fatality to patients that can result from
Generally, the first step in removing blood contamination from the channels of an instrument is to soak it in?
A characteristic of a solution determined by the number of dissolved particles in it
A positive biological indicator test shows that the sterilization process
Low Temperature Gas Plasm is not compatible with?
The first thing to do when cleaning a device is to?
Used dental instruments pose a very low risk of blood borne pathogenexposure.
Containerized packaging systems are Most commonly used to protect which of the following during steam sterilization?
Which of the following solutions is generally considered MOST appropriate for high-level disinfection of instruments?
You have penicillin 600,000 units in 2ml. You wish to administer 150,000 units. How many ml will you administer?
All staff should paritcipate in subsequent reviews of new Material Safety Data Sheet information?
An injection device used when a primary LVP solution is not a drug available is
To eliminate the bioburden on metal surgical instruments within the SPD, the MOST cost-efficient sterilization method is generally considered to be?
It is recommended that chemotherapy drugs and some antibiotics be compounded in a vertical laminar-flow hood (biological safety cabinet), because
Complex solutions with two base solutions (amino acids and dextrose) and additional micro-nutrients
While delivering sterile supplies to multiple nursing units, the SPD technician is asked by a unit secretary to take an opened and used tray of instruments back to the SPD Decontamination area. Which of the following is the BEST procedure to use.
Biological indicator of choice for Low Temperature Gas Plasam is ?
Visual inspection of parenteral solutions can show the presence of ___ and ___.
Which of the following use a pump to remove air from the sterilizer's chamber before steam is introduced?
Cleaning anodized aluminum containers require the use of detergents that are
When cleaning an IV pump, it is important to use a germicide on the pump surface in order to?
Procedures for withdrawing fluid from a multiple-dose vial include which three?
The process by which unwrapped instruments are steam sterilized for immediate use when an emergency situation arises is called
A laminar flow hood where the air crosses the work area in a veritical direction
A biofilm can form in any?
The 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 technician do?
Lot control numbers are used to?
Which is not a correct statement regarding clean room
When transporting sterile packaged items by hand?
If the Operating room requests instruments for an emergency ruptured aortic aneurysm, the technician should send.
Which of these is not used to ensure high level of disinfection?
Loose fitting clothing and jewelry should NOT be worn in SPD because it can?
Lot control numbers should be placed on each package sterilized, and on the
A Pyrogen is a?
Sealed glass containers with an elongated neck is
All blood and other potentially infectious materials are handled with caution. Bloodborne pathogen exposure is regulated by?
The number of positive or negative charges on an ino
A needle used for measurement is called
Rod-Shaped bacteria is called?
What is the large volume splash solutions used during surgical or urologic procedures to bathe and moisten body tissues?
Occupational Health and Safety Administration has estabilished a general air contaminant standard for which of the following?
What is wrong with this image?
The appropriate sterilization cycle for an autoclave load containing a basin set, a minor surgery set, and twelve towel packs is?
Which of the following BEST describes the manual cleaning process of surgical instruments?
Generally, emergency eyewash units should be tested ____ and stations should be located within ____
Which of these is not an aseptic procedure?
A drug that is added to a parenteral solution is
If the child's ( 2 yrs to 6 yrs) dose of Diphenhydramine Elixir (12.5mg/5ml strength) is 25mg/day; a dose would be how many milliliters if dosed four times a day? How many teaspoonsful?
The acronym used in most facilities to help staff remember what to do during a fire emergency is
There are different types of detergents.Enzymatic pre-soaks
The FDA rates generic products on their bioequivalency to the branded product. A-rated drugs are considered by the FDA to be therapeutically equivalent while B-rated drugs are either considered not to be therapeutically equivalent or there is no sufficient information to determine their therapeutic equivalency. Therefore "A" Codes include:
Compounded sterile preparations (CSPs) are preparations that are made using sterile or non-sterile ingredients that must not contain bacteria in the final product. The process used to avoid contamination while compounding sterile products is known as:
The stem of the needle that provides the overall lenght of the needle
Which of the following generally describes the correct sequence for the traffic workflow in areas in which medical devices are processed?
Before the mid-1970s, virtually all surgeries were performed in hospitals
Flexible rubber tubing near the needle adapter of an administration set used to determine if the needle is properly placed in the vein is
A diagnostic cycle on the peracetic acid system should be run every day
Which of the following agencies would approve the disinfectants used on floors and walls in the Sterile Processing and Distribution Department?
A compounded sterile parenteral dosage form that will be parenterally administered is
There are two types of aeration.Ambient aeration usually takes at at least?
Which of the following BEST describes the general environmental conditions of SPD sterile storage?
A high efficiency air filter is
What is the act of maintaining sterility during procedures called?
Alcohol-based hand rinse should not be used?
A solvent that dissolves a lyophilized powder or dilutes a solution is a
Labels prepared by the pharmacy for sterile products include all of the following except:
A TPN sol. that contains intravenous fat emulsion
The purpose of decontamination is to
U-100 Humulin N insulin indicates ________per ______.
The water in the ultrasonic cleaner should be changed when it becomes visibly soiled and at least _______.Instruments should not be placed higher than _____ inside the ultrasonic basket.
Which system should be used to arrange and maintain sterile packages?
The movement of particles in a solution through permeable membranes is called
The chemicals produced by microorganisms that can cause fever reactions in patients are
Aseptic techniques are methods used to maintain
Internal chemical indicators routinely monitor?
Small volume soltuions connected to an LVP
Clamps used for hemostasis are also designed to
Which parenteral solution is not required to be sterile?
Without water molecules is called
Which of the following is the MOST efficient and cost-effective method for inventory control in the SPD ordering and data generation?
Healthcare workers are most likely to be infected by which of the following agents?
When left-to-right storage system is used?
When a steam sterilizer load contains a mixture of fabric and metal items, the items should be placed?
In which distribution system are requistions filled and deliveres as they are received?
The part of the needle which attaches to the syringe is called.
The inventory of medical and surgical supplies can represents up to what percentage of a facilitys operating budget?
Which of these is not a factor that determines the method of sterilization?
The molecular particles that carry electric charges are
The number of ambulatory surgery facilities is decreasing nationwide.
Any object that can puncture or cut the skin of anyone who handles them
Which of the following is the main Disadvantage of using a rigid sterilization container system?
There are many concerns about this matter. Whats a wet pack?
Currently there are no process monitors available for peracetic acid sterilization processes
An instrument tray for a laparotomy procedure must include
Which of the following statements is the primary reason that items are allowed to cool on sterilizer cart before being placed in storage?
Material Safety Data Sheets provide health and safety hazard and risk information on which of the following?
Peracetic acid is a liquid oxidizing agent that effectively kills bacteria at low temps
Sterility maintenance covers should be made out of plastic and be placed on sterile items?
A filter that can filter solutions being drawn into or out of a syringe, but not both ways in the same procedure is
Filer needles are used when:
A filter that filters solution as the solution is expelled from the syringe
When a solution has an osmolarity equivalent to that of blood, it is called
Inspection and verification of adequate cleaning is difficult with instruments?
The detergent best suited for heavy orthopedic soils is?
A staff member brings several contaminated trays to the SPD on a cart and requests that replacements trays be put on the same cart. The technician should
A fluid ounce contains 3 gram of medication. How many mg are in one teaspoonful?
Eethylene Oxide products require _________ hours of aeration at 140F
An estabilished norm determined by opinion,authority, research, and/or theory is a?
Milligrams are weights of drugs, units refers to _________.
What method of sterilization is most suitable for fluids that can be destroyed by heat?
The Rx tells you to add one gram of vancomycin to a 250-ml container of dextrose 5% in water and give intravenously over a 2-hour period, repeated every 12 hours for 10 days. Why would you not prepare the entire 20 doses at the same time?
Cotton gauze cannot be used in which sterilization process?
When a solution has a lesser osmolarity than that of blood, it is called
A Bowie-Dick test should be performed in which of the following types of sterilizers?
An angled surface, at the tip of a needle is
Low-risk CSPs are compounded in a ISO Class 5 environment, such as a laminar air flow hood. Example of a low-risk CSP is:
Supplies contaminated with blood and body fluids that require ethylene oxide gas sterilization should be?
A broken glass suction bottle is returned to Decontamination.Which of the following should the technician do?
Who controls emissions into the water (under the Clean Water Act).
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