CST Prep #2

An implant for use in the knee arthroscopy needed to be processed. What indicator should be used to ensure that there are no living microbes or spores on this?

• Chemical indicator

• Bowie Dick

• Biological indicator

• Julian Date

The splenectomy in RM 2 became more complicated than expected. Many of the instruments in the case have significant bio burden. How should this be handled?

• Instruments should be placed directly into the ultrasonic cleaner to remove bio burden

• Instruments should be run through the washer sterilizer and then hand washed

• Instruments should be disassembled and washed, then placed in the washer sterilizer

• Instruments should be rinsed with saline, then run through the washer sterilizer

The ST in RM 5 is in a hurry and needs an instrument that is peel packed and stored in the instrument room. When she obtains the instrument, the expiration date shows that the package needs to be reprocessed. What should she do?

• Repackage the item

• Unpackage the instrument & use the flash sterilizer

• Use the instrument if the integrity of the package is intact

• Wrap the instrument and use the Flash sterilizer

When the splenectomy experienced complications, there was blood spilled on the OR floor. The circulator needed to decontaminate the area. What type of agent would most likely be used?

• Bleach

• Glutaraldehyde

• Sterile water

• Hospital Grade Disinfectant

The scrub scheduled to assist in the Cysto in RM 3 has retrieved an item from the Cidex solution. This item has a lumen. What precautions does the scrub need to take?

• The item needs to be flushed and rinsed well with sterile 0.5% alcohol solution

• The item needs to be rinsed and the lumen flushed with sterile water

• The item is safe for patient use after aeration has occured

• The item must be reprocessed in STERIS solution before use

The same item must be reprocessed after use. What does the scrub need to remember?

• The item should be damp, with water in the lumen before being processed

• The item should be cleaned and dried before placing in the solution

• The item must be processed in a closed unventilated room

• The solution can be used indefinitely

The scrub tech in RM 11 will need to process an item using Sterrad. How long will this process take?

• 1 hour

• 20-30 min

• 10 hours

• 16 hours

The ST in RM 11 has set up the scope when the surgery is postponed. The scope has been processed with STERIS. What is important for the ST to remember?

• The item processed with STERIS cannot be stored

• The item processed with STERIS must be placed into a rigid container for storage until surgery is rescheduled

• The item processed with STERIS must be peel packaed for storage

• The item processed with STERIS must be wrapped in muslin for safe storage

The ST who scrubbed in the On Call arthroscopy needs to process the instruments after the surgery. There are several instruments that have multiple parts. How should this be handled?

• The instruments should remain assembled throughout the process

• The parts should be disassembled, washed by hand and reassembled for processing

• The parts should be disassembled and processed

• The parts should be separated into multiple trays for processing

The ST in RM 4 is finished with cases, and is helping the turn over team process rooms. What must he remember when helping this team?

• It is not necessary to wipe down the surgical table after every surgery, new linen, however, must be placed on the table

• You must use a clean mop-head for each room

• OR's are terminally cleaned every other day

• OR tables should not be moved during the cleaning process