| A | B |
|---|
| During surgical procedures, small-bore cannulas and suction tip lumens should be flushed frequently with _____. | water |
| The process of sterilizing a surgical instrument with a flash sterilizer is called _____ processing. | immediate use |
| Regardless of the job description of the personnel participating in the clean-up following a surgical procedure, all personnel must ____. | be attired in personal protective equipment |
| The recommended practice to damp dust the surgical lights, furniture, and fixed equipment in the operating suite is _____. | Prior to the first case of the day. |
| Following processing in the washer-sterilizer, all instruments should be placed in the ultrasonic cleaner. This process further removes particles and debris through a process called "cavitation." Because cavitation is not ____, all instruments subjected to it must first be processed in the washer-sterilizer. | a disinfecting or sterilizing process |
| The purpose of wrapping an item prior to sterilization is to protect the item from _____ following the sterilization process. | contamination |
| The Spaulding Method of reprocessing instruments and patient materials assigns three risk levels are critical risk, semicritical risk, and ____. | noncritical risk |
| The relationship between ____ is instrumental in the destruction of microbes with a steam sterilizer. | water and microbe |
| The primary advantage of _____ sterilization is its ability to penetrate wrappers and to disinfect objects that cannot tolerate heat, moisture, and the pressure of steam sterilization. | Ethylene oxide |
| _____ is the process by which any surfaces, materials, and equipment are cleaned with specific substances that render them safe for their intended use. | Disinfection |
| If other personnel are responsible for cleaning up the back table, the scrub people should ____ on the table. | verbally communicate the presence of sharps |
| All articles used and discarded in the course of surgery must be placed in ____. | leak-proof conatainers |
| At the close of surgery, sharp instruments are _____ laarger instruments to prevent injury. | separated out from |
| The washer sterilizer or washer disinfector is used to decontaminate all instruments that can tolerate water _____. | turbulence and high-pressure steam |
| To test and monitor the efficiency of the high-vacuum sterilizer, a test known as the ______ test is performed. | daily air removal |
| The important factor to remember about ____ is that they do not indicate sterility, only that certain conditions for sterility have been met. | indicators |
| The hinge point of surgical instruments is called the ______. | box lock |
| The Thompson, Bookwalter, and Balfour retractors are examples of _____ retractors. | self-retaining |
| Fibrous connective tissue requires heavy scissors such as _____ scissors for cutting. | curved Mayo |
| A ____ is a type of scalpel handle with interchangeable disposable blades used in surgery of the eye and ear. | Beaver handle |
| The semi-occluding vascular clamp is capable of low levels of compression between the jaws; these clamps are angled to allow access to blood cells. Examples of vascular clamps include _____. | bulldog, Satinsky, and Fogarty |
| An example of an atraumatic instruments is the _____. | Brainbridge and Doyen intestinal clamps |
| Thumb forceps are used to grasp ____. | tissue |
| Right-angled scissors such as the _____ allow the surgeon to insert the tip of a vessel to cut. He or she can aim the scissors straight down into the wound, but the tips follow the horizontal plane of the vessel. | Potts |
| ____ are needed when handling tissue such as viscera and its underlying tissue layers, which can bleed profusely. | DeBakey forceps |
| Bone retractors such as the _____ have a toothed tip or a reverse curve that can be inserted under another bone for leverage. | Bennett |
| Tissue is described as ____ when it is heavy with fluid, inflamed, or diseased. Its normal resiliency is lost, and it becomes soft and doughy. | boggy |
| _____ tissue can tolerate the amount of pressure exerted by a hemostat or low-compression biting instruments such as an Allis and tends to heal rapidly unless diseased or infected. | Elastic |
| Infection or advanced age can cause normally strong tissue to become ____. | friable |
| A hemostat is one that blocks the flow of blood is called an ____ clamp. | occluding |
| An instrument with two hinges in the middle in the middle that provides greater leverage and cutting strength than a regular instrument is known as _____-action instrument. | double |
| A ____ is a graduated, smooth instrument used to increase the diameter of an anatomical opening in tissue. | dilator |
| An instrument placed within the natural lumen of a fistula to determine its length and direction is a _______. | probe |
| A _____ is a type of hemostat with a straight shank and a right-angled tip. | Mixter |
| A ____ is acapable of varying low levels of compression between its jaws. | semi-occluding clamp |
| Fibrous tissue is very resilient and requires _____ instruments to maintain gasping pressure. | toothed |
| steam sterilizer used in low-volume clinical settings | Autoclave |
| a process that greatly reduces the number of microorganisms on tissue | Antisepsis |
| Able to inhibit the growth of bacteria but not to kill them | Bacteriostatic |
| A quality control mechanism used in the process of sterilization. It consists of a closed system containing harmless, spore-forming bacteria that can be cultured rapidly after the sterilization process | Biological Indicator |
| A process in which air bubbles are imploded, causing the release of particles of soil or tissue debris | Cavitation |
| the area if the hospital where medical devices and equipment are processed | Central Processing |
| A method of testing a sterilization parameter by chemical means | Chemical Monitor |
| A process that uses chemical agents to achieve sterilization | Chemical Sterilization |
| A process that usues detergent and mechanical or hand washing to remove organic or inorganic soil or debis | Cleaning |
| A method of sterilizing prepackaged equipment using ionizing radiation | Cobalt 60 |
| To render nonsterile and unacceptable for use in critical areas of the body | Contaminate |
| A process in which recently used and soiled medical debices, including instruments, are rendered saft for personnel to handle | Decontaminate |
| A chemical that breaks down organic debris by emulsification to aid in cleaning | Detergent |
| A highly flammable, toxic gas capable of sterilizing an object | Ethylene Oxide |
| A term meaning able to kill germs | Germicidal |
| A term meaning able to kill fungi | Fungicial |
| A type or sterilizer that removes air by gravity? | Gravity displacement |
| A process that reduces bioburden to an absolute minimum | High level disinfection |
| Approved attire worn during reprocessing of medical devices and cleaning of patient areas | PPE |
| A system used to determine the level of microbial destruction on medical devices and supplies based on the risk of infection associated with the area of the boedy where the device is used | Spaulding |
| Able to kill spores | Sporicidal |
| A process by which all microorganisms, including spores, are destroyed | Sterilization |
| Equipment that uses high frequency sound waves to clean instruments | Ultrasonic |
| The association that provides recommended practices and technical information for the U>S> medical professions | AAMI |
| This federal agency that provides research and protocols in all areas of public health | CDC |
| This is the professional association of surgical technologis | AST |
| This is the accrediation agency for all health care organizations in the United States. | TJC |
| The professional association for perioperative nurses | AORN |
| a process that greatly reduces the number of microorganisms on skin | antisepsis |
| able to kill bacteria | bactericidal |
| chemical agent capable of inhibiting the growth of bacteria | bacteriostatic |
| dense colonies of bacteria that adhere tightly to surfaces | biofilm |
| the only quality control monitor for sterilization that proves an item is sterile | biological monitor |
| a process in which air bubbles are imploded, releasing particles of soil or tissue debris | cavitation |
| chemical strips and specially treated tape that shows an item has been exposed to the parameters of sterility | chemical indicators |
| -cidal | a suffix indicating death |
| a process that removes organic and inorganic soil or debris using detergent and washing | cleaning |
| a method of bulk sterilization by ionizing radiation | Cobalt-60 |
| rendered non-sterile and unacceptable for use in critical areas of the body | contaminated |
| a process in which recently used and soiled medical devices, including instrument, are rendered safe for personnel to handle | decontaminate |
| destrucion of microorganisms by heat or chemical means | disinfection |
| a highly flammable gas that is capable of sterilizing an object | ETO |
| an item is considered sterile until soemthing happens to render it not sterile | event related sterility |
| methods and procedures proven to be valid rigorous testing and professional research | evidence-based practice |
| able to kill fungi | fungicidal |
| thorough cleaning and disinfection of supplies or an environment such as the operating room suite after patient use | terminal decontamination |
| devices exposed to mucous membranes and or non intact skin | semicritical items |
| items used only on intact skin | non critical items |
| this machine is used to prcess instrumnts that can tolerate water turbulance and high pressure steam | washer sterilizer |
| CJD is caused by a _____ | prion |
| Temperture, time and pressure for the flash sterilizer | 270 degree, 27 psi, 3-4 minutes |
| 2 types of steam sterilizers | pre-vacuum and gravity displacement |
| biological indicator for steam sterilization | bacillus sterathermophallus |
| what chemical is used in the STERIS system | peracetic acid |
| What chemical is used is STERRAD system | hydrogen peroxide |
| when is damp dusting completed | before he first case of the day |
| the amount of microbial contamination | bioburden |
| what is the dart test | it test the vacuum on the pre-vacuum sterilizer |
| category that is defined as having one sharp edge | cutting/dissecting |
| what is the name of the paired parts of a hemostat that span between the box lock and the finger rings? | shanks |
| the hinge point of the surgical instrument is called | boxlock |
| what is a prion | a protein particle that is not killed by normal sterilization |
| what is mechanical monitoring methods for sterilization | gauges and printouts from the machine |
