CIC Practice Questions-Cleaning,
Sterilization, Disinfection, Aspesis
A BI that was included in a load of surgical implantables has indicated a failure. You are
able to deduce that this was due to operator error, as this one load was not run on the
correct cycle. Which of the following actions should you take?
1. No action is needed as the implantables did go through a sterilizer cycle
2. The load with the positive BI must be reprocessed
3. A recall must be initiated; any loads of implantables run by the tech who ran this load
must be reprocessed
4. A recall must be initiated; any loads of implantables run by any tech must be
reprocessed - ANS-2. The load with the positive BI must be reprocessed
A tech in the OR has reported an infestation of fruit flies in the sterile instrument storage
room. The sterile packs were temporarily removed and pest management was called in
to eradicate the flies. The OR staff want to know whether they can use the sterile packs.
Which of the following is the best response?
1. The OR staff can use the packs without any reprocessing because there are no flies
visible on the outside of the packs
2. The OR staff can use the packs without any reprocessing if they open a test pack and
don't find any flies inside it
3. The OR staff don't need to repack the items but they do need to run the packs
through the sterilizer again
4. They need to completely reprocess all of the items that were in the affected room -
ANS-4. They need to completely reprocess all of the items that were in the affected
room
According to AAMI ST79. which of the following are among the recommendations for
testing of mechanical cleaning equipment in order to verify adequate cleaning?
a. Verification should be carried out monthly
b. Verification should be carried out upon installation
c. Verification should be carried out after major repairs
d. Verification should be carried out when changing cleaning chemistry
1. a, b, c, d
2. a, b, d
3. a, b, c
4. b, c, d - ANS-4. b, c, d
, b. Verification should be carried out upon installation
c. Verification should be carried out after major repairs
d. Verification should be carried out when changing cleaning chemistry
An OR team was using a unique surgical instrument on a patient and the instrument
was accidentally dropped on the floor. The team needs to reprocess it as quickly as
possible to finish the surgery and would like to use Immediate-Use Steam Sterilization
(IUSS). Which of the following is best recommended for this?
1. The team must clean and inspect the instrument before proceeding
2. The team can proceed with IUSS without prior cleaning and inspection of the
instrument since it will be used on the same patient
3. There is no need to use IUSS as the team can simply soak the instrument in 10%
bleach for 10 min
4. There is no situation in which IUSS is acceptable - ANS-1. The team must clean and
inspect the instrument before proceeding
Aseptic technique is defined as:
1. No touch technique
2. A process used in the OR
3. An absence of organisms
4. The process for keeping away disease producing organisms - ANS-4. The process
for keeping away disease producing organisms
During infection control rounds in the ED, the manager tells you that they will be doing
endovaginal ultrasounds soon and would like to use probe covers to speed up the
cleaning process. You inform the manager that:
1. Using a probe cover will eliminate the need to high level disinfect the probe
2. Using a probe cover will reduce the amount of time needed to clean the probe
3. Using a probe cover is acceptable, but high-level disinfection is still required
4. Using a probe cover is acceptable, but this device requires steam sterilization -
ANS-3. Using a probe cover is acceptable, but high-level disinfection is still required
In an effort to reduce cost and decrease turn around time, the endoscopy manager has
asked if the enzymatic detergent can be used for multiple patients. Your response is:
1. It is acceptable to reuse the detergent
2. The enzymatic detergent must be discarded after each use
3. There are no recommendations on reuse of the detergent
4. It is not necessary to use an enzymatic detergent for endoscopes - ANS-2. The
enzymatic detergent must be discarded after each use
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