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CBSPD Exam Questions And Correct
answers
What should the sterilizer access area pressure be? - ANSWER>>Negative w/10 air exchanges per hour
What two steps are involved in decontamination? - ANSWER>>1. Manual and/or automated mechanical cleaning
- application of a thermal or chemical disinfection process
Define Cleaning... - ANSWER>>The removal of contamination from an item to the extent necessary for further processing or for the intended use.
nosocomial infections are well documented and caused by... - ANSWER>>poor or ineffective decontamination of instruments
What are Employee hazards in the decontamination process? - ANSWER>>Technicians work with a large amount of 1) unidentified bioburden 2) wet enviornment 3) handling contaminated sharps 4) must know procedures for proper handling, equipment, cleaning/sterilization agents
How do you properly clean a device? - ANSWER>>follow the device manufacturer's written instructions
What is the starting point in sterilization? - ANSWER>>Cleaning
Define decontamination - ANSWER>>The process of cleaning surgical instruments, patient care devices, and all involved surfaces in order to render areas and items safe for handling and/or further processing
What are physical safety hazards? - ANSWER>>-good body mechanics -correct body techniques and posture for lifting, pushing, pulling, and reaching -should be alert and correct anything that is a potential injury -lifts to lift heavy supplies, available work material, adjustable chairs, padding on sharp edges, correct height tables -proper clothing can prevent injury
What is the weakest point of an instrument? - ANSWER>>Box lock and jaws
What does the ABC system stand for? - ANSWER>>A: large dollar amount items not used frequently B: moderately priced and used frequently C: items w/ low dollar value
What is just in time distribution? - ANSWER>>Items are distributed to department by vendor no need for sterile storage or inventory control.
What are specialty/ procedure carts? - ANSWER>>Carts placed in specific departments based on procedures personalized to needs of departments easily accessible.
What is case cart distribution? - ANSWER>>visually in specialty areas case carts are delivered to department case cart is specialized to departments needs
What is the exchange cart distribution? - ANSWER>>Two identical carts are made one is out in the department and other stays in SPD
What is par level distribution? - ANSWER>>There is fixed inventory and when items become low they are replenished from the stockroom per department/specialty
What is demand distribution? - ANSWER>>An instrument/cart must be ordered in order to get it
What should be placed on the bottom of the rack in a mixed load? - ANSWER>>metal instruments basin other metal items
What should be placed on the top shelf? - ANSWER>>textile packs and paper/plastic pouches
Textile packs should be placed how in a sterilizer? - ANSWER>>sides
Solid bottom trays should be loaded now? - ANSWER>>tilted on sides
How should mesh bottom containers be loaded into the sterilizer? - ANSWER>>flat on rack
If packages are still moist when the sterilizer doors are open bacteria can do what? - ANSWER>>wick through the package
How does steam sterilization occur? - ANSWER>>by condensation
What cases are proven to have prions? - ANSWER>>1) neurosurgery
- opthamology (eye)
When should a flash sterilizer be monitored? - ANSWER>>Weekly with a biological and a class 5 or class 6 indicator
What can not be processed in an express cycle? - ANSWER>>porous items items with lumens
When should a flash sterilizer be used? - ANSWER>>In an emergency; a one of a kind instrument is dropped
How are liquids sterilized? - ANSWER>>only through gravity displacement liquid cycles
What occurs during the drying phase? - ANSWER>>Dynamic Air Removal: Filtered air is drawn in achieve drying Gravity: Heat in chamber evaporates moisture *Approx.: 30 min. for both
What occurs during the exhaust phase? - ANSWER>>steam is exhausted from the chamber drain line
What occurs during he sterilization/exposure/"holding phase"? - ANSWER>>exposure temperature is maintained for the prescribed amount of time
What occurs during the conditioning phase of steam sterilizers? - ANSWER>>Air is removed and steam is injected
Where should the bowie dick test be placed in a steam sterilizer - ANSWER>>drain line
Where is the sterilizers heat-sensing thermometer located? - ANSWER>>Drain- line
What provides heat inside the chamber and prevents condensation in a steam sterilizer? - ANSWER>>the jacket
where is the dedicated steam supply made? - ANSWER>>a boiler
Steam kills microorganisms by_______ the protein - ANSWER>>denaturing (coagulation)
True/false
temperature
What are the types of sterilization processes used? - ANSWER>>1) steam
- EtO
- Dry Heat
- Gas plasma
- Ozone
- liquid chemical
What does a class on indicator respond to? - ANSWER>>Only one parameter of the process (ex.: autoclave tape)
Geobacillus steurothermophilus must be incubated at what temp.? - ANSWER>>132 degrees farenheit
What should the incoming saturated steam dryness be? - ANSWER>>ideally 97% to 100% saturated steam
What should the sterility assurance level be? - ANSWER>>10^-
When a new sterilizer comes in or relocated how many consecutive biologicals be ran in an empty sterilizer? - ANSWER>>three
How many air exchanges should there be in the sterilization area? - ANSWER>>ten
Class five responds to - ANSWER>>all critical parameters
Class three responds to - ANSWER>>single parameter respond to one chemical parameter
Biological monitors contain... - ANSWER>>spores geobacillus stearothermophilus
The biological used for team, ozone, and pareacetic sterilization contains.... - ANSWER>>Geobacillus Stearothermophilus
The biological used for EtO, gas plasma, and dry heat contains... - ANSWER>>Bacillus atrophaeus
True/False Adequate cleaning will lead to easier sterilization b/c it reduces present bioburden - ANSWER>>true
When must a control biological be ran? - ANSWER>>Daily or when a new lot number is present
When are biologicals placed for steam sterilization? - ANSWER>>Coldest point (drain line)
Where do you place biologicals for EtO sterilization? - ANSWER>>Approximately the center of the load
Where are biologicals placed for gas plasma sterilization? - ANSWER>>First shelf back of chamber
If no microorganisms survived, the biological test is the positive or negative? - ANSWER>>Negative
If microorganisms survive the biological test is considered positive or negative? - ANSWER>>posititve
If bacteria lives what color does the biological turn? - ANSWER>>yellow
When a BI tests positive you must... - ANSWER>>Determine why it failed and recall everything from that cycle and reprocess it
What should be in an incident report? - ANSWER>>-how the accident happened -where/ when it occurred -any witnesses -medical treatment given -any work time lost due to accident -description of corrective actions to prevent the recurrence of the accident
When should an incident report for an accident/injury be reported? - ANSWER>>immediately
What items can be disinfected? - ANSWER>>-surgical instrumentation -patient care equipment -other medical devices from all areas of the institution
When is disinfection used? - ANSWER>>When cleaning alone might not be enough to make an item safe for reuse or further handling without transmitting disease
Decontamination activites should not take place when - ANSWER>>clean activities are being performed (prep, packaging, and sterilization)
What kind of containers should sharps be kept in? - ANSWER>>impervious (puncture proof), and leak proof containers
Acrylic nails are... - ANSWER>>prohibited because the support the growth of microorganisms
How long should fingernails be kept? - ANSWER>>Short
Why should jewelry not be worn? - ANSWER>>cannot be easily cleaned can catch on equipment causing injury
True/false
eyewash stations must be available in the decontam area and in areas where disinfectants are being used and a hands free operation - ANSWER>>True
Is the use of PPE optional? - ANSWER>>no
PPE must not... - ANSWER>>permit blood or other potentially infectious materials to pass through or reach the employees work clothes, street clothes, undergarments, skin, eyes, mouth, or mucous membrane during the time of use
Individuals entering the area must... - ANSWER>>wear PPE
traffic in the decontamination area must be restricted to? - ANSWER>>individuals with job responsibilities in the area
Provisions for the cleaning of walls, vents, and drains should be made because... - ANSWER>>to inhibit he growth of microorganisms in the traps, prevent insects, prevent emission of noxious odors
How should the work flow in decontamination? - ANSWER>>clean to dirty areas with decontamination being the last area cleaned
Floors and work surfaces should be cleaned? - ANSWER>>daily in accordance to the policies and procedures
How many air exchanges should there be in the decontamination area? - ANSWER>>10 per hour
Air should be exhausted where? - ANSWER>>directly to the outside not recirculated
temp. and humidity should be monitored and documented daily, when it reaches above/below those standards what should you do? - ANSWER>>the discrepancies should be reported to the SPD manager or supervisor
What does cleaning and rinsing do? - ANSWER>>remove rather than kill microorganisms
What is the most important step in the decontamination process? - ANSWER>>cleaning followed by thorough rinsing
Before an instrument is cleaned what must be obtained? - ANSWER>>The manufacturer's IFU
What is the objective of decontamination? - ANSWER>>To make an item safe for reuse and/or further handing
Organic soils should not be able to dry on instruments, how can you accomplish this? - ANSWER>>1) Placing a towel moisteneed with water (not saline) over the instruments
- Using an instrument spray designed for pre treatment (enzymatic foam/ gel that adheres to the surface to begin breaking down soils)
When should sharps containers be changed? - ANSWER>>2/3 full to help prevent sharps injuries
What can the quality of water affect? - ANSWER>>1) how the detergent will work
- how much detergent is needed
