What should the sterilizer access area pressure be? - (answer)Negative w/10 air exchanges per hour
75-85 Temp
What two steps are involved in decontamination? - (answer)1. Manual and/or automated mechanical
cleaning
2. application of a thermal or chemical disinfection process
Define Cleaning... - (answer)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... - (answer)poor or ineffective
decontamination of instruments
What are Employee hazards in the decontamination process? - (answer)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? - (answer)follow the device manufacturer's written instructions
What is the starting point in sterilization? - (answer)cleaning
Define decontamination - (answer)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? - (answer)-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? - (answer)Box lock and jaws
,CBSPD Board Exam QUESTIONS AND CORRECT ANSWERS
What does the ABC system stand for? - (answer)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? - (answer)Items are distributed to department by vendor no need for
sterile storage or inventory control.
What are specialty/ procedure carts? - (answer)Carts placed in specific departments based on
procedures
personalized to needs of departments easily accessible.
What is case cart distribution? - (answer)visually in specialty areas case carts are delivered to
department case cart is specialized to departments needs
What is the exchange cart distribution? - (answer)Two identical carts are made one is out in the
department and other stays in SPD
What is par level distribution? - (answer)There is fixed inventory and when items become low they are
replenished from the stockroom per department/specialty
What is demand distribution? - (answer)An instrument/cart must be ordered in order to get it
What are the most common distribution systems? - (answer)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? - (answer)positive air flows out
What is shelf life - (answer)period of time which a sterile item is considered safe to use
,CBSPD Board Exam QUESTIONS AND CORRECT ANSWERS
event related not time related
When are packs most
vulnerable to contamination? - (answer)Immediately after sterilization
What is it when a sterilizer's ability is tested under worst case conditions? - (answer)Small load testing
What is it called when a sterilizer is tested for sterilization under actual use conditions? - (answer)Max
load testing
How often is a Bowie Dick test ran? - (answer)Daily for dynamic air removal sterilizers
How much space should be between packages and chamber wall? - (answer)one inch
How should paper-plastic pouches be placed in a sterilizer? - (answer)plastic to paper or paper to plastic
tilted on side
How should basins be placed in a sterilizer? - (answer)on tilted side same direction
What should be placed on the bottom of the rack in a mixed load? - (answer)metal instruments
basin
other metal items
What should be placed on the top shelf? - (answer)textile packs and paper/plastic pouches
Textile packs should be placed how in a sterilizer? - (answer)sides
Solid bottom trays should be loaded now? - (answer)tilted on sides
, CBSPD Board Exam QUESTIONS AND CORRECT ANSWERS
How should mesh bottom containers be loaded into the sterilizer? - (answer)flat on rack
If packages are still moist when the sterilizer doors are
open bacteria can do what? - (answer)wick through the package
How does steam sterilization occur? - (answer)by condensation
What cases are proven to have prions? - (answer)1) neurosurgery
2) opthamology (eye)
When should a flash sterilizer be monitored? - (answer)Weekly with a biological and a class 5 or class 6
indicator
What can not be processed in an express cycle? - (answer)porous items
items with lumens
When should a flash sterilizer be used? - (answer)In an emergency; a one of a kind instrument is
dropped
How are liquids sterilized? - (answer)only through gravity displacement liquid cycles
What occurs during the drying phase? - (answer)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? - (answer)steam is exhausted from the chamber drain line