Surgery > QUESTIONS & ANSWERS > CBSPD Exam Questions and Answers Graded A, 2022/2023 (All)
CBSPD Exam Questions and Answers Graded A What should the sterilizer access area pressure be? ✔✔Negative w/10 air exchanges per hour What two steps are involved in decontamination? ✔✔1. Man... ual and/or automated mechanical cleaning 2. application of a thermal or chemical disinfection process Define Cleaning... ✔✔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... ✔✔poor or ineffective decontamination of instruments What are Employee hazards in the decontamination process? ✔✔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? ✔✔follow the device manufacturer's written instructions What is the starting point in sterilization? ✔✔Cleaning Define decontamination ✔✔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? ✔✔-good body mechanics -correct body techniques and posture for lifting, pushing, pulling, and reaching -should be alert and correct anything that is a potentialinjury -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? ✔✔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 outWhat is shelf life ✔✔period of time which a sterile item is considered safe to use event related not time related When are packs most vulnerable to contamination? ✔✔Immediately after sterilization What is it when a sterilizer's ability is tested under worst case conditions? ✔✔Small load testing What is it called when a sterilizer is tested for sterilization under actual use conditions? ✔✔Max load testing How often is a Bowie Dick test ran? ✔✔Daily for dynamic air removal sterilizers How much space should be between packages and chamber wall? ✔✔one inch How should paper-plastic pouches be placed in a sterilizer? ✔✔plastic to paper or paper to plastic tilted on side How should basins be placed in a sterilizer? ✔✔on tilted side same direction What should be placed on the bottom of the rack in a mixed load? ✔✔metal instruments basin other metal items What should be placed on the top shelf? ✔✔textile packs and paper/plastic pouches Textile packs should be placed how in a sterilizer? ✔✔sides Solid bottom trays should be loaded now? ✔✔tilted on sidesHow should mesh bottom containers be loaded into the sterilizer? ✔✔flat on rack 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 2) opthamology (eye) When should a flash sterilizer be monitored? ✔✔Weekly with a biological and a class 5 or class 6 indicator What can not be processed in an express cycle? ✔✔porous items items with lumens When should a flash sterilizer be used? ✔✔In an emergency; a one of a kind instrument is dropped How are liquids sterilized? ✔✔only through gravity displacement liquid cycles What occurs during the drying phase? ✔✔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? ✔✔steam is exhausted from the chamber drain lineWhat occurs during he sterilization/exposure/"holding phase"? ✔✔exposure temperature is maintained for the prescribed amount of time 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 f [Show More]
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