STERILE PROCESSING FINAL EXAM
STUDY GUIDE CHAPTERS 1-23
ALREADY PASSED
What is Central Service ? ✔✔Centralized distribution of supplies to all customers in the hospital.
What is the Central Service One Way Work Flow
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STERILE PROCESSING FINAL EXAM
STUDY GUIDE CHAPTERS 1-23
ALREADY PASSED
What is Central Service ? ✔✔Centralized distribution of supplies to all customers in the hospital.
What is the Central Service One Way Work Flow ? ✔✔-Decontamination (soiled)
-Preparation, Packaging, Sterilization (clean)
-Sterile Storage (sterile)
What is the purpose of a One Way Work Flow ? ✔✔To prevent cross contamination.
Decontamination ✔✔Physically or chemically render instruments or equipment that may be
contaminated with harmful micro organisms to make it safe to handle.
Negative air flow ✔✔Air flows into a room from other surrounding areas, pressure is less than
other adjacent areas.
Positive Air Pressure ✔✔Maintains air flow out of a room, this helps with keeping all dust particles
and microorganisms out.
Standard Precautions ✔✔Treat everyone and everything as infected /contaminated.
Job Description ✔✔Define and communicate job duties and requirements in organization.
Nosocomial Infection ✔✔Hospital Acquired Infection.Textile Packaging Materials should be held at a room temperature of ______ and a relative
humidity of ____ for a minimum of __ ____ prior to sterilization. ✔✔-64-72 degrees F
-35-70%
-2 Hours
Superheating ✔✔When steam is at a temperature which exceeds that of saturated steam at the
same pressure.
Linen packaging material is limited to a size of _______,not weigh more than _______, and
maximum density must not exceed ______. ✔✔-12x12x20
-12 lbs
-7.2 lbs
What is a wet pack? ✔✔Containers with moisture after the sterilization process is complete.
What are the 2 flat wrapping techniques and the 2 folds? ✔✔-Sequential
-Simultaneous
-Square Fold
-Envelope Fold
Wrapped pans of instruments should not exceed ____ in weight. ✔✔16 lbs
What is the maximum weight for containerized instrument sets recommended by AAMI/ANSI?
✔✔25 lbs
Wrapped basin sets should not exceed _____. ✔✔7 lbs
Sterility (time-related) ✔✔Package is considered sterile until a specific expiration date is reached.Sterility (event-related) ✔✔Items are considered sterile unless the integrity of the packaging is
compromised or suspected of being compromised.
Name the 4 things that event-related sterility depends on. ✔✔1. Quality of the wrapping material.
2. Handling procedures.
3. Storage and transport conditions.
4. Number of times the package has been handled (4 times).
Name 4 concerns when it comes to packaging. ✔✔1. Moisture contamination.
2. Dirt, Dust, and Debris.
3. Physical damage.
4. Breakdown of packaging material due to wear of age.
Sterile Storage standards, temperatures should be at ______ and relative humidity should be less
than ____. ✔✔- 64-75 degrees F
- 75%
Sterile storage standards, sterile items should be stored at least ___ away from exterior walls,
______ above the floor and from the ceiling. ✔✔-2 inches
-8-10 inches
What is Passivation? ✔✔A chemical process applied during instrument manufacture that provides
a corrosion-resistant finish by forming a thin transparent oxide film.
Scissors 4 1/2" and larger use a ____ test material and scissors 4" or smaller use ______ material
to check blades for sharpness. ✔✔-red
-yellow
____ ____ are tested with an index card at least 5 times. ______ should be tested using 3"x 5"
index cards. ✔✔-Bone cutters-Rongeurs
Name at least 10 of the 15 solutions that can damage surgical instruments. ✔✔1. Saline
2. Betadine
3. Peroxide
4. Dish soaps
5. Soaking in water
6. Soaking in saline
7. Bleach
8. Iodine
9. Hand soaps
10. Laundry detergents.
How is an eraser test performed? Explain and be specific. ✔✔After a stain is discovered, use the
eraser to remove the discoloration, look at the metal below the discoloration to determine if there
are any tiny pit marks. If pit marks are discovered, this is corrosion. Take instruments out of
rotation.
Why do we use lubricants on instruments? Where is it applied? Please explain. ✔✔-Extends the
life of instruments and makes it easier for surgeon to use.
-Lubricants are applied at instruments' hinged area or any working component such as a
moving/sliding area.
Name the 9 body systems. ✔✔1. Skeletal
2. Muscular
3. Nervous
4. Endocrine
5. Reproductive
6. Urinary/Excretory
7. Respiratory
8. Digestive9. Circulatory
Cells reproduce by a phase called ______. ✔✔Mitosis.
What are the 5 main functions of the skeletal system ? ✔✔1. Give the body shape and support.
2. Allow movement.
3. Protect vital organs.
4. Reproduce vital organs.
5. Store calcium.
What are the different types of joints? ✔✔-Gliding joints
-Ball and socket joints
-Pivot joints
-Hinge joints
What are the 3 membranes that surround the brain and provide nourishment and protection? ✔✔1.
Pia mater (inner)
2. Arachnoid mater (middle)
3. Dura mater (outer)
The brain is divided into 3 parts, what are they? ✔✔1. Cerebrum (largest portion)
2. Cerebellum
3. Brain Stem
What is the primary function of the Endocrine System? ✔✔To secrete hormones.
The pancreas has 2 primary hormones that it produces, what are they? What is their function?
✔✔1. Insulin- reduces the level of sugar in the blood stream.
2. Glucagon- increases the blood sugar level.What is the alimentary canal? What does it consists of? ✔✔Pathway that food takes through the
digestive system.
Consists of; mouth, esophagus, stomach, small intestine, large intestine, rectum, and anus.
What is plasma? ✔✔A yellow fluid that contains dissolved proteins, glucose, clotting factors,
minerals and hormones.
What are the 4 chambers of the heart? ✔✔1. Left Atria (upper)
2. Right Atria (upper)
3. Left Ventricle (lower)
4. Right Ventricle (lower)
Bacteria are often classified by their what? ✔✔-Shape
-Color change
-Need for oxygen
What are the 2 common stain tests? ✔✔-Gram stain (purple is gram positive) (pink is gram
negative)
-Ziehl-Nelson (acid-fast stain) (bright red)
_______ likes cold temperatures, ______ likes moderate temperatures, and _______ likes warm
temperatures. ✔✔-Psychrophiles
-Mesophiles
-Thermophiles
What does MRSA stand for? ✔✔Methicillin-Resistant Staphylococcus aureus
What does VRE stand for? ✔✔Vancomycin-Resistant Eneterococcus
How do bacteria reproduce? ✔✔By a process called Binary fission.What is the chain of infection? Please explain. ✔✔1. Causative agent- microorganism that causes
infection
2. Reservoir of the agent- where infectious agent stays
3. Portal of Exit- where infectious agent leaves
4. Mode of transmission- method of transfer from reservoir to a susceptible host
5. Portal of Entry- path used to enter susceptible host
6. Susceptible Host- Person fighting off infection
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