CBSPD Exam Questions and Answers

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. Manual and/or automated mechanical cleaning

• 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 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? ✔✔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

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 sides

How 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 line