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CHL Final Exam | Comprehensive Questions and Answers Latest Updated 2025 /202 6 With 100% Verified Solutions Skill Set - The skills required to accomplish a specific task or function. Span of Control - The number of employees one person can effectively supervise decreases as the complexity of their job duties increases Unity of command - An organizing principle that suggests each employee should only have one supervisor. input - A CS leader must be able to solicit from the CS team Biomedical Engineering - The work in Sterile Storage area does NOT include. Culture - The beliefs, values, and norms shared by department personnel that are considered valid, and are passed onto new employees in the department. Zero-tolerance Policy - A policy that permits no amount of leniency regarding harassing behavior. Discrimination - Unfavorable or unfair treatment on the basis of an individual's race, religion, gender, national origin, disability, age, and in some states and communities, sexual orientation. Mission Statement - Successful team leaders and their teams develop goals based on their facilities . C-Suite - Those in the highest healthcare administrative levels, also called Executive Team. Usually has "chief" in the title. Chief Nursing Officer (CNO) - This position leads patient care services, and oversees the nursing staff including Registered nurses (RNs) and Licensed Nursing Assistants (LNAs)
Chief Nursing Officer (CNO) - This leader is responsible for the policies and practices used to manage direct patient care CNO - Chief Nursing Officer CPCP - Chief of Patient Care Practice COS - Chief of Surgery CMO - Chief Medical Officer CCU - This nursing unit is reserved for patients with intensive nursing needs that require skilled nursing or constant care and supervision. CCU - Critical Care Unit ICU - Intensive Care Unit ITU - Intensive Therapy Unit Educational Systems - Useful sources of data to generate information that specifies actual departmental performance do not include Dashboard - A collection of statistical data about a CS department's key performance indicators that indicate the extent to which goals are being attained KPI - Key Performance Indicator Key Performance Indicator - A measurable assessment factor such as item accuracy, case carts per technician, and sterilization accuracy
EMTALA - A federal act that requires hospitals to provide emergency treatment to all individuals regardless of their insurance status or ability to pay Personal Performance-based interview - A strategy that uses open-ended questions during applicant selection, performance appraisal, and other interviews to generate information that suggests inteviewee reactions to specific situations Position Control - The process that imposes restrictions on filling vacant positions to manage the costs associated with them Zero-Based Budget - An approach to budget preparation that requires planners to explain all expenses, and provide justification for each line item funded with resources allocated accordingly Procedure - A written outline or list of steps needed to perform a specific task or function Current hourly wages - Staffing requirements are not affected by Recordkeeping - Collecting data to document a history of what has occurred Programmed decisions - These are the easiest decisions to make Conflict Management Styles - must be adjusted to different styles of employees Quality - When a new task or activity is added to work duties, efforts should be made to ensure it achieves efficiency without sacrificing Staffing Plan - A scheduling tool used to determine the number of labor hours required for each position and each shift to meet processing requirements while maintaining quality standards Labor Intensive - The need for people rather than equipment or technology to perform required work tasks
Effective - Communication cannot be when either the sender or the receiver does not have adequate knowledge to understand Physical appearance - plays an important role with effective communication Diverse - The first step in enhancing communications skills is to recognize that the work group will be Shouting - An e-mail message written in all capital letters is the equivalent of Cyberspace - Once an e-mail is in it is not safe and can be shared with anyone. Rumor - Information being circulated without a source of truth Chair of a meeting - If you are , it is your responsibility to ensure that the group stays on task and on time. move - If someone is complaining loudly, before addressing the issue, it is best to tactfully the person from others. Written Communication - It is just as important as it once was HIPPA - This Act protects privileged health information, such as patient identifiable information, and prevents inappropriate access to such information HIPPA - The Health Insurance Portability and Accountability Act Role Model - A person who serves as an example in desired behaviors Organizational Culture - The shared beliefs, experiences, and norms that characterize an organization
Motivation (Intrinsic) - An inner drive toward an emotionally pleasurable experience in which one accepts responsibility for the outcomes. Emotional Intelligence - A type of social ability that allows persons to monitor their and others' emotions, to discriminate among them, and to use the information to guide their own thinking and behavior Empowerment - The act of granting authority to employees to make key decisions within the employees' areas of reponsibility Bureaucratic - Leaders who practice this type of leadership place emphasis on the enforcement of policies, procedures, and rules. Transformational - These leaders create a vision, constantly promote it to their staff members, and use it to determine the best courses of action. Selection Process - Staff development begins with the employee Learning Style - The way a person likes to learn Orientation - The process of providing basic information about a healthcare facility that must be known by all employees in all departments. Competency Checklist - A list of tasks used to monitor progress in a training program. Each task must be consistently performed in a way that meets quality and quantify output standards. Training Plan - A description of the structure and sequence of an entire training program. Webinar - A workshop or lecture delivered over the world-wide-web On-boarding - The process of welcoming and integrating new employees into their work environment.
Career Ladder - A structured sequence of positions through which employee progresses in healthcare organization Induction - The process by which new CS employees are oriented to departmental policies and procedures 12 months - Fiscal year Personnel Budget - Costs for labor are addressed Supplies - not included in the compensation or personnel budget Capital Budget - This budget is used to plan for the purchase of expensive items, such as a new sterilizer or automated washer unique - Every healthcare facility has a budgeting system Profit Center - A department that generates revenue within a facility Supply Budget - May vary depending on the scope of services that are provided Workload - Labor costs will increase if staff schedules are not in sync with the Implants - Capital budgets do not include expenditures for Tracer Methodology - The use of actual patients and processes as the framework for assessing standards compliance 18 to 39 months - Joint Commission surveys are unannounced and can occur after the previous unannounced survey
3 days - The hospital must prominently post any citation for employees to read for or until the violation has been corrected (whichever is the longest time period) Stringent - State OSHA laws can be more that Federal OSHA laws, but State laws can never be less stringent $7000 per day - Failure to abate or failure correct a prior violation may result in penalties of up to not authorized - OSHA inspectors are to inspect purchase and budget records intervene - OSHA personnel may in a matter of worker protection even if there is no specific regulation that covers the situation U.S. Department of Labor - Created in 1970, OSHA is organized within the. Reasonable Accommodations - This term referred to in the Americans with Disabilities Act, describes any change in the work environment or in the way things are customarily done that enables an individual with a disability to enjoy employment opportunities. Bench Trial - A trial held before a judge sitting without a jury Family Medical Leave Act - Allows employees who have met minimum requirements to take up to twelve weeks of unpaid leave FMLA - Family and Medical Leave Act Exempt - The FLSA requires employers to pay covered, employees the official minimum wage and overtime of one and one-half times the regular wage FLSA - Fair Labor Standards Act
Subpoena - A court order for a witness to appear at a specific time and place to testify and/or to produce documents Workers Compensation - Issues cash payments and provides medical care to employees who are injured or disabled during the course of their employment regulation - State agencies may also be involved in the of healthcare facilities and the CS departments within them MedWatch Program - FDA program designed for the voluntary reporting of device-related problems FDA - Ensures that medical devices are honestly represented to the pubic Age Discrimination in Employment Act - Protects workers aged 40 and over by prohibiting discrimination against them in any employment or employment-related decision Random Sampling - can help identify quality issues Change - and improvement are not the same Proactive - A quality program should be Supply Costs - Processes for improvement potential do not include DAR - Dashboard Analysis Report Dashboard Analysis Report - Commonly utilized process improvement techniques do NOT include PDCA - Plan, Do, Check, Act
participate - CS leaders should in patient safety initiatives Critical - Most of the items in the Spaulding Classification category should be purchased as sterile or sterilized in-house Hand Hygiene - The single most effective, inexpensive and important procedure for preventing the spread of infection microorganisms - Fingernails can harbor potentially pathogenic even after careful hand hygiene Toxic Anterior Segment Syndrome - An acute inflammation of the anterior chamber of the eye following cataract surgery TASS - Toxic Anterior Segment Syndrome 15 seconds - Hands that are visibly soiled should be washed with antimicrobial soap and water for a minimum of Surgical Site Infections - The US CMS issued a rule that hospitals would no longer be eligible to receive Medicare reimbursement for CMS - Centers for Medicare and Medicaid Services Prions - Cause for special concern in CS because routine reprocessing processes are not enough to protect patients OSHA Bloodborne Pathogens Standard - Staff working in the decontamination area are required to comply with the Common Vehicle - The four primary modes of infection transmission are contact, airborne, vector, and
quality - The of the relationship between CS and OR can impact patient safety. stress - The fast-paced nature of the OR/CS environment increases workplace relationship - The quality of the between CS and OR staff can impact more than just the work environment and anxiety levels of those in the two departments attitudes - CS leaders must monitor behaviors of the staff to ensure that poor towards the OR are not tolerated misunderstood - Activities performed in the CS department are can be by the OR personnel process - Each in the CS/OR should be evaluated periodically to ensure it still meets the needs of all involved A partnership - The CS and OR departments should view their relationship as Turn around instruments - Instruments that are needed for use in back-to-back or other closely- scheduled procedures Visibility in the OR - New CS leaders should maintain changing - There is hope for strained relationships between CS and OR hazards - Equipment including sterilizers, mechanical washers, testing devices, elevator systems, and heat sealers present potential to CS personnel. Teratogens - Chemical agents such as alcohol or ethylene oxide that can cause birth defects or the malfunction of an embryo.
ICRA - Infection Control Risk Assessment RPP - Requested Proposal Plan CSP - Construction Safety Plan Capital Expenditure - The cost to acquire or make improvements to a long-term asset such as a building, property, or equipment Designer - An unlicensed person who typically plans changes that do not relate to regulatory (building code) requirements Architect - A licensed professional who focuses on the aesthetic design of buildings, spaces, structures, mechanical systems, acoustics, regulatory, and other requirements needed to make building useful and safe for their occupancy. Outsource - The act of purchasing a product or service from an external provider that could, alternatively, be provided by the facility's own employee Change order - A revision to a construction purchase order issued by a buyer to a contractor or service provider Strategic Project Planning Team - An initial step in project planning is to form a that includes physicians, care givers, Central Service leaders, department managers, technicians, and infection prevention specialists Environmental Impact Study - A study that considers safety concerns applicable to the environment, employees, and community Environment - To create an that supports effective work processes and storage needs it is necessary to regulate temperature and humidity as well as air flow and traffic flow Bottleneck - Problem that arises when a work piles up faster than it can be handled
Housekeeping - procedures in decontamination, preparation, and sterilization areas should be the same as those used in the Operating Room and Labor and Delivery Artificial nails - Fingernail polish and/or should NOT be worn in CS work areas Inspected - Every sterile package should be for any visible signs of contamination such as breaks, holes, tears, and moisture spots before it is dispensed Work Flow Organizations - The management of a work process in a way that enables employees to perform their tasks efficiently and effectively while eliminating non-productive steps Process flow map - A chart showing the path (flow) that instrument trays and/or durable medical equipment take as they cycle through their daily routine Jewelry - Should not be worn in decontamination, preparation, or sterilization areas of CS Event-related shelf life - The concept that a package sterile until some event makes it unsterile Beards - They can be allowed if properly covered 10 air exchanges - Decontamination requires per hour Creating Aerosols - Skilled technicians brush items under the surface of the water to reduce the risk of Rust - Dissolved calcium and magnesium ions when combined with alkalinity in water can lead to A distilled or de-ionized rinse - In a three-sink manual washing set-up, the first sink should contain detergent, the second sink should contain rinse water, and the third sink should be used for
Inspection - of laparoscopic instrumentation can detect damage and wear that is difficult to see Flash sterilization records - Can help justify the need to purchase new instruments. Flat fee - A financial arrangement in which a repair vendor charges a pre-established amount for instrument repair services performed for a facility during a specified time period justified - New instrument purchases can sometimes be justified by documenting the extent of flash sterilization and the number of incomplete sets dispensed TASS - A noninfectious inflammation of the anterior segment of the eye that is a complication of cataract or other anterior segment eye surgery Qualification - Testing that assesses the performance of a steam sterilizer in the environment in which it will be used before the equipment is approved for routine use in the healthcare facility Developing good work practices - While some sterilization failures result from mechanical failures over which the technician has no control, many process failures can be avoided by Trap air - During placement and packaging of items for sterilization, care is required to ensure that items that could are placed correctly on the sterilizer carriage Steam traps - Installed on the steam distribution lines to help remove condensate On edge - Paper/plastic peel pouches must be placed for sterilization Validation - Manufacturers have begun to test instruments to determine if current sterilization processes are effective using a process called Extended Cycles - Sterilization cycles that fall outside of the traditional cycles used in the CS department because exposure times exceed standard steam sterilization times
Individual healthcare facilitiy - Sterilization records should be retained according to the policies an procedures established by the At least daily - The steam sterilizer's chamber drain screen should be inspected and cleaned Sterility Maintenance - The process of protecting a sterile item from any event that will contaminate it event-related - If a facility utilized an shelf-life policy for items processed, and sterilized on- site, it must still adhere to expiration dates printed on commercially Product integrity check - The act of examining a sterile package to ensure it is intact and uncompromised before being dispensed for use sterile storage - Anyone allowed access to a area should, first, be educated in sterility maintenance and should be understand proper handling of sterile packages rotated - Sterile items should be so the oldest-dated packages are used before newer ones to reduce the risk of contamination and product expiration enclosed carts - Sterile items should be transported in covered or moisture - Bacterial barrier packaging can be easily penetrated by non-porus - Sterile storage racks and shelving should be constructed of materials that are easy to clean Product usage cycle - The steps through which a product flows from when it is removed from inventory until it is replaced in inventory and when applicable storage records are updated Perpetual inventory - A system in which a running balance of the quantity of products in storage is maintained
