CSSP1010: UNIT 3 TEST chapters 10,11,12

How are microgrind and supercut scissors identified?

They are usually identified by black rings

Which needle holder insert is harder and lasts longer?

Tungsten carbide.

What is the pivot point of a ring-handled instrument called?

Box lock.

What process gives instruments a mirror finish?

Polishing.

What feature do tissue forceps have?

Serrated tips.

What is the process used to build a protective layer on instruments?

Passivation.

What part of a hemostat locks and holds it in position?

Ratchet.

What is an acceptable method for instrument identification?

Laser etching, powder coating & identification tape

Which solution can damage surgical instrumentation?

Betadine.

What is the purpose of an osteotome?

Used to cut or shave bone.

What is the function of a suction stylet?

To unclog the suction during surgery.

What should Kerrison and laminectomy rongeurs be tested with?

An index card

How are scissors with tungsten carbide cutting edges identified?

By gold handles

What is the best way to clean a suction lumen?

using the proper sized brush

How should the sharpness of scissors measuring 4.5" and shorter be tested?

Using yellow testing material.

True or False: Must loaner instrumentation be decontaminated before shipping?

True.

Why are pneumatic cords a cleaning concern?

Because they are dark in color, making soil difficult to see.

True or False: Can flexible endoscopes that fail a leak test continue to be used?

False.

True or False: can loaner instrumentation cause receiving challenges?

True

True or False: battery powered surgical instruments can be immersed for cleaning

False

When should electronic testing of laparoscopic insulation be done?

In the clean assembly area prior to set assembly

What is the purpose of using a decontamination battery or hose?

To keep fluid from entering the unit.

Who provides information regarding cleaning processes for endoscopes?

The instrument manufacturer.

What is the first step to inspect the insulation of a laparoscopic instrument?

Check the collar at the distal tip.

What is one main reason for powered surgical instrument repair?

Lack of preventative maintenance.

True or False: Flexible endoscopes are time-consuming to clean.

True

What happens first when processing flexible endoscopes?

Leak testing.

What must be done prior to manually cleaning a flexible endoscope?

It must be leak tested.

True or False: powered surgical instrument attachments can be peel packaged for sterilization if approved by the manufacturer

True

How should powered equipment be cleaned and or lubricated ?

According to the manufacturer's instructions.

What do black dots in a fiberoptic cable indicate?

There is damage to the glass rods.

True or False: You can check the visual clarity of a rigid endoscope by using a leak tester.

False

Pneumatic hoses should be pressurized for

Proper inspection

True or False: robotic instruments are heavy and less susceptible to damage than other instruments

True

Powered surgical instrument batteries should be charged before

Sterilization

What are semi-rigid endoscopes used for?

Urological procedures.

What should endoscopic cameras be inspected for?

Cuts nicks or other damage to the cable

What is not an acceptable sterilization packaging material?

Canvas

When arranging plastic paper pouches and sterilizer, the pouches should be arranged _________.

Paper to plastic

Some plastics, including formulations of spun-bonded polyolefin are intended for use in this sterilization process

Hydrogen peroxide

When placing hinge instruments in an instrument tray, you should __________________.

Unlock the handles and open the instruments

Count sheets provide ________________.

A Detailed list of tray contents

The FDA classifies sterilization packaging as a

Class II medical device

instruments are placed into sets _____.

A. dry

B. wet

C. soiled

D. assembled

A. Dry

Which of the following cannot be used in an instrument set to protect delicate instruments?

A. Tip protectors

B. Plastic peel packs

C. Silicone mats

D. Approved foam pouches

B. Plastic peel packs

There's type of chemical indicator is also called a verification indicator and is a cycle specific indicator. It is designed to react to all critical parameters of a sterilization cycle.

A. Type 6

B. Type 3

C. Type 4

D. Type 5

D. Type 5

How often should the insulation of electro surgical instruments be tested for integrity?

A. Once a week

B. Every other time the instrument is processed

C. Every time the instrument is processed

D. Daily

C. Every time the instrument is processed

Which of the following packaging systems is required to be packaged twice and provides a second chance for sterile presentation?

A. Containment device

B. Simultaneous flat wrapper

C. Sterilization container

D. Sequential flat wrapper

D. Sequential flat wrapper

Which of the following items can cause superheating within a sterilization cycle?

A. Soiled instruments

B. Wet instruments

C. Instruments with insulation

D. Prepackaged sterile towels

D. Prepackaged sterile towels

Why do plastic containers take longer to dry?

Because they lack metal which produces heat by conduction

What is a disadvantage of rigid civilization containers?

A. They help eliminate torn wrappers

B. They help protect instruments from damage during processing storage and transport

C. Additional cycle time may be required to thoroughly dry the contents

C. Additional cycle time may be required to thoroughly dry the contents

Which of the following can be used to close sterile packages?

A. Staples

B. Sterilization indicator tape

C. Sterilization clips

D. Painters tape

B. Sterilization indicator tape

What is an acceptable method of package closure that is also used as an external indicator

Indicator tapes

What must be inside every sterile package?

Chemical indicator (CI)

Flat wrapping technique that applies one wrap on top of another to create a package with a package is called

Sequential

Government agency that regulate sterilization packaging materials

FDA

Type of packaging that contains no cellulose materials and is used to package small items for low temperature sterilization

Spun bond polyolefin-plastic combinations

type of packaging that can be used in steam and Ethlene oxide (EO) sterilization, but is not recommended for other types of sterilization

Paper/plastic combinations

When using paper/plastic combination package, content information should be written on this side of the pouch

Plastic

This is NOT an acceptable method of package closure

Paper clips

Muslin is an example of this type of packaging material

Reusable

The wrapping technique most commonly used for small packs and most trays

Envelope fold

Part that locks the handless in place on a ring handled instruments

Ratchet

Surgical instruments used to cut away bone and tissue

Rongeurs

A chemical process applied during instrument manufacture that provides a corrosion resistant finish

Passivation

Also known as 400 series stainless steel this metal used in surgical instrument manufacturing can be heat hardened

Martensitic

Surgical instruments used to cut incise or dissect tissue

Scissors

Commonly found in the operating room this can damage instruments with prolonged exposure

Saline

Surgical instruments used to grasp

Forceps

Where are the two parts of a ring handled instrument meet and pivot?

Box locks

Inserts for needle holders are frequently made of this metal

tungsten carbide

True or false: tungsten carbide scissor blades hold a sharp edge longer than stainless steel blades

True

True or false: tissue forceps have teeth and dressing forceps have serrations

True

True or false: Double action rongeurs should be tested for sharpness using tissue paper

False

True or false: Laser etching is an acceptable method for marking instruments

True but not the only method!

True or false: because they are mild cleaners, dish soaps, are the cleaners of choice for surgical instruments

False

What powered surgical instrument?: used to repair and reconstruct teeth and jaw bones

Dental drill

What powered surgical instrument?: used in ear surgery and for driving very small wires through bone

Micro drill

What powered surgical instrument?: used in open heart surgery

Sternal saw

What powered surgical instrument?: used to remove cement

Cebatome

What powered surgical instrument?: used to harvest skin grafts and reshape skin surfaces

Dermatome/ dermabraider

What powered surgical instrument?: used to perform specific cutting actions such as reciprocating/oscillating

Saw

type of powered surgical instrument usually used for large bone surgery

Battery

type of powered surgical instrument used for dental surgery

Electric

type of powered surgical instrument used for open heart surgery

Sternal saw

type of powered surgical instrument powered by compressed air or gas

Pneumatic

type of flexible endoscope that allows physicians to perform some surgery

Operative

True or false: leak testing should be performed on each flexible endoscope on an annual basis

False

True or false: loaner in instrument trays that are received sterile from other facilities do not need to be decontaminated and re-sterilize before use

False

True or false: endoscope channels should be cleaned and then left moist for storage

False

True or false: powered surgical instruments have one of three power sources: electricity air or battery

True

True or false: all powered surgical equipment should be lubricated each time they are processed

False

True or false: all powered surgical equipment should be lubricated per IFU

True

True or false: laparoscopic instrument in insulation failure can cause burns

True

True or false: the purpose of a decontamination battery is to protect powered surgical instruments from fluid invasion

True

True or false: an arthroscope is an example of a pneumatic device

False

True or false: one of the problems associated with electric powered surgical instruments is condensation entering the device when the seals wear out

True