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CBSPD Exam questions with correct answers
What should the sterilizer access area pressure be? - correct answer Negative w/10 air
exchanges per hour
What two steps are involved in decontamination? - correct answer 1. Manual and/or
automated mechanical cleaning
- application of a thermal or chemical disinfection process
Define Cleaning... - correct 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... - correct answer poor or
ineffective decontamination of instruments
What are Employee hazards in the decontamination process? - correct 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? - correct answer follow the device manufacturer's
written instructions
What is the starting point in sterilization? - correct answer Cleaning
Define decontamination - correct 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? - correct 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? - correct answer Box lock and jaws
What does the ABC system stand for? - correct 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? - correct answer Items are distributed to department by
vendor no need for sterile storage or inventory control.
What are specialty/ procedure carts? - correct answer Carts placed in specific departments
based on procedures personalized to needs of departments easily accessible.
What is case cart distribution? - correct answer visually in specialty areas case carts are
delivered to department case cart is specialized to departments needs
What is the exchange cart distribution? - correct answer Two identical carts are made one
is out in the department and other stays in SPD
What is par level distribution? - correct answer There is fixed inventory and when items
become low they are replenished from the stockroom per department/specialty
What is demand distribution? - correct answer An instrument/cart must be ordered in
order to get it
What should be placed on the bottom of the rack in a mixed load? - correct answer metal
instruments basin other metal items
What should be placed on the top shelf? - correct answer textile packs and paper/plastic
pouches
Textile packs should be placed how in a sterilizer? - correct answer sides
Solid bottom trays should be loaded now? - correct answer tilted on sides
How should mesh bottom containers be loaded into the sterilizer? - correct answer flat on
rack
If packages are still moist when the sterilizer doors are open bacteria can do what? - correct
answer wick through the package
How does steam sterilization occur? - correct answer by condensation
What cases are proven to have prions? - correct answer 1) neurosurgery
- opthamology (eye)
When should a flash sterilizer be monitored? - correct answer Weekly with a biological
and a class 5 or class 6 indicator
What can not be processed in an express cycle? - correct answer porous items
items with lumens
When should a flash sterilizer be used? - correct answer In an emergency; a one of a kind
instrument is dropped
How are liquids sterilized? - correct answer only through gravity displacement liquid
cycles
What occurs during the drying phase? - correct 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? - correct answer steam is exhausted from the
chamber drain line
What occurs during he sterilization/exposure/"holding phase"? - correct answer exposure
temperature is maintained for the prescribed amount of time
What occurs during the conditioning phase of steam sterilizers? - correct answer Air is
removed and steam is injected
Where should the bowie dick test be placed in a steam sterilizer - correct answer drain
line
Where is the sterilizers heat-sensing thermometer located? - correct answer Drain- line
What provides heat inside the chamber and prevents condensation in a steam sterilizer? -
correct answer the jacket
What are the two types of cycles in steam sterilization? - correct answer 1) dynamic air
removal (pre-vac)
- Gravity Displacement (immediate use)
What are the phases of the cycle? - correct answer 1)conditioning (air is removed)
2)sterilization/Exposure/ Hold (temperature is held)
- Exhaust (steam out drain line)
- drying (approx. 30 min.)
It takes a certain ______ to reach a certain ____________ - correct answer Pressure
temperature
What are the types of sterilization processes used? - correct answer 1) steam
- EtO
- Dry Heat
- Gas plasma
- Ozone
- liquid chemical
What does a class on indicator respond to? - correct answer Only one parameter of the
process (ex.: autoclave tape)
Geobacillus steurothermophilus must be incubated at what temp.? - correct answer 132
degrees farenheit
What should the incoming saturated steam dryness be? - correct answer ideally 97% to
100% saturated steam
What should the sterility assurance level be? - correct answer 10^-
When a new sterilizer comes in or relocated how many consecutive biologicals be ran in an
empty sterilizer? - correct answer three
How many air exchanges should there be in the sterilization area? - correct answer ten
Class five responds to - correct answer all critical parameters
Class three responds to - correct answer single parameter respond to one chemical
parameter
Biological monitors contain... - correct answer spores geobacillus stearothermophilus
The biological used for team, ozone, and pareacetic sterilization contains.... - correct
answer Geobacillus Stearothermophilus
The biological used for EtO, gas plasma, and dry heat contains... - correct answer Bacillus
atrophaeus True/False
Adequate cleaning will lead to easier sterilization b/c it reduces present bioburden - correct
answer true
3)cycle number
What must CSD comply with? - correct answer local and state regulations
What is decontamination? - correct answer contaminated items are rendered safe for
handling by personnel who are not wearing protective attire
What does the EPA regulate? - correct answer EtO manufacturing and emissions, and
labeling
What agencies govern central sterile departments? - correct answer -joint commission
(JC)
-occupational safety (OSHA) -Environmental (EPA) -Food and Drug (FDA)
Is JCAHO a government agency? - correct answer no it is a volunteer organization
The standards of _____________ affect most areas of the health care facility. - correct
answer Joint Commision
What should large items be lifted with? - correct answer 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? - correct answer Work practices that need
improvement
What should be in an incident report? - correct answer -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? - correct answer
immediately
What items can be disinfected? - correct answer -surgical instrumentation
-patient care equipment -other medical devices from all areas of the institution
When is disinfection used? - correct answer 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 - correct answer clean activities are
being performed (prep, packaging, and sterilization)
What kind of containers should sharps be kept in? - correct answer impervious (puncture
proof), and leak proof containers
Acrylic nails are... - correct answer prohibited because the support the growth of
microorganisms
How long should fingernails be kept? - correct answer Short
Why should jewelry not be worn? - correct answer cannot be easily cleaned can catch on
equipment causing injury
Air should be exhausted where? - correct answer 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? - correct answer the discrepancies should be
reported to the SPD manager or supervisor
Negative air pressure should... - correct answer be drawn into the room
what helps control biofilm in pipes - correct answer Chlorination of water ad flushing of
delivery systems
What are biofilms - correct answer 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? - correct answer because of the
potential for biofilms
Items with multiple parts should be disassembled according to what? - correct answer
Manufacturer's IFU
What are the basic steps in the cleaning process? - correct answer -sorting
-disposing of single-use items -prerinsing/presoaking reusable items -washing -rinsing -drying True/False
disinfection and/or sterilization will not compensate for poor cleaning - correct answer
True
a sterilized instrument is opened but not used what should happen? - correct answer treat
as contaminated and completely reprocess it
What is a pyrogen? - correct answer fever reducing substances
What does cleaning and rinsing do? - correct answer remove rather than kill
microorganisms
What is the most important step in the decontamination process? - correct answer
cleaning followed by thorough rinsing
Before an instrument is cleaned what must be obtained? - correct answer The
manufacturer's IFU
What is the objective of decontamination? - correct answer To make an item safe for
reuse and/or further handing
Organic soils should not be able to dry on instruments, how can you accomplish this? -
correct answer 1) Placing a towel moisteneed with water (not saline) over the instruments
- Using an instrument spray designed for pre treatment (enzymatic foam/ gel that adheres to the surface to begin breaking down soils)
When should sharps containers be changed? - correct answer 2/3 full to help prevent
sharps injuries
What can the quality of water affect? - correct answer 1) how the detergent will work
