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CBSPD Final Exam 2023/
Main role of sterile processing is: ✔Ans - provide reliable services to enhance quality of patient care instruments sets and patient care equipment processing and distributing must be done accurately and timely so: ✔Ans - patient care is not adversely affected Ethics is ✔Ans - doing the right thing Compliance with OSHA is ✔Ans - required by law Establishes sterile practice based on opinion, research and theory: ✔Ans - AAMI Reccomended practices are: ✔Ans - statements of sound principals based on scientific data EPA, FDA, OSHA & DOH issue ____ ✔Ans - regulations CS/SPD practice are written by ___ ✔Ans - AAMI HIPPA is all about what ethical issue? ✔Ans - Confidentiality Governing behavior involves what type of rule? ✔Ans - Regulation An established norm based on theory is: ✔Ans - Standard Government agency that evaluated pesticides? ✔Ans - EPA Single-use devices in the hospital setting are regulated by _____ ✔Ans - FDA
Cleaning/sterilization instructions should be requested from device manufacturers ___ ✔Ans - each time the item is purchased OSHA requires SDS for ___ ✔Ans - each chemical in the department Science branch refers to form and organization of body parts: ✔Ans - Anatomy Science branch refers to function of specific body parts: ✔Ans - Physiology Smallest most numerous structural units processing basic life characteristics are: ✔Ans - Cells An environmental factor not required for the life of a cell is: ✔Ans - Cold The cell's brain is the ✔Ans - Nucleus Cell portion that contains DNA ✔Ans - Nucleus Complex structures with specialized functions in the body are: ✔Ans - Organs Where do red blood cells develop? ✔Ans - Bone marrow Smallest bones of the body are found in the: ✔Ans - middle ear Bone which supports the tongue and swallowing functions: ✔Ans - Hyoid bone Skull, hyoid, vertebral column and thoracic cage are part of ___ skeleton ✔Ans - Axial Muscles make up ___% of body ✔Ans - 50%
Units that microorganisms are measured in: ✔Ans - Microns Streptococcus shape is: ✔Ans - spherical Spirochete shape is: ✔Ans - Spiral Bacteria reproduce by: ✔Ans - Binary fission Gram-Negative microorganisms stain what color? ✔Ans - Red or Pink Cocci shape: ✔Ans - Round Microorganism that can slow down its metabolism and become dormant is: ✔Ans - Gram-Positive Bacillus - Blue or Purple in color Bacilli are what shape? ✔Ans - Rod-shape What do bacteria need to survive? ✔Ans - Warmth, water and waste elimination What is used to test sterilization cycles? ✔Ans - Spores A dehydrated cell with a thick, shell-like wall is a: ✔Ans - spore What survives extreme heat, lack of water and exposure to many toxic chemicals and radiation? ✔Ans - Spores Pathogen that causes tuberculosis: ✔Ans - Mycobacteria Includes single cell yeasts: ✔Ans - Fungi Disease not caused by virus: ✔Ans - CJD Difficult to kill by usual sterilization methods: ✔Ans - Prions
Aerobic bacteria require: ✔Ans - Oxygen Disease caused by Prions: ✔Ans - CJD Single-celled microorganisms are called: ✔Ans - Protozoa Requires living host to multiply? ✔Ans - Virus An abnormal protein describes a ____ ✔Ans - prion Gram-positive coccus example? ✔Ans - Staphylococcus aureus ____ can survive on hands for hours. ✔Ans - VRE Healthcare infection is generally termed ____ ✔Ans - Nosocomial Healthcare-acquired infections kill how many people annually? ✔Ans - 90, The principal living reservoir of human disease comes from ____ ✔Ans - human body Gastrointestinal disease is usually a result of ____ ✔Ans - water contaminated by feces of humans and other animals The principal route of nosocomial infections is ____ ✔Ans - Direct contact An inanimate object involved in spreading infection is called ___ ✔Ans - a fomite _____ is not a disease spread by droplets ✔Ans - Measles _____discharges pathogens that cause TB, whooping cough, pneumonia, measles, mumps and smallpox. ✔Ans - Respiratory tract
The use of physical or chemical means to inactivate bloodborne pathogens from a surface is ____ according to OSHA ✔Ans - decontamination The first step in decontamination process: ✔Ans - Manual and/or automated, mechanical cleaning Microorganisms on contaminated items are called ____ ✔Ans
- bioburden ___ refers to disease-producing microorganisms. ✔Ans - pathogen Decontamination number of air exchanges. ✔Ans - 10 Ventilation system in decontamination area must be ___ pressure ✔Ans - Negative OSHA recommends that contaminated scrub attire be: ✔Ans
- laundered at the facility What must an SPD technician have before processing a new medical device? ✔Ans - Manufacturer written instructions for processing A neutral pH solution is: ✔Ans - 7 A pH of 9 is ____ ✔Ans - Alkaline Enzyme-based detergents contain organic substances that assist in breakdown of _____ ✔Ans - protein soils and blood The temperature range for enzymatic cleaners: ✔Ans - 109- 140'F A proteolytic enzyme detergent breaks down ___ ✔Ans - blood
___ should not be ever used to remove gross soil on instruments. ✔Ans - Saline An item with multiple parts to be cleaned must first be ____ ✔Ans - disassembled ____ may be used to clean tungsten carbide jaws of needle holders. ✔Ans - Metal-bristled brushes The final rinse in the cleaning process should be performed using: ✔Ans - treated water Term which refers to the mechanical action in the automated cleaning process which uses sound waves and imploding bubbles. ✔Ans - Cavitation Prior to processing instruments in an ultrasonic cleaner, ______ should be removed ✔Ans - gross soil Power equipment should be cleaned in what way? ✔Ans - As specified by the manufacturer Fiberoptic light cables should be cleaned with ____ ✔Ans - soft cloth and detergent Prior to manual cleaning of a flexible endoscope, what must be done? ✔Ans - Leak testing Instruments and devices received from another facility should be: ✔Ans - Completely reprocessed Material which can be used as a simple test to check the functioning of the ultrasonic cleaner is? ✔Ans - Aluminum foil The TOSL line of products verifies the effectiveness of ____ ✔Ans - mechanical washers
What is the proper way to transport an IV pump to CS/SPD after patient use? ✔Ans - In a covered cart or closed plastic bag. What type of disinfectant is to be used for patient care equipment? ✔Ans - the one recommended by the device manufacturer Soiled patient care equipment needs to be ___ during transport ✔Ans - Contained Series of stainless steel used to manufacture malleable retractors ✔Ans - 300 Series of stainless steel used to manufacture osteotomes? ✔Ans - 400 Which instrument holds back tissue or organs? ✔Ans - Retractor The weakest part of the instrument is: ✔Ans - Box lock The most difficult part of a hemostat to clean? ✔Ans - Box lock The final stage in manufacturing a surgical grade instrument is: ✔Ans - passivation Scissors with black handles are often referred to as: ✔Ans - Super sharps The layer on a surgical instrument created by the passivation process is called: ✔Ans - Chromium oxide How is an instrument with tungsten carbide inserts identified? ✔Ans - Gold handles What type of finish on a surgical instrument is used for laser procedures? ✔Ans - Ebonized
Which of the following lubricants is recommended for use on surgical instruments? ✔Ans - Water-based Which layer makes an instrument resistant to corrosion? ✔Ans - The chromium oxide layer What are routine parts of inspecting instruments? ✔Ans - 1. Jaw alignment
- Ratchet tension
- Box lock stiffness How often should an instrument be lubricated unless otherwise directed by the manufacturer? ✔Ans - Every time it is used What should one do to test a scissor for sharpness? ✔Ans - Make several cuts in the testing material When the jaws of a stainless steel needle holder become worn, it must be ____ ✔Ans - discarded Instrument cracks most likely occur where? ✔Ans - Box lock Cracked insulation on a laparoscopic instrument can cause ____ ✔Ans - electrical shock How should power equipment be lubricated? ✔Ans - According to manufacturer's instructions What information is required when labeling a rigid scope for sterilization? ✔Ans - 1. Manufacturer
- Size and visual field of scope
- O.R. Service What indicates damage to glass rods in a fiber optic light cable? ✔Ans - Black dots
Multi-layer container systems should have chemical indicators placed in ____ level ✔Ans - each level What is the maximum size and weight of a textile pack? ✔Ans - 12" x 12" x 20", 12 pounds Basin sets must be prepared for sterilization with _____ between each basin? ✔Ans - An absorbent material Basic principles of packaging are: ✔Ans - 1. The material must allow the sterilant to reach the contents
- The material must be a barrier to microorganisms
- The package must be able to be opened without contamination A wrapper that is too large can ___ sterilant penetration ✔Ans - inhibit How much space should be left between an item and the inside edges of a peel pouch? ✔Ans - 1" Which type of packaging materials is acceptable for steam sterilization? ✔Ans - Nonwoven wraps Which packing material is acceptable for low-temperature gas plasma and ozone sterilization? ✔Ans - Tyvek Latches and locks are examples of ___ seals on rigid containers. ✔Ans - tamper-evident Rigid containers processed in a steam sterilizer must be placed ______ on the cart during sterilization. ✔Ans - Flat The absence of microbial life forms including spores is ___ ✔Ans - sterility Drain line ✔Ans - Where the heat-sensing thermometer is located
Over the drain line ✔Ans - Where are process challenged devices placed to present the greatest challenge to the sterilizer? Steam under pressure, time and temperature ✔Ans - 3 parameters of steam sterilization 3 minutes ✔Ans - minimum exposure for prevac steam cycle at 275'F (135'C) one of a kind instrument is dropped ✔Ans - Appropriate use of Flash sterilization Decontaminated as usual ✔Ans - Instruments exposed to CJD 18 min, 273'F, Prevac cycle ✔Ans - Recommended cycle for CJD instruments Make direct contact with all surfaces ✔Ans - For sterilization to occur, steam must ___ Reprocess the item ✔Ans - If a wet pack is noticed, what should be done with it? Gravity steam ✔Ans - Method of sterilization for liquids Bacteria can wick into package ✔Ans - Moisture at the end of the steam cycle means ____ On their edge ✔Ans - Peel pack should be placed Top rack ✔Ans - Textile packs should be placed where in a mixed load of textile and metal goods? Tilted on their side ✔Ans - Basin sets should be positioned
Within the first hour of sterilization ✔Ans - When are sterilized packs most likely to become contaminated? As recommended by the manufacturer ✔Ans - Where should the BI be placed in rigid sterilization containers? How should cooled items be unloaded from the steam sterilizer rack? ✔Ans - With clean hands EO with HCFC and CO2 ✔Ans - EO risk of fire can be minimized by mixing what? Indefinitely ✔Ans - Sterile items protected from the environment have been proven to remain sterile how long? Shelf life ✔Ans - Period of time during which a sterile item is considered safe to use Package degradation ✔Ans - Reason we assign an expiration date to a product Every time it is handled ✔Ans - How often must a package be visually inspected for integrity? Placed in a sterility maintenance cover ✔Ans - Sterile trays subject to storage challenges should be ____ Send it to be reprocessed ✔Ans - If a sterile basin set is dropped on the floor, what should be done? Adjacent to sterilization area ✔Ans - Sterile storage area should be located ____ Hygrometer ✔Ans - Used to measure humidity in the sterile storage area 4 per hour ✔Ans - Sterile storage area should have how many exchanges of air per hour?
Positive pressure ✔Ans - Sterile storage area should be maintained at 8 to 10 ✔Ans - How many inches from the floor should supplies in sterile storage be 70% ✔Ans - Relative humidity in sterile storage area should not exceed __% 75'F ✔Ans - Temperature in sterile storage area should not exceed ____'F? Growth of microorganisms ✔Ans - Humidity controls ___ in the sterile storage area? Solid ✔Ans - Bottom shelf of storage carts should be ____ 18 inches ✔Ans - Sterile items on the top shelf should be how far below sprinklers? 2 inches ✔Ans - How far from the outside walls should shelving in the sterile storage area be? Harbor soil ✔Ans - Shipping cartons are not acceptable storage containers in the sterile storage area because they: FIFO ✔Ans - Rotating stock is known as ____
- Expiration date
- Whether package is damaged
- Chemical indicator verification ✔Ans - Before releasing an item to fill a sterile supply order, all of the following must be checked:
- Receiving
- Storage
- Patient charging ✔Ans - Elements of a distribution system are what 3 main items:
Good communication ✔Ans - Required for an effective case cart system. Stock-less distribution system ✔Ans - Another term for Just- in-time distribution systems 40% ✔Ans - The % represented in terms of inventory of medical and surgical supplies in a facility's operating budget is
Perpetual inventory system ✔Ans - An ongoing inventory management system Lowest amount of stock ✔Ans - The reorder point Economical order quantity ✔Ans - Ordering optimum quantity of an item based on historical data is known as ___ Tracking systems ✔Ans - Bar-coding of instrument sets is an integral part of: 10-6 ✔Ans - Ideal for spores Daily ✔Ans - How often should the drain line be cleaned 55-60'C ✔Ans - Incubation temperature 2+ critical parameters ✔Ans - Class 4 refers to what type of parameters? Colonoscope ✔Ans - Example of flexible scope Inner ear ✔Ans - Where is the cochlea located? OSHA, EPA, FDA ✔Ans - Regulate EO devices Fixed ✔Ans - Par-level distribution system
Extra condensation will make the set more difficult to dry ✔Ans - Why is it important to evenly distribute large instruments in a set? To provide dependable service to enhance patient care. ✔Ans - Which of the following best describes the overall role of the CS/SPD? EPA ✔Ans - Which government agency regulates environmental disinfectants? Low temperature gas plasma ✔Ans - Medical grade Kraft paper cannot be used with which sterilization process? A ✔Ans - During cycle counts, items with a large dollar value but not used frequently are classified as __? Structure ✔Ans - Anatomy is the science that deals with ____ of body parts. Cytoplasm ✔Ans - Which of the following transports molecules within the cell? Craniotomy set ✔Ans - Which type of instrument set would be considered high-risk for special prion processing? Liver ✔Ans - Which of the following organs produces bile? Microns ✔Ans - Microorganisms are measured in? Maximum-load testing ✔Ans - The sterilizer's ability to sterilize under actual use conditions would be which term? 98.6 deg F ✔Ans - What is the ideal human body temperature? Improper cleaning ✔Ans - What would a blue stain on a scope in Ortho-phthaldehyde mean?
