Questions and Answers
What is the first step to inspect the insulation of a laparoscopic instrument?
check the collar at the distal tip
What is the first step that happens when processing flexible endoscopes?
leak-testing
What should be used to thoroughly rinse all traces of disinfectant from an endoscope's chamber?
treated water
What is the purpose of using a decontamination catheter or hose when cleaning powered surgical instruments?
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What is the mechanical unit called where endoscopes are often processed?
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What type of endoscope is disposed of for procedures requiring visualization of the lower part of the large intestine?
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What should be done before using loaner instruments?
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Who should provide information regarding cleaning processes for endoscopes?
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Not all endoscopes can be processed in an automatic endoscope reprocessor.
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When should electronic testing of laparoscopic insulation be done?
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Loaner instruments can cause receiving challenges.
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Flexible endoscopes that fail a leak test may continue to be used until the break/hole impacts the scope's function.
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All flexible endoscopes have internal channels.
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After use, loaner instrumentation must be decontaminated before it is shipped out.
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The biggest advantage to battery-powered surgical instruments is that they can be immersed for cleaning.
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Study Notes
Inspection and Processing Steps
- First step to inspect insulation of laparoscopic instruments: check the collar at the distal tip.
- Initial step in processing flexible endoscopes: leak-testing is essential.
Cleaning and Disinfection
- Use treated water to thoroughly rinse and remove all traces of disinfectant from an endoscope's chamber.
- Decontamination batters or hoses are used with powered surgical instruments to prevent fluid entry into the unit.
Endoscope Information
- Flexible endoscopes are typically processed in an automatic endoscope reprocessor.
- Specific endoscope for visualizing the lower part of the large intestine is a sigmoidoscope.
Instrument Handling
- Loaner instruments require decontamination before use to ensure safety.
- Manufacturers provide crucial information regarding cleaning processes for endoscopes.
Processing Limitations
- Not all endoscopes are compatible with automatic endoscope reprocessors; some may require different handling.
- Electronic testing of laparoscopic insulation should be conducted in a clean assembly area before set assembly.
Loaner Instrument Challenges
- Loaner instruments can present receiving challenges within the processing environment.
- Loaner instrumentation must be decontaminated after use before being shipped out.
Common Misconceptions
- Flexible endoscopes that fail a leak test should not be used until the integrity of function is confirmed; the statement claiming they can continue to be used is false.
- Not all flexible endoscopes possess internal channels; this statement is also false.
- A major misconception: battery-powered surgical instruments should not be immersed for cleaning, as they can be damaged.
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Description
Test your knowledge on Chapter 11 of the IAHCSMM 8th Edition. This quiz covers essential procedures and definitions related to central service and surgical instruments. Perfect for those preparing for certification or wanting to refresh their knowledge.
