mailto:https://www.stuvia.com/en-us/user/techgrades
CNOR EXAM QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED.
1. Name the 3 Spaulding Classification Systems: Critical
Semi-Critical
Non-Critical
2. Meaning of Critical Spaulding Classification System: Items MUST be sterile.
Items will enter -sterile tissue- or -vascular system-
3. Examples of items in Critical Spaulding Classification System: -Instruments-
-Laparoscopes- -Arthroscopes-
-*Cutting endoscope accessories for biopsy*-
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
-Cardiac Caths-
-IV caths- - Needles-
-*Urinary Caths-
4. Meaning of Semi-Critical Spaulding Classification System: Items SHOULD be sterile.
Items will contact -broken skin- or -MM-
If the manufacturers instructions say it WON'T tolerate sterilization, they CAN be HLD (but only IF MF SAYS).
-Spores survive HLD-
5. Examples of items in Semi-Critical Spaulding Classification System: -Broncho-
scopes
-GI Scopes/GI endoscopes
-RT equipment (laryngoscope blades)
-Anesthesia equipment
6. Meaning of Non Critical Spaulding Classification System: -Will be in contact with INTACT
SKIN
-Intermediate or Low Level Disinfection or Cleaning.
-Disinfect with an FDA approved disinfectant that's ettective against HEP B.
7. Examples of items in Non Critical Spaulding Classification System: -Furniture
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
-Laundry/Linens
-OR bed
-BP Cutt/Leads/Monitors/Stethoscopes
-Tourniquets
8. Requirement for decontamination area:: -Must have a physical WALL or SEPARATION between
decontam and processing areas.
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
-This includes Immediate Use Areas.
-Why: Because decontam requires NEGATIVE PRESSURE
9. Sterile Processing Workflow: Decontamination (always 1st) --> Prep&Pack -->Sterilization
-->Distribute/Store
10. Most important step to prevent infection:: Cleaning and Pre-treating with a non-drying
enzymatic solution in order to avoid biofilm, which encapsulates spores.
11. Decontamination processes: -Disassemble everything
-Brush lumens/channels using a brush based on mfr instruction for correct diameter and length of lumen
-Brush lumens/channels/crevices/joints UNDER WATER
-Automated (washers/ultrasonic) more ettective than manual cleaning.
12. Two Types of Steam Sterilization: -Pre-Vac Autoclave/Dynamic Air Removal
-Gravity Displacement
13. PreVac settings: 270-276
3 min (NON porous instruments/regular instruments)
mailto:https://www.stuvia.com/en-us/user/techgrades
CNOR EXAM QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED.
1. Name the 3 Spaulding Classification Systems: Critical
Semi-Critical
Non-Critical
2. Meaning of Critical Spaulding Classification System: Items MUST be sterile.
Items will enter -sterile tissue- or -vascular system-
3. Examples of items in Critical Spaulding Classification System: -Instruments-
-Laparoscopes- -Arthroscopes-
-*Cutting endoscope accessories for biopsy*-
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
-Cardiac Caths-
-IV caths- - Needles-
-*Urinary Caths-
4. Meaning of Semi-Critical Spaulding Classification System: Items SHOULD be sterile.
Items will contact -broken skin- or -MM-
If the manufacturers instructions say it WON'T tolerate sterilization, they CAN be HLD (but only IF MF SAYS).
-Spores survive HLD-
5. Examples of items in Semi-Critical Spaulding Classification System: -Broncho-
scopes
-GI Scopes/GI endoscopes
-RT equipment (laryngoscope blades)
-Anesthesia equipment
6. Meaning of Non Critical Spaulding Classification System: -Will be in contact with INTACT
SKIN
-Intermediate or Low Level Disinfection or Cleaning.
-Disinfect with an FDA approved disinfectant that's ettective against HEP B.
7. Examples of items in Non Critical Spaulding Classification System: -Furniture
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
-Laundry/Linens
-OR bed
-BP Cutt/Leads/Monitors/Stethoscopes
-Tourniquets
8. Requirement for decontamination area:: -Must have a physical WALL or SEPARATION between
decontam and processing areas.
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/en-us/user/techgrades
-This includes Immediate Use Areas.
-Why: Because decontam requires NEGATIVE PRESSURE
9. Sterile Processing Workflow: Decontamination (always 1st) --> Prep&Pack -->Sterilization
-->Distribute/Store
10. Most important step to prevent infection:: Cleaning and Pre-treating with a non-drying
enzymatic solution in order to avoid biofilm, which encapsulates spores.
11. Decontamination processes: -Disassemble everything
-Brush lumens/channels using a brush based on mfr instruction for correct diameter and length of lumen
-Brush lumens/channels/crevices/joints UNDER WATER
-Automated (washers/ultrasonic) more ettective than manual cleaning.
12. Two Types of Steam Sterilization: -Pre-Vac Autoclave/Dynamic Air Removal
-Gravity Displacement
13. PreVac settings: 270-276
3 min (NON porous instruments/regular instruments)
mailto:https://www.stuvia.com/en-us/user/techgrades
