CBSPD Decontamination - Certification Exam Review With Complete Solutions!!

Define Cleaning - ANSWER -"the removal of contamination from an item to the extent necessary for further processing or for the intended use" Define Decontamination - ANSWER -"the use of physical or chemical means to remove, inactivate, or destroy BBP on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use, or disposal" Donning PPE (order) - ANSWER -*Head cover already on* 1. Shoe Covers 2. Gown 3. Mask 4. Goggles/Face Shield 5. Gloves Doffing PPE (order) - ANSWER -1. Shoe Covers (dirtiest) 2. Gloves 3. Goggles/Face Shield 4. Gown 5. Mask Gross Soil - ANSWER -- Removed at point of use - Use wet towel with distilled water (no saline) - spray enzymatic foam Should you soak contaminated instruments? - ANSWER -No (soaking causes the formation of biofilms) Regulates the transport of supplies, goods, and containers - ANSWER -Department of Transportation (DOT) 8 Factors that affect cleaning - ANSWER -1. Water Quality 2. Water Temperature 3. Detergent Cleaning Activity 4. Mechanical Action 5. Type of Soil 6. Instrument Design 7. Cleaning and Verification 8. Quality Assurance Who prohibits HCWs from putting hands in bins/containers with soiled instruments? - ANSWER -OSHA Which type of water is used during the first rinse (utility)? - ANSWER -Tap Water (washing, flushing, rinsing) Which type of water is used during the final rinse? - ANSWER -Critical - extensively treated (treated with deionization, reverse osmosis, or distillation) What pH is best for cleaning? - ANSWER -7 - neutral reduces corrosion What impedes rinsing and alters pH of detergent? - ANSWER -Hard Water Substances What causes corrosion, staining, spotting, and increases microbial levels? - ANSWER -Poor Water Quality How often should water quality be tested? - ANSWER -Daily How do you dislodge/remove soils using enzyme-based detergents? - ANSWER -1. Lower surface tension 2. Suspend items in solution for easy washing/rinsing 3. Low sudsing, free rinsing