IAHCSMM Certification 2
Approx 2 million patients, __% of those hospitalizes in the u.s. develop a nosocomial infection?
__is the act of washing one's hands with soap & water or using an alcohol-based hand rub?
__s specialized clothing or equipment worn by an employee for protection against a hazard?
The use of fluorescent orange or orange red__labels to identify contaminated items or regulated waste?
The__of water is an important measurement that indicates its ionic(electrical) charge?
__is water that has been treated, & is acceptable for drinking
__is the diffusion of water through a semi-permeable membrane to eliminate impurities that it contains?
__can be used to clean basins etc. should be replaced daily to assure they will not become a source of contamination?
The__regulates the manuf. of all medical devices, and requires the pre-market clearance of new medical devices?
Manufs. of disinfectants or sanitizers must submit data relating to labeling claims, effectiveness, & safety to the __?
A__is a mandatory law or rule that is issued by a governing body?
__is a voluntary consensus organization that develop recommended practices & standards that address the use, care & processing of devices & systems?
Joint Commission on Accreditation of Health Care Organizations
What does JCAHO stand for?
Under OSHA violations, a __is a violation that the employer intentionally and knowingly commits
60-65 deg F or 16-18 deg C
The temperature in the Decontamination area should be what?
The humidity in the prep & pack area should be what__?
Floors should be cleaned (wet mopped) at least__?
__is any activity or procedure that prevents infection or breaks the chain of infection?
__is the process by which ions with an electrical charge are removed from the water?
__is a unit of measurement that expresses the amount of resistance to the flow of an electric current?
__is a unit of measurement that is one millionth of a meter?
1. Causative Agent
3. Portal of Exit
4. Mode of Transmission
5. Portal of Entry
6. Susceptible Host
The six links in the chains of infection in order are:
__are chisel-like instruments used to cut/shave bone?
__(Stainless Steel) also known as 400 series stainless steel. Is magnetic, and may be heat-hardened?
__is a chemical process applied during instrument manufacture that provides a corrosion-resistant layer?
The first step in manufacturing a surgical instrument is__?
A__is a chemical used on inanimate objects such as medical instruments to kill all organisms except spores?
__is the use of physical or chemical procedures to completely destroy all microbial life?
__-__are items that come in contact with intact mucous membranes, and do not ordinarily penetrate body surfaces?
A__-__disinfection kills all microbial organisms but not necessarily large numbers of bacterial spores?
__is air-powered instruments using compressed gas like CO2?
Most flexible endoscopes need to be "__tested" before submersion to assure that internal components do not get damaged?
Effective__-__policies and practices are critical to minimize or eliminate cross-contamination?
__approves the use of high-level disinfectants & sterilants used for critical & semi-critical medical devices based on their identified use?
__waste may cause mortality or serious illness if disposed of improperly, & must be re-bagged?
__-__is the amount of water vapor in the atmosphere expressed as a percentage of the total amount of vapor the atmosphere could hold without condensation?
The ventilation system should allow for no less than__air exchanges per hour?
Beginning & End
Horizontal work surfaces should be cleand & disinfected at the__&__of each shift?
__are(wetting agents)/ cationic surface-active compounds?
__compounds have long been the agent of choice for housekeeping services because a residual film is left after use which can be reactivated later by damp mopping?
To achieve a reasonable level of disinfection, alcohol must remain in wet contact with the surface for a minimum of__min.?
Alcohol can destroy viruses up to__hours?
In the manufacturing process & depending upon the style of the instrument, a device is heated to approximately__degrees
Kelly Hemostats have__serrations on it's distal tip?
When__is placed on an instrument, this indicates that the (jaws) are made of Tungsten Carbide?
1 to 1 1/2
Instrument marking tape must be wrapped around an instrument__to__times?
The largest operating channel in a flexible endoscope is the__channel?
__cleaning is the most important step in processing flexible endoscopes?
In some laparoscopic instruments the black__coating is very susceptible to pin holes, cracks, tears & overall loosening?
Loaner instrumentation that come from the outside should be considered__and handled accordingly?
__-__are chemicals that hold hard water minerals in solution, & prevent soaps or detergents from reacting with the minerals?
__break down or "digest" large organic molecules to facilitate their removal?
__break down fatty deposits such as bone marrow?
__is the process used by an ultrasonic cleaner in which low-presser bubbles in a cleaning solution burst inward?
__is a high level disinfectant used for semi-critical devices such as endoscopes & ultrasonic probes?
The time for a high-level disinfectant to be a sterilant is extended to__hours or more depending on Manf. Recoms?
A__book should be maintained when using high-level disinfectants like glutaraldehyde and OPA?
Disinfection can also be done by heat in a process call__disinfection, like automatic washer-sanitizers/disinfectors?
2. Ground & Milled
4. Polishing & Passivation
5. Final Inspection
6. Etched & Packaged
Put the following steps in the right order for an instrument manufacturing process?
The FDA classifies sterilization packaging as a Class__Medical Device?
Linen packs have been limited to a size of __X__X__?
AAMI states that the weight of wrapped basin sets should not exceed__lbs?
The pre-made opening of a pouch is called the__?
Association for the Advancement of Medical Instrumentation
What does AAMI stand for?
International Association for Healthcare Central Service Material Management
What does IAHCSMM stand for?
International Standards Organization
What does ISO stand for?
__is that which occurs when a medical device is processed immediately before use,and/or close to the patient area?
__is the process by which unwrapped instruments are sterilized for immediate use when an emergency situation arises?
Flash sterilization can be accomplished with three types of cycles: gravity displacement,__, and express?
10 min. at 270 deg F
Regarding flash sterilization, if the load includes complex or lumened instruments, and mixed materials a__min. cycle at__degrees F should be used?
A Class__Integrator monitors all the critical parameters of the sterilization cycle (time, temp, & the presence of steam(moisture)?
For routine monitoring,__recommends that a BI test be done at least weekly, preferably every day that the sterilizer is used?
__is a liquid oxidizing agent that is an effective biocide at low temp sterilization system?
When using Peracetic Acid the entire sterile processing cycle is completed in approximately__min.?
The__is the weakest part on a steam sterilizer?
The chamber drain in a steam sterilizer must be cleaned at least__?
__sterilizers are frequently used in clinics and dentists offices?
__is a sterilizer that uses higher temps & shorter exposure times to handle emergency sterilization of dropped instruments?
There are 3 low temp sterilization methods which are EtO, hydrogen peroxide(gas plasma), and__?
To be legally marketed in the U.S., the__requires that each sterilant be rigorously tested against a broad range of microorganisms?
__is the employee's average airborne exposure in any 8-hour works shift of a 40-hour work week which should not be exceeded?
Process monitoring consists of the "4R's", run, read,__, and retain?
__has been the primary sterilant of choice for items that cannot tolerate steam sterilization since the 1960's?
For EtO, the minimum general recommendations for product aeration are 8 hours at 140 degrees F, and__hours at 122 degrees F?
1 ppm over 8 hour
Regarding Hydrogen Peroxide sterilization OSHA establishes a PEL of__ppm over an__hour TWA
For Ozone sterilzation the complete cycle time is__hours?
The moister content of saturated steam should possess a relative humidity of__%-__%?
__or "dry" steam, is the condition of steam when its temperature is too high relative to its pressure in a steam table?
__is a heat transfer method in which heat is absorbed by an item's exterior surface, and passed inward to the next layer?
__is the process of heat transfer by the circulation of currents from one area to another?
__method is when a package is wrapped twice & is a package within a package?
There are 2 techniques for wrapping packages: envelope fold &__fold?
Traditionally, the sterility of a package has been thought of as "time-related" and now is__?
Sterile packages should be at least__inches from the wall?
__(or lack of it!) can have dramatic consequences on the health and safety of both patients & faculty personnel?
__is the consistent delivery of products and services according to established standards?
Top level__must emphasize quality because their support is critical for success?
__is the process of "driving" the process of decision-making & implementation down the facility's chain of command?
__is the condition that occurs when reusable or consumable inventory items required are not available?
__inventory are consumable products found in CS and other storerooms, warehouses, and satellite storage areas?
A__sheet is a financial summary of what a healthcare facility owns, owes, & its worth at a specific point in time?
A__cart system is a cart used to hold inventory for a location and exchanged/replenished daily?
Immediately or at once
Periodic automatic replenishment abb600-in chapter 17, the abbv STAT in Latin is "statim", which means what?
In chapter 18, the abbv CPM stands for continuous passive__?
In chapter 20, the abbv "TQM" means__quality management?
When managing patient care equipment. Tasks include: assmebly,__,tracking, retrieval, and decontamination?
Patient care equip must be safe,__,ready-to-use, & free from soil and contaminants?
When any equipment item enters a healthcare facility, it must be safety-checked & tested by a__technician/department?
__requires that preventive maintenance(PM) standards be established for healthcare equipment?
PI (performance improvement)
__is an activity designed to identify & resolve work task-related problems that yield poor quality?
__dept. leaders should serve on the quality committee?
In "process management" the only consistent way to achieve goals is with a__process?
Those who successfully achieve a consistently high quality standards should be__by the senior management team?
Automated info systems have been used since the__to help achieve greater productivity & operational efficiency?
__instruments can be located with in a set/tray using laser-etched dot type applications?
Tracking systems can also help maximize equipment & inventory__to yield information as future budgets are developed?
Radio Frequency Identification Device
In chapter 19, what does RFID stand for?
__cart system is used for products and equipment generally prepared for one special surgical case?
A__inventory system keeps track of all incoming, issued, on-hand supplies on a on-going basis?
A__system are items that are stored at the healthcare facility, but the supplier owns the inventory, and does not charge for it until it is used or lost?
__-__is the number of times per year that inventory is purchased, consumed, and replaced?
Each time an item of patient care equipment is returned to the CS department for cleaning, its__sticker should be checked?
CS Techs should also check for damaged (cracked, torn, or__) electrical cords?
A__pump provides automatic administration of pain meds?
Disposables such as pads & tubing should be removed from each piece of equipment, & discarded at the__?
There are 3 categories of quality control indicators:__, customer satisfaction, & technical?
Remember, it is in the eyes of the__that quality is measured?
The__must be at the center of every quality concern?
__surveys results can indicate potential problems that may not be apparent to Central Service personnel?
All items sterilized with EtO must be fully__to ensure that no EtO residue or by-products are introduced into the patient?
Source of Ignition
In the "Fire Triangle" you must have 3 things: a source of oxygen, a combustible/flammable substance, and__?
A type__extinguisher is used for flammable liquids?
An__disaster is a situation like earthquakes, floods, hurricanes, or a large number of injured patients like a plane crash?
__is the process transmitting information & understanding from one person to another by use of words & nonverbal expressions such as body language?
__-__is the development & maintenance of effective interpersonal relationships that enhance teamwork?
__are specialized words or phrases known only by persons working in a position?
CS Techs must follow a professional code of behavior that includes moral, legal, and__aspects of responsibility?
ASC (Ambulatory Surgery Centers)
__are not urgent care facilities of physicians offices?
The first ASC was organized in__by physicians?
Physicians are involved in the ownership of approx.__% of all ASC's
__is a voluntary process by which an organization measures the quality of its services & performance against nationally recognized standards?
__sterilization is not generally used in ASC's because of installation concerns, faster turnovers, and environmental concerns?
__most common sterilization performed in dental facilities?
__sterilizers are used in dental facilities to sterilize burrs & orthodontic insts.,because they may be damaged by moist heat?
__facilities do not permit "event related" practices for sterilize items and use "time related"?
__is a skill & to do well requires practice?
__is a preconceived belief or opinion about a group of people that is applied to every person in that group?
__is a step in communication that occurs when the listener asks a question, repeats information or otherwise helps the speaker to know if the message has been correctly received?
__ people that tend to like others who behave or think as they do, & who have similar backgrounds/characteristics?
Mishandling contaminated__such as knife blades, needles, can break the skin's surface and produce puncture wounds?
When cleaning instruments in a sink, always scrub below the surface of the water to avoid the formation of__?
Heavy & bulky materials and cases of glass containers should be stored on__shelves?
Items used most frequently should be placed on__shelves to enable them to be easily & safely accessed by employees?
__-__is when a person is favored because of a quality found to be attractive or valuable?
__-__occurs when one dislikes another person because of a specific quality or personal characteristic?
In telephone etiquette, try to answer the phone in the fewest possible rings. Many organizations use the "within__rings" rule?
A proper__is the most important factor necessary for teamwork?
All plugs on all electrical equipment (installed or portable) must be__-wire and grounded?
5ppm over a 15 min.
EtO has a__ppm short-term excursion limit (STEL) over a__minute period?
Pull & Push
When transporting a cart from the EtO sterilizer to the aerator,__it instead of__it to avoid inhaling EtO fumes?
__is the process of changing work or working conditions to reduce employee stress?