IAHCSMM CRCST ACTUAL QUESTIONS AND ANSWERS
RATED A+
✔✔central service technician should log receipt of loaner instrumentation and implants
with information including. - ✔✔Date / Time.
delivery person.
receiving person.
Doctors name.
Patients name.
number of trays.
number of implants.
✔✔prion - ✔✔virus-like infectious agents that cause a variety of neurodegenerative
diseases in humans and animals, including scrapie in sheep and goats, bovine
spongiform encephalopathy in cattle, and cretzfeldt-jakob disease in humans.
✔✔seals tamper evidnet - ✔✔sealing methods for sterile packaging that allow users to
determine if the packaging has been opened.
✔✔two categories of sterility packaging. - ✔✔reusable.
disposable.
✔✔objectives of packaging process - ✔✔allow penetration of chosen sterilant.
maintain sterility of package contents.
allow for being opened aseptically.
✔✔Reusable sterilization materials - ✔✔woven textiles.
rigid sterilization containers.
✔✔disposable sterilization materials. - ✔✔pouches.
nonwoven wrap.
✔✔muslin - ✔✔wide variety of plain-weave cotton or cotton/polyester fabrics having
approximately 140 threads per square inch.
✔✔superheating - ✔✔condition that arises when steam is at a temperature which
exceeds that of saturated steam at the same pressure
✔✔linen packs size limit - ✔✔12x12x12, weight no more than 12 lbs, max density not to
exceed 7.2 lbs
✔✔packaging used for steam sterilization - ✔✔must be capable of withstanding high
temps of 250-270-275, must allow air removal and steam penetration, and must permit
drying.
,✔✔packaging used for ETO - ✔✔allow adequate of gas sterilant penetration and
removal of gas reside "aeration"
✔✔packaging used for dr heat sterilization - ✔✔must be able to tolerate 2-3 hrs of 320-
400 degrees.
✔✔packaging used for gas plasma - ✔✔must be able to tolerate deep vacuum draw,
with out absorbing the sterilant.
✔✔rigid container system - ✔✔instrument containers that hold medical devices during
sterilization and also protect devices from contamination during storage and transport
✔✔wet-pack - ✔✔containers with moisture, after the sterilization process is completed.
✔✔kraft-type papers - ✔✔a medical grade paper packaging material used for numerous
sterilization applications.
✔✔SMS spunbond-meltblown-spunbond - ✔✔non woven packaging material which is
the most popular flat wrap.
✔✔papers/pouches that contain cellulose; - ✔✔cannot be used in gas plasma sterilizers
because cellulose absorbs the sterilant and reduces penetration of sterilant.
✔✔paper plastic pouches/SMS wraps - ✔✔acceptable for use with steam and EtO
sterilization processes.
✔✔spunbond polyolefin-plastic/SMS wraps - ✔✔used for gas plasma sterilization.
Referred to as tyvek pouches, contains no cellulosic materials therefore compatible with
gasplasma/Hydrogen peroxide.
✔✔basin sets should not exceed - ✔✔7 lbs
✔✔wicking material - ✔✔an approved absorbent material that allows for air removal,
steam penetration and facilitates drying.
✔✔package labeling should include - ✔✔description of contents.
initials of assembler.
lot control number.
sterilizer ID and cycle.
Date/Time.
✔✔packaging materials should be held; - ✔✔at room temperature 64°F-72°F, humidity
ranging from 35% - 70% for a minimum of two hours before sterilization.
, ✔✔wrapped pans of instruments should not exceed. - ✔✔16 lbs
✔✔containerized instrument sets should not exceed - ✔✔25 lbs
✔✔sterility time related - ✔✔specific expiration date is reaached
✔✔sterility event related - ✔✔considered sterile unless the integrity of the packaging is
compromised or suspected of being compromised by an event regardless of expiration
date.
✔✔FIFO - ✔✔first in first out.
✔✔point of use processing - ✔✔occurs when a medical device is processed
immediately before use, and/or close to the patient care area
✔✔flash sterilization / IUSS - ✔✔process by which unwrapped instruments are sterilized
for immediate use when an emergency situation arises.
✔✔3 agencies that have established standards, guidelines, and recommendations for
IUSS - ✔✔AAMI.
AORN.
Joint commission.
✔✔Flash/IUSS cycles - ✔✔gravity.
pre-vacuum.
express.
✔✔commun IUSS exposure times - ✔✔3.
4.
10.
✔✔IUSS gravity cycle.
single instrument comprised of metal and without lumens. - ✔✔3 minutes @ 270°F
✔✔IUSS gravity cycle.
complex or lumened instruments, mixed load - ✔✔10 minutes @ 270°F
✔✔preset express cycle - ✔✔4 minutes @ 270°F with 3 minutes drying time, total cycle
time of 12 minutes.
✔✔pre-vacuum load of mixed materials, or items with lumens - ✔✔4 minutes @ 270°F
RATED A+
✔✔central service technician should log receipt of loaner instrumentation and implants
with information including. - ✔✔Date / Time.
delivery person.
receiving person.
Doctors name.
Patients name.
number of trays.
number of implants.
✔✔prion - ✔✔virus-like infectious agents that cause a variety of neurodegenerative
diseases in humans and animals, including scrapie in sheep and goats, bovine
spongiform encephalopathy in cattle, and cretzfeldt-jakob disease in humans.
✔✔seals tamper evidnet - ✔✔sealing methods for sterile packaging that allow users to
determine if the packaging has been opened.
✔✔two categories of sterility packaging. - ✔✔reusable.
disposable.
✔✔objectives of packaging process - ✔✔allow penetration of chosen sterilant.
maintain sterility of package contents.
allow for being opened aseptically.
✔✔Reusable sterilization materials - ✔✔woven textiles.
rigid sterilization containers.
✔✔disposable sterilization materials. - ✔✔pouches.
nonwoven wrap.
✔✔muslin - ✔✔wide variety of plain-weave cotton or cotton/polyester fabrics having
approximately 140 threads per square inch.
✔✔superheating - ✔✔condition that arises when steam is at a temperature which
exceeds that of saturated steam at the same pressure
✔✔linen packs size limit - ✔✔12x12x12, weight no more than 12 lbs, max density not to
exceed 7.2 lbs
✔✔packaging used for steam sterilization - ✔✔must be capable of withstanding high
temps of 250-270-275, must allow air removal and steam penetration, and must permit
drying.
,✔✔packaging used for ETO - ✔✔allow adequate of gas sterilant penetration and
removal of gas reside "aeration"
✔✔packaging used for dr heat sterilization - ✔✔must be able to tolerate 2-3 hrs of 320-
400 degrees.
✔✔packaging used for gas plasma - ✔✔must be able to tolerate deep vacuum draw,
with out absorbing the sterilant.
✔✔rigid container system - ✔✔instrument containers that hold medical devices during
sterilization and also protect devices from contamination during storage and transport
✔✔wet-pack - ✔✔containers with moisture, after the sterilization process is completed.
✔✔kraft-type papers - ✔✔a medical grade paper packaging material used for numerous
sterilization applications.
✔✔SMS spunbond-meltblown-spunbond - ✔✔non woven packaging material which is
the most popular flat wrap.
✔✔papers/pouches that contain cellulose; - ✔✔cannot be used in gas plasma sterilizers
because cellulose absorbs the sterilant and reduces penetration of sterilant.
✔✔paper plastic pouches/SMS wraps - ✔✔acceptable for use with steam and EtO
sterilization processes.
✔✔spunbond polyolefin-plastic/SMS wraps - ✔✔used for gas plasma sterilization.
Referred to as tyvek pouches, contains no cellulosic materials therefore compatible with
gasplasma/Hydrogen peroxide.
✔✔basin sets should not exceed - ✔✔7 lbs
✔✔wicking material - ✔✔an approved absorbent material that allows for air removal,
steam penetration and facilitates drying.
✔✔package labeling should include - ✔✔description of contents.
initials of assembler.
lot control number.
sterilizer ID and cycle.
Date/Time.
✔✔packaging materials should be held; - ✔✔at room temperature 64°F-72°F, humidity
ranging from 35% - 70% for a minimum of two hours before sterilization.
, ✔✔wrapped pans of instruments should not exceed. - ✔✔16 lbs
✔✔containerized instrument sets should not exceed - ✔✔25 lbs
✔✔sterility time related - ✔✔specific expiration date is reaached
✔✔sterility event related - ✔✔considered sterile unless the integrity of the packaging is
compromised or suspected of being compromised by an event regardless of expiration
date.
✔✔FIFO - ✔✔first in first out.
✔✔point of use processing - ✔✔occurs when a medical device is processed
immediately before use, and/or close to the patient care area
✔✔flash sterilization / IUSS - ✔✔process by which unwrapped instruments are sterilized
for immediate use when an emergency situation arises.
✔✔3 agencies that have established standards, guidelines, and recommendations for
IUSS - ✔✔AAMI.
AORN.
Joint commission.
✔✔Flash/IUSS cycles - ✔✔gravity.
pre-vacuum.
express.
✔✔commun IUSS exposure times - ✔✔3.
4.
10.
✔✔IUSS gravity cycle.
single instrument comprised of metal and without lumens. - ✔✔3 minutes @ 270°F
✔✔IUSS gravity cycle.
complex or lumened instruments, mixed load - ✔✔10 minutes @ 270°F
✔✔preset express cycle - ✔✔4 minutes @ 270°F with 3 minutes drying time, total cycle
time of 12 minutes.
✔✔pre-vacuum load of mixed materials, or items with lumens - ✔✔4 minutes @ 270°F
