Exam (elaborations)
CBIC Cleaning Misc.
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Exam of 6 pages for the course TEAS Practice. at TEAS Practice. (CBIC Cleaning Misc.)
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CBIC Cleaning Misc# of air exchanges for preparation and packaging - ANS-10
# of times air replacement in sterilizer room - ANS-10 min
air should move from - ANS-clean to dirty
alcohols are commonly used as - ANS-topical antiseptics (e.g. hands)
alcohols effective against - ANS-vegetative forms of bacteria (Gram + and Gram -),
tuberculocidal, fungicidal, virucidal against enveloped viruses
alcohols not effective against - ANS-non-enveloped viruses and spores
alcohols shortcomings - ANS-damage shellac mountings of lensed instruments, cause
rubber and plastic tubing to swell and harden, flammable, require time to work, may no
penetrate organic material, evaporate rapidly, irritates tissues, too expensive as surface
disinfectant
cart and utensil washers/disinfectors are used for - ANS-cleaning and LLD, but not final
disinfection
CDC wet time for noncritical environmental services - ANS-1 minuted for low-level
disinfection
contact time for low-level disinfection - ANS-1 minute
Endoscope disinfection/sterilization involves the following 5 steps after leak testing -
ANS-1. clean 2. disinfect/immerse endoscope in HLD and perfuse disinfectant into all
channels 3. rinse with sterile, filtered, or tap water 4. dry, rinse the insertion tube and
inner channels with alcohol and dry with force air after disinfection and before storage 5.
store endoscope in a way that prevents recontamination and promotes drying
endovaginal ultrasound probes should be what level - ANS-HLD regardless of sheath or
probe cover usage; use chemical disinfectant (aldehyde-based)
enveloped - ANS-influenza, ebola, HIV, HBV, vaccinia, rabies, SARS
, Environmental contamination plays an important role in the following HAI - ANS-MRSA,
VRE, Acinetobacter, Noro, C. Diff, C. auris
EO and dry heat systems BI - ANS-B. subtilus atophaleus
ESBL stands for - ANS-Extended Spectrum Beta Lactamase
Ethylene oxide is - ANS-a chemical gas that is used to sterilize heat or
moisture-sensitive items; also used as fumigant
gas, HP gas plasma BI - ANS-B. subtilus baringer
General CJD cleaning of high-risk tissue - ANS-sterilized by either steam sterilization or
combination of NaOH and autoclaving
HAP from food - ANS-P. aeruginosa, E. coli, Klebsiella
HAP from water - ANS-Pseudonomas and Legionella
Healthcare associated pneumonia can come from - ANS-food, water, intubation,
mechanical ventilation, plants/fresh flowers, visitors, pets,
heat sensitive - ANS-HP gas plasma, HPV, ozone, EtO
heat tolerant sterilization - ANS-steam
high level disinfectants - ANS-hydrogen peroxide, gluteraldehyde, formaldehyde,
ortho-phthaldehyde, peracetic acid, peraceticacid+hydrogen peroxide,
HP systems cons - ANS-takes four times longer than conventional cleaning, have to be
out of room
Hydrogen peroxide gas w/ or w/o plasma sterilization is - ANS-a popular low-temp
sterilization method used to process heat or moisture sensitive items because of its
short cycle and faster turnaround time but with packaging and lumen limitations
If an endoscope reprocessor doesn't have a drying cycle, then - ANS-the scopes should
be rinsed in isopropyl alcohol, dried under pressure, and hung without touching the
bottom of the cabinet
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