IAHCSMM Packaging, Wrapping & Storage 3

Question 1

What does 'first in, first out' (FIFO) rotation mean in sterile storage?

Accepted Answer

Oldest items (first sterilized) are used first to minimize shelf time

Answer

Newest items are used first to ensure freshness

Answer

Items are rotated alphabetically by instrument name

Answer

The heaviest items are stored at the front

Question 2

How far from exterior walls and ceilings should sterile packages be stored?

Accepted Answer

At least 2 inches from exterior walls; 18 inches from sprinkler heads

Answer

Directly against walls is acceptable

Answer

At least 12 inches from all walls

Answer

At least 6 inches from exterior walls and 24 inches from ceilings

Question 3

What is a 'sterile barrier system' (SBS) as defined by ISO 11607?

Accepted Answer

The minimum packaging that minimizes the risk of ingress of microorganisms and allows aseptic presentation

Answer

Any sealed container used in the OR

Answer

A container that maintains sterility for a guaranteed number of years

Answer

A sealed chamber within a sterilizer

Question 4

What action should be taken when a sterile package is found to have a compromised seal?

Accepted Answer

Remove the item from service, reprocess and repackage the instrument

Answer

Re-seal the package and return it to storage

Answer

Use the item immediately since only the seal is damaged

Answer

Mark the package as 'open' and store separately

Question 5

Why must paper-plastic peel pouches not be double-pouched (pouch inside a pouch) for steam sterilization?

Accepted Answer

Nested pouches prevent steam penetration to the inner pouch, compromising sterilization

Answer

The outer pouch will melt at sterilization temperatures

Answer

The combined weight exceeds sterilizer load limits

Answer

It is acceptable practice for delicate instruments

Question 6

What is the recommended temperature and humidity range for sterile storage areas?

Accepted Answer

20–25°C (68–77°F) and less than 70% relative humidity

Answer

15–20°C (59–68°F) and 30–60% relative humidity

Answer

18–23°C (65–73°F) and 35–70% relative humidity

Answer

Any temperature below 25°C and any humidity level