CRCST Practice Exam - Questions and Answers All instruments and devices received from another facility or company or owned and brought in by a surgeon
... [Show More] for a case must be considered contaminated and should be completely? Reprocessed As for ALL medical devices processed in the CS/SPD, who is required to provide the instructions for cleaning and sterilization? Manufacturer Where is the first area to accept responsibilities into the healthcare facility? Receiving Loaner sets are often multi-level; if so each level should be cleaned how? Separately When instruments are "opened but not used" and returned to the CS/SPD from user departments, they are considered? Contaminated To prevent damage, powered equipment should never be immersed in a solution, or come in contact with what type of solution? Saline Instruments should never be placed on top of fiberoptic cables because of the _______ inside could be damaged. glass rods What type of endoscopes are extremely difficult to clean because of their numerous small channels (lumens) and size (some of these devices are more then 6 feet long)? Flexible Flexible endoscopes must always be _________________ before any manual precleaning is performed. leak-tested The scope should be flushed with ____________ isoprpyl alcohol to facilitate drying. 70% Toxic anterior segment syndrome (TASS) is defined as an acute inflammation of the anterior chamber (segment) of the eye after what type of surgery? Cataract A simple test for ultrasonic cleaners is to place a piece of what in the unit? aluminum foil According to this organization the efficacy of cleaning processes should be verified on a regular basis to demonstrate consistency and efficiency. JC What process kills most microorganisms but not necessarily bacterial spores? Disinfection What method of destruction is required to destroy prions? extended sterilization What method of destruction is required for bacterial spores? Sterilization What method of destruction is required for mycobacteria (tuberculosis)? high level disinfection What level of disinfection is required for nonlipid, small viruses? intermediate level disinfection What is the method of destruction required for fungi? intermediate level disinfection What level of destruction is required for vegetative bacteria? low level disinfection What level of destruction is required for lipid, medium-sized viruses? low level disinfection In order for the disinfectant to enter the cell, there must be a balance between the inside of the cell and the solution outside of the cell that allows for the process of? Osmosis This type of disinfectant is a low-level, environmental disinfectant that is effective against gram-positive bacteria. Quaternary ammonium compounds This solution is severely corrosive and should never be used on surgical instruments. Bleach What halogen is generally used as a skin antiseptic to reduce the microorganisms on the skin? iodine What solution is used to prepare skin before surgery when it is mixed with detergents? It is also used to scrub or clean the skin and wounds. Idophors What formulations are staining and, if allowed to pool on the skin, can cause burns? Iodine This is a carbolic-acid-based product and it is effective against vegetative bacteria, fungi, and the micobaterium that cause TB: Phenolocs This disinfectant should not be used for surgical instrumentation. If items are disinfected with a this product and are allowed to remain in contact with the skin for a prolonged period of time, they can irritate the skin or mucous membranes and depigment Phenolics The product is effective antiseptics and sanitizers capable of killing a variety of bacteria, mycobacteria, and fungi. Glutaraldehyde This high-level disinfectant is used on immersible items such as flexible and rigid endoscopes. Glutaraldehyde Although compliance with AAMI standards are not legally required, AAMI standards for sterilization is recognized as what type of practice? good practice What is an established norm determined by opinion, authority, research, and/or theory? Standard This type of flow is how people move through the department. people flow A instrument salesmen enters the CSPD area without the proper attire ie. hair covering, shoe covers, and/or scrubs/jumpsuit. What should you do? Explain to the sales rep the policy and show him where the proper attire is located. HIPPA states that all patient information is confidential. Who has the right to confidential patient information? The people responsible for providing direct patient care of the patient. This type of control limits access to the CS/SPD department. traffic control [Show Less]