IAHCSMM Surgical Instrument Identification & Care 3

Question 1

What is a 'set' in the context of surgical instrument management?

Accepted Answer

A predefined, standardized collection of instruments assembled and sterilized as a unit for a specific procedure

Answer

A surgical set (tray) is a standardized, predefined collection of instruments assembled according to a count sheet for a specific type of surgical procedure.

Question 2

Why must instruments with box locks be opened during sterilization?

Accepted Answer

To allow steam to contact all metal surfaces, including the box lock and interior of the jaws

Answer

Steam must contact all instrument surfaces to achieve sterilization; closed box locks create a dead space that prevents steam from reaching interior metal surfaces.

Question 3

What does 'tip protectors' or 'tip guards' provide for delicate surgical instruments?

Accepted Answer

Protection for instrument tips from bending or contact damage during storage and transport

Answer

Tip guards protect delicate instrument tips (e.g., microsurgical scissors, ophthalmic instruments) from damage during handling, transport, and storage.

Question 4

When should instrument count sheets be updated?

Accepted Answer

Whenever instruments are added, removed, or substituted in a set

Answer

Count sheets must be kept current to reflect the exact contents of each instrument set, ensuring accurate counts and patient safety in the OR.

Question 5

What is the significance of the term 'biofilm' in relation to surgical instrument reprocessing?

Accepted Answer

A thin layer of polymers and microorganisms that adheres to surfaces and resists standard cleaning and disinfection

Answer

Biofilm is a structured microbial community encased in a protective matrix that adheres strongly to surfaces and significantly resists disinfection and sterilization.

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

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

IAHCSMM Surgical Instrument Identification & Care 3