IAHCSMM CIS Certification: Instrument Care and Handling

Never allow ___________ to dry onto surgical instruments. Correct Answer: blood True or False: Any and all long-term soaking will damage surgical instruments. Correct Answer: True Soap selection for the manual washing of instruments should be of ________________ pH. Correct Answer: neutral Instruments should always be in the ____________ position when placed in the ultrasonic cleaner. Correct Answer: open After manual washing or ultrasonic cleaning, rinse the surgical instruments with waster, preferably with ____________________. Correct Answer: distilled water Never allow water to dry onto surgical instruments as this will result in _____________, which will turn into ______________. Correct Answer: water spots & stains All hinged surgical instruments need _______________ after each use. Correct Answer: lubrication _____________ can be removed whereas _____________ will leave permanent (pitting) damage on instruments. Correct Answer: stains & rust To determine if a brown/orange discoloration is a stain or rust, use the _________________. Correct Answer: eraser test Black stains on instruments = Correct Answer: possible exposure to ammonia Bluish gray stains on instruments = Correct Answer: cold sterilization solution being used outside manufacturer guidelines Multicolor Stains = Correct Answer: 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. Correct Answer: bluish black