CBSPD Exam Study 2023 Questions and Answers 100% Verified by Experts

CBSPD Exam Study 2023 Questions and Answers 100% Verified by Experts What should the sterilizer access area pressure be? - Negative w/10 air exchanges per hour What two steps are involved in decontamination? - 1. Manual and/or automated mechanical cleaning 2. application of a thermal or chemical disinfection process Define Cleaning... - 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... - poor or ineffective decontamination of instruments What are Employee hazards in the decontamination process? - 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? - follow the device manufacturer's written instructions What is the starting point in sterilization? - Cleaning Define decontamination - 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? - -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? - Box lock and jaws What does the ABC system stand for? - 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? - Items are distributed to department by vendor no need for sterile storage or inventory control. What are specialty/ procedure carts? - Carts placed in specific departments based on procedures personalized to needs of departments easily accessible. What is case cart distribution? - visually in specialty areas case carts are delivered to department case cart is specialized to departments needs What is the exchange cart distribution? - Two identical carts are made one is out in the department and other stays in SPD What is par level distribution? - There is fixed inventory and when items become low they are replenished from the stockroom per department/specialty What is demand distribution? - An instrument/cart must be ordered in order to get it What are the most common distribution systems? - 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? - positive air flows out What is shelf life - period of time which a sterile item is considered safe to use event related not time related When are packs most vulnerable to contamination? - Immediately after sterilization What is it when a sterilizer's ability is tested under worst case conditions? - Small load testing What is it called when a sterilizer is tested for sterilization under actual use conditions? - Max load testing How often is a Bowie Dick test ran? - Daily for dynamic air removal sterilizers How much space should be between packages and chamber wall? - one inch How should paper-plastic pouches be placed in a sterilizer? - plastic to paper or paper to plastic tilted on side How should basins be placed in a sterilizer? - on tilted side same direction What should be placed on the bottom of the rack in a mixed load? - metal instruments basin other metal items What should be placed on the top shelf? - textile packs and paper/plastic pouches Textile packs should be placed how in a sterilizer? - sides Solid bottom trays should be loaded now? - tilted on sides How should mesh bottom containers be loaded into the sterilizer? - flat on rack If packages are still moist when the sterilizer doors are open bacteria can do what? - wick through the package How does steam sterilization occur? - by condensation What cases are proven to have prions? - 1) neurosurgery 2) opthamology (eye) When should a flash sterilizer be monitored? - Weekly with a biological and a class 5 or class 6 indicator What can not be processed in an express cycle? - porous items items with lumens When should a flash sterilizer be used? - In an emergency; a one of a kind instrument is dropped How are liquids sterilized? - only through gravity displacement liquid cycles What occurs during the drying phase? - 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? - steam is exhausted from the chamber drain line What occurs during he sterilization/exposure/"holding phase"? - exposure temperature is maintained for the prescribed amount of time What occurs during the conditioning phase of steam sterilizers? - Air is removed and steam is injected Where should the bowie dick test be placed in a steam sterilizer - drain line Where is the sterilizers heat-sensing thermometer located? - Drain- line What provides heat inside the chamber and prevents condensation in a steam sterilizer? - the jacket where is the dedicated steam supply made? - a boiler Steam kills microorganisms by the protein - denaturing (coagulation) True/false Removing as many microorganisms as possible before sterilization enhances the probability of microbial kill - true What is the air exchange in sterile storage - 4 per hour What is the suggested release temperature of packs? - 70 to 80 degree farenheit How far from the floor should medical devices be stored? - 8-10 inches from the floor How far should shelving be from outside walls? - 2 inches What kind of pressure should the sterilization area be under? - positive What is the coldest area of the sterilizer? - drain line What are the three parameters of steam sterilization? - 1) Steam under pressure 2) time 3) Exposure/temperature What are the two types of cycles in steam sterilization? - 1) dynamic air removal (prevac) 2) Gravity Displacement (immediate use) What are the phases of the cycle? - 1)conditioning (air is removed) 2)sterilization/Exposure/ Hold (temperature is held) 3) Exhaust (steam out drain line) 4) drying (approx. 30 min.) temperature What are the types of sterilization processes used? - 1) steam 2) EtO 3) Dry Heat 4) Gas plasma 5) Ozone 6) liquid chemical It takes a certain to reach a certain - Pressure What does a class on indicator respond to? - Only one parameter of the process (ex.: autoclave tape) Geobacillus steurothermophilus must be incubated at what temp.? - 132 degrees farenheit What should the incoming saturated steam dryness be? - ideally 97% to 100% saturated steam What should the sterility assurance level be? - 10^-6 When a new sterilizer comes in or relocated how many consecutive biologicals be ran in an empty sterilizer? - three How many air exchanges should there be in the sterilization area? - ten Class five responds to - all critical parameters Class three responds to - single parameter respond to one chemical parameter Biological monitors contain... - spores geobacillus stearothermophilus The biological used for team, ozone, and pareacetic sterilization contains.... - Geobacillus Stearothermophilus The biological used for EtO, gas plasma, and dry heat contains... - Bacillus atrophaeus True/False Adequate cleaning will lead to easier sterilization b/c it reduces present bioburden - true When must a control biological be ran? - Daily or when a new lot number is present When are biologicals placed for steam sterilization? - Coldest point (drain line) Where do you place biologicals for EtO sterilization? - Approximately the center of the load Where are biologicals placed for gas plasma sterilization? - First shelf back of chamber If no microorganisms survived, the biological test is the positive or negative? - Negative If microorganisms survive the biological test is considered positive or negative? - posititve If bacteria lives what color does the biological turn? - yellow When a BI tests positive you must... - Determine why it failed and recall everything from that cycle and reprocess it Steam sterilizers should be monitors at a minimum of... - weekly Each package ran through sterilizers should be labeled with what? - 1)lot number 2)date 3)cycle number What must CSD comply with? - local and state regulations What is decontamination? - contaminated items are rendered safe for handling by personnel who are not wearing protective attire What does the EPA regulate? - EtO manufacturing and emissions, and labeling What agencies govern central sterile departments? - -joint commission (JC) -occupational safety (OSHA) -Environmental (EPA) -Food and Drug (FDA) Is JCAHO a government agency? - no it is a volunteer organization The standards of affect most areas of the health care facility. - Joint Commision What should large items be lifted with? - If too large, then a lift must be used; if can be lifted with body use legs not back/arms What can an incident report lead to? - Work practices that need improvement What should be in an incident report? - -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? - immediately What items can be disinfected? - -surgical instrumentation -patient care equipment -other medical devices from all areas of the institution When is disinfection used? - 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 - clean activities are being performed (prep, packaging, and sterilization) What kind of containers should sharps be kept in? - impervious (puncture proof), and leak proof containers Acrylic nails are... - prohibited because the support the growth of microorganisms How long should fingernails be kept? - Short Why should jewelry not be worn? - 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 - True