Sterile Processing CBSPD Test
Decontamination Area - ANSWhere soiled items are received and cleaned. *All levels for the
same tray should be labeled w/a tag to identify the level number and set to which it belongs.
Preparation and Packaging Area - ANSwhere cleaned items are inspected, assembled, and
packaged.
Sterilization Area - ANSwhere terminal sterilization is performed.
Sterile Storage Area - ANSwhere sterile items are stored until needed.
Sterile Stores - ANSwhere items for patient care from outside manufacturers are stored.
Sometimes referred to as Medical Supply Distribution, Central Supply, or similar designation.
Case Cart Area - ANSwhere sterile supplies (trays and/or sterile items from outside
manufacturers) are kept and picked for surgical cases.
Dispatch - ANSwhere sterile and clean items are dispensed.
Loaner Area - ANSfor the receipt and return of instruments borrowed for specialty procedures.
Patient Care Equipment Clean-Up Area - ANSwhere patient care equipment is cleaned and
disinfected.
SPD Responsibilities - ANSproviding dependable, reliable services to enhance the quality of
patient care. Instruments sets, patient care equipment, and other medical devices must be
processed and distributed in an accurate and timely manner so that patient care is not adversely
affected.
Work Flow - ANShow the work progresses through the department or processing area. *Dirty to
Clean
People Flow - ANShow people move through the department or processing area. *Clean to Dirty
Traffic Control - ANScontrolling access to SPD
Ethics - ANSthe discipline dealing with what is good and bad and with moral duty and obligation.
Ethical Actions - ANSactions that conform to accepted and professional standards of conduct.
Morals - ANSdeal with or relate to principles of right and wrong behavior.
,Unethical Professional Conduct - ANSfailure to conform to moral standards or policies.
Professional Ethics - ANSprinciples of conduct governing an individual or group.
American Medical Association (AMA) - ANSthe most important organization related to
healthcare ethics.
Regulation - ANSa principle, rule, or law designed to control or govern behavior.
Agencies that issue regulations - ANSEPA, FDA, OSHA and State health departments
Standard - ANSan established norm determined by opinion, authority, research and/or theory.
Recommended Practices - ANSstatements of sound principles of practice based on scientific
data and opinions of experts.
Agencies that set standards - ANSAAMI, CDC
Examples of recommended practices - ANSdocuments developed by IAHCSMM, SGNA, AORN
Environmental Protection Agency (EPA) - ANSRegisters and regulates environmental
disinfectants, controls emissions into the air and water, regulates the manufacture and sale of
EO gas
Food and Drug Administration (FDA) - ANSregulates all medical devices. MedWatch (recalls);
approves reprocessing of single use devices; require IFU (instructions for use)
Function of CS/SPD - ANSreceives, cleans, decontaminates, assembles, inspects, disinfects,
sterilizes reusable medical and surgical devices
Sterile processing is A.K.A - ANSCentral Material Service, Sterile Processing Service, Central
Service, Sterile Processing Department
Two groups that certify - ANSCBSPD (Cerification board for sterile processing and distribution,
IAHCSMM (International association of healthcare central service material management)
Chain of command - ANSchief operating officer, VP nursing, sterile processing manager, SPD
lead tech, SPD processing tech, SPD inventory tech, SPD case cart tech
Compliance w/a regulation is - ANSmandatory/required by law
Confidentiality - ANSHIPAA (Health insurance portability and accountability act)
,the manufacturer performs ________ for a product, the facility end user performs _______. -
ANSvalidation; verification
Occupational Safety Health Administration (OSHA) - ANSprotects workers; OSHA standards are
required by law; sets occupational exposure limits for all chemicals in the workplace under
mSDS (material safety data sheet); "right to know"; Emergency eyewash stations
Responsible for regulating EO gas - ANSOSHA, EPA
Ergonomics - ANSOSHA; fitting the job to the worker, prevent injuries before they occur
Emergency eyewash stations - ANSavailable within 10 seconds/30 meters of chemicals;
hands-free; test regularly and document, 0 4 gallons of water.
Government Agencies - ANSEPA, FDA, OSHA
NFPA - ANSNational Fire Protection Association
Center for Disease Control and prevention (CDC) - ANSvoluntary; promotes health by
preventing and controlling disease; publishes recommendations and guidelines; hand hygiene
(15 second minimum); NO artificial nails; classifies medical devices according to Spaulding
Spaulding Classification - ANSCritical (exposed to sterile areas of the body; must be sterile);
Semi-Critical (touches mucous membranes; recommended sterile or high level disinfected); Non
Critical (touch the skin; can be cleaned or disinfected; less than high level disinfection)
NFPA Blue Diamond - ANShealth hazard
NFPA Red Diamond - ANSflammability
NFPA Yellow Diamond - ANSinstability
NFPA White Diamond - ANSspecial hazard information
The Joint Commission (TJC) formally (Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)) - ANSvoluntary; establishes accrediting standards and conducts onsite
inspections; annual competency testing
Association for the Advancement of Medical Instrumentation (AAMI) - ANSvoluntary; sets
standards for CS/SPD
Association of peri-Operative Registered Nurses (AORN) - ANSvoluntary; develops nationally
recognized standards, recommended practices and guidelines for peri-operative setting
, Association for Professionals in Infection Control (APIC) - ANSvoluntary; international
organization dedicated to prvention and control of infections
Society of Gastroenterology Nurses and Associates (SGNA) - ANSvoluntary; established
standards for effective processing of flexible endoscopes
Department Of Transportation (DOT) - ANSenforces laws relating to transportation of medical
wastes
American National Standards Institute (ANSI) - ANSvoluntary; proposes standards to include
enhancing the global competitiveness and quality of life
World Health Order (WHO) - ANSvoluntary; furthers international cooperation in improving
health conditions
National Institute for Occupational Safety and Health (NIOSH) - ANSdivision of CDC; oversees
airborne control/respiration masks
Fire Safety - ANSALL equipment (including personal) should be safety checked by Biomedical
Engineering Dept. and approval label attached before use
Class A Fire Extinguisher - ANSordinary combustibles
Class B Fire Extinguisher - ANSflammable and combustible liquids
Class C Fire Extinguisher - ANSelectrical equipment
Class D Fire Extinguisher - ANScombustible metals
Class K Fire Extinguisher - ANSoils/fats in cooking appliances
R>A>C>E (fire safety) - ANSRemove/Rescue; Alarm; Contain/Confine; Extinguish
P>A>S>S (operation of fire extinguisher) - ANSPull the pin; Aim the nozzle; Squeeze the
handle; Sweep the stream over base of fire
Personal Protective Equipment (PPE) - ANSMUST be worn to protect from blood and bodily
fluid
Sharps - ANSinstruments/devices with points/blades
disposable sharps must be disposed in - ANSrigid biohazard container
warm up jackets - ANSworn to prevent hair and bacterial shedding from bare arms
Decontamination Area - ANSWhere soiled items are received and cleaned. *All levels for the
same tray should be labeled w/a tag to identify the level number and set to which it belongs.
Preparation and Packaging Area - ANSwhere cleaned items are inspected, assembled, and
packaged.
Sterilization Area - ANSwhere terminal sterilization is performed.
Sterile Storage Area - ANSwhere sterile items are stored until needed.
Sterile Stores - ANSwhere items for patient care from outside manufacturers are stored.
Sometimes referred to as Medical Supply Distribution, Central Supply, or similar designation.
Case Cart Area - ANSwhere sterile supplies (trays and/or sterile items from outside
manufacturers) are kept and picked for surgical cases.
Dispatch - ANSwhere sterile and clean items are dispensed.
Loaner Area - ANSfor the receipt and return of instruments borrowed for specialty procedures.
Patient Care Equipment Clean-Up Area - ANSwhere patient care equipment is cleaned and
disinfected.
SPD Responsibilities - ANSproviding dependable, reliable services to enhance the quality of
patient care. Instruments sets, patient care equipment, and other medical devices must be
processed and distributed in an accurate and timely manner so that patient care is not adversely
affected.
Work Flow - ANShow the work progresses through the department or processing area. *Dirty to
Clean
People Flow - ANShow people move through the department or processing area. *Clean to Dirty
Traffic Control - ANScontrolling access to SPD
Ethics - ANSthe discipline dealing with what is good and bad and with moral duty and obligation.
Ethical Actions - ANSactions that conform to accepted and professional standards of conduct.
Morals - ANSdeal with or relate to principles of right and wrong behavior.
,Unethical Professional Conduct - ANSfailure to conform to moral standards or policies.
Professional Ethics - ANSprinciples of conduct governing an individual or group.
American Medical Association (AMA) - ANSthe most important organization related to
healthcare ethics.
Regulation - ANSa principle, rule, or law designed to control or govern behavior.
Agencies that issue regulations - ANSEPA, FDA, OSHA and State health departments
Standard - ANSan established norm determined by opinion, authority, research and/or theory.
Recommended Practices - ANSstatements of sound principles of practice based on scientific
data and opinions of experts.
Agencies that set standards - ANSAAMI, CDC
Examples of recommended practices - ANSdocuments developed by IAHCSMM, SGNA, AORN
Environmental Protection Agency (EPA) - ANSRegisters and regulates environmental
disinfectants, controls emissions into the air and water, regulates the manufacture and sale of
EO gas
Food and Drug Administration (FDA) - ANSregulates all medical devices. MedWatch (recalls);
approves reprocessing of single use devices; require IFU (instructions for use)
Function of CS/SPD - ANSreceives, cleans, decontaminates, assembles, inspects, disinfects,
sterilizes reusable medical and surgical devices
Sterile processing is A.K.A - ANSCentral Material Service, Sterile Processing Service, Central
Service, Sterile Processing Department
Two groups that certify - ANSCBSPD (Cerification board for sterile processing and distribution,
IAHCSMM (International association of healthcare central service material management)
Chain of command - ANSchief operating officer, VP nursing, sterile processing manager, SPD
lead tech, SPD processing tech, SPD inventory tech, SPD case cart tech
Compliance w/a regulation is - ANSmandatory/required by law
Confidentiality - ANSHIPAA (Health insurance portability and accountability act)
,the manufacturer performs ________ for a product, the facility end user performs _______. -
ANSvalidation; verification
Occupational Safety Health Administration (OSHA) - ANSprotects workers; OSHA standards are
required by law; sets occupational exposure limits for all chemicals in the workplace under
mSDS (material safety data sheet); "right to know"; Emergency eyewash stations
Responsible for regulating EO gas - ANSOSHA, EPA
Ergonomics - ANSOSHA; fitting the job to the worker, prevent injuries before they occur
Emergency eyewash stations - ANSavailable within 10 seconds/30 meters of chemicals;
hands-free; test regularly and document, 0 4 gallons of water.
Government Agencies - ANSEPA, FDA, OSHA
NFPA - ANSNational Fire Protection Association
Center for Disease Control and prevention (CDC) - ANSvoluntary; promotes health by
preventing and controlling disease; publishes recommendations and guidelines; hand hygiene
(15 second minimum); NO artificial nails; classifies medical devices according to Spaulding
Spaulding Classification - ANSCritical (exposed to sterile areas of the body; must be sterile);
Semi-Critical (touches mucous membranes; recommended sterile or high level disinfected); Non
Critical (touch the skin; can be cleaned or disinfected; less than high level disinfection)
NFPA Blue Diamond - ANShealth hazard
NFPA Red Diamond - ANSflammability
NFPA Yellow Diamond - ANSinstability
NFPA White Diamond - ANSspecial hazard information
The Joint Commission (TJC) formally (Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)) - ANSvoluntary; establishes accrediting standards and conducts onsite
inspections; annual competency testing
Association for the Advancement of Medical Instrumentation (AAMI) - ANSvoluntary; sets
standards for CS/SPD
Association of peri-Operative Registered Nurses (AORN) - ANSvoluntary; develops nationally
recognized standards, recommended practices and guidelines for peri-operative setting
, Association for Professionals in Infection Control (APIC) - ANSvoluntary; international
organization dedicated to prvention and control of infections
Society of Gastroenterology Nurses and Associates (SGNA) - ANSvoluntary; established
standards for effective processing of flexible endoscopes
Department Of Transportation (DOT) - ANSenforces laws relating to transportation of medical
wastes
American National Standards Institute (ANSI) - ANSvoluntary; proposes standards to include
enhancing the global competitiveness and quality of life
World Health Order (WHO) - ANSvoluntary; furthers international cooperation in improving
health conditions
National Institute for Occupational Safety and Health (NIOSH) - ANSdivision of CDC; oversees
airborne control/respiration masks
Fire Safety - ANSALL equipment (including personal) should be safety checked by Biomedical
Engineering Dept. and approval label attached before use
Class A Fire Extinguisher - ANSordinary combustibles
Class B Fire Extinguisher - ANSflammable and combustible liquids
Class C Fire Extinguisher - ANSelectrical equipment
Class D Fire Extinguisher - ANScombustible metals
Class K Fire Extinguisher - ANSoils/fats in cooking appliances
R>A>C>E (fire safety) - ANSRemove/Rescue; Alarm; Contain/Confine; Extinguish
P>A>S>S (operation of fire extinguisher) - ANSPull the pin; Aim the nozzle; Squeeze the
handle; Sweep the stream over base of fire
Personal Protective Equipment (PPE) - ANSMUST be worn to protect from blood and bodily
fluid
Sharps - ANSinstruments/devices with points/blades
disposable sharps must be disposed in - ANSrigid biohazard container
warm up jackets - ANSworn to prevent hair and bacterial shedding from bare arms
