Chapter 10 decontamination,
sterilization, and disinfection
the first phase of reprocessing is - correct answer-sorting
the flash sterilizer is used to rapidly sterilize clean, decontaminated equipment for immediate
use. this method is used only when no other method is available. implants are ( ) sterilized
except in the emergency and must be monitored with a biological control system - correct
answer-not be flashed!
the ultrasonic cleaner removes debris from instruments by a process called - correct
answer-cavitation
this class includes indicators that respond to only one critical parameter with an exact value -
correct answer-class 3
class ( ) indicators are used for internal pack control of each cycle run, not for the overall
performance of the sterilizer for all cycles - correct answer-class 6
there are three distinct phases in all types of steam sterilizers. ( ) is when air is removed
from the chamber and replaced with steam - correct answer-conditioning
objects that enter sterile tissue or the vascular system - correct answer-critical items
laryngoscopes, bronchoscopes, and endotracheal tubes - correct answer-semi-critical items
must be sterile - correct answer-critical items
can include bed linens, crutches, tables - correct answer-noncritical items
come into contact with mucous membranes or intact skin - correct answer-semi-critical items
Include vascular and urinary catheters - correct answer-critical items
Not required to be sterile because they do not penetrate intact tissues - correct
answer-noncritical items
must be sterilized before used on a patient - correct answer-critical items
used for noncritical items - correct answer-Disinfection
performed in washer sterilizer - correct answer-decontamination
uses steam, ETO, peracetic acid, or cobalt-60 - correct answer-sterilization
, Uses isopropyl alcohol 70% to 90%, glutaraldehyde, and iodophor solution - correct
answer-Disinfection
Used for anesthesia equipment, gastrointestinal endoscopes, bronchoscopes - correct
answer-Disinfection
Monitored by chemical and biological methods to ensure patient safety - correct
answer-sterilization
used for surgical instruments, implants, and needles - correct answer-sterilization
flash sterilization - correct answer-a type of sterilization used only when no other alternative
is available.
IUSS - correct answer-Immediate use steam sterilization
what we never flash sterilize - correct answer-implants!
the three distinct phases in all types of steam sterilizers - correct answer-1. conditioning
2.exposure of holding time
3.exhaust and drying
sterile instruments are loaded onto the ( ) before surgery and transported to the surgical
suite - correct answer-case cart
because paper products are difficult or impossible to decontaminate, patient's charts, x-rays,
and lab decomentation should be ( ) - correct answer-kept free from contaminates
when is it recommended practice to damp dust the surgical lights, furniture, and fixed
equipment in the operating suite? - correct answer-before the first case of the day
( ) of the operating suite follows every surgical case - correct answer-turn over
Power-driven surgical instruments (e.g. drills and saws) should be disassembled before
______. - correct answer-steam sterilization
the purpose of wrapping an item before sterilization - correct answer-to prevent the item from
being contaminated
3 risk levels in the Spaulding classification system - correct answer-1. high risk -critical items
2.intermediate risk-semi critical items
3. low risk-noncritical items
Spaulding system - correct answer-provides healthcare professionals a way to determine if a
patient device requires sterilization, disinfection, or only surface cleaning.
how is the Spaulding system based? - correct answer-it's based on the level of risk for
infection associated with that part of the body
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