CBSPD Exam 126 Questions with Complete Solutions.
What should the sterilizer access area pressure be? - ANS Negative w/10 air
exchanges per hour
What two steps are involved in decontamination? - ANS 1. Manual and/or automated
mechanical cleaning
2. Application of a thermal or chemical disinfection process
Define Cleaning... - ANS 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... - ANS poor or ineffective
decontamination of instruments
What are Employee hazards in the decontamination process? - ANS Technicians work
with a large amount of 1) unidentified bio burden 2) wet environment 3) handling
contaminated sharps 4) must know procedures for proper handling, equipment,
cleaning/sterilization agents
How do you properly clean a device? - ANS follow the device manufacturer's written
instructions
What is the starting point in sterilization? - ANS Cleaning
Define decontamination - ANS 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? - ANS -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? - ANS Box lock and jaws
What does the ABC system stand for? - ANS 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? - ANS Items are distributed to department by vendor no
need for sterile storage or inventory control.
, What are specialty/ procedure carts? - ANS Carts placed in specific departments based
on procedures
Personalized to needs of departments easily accessible.
What is case cart distribution? - ANS visually in specialty areas case carts are delivered
to department case cart is specialized to departments needs
What is the exchange cart distribution? - ANS Two identical carts are made one is out in
the department and other stays in SPD
What is par level distribution? - ANS There is fixed inventory and when items become
low they are replenished from the stockroom per department/specialty
What is demand distribution? - ANS An instrument/cart must be ordered in order to get
it
What are the most common distribution systems? - ANS 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? - ANS positive air flows out
What is shelf life - ANS period of time which a sterile item is considered safe to use?
Event related not time related
When are packs most vulnerable to contamination? - ANS Immediately after sterilization
What is it when a sterilizer's ability is tested under worst case conditions? - ANS Small
load testing
What is it called when a sterilizer is tested for sterilization under actual use conditions? -
ANS Max load testing
How often a Bowie Dick test is ran? - ANS Daily for dynamic air removal sterilizers
How much space should be between packages and chamber wall? - ANS one inch
How should paper-plastic pouches be placed in a sterilizer? - ANS plastic to paper or
paper to plastic
Tilted on side
How should basins be placed in a sterilizer? - ANS on tilted side same direction
What should be placed on the bottom of the rack in a mixed load? - ANS metal
instruments
Basin
Other metal items
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