Progress Test 6: Complete the following 175 multiple-choice and true/false questions.

1. Information technology is often the cornerstone of initiatives to transform healthcare.

2. Disposable items increase combustible load in a healthcare facility.

3. Enabling people to use information gained to interact with others is known as

4. At this time, tracking systems are unable to track worker productivity information.

5. A step in communication that occurs when a listener asks a question is called

6. Improving professional development skills is an important part of

7. The U.S. Food and Drug Administration Class II chemical indicator run daily in dynamic air removal sterilizers is called a

8. Always wearing personal protective equipment in the decontamination area is a quality process.

9. Product expiration dates are located on this part of each package.

10. When patient equipment enters a healthcare facility, it must be safety checked by

11. These are used to breakdown fatty tissue on instruments

12. Anaerobic bacteria require oxygen to live.

13. The absence of microorganisms that cause disease is called

14. Immediate use steam sterilization was developed to process items when the facility does not have enough instruments to perform the surgery.

15. When an instrument has a shiny surface it is said to have a

16. Lumens should be moist when sterilized using hydrogen peroxide as a sterilizing agent.

17. Most Central Service departments employ some sort of automated Information management system.

18. Ethylene oxide gas canisters should be stored

19. Knowing what is expected and consistently meeting those expectations are part of

20. Improving employability skills requires

21. Sterile packages should be stored no lower than eight to 10 inches from the floor.

22. Combining vowels are used to

23. If soiled instruments are to be transported to an offsite facility for processing

24. The decontamination area of the Central Service department is where instruments are carefully checked for cleanliness and function.

25. Arthroscopy instruments are used during

26. Some plastics including formulations of spun-bonded polyolefin are intended for use in these sterilization processes

27. The amount of time an item must remain wet with a disinfectant to achieve disinfection is called.

28. The drain screen in a steam sterilizer must be cleaned

29. This surgical procedure removes the uterus.

30. Recommendations regarding sterilization practices are provided by the Association for the Advancement of Medical Instrumentation.

31. Which of the following is NOT a result of computer integration?

32. A plane crash is an example of an external disaster.

33. Effective communication skills will resolve all communication problems.

34. Professional development is a commitment to continuous learning.

35. In addition to providing financial and operational management, information technology systems are used to help ensure patient safety.

36. Which of the following is true about a valuing diversity effort?

37. Safety relates to freedom from damage, risk or injury.

38. Personal development is mandatory while professional development is only needed for career advancement.

39. Employee training should occur

40. If everyone develops a quality-driven focus, written policies and procedures are not necessary in the Central Service department.

41. The movement of supplies throughout the healthcare facility is called

42. All patient care equipment that was dispensed for use must be considered and handled as such, regardless of its appearance.

43. What is the preferred pH for detergents used for most cleaning processes?

44. All microorganisms are harmful to humans.

45. Inanimate objects that can transmit bacteria are called

46. All items sterilized or high-level disinfected at point of use must be carefully monitored and logged.

47. Instrument marking tape should be wrapped around approximately

48. Hydrogen peroxide kills microorganisms by a process called oxidation.

49. Event related shelf life means items are safe until opened for use.

50. The term ectomy means

51. The proper handling of instrumentation is the responsibility of

52. A pick list contains information that

53. After use, loaner instrumentation must be decontaminated before it is shipped back to the vendor.

54. Cellulose materials cannot be processed within a hydrogen peroxide sterilizer.

55. Which of the following would be the best choice for high-level disinfection of instruments?

56. The steam sterilization process can be affected by the design of the medical device being sterilized.

57. Organs are two or more cells that are similar.

58. Which organization writes standards relating to the processing of flexible endoscopes?

59. Which of these traffic control/dress code requirements applies to the clean assembly area of Central Service?

60. Computerized tracking systems are fast, but manual tracking systems are more effective for tracking.

61. Which of the following information is NOT included on a safety data sheet?

62. Customer complaints are best handled through which of the following approaches?

63. Networking inside ones profession can help increase knowledge toward advancement, while networking outside ones profession does not.

64. Which of the following is NOT a feature of an instrument tracking system?

65. This process allows a person to understand someone else’s needs.

66. Safety data sheets are provided by

67. One important step in preparing for an interview is

68. Sterilizer load records should contain

69. The quality method failure mode and effects analysis is a

70. A disadvantage of an exchange cart system is

71. Patient care equipment should be stored in a

72. Cleaning brushes

73. Microbiology is the study of

74. The basics of aseptic technique

75. To sterilize items using immediate use steam sterilization, the item’s manufacturer instructions must state the item can be sterilized using an immediate use steam sterilization cycle.

76. Laser finished instruments are coated with a durable protective finish that cannot be chipped or scratched.

77. Information about a device’s compatibility with a specific sterilization process should be obtained from the device’s manufacturer.

78. Temperatures in the sterile storage area should be 64 to 78° Fahrenheit.

79. The suffix -tome means

80. It is acceptable to transport soiled and clean items at the same time in the same cart if they are placed on separate shelves.

81. Soiled instruments and other items are received in the_ department

82. Which of the following should be used to thoroughly rinse (remove) all traces of disinfectant from an endoscope’s channels?

83. When placing instruments that open in an instrument tray

84. Items that are introduced directly into the bloodstream or other normally sterile areas of the body are classified as

85. Gravity steam sterilizers use a pump or water injector to remove air from the chamber.

86. The procedure to remove the stomach is

87. Failure to receive accreditation from The Joint Commission can result in the loss of Medicare and Medicaid payments.

88. Which of the following tracking methods provides real-time information?

89. Healthcare facilities using ethylene oxide should have a dedicated ventilation system to remove residual ethylene oxide during the exhaust cycle.

90. Which of the following is an example of communication?

91. Professional development skill building activities include

92. A group of employees from different departments within the healthcare facility that work together to solve operating problems is called a

93. Which of the following is NOT a component of risk management?

94. Planning and reviewing goals will identify activities to help meet those goals.

95. Documentation of immediate use steam sterilization cycles should include

96. Quality requires the efforts and participation of everyone in the healthcare facility.

97. Supplies such as disposable wraps are called

98. Preventive maintenance

99. Detergents used in mechanical cleaners should be

100. When cleaning prion contaminated instruments no special cleaning procedures are required only following standard cleaning protocols and the Manufacturer’s Instructions for Use.

101. Hand hygiene is considered the single most important factor in reducing infections.

102. Immediate use steam sterilization documentation should include

103. An osteotome is

104. Woven reusable fabrics are the packaging products of choice for ozone sterilization.

105. Sterile items should be stored at least

106. Which of the following means beside or near?

107. Decontamination of instruments and equipment starts

108. All Central Service departments perform the same basic services.

109. Leak testing should be performed on each flexible endoscope annually.

110. When placing instruments in a peel pack, the tips should always face the paper side of the pack.

111. Devices listed as critical items, must be prior to use.

112. When combining loads, hard goods should be placed on the top shelves to allow for more efficient removal of the condensate.

113. Items that are wrapped moist can be a cause of wet packs.

114. A herniorrhaphy surgical procedure is

115. Voluntary standards

116. Tracking individual instruments is important to help ensure specific instruments are kept with a specific set.

117. Personal headsets should not be used in the Central Service department because they

118. Which of the following is NOT required for sharps safety?

119. On the job relationships do not change when one team member has been promoted.

120. Hospitals can effectively validate sterilization processes.

121. Six Sigma focuses on

122. The following symbolizes

123. The requires that the healthcare facility report malfunctions of medical devices that have contributed to patient injury, illness and/or death to the manufacturer and the U.S. Food and Drug Administration.

124. Because of the cavitation and impingement action of mechanical cleaners there is no need to pre-clean items that will be processed in a mechanical cleaner.

125. When cleaning items contaminated with pseudomonas,

126. The decontamination area of the Central Service department should have

127. Before an item can be placed in a low-temperature sterilization processing system they must be

128. Stainless steel jaw needle holders last longer than tungsten carbide jaw needle holders.

129. Hydrogen peroxide is an effective sterilizing agent for linens and gauze sponges.

130. When transporting sterile items in an approved vehicle, soiled items can be transported in the same cart as long as they are on different shelves from clean or sterile items.

131. The term hyster means

132.Items should be contained for transport

133. In Central Service, the concept of “one-way flow of materials” refers to the movement of products

134. The muscular system

135. U.S. Food and Drug Administration Medical Device recall

136. Endoscope cameras are sealed instruments so fluid invasion is not a concern during the cleaning process.

137. The U.S. Food and Drug Administration classifies sterilization packaging as a

138. The relative humidity of the assembly area should be

139. The use of test strips to test the minimum effective concentration in high-level disinfection solutions is required

140. After sterilization the load contents may take two hours or more to cool. a. True

141. Which of the following is the most important factor necessary for teamwork?

142. Information about chemical or hazardous substances must be available to all employees.

143. The following resources will help a technician stay current in the Central Service field.

144. A biological indicator that is incubated without being sterilized is called

145. Not following established policies and procedures will result in a lower quality program.

146. Capital equipment items are

147. Equipment leasing and rental differ in that

148. Powered surgical instruments

149. Prions are

150. To protect themselves from splashes and spills, Central Service technicians assigned to the decontamination area should wear

151. When transporting items that have been immediate use steam sterilized, it is required that

152. Instruments with tungsten carbide jaws can be easily identified by

153. Exposure monitoring is __

154. All items should be removed from storage shelves prior to cleaning the shelf.

155. The term ante means

156. Endoscopes should be cleaned and the internal channels left moist for storage.

157. Gauze squares are the wicking material of choice for instrument sets.

158. Pasteurizers disinfect using

159. When loading a steam sterilizer, basins should be

160. This tissue covers the body’s external surface.

161.U.S. Food and Drug Administration recalls may be either mandatory or voluntary.

162. Central Service technicians who do not think they are being treated appropriately by their employer should

163. Healthcare facilities are required by the to provide adequate ventilation systems, personal protective equipment and safe work operating procedures?

164. Steps toward attaining professional goals in Central Service include

165. There are currently no methods available to verify cleaning process outcome

166. Viruses use this method of transportation to move.

167. The best way to clean a suction lumen is

168. Jewelry is discouraged in sterile storage because it can damage or contaminate packages.

169. Automatic endoscope reprocessors are not recommended for flexible endoscopes.

170. When using high-level disinfectants it is important to remember they may be deactivated by

171. Peel pouches should be placed

172. The brain center of a cell is called the

173. Coaching is an example of

174. The process of changing work or working conditions to reduce physical stress is

175. When water is seen on the outside of a pack after sterilization the pack is considered safe to use if all other packs in the load are dry.