CBSPD Sterilization Certification Exam 2024/2025, Exams of Nursing

Download CBSPD Sterilization Certification Exam 2024/2025 and more Exams Nursing in PDF only on Docsity! CBSPD STERILIZATION - CERTIFICATION EXAM 2024/2025  Steam Using Gravity Displacement: Method of Killing - Precise Answer ✔✔Denatures microorganism proteins Steam Using Gravity Displacement: Sterilant Used - Precise Answer ✔✔Combination of steam and ambient air Steam Using Gravity Displacement: How do steam and ambient are sterilize? - Precise Answer ✔✔Steam displaces the air, and forces it out of the drain vent. Steam then comes in direct contact with items Steam Using Gravity Displacement: Parameters (3) - Precise Answer ✔✔1. Time 2. Temperature 3. Pressure Steam Using Gravity Displacement: Common cycle times (3) - Precise Answer ✔✔1. 30 min, 250°F, 15 psi 2. 15-25 min, 275°F, 27 psi 3. 10 min, 275°F, 30 psi Steam Using Gravity Displacement: Items that CAN be sterilized - Precise Answer ✔✔1. Critical items that are heat and moisture resistant 2. Semi-critical items that are heat and moisture resistant 3. Sharps Containers Steam Using Gravity Displacement: Items that CANNOT be sterilized - Precise Answer ✔✔Heat and moisture sensitive materials Steam Using Gravity Displacement: Biological Indicator - Precise Answer ✔✔Geobacillus Stearothermophilus Steam Using Dynamic Air Removal: Method of Killing - Precise Answer ✔✔Denatures microorganism proteins Steam Using Dynamic Air Removal: Sterilants Used (3) - Precise Answer ✔✔1. Combination of steam and ambient air 2. Prevacuum Sterilizers 3. (SFPP) Steam-flush pressure-pulse sterilizers Steam Using Dynamic Air Removal: Parameters (3) - Precise Answer ✔✔1. Time 2. Temperature 3. Pressure 3. Hydrogen Peroxide Gas Plasma Gas Plasma: Common cycle time - Precise Answer ✔✔55 min, 113°F Gas Plasma: Items that CAN be sterilized - Precise Answer ✔✔1. Single-channel flexible endoscopes 2. Multiple-channel flexible endoscopes 3. Rigid endoscopes 4. Cameras 5. Stereotactic devices 6. Fiber-optic light cords Gas Plasma: Items that CANNOT be sterilized - Precise Answer ✔✔1. Devices with dead-end lumens 2. Cellulose-based materials (cotton, paper, gauze) 3. Liquids 4. Items that don't meet the lumen length/diameter criteria 5. Trays with cellulose materials 6. Load control stickers (unless made with Tyvek plastic) 7. Traditional adhesive labels 8. Implants Gas Plasma: Biological Indicator - Precise Answer ✔✔Geobacillus Stearothermophilus Hydrogen Peroxide: Method of Killing - Precise Answer ✔✔Interferes with microorganism metabolism by compromising essential components (enzymes, nucleic acid, ect.) Hydrogen Peroxide: Sterilant Used - Precise Answer ✔✔Vaporized hydrogen peroxide Hydrogen Peroxide: Parameters (3) - Precise Answer ✔✔1. Time 2. Temperature 3. Concentration Hydrogen Peroxide: Common cycle times - Precise Answer ✔✔Lumen Cycle: 55 min Non-Lumen Cycle: 28 min Flexible Cycle: 35 min Hydrogen Peroxide: Items sterilized in the lumen cycle - Precise Answer ✔✔1. Devices with stainless steel lumens 2. Powered equipment 3. Defibrillator pads 4. Non-lumened rigid endoscopes 5. Batteries 6. Cameras 7. Forceps, scissors (devices with diffusion-restricted spaces) Hydrogen Peroxide: Items sterilized in the non-lumen cycle - Precise Answer ✔✔1. Rigid endoscopes 2. Semi-rigid endoscopes 3. Non-lumened flexible endoscopes 4. Heat and moisture sensitive items (batteries, cameras, powered equipment, cords) Hydrogen Peroxide: Items sterilized in the flexible cycle - Precise Answer ✔✔Surgical flexible endoscopes and bronchoscopes with lumens Hydrogen Peroxide: Items that CANNOT be sterilized - Precise Answer ✔✔1. Devices with long/narrow lumens 2. Moisture sensitive items 3. Cellulose-based materials 4. Oxidation sensitive materials Hydrogen Peroxide: Biological Indicator - Precise Answer ✔✔Geobacillus Stearothermophilus Dry Heat: Method of Killing - Precise Answer ✔✔Oxidation Dry Heat: Sterilants Used - Precise Answer ✔✔Heat In a non-table-top sterilizer, a gauge on the main steam line (located at the back of the sterilizer) tells you the steam pressure... - Precise Answer ✔✔as the steam is entering the jacket What is the minimum exposure time for wrapping goods in a dynamic air removal steam cycle at 275°F, 28-30 psi? - Precise Answer ✔✔3 minutes Immediate-use steam sterilization might be indicated when... - Precise Answer ✔✔a one-of-a-kind instrument is contaminated What best describes a "wet load" - Precise Answer ✔✔Multiple packages in the same load with excess moisture What increases the probability of microbial kill? - Precise Answer ✔✔Removing as many microorganisms as possible from the device What happens if packages are moist at the end of the steam cycle? - Precise Answer ✔✔Microorganisms can wick into the package In a mixed load of paper-plastic pouches and metal goods, the pouches should be placed... - Precise Answer ✔✔On the top rack Stacking of rigid sterilization containers in a steam sterilized is permitted when... - Precise Answer ✔✔The manufacturer provides technical evidence that it's acceptable Which test is used to detect air leaks or insufficient air removal? - Precise Answer ✔✔Bowie-Dick Test Why should you add chemicals to the boiler feedwater in non-table-top sterilizers? - Precise Answer ✔✔Minimized contaminants What monitoring method verifies that conditions within the load were adequate to kill bacterial spores? - Precise Answer ✔✔Biological What is the correct action to take if an item needs to be corrected or removed from the sterilization load record? - Precise Answer ✔✔Draw a line through the item and initial The Bowie-Dick test is considered which type of monitoring process? - Precise Answer ✔✔Chemical A Type 5 indicator is called a(n) - Precise Answer ✔✔Integrating indicator Type 6 indicators are also called - Precise Answer ✔✔Emulating indicators What should be done if the Bowie-Dick test fails the first time? - Precise Answer ✔✔Report to the supervisor for further instruction What is the recommended sterilizer setting for the Bowie-Dick test? - Precise Answer ✔✔3 to 3 ½ minutes at 270°F (132°C), dynamic-air- removal Unless otherwise indicated by the biological indicator manufacturer, if a biological test is performed daily, how often is it necessary to incubate a control biological indicator? - Precise Answer ✔✔Once a day and if a new lot number is used How often should routine biological testing of steam sterilizers be performed? - Precise Answer ✔✔Weekly All loads containing implantable devices should be... - Precise Answer ✔✔Monitored with a biological indicator For testing of rigid sterilization containers, the biological indicators should be placed... - Precise Answer ✔✔As recommended by the manufacturer Sterile packs are most vulnerable to contamination when... - Precise Answer ✔✔The packages are still hot