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CBSPD Exam 2025/2026 Questions & Answers | 100% Correct | Verified
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What should the sterilizer access area pressure be? - ✔✔Negative w/10 air exchanges per hour What two steps are involved in decontamination? - ✔✔
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
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
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 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)
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 Is the use of PPE optional? - ✔✔no PPE must not... - ✔✔permit blood or other potentially infectious materials to pass through or reach the employees work clothes, street clothes, undergarments, skin, eyes, mouth, or mucous membrane during the time of use Individuals entering the area must... - ✔✔wear PPE traffic in the decontamination area must be restricted to? - ✔✔individuals with job responsibilities in the area Provisions for the cleaning of walls, vents, and drains should be made because... - ✔✔to inhibit he growth of microorganisms in the traps, prevent insects, prevent emission of noxious odors How should the work flow in decontamination? - ✔✔clean to dirty areas with decontamination being the last area cleaned Floors and work surfaces should be cleaned? - ✔✔daily in accordance to the policies and procedures How many air exchanges should there be in the decontamination area? - ✔✔ 10 per hour
Air should be exhausted where? - ✔✔directly to the outside not recirculated temp. and humidity should be monitored and documented daily, when it reaches above/below those standards what should you do? - ✔✔the discrepancies should be reported to the SPD manager or supervisor Negative air pressure should... - ✔✔be drawn into the room what helps control biofilm in pipes - ✔✔Chlorination of water ad flushing of delivery systems What are biofilms - ✔✔Biofilms are microbial communities that are tightly attached to surfaces and cannot be easily removed; Bacteria is 1000x more resistant than bacteria in suspension Soaking items for too long should be avoided. Why? - ✔✔because of the potential for biofilms Items with multiple parts should be disassembled according to what? - ✔✔Manufacturer's IFU What are the basic steps in the cleaning process? - ✔✔-sorting