It's True... or is it?
The decontamination room where contaminated items are cleaned should be separated from areas where personnel handle clean items, to avoid the risk of cross-contamination.
A. True
B. False
What is A, True?
Proper PPE in the decontamination area protects personnel from what?
A. Bloodborne pathogens
B. Splash injuries
C. Sharps injuries
D. All of the above
What is D, All of the above?
Packed instruments are considered “sterile” when they have been….?
A. Packed and wrapped
B. Passed from the dirty to clean side
C. Removed from the sterilizer
D. Cooled after removal from the sterilizer
What is D, cooled after removal from the sterilizer?
What is biofilm?
A. Normal skin flora
B. Microorganisms that adhere to surfaces
C. Protective covering that forms over incisions
D. A specific type of skin graft
What is B, Microorganisms that adhere to surfaces?
*Biofilm is bad! Microorganisms can adhere to organic/inorganic surfaces like instruments if blood/bodily material is allowed to dry.
When arranging plastic/paper peel pouches in the sterilizer they should be positioned standing up right on edge with?
Plastic to plastic
Paper to plastic
Paper to paper
Paper to phenol
Paper to plastic
Perioperative personnel transporting instruments to decontamination should assure they are dry until able to be cleaned.
A. True
B. False
What is B, False?
You are required to wear a mask on the clean side of the semi-restricted area
A. True
B. False
What is B, False?
*Required on the dirty side however.
What online tool can you use to review different manufacturer’s IFU’s?
A. Onesource
B. BeyondClean
C. IAHCSMM
D. AAMI
What is A, Onesource?
Biofilm is a thin layer of microorganisms that can:
form on instruments if blood or other organic materials are allowed to dry
adhere to organic or inorganic surfaces
be difficult to remove when allowed to dry
A. 1 and 2
B. 1 and 3
C. 2 and 3
D. 1, 2, and 3
What is D, All the previously listed statements are facts about Biofilm.
Which of the following use a pump to remove air from the sterilizer's chamber before steam is introduced?
Gravity air displacement sterilizers
Dynamic air removal sterilizers
Washer-sterilizer
Flash sterilizer
Dynamic air removal sterilizers
Personnel should position surgical instruments and accessories in the washer in a manner that ensures the cleaning solution contacts all surfaces of the instrument.
A. True
B. False
What is A, True?
The sterile processing area is composed of the following zones:
A. Restricted and unrestricted
B. Restricted and semi-restricted
C. Unrestricted and semi-restricted
What is C, Unrestricted and semi-restricted?
*Unrestricted zones include the locker/break areas while semi-restricted zones include all the processing and storage areas for instruments.
Before packing and wrapping takes place, personnel should check instruments for which of the following?
A. Cutting edges are sharp
B. Moveable parts are freely moveable
C. Screws are secure
D. No bioburden present
E. All of the above
What is E, All of the above?
*We should also check for: missing parts, presence of moisture, chipping or wear, cleanliness, integrity of the device/parts (seals/gaskets/cords/cables), corrosion, burns, cracks, nicks, pitting, correct function, correct alignment, integrity of insulation, lens clarity, other defects.
You will use a disinfectant prior to using a detergent on surgical instruments.
A. True
B. False
What is B, False?
*It's the other way around- a detergent is used to remove all debris prior to disinfectant use.
Generally, emergency eyewash units should be tested ____ and stations should be located within ____
At least daily, located within 15 seconds
At least weekly, located within 10 seconds
At least once a day, located with 8 seconds
At least weekly, located with 15 seconds
At least weekly, located within 10 seconds
It’s appropriate to clean an instrument, such as a camera, with mechanical methods.
A. True
B. False
What is B, False?
*Mechanical cleaning is preferred for instruments, however this method risks damaging items like power drills, delicate instruments, cameras, etc. Manual cleaning is required for these.
What PPE must be worn across the red line in decontamination?
A. Hat, mask, gloves, gown, shoe covers
B. Gloves, gown, shoe covers, mask, face shield
C. Face shield, hat, mask, gloves, gown, shoe covers
D. Shoe covers, goggles, gown, mask, hat
What is C, face shield/hat/mask/gloves/gown/shoe covers?
Personnel in the clean packing area discover an item that has visible blood. What action should they take?
A. Spray it with alcohol solution and wipe it off
B. Continue to pack the tray as it will get sterilized anyway
C. Send the item back to decontamination
D. Move to the next item, this is an expected finding at this stage of processing
What is C, Send the item back to decontamination?
You are working in decontamination to get multiple trays disassembled when you suffer a splash injury to your eye. What is your immediate next step?
A. Flush at the eye wash station for 10 minutes
B. Continue working, the instrument didn’t have blood on it anyway
C. Flush at the eye wash station for 15 minutes
D. Tell your immediate supervisor and go to employee health
What is C, Flush at the eye wash station for 15 minutes?
*You should tell your supervisor and go to employee health shortly thereafter.
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 sprinkler's heads.
One inches,Four inches,Twelve inches
One inches,Four inches,Twelve inches
Two inches,Eight inches,Fourteen inches
Two inches,Eight inches,Eighteen inches
Two inches,Eight inches,Eighteen inches
A type ABC fire extinguisher contains ammonium phosphate?
True
False
True
Material Safety Data Sheets provide health and safety hazard and risk information on which of the following?
Electrical
Chemical
MSDS
Mechanical
Chemical
Which of the following items MUST be sterilized with an accompanying biological indicator?
Endoscopes
Plants
Implants
Steam
Implants
Which of the following BEST describes the general environmental conditions of SPD sterile storage?
Controlled temperature and humidity, limited traffic
Controlled temperature and high humidity, limited traffic
High temperature and high humidity, no traffic restrictions
Controlled temperature and humidity, no traffic restrictions
Controlled temperature and humidity, limited traffic
Before releasing an item to fill a sterile supply order, all of the following must be checked EXCEPT ?
The expiration date.
Cost effectiveness data.
Whether the package is damaged.
Verification of chemical indicator
Cost effectiveness data.