Deck 7: Preventing Perioperative Disease Transmission

Question 1

The preferred method for cleaning the floor is the ___________.

Answer 1

wet vacuum

Question 2

The preferred cleaning agent ____________is used for disinfection of the environment, such as floors within the OR.

Answer 2

phenol

Question 3

Peel packs and basins are placed on their ___________ in the sterilizer to allow penetration of the sterilant.

Answer 3

edge

Question 4

Linen wrappers require laundering and proper storage to __________ the fabric.

Question 5

Hot water rinse is not recommended; ___________water with enzyme presoak and friction with a brush prevents blood and tissue from setting up on the metal surface.

Question 6

Match a-g with the appropriate type of sterilization. Each item may have more than one answer.

-EtO

A) For heat- and moisture-resistant items.
B) Lengthy process with potential hazards; adds CO2 to reduce explosive potential.
C) For heat-sensitive but moisture-resistant items.
D) May require an air entrapment test; uses the BI Geobacillus stearothermophilus.
E) Just-in-time sterilization method for items that cannot be stored; sterilant can cause skin cancer.
F) For heat- and moisture-sensitive items.
G) Items must be dry to prevent toxic material from forming; uses the BI Bacillusatrophaeus.

Question 7

Match a-g with the appropriate type of sterilization. Each item may have more than one answer.

-Peracetic acid

A) For heat- and moisture-resistant items.
B) Lengthy process with potential hazards; adds CO2 to reduce explosive potential.
C) For heat-sensitive but moisture-resistant items.
D) May require an air entrapment test; uses the BI Geobacillus stearothermophilus.
E) Just-in-time sterilization method for items that cannot be stored; sterilant can cause skin cancer.
F) For heat- and moisture-sensitive items.
G) Items must be dry to prevent toxic material from forming; uses the BI Bacillusatrophaeus.

Question 8

Match a-g with the appropriate type of sterilization. Each item may have more than one answer.

-Steam sterilization

A) For heat- and moisture-resistant items.
B) Lengthy process with potential hazards; adds CO2 to reduce explosive potential.
C) For heat-sensitive but moisture-resistant items.
D) May require an air entrapment test; uses the BI Geobacillus stearothermophilus.
E) Just-in-time sterilization method for items that cannot be stored; sterilant can cause skin cancer.
F) For heat- and moisture-sensitive items.
G) Items must be dry to prevent toxic material from forming; uses the BI Bacillusatrophaeus.

Question 9

Match the term to the correct description.

-Bioburden

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 10

Match the term to the correct description.

-Enzyme

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 11

Match the term to the correct description.

-Washer decontamination

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 12

Match the term to the correct description.

-Lubrication

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 13

Match the term to the correct description.

-Ultrasonic

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 14

Match the term to the correct description.

-Washer sterilizer

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 15

Match the term to the correct description.

-Power drills

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 16

Match the term to the correct description.

-Chelation

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 17

Match the term to the correct description.

-Endoscopic items with lumens

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 18

Match the term to the correct description.

-Manufacturer's recommendations

A) Impingement action: Low-level alkaline combined with surfactants and chelating agents.
B) Keep cord attached, use lukewarm water to wipe down (no alcohol), keep end down, follow manufacturer's recommendations.
C) Kept on file and always referenced for all cleaning and operation of device.
D) Presoak in enzyme, mechanically clean brushes when possible, and use hydrogen peroxide flush until clear.
E) Chemically breaks down organic debris and is more effective in warm water.
F) Water-soluble milk, allowed to dry.
G) Utilizes cavitation/implosion process to clean; close lid to prevent aerosolization, and items must be rinsed after the process.
H) Requires gross soil removal, prior enzyme soak, and a neutral pH detergent; renders items safe for use.
I) Organic soil and tissue, including films of lipids or proteins.
J) Process of binding minerals (Mg, Fe) to prevent spotting on instruments.

Question 19

Describe the common principles of environmental cleaning used, such as the preop cleaning for the first case of the day and room turnover.

Question 20

Describe how to prepare the instruments for transport to the decontamination room. Include the reason that different types of metals (stainless steel, copper, or brash) must be separated.

Question 21

Describe the wrapping process for a single item. What is different for multiple items?

Question 22

Describe surgical conscience.

Question 23

Describe in two sentences each of the three main principles of sterile technique.