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| Question | Answer |
|---|
| ____ is the term used for the area beneath the fingernails that is cleaned with a pick during surgical scrub
| Subungual
|
| A ___ is a control device that consist of a paper that has been impregnated with a dye that changes color in the presence of a specified temperature and sterilant
| Chemical indicator
|
| Creutzfeldt Jacob mad cow and scrape are all forms of
| Spongiform enecphalopathy
|
| Wiping instruments ___ with steril water is part of the instrument processing cycle
| Intraoperatively
|
| ___ is a high level disinfectant when items are immersed for 20 to 30 min and a sterilant if items remained immersed for 10 hours
| Glutaraldehyde
|
| ___ is the trade name for
| Glutaraldehyde
|
| The relationship of steam pressure to temperature in a steam sterilizer is
| Increased pressure increased temperature
|
| ___ are classified as non critical patient care items
| Pulse oximeters
|
| ___ is used in the health care setting for routine hand washing
| Anteseptic liquid soap
|
| _____ without antiseptic is effective in removing soluble fatty acids soil and debris from the skin surface
| Plain soap
|
| ___ is the wrapper material that is compatible with hydrogen peroxide gas plasma sterilization method
| Tyvek
|
| The ___ is the area covered by steril drapes. It includes scrubbed personel who are grown and gloved. The draped patient is the center of the
| Steril field
|
| ___ have filters and removable locking devices
| Rigid containers
|
| ___ never lean over over or reach over a sterile surface to distribute sterile goods to the field. They do not pass between two sterile surfaces
| Non sterile team members
|
| ___ must pass other sterile personnel back to back or front to front. Even though wraparound gowns are used in most surgical settings, the sterility of the back cannot be guaranteed because the person wearing it can not observe it. Steril personel never t
| Steril perssonel
|
| ___ is an event related practice performed before and after a specific task or event. It requires a specific method with individual steps
| Routine hand washing
|
| __ is the sterilization method that presents the greatest exposure risk to CSPD personnel, is expensive and requires the longest cycle time
| Ethylene oxide
|
| ___ is often the result of contamination of the tissues by microorganisms during the intraoperative period
| Surgical site infection
|
| Contact between the ___ results in contamination of the glove which must be replaced with a new sterile glove
| Sterile gloves and a non sterile surface
|
| ___ is the term that means the number of microbes or amount of organic debris on an object at any given time
| Bioburden
|
| The __ recommends the weight of instrument sets not exceed 25 pounds
| AAMI
|
| When ___ comes in contact with a sterile drape or gown, it can cause strike through contamination. This occurs when moisture from other either side of the drape serves as a vehicle for bacteria to infiltrate the drape from the non sterile surface
| Water
|
| ___ are loaded with space between wrapped items and tray to allow adequate circulation and penetration of steam to all surfaces
| Large steam sterilizers
|
| During __ of surgical instruments, Luke warm water detergent and enzymatic cleaner with neutral ph should be used
| Maual cleaning
|
| The surgical scrub should go up to ___ above the elbow
| 2 in
|
| ___ is the type of process the ultrasonic cleaner uses to dislodge minute particles of soil and organic debris
| Cavitation
|
| ___ is the sterilization method most commonly used. It is the safest least expensive and most appropriate for the majority of surgical instruments
| Saturated steam
|
| When an object is sterile it is completely free of all living microorganisms including microbial spores. All non sterile surfaces are considered potentially contaminated with
| Pathogenic microorganisms
|
| ___ is the term used to describe the process of removing all soiled linen waste and instruments from the room and cleaning of furniture floors or other contaminated surfaces in preparation for opening new supplies for a subsequent case
| Turn over
|
| ___ is the type of calendar days that denotes the number of the calendar day in 1 through 365/366
| Jullian
|
| __ is contamination cause by passage of micro organisms through a sterilized package by way of moisture wicking
| Strike through
|
| Equipment that is not draped must remain outside the sterile with atleast allowed between sterile and non sterile surfaces
| 12 inches (30 cm)
|
| __ is the biological indicator (BI) for the steam sterilization method
| Geobacillus stearothermophilus
|
| ___ is the physical or chemical process by which all living microorganisms including spores are killed
| Sterilization
|
| __ are all classifications of patient care items
| Critical, non critical, and semi critical
|
| Strict ____ is the most important factor in a surgical technologist role in preventing surgical site infection
| Surgical conscience
|
| The __ is performed for prevacuum air removal steam method
| Bowie dock test
|
| __ of a wrapped item item are considered sterile upto one inch from the edge of the wrapper
| Contents and wrapper
|
| ___ including scrub suit head covering mask show and jacket is worn in the restricted
| Surgical attire
|
| The basis of ___ is the concept of barriers between contaminated and sterile surfaces. Sterile objects or surfaces are contaminated or confined to prevent contact with non sterile objects
| Aseptic technique
|
| An __ is appropriate to use on animate surfaces
| Antiseptic
|
| __ is the term that refers to a barrier such as a plastic backed table cover that does not allow fluid to pass through it
| Impervious
|
| When ___ sets are being sterilized they should be folded side down with a towel used tonseperate them
| Nested basin
|
| __ of powered instruments or fiber optic light cords should be coiled loosely in a perforated or mesh basket to be placed in rigid containers for sterilization
| Air hoses
|
| __ is another name for the intermediate level disinfectant compound phenol
| Carbolic acid
|
| __ is the name of the outside area of an autoclave where steam is created before injection into the interior compartment
| Jacket
|
| __ is the recommended biological indicator (BI) for hydrogen peroxide gas plasma
| Bacillus atrophaeus
|
| Implantable devices should never be processed by immediate use
| Flash sterilization
|
| __ is the name of the common disposable surgical gown style
| Wraparound
|
| In preparation for donning after scrubbing the ST should __ on non sterile mayo stand and open and toss ___ onto the gown
| Ooen gown wrapper, gloves
|
| __ is the most gloving method performed after donning a sterile gown and before setting up the back table
| Closed gloving
|
| Acceptable position for the placement of a scrubbed gown and gloved surgical tech hands are clasped together in front at
| Waist level
|
| __ is based on surgical conscience that is the ethical and professional motivation that regulates a professionals behaviors regarding disease transmission
| Aseptic technique
|
| The large pack is opened on the ___ because that is the center of the scrubs work area
| Back table
|
| ___ is the common name for the high level disinfectant sodium hypochlorite
| Bleach
|
| __ is the term for the process of lubricating stiffened stainless steel surgical instruments by immersion
| Milking
|
| When a surgical tech drapes an unsterile table he or she opens the drape __ them
| Torward
|
| An __ is a chemical solution made of catalysts that aid in breaking down proteinaceous debris such as blood or fat
| Enzymatic
|
| __ is the term for inanimate objects that harbor micro organisms that contribute to environmental contamination
| Fomites
|
| Members of the ___ should use the following procedures to remove soiled sterile scrub attire gowns gloves and masks. Hands must be washed after removing soiled sterile attire
| Scrub surgical team
|
| ___ must be cleaned w bristle brushes on wire pipe cleaners or hand held pressure gun
| Suction tip lumens
|
| A potential risk for placing surgical instruments of dissimilar metallic type together in a washer sterilizer cycle is
| Electrolytic conduction reaction
|
| During the process of setting up the sterile field efficiency and economy of motion recommend that the st move items only ___ if possible
| Once
|
| ___ is the term for the condition of the surgical tech skin after performing a surgical scrub
| Surgically clean
|
| Environmental specification for the decontamination room in Cspd include air exchange rate a minimum of __ per hour humidity between __ % and __ % temperature between __ and __
| 10 35 72 64 70
|
| When opening __ or other heavy equipment set the tray on a small table and open it in place
| Large instrument trays
|
| Soaking instruments covered with bioburden during a surgical procedure should be done in __. Sterile saline will put and damage instruments
| Sterile water
|
| __ is the term that has replaced the previous system of assessing storage conditions and package integrity based on an arbitrary expiration designation
| Event related
|
| Regarding __ cassettes are not sealed due to liquid immersion during the process so they cannot be stored
| Peracetic acid sterilization
|
| __ is the technique used for placement of a urinary catheter as part of the skin prep
| Open gloving
|
| The appropriate method for delivering a sterile item to the back table from a peel pack is to open package __ and __. Gently toss item without touching glued edge
| Laterally completely
|
| A__ is a type of sterile gown that uses battery powered ventilation for the wearer
| Disposable fluid resistant
|
| A __ should approach a sterile area face forward while maintaining 12 inches
| Non sterile person
|
| Items __ or __ in activated glutaraldehyde are dried prior to submersion. Moisture will eventually dilute the concentration to ineffective levels
| Disinfected sterilized
|
| The configuration of a mayo stand cover is
| Cylindrical
|
| Powered instruments must __ be immersed in any type of mechanical decontaminating equipment
| Never
|
| __ chemicals that reduce the number of microorganisms in body tissue or on skin used for the surgical scrub may prevent recolonization for a limited period
| Antiseptic
|
| __ in surgery it is state of the presence of no pathogens without infection absence of pathogenic microorganisms on an animate surface or on body tissue
| Asepsis
|
| __ takes time and practice to develop methods of practices in health care promote and maintain a state of sepsis
| Aseptic technique
|
| __ draped back table top drape patient
| Sterile
|
| __ cuffed of gown after donning gloves armpits tiny hole in gloves
| Contamination
|
| __ counted stroke brushes must be steril
| Surgical scrub
|
| __ application of approved antiseptic to all surfaces of the hands and fingers should be used only when no soil is visible on hands
| Surgical rub
|
| __ microorganisms that are normally present in specific tissues of people normal flora
| Resident flora
|
| __ maybe removed by the surgical scrub microorganisms that do not normally reside in the tissue of the individual found on the uppermost layer of the skin
| Transient flora
|
| ___ also called microbes are tiny forms invisible to the naked eye and a natural part of the world in which we live
| Micro organisms
|
| In nature __ serve to convert complex organic compounds such as animal plant matter into more simple forms through the process of decay
| Micro organisms
|
| Three broad classifications of micro organisms are
| Prokaryotes eukaryotes and viruses
|
| Both organism benefit from and depend on one another to a certain extent
| Mutualism
|
| __ colonizes within the human intestine obtains nutrients from the food we eat
| Escherichia coli
|
| __ produces vitamin k which is essential to the blood clotting process in humans
| E.coli
|
| 2 organism work together to achieve a result neither could obtain alone
| Synergism
|
| One organism benefits but second organism neither benefits nor is harmed
| Commensalism
|
| 2 organism occupy the same area with no effect on each other
| Neutralism
|
| One microorganism inhibits or interferes with the growth of another
| Antagonism
|
| One organism benefits and the hist is harmed
| Parasitism
|
| The multiplication of organisms in the tissue of a host is called
| Infection
|
| An infection that developes while a patient is in a health care facility is called
| Nosocomial infection
|
| All living cells are classified into 2 groups
| Prokaryotes and eukaryotes
|
| All bacteria are
| Prokaryotes
|
| Coccoid
| Round shaped bacteria
|
| Spirilla
| Spiral shaped bacteria
|
| The most common transmitted pathogen in the hospital is
| Staphylococcus aureus
|
| __ caused by mycobacterium tuberculosis and transmitted through airborne droplets
| Tuberculosis
|
| __ are able to constantly mutate and evolve in order to adapt to changing environments
| Viruses
|
| __ is short for proteinaceous infections particles
| Prion
|
| __ are an infectious agent that are not contagious or transmitted in the same way as other microorganisms
| Prions
|
| Human to human transmission is not direct but rather occurs through the use of __
| Prion contaminated surgical instruments
|
| The study of inter vertebrates that cause disease is called
| Parasitology
|
| There are 2 categories of parasitic human pathogens
| Unicellular protozoa and multicellular protoza
|
| One of the more important protozoa is __ the cause of amoebic dysentery an infection often found in patients who are scheduled to under go a sigmoidoscopy or colonscooy
| Entamoeba histolytica
|
| __ is the study of fungi
| Mycology
|
| Fungal diseases are called
| Mycoses
|
| The majority of fungi are opportunistic pathogens that cause disease when the host is
| Immunocompromised
|
| The 2 primary sources of SSI risk to the patient are the ___ encountered in procedures or __ of the skin
| Endogenous microflora And Indigenous microflora
|
| Most but not all microorganisms located on inanimate non living surfaces are destroyed
| Disinfection
|
| Used for the surgical scrub on the skin
| Antiseptic
|
| Is a process by which most but not all microorganisms located on animate living surfaces
| Antisepsis
|
| Destruction of all microorganisms including spores
| Sterilization
|
| Items used for invasive procedures or vascular access and carry a high potential for causing ssi
| Critical
|
| Items that come into contact with the mucous membranes or non intact skin they carry less risk of infection
| Semi critical
|
| Items that come in contact with the patients skin
| Non critical
|
The item could puncture the sterile cover. The item should be opened into a basin on a ring stand or preferably, a non-scrubbed person should open the peel pack and pass the sterile item(s) using sterile technique to the CST in the first scrub role.
