CBSPD EXAM Already Solved 100%

Functions of SPD - Answer Our functions are Decontamination, Assembly/Prep & Pack, Sterilization & Storage. Placement of Instrumentation on Sterilizer rack Top shelf - Answer Peel packs tilted on edge/side Placement of Instrumentation on Sterilizer rack Middle shelf - Answer Textile, Basins, Non-Perforated trays - tilted on edge/side Where should Textiles etc. be placed on Sterilizer rack - Answer Textiles ect. should always be placed on the rack above the metal containers. Placement of Instrumentation on Sterilizer rack Bottom shelf - Answer Rigid container, perforated basket trays- placed flat LTGP - Answer back bottom shelf on top of tray/pack ( Geobacillus Sterarothermophilus) Incubated @ 131-140 deg. BI placement for Steam - Answer over the drain ( Geobacillus Sterarothermophilus) Incubated @ 131-140 deg. BI placement for ETO - Answer center of load (Geobacillus Sterarothermophilus ) Incubated @ 99 degrees BI placement for LTHP - Answer center top shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg. BI placement for Ozone - Answer upper shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg. BI placement for Dry Heat - Answer fullest densest load (Bacillus Atrophaeus) Incubated @ 96-120 deg. Cleaning - Answer 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) - Answer 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 - Answer direct and indirect via a reservoir. Which is either by human, animal or nonliving means as soil or water. direct contact - Answer 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 - Answer via objects/fomites inanimate objects. Instrument Usage : Hemostats - Answer Hemostats are used to clamp arteries to stop the flow of blood. Instrument Usage : Scissors - Answer Scissors are used to cut & dissect tissue and to cut dressings & suture. Instrument Usage : Tissue & Dressing forceps - Answer Tissue & Dressing forceps are used to manipulate & grasp tissue, sponges & dressings. Instrument Usage : Needle holders - Answer Needle holders are used to hold back tissue & organs. Retractors - Answer Retractors are used to hold back tissue & organs. Laparoscopic - Answer Laparoscopic instruments are used in minimally invasive surgery. FDA (Food and Drug Administration) - Answer 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) - Answer Patient confidentiality is provided by HIPAA shelf life - Answer shelf life is time a sterile item is considered safe to use it is event related not time related. Use-life - Answer Period of time during which a germicidal solution is effective after it has been prepared for use Hazard Communication Safety Data Sheet - Answer is the right to know standard for all chemicals in the department. Safety Data Sheet - Answer Must be displayed in facilities where a hazardous substance is stored, manufactured, or used per OSHA. metal brushes - Answer metal brushes are used on Tungsten Carbide ( gold handled) for cleaning when needed. Nylon & plastic brushes - Answer are used for cleaning all other instrumentation when needed. Quality assurance - Answer 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 - Answer what is good, bad, and moral and doing the right thing. work ethics - Answer understanding cultural differences is a trait of good work ethics. Morals - Answer principles of right & worng Agencies that are mandatory - Answer OSHA,FDA,DOH, & EPA we must do what they say compliance is not an option. Regulation - Answer a rule that must be followed it is not optional it is issued by regulatory agencies only. Recommendation are issued by - Answer AAMI, AORN, & CDC and are considered best practices. Quats - Answer are low-level disinfectants effective against gram-positive bacteria are bactericidal and used on inanimate objects like bed, tables, walls, & floors. Not effective against lipid-based viruses. Used in dietary & nursery departments & must remain wet for the required time to be effective. Halogens - Answer are oxidizing agents that can remove oxygen from living things & cause death. Bleach (hypochlorite) - Answer Is commonly used low to medium level disinfectant in the Halogens. It can destroy Hep Virus & HIV Iodine - Answer is another used as skin antiseptic to reduce microorganisms and prep skin for surgery. Phenolics - Answer are carbolic-acid effective against vegetative bacteria, fungi, some mycobacteria, but not against bacterial spores & some viruses. They are bcteriostatic and leave residue. not in dietary, baby equipment, mattresses & surgical instruments. but can be used on TB contaminated fomites. Alcohol - Answer are antiseptics/sanitizers that can kill mycobcteria, & fungi. They are Bacterricidal and flammable.