What should the sterilizer access area pressure be? - ANSNegative w/10 air exchanges per
hour
What two steps are involved in decontamination? - ANS1. Manual and/or automated mechanical
cleaning
2. application of a thermal or chemical disinfection process
Define Cleaning... - ANSThe 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... - ANSpoor or ineffective
decontamination of instruments
What are Employee hazards in the decontamination process? - ANSTechnicians 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? - ANSfollow the device manufacturer's written instructions
What is the starting point in sterilization? - ANSCleaning
Define decontamination - ANSThe 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? - ANS-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? - ANSBox lock and jaws
What does the ABC system stand for? - ANSA: 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? - ANSItems are distributed to department by vendor no need for
sterile storage or inventory control.
, What are specialty/ procedure carts? - ANSCarts placed in specific departments based on
procedures
personalized to needs of departments easily accessible.
What is case cart distribution? - ANSvisually in specialty areas case carts are delivered to
department case cart is specialized to departments needs
What is the exchange cart distribution? - ANSTwo identical carts are made one is out in the
department and other stays in SPD
What is par level distribution? - ANSThere is fixed inventory and when items become low they
are replenished from the stockroom per department/specialty
What is demand distribution? - ANSAn instrument/cart must be ordered in order to get it
What are the most common distribution systems? - ANS1) 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? - ANSpositive air flows out
What is shelf life - ANSperiod of time which a sterile item is considered safe to use
event related not time related
When are packs most vulnerable to contamination? - ANSImmediately after sterilization
What is it when a sterilizer's ability is tested under worst case conditions? - ANSSmall load
testing
What is it called when a sterilizer is tested for sterilization under actual use conditions? -
ANSMax load testing
How often is a Bowie Dick test ran? - ANSDaily for dynamic air removal sterilizers
How much space should be between packages and chamber wall? - ANSone inch
How should paper-plastic pouches be placed in a sterilizer? - ANSplastic to paper or paper to
plastic
tilted on side
How should basins be placed in a sterilizer? - ANSon tilted side same direction
What should be placed on the bottom of the rack in a mixed load? - ANSmetal instruments
basin
other metal items
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