CRCST Chapter 13 (8th Edition) Review Quiz

1. Before an item can be placed in a liquid chemical sterile processing system they must be

Heated.

Filled with air.

Sterilized.

Cleaned.

Before an item can be placed in a liquid chemical sterile processing system, it must be cleaned. This is because cleaning removes any visible dirt, debris, or contaminants from the item's surface. Cleaning is an essential step before sterilization, as it ensures that the sterilization process can effectively eliminate any remaining microorganisms or pathogens on the item. Without proper cleaning, the sterilization process may be compromised, leading to potential contamination and ineffective sterilization.

Explanation

Before an item can be placed in a liquid chemical sterile processing system, it must be cleaned. This is because cleaning removes any visible dirt, debris, or contaminants from the item's surface. Cleaning is an essential step before sterilization, as it ensures that the sterilization process can effectively eliminate any remaining microorganisms or pathogens on the item. Without proper cleaning, the sterilization process may be compromised, leading to potential contamination and ineffective sterilization.

2. The best way to transport items that have been processed using immediate use steam sterilization at the point of use is

Covered with a sterile towel.

In a rigid container designed for immediate use steam sterilization.

In a covered mesh bottom tray.

In a kraft paper bag.

Items that have been processed using immediate use steam sterilization need to be transported in a way that maintains their sterility. The best way to achieve this is by using a rigid container designed for immediate use steam sterilization. This type of container is specifically designed to withstand the high temperatures and pressure of the sterilization process, ensuring that the items remain sterile until they are needed. Using a sterile towel, a covered mesh bottom tray, or a kraft paper bag may not provide the same level of protection and could potentially compromise the sterility of the items.

Explanation

Items that have been processed using immediate use steam sterilization need to be transported in a way that maintains their sterility. The best way to achieve this is by using a rigid container designed for immediate use steam sterilization. This type of container is specifically designed to withstand the high temperatures and pressure of the sterilization process, ensuring that the items remain sterile until they are needed. Using a sterile towel, a covered mesh bottom tray, or a kraft paper bag may not provide the same level of protection and could potentially compromise the sterility of the items.

3. Immediate use steam sterilization documentation should include

The name of the patient for which the items were sterilized.

Sterilizer number and cycle.

Name of the instrument sterilized.

All the above.

The immediate use steam sterilization documentation should include all of the above information. Including the name of the patient for which the items were sterilized ensures proper identification and avoids any mix-ups. The sterilizer number and cycle are important to track and verify the sterilization process. Lastly, including the name of the instrument sterilized provides a clear record of what was sterilized.

Explanation

The immediate use steam sterilization documentation should include all of the above information. Including the name of the patient for which the items were sterilized ensures proper identification and avoids any mix-ups. The sterilizer number and cycle are important to track and verify the sterilization process. Lastly, including the name of the instrument sterilized provides a clear record of what was sterilized.

4. Items to be disinfected or sterilized at the point of use must be

Properly cleaned per Manufacturer's Instructions for Use.

Semi-critical devices.

Non-critical devices.

Heat sensitive.

Items to be disinfected or sterilized at the point of use must be properly cleaned per Manufacturer's Instructions for Use. This means that the items should be cleaned according to the specific instructions provided by the manufacturer. Following these instructions ensures that the cleaning process is effective and that any potential contaminants are removed from the items before disinfection or sterilization. This is important to maintain the effectiveness of the disinfection or sterilization process and to prevent the spread of infections.

Explanation

Items to be disinfected or sterilized at the point of use must be properly cleaned per Manufacturer's Instructions for Use. This means that the items should be cleaned according to the specific instructions provided by the manufacturer. Following these instructions ensures that the cleaning process is effective and that any potential contaminants are removed from the items before disinfection or sterilization. This is important to maintain the effectiveness of the disinfection or sterilization process and to prevent the spread of infections.

5. The process by which instruments are steam sterilized for immediate use is called

Emergency sterilization.

Immediate use steam sterilization.

Core sterilization.

Rapid reprocessing.

Immediate use steam sterilization refers to the process of sterilizing instruments using steam so that they can be used immediately. This method is typically used in emergency situations where there is a need for sterilized instruments quickly. It ensures that the instruments are safe for immediate use by eliminating any potential pathogens or contaminants. This term accurately describes the process mentioned in the question.

Explanation

Immediate use steam sterilization refers to the process of sterilizing instruments using steam so that they can be used immediately. This method is typically used in emergency situations where there is a need for sterilized instruments quickly. It ensures that the instruments are safe for immediate use by eliminating any potential pathogens or contaminants. This term accurately describes the process mentioned in the question.

6. Implantable devices

Should be immediate use steam sterilization in extended cycles.

Should only be sterilized using ethylene oxide.

Require double cycle sterilization to ensure sterility.

Implantable devices should not be immediately steam sterilized unless there is a tracking system in place to trace the item to a patient. This means that before steam sterilization, it is important to have a system that can accurately identify and track the implantable device to ensure patient safety. This is necessary because if there is a problem or contamination with the device, it can be traced back to the patient and appropriate action can be taken. Without a tracking system, it would be difficult to identify and address any issues that may arise with the sterilization process.

Explanation

Implantable devices should not be immediately steam sterilized unless there is a tracking system in place to trace the item to a patient. This means that before steam sterilization, it is important to have a system that can accurately identify and track the implantable device to ensure patient safety. This is necessary because if there is a problem or contamination with the device, it can be traced back to the patient and appropriate action can be taken. Without a tracking system, it would be difficult to identify and address any issues that may arise with the sterilization process.

7. Both the Association of periOperative Registered Nurses and The Joint Commission recommend that

The use of immediate use steam sterilization be minimized or decreased.

Immediate use steam sterilization be performed in only one sterilizer per facility.

Healthcare facilities get U.S. Food and Drug Administration approval for immediate use steam sterilization.

Only Central Service technicians operate immediate use steam sterilizers.

Both the Association of periOperative Registered Nurses and The Joint Commission recommend minimizing or decreasing the use of immediate use steam sterilization. This suggests that these organizations believe that immediate use steam sterilization should not be the primary method of sterilization in healthcare facilities and should be used sparingly or as a last resort. This recommendation is likely based on concerns about the effectiveness and safety of immediate use steam sterilization compared to other sterilization methods.

Explanation

Both the Association of periOperative Registered Nurses and The Joint Commission recommend minimizing or decreasing the use of immediate use steam sterilization. This suggests that these organizations believe that immediate use steam sterilization should not be the primary method of sterilization in healthcare facilities and should be used sparingly or as a last resort. This recommendation is likely based on concerns about the effectiveness and safety of immediate use steam sterilization compared to other sterilization methods.

8. When transporting items that have been immediate use steam sterilized, it is required that

They be transported in a metal container.

They be transported to the patient area within five minutes of the completion of the sterilization cycle.

They be allow to properly cooled before transport.

They be transported in such a manner that reduces the potential for contamination.

The correct answer is "they be transported in such a manner that reduces the potential for contamination." This is because when transporting items that have been immediately steam sterilized, it is crucial to minimize the risk of contamination. Transporting in a manner that reduces potential contamination ensures that the sterilized items remain sterile and safe for use. This can include using appropriate packaging, following proper handling procedures, and maintaining a clean and controlled environment during transportation.

Explanation

The correct answer is "they be transported in such a manner that reduces the potential for contamination." This is because when transporting items that have been immediately steam sterilized, it is crucial to minimize the risk of contamination. Transporting in a manner that reduces potential contamination ensures that the sterilized items remain sterile and safe for use. This can include using appropriate packaging, following proper handling procedures, and maintaining a clean and controlled environment during transportation.

9. Which of the following statements about immediate use steam sterilization is true?

It is the sterilization method of choice for metal instruments

It reduces turnaround time because cleaning is not required

It should be used only when there is not time to process items using the wrapped method

Immediate use steam sterilization should be used only when there is not enough time to process items using the wrapped method. This means that it is not the preferred or recommended method for sterilization. The statement implies that immediate use steam sterilization is a last resort option when time is limited and the wrapped method cannot be used.

Explanation

Immediate use steam sterilization should be used only when there is not enough time to process items using the wrapped method. This means that it is not the preferred or recommended method for sterilization. The statement implies that immediate use steam sterilization is a last resort option when time is limited and the wrapped method cannot be used.

10. When sterilizing items at the point-of-use, an abbreviated cleaning procedure may be used due to the urgent need for the instruments.

True

False

An abbreviated cleaning procedure should not be used when sterilizing items at the point-of-use, even if there is an urgent need for the instruments. It is important to follow proper cleaning and sterilization protocols to ensure that all contaminants are effectively removed and that the items are thoroughly sterilized. Cutting corners in the cleaning process can lead to inadequate sterilization and potential risks to patient safety. Therefore, the statement is false.

Explanation

An abbreviated cleaning procedure should not be used when sterilizing items at the point-of-use, even if there is an urgent need for the instruments. It is important to follow proper cleaning and sterilization protocols to ensure that all contaminants are effectively removed and that the items are thoroughly sterilized. Cutting corners in the cleaning process can lead to inadequate sterilization and potential risks to patient safety. Therefore, the statement is false.