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

FIFO rotation ensures oldest sterilized items are used first, reducing prolonged storage that could lead to package compromise.

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

AAMI guidelines recommend storing sterile packages at least 2 inches from exterior walls (to prevent condensation) and 18 inches below sprinkler heads.

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

ISO 11607 defines the sterile barrier system as the minimum packaging needed to prevent microbial ingress while allowing aseptic opening.

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

Any compromise to the sterile barrier renders the contents non-sterile; the item must be retrieved, cleaned, and reprocessed through the full sterilization cycle.

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

Double-pouching (pouch-in-pouch) creates a dead space where steam cannot penetrate the inner pouch, resulting in sterilization failure.

IAHCSMM - International Association of Healthcare Central Service Materiel Management Practice Test

IAHCSMM - International Association of Healthcare Central Service Materiel Management Practice Test

IAHCSMM Packaging, Wrapping & Storage 3