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139 Cards in this Set
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- Back
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A test that is run daily to validate the vacuum function of the sterilizer. The test should be run in an empty load and at the same time each day. |
Bowie Dick Test |
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Stock Rotation system in which the oldest product is used first |
First in, First Out, |
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AER |
Automatic Endoscope Reprocessor, a machine which is used to disinfect, clean and rinse endoscopes. |
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Sterilization process monitoring device consisting of a standardized viable population of microorganisms known to be resistant to the mode of sterilization being monitored, |
Biological Indicators BI |
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Procedure that ensures that the device such as an endoscope's flexible covering and internal channels are air tight |
Leak Testing |
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IUSS |
Immedaite Use Steam Sterilization |
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CQI |
Continuous Quality Improvement: A scientific approach that applies statistical methods to improve work processes. |
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TQI |
Total Quality Improvement: The concept of measuring the current output of a process or procedure and then modifying it to increase the output and efficiency and effectiveness. |
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TQM |
Total Quality Management: A quality management approach based on participation of all members aimed at long term success through customer satisfaction and benefits to all members of the organization and society. |
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Tape, load cards, or labels outside of the packages are considered what? |
External Indicators |
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What are the 4 R's??? |
RUN, READ, RECORD, RETAIN |
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Ethelyne Oxide biological microorganisms |
Bacillus Astrophaeus |
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Hydrogen peroxide Biological microorganisms (Sterad) |
Geobacillus Stearothermophilus. |
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Gravity Sterilizers biological microorganisms |
Geobacillus Stearothermophilus.
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What is the temperature and humidity levels in Sterile Storage?? |
Temp - 75 degrees - Lower Not exceed 70% humidity 4 air exchanges |
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What is the temperature and humidity levels in General Work Areas?? |
68- 73 degrees 30%-60% Humidity 10 Air exchanges |
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What is the temperature and humidity levels in the Decontamination Area?? |
60-65 degrees 30%-60% Humidity 10 Air exchanges |
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FMEA |
Failure Mode and effect analysis:A scientific approach that applies statistical methods to improve work processes. |
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What distance must shelving be from the floor in Sterile Storage?? |
8 - 10 inches |
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How far should items be placed below the sprinkler system?? |
At least 18 inches from the sprinkler head |
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How often should the floors be damped mopped?? |
At least daily |
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A scientific approach that applies statistical methods to improve work processes.
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CQI: Continuous Quality Improvement |
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A scientific approach that applies statistical methods to improve work processes.
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FMEA: Failure mode and Effective Analysis |
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The concept of measuring the current output of a process or procedure and then modifying it to increase the output and efficiency and effectiveness.
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TQI- Total Quality Management |
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A quality management approach based on participation of all members aimed at long term success through customer satisfaction and benefits to all members of the organization and society.
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Total Quality Management |
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What is the common temperature for gravity sterilization?? |
250 degrees F |
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What is the common temperature for dynamic air removal? |
270 degrees F and 275 degrees F |
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Sterile Storage has a _____________ air flow, and ___________ air exchanges? |
Positive Air Flow 4 air exchanges |
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General work area have a ________air flow and _________ air exchanges? |
Positive air flow 10 air exchanges |
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Decontamination has a __________ air flow and __________air exchages? |
Negative air flow 10 air exchanges |
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How are peel packs loaded in the steam sterilizer? |
Paper to Plastic |
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The process by which several low-temperature sterilization processes including hydrogen peroxide gas plasma, vaporize hydrogen peroxide and ozone destroy microorganisms?? |
Oxidation |
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How often should the door gasket on the steam sterilizer be inspected and wiped down |
Daily |
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Where is the coolest place on the sterilizer?? |
The thermostatic Trap |
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A package or container with moisture after the sterilizer process is completed is called?? |
A wet Pack |
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400 Series stainless Steel. It is magnetic and can be heat hardened |
Martenstic |
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300 series stainless steel. It is NOT magnetic and CANNOT be Heat Hardened |
Austenic |
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What is the FAN Principal |
Functional, Accurate, Neat |
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What does PCD stand for?? |
Process Challenge Device |
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When steam occurs when dry steam becomes to hot compared to saturated steam. Dry steam rises to a temperature higher than boiling point |
Superheating |
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A solution having a PH greater than 7 |
Alkaline |
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A substance that typically produced by a bacterium that produces fever when introduced into the blood |
Pyogens |
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A pancreatic enzyme that catalyzes the breakdown of fats to fatty acids and glycerol or other alcohols |
Lipase |
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A set of infection control practices use to prevent transmission of disease |
Standard Precaution |
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The process by which surgical instruments and medical devices are sterilized in there final containers |
Terminal Sterilization |
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Steam that contains the MAX amount of water vapor |
Saturated Steam |
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Spray force action of pressurized water against instruments being processed to physically remove bioburden |
Impingement |
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A combination of a cleaning agent and a disinfectant |
Germicidal Detergent |
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Cloudy, opaque and thick with suspended matter |
Turbid |
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Having the properties of an acid, or containing acid. Having a PH Below 7 |
Acidic |
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A situation in which are flows OUT of a room or area because the pressure in the area is greater than that of the surrounding areas |
Positive Air Pressure |
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What are the principals of asepsis |
1.) Know what is dirty 2.) Know what is clean 3.) Know what is sterile 4.) Keep them separate 5.) Remedy contamination immediately |
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The basic unit of a living organism is? |
Cell |
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What can be found of hair, skin, and are useful to break down sewage and can produce toxins? |
Microbes |
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True or False: Skin is a type of connective tissue |
False |
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Prions are a ______________ of protein. |
Abnormal form of protein |
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Bacteria which cause disease are called? |
Pathogens |
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The US Food and Drug Administration is responsible for? |
Ensuring food, drugs and cosmetics are safe for use. |
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The basics of aseptic technique is |
Activities that prevent infection |
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True or False: Centers for Disease control guidelines are considered regulatory guidelines? |
False |
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One of the goals of point of use preparation and transport is to? |
Prevent Cross Contamination |
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The Federal program designed for the voluntary reporting of device related problems is called? |
MedWatch |
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______________ traffic control/dress code requirement applies to the clean assembly area of Central Service? |
Semi - Restricted |
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What professional organization writes the guidelines for the Operating Room? |
Association periOperative Registered Nurses |
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When cleaning items that contaminated with pseudomonas what guidelines are required? |
There are no special cleaning requirements |
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What is the purpose of learning medical terminology? |
To provide the Operating Room and medical staff with the goods and services they need. |
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What is the procedure for transporting soiled instruments to an offsite facility?? |
They should be transported following the US or State department of transportation guidelines |
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All mechanical cleaning equitment provides_____________. |
A consistent Process |
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Decentralization of Central Service responsibilities is not a ___________________ in Central Serivce |
Growing Trend |
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True or False: Viruses are larger than bacteria. |
False |
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Devices categorized as semi-critical items, must be at least__________prior to use. |
High level disinfected |
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Bacteria that does not require oxygen to live are called. |
Anaerobic |
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Robotic instruments are _____________than standard laparoscopic instruments. |
Heavier |
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The reason for instrument preparation to being at the point of use is. |
It helps prolong the life of the instrument |
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The process by which an ultra sonic cleaner works is called. |
Cavitation |
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_____________enzymes are used to break down fatty tissue on instruments |
Lipase enzymes |
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Chemical indicators are a ____________ devices |
FDA class 2 |
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When an instrument is shiny it is said to have a __________ finish |
Mirror |
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Instruments should be contained for transport to ____________________ |
Minimize the spread of microorganisms |
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Steam sterilization is the most commonly used method of sterilization used in healthcare because |
Cycles are fast and inexpensive |
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Implantable devices should not be_________ |
IUSS unless there is a tracking system in place to trace the item to the patient. |
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What is the first step in processing flexible endoscopes? |
Leak Testing |
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True or False: Tissue forceps have teeth |
True |
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The staining method most frequently used to identify the shape and characteristics of bacteria is called. |
Gram |
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The first step to inspect the insulation of a laparoscopic instruments is to |
Check the collar at the distal tip |
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Phenolics are classified as |
intermediate to low level disinfectants |
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What exposure monitoring is required for all personnel using hydrogen peroxide sterilizer |
No monitoring is required |
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To properly test the sharpness of scissors 4 inches or less use |
Yellow test material |
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When placing instruments in peel packs the tips should always face the ____________ side. |
Plastic |
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Point where the two jaws or blades of an instrument connect or pivot is called? |
Box Lock |
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Water in the decontamination wash sink should be? |
80F- 110F |
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Prevacume steam sterilizer operate at what temperature and use the _____ _______ test. |
270 - 275 degrees Boise dick test |
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Low risk items such as handheld instruments and ultrasonic are a __________ device |
Class 1 |
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Items that pose a potential risk to patients such as types of sterilization equipment, biological and chemical indicators are a _________ device |
Class 2 |
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Items that are most stringently regulated like heart valves and pace makers and other life sustaining devices are a class _______ device |
Class 3 |
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Bone curettes, chisels, and osteotomes are tested using a what? |
Plastic Dowel rod |
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Scissors 4.5 or larger are tested using? |
Red latex material or orange for latex free |
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A volunteer organization who members work to prevent HAI's |
APIC |
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Free from pathogenic organisms ; means of preventing infection |
Aseptic |
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Absent of microorganisms that cause disease |
Asepsis |
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Destruction of nearly all pathogenic orgainism on a non living object |
Disinfection |
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Process in which ALL forms of microbial life is destroyed |
Sterilization |
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The part of the instrument that locks the handle in place is called? |
Ratchet |
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How much space should you leave in the peel packs between the items in the pouch and the sealed edges |
One inch (1/4 per side) |
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What is the maximum weight for containerized trays |
25 lbs |
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True or false: Event related shelf life means items are safe until opened or used |
False |
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Ortho- phthaldeydes are the choice of what? |
High level disinfection |
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Disposable wraps are considered |
Consumable items |
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There are ______ specific requirements for cleaning items with pseudomas |
None |
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What is the purpose of positive airflow? |
To ensure that when doors open that air flows OUTWARD rather than into the work area |
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Approximately how many surgical patients a year develop HAIs |
10%, or 1/25 |
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The water purifying process involving evaporation followed by condensation. |
Distilled |
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The first step to deionized and reverse osmosis systems is... |
Charcole filter |
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QUATS are considered a _______ level disinfectant |
Low |
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Glutaradehydes kill what? |
Spores |
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Instrument lubrication should be _________ to enhanced sterilization |
Water soluable |
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Peracedic acid is used in |
Automatic endoscope reprosessor |
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A linen pack done properly is not to exceed |
"12 × 12 ×20" 12 lbs |
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The max density for a linen pack is |
7.2 lbs per cubic foot |
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Gravity flash cycle for single metal instruments without lumens |
3 minutes at 270F |
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The amount of humidity in saturated steam is |
97% |
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Atmospheric pressure at sea level is |
14.7 |
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Steam kills microorganisms by |
Denaturing of protein |
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Dry heat sterilization kills microorganisms by |
Oxidation |
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Dry heat load ran for 2 hours would be exposed to |
320 degrees |
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Where should the bowie dick be placed |
Horizontally on the bottom shelf near the drain |
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The spore used in dry heat |
Bacillus atrophaeus |
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What is the purpose of the jacket on the steam sterilizer |
Provide even temperature |
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What is the gauge pressure required to heat an autoclave to 250 degrees at sea level |
15lbs |
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Which of the low temperature sterilants has the longest turnover time |
EtO |
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EtO kills microorganisms by |
alkylation |
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The average person can't smell Eto until |
500 ppm |
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Nylon cannot be used in what? |
ETO |
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What do Eto exposure levels TWA and PEL have in common? |
They are based on a 8hr time weighted avg. |
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The best material for EtO is |
Polyethlene |
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Hydrogen peroxide kills microorganisms through the process called |
Oxidation |
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Minimum recommended Eto time for 140F |
8hrs |
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Residual EtO is removed from sterilizer items by a process called |
Aeration |
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The amount of EtO that remains inside the material after they are sterilized is called |
Residual |
