Inspection, Classification of Instruments and Assembly Quiz

New instruments should be cleaned prior to sterilization?

True
False

A leaky gasket or valve may cause water droplets to condense as a result of improper drying at the end of the autoclave cycle.

True
False

Surgical & Ward grade instruments must Always be mixed in the same tray or processed together in ultrasonic or washer disinfector.

True
False

Marking techniques used to identify instruments should be done according to the device MIFUs. Any method used to identify instrumentation shall not interfere with the integrity of the device or reprocessing method.

True
False

All medical devices shall be dried before disinfection, sterilization, or storage.

True
False

Care and Handling of Instruments include:

a) Handle instruments carefully.
b) Do not bounce or throw into processing baskets or the sink.
c) Place heavy instruments on the top of the basket.
d) Instruments with concave (cupped) surfaces placed upside down so they can drain.
e) a, b & c
f) a, b,& d
g) All of the above.

Verification of Cleanliness Include:

a) Cleanliness and functionality of all medical devices shall be verified by visual inspection.
b) When compressed air is used to check a lumen, the distal tip of the lumen should be covered with a clean towel to contain any debris that could be released.
c) checking lumens is necessary to prevent accidental cross-contamination and to minimize inhalation risk to staff.
d) a & c
e) b & c
f) All of the above

Corrosion occurs related to:

a) Inadequate cleaning and drying immediately after use.
b) Corrosive sterilizing solutions, or too long exposure to sterilizing solutions especially cold sterilization soak solution.
c) Ordinary tap water rather than demineralized or distilled water in the cleaning procedures.
d) Offending detergent agents.
e) A fully functioning autoclave
f) All of the above
g) a, b, c,& d

Pitting is caused by:

a) Detergent residue
b) Exposure to saline, blood, potassium chloride and other compounds
c) Detergent containing low PH
d) Metals of dissimilar composition
e) a, b & d
f) All of the above

The Benefits of an Instrument Management system are:

a) Reduce instrument inventory, standardize sets and prioritize purchases.
b) Reduce errors
c) Immediate recall identification and location
d) Prioritize or fast track items
e) Education and orientation
f) All of the above
g) a, b, c, e

Lubrication:

a) Is performed on instruments once cleaned and disinfected.
b) Helps to keep instruments in good working condition.
c) Can be performed by a bath or programmed in a washer-disinfector.
d) Must be approved for use on surgical instruments, be non-toxic, water-soluble.
e) Never use grease or oil-based lubricants.
f) All of the above
g) a, b, c & e

Silicone Spray and Oil:

a) Greaseless and applied to instrument joints.
b) Must not prevent sterilant from penetrating the device.
c) Follow manufacturer’s instructions.
d) Oil: water soluble, made to be used on medical devices
e) All of the above
f) a & d only

Instrument Set Placement

a) Ring instruments may be placed on a stringer or pins; Placed in specific order (how they are used or surgical instrument count order).
b) Heavy instruments on top.
c) Delicate instruments on top or separated by mats/dividers – tip protectors may be used.
d) Stacked baskets may be used to separate heavy/delicate instruments.
e) a, c & d

Barcodes:

a) Barcodes consist of linear, matrix and laser etching technologies.
b) Linear barcode is an optical machine-readable representation of data relating to the object.
c) a, b & d
d) Matrix barcode utilizes the Info Dot to encode as much data as a traditional, linear barcode while taking up only 1/10th of the space.

The Function of Clamping:

a) Called clamps or forceps & used on vessels.
b) Clamp and hold tissue only.
c) May be used to occlude blood flow.
d) Jaw may be smooth, or have longitudinal or horizontal serrations to prevent slipping off tissue.
e) B only
f) a, b,& d
g) a, c & d

The Importance of Passivation:

a) Passivation – instruments are submerged in mild nitric acid bath.
b) Cleanses and creates anti-corrosive coating that will protect the instrument.
c) Damage to “passive layer” results in pitting and ruined instrument.
d) Damage is caused by exposure to saline, chemicals, high or low pH solutions, bio-burden left on instrument, mixing with low-grade instruments.
e) All of the above.

When Inspecting Instruments:

a) Examine all surfaces, joints, nooks, and crevices for Blood, Bone, Tissue, and Hair.
b) Pay close attention to teeth/jaws, box locks, ratchets, lumens.
c) Soiled instruments are returned to the Decontamination area and specific issues are communicated.
d) All of the above.

Inspection

a) Prior to assembly, instruments must be inspected.
b) Inspection occurs only in the Decontamination area.
c) Inspection is often performed during sorting.
d) Inspection ensures instruments are clean and in good working condition.
e) B only
f) All of the above
g) a, c, & d

Instrument Sets required for procedures are placed intrays and sterilized as sets in a specific order.

a) Named according to what the surgeon may call them.
b) Heavy instruments on the top of pan– Always.
c) Silicone mats or dividers to protect and separate devices.
d) Ring instruments never loaded on holder/stringer
e) Protective tips on delicate devices.
f) Endoscopic instruments require special care to avoid damage of long shafts.
g) c, e & f

14.3.3 Verification of function:

a) Decontaminated medical devices shall be reassembled before inspection for functionality unless the MIFUs specify otherwise. See Clause 7. Reassembly shall take place in a clean and dry area.
b) Inspection for damage, integrity, and functionality shall include, but is not limited to, the examination of hinge and joint action; jaw and teeth alignment; ratchet alignment and function; cutting edge sharpness; lens clarity; and materials integrity, including surface damage such as wear, corrosion, chips, burrs, dents, loss of finish, or other damage; insulation integrity; and bends or kinks.
c) b only
d) a & b

Inspection, Classification of Instruments and Assembly Quiz

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