IAHCSMM Certification 2

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1

10%

Approx 2 million patients, __% of those hospitalizes in the u.s. develop a nosocomial infection?

2

Hand Hygiene

__is the act of washing one's hands with soap & water or using an alcohol-based hand rub?

3

PPE

__s specialized clothing or equipment worn by an employee for protection against a hazard?

4

Bio-hazard

The use of fluorescent orange or orange red__labels to identify contaminated items or regulated waste?

5

Conductivity

The__of water is an important measurement that indicates its ionic(electrical) charge?

6

Tap Water

__is water that has been treated, & is acceptable for drinking

7

Reverse Osmosis

__is the diffusion of water through a semi-permeable membrane to eliminate impurities that it contains?

8

Sponges

__can be used to clean basins etc. should be replaced daily to assure they will not become a source of contamination?

9

FDA

The__regulates the manuf. of all medical devices, and requires the pre-market clearance of new medical devices?

10

EPA

Manufs. of disinfectants or sanitizers must submit data relating to labeling claims, effectiveness, & safety to the __?

11

Regulation

A__is a mandatory law or rule that is issued by a governing body?

12

AAMI

__is a voluntary consensus organization that develop recommended practices & standards that address the use, care & processing of devices & systems?

13

Joint Commission on Accreditation of Health Care Organizations

What does JCAHO stand for?

14

Willful

Under OSHA violations, a __is a violation that the employer intentionally and knowingly commits

15

60-65 deg F or 16-18 deg C

The temperature in the Decontamination area should be what?

16

30%-60%

The humidity in the prep & pack area should be what__?

17

Daily

Floors should be cleaned (wet mopped) at least__?

18

Aseptic Technique

__is any activity or procedure that prevents infection or breaks the chain of infection?

19

Deionization

__is the process by which ions with an electrical charge are removed from the water?

20

Ohm

__is a unit of measurement that expresses the amount of resistance to the flow of an electric current?

21

Micron

__is a unit of measurement that is one millionth of a meter?

22

1. Causative Agent
2. Reservoir
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:

23

Osteotomes

__are chisel-like instruments used to cut/shave bone?

24

Martensic

__(Stainless Steel) also known as 400 series stainless steel. Is magnetic, and may be heat-hardened?

25

Passivation

__is a chemical process applied during instrument manufacture that provides a corrosion-resistant layer?

26

Forge

The first step in manufacturing a surgical instrument is__?

27

Disinfectant

A__is a chemical used on inanimate objects such as medical instruments to kill all organisms except spores?

28

Sterilization

__is the use of physical or chemical procedures to completely destroy all microbial life?

29

Semi-Critical

__-__are items that come in contact with intact mucous membranes, and do not ordinarily penetrate body surfaces?

30

High-Level

A__-__disinfection kills all microbial organisms but not necessarily large numbers of bacterial spores?

31

Pneumatic

__is air-powered instruments using compressed gas like CO2?

32

Leak

Most flexible endoscopes need to be "__tested" before submersion to assure that internal components do not get damaged?

33

Infection Control

Effective__-__policies and practices are critical to minimize or eliminate cross-contamination?

34

FDA

__approves the use of high-level disinfectants & sterilants used for critical & semi-critical medical devices based on their identified use?

35

Hazardous

__waste may cause mortality or serious illness if disposed of improperly, & must be re-bagged?

36

Relative Humidity

__-__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?

37

10

The ventilation system should allow for no less than__air exchanges per hour?

38

Beginning & End

Horizontal work surfaces should be cleand & disinfected at the__&__of each shift?

39

Quats

__are(wetting agents)/ cationic surface-active compounds?

40

Phenolic

__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?

41

5

To achieve a reasonable level of disinfection, alcohol must remain in wet contact with the surface for a minimum of__min.?

42

Several

Alcohol can destroy viruses up to__hours?

43

1500

In the manufacturing process & depending upon the style of the instrument, a device is heated to approximately__degrees

44

Partial

Kelly Hemostats have__serrations on it's distal tip?

45

Gold

When__is placed on an instrument, this indicates that the (jaws) are made of Tungsten Carbide?

46

1 to 1 1/2

Instrument marking tape must be wrapped around an instrument__to__times?

47

Instrument

The largest operating channel in a flexible endoscope is the__channel?

48

Manual

__cleaning is the most important step in processing flexible endoscopes?

49

Insulation

In some laparoscopic instruments the black__coating is very susceptible to pin holes, cracks, tears & overall loosening?

50

Contaminated

Loaner instrumentation that come from the outside should be considered__and handled accordingly?

51

Chelating Agents

__-__are chemicals that hold hard water minerals in solution, & prevent soaps or detergents from reacting with the minerals?

52

Enzymes

__break down or "digest" large organic molecules to facilitate their removal?

53

Lipases

__break down fatty deposits such as bone marrow?

54

Cavitation

__is the process used by an ultrasonic cleaner in which low-presser bubbles in a cleaning solution burst inward?

55

Glutaraldehyde

__is a high level disinfectant used for semi-critical devices such as endoscopes & ultrasonic probes?

56

10

The time for a high-level disinfectant to be a sterilant is extended to__hours or more depending on Manf. Recoms?

57

Log

A__book should be maintained when using high-level disinfectants like glutaraldehyde and OPA?

58

Thermal

Disinfection can also be done by heat in a process call__disinfection, like automatic washer-sanitizers/disinfectors?

59

1. Forge
2. Ground & Milled
3. Tempering
4. Polishing & Passivation
5. Final Inspection
6. Etched & Packaged

Put the following steps in the right order for an instrument manufacturing process?

60

2

The FDA classifies sterilization packaging as a Class__Medical Device?

61

12x12x20

Linen packs have been limited to a size of __X__X__?

62

7

AAMI states that the weight of wrapped basin sets should not exceed__lbs?

63

Chevron

The pre-made opening of a pouch is called the__?

64

Association for the Advancement of Medical Instrumentation

What does AAMI stand for?

65

International Association for Healthcare Central Service Material Management

What does IAHCSMM stand for?

66

International Standards Organization

What does ISO stand for?

67

Point-of-use-processing

__is that which occurs when a medical device is processed immediately before use,and/or close to the patient area?

68

Flash Sterilization

__is the process by which unwrapped instruments are sterilized for immediate use when an emergency situation arises?

69

Pre-vacuum

Flash sterilization can be accomplished with three types of cycles: gravity displacement,__, and express?

70

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?

71

5

A Class__Integrator monitors all the critical parameters of the sterilization cycle (time, temp, & the presence of steam(moisture)?

72

AAMI

For routine monitoring,__recommends that a BI test be done at least weekly, preferably every day that the sterilizer is used?

73

Peracetic Acid

__is a liquid oxidizing agent that is an effective biocide at low temp sterilization system?

74

30

When using Peracetic Acid the entire sterile processing cycle is completed in approximately__min.?

75

Door

The__is the weakest part on a steam sterilizer?

76

Daily

The chamber drain in a steam sterilizer must be cleaned at least__?

77

Table-Top

__sterilizers are frequently used in clinics and dentists offices?

78

Flash Sterilizer

__is a sterilizer that uses higher temps & shorter exposure times to handle emergency sterilization of dropped instruments?

79

Ozone

There are 3 low temp sterilization methods which are EtO, hydrogen peroxide(gas plasma), and__?

80

FDA

To be legally marketed in the U.S., the__requires that each sterilant be rigorously tested against a broad range of microorganisms?

81

TWA

__is the employee's average airborne exposure in any 8-hour works shift of a 40-hour work week which should not be exceeded?

82

Record

Process monitoring consists of the "4R's", run, read,__, and retain?

83

EtO

__has been the primary sterilant of choice for items that cannot tolerate steam sterilization since the 1960's?

84

12

For EtO, the minimum general recommendations for product aeration are 8 hours at 140 degrees F, and__hours at 122 degrees F?

85

1 ppm over 8 hour

Regarding Hydrogen Peroxide sterilization OSHA establishes a PEL of__ppm over an__hour TWA

86

4

For Ozone sterilzation the complete cycle time is__hours?

87

97%-100%

The moister content of saturated steam should possess a relative humidity of__%-__%?

88

Superheated Steam

__or "dry" steam, is the condition of steam when its temperature is too high relative to its pressure in a steam table?

89

Conduction

__is a heat transfer method in which heat is absorbed by an item's exterior surface, and passed inward to the next layer?

90

Convection

__is the process of heat transfer by the circulation of currents from one area to another?

91

Sequential

__method is when a package is wrapped twice & is a package within a package?

92

Square

There are 2 techniques for wrapping packages: envelope fold &__fold?

93

Event Related

Traditionally, the sterility of a package has been thought of as "time-related" and now is__?

94

2

Sterile packages should be at least__inches from the wall?

95

Quality

__(or lack of it!) can have dramatic consequences on the health and safety of both patients & faculty personnel?

96

Quality

__is the consistent delivery of products and services according to established standards?

97

Administrators

Top level__must emphasize quality because their support is critical for success?

98

Empowerment

__is the process of "driving" the process of decision-making & implementation down the facility's chain of command?

99

Stock outs

__is the condition that occurs when reusable or consumable inventory items required are not available?

100

Official

__inventory are consumable products found in CS and other storerooms, warehouses, and satellite storage areas?

101

Balance

A__sheet is a financial summary of what a healthcare facility owns, owes, & its worth at a specific point in time?

102

Exchange

A__cart system is a cart used to hold inventory for a location and exchanged/replenished daily?

103

Immediately or at once

Periodic automatic replenishment abb600-in chapter 17, the abbv STAT in Latin is "statim", which means what?

104

Motion

In chapter 18, the abbv CPM stands for continuous passive__?

105

Total

In chapter 20, the abbv "TQM" means__quality management?

106

Delivery

When managing patient care equipment. Tasks include: assmebly,__,tracking, retrieval, and decontamination?

107

Functional

Patient care equip must be safe,__,ready-to-use, & free from soil and contaminants?

108

Biomedical

When any equipment item enters a healthcare facility, it must be safety-checked & tested by a__technician/department?

109

JCAHO

__requires that preventive maintenance(PM) standards be established for healthcare equipment?

110

PI (performance improvement)

__is an activity designed to identify & resolve work task-related problems that yield poor quality?

111

Senior

__dept. leaders should serve on the quality committee?

112

Capable

In "process management" the only consistent way to achieve goals is with a__process?

113

Recognized

Those who successfully achieve a consistently high quality standards should be__by the senior management team?

114

1970's

Automated info systems have been used since the__to help achieve greater productivity & operational efficiency?

115

Single

__instruments can be located with in a set/tray using laser-etched dot type applications?

116

Usage

Tracking systems can also help maximize equipment & inventory__to yield information as future budgets are developed?

117

Radio Frequency Identification Device

In chapter 19, what does RFID stand for?

118

Case

__cart system is used for products and equipment generally prepared for one special surgical case?

119

Perpetual

A__inventory system keeps track of all incoming, issued, on-hand supplies on a on-going basis?

120

Consignment

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?

121

Turnover rate

__-__is the number of times per year that inventory is purchased, consumed, and replaced?

122

PM

Each time an item of patient care equipment is returned to the CS department for cleaning, its__sticker should be checked?

123

Frayed

CS Techs should also check for damaged (cracked, torn, or__) electrical cords?

124

PCA

A__pump provides automatic administration of pain meds?

125

Point-of-use

Disposables such as pads & tubing should be removed from each piece of equipment, & discarded at the__?

126

Administrative

There are 3 categories of quality control indicators:__, customer satisfaction, & technical?

127

Customer

Remember, it is in the eyes of the__that quality is measured?

128

Patient

The__must be at the center of every quality concern?

129

Customer

__surveys results can indicate potential problems that may not be apparent to Central Service personnel?

130

Aerated

All items sterilized with EtO must be fully__to ensure that no EtO residue or by-products are introduced into the patient?

131

Source of Ignition

In the "Fire Triangle" you must have 3 things: a source of oxygen, a combustible/flammable substance, and__?

132

Type B

A type__extinguisher is used for flammable liquids?

133

External

An__disaster is a situation like earthquakes, floods, hurricanes, or a large number of injured patients like a plane crash?

134

Communication

__is the process transmitting information & understanding from one person to another by use of words & nonverbal expressions such as body language?

135

Human Relations

__-__is the development & maintenance of effective interpersonal relationships that enhance teamwork?

136

Jargon

__are specialized words or phrases known only by persons working in a position?

137

Ethical

CS Techs must follow a professional code of behavior that includes moral, legal, and__aspects of responsibility?

138

ASC (Ambulatory Surgery Centers)

__are not urgent care facilities of physicians offices?

139

1970

The first ASC was organized in__by physicians?

140

90%

Physicians are involved in the ownership of approx.__% of all ASC's

141

Accreditation

__is a voluntary process by which an organization measures the quality of its services & performance against nationally recognized standards?

142

EtO

__sterilization is not generally used in ASC's because of installation concerns, faster turnovers, and environmental concerns?

143

Steam

__most common sterilization performed in dental facilities?

144

Dry-heat

__sterilizers are used in dental facilities to sterilize burrs & orthodontic insts.,because they may be damaged by moist heat?

145

VA

__facilities do not permit "event related" practices for sterilize items and use "time related"?

146

Communication

__is a skill & to do well requires practice?

147

Stereotype

__is a preconceived belief or opinion about a group of people that is applied to every person in that group?

148

Feedback

__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?

149

Just-Like-Me

__ people that tend to like others who behave or think as they do, & who have similar backgrounds/characteristics?

150

Sharps

Mishandling contaminated__such as knife blades, needles, can break the skin's surface and produce puncture wounds?

151

Aerosols

When cleaning instruments in a sink, always scrub below the surface of the water to avoid the formation of__?

152

Lower

Heavy & bulky materials and cases of glass containers should be stored on__shelves?

153

Middle

Items used most frequently should be placed on__shelves to enable them to be easily & safely accessed by employees?

154

Halo-Effect

__-__is when a person is favored because of a quality found to be attractive or valuable?

155

Pitchfork Effect

__-__occurs when one dislikes another person because of a specific quality or personal characteristic?

156

3

In telephone etiquette, try to answer the phone in the fewest possible rings. Many organizations use the "within__rings" rule?

157

Attitude

A proper__is the most important factor necessary for teamwork?

158

3

All plugs on all electrical equipment (installed or portable) must be__-wire and grounded?

159

5ppm over a 15 min.

EtO has a__ppm short-term excursion limit (STEL) over a__minute period?

160

Pull & Push

When transporting a cart from the EtO sterilizer to the aerator,__it instead of__it to avoid inhaling EtO fumes?

161

Ergonomics

__is the process of changing work or working conditions to reduce employee stress?