IAHCSMM CIS Certification: Instrument Care and Handling Questions and Answers Already Passed

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IAHCSMM CIS Certification: Instrument Care and Handling Questions and Answers Already Passed Never allow ___________ to dry onto surgical instruments. ✔✔blood True or False: Any and all long-t ... erm soaking will damage surgical instruments. ✔✔True Soap selection for the manual washing of instruments should be of ________________ pH. ✔✔neutral Instruments should always be in the ____________ position when placed in the ultrasonic cleaner. ✔✔open After manual washing or ultrasonic cleaning, rinse the surgical instruments with waster, preferably with ____________________. ✔✔distilled water Never allow water to dry onto surgical instruments as this will result in _____________, which will turn into ______________. ✔✔water spots & stains All hinged surgical instruments need _______________ after each use. ✔✔lubrication _____________ can be removed whereas _____________ will leave permanent (pitting) damage on instruments. ✔✔stains & rust To determine if a brown/orange discoloration is a stain or rust, use the _________________. ✔✔eraser test Black stains on instruments = ✔✔possible exposure to ammonia Bluish gray stains on instruments = ✔✔cold sterilization solution being used outside manufacturer guidelines Multicolor Stains = ✔✔excessive heat by a localized "hot spot" in the processing cycle Exposure to saline, blood, or potassium chloride can cause a _________________ stain to occur on instruments. ✔✔bluish black ___________ may occur when different metals are ultrasonically processed together. For example, stainless steel instruments processed with chrome instruments will cause a stain color reaction. ✔✔reverse plating Dark brown / black stains ✔✔Low pH (less than 6) acid stain. May be cause by improper detergents and soaps and/or dried blood Most brown/orange stains are not rust. This stain color is a result of high pH surface deposits caused by: __________________, __________________________, ____________________, ________________, ________________ or _________________. ✔✔chlorhexidine usage, improper soaps and detergents, cold sterilization solution, baked-on-blood, soaking in saline or using laundry soap. The soaking and rising of stainless steel instruments with _____________ will destroy the instruments. ✔✔saline The only significant difference pertaining to Bariatric Instruments is the ________________________ of the instruments. ✔✔overall length Instrument stringers allow for _____________________, _______________, ________________, and ______________________. ✔✔safer handling of instruments, faster set-up of sterile field, ratchets to stay open during sterilization and organization of the tray assembly process The most common width of instrument stringers is ________________ inches and the most common length is ______________ inches. ✔✔width -2.5 inches & length - 10 inches Places to use tip protectors: (5 things) ✔✔tips of pointed scissors, tips of sharp instruments, skin hooks, distal tip of rigid scopes and cutting edges of osteotomes An advantage to using a vented tip protector is the improved exposure of the ______________ to the device surface. ✔✔sterilant Instrument marking tape should be only _____________ times around the instrument and applied with firm tension. ✔✔1 to 1.5 times Tape the shanks of all instruments, avoid the __________________________. ✔✔instrument rings Most instrument brushes are known as _____________________ , whereby two strands of wire are twisted together to hold the nylon bristles in place. ✔✔wire twisted When brushing, it is important that all the bristles exit the _________________ of the instrument being cleaned. ✔✔distal tip True or False? Stainless steel bristled brushed give way and bend and therefore do not harm the instruments they are cleaning. ✔✔true [Show More]

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