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A comprehensive study guide or exam preparation material for the final exam of the iahcsmm (international association of healthcare central service materiel management) certification program. It covers a wide range of topics related to central service management, including medical equipment processing, sterilization methods, infection control, safety practices, and regulatory requirements. Detailed questions and answers, covering both theoretical knowledge and practical applications. It seems to be designed to help healthcare professionals, particularly central service technicians, prepare for and successfully pass the iahcsmm final exam, which is a crucial certification for those working in the central service department of healthcare facilities. The level of detail and the comprehensive nature of the content suggest that this document could be highly valuable as study notes, lecture notes, or a summary for students and professionals seeking to obtain the iahcsmm certification.
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David Mungai [Date] [Course title]
minimally invasive surgery (MIS) - Answer>> a surgical procedure in which only very small incisions are made into the body Integrated delivery networks (IDNs) - Answer>> Set of providers and services organized to a specific group of patients Instructions for use - Answer>> IFU directions for proper use and processing Material management department - Answer>> Responsible for researching, ordering, recieving and managing inventory standard precautions - Answer>> A strict form of infection control that is based on the assumption that all blood and other body fluids are infectious. Certification - Answer>> Documentation of having met certain standards Technical Information Reports (TIRs) - Answer>> Reports developed by experts in the field that contain valuable information needed by the healthcare industry True or False : The use of good communication skills is one of the most important skills for central service technicians, as they interact with other areas and departments. - Answer>> True
a. The day before surgery b. The morning of surgery c. When the physician requests the items d. One hour before surgery - Answer>> A. the day of the surgery Once items flow to sterile storage, which is the most common area served by sterile storage? Select one: a. Labor and delivery b. Nursing station c. Operating room d. Material management - Answer>> C. Operating room Which details job duties of a central service technician? Select one: a. Job duty list b. Task summary c. Resume d. Job description - Answer>> D. Job description True or False: In the future, a formal education will more frequently become a requirement to work in a Central Service Department. - Answer>> True Contamination - Answer>> the process of becoming unclean. When person or surface comes in contact with another person or surface Micron - Answer>> one millionth of a meter Endospores - Answer>> A thick-walled protective spore that forms inside a bacterial cell and resists harsh conditions.
Colonization - Answer>> When microorganisms live on a host but do not invade or cause damage to the organism Parentreral - Answer>> Administration when a substance enters the body through a route other than the mouth (injection) Carrier - Answer>> A person with no sympotoms but is infected with a disease and can transmit the disease to another pH - Answer>> level of acidity 0-14. most bacteria wont grow with a pH level of 4.4 or below Psychophiles - Answer>> cold-loving microbes 59- Mesophiles - Answer>> moderate temperature loving microbes 69- Thermophiles - Answer>> Archaea that thrive in very hot environments 122- Vegetative stage - Answer>> state of active growth of microorganisms Biocidal - Answer>> destructive to life or living things (antibiotics or vaccines) Causitive agent - Answer>> any biologic agent capable of causing disease which department performs safety inspections and functional tests on patient care equipment? - Answer>> Biomedical engineering
What does BKA refer to? - Answer>> Removal of the leg below the knee Which procedure is a type of repair that prevents an organ from protruding through tissue? - Answer>> Herniorrhaphy Which of the following are true when loading a steam sterilizer? - Answer>> All of the above - Basin sets are tilted on their edge, There should be visible space between packs, Place solid containers so air can escape Which of the following causes a wet pack? - Answer>> Using tie wrong filter container, Steam sterilization, Improperly prepared packs What exposure monitoring is required for the Si operating a hydrogen peroxide sterilizer? - Answer>> No personal monitoring is required When unloading a sterilizer, the ST observes only one wet pack in the entire load. What should be done next? - Answer>> Check the remaining sets in the load for wet packs When loading a sterilizer, where are basins placed? - Answer>> on Edge When loading the sterilization, where should the ST place heavy items? - Answer>> On the middle shelf Which should the CST do when placing instruments that open in an instrument tray? - Answer>> Unlock the handles and open the instruments
If an instrument is received in Central Service after surgery with documentation, or tag, that indicates repair, what is the next course of action? - Answer>> Clean the item before sending for repair Who should receive employee training? - Answer>> For those who will use new equipment or a new process, For new employees and those that move into another position, All CS personnel for continuing education Which agency publishes the bloodborne pathogen standards based on standard precautions that healthcare personnel should treat all numan blood fluids as infectious? - Answer>> OSHA What is the role of the failure mode and effects analysis method in quality? - Answer>> To prevent problems before they occur The central service decontamination area should have what type of airflow? - Answer>> Negative Mechanical cleaning equipment provides which of the following? - Answer>> Consistent processes What is true about bacteria that cause disease? - Answer>> They are pathogens Which organisms are the smallest? - Answer>> Viruses What is true about Staphylococcus? - Answer>> Gram-positive What does the CDC provide for healthcare facilities? - Answer>> Guidelines
When air flows into an area when the door is opened, what type of airflow is taking place? - Answer>> Negative Which of the following should the CST know to be true about loaner Items before returning them to the lender? - Answer>> clean and decontaminate Which traffic control and dress code requirements apply to the clean assembly area in central service? - Answer>> Semi restricted When processing endoscopes, which occurs first? - Answer>> Leak testing Which is the first step to inspect the insulation of a laparoscopic instrument? - Answer>> Check the collar at the distal tip When does testing of the laparoscopic insulation take place? - Answer>> In the clean assembly area prior to set assembly Supercut or Microgrind scissors have which color handles? - Answer>> black Which of the following agencies requires strict labeling on chemicals by the manufacturer? - Answer>> Environmental Protection Agency (EPA) Which statement is correct about items that are processed at the point-of-use? - Answer>> They are logged What is the role of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)? - Answer>> evaluating hospital stays from a patient's perspective
Which is not a component of risk management? - Answer>> Staff management Which are benefits of information technology? - Answer>> Patient safety, Financial management, Operational management The__regulates the manuf. of all medical devices, and requires the pre-market clearance of new medical devices? - Answer>> FDA Manufs. of disinfectants or sanitizers must submit data relating to labeling claims, effectiveness, & safety to the __? - Answer>> EPA A__is a mandatory law or rule that is issued by a governing body?
Most flexible endoscopes need to be "__tested" before submersion to assure that internal components do not get damaged? - Answer>> Leak __approves the use of high-level disinfectants & sterilants used for critical & semi-critical medical devices based on their identified use? - Answer>> FDA __-__is the amount of water vapor in the atmosphere expressed as a percentage of the total amount of vapor the atmosphere could hold without condensation? - Answer>> Relative Humidity The ventilation system should allow for no less than__air exchanges per hour? - Answer>> 10 __are(wetting agents)/ cationic surface-active compounds? - Answer>> quats __compounds have long been the agent of choice for housekeeping services because a residual film is left after use which can be reactivated later by damp mopping - Answer>> Phenolic __sterilizers are used in dental facilities to sterilize burrs & orthodontic insts.,because they may be damaged by moist heat? - Answer>> Dry-heat __most common sterilization performed in dental facilities? - Answer>> Steam __sterilization is not generally used in ASC's because of installation concerns, faster turnovers, and environmental concerns? - Answer>> EtO
__is a voluntary process by which an organization measures the quality of its services & performance against nationally recognized standards - Answer>> Accreditation are not urgent care facilities of physicians offices? - Answer>> ASC (Ambulatory Surgery Centers) All items sterilized with EtO must be fully__to ensure that no EtO residue or by-products are introduced into the patient? - Answer>> Aerated A__pump provides automatic administration of pain meds? - Answer>> PCA CS Techs should also check for damaged (cracked, torn, or) electrical cords? - Answer>> Frayed __-__is the number of times per year that inventory is purchased, consumed, and replaced? - Answer>> Turnovrt rate A__system are items that are stored at the healthcare facility, but the supplier owns the inventory, and does not charge for it until it is used or lost? - Answer>> Consignment A__inventory system keeps track of all incoming, issued, on-hand supplies on a on-going basis? - Answer>> Perpetual ____ system is used for products and equipment generally prepared for one special surgical case? - Answer>> Case cart what does RFID stand for? - Answer>> Radio Frequency Identification Device
__is the consistent delivery of products and services according to established standards? - Answer>> Quality List the six things you would have to document when using a flash sterilization cycle: - Answer>> 1. Patient's name
has been the primary sterilant of choice for items that cannot tolerate steam sterilization since the 1960's? - Answer>> etheline tri oxide EtO Process monitoring consists of the "4R's", run, read,_, and retain? - Answer>> record TWA - Answer>> Time Weighted Average- is the employee's average airborne exposure in any 8-hour works shift of a 40-hour work week which should not be exceeded? To be legally marketed in the U.S., the__requires that each sterilant be rigorously tested against a broad range of microorganisms? - Answer>> FDA There are 3 low temp sterilization methods which are EtO, hydrogen peroxide(gas plasma), and? - Answer>> Ozone sterilizers are frequently used in clinics and dentists offices? - Answer>> Table-Top The__is the weakest part on a steam sterilizer? - Answer>> Door The chamber drain in a steam sterilizer must be cleaned at least? - Answer>> daily __is a liquid oxidizing agent that is an effective biocide at low temp sterilization system? - Answer>> Peracetic Acid For routine monitoring,__recommends that a BI test be done at least weekly, preferably every day that the sterilizer is used - Answer>> AAMI
__is a high level disinfectant used for semi-critical devices such as endoscopes & ultrasonic probes? - Answer>> Glutaraldehyde __is the process used by an ultrasonic cleaner in which low- presser bubbles in a cleaning solution burst inward? - Answer>> Cavitation __break down fatty deposits such as bone marrow - Answer>> Lipases __break down or "digest" large organic molecules to facilitate their removal? - Answer>> Enzymes __-__are chemicals that hold hard water minerals in solution, & prevent soaps or detergents from reacting with the minerals? - Answer>> Chelating Agents When__is placed on an instrument, this indicates that the (jaws) are made of Tungsten Carbide? - Answer>> Gold Kelly Hemostats have__serrations on it's distal tip? - Answer>> partial