CBSPD EXAM Questions and Solutions

Functions of SPD Our functions are Decontamination, Assembly/Prep & Pack, Sterilization & Storage. Placement of Instrumentation on Sterilizer rack Top shelf Peel packs tilted on edge/side Placement of Instrumentation on Sterilizer rack Middle shelf Textile, Basins, Non-Perforated trays - tilted on edge/side Where should Textiles etc. be placed on Sterilizer rack Textiles ect. should always be placed on the rack above the metal containers. Placement of Instrumentation on Sterilizer rack Bottom shelf Rigid container, perforated basket trays- placed flat LTGP back bottom shelf on top of tray/pack ( Geobacillus Sterarothermophilus) Incubated @ 131-140 deg. BI placement for Steam over the drain ( Geobacillus Sterarothermophilus) Incubated @ 131-140 deg. BI placement for ETO center of load (Geobacillus Sterarothermophilus ) Incubated @ 99 degrees BI placement for LTHP center top shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg. BI placement for Ozone upper shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg. BI placement for Dry Heat fullest densest load (Bacillus Atrophaeus) Incubated @ 96-120 deg. Cleaning is the removal of contamination from an item to the extent necessary for further processing or for the intend use. AAMI (Association for the Advancement of Medical Instrumentation) Issues standards which is an established norm based on theory,opinion, authority, & research AAMI is not law but recognized as best practices. AAMI makes recommendations for sterilization based on opinion, research, authority, and /or theory. 2 types of contact transmission direct and indirect via a reservoir. Which is either by human, animal or nonliving means as soil or water. direct contact person to person or physical contact between the source to the person by animals which is considered a vector that causes Lymes disease via ticks/lice which is a spriochete that is spiral shaped also causes syphilis, Influenza via birds & Rabies via rats,bats, skunks, foxes, dogs,cats. Indirect contact via objects/fomites inanimate objects. Instrument Usage : Hemostats Hemostats are used to clamp arteries to stop the flow of blood. Instrument Usage : Scissors Scissors are used to cut & dissect tissue and to cut dressings & suture. Instrument Usage : Tissue & Dressing forceps Tissue & Dressing forceps are used to manipulate & grasp tissue, sponges & dressings. Instrument Usage : Needle holders Needle holders are used to hold back tissue & organs. Retractors Retractors are used to hold back tissue & organs. Laparoscopic Laparoscopic instruments are used in minimally invasive surgery. FDA (Food and Drug Administration) The FDA regulates all medical devices are safe before companies market them and that they must provide IFU's for their products on how to reprocess. Also, any single use device must be cleared by FDA HIPAA (Health Insurance Portability and Accountability Act) Patient confidentiality is provided by HIPAA shelf life shelf life is time a sterile item is considered safe to use it is event related not time related. Use-life Period of time during which a germicidal solution is effective after it has been prepared for use Hazard Communication Safety Data Sheet is the right to know standard for all chemicals in the department. Safety Data Sheet Must be displayed in facilities where a hazardous substance is stored, manufactured, or used per OSHA. metal brushes metal brushes are used on Tungsten Carbide ( gold handled) for cleaning when needed. Nylon & plastic brushes are used for cleaning all other instrumentation when needed. Quality assurance is the collection of data & identification of issues that can be identified by anyone and is continuous quality improvement. one of the way to find issues is by random audits. Ethics what is good, bad, and moral and doing the right thing. work ethics understanding cultural differences is a trait of good work ethics. Morals principles of right & worng Agencies that are mandatory