Infection Control

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1.

_______________is used when processing of instruments is delayed. ______________requires an MSDS, ventilation, and does not rust if instruments are completely dry. _____________is commonly known as household bleach. _____________is the process of killing all microorganisms, including bacterial spores. _____________is the process that kills all microorganisms, including bacterial spores. A ___________is placed inside instrument packages and respond to a combination of presure, temperature, and time. A fundamental rule of infection control states, "If an item can be heat-sterilized, it should be heat-sterilized." A method of sterilizing unwrapped patient care items for immediate use is: A method of sterilizing unwrapped patient care items for immediate use is? Acceptable methods for sterilizing dental handpeices include:

holding solution chemicalvapor sterilizaiton sodium hypochlorite sterilization

16.

2.

Before instruments are placed in the sterilizer, bioburden must be removed because? bib clip Biologic monitoring is recommended monthly. Biological monitors confirms that all spore-forming microorganisms have been destroyed. Chemical liquid sterilization requires at least _____ hours of contact time for sterilization to occur. Chemical sterilants cannot be biologically monitored. Chemicals that destroy or inactivate most most species of pathogenic microorganisms on inanimate surfaces are called? Clean-up procedures following dental treatment should be directed to providing rapid action on a wide microbial spectrum and decontaminating items that are potential sources of cross contamination. Critical items are used to penetrate soft tissue or bone. Documentation for an exposure incident must include testing for HBV. Dry heat sterilization uses the lowest temperature. Extracted teeth from a healthy person should be discarded as non-infectious waste. Glutaraldehydes are able to penetrate blood and bio-burden. Holding solution and ultrasonic cleaning units should:

it can dry and encrust, thereby protecting microorganisms inhibit sterilization non-critical false - weekly true

17. 18.

3.

4.

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5.

sterilization
20.

10

6.

process integrator
21.

true disinfectants

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true

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8.

flash sterilization flash sterilization steam chemical manufacturer directions rinsed with clear water true

23.

true

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10.

11.

after instruments have been through the cleaning cycle of the ultrasonic cleaner, they should be: Alcohol, formaldehyde, ketone, and acetone are the main components in the chemical vapor sterilant solution. An EPA registered low-level disinfectant is suitable for cleaning __________. Automatic instrument washers can be used in place of ultrasonicing instruments. Automatic instrument washers provide a level of disinfection.

24.

true true

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12.

26.

13.

noncritical instruments only true

false - highest temperature false - infectious

27.

14.

28.

false - are classified as sterilants/disinfectants have lids, be labeled with a chemical/biohazard label true

15.

true

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30.

Idophors are inactivated by hard water, intermediate disinfectant, recommended for disinfecting surfaces.

31.

Instruments must be completely dry before which type of sterilization is undertaken? Intermediate-level disinfectants must be capable of killing tuberculosis bacteria. List three acceptable surface disinfectants:

chemicalvapor dry heat true

47.

Semi-critical items touch mucous membranes. Sharps are discarded in a punctureresistant, rigid sided container. snap a ray Steam sterilization is the most common method of heat sterilization. Sterilization destroys all microbial forms, including bacterial spores. The _______________color and number method is used to signify a warning to employees using chemicals. The _________is used to loosen and remove debris from instruments, and reduces the risk of significant exposures to the hands during the cleaning process. The ______is classified as a category I employee. The autoclave cycles includes: heat-up cycle sterilization cycle depressurization cycle The best way to determine that sterilization has actually occurred is to use ___________. The best way to determine that sterilization has actually occurred is to use? The dentist is required to provide hazardous materials training for new employees only. The disinfectant capable of leaving a reddish stain is? The ideal instrument processing area should be __________ .

true true semi-critical true true national fire protection association ulrasonic

48.

32.

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33.

iodophor synthetic phenol chlorine dioxide 250; 15 to 30

50.

51.

52.

34.

Manufacturers of autoclaves set them to reach a maximum steam temperature of ______degrees f and pressure of _____pounds per square inch (psi). MSDS sheets are provided by OSHA. MSDS sheets are provided by the office by the sales representative. Name on unacceptable disinfectant: Non-critical items contact only intact skin. On the national fire protection association the color blue indicates? on the national fire protection association the color yellow indicates? OSHA establishes and enforces regulations related to patient safety. Overgloves are used ___________.

53.

35.

false manufactures false - the manufacturer alcohol true health instability

57. 54.

36.

office manager true

37. 38.

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39.

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biologic monitors colorchanging sterilization bags or tape false

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false - EPA over latex gloves before performing a secondary procedure critical false - splash guards on model trimmers false
60.

42.

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59.

iodophor dedicated only to instrument processing large enough for several assistants to work at one time 10 hours

43. 44.

perio probe PPE is an example of engineering work practice controls.

45.

Presoaking instruments is a good alternative to the ultrasonicing instruments. Process indicators that change color are useful for?

61.

The ideal instrument processing area should be ______.

46.

identifying inst.packs that have been exposed to a certain temp determining when an inst.has been processed

62.

The immersion time for heat sensitive items in the chemical sterilant for the purpose of HIGH LEVEL disinfection is? The immersion time for heat sensitive items in the chemical sterilant for the purpose of sterilization is?

63.

10+ hours

64.

The killing of all life forms is called disinfection. The main advantage of chemical-vapor sterilization is that it does not rust, dull, or corrode dry metal instruments. The major advantage of the chemical vapor sterilizer is what?

true true

77.

65.

When sterilizing instruments in the autoclave, the timing is ____minutes after the controls show the pressure at 15psi and the temperature at 121 C. While transporting and processing contaiminated patient care items, the dental assistants can be exposed to microorganisms through:

20

78.

66.

it does not rust, dull, or corrode dry metal instruments true prevent the drying of blood and debris on instruments burs and endodontic inst. exposed ends of dental arch wires needles cavitation implosion at least once a day dirty pre-clean clean sterilze storage dirty, to preclean, to clean, to sterilize, to storage critical semicritical noncritical iodophors quaternary ammonium compounds complex phenol agents eyewear utility gloves protective clothing

67.

The major disadvantage of dry heat is it's time consuming. The purpose of a holding solution is to _______ .

contaminated instruments percutaneous injury contact with the mucous membranes of the eyes, mouth,nose to protect them from becoming contaminated after sterilization to allow them to be grouped to remove bioburden true

68.

79.

Why are instruments bagged before sterilization?

69.

The term sharps includes:

80.

Why must surfaces be precleaned? Within a steam autoclave, the heat-up cycle precedes the sterilizing cycle.

81.

70.

The ultrasonic cleaner cleans dirty instruments using sound waves, which cause? The ultrasonic cleaner should be cleaned and disinfected: The work flow pattern of processing should flow:

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There are areas of the instrument processing area that govern the workflow pattern. The processing should flow in a single loop from: What are the 3 classifications of patient care items: What three EPA chemicals appproved for disinfection?

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When performing instrument processing, the dental assistant must wear: