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Chapter 9-12 Review

AB
1. _______________ are chisel-like instruments used to cut/shave bone.Osteotomes
____(stainless steel) also known as 400 series stainless steel. Is magnetic, and may be heat-hardened.martensitic
A chemical process applied during instrument manufacture that provides a corrosion-resistant layer.passivation
The first step in manufacturing a surgical instrument is .Forge
A _______________ is a chemical used on inanimate objects such as medical instruments to kill all organisms except spores.disinfectant
___________ is the use of physical or chemical procedures to completely destroy all microbial life.sterilization
______________-_________ are items that come in contact with intact mucous membranes, and do not ordinarily penetrate body surfaces.Semi-critical
A _____________________- ______________disinfection kills all microbial organisms but not necessarily large numbers of bacterial spores.High-Level
______________ is an air-powered instruments using compressed gas like CO2.Pneumatic
Most flexible endoscopes need to be “_______________tested” before submersion to assure that internal components do not get damaged.leak
Effective _________________-_____________ policies and practices are critical to minimize or eliminate cross-contamination.Infection control
The _______________________approves the use of high-level disinfectants & sterilants used for critical & semi-critical medical devices based on their identified use.FDA
____________waste may cause mortality or serious illness if disposed of improperly, & must be re-bagged.Hazardous
___________-____________ 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.Relative humidity
The ventilation system should allow for no less than _________air exchanges per hour.10
Horizontal work surfaces should be cleaned & disinfected at the __________& __________ of each shift.Beginning & end
_______________are (wetting agents)/cationic surface-active compounds.Quats
_____________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.Phenolic
To achieve a reasonable level of disinfection, alcohol must remain in wet contact with the surface for a minimum of ___________ minutes.5
Alcohol can destroy viruses up to ___________ hours.several
In the manufacturing process & depending upon the style of the instrument, a device is heated to approximately _____________ degrees F.1500
Kelly Hemostats have ___________serrations on its distal tip.partial
When _____________ is placed on an instrument, this indicates that the (jaws) are made of Tungsten Carbide.gold
Instrument marking tape must be wrapped around an instrument _________to _________times.1 to 1 1/2
The largest operating channel in a flexible endoscope is the ___________channel.instrument
_________________cleaning is the most important step in processing flexible endoscopes.Manual
In some laparoscopic instruments the black _______________coating is very susceptible to pin holes, cracks, tears & overall loosening.insulation
Loaner instrumentation that come from the outside should be considered __________________ and handled accordingly.contaminated
____________________-________________________are chemicals that hold hard water minerals in solution, & prevent soaps or detergents from reacting with the minerals.Chelating agents
_____________________break down or “digest” large organic molecules to facilitate their removal.enzymes
_________________break down fatty deposits such as bone marrow.Lipases
____________________________is the process used by an ultrasonic cleaner in which low-presser bubbles in a cleaning solution burst inward.cavitation
______________________________is a high level disinfectant used for semi-critical devices such as endoscopes & ultrasonic probes.glutaraldehyde
The time for a high-level disinfectant to be a sterilant is extended to _________ hours or more depending on Manfucturers’ Recommendations.10
A _______________-book should be maintained when using high-level disinfectants like glutaraldehyde and OPA.log
Disinfection can also be done by heat in a process called _____________________disinfection, like automatic washer-sanitizers/disinfectors.thermal


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