July CBSPD EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS AGRADED

July CBSPD EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS AGRADED What two steps are involved in decontamination? - answer -1. Manual and/or automated mechanical cleaning 2. 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 What should the sterilizer access area pressure be? - answer -Negative w/10 air exchanges per hour 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 are the most common distribution systems? - answer -1) demand 2)par-level 3)Exchange 4)case carts 5) Specialty 6) Just in time What is the air pressure of the sterile storage area? - answer -positive air flows out What is shelf life - answer -period of time which a sterile item is considered safe to use event related not time related When are packs most vulnerable to contamination? - answer -Immediately after sterilization What is it when a sterilizer's ability is tested under worst case conditions? - answer - Small load testing What is it called when a sterilizer is tested for sterilization under actual use conditions? - answer -Max load testing How often is a Bowie Dick test ran? - answer -Daily for dynamic air removal sterilizers How much space should be between packages and chamber wall? - answer -one inch How should paper-plastic pouches be placed in a sterilizer? - answer -plastic to paper or paper to plastic tilted on side How should basins be placed in a sterilizer? - answer -on tilted side same direction 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 2) 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 lumen