Supervisor Certification Examination Study Guide

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The PRIMARY purpose of the decontamination process is to?
- Reduce the bioburden and make items safe to handle.
- Reduce the bioburden and repair damaged instruments.
- Remove broken equipment from service, and help in inventory control.
- Repair damaged instruments, and help in inventory control.

About This Quiz

This Supervisor Certification Examination Study Guide assesses knowledge on sterile processing, instrument budgeting, and infection control. It tests understanding of sterilization methods, material suitability for procedures, and disease management, crucial for supervisory roles in healthcare facilities.

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2.

Inspection and verification of adequate cleaning is difficult with instruments?
- With Lumens
- Without Lumens
- With Locks
- With Blades
Correct Answer

A. With Lumens

Explanation

Inspection and verification of adequate cleaning is difficult with instruments that do not have lumens. Lumens are the hollow channels in instruments that allow for the passage of fluids and ensure proper cleaning. Without lumens, it is challenging to visually inspect and verify if the instrument has been adequately cleaned, as there may be hidden areas or debris that cannot be easily seen or accessed. Therefore, having lumens in instruments makes the inspection and verification process easier and more reliable.

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3.

Which writing implement is best to write on autoclave tape?
- Lead pencil
- China marker
- Ballpoint pen
- Non-toxic marker
Correct Answer

A. Non-toxic marker

Explanation

A non-toxic marker is the best writing implement to use on autoclave tape because it is designed to be safe and non-hazardous, ensuring that no harmful chemicals will be transferred onto the tape. Autoclave tape is used to indicate that an item has been sterilized, so it is important that the writing on the tape is clear, legible, and does not compromise the sterility of the item. A non-toxic marker meets these requirements and is the most suitable option for writing on autoclave tape.

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4.

When interviewing a candidate, the SPD Supervisor should set up the interview?
- In the Material Manager's office.
- In the facility's cafeteria.
- In the SPD Supervisor's office.
- In the department lounge.
Correct Answer

A. In the SPD Supervisor's office.

Explanation

The SPD Supervisor should set up the interview in their own office because it is the most appropriate and professional location for conducting the interview. The supervisor's office provides a private and comfortable space where they can discuss the candidate's qualifications, ask relevant questions, and assess their suitability for the position. Conducting the interview in the supervisor's office also allows for easy access to any necessary documents or information that may be needed during the interview process.

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5.

A new device has been received for processing. What should be done FIRST?
- Clean the device.
- Sterilize the device.
- Obtain manufacturer's written instructions for processing.
- Obtain verbal instructions for processing from the sales representative.
Correct Answer

A. Obtain manufacturer's written instructions for processing.

Explanation

The first step in processing a new device should be to obtain the manufacturer's written instructions. This is important because the manufacturer's instructions will provide specific guidelines on how to properly process and handle the device. Following these instructions ensures that the device is processed correctly and safely, reducing the risk of damage or contamination. Cleaning and sterilizing the device may be necessary steps, but they should be done after obtaining the manufacturer's instructions to ensure that the correct cleaning and sterilization methods are used. Obtaining verbal instructions from the sales representative may not be reliable or comprehensive enough, so it is best to rely on the manufacturer's written instructions.

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6.

The largest organ of the body is the?
- Brain
- Skin
- Heart
- Stomach
Correct Answer

A. Skin

Explanation

The skin is the largest organ of the body. It covers the entire external surface and protects the body from external factors such as pathogens, UV radiation, and physical injuries. It also helps regulate body temperature, stores fat, and produces vitamin D. The brain, heart, and stomach are important organs, but they are not the largest in terms of size or surface area.

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7.

After four hours of work in one area of SPD, the Supervisor asks the technician to move to another work area. Which one of the following movements would require a removal of personal protective equipment?
- Sterilization to Sterile Storage.
- Instrument Assembly to Decontamination.
- Sterile Storage to Instrument Assembly.
- Decontamination to Sterilization.
Correct Answer

A. Decontamination to Sterilization.

Explanation

Moving from the decontamination area to the sterilization area would require the removal of personal protective equipment. Decontamination involves handling potentially contaminated instruments and materials, so technicians would need to wear protective gear such as gloves, gowns, and masks. However, in the sterilization area, the instruments are already clean and ready for use, so the technician would not need to wear the same level of protective equipment.

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8.

Why should linen processing be carried out in an enclosed or segregated area?
- The humidity in the area can be better monitored
- The work can be carried out more quickly
- Pilferage can be more easily controlled
- Lint and dust can be more easily contained and controlled
Correct Answer

A. Lint and dust can be more easily contained and controlled

Explanation

Lint and dust are common byproducts of linen processing. These particles can contaminate the surrounding environment and pose health risks to workers. By carrying out linen processing in an enclosed or segregated area, lint and dust can be contained and controlled more effectively. This helps to maintain a clean and safe working environment, reducing the risk of respiratory issues and preventing contamination of other materials or products.

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9.

Distilled or Deionized water is used in the decontamination process as a final rinse for surgical instruments because it?
- Contains no mineral or additives.
- Provides lubrication.
- Adds a protective coating.
- Kills the remaining bioburden.
Correct Answer

A. Contains no mineral or additives.

Explanation

Distilled or deionized water is used as a final rinse for surgical instruments because it contains no mineral or additives. This is important because minerals and additives can leave residue on the instruments, potentially causing contamination or interfering with the sterilization process. By using water that is free from minerals and additives, the risk of contamination is minimized, ensuring the instruments are properly cleaned and ready for use.

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10.

All clean transport carts should
- Have solid bottom shelves.
- Be made of plastic.
- Have small wheels.
- Be cleaned monthly.
Correct Answer

A. Have solid bottom shelves.

Explanation

The given answer suggests that all clean transport carts should have solid bottom shelves. This implies that the carts should not have any open or perforated areas on the bottom, ensuring that items being transported are securely placed and do not fall through. Having solid bottom shelves also makes it easier to clean and maintain the carts, as there are no gaps or crevices where dirt or debris can accumulate.

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11.

Mary needs a day off due to a medical emergency at home. This is the third such request from Mary in four months. The SPD Supervisor should:
- Give Mary the day off
- Give Mary the day off and require documentation of the medical emergency.
- Refer Mary to Human Resources
- Deny the request.
Correct Answer

A. Give Mary the day off and require documentation of the medical emergency.

Explanation

The correct answer is to give Mary the day off and require documentation of the medical emergency. This option acknowledges Mary's need for a day off due to a medical emergency but also ensures that there is proper documentation to support her request. This is important because it is the third such request from Mary in four months, so it is necessary to verify the legitimacy of the emergency. Requiring documentation helps maintain fairness and consistency in granting time off requests.

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12.

Staphylococcal infections, typhoid fever, streptococcal infections, tuberculosis and syphilis are examples of diseases caused by
- Pathogenic organisms
- Anaerobic vector
- Inorganic fomites
- Aerobic cephalopods
Correct Answer

A. Pathogenic organisms

Explanation

Staphylococcal infections, typhoid fever, streptococcal infections, tuberculosis, and syphilis are all diseases caused by pathogenic organisms. These organisms can include bacteria, viruses, fungi, or parasites that invade the body and cause illness. In the case of these specific diseases, they are caused by bacteria (Staphylococcus, Streptococcus, and Mycobacterium tuberculosis) or a bacteria-like organism (Treponema pallidum, which causes syphilis). These pathogens can be transmitted through various means such as direct contact, contaminated food or water, or sexual contact.

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13.

Which of the following precautions is universally applicable to the prevention of transmission of human immunodeficiency virus (HIV) to healthcare workers?
- All healthcare workers should take precautions to prevent needle-sticks by recapping needles prior to thier disposal.
- Only pregnant healthcare workers should adhere to all precautions that minimize risk of HIV transmission.
- Healthcare workers with exudative lesions or weeping dermatitis do not have to wear gloves when giving direct patient care.
- All healthcare workers should routinely wear gloves for handling items or surfaces soiled with blood products or body fluids.
Correct Answer

A. All healthcare workers should routinely wear gloves for handling items or surfaces soiled with blood products or body fluids.

Explanation

The correct answer is that all healthcare workers should routinely wear gloves for handling items or surfaces soiled with blood products or body fluids. This precaution is universally applicable because it helps prevent the transmission of HIV and other bloodborne pathogens to healthcare workers. Wearing gloves creates a barrier between the healthcare worker's skin and potentially infectious materials, reducing the risk of exposure and transmission. This precaution should be followed by all healthcare workers, regardless of their pregnancy status or the presence of exudative lesions or weeping dermatitis.

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1
14.

Absorbent materials are placed between nested basins during packaging in order to?
- Prevent the basin from sticking together
- Serve as a drape when the basin is opened
- Aid in steam penetration
- Protect the basin
Correct Answer

A. Aid in steam penetration

Explanation

Absorbent materials are placed between nested basins during packaging to aid in steam penetration. This is because the absorbent materials can absorb any moisture or condensation that may occur during the sterilization process. By absorbing the moisture, the materials prevent it from pooling between the nested basins and obstructing the flow of steam. This ensures that the steam can fully penetrate the basins, effectively sterilizing the contents and maintaining the integrity of the packaging.

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15.

Positive pressure is required in a sterile storage area to ensure that.
- Air flow from a clean area to other less clean areas.
- The ventilation system is dedicated to that storage area only.
- There is a separating ventilation barrier for that storage area only.
- Close shelving is used in that storage area, preventing the need for positive air flow.
Correct Answer

A. Air flow from a clean area to other less clean areas.

Explanation

Positive pressure is required in a sterile storage area to ensure that air flows from a clean area to other less clean areas. This means that the air pressure inside the sterile storage area is higher than the surrounding areas, creating a barrier that prevents contaminants from entering the sterile area. This helps to maintain the sterility of the stored items and reduce the risk of contamination.

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16.

A reusable medical device is
- A device that has been investigated and cleared by facility's Risk Management Department for reuse
- A device that has been biologically monitored and quarantined according to the manufacturer's reccommendations.
- A device that is manufactured with the intent of multiple patient use.
- A single use device that will not come in contact with a patient.
Correct Answer

A. A device that is manufactured with the intent of multiple patient use.

Explanation

The correct answer is "A device that is manufactured with the intent of multiple patient use." This means that the device is designed and produced in a way that allows it to be used on multiple patients without compromising its safety or effectiveness. It implies that the device is durable, can withstand the necessary cleaning and sterilization processes, and has been tested and approved for multiple uses.

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17.

Which of the following is ALWAYS a sterilization parameter regardless of the method of sterilization?
- Moisture
- Pressure
- Time
- Concentration
Correct Answer

A. Time

Explanation

Time is always a sterilization parameter regardless of the method used because it determines the duration for which the sterilization process needs to be carried out. Regardless of the specific method being used, whether it is heat, chemicals, or radiation, a certain amount of time is required to ensure that all microorganisms are killed and the sterilization is effective. Therefore, time is a crucial factor in determining the success of the sterilization process, making it an essential parameter in all methods of sterilization.

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18.

What is the minimum distance sterile items should be stored from the floor?
- 2 inches
- 8 inches
- 12 inches
- 18 inches
Correct Answer

A. 8 inches

Explanation

Sterile items should be stored at a minimum distance of 8 inches from the floor. This is to ensure that the items remain clean and uncontaminated, as the floor can harbor dirt, dust, and other potentially harmful particles. Storing the items at a higher distance reduces the risk of contamination and maintains the sterility of the items.

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19.

An employee gets burned removing items from a steam sterilizer. What should the SPD Supervisor do FIRST?
- Render first aid.
- Send the employee to Health Services.
- Complete an Incident Report.
- Discipline the employee.
Correct Answer

A. Render first aid.

Explanation

The SPD Supervisor should first render first aid to the employee who got burned while removing items from a steam sterilizer. This is the most immediate and necessary action to ensure the employee's well-being and address any potential injuries or pain caused by the burn. Once the employee's immediate medical needs are addressed, other actions such as sending them to Health Services or completing an Incident Report can be taken. Disciplining the employee should not be the first priority in this situation.

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20.

All supplies, whether patient-chargeable or nonchargeable, are distributed to a department or nursing unit. Only supplies not chargeable to patients are distributed to a department or nursing unit. How are these charges categorized?
- Daily charges and capital budgets
- New services and products
- Department or Floor charges
- Master and Visa cards
Correct Answer

A. Department or Floor charges

Explanation

The charges for supplies are categorized as department or floor charges. This means that all supplies, whether patient-chargeable or nonchargeable, are distributed to a department or nursing unit. Only supplies that are not chargeable to patients are included in these charges. This categorization helps to track and allocate the costs of supplies to the specific departments or floors that utilize them.

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21.

The PRIMARY goal of a good supply distribution system for patient care areas is that supplies and equipment are?
- Charged to the unit prior to delivery.
- Grouped according to thier use at each unit.
- Transported, with minimum handling, to the requesting unit.
- Delivered directly from the facility warehouse to the requesting unit.
Correct Answer

A. Transported, with minimum handling, to the requesting unit.

Explanation

A good supply distribution system for patient care areas aims to transport supplies and equipment with minimum handling to the requesting unit. This ensures that the items are delivered efficiently and without unnecessary delays or disruptions. By minimizing handling, the risk of damage or contamination is reduced, thus maintaining the quality and integrity of the supplies. This goal prioritizes the timely and safe delivery of essential resources to the units where they are needed, ultimately supporting effective patient care.

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22.

One of the most important aspects of inventory management of surgical case carts is Continuous Review and?
- Surgical case carts
- Updating of surgeons' preference cards
- Traction equipment
- Medical/surgical supplies
Correct Answer

A. Updating of surgeons' preference cards

Explanation

Continuous review and updating of surgeons' preference cards is an important aspect of inventory management of surgical case carts. Surgeons' preference cards contain specific information about the supplies and equipment needed for each surgical procedure. By regularly reviewing and updating these cards, inventory managers can ensure that the correct items are always available in the case carts, reducing the risk of delays or errors during surgeries. This helps in efficient management of inventory and ensures that the surgical team has the necessary supplies and equipment for each procedure.

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23.

Which sterilization method would be most appropriate for petrolatum gauze dressings
- Steam
- Ethylene Oxide
- Dry heat
- Peracetic acid
Correct Answer

A. Dry heat

Explanation

Dry heat would be the most appropriate sterilization method for petrolatum gauze dressings because it is effective in killing microorganisms and does not cause any damage to the dressings. Unlike steam or ethylene oxide, which may cause the petrolatum to melt or evaporate, dry heat can be used to sterilize the dressings without compromising their integrity. Peracetic acid may also be effective, but dry heat is generally preferred for materials that are not heat-sensitive.

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24.

Inventory management and control of supplies is essential to good budgeting. Inventory levels must be sufficient to meet the needs of various departments without excess. This budget depends largely on the types of services that CS/SPD providdes to the healthcare facility.
- The personnel budget
- Medical/Surgical Supply budget
- Capital budgets
- The statistical budget
Correct Answer

A. Medical/Surgical Supply budget

Explanation

The given passage mentions that inventory management and control of supplies is essential to good budgeting. It also states that the budget depends largely on the types of services provided by CS/SPD to the healthcare facility. Therefore, it can be inferred that the budget specifically related to medical/surgical supplies would be the most relevant and important in this context.

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25.

In order to develop a budget for replacement instruments on procedural trays, the SPD Supervisor must gather information on the item specifications including.
- Quality, price and usage rates.
- Finish, type of metal and history of usage.
- Quality, pricing history and usage rate.
- Loss rate, usage rate, manufacturer's discount.
Correct Answer

A. Quality, price and usage rates.

Explanation

The SPD Supervisor needs to gather information on the quality, price, and usage rates of the replacement instruments in order to develop a budget for procedural trays. This information is necessary to determine the cost effectiveness and feasibility of purchasing new instruments. The quality of the instruments will affect their durability and effectiveness, while the price and usage rates will determine the overall cost and frequency of replacement.

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26.

According to the Americans with Disabilities Act (ADA), heathcare facilities must strive to provide employment for the disabled by providing.
- Medically related pre-employment physicals.
- Reasonable accommodations within a specific work place.
- Priority for hiring in specific work areas.
- Position and job tasks to accommodate the disabled.
Correct Answer

A. Reasonable accommodations within a specific work place.

Explanation

The correct answer is "Reasonable accommodations within a specific work place." According to the Americans with Disabilities Act (ADA), healthcare facilities are required to provide reasonable accommodations to disabled individuals in the workplace. This means making necessary modifications or adjustments to enable disabled employees to perform their job duties effectively. These accommodations can include physical modifications to the workspace, flexible work schedules, assistive technology, or any other modifications that enable equal employment opportunities for disabled individuals.

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27.

The organism used as biological indicator to test both steam and EtO sterilizers belongs to which family of bacteria?
- Clostridium
- Streptococcus
- Staphylococcus
- Bacillus
Correct Answer

A. Bacillus

Explanation

Bacillus is the correct answer because it is a genus of bacteria that includes species such as Bacillus subtilis and Bacillus stearothermophilus, which are commonly used as biological indicators to test the effectiveness of both steam and EtO sterilizers. These bacteria are chosen because they are resistant to high temperatures and can survive the sterilization process, indicating that the sterilizer is functioning properly.

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28.

What processes are used to prepare patient care equipment in the decontamination area?
- Cleaning and reassembly
- Cleaning and disinfection
- Cleaning, disinfection, and reassembly
- Cleaning, disinfection, inspection, and reassembly
Correct Answer

A. Cleaning and disinfection

Explanation

The correct answer is cleaning and disinfection. In the decontamination area, patient care equipment goes through a two-step process. First, it is cleaned to remove any visible dirt or debris. Then, it is disinfected to kill any microorganisms that may be present. This ensures that the equipment is safe for use on patients. Reassembly, inspection, and additional steps may be required in other areas of the healthcare facility, but in the decontamination area, cleaning and disinfection are the primary processes used.

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29.

A load containing implants was sterilized with a BI test pack. As the results were being read, the supervisor notices the BI vial has a lot # of 2031 NP and the control vial has a lot # of 2013NP. What action, if any, should the supervisor take?
- None.
- Get a new control vial.
- Repeat the BI test.
- Release the implants.
Correct Answer

A. Repeat the BI test.

Explanation

The supervisor should repeat the BI test because there is a mismatch between the lot numbers of the BI vial and the control vial. This discrepancy could indicate a potential error or contamination in the testing process. By repeating the test, the supervisor can ensure accurate and reliable results for the sterilization of the implants.

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30.

The SPD Supervisor notes the temperature in the Decontamination Area is 62*F. What action, if any, should the supervisor take?
- None, continue with work.
- Turn up the thermostat.
- Contact Engineering to increase the temperature.
- Notify Infection Control.
Correct Answer

A. None, continue with work.

Explanation

The correct answer is "None, continue with work." The supervisor does not need to take any action because the temperature in the Decontamination Area is already at an acceptable level (62*F).

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31.

Muslin that is used as a surgical wrap should have a minimum thread count of
- 110 threads per square inch
- 140 threads per square inch
- 165 threads per square inch
- 180 threads per square inch
Correct Answer

A. 140 threads per square inch

Explanation

Muslin that is used as a surgical wrap should have a minimum thread count of 140 threads per square inch. This is because a higher thread count indicates a tighter weave, which is important for preventing the penetration of bacteria and other contaminants. A higher thread count also makes the fabric more durable and less prone to tearing, which is crucial for maintaining the integrity of the surgical wrap during use. Therefore, a minimum thread count of 140 ensures that the muslin is of sufficient quality for its intended purpose.

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32.

If the facility unexpectedly changes from single-use procedure trays or surgical textiles to reusable ones, the cost of the additional equipment and labor needed for processing will adversely affect the budget. Conversely, if single -use trays or surgical textiles are projected for use, there will be significant savings in labor costs but an increase in supply costs. Which budget monitoring is this?
- New services
- New physicians
- Service types
- Processing changes
Correct Answer

A. Processing changes

Explanation

This budget monitoring is related to processing changes. The explanation provided states that if the facility switches from single-use procedure trays or surgical textiles to reusable ones, there will be additional costs for equipment and labor needed for processing. This indicates a change in the processing method, which is a budget monitoring concern.

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33.

The FIRST action to take if a fire occurs in the SPD is to?
- Throw water on the fire.
- Remove the burning object.
- Immediately leave the area.
- Activate the alarm
Correct Answer

A. Immediately leave the area.

Explanation

The correct answer is to immediately leave the area. This is the first action to take in the event of a fire in the SPD (presumably referring to a specific location or facility). Leaving the area ensures personal safety and allows for the implementation of proper fire safety protocols and emergency response procedures.

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34.

A budget that is prepared by the finance department on the basis of past history,current information, and some projections for future costs?
- The statiscal budget
- The personnel budget
- Medical/surgical supply budget
- Capital budgets
Correct Answer

A. The statiscal budget

Explanation

A statistical budget is a budget that is prepared by the finance department using past history, current information, and projections for future costs. It involves analyzing and forecasting financial data to determine expected expenses and revenues. This type of budget is focused on quantitative data and uses statistical techniques to estimate future financial outcomes. It helps in making informed decisions regarding resource allocation and financial planning.

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35.

A new low temperature gas plasma sterilizer has been purchased for SPD. The Supervisor should make sure what type of packaging materials are available for use with this system?
- Muslin,nylon and Tyvek pouches.
- Tyvek pouches, paper/plastic pouches and polyolefin wrap.
- Polyolefin wrap, Tyvek pouches, plastic trays.
- Polyolefin wrap, paper wraps and Tyvek pouches.
Correct Answer

A. Polyolefin wrap, Tyvek pouches, plastic trays.

Explanation

The Supervisor should make sure that polyolefin wrap, Tyvek pouches, and plastic trays are available for use with the new low temperature gas plasma sterilizer. These packaging materials are commonly used in sterilization processes to ensure the safety and effectiveness of the sterilization process. Polyolefin wrap provides a barrier against moisture and contaminants, Tyvek pouches are durable and tear-resistant, and plastic trays provide a convenient and secure way to hold and transport sterilized items.

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36.

The best way to contain forceps inside a rigid container for steam sterilization is to;
- Place them in Tyvek pouches.
- Place them in paper/plastic pouches.
- Place them in two ply paper wrap.
- Place them in a surgical towel.
Correct Answer

A. Place them in a surgical towel.

Explanation

Placing forceps in a surgical towel is the best way to contain them inside a rigid container for steam sterilization. This method provides a protective barrier and helps prevent the forceps from getting damaged during the sterilization process. The surgical towel absorbs any moisture and provides cushioning, ensuring that the forceps remain safe and sterile.

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37.

Ethylene Oxide (Eto) is considered hazardous in the workplace for all of the following reasons EXCEPT that it is?
- A carcinogen
- Colorless at room temperature and cannot be smelled until the concentration reaches 700 ppm.
- Heavier than air and therefore difficult to ventilate.
- Often mixed with hydrochlorofluorocarbons (HCFCS).
Correct Answer

A. Often mixed with hydrochlorofluorocarbons (HCFCS).

Explanation

Ethylene Oxide (Eto) is considered hazardous in the workplace for several reasons. It is a carcinogen, meaning it has the potential to cause cancer. Additionally, it is colorless at room temperature and cannot be smelled until the concentration reaches 700 ppm, making it difficult to detect. Furthermore, it is heavier than air, which makes it challenging to ventilate and remove from the environment. However, the given answer states that it is NOT hazardous because it is often mixed with hydrochlorofluorocarbons (HCFCS). This is incorrect as mixing ethylene oxide with HCFCS does not eliminate its hazardous properties.

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38.

Many systems for patient charging are available. The two most common systems are?
- Dollar and department operational costs
- Stickers and charge cards and computerized charging
- Inventory dollar and patient-chargeable supplies
- Daily charges and Floor charges
Correct Answer

A. Stickers and charge cards and computerized charging

Explanation

The correct answer is "Stickers and charge cards and computerized charging." This answer is correct because it states that the two most common systems for patient charging are stickers and charge cards, as well as computerized charging. These systems are commonly used in healthcare facilities to keep track of patient charges and billing information.

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39.

The room temperature range in a sterile storage area should fall between?
- 55-65 F.
- 60-72 F.
- 65-75 F.
- 68-75 F.
Correct Answer

A. 68-75 F.

Explanation

The correct answer is 68-75 F. This temperature range is ideal for a sterile storage area because it helps to prevent the growth of bacteria and other microorganisms. Temperatures below 68 F may slow down the growth of bacteria, but may not completely inhibit it. On the other hand, temperatures above 75 F can promote the growth of bacteria and compromise the sterility of the stored items. Therefore, maintaining a temperature range of 68-75 F is crucial for ensuring the effectiveness and safety of the sterile storage area.

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40.

The hydrochlorofluorocarbon (HCFC) component in an Ethylene Oxide (EtO) sterilant mixture is used to
- Increase the sterilization efficiency
- Reduce the environmental impact potential
- Increase the exposure time and humidity
- Reduce the flammability and explosive potential
Correct Answer

A. Reduce the flammability and explosive potential

Explanation

The HCFC component in an Ethylene Oxide sterilant mixture is used to reduce the flammability and explosive potential. HCFCs are known for their fire-extinguishing properties and are commonly used as fire suppressants. In the context of sterilization, the presence of HCFCs helps to decrease the risk of fire or explosion during the sterilization process, making it safer for both the equipment and the individuals involved.

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41.

The equipment and supplies needed for resuscitation carts and other specialty carts are difficult to forecast. Keeping records of the number and contents of the carts provided by CS/SPD will help identify personnel and supply variances. Par levels should be reviewed at least annually to ensure the lowest possible inventory levels consistent with quality patient care. Factors that can adversely affect the personnel or medical/surgical supply budget include the following?
- Specialty carts
- Processing changes
- Service types
- New services
Correct Answer

A. Specialty carts

Explanation

Specialty carts can adversely affect the personnel or medical/surgical supply budget because they require specific equipment and supplies that are difficult to forecast. Keeping records of the number and contents of these carts will help identify any variances in personnel and supply needs. Therefore, it is important to review the par levels of specialty carts at least annually to ensure the lowest possible inventory levels while still maintaining quality patient care.

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42.

Which of the following is NOT recommended for use in wrapping materials for EtO sterilization?
- Regunerated cellulose
- Cotton
- Polyvinylchloride (PVC)
- Polyester
Correct Answer

A. Polyvinylchloride (PVC)

Explanation

Polyvinylchloride (PVC) is not recommended for use in wrapping materials for EtO sterilization because it can release toxic gases when exposed to ethylene oxide. This can contaminate the sterilized items and pose a risk to the health of patients or users. Therefore, alternative materials such as regenerated cellulose, cotton, or polyester should be used instead.

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43.

The CS/SPD department may be responsible for ensuring that all or some of the patient care items are appropriately charge to the patient. The arguments for capturing patient charges in a managed care enviroment are as varied as the systems available for this process. The principal argument for is?
- Capturing patient charges yields actual costs per procedure or diagnosis and thus assists the finance department in the negotiation of managed care contracts. Proponents also argue that capturing patient charges allows close monitoring of costs.
- Oppenents argue that patient charges have no direct impact on the reimbursement received by the healthcare facility and that there is no positive impact on the CS/SPD budget. In fact, some patient charge systems are labor -intensive.
- Many systems for patient charging are available. The two most common systems are (A) stickers and charge cards and (B) computerized charging.
- The decision to create or maintain a mechanism for patient charging should be made with the approval of the finance department and facility administrating.
Correct Answer

A. Capturing patient charges yields actual costs per procedure or diagnosis and thus assists the finance department in the negotiation of managed care contracts. Proponents also argue that capturing patient charges allows close monitoring of costs.

Explanation

Capturing patient charges provides the finance department with accurate cost information for each procedure or diagnosis, which is beneficial for negotiating managed care contracts. Additionally, proponents argue that capturing patient charges allows for close monitoring of costs, which can help identify areas where expenses can be reduced.

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44.

If CS/SPD is asked to add another par level restock unit to the current inventory, the approximate time necessary to count the inventory, select the supplies, travel to and from the unit, and deliver the supplies must be determined, as well as the frequency with which these tasks must be performed.
- Surgical case carts
- Medical/surgical supplies
- The personnel and patient chargeable
- New services and products
Correct Answer

A. New services and products

Explanation

The given answer, "New services and products," is the correct answer because the question is asking about the factors that need to be considered when adding another par level restock unit to the current inventory. One of the factors that need to be considered is the introduction of new services and products. This is important because the addition of new services and products may require additional supplies and inventory management. Therefore, when determining the approximate time and frequency for counting inventory, selecting supplies, traveling, and delivering supplies, the impact of new services and products should be taken into account.

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45.

Oppenents argue that patient charge have no direct impact on the reimbursement recieved by the healthcare facility and that there is no positive impact on the CS/SPD budget. In fact , some patient charge systems are labor-intensive. Which principal arguments is this?
- The principal arguments against capturing patient charges.
- The principal arguments for capturing patient charge.
- Documenting work volume and supply
- Careful monitoring of personnel and supply budgets on monthly basis.
Correct Answer

A. The principal arguments against capturing patient charges.

Explanation

This answer is correct because it accurately identifies the principal arguments against capturing patient charges. The opponents argue that patient charges have no direct impact on the reimbursement received by the healthcare facility and that there is no positive impact on the CS/SPD budget. Additionally, they argue that some patient charge systems are labor-intensive. This explanation provides a clear understanding of the principal arguments against capturing patient charges.

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46.

The supplies used for surgical case carts are dispensed by CS/SPD and thus must be included in the department budget. Increases in the case load of the OR and the labor and delivery department should be monitored. The number and types of carts should be tracked, and the contents of the carts should be reviewd annually to eliminate any excesses.
- Equipment,Instrument, and Supply volume
- Traction Equipment
- Surgical case carts
- Specialty carts
Correct Answer

A. Surgical case carts

Explanation

Surgical case carts are mentioned in the given information as being dispensed by the CS/SPD (Central Supply/Sterile Processing Department) and therefore they need to be included in the department budget. This implies that the department needs to allocate funds for the supplies used in surgical case carts. Additionally, the information suggests that increases in the case load of the OR (Operating Room) and the labor and delivery department should be monitored, indicating the need to track the number and types of carts used. Furthermore, the contents of the carts should be reviewed annually to eliminate any excesses, highlighting the importance of managing the inventory efficiently.

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Nov 10, 2011

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Supervisor Certification Examination Study Guide

The PRIMARY purpose of the decontamination process is to?

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If CS/SPD is asked to add another par level restock unit to the current inventory, the approximate time necessary to count the inventory, select the supplies, travel to and from the unit, and deliver the supplies must be determined, as well as the frequency with which these tasks must be performed.

Oppenents argue that patient charge have no direct impact on the reimbursement recieved by the healthcare facility and that there is no positive impact on the CS/SPD budget. In fact , some patient charge systems are labor-intensive. Which principal arguments is this?