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CBSPD CHAPTER 1- ROLES-RESPONSIBILITIES
The main role of sterile processing is to: - correct answer Provide dependable reliable services to enhance the quality of patient care Ethics is the pr... [Show More] actice of: - correct answer doing the right thing Compliance with OSHA is: - correct answer required by law Instrument sets and patient care equipment must be processed and distributed in an accurate and timely manner so that: - correct answer patient care is not adversely affected Which of the following establishes sterilization practice standards based on opinion, research, and / or theory: - correct answer AAMI Recommended practices are: - correct answer Statements of sound principals of practice that are based on scientific data and the opinions of experts. EPA, FDA, OSHA and state departments of health (DOH) primarily issue: - correct answer regulations Standards for SPD practice are written by: - correct answer AAMI The Health Insurance Portability and Accountability Act provides for which ethical issue? - correct answer Confidentiality A rule designed to govern behavior is called a: - correct answer regulation An established norm which is based on theory is called a: - correct answer standard Before a pesticide can be marketed and used in the United States, it must be evaluated and registered by which of the following? - correct answer EPA Which of the following regulates and makes sure products are safe and effective before companies put them on the market? - correct answer FDA If healthcare facilities reprocess single-use devices, the devices must be cleared by: - correct answer FDA How often should cleaning and sterilization instructions be requested from device manufactures? - correct answer Each time they are used Which agency regulates the reprocessing of single-use devices? - correct answer FDA OHSA has a great effect on SPD by its regulation of occupational exposure to airborne contaminants, exposure from blood borne pathogens, which of the following: - correct answer Communication from workplace hazards The medical device reporting regulation requires: - correct answer Healthcare facilities to report deaths or serious injuries from medical devices. Which agency requires that eyewash stations be available for emergency use? - correct answer OHSA The OHSA Hazard Communication Standard requires that and SDS must be available for: - correct answer Each chemical in the department The Right-to-Know Standard requires employers to have which of the following available for employees? - correct answer Safety Data Sheets for chemicals When should a new employee in SPD become familiar with the SDS? - correct answer On their first day at work Which of the following defines what a department must do? - correct answer policies Steps for performing a task are defined in a: - correct answer procedure Any equipment with a cord that is cracked, frayed or broken should be: - correct answer Disinfected and sent out for repair Collection of data and identification of issues are part of what kind of program? - correct answer Quality Assurance To ensure that all employees are learning the same information, training should be: - correct answer standardized Annual competency testing is required by: - correct answer JC [Show Less]
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CBSPD PRACTICE EXAM 2
Flexible endoscopes MUST be competently reprocessed so that - correct answer Patient care is not adversely affected Ethics is the practice of: - correct... [Show More] answer conforming to accepted and professional standards of conduct The Health Insurance Portability and Accountability Act (HIPAA) provides for which ethical issue? - correct answer Confidentiality Recommended practices are: - correct answer Statements of sound principles of practice that are based on scientific data and the opinions of experts A rule designed to govern behavior is called a: - correct answer Regulation Which of the following defines what a department MUST do? - correct answer Policies Steps for performing a task are defined in a - correct answer Procedure Which of the following has published standards of infection prevention in processing flexible gastrointestinal endoscopes? - correct answer SGNA (Society for Gastroenterology Nurse and Associates) Which of the following agencies registers and regulates environmental disinfectants used on non-living things in healthcare facilities? - correct answer EPA (Environmental Protection Agency) Which of the following regulates and assures that products are safe and effective before companies put them on the market? - correct answer FDA (Food Drug Administration) Which agency requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess their reusable products? - correct answer FDA (Food Drug Administration) Compliance with Occupational Safety and Health Administration (OSHA) regulations is - correct answer Required by law Monitoring the effectiveness of work performed in the GI/endoscopy suite is generally referred to as: - correct answer Quality assurance The policies and procedures for all reprocessing activities in the GI/endoscopy suite are usually reviewed and/or approved by the: - correct answer Infection Prevention and Control Committee Which branch of science refers to the form and organization of body parts? - correct answer Anatomy Which branch of science refers to the function of specific body parts? - correct answer Physiology The smallest and MOST numerous structural units possessing the basic characteristics of life are called - correct answer Cells The nucleus is the cell's: - correct answer Brain DNA (deoxyribonucleic acid) is found in which part of the cell? - correct answer Nucleus Which of the following is the largest internal organ of the body? - correct answer Liver The tendency of the body to maintain a stable internal environment is referred to as: - correct answer Homeostaisis DNA is the only molecule in the body capable of: - correct answer Reproducing itself The term pathogenic means: - correct answer Disease-producing Which of the following deals with microorganisms and their effects on other living organisms? - correct answer Microbiology Microorganisms are measured in? - correct answer Microns Bacteria are unicellular and reproduce by: - correct answer Binary fission Which type of microorganism has the ability to slow down its metabolism and become dormant? - correct answer Gram-positive bacillus Which of the following is NOT a requirement for bacteria to survive? - correct answer Bright light A dehydrated microorganism with a thick, shell-like wall is known as a - correct answer Spore Which of the following describes the shape of the bacterium Pseudomonas? - correct answer Rod In order to survive, aerobic bacteria require - correct answer Oxygen Which of the following requires a living host to multiply? - correct answer Viruses Which of the following organisms can grow inside the lumens of flexible endoscopes that have not been properly dried and rinsed with 70% alcohol? - correct answer Pseudomonas In order to cause an infection, microorganisms must be: - correct answer Present in sufficient numbers The principal route of transmission of healthcare-acquired infections from hospital staff to patients is - correct answer Direct contact Which of the following is a vector that could cause disease? - correct answer Mosquito A healthcare-acquired infection is generally called what type of infection? - correct answer Nosocomial The principal living reservoir of human disease is - correct answer The human body Water that has been contaminated by the feces of humans and other animals is MOST notably responsible for - correct answer Gastrointestinal disease The general term for any inanimate object involved in the spread of infection is - correct answer fomite Which if the following IS NOT a disease spread by droplets? - correct answer Measles The pathogens that cause tuberculosis, whopping cough, pneumonia, measles, mumps, and smallpox are discharged through the - correct answer Respiratory tract Living things responsible for causing disease are called - correct answer Vectors Which of the following is a common portal of exit in the transmission of disease? - correct answer The respiratory tract An infection caused by a needlestick enters through which portal of entry? - correct answer Parenteral tissue The single MOST effective way to prevent infections in the healthcare environment is to - correct answer Wash hands frequently The physician who performs examinations of the colon is called a/an - correct answer Endoscopist Enteroscopy is the examination of the - correct answer Small bowel A colonoscope is typically used to perform procedures involving the: - correct answer stomach When an upper endoscopy is being performed, a gastroscope is used to visualize the: - correct answer Esophagus and stomach A percutaneous endoscopic gastrostomy (PEG) is performed to - correct answer Insert a flexible feeding tube A proctoscopy is an examination of the - correct answer Rectum The charge coupled device (CCD) is also known as the: - correct answer Scope camera Which portion of the flexible endoscope runs from the control body to the light guide connector? - correct answer Universal cord Generally, which channel runs from the insertion tip to the control body? - correct answer Biopsy To prevent damage to fiberoptic light bundles, scopes should NOT be - correct answer Tightly coiled Handwashing sinks in the reprocessing area should - correct answer be separate from those used to clean scopes Which if the following should be removed FIRST when removing personal protective equipment (PPE)? - correct answer Shoe covers Reusable gloves used for decontamination procedures should - correct answer Be decontaminated daily When donning PPE, which of the following is the LAST to be applied? - correct answer Gloves The use of PPE is regulated by - correct answer OSHA (Occupational Safety and Health Administration) According to OSHA, a log must be maintained to monitor needle injuries and it must document all of the following EXCEPT - correct answer The employee's age Fingernails should extend at most how far from the tip of the finger? - correct answer One quarter of an inch A solution having a pH of 2 is - correct answer Acidic According to AAMI, "the removal of contamination from an item to the extent necessary for further processing or for the intended use" defines - correct answer Cleaning To enhance the manual cleaning process, brushes are used to - correct answer Create friction A cleaning agent that lowers surface tension to dislodge or dissolve soils is called: - correct answer Detergent The recommended sink size for manual cleaning of endoscopes should be - correct answer Deep and large enough to completely submerge the endoscope A solution having a pH of 9 is: - correct answer Alkaline Which of the following must be done if an automated endoscope reprocessor cycle is interrupted? - correct answer Repeat the entire cycle Protein soils can best be removed using an enzymatic detergent that are: - correct answer Low in alkalinity Biofilms are composed of - correct answer Polysaccharides The amount of detergent needed to manually clean a scope is determined by - correct answer The quality of the water The process that kills all microorganisms but not necessarily large numbers of bacterial spores is known as - correct answer High-level disinfection According to Spaulding's classification of medical devices, a semicritical item requries which of the following? - correct answer High-level disinfection Which of the level of disinfection is the MINIMUM needed for the destruction of HIV (human immunodeficiency virus)? - correct answer Low-level disinfection Which of the following disinfectants requires activation prior to use? - correct answer Glutaraldehyde Which of the following will NOT affect the effectiveness of a disinfectant? - correct answer Number of times it is used Which of the following disinfectants should NEVER be used as an environmental disinfectant? - correct answer Glutaraldehydes The length of time for which a high-level disinfectant can be used after it has been opened is known as its - correct answer Use life Items manually soaked in ortho-phthaldehyde at a minimum temperature of 68F can achieve high-level disinfection in - correct answer 12 minutes In order to protect the reagent on high-level disinfectant test strips, it is important that the container be - correct answer Kept tightly closed Ortho-phthaldehyde can be neutralized for disposal with - correct answer Glycine The MOST critical step in the manual reprocessing of flexible endoscopes is: - correct answer Cleaning Reprocessing is considered "delayed" if a scope is not cleaned within - correct answer 60 minutes The purpose of precleaning at the point of use is to: - correct answer Prevent build up for [Show Less]
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STERILE PROCESSING CBSPD TEST
Decontamination Area - correct answer Where soiled items are received and cleaned. *All levels for the same tray should be labeled w/a tag to identify the ... [Show More] level number and set to which it belongs. Preparation and Packaging Area - correct answer where cleaned items are inspected, assembled, and packaged. Sterilization Area - correct answer where terminal sterilization is performed. Sterile Storage Area - correct answer where sterile items are stored until needed. Sterile Stores - correct answer where items for patient care from outside manufacturers are stored. Sometimes referred to as Medical Supply Distribution, Central Supply, or similar designation. Case Cart Area - correct answer where sterile supplies (trays and/or sterile items from outside manufacturers) are kept and picked for surgical cases. Dispatch - correct answer where sterile and clean items are dispensed. Loaner Area - correct answer for the receipt and return of instruments borrowed for specialty procedures. Patient Care Equipment Clean-Up Area - correct answer where patient care equipment is cleaned and disinfected. SPD Responsibilities - correct answer providing dependable, reliable services to enhance the quality of patient care. Instruments sets, patient care equipment, and other medical devices must be processed and distributed in an accurate and timely manner so that patient care is not adversely affected. Work Flow - correct answer how the work progresses through the department or processing area. *Dirty to Clean People Flow - correct answer how people move through the department or processing area. *Clean to Dirty Traffic Control - correct answer controlling access to SPD Ethics - correct answer the discipline dealing with what is good and bad and with moral duty and obligation. Ethical Actions - correct answer actions that conform to accepted and professional standards of conduct. Morals - correct answer deal with or relate to principles of right and wrong behavior. Unethical Professional Conduct - correct answer failure to conform to moral standards or policies. Professional Ethics - correct answer principles of conduct governing an individual or group. American Medical Association (AMA) - correct answer the most important organization related to healthcare ethics. Regulation - correct answer a principle, rule, or law designed to control or govern behavior. Agencies that issue regulations - correct answer EPA, FDA, OSHA and State health departments Standard - correct answer an established norm determined by opinion, authority, research and/or theory. Recommended Practices - correct answer statements of sound principles of practice based on scientific data and opinions of experts. Agencies that set standards - correct answer AAMI, CDC Examples of recommended practices - correct answer documents developed by IAHCSMM, SGNA, AORN Environmental Protection Agency (EPA) - correct answer Registers and regulates environmental disinfectants, controls emissions into the air and water, regulates the manufacture and sale of EO gas Food and Drug Administration (FDA) - correct answer regulates all medical devices. MedWatch (recalls); approves reprocessing of single use devices; require IFU (instructions for use) Function of CS/SPD - correct answer receives, cleans, decontaminates, assembles, inspects, disinfects, sterilizes reusable medical and surgical devices Sterile processing is A.K.A - correct answer Central Material Service, Sterile Processing Service, Central Service, Sterile Processing Department Two groups that certify - correct answer CBSPD (Cerification board for sterile processing and distribution, IAHCSMM (International association of healthcare central service material management) Chain of command - correct answer chief operating officer, VP nursing, sterile processing manager, SPD lead tech, SPD processing tech, SPD inventory tech, SPD case cart tech Compliance w/a regulation is - correct answer mandatory/required by law Confidentiality - correct answer HIPAA (Health insurance portability and accountability act) the manufacturer performs ________ for a product, the facility end user performs _______. - correct answer validation; verification Occupational Safety Health Administration (OSHA) - correct answer protects workers; OSHA standards are required by law; sets occupational exposure limits for all chemicals in the workplace under mSDS (material safety data sheet); "right to know"; Emergency eyewash stations Responsible for regulating EO gas - correct answer OSHA, EPA Ergonomics - correct answer OSHA; fitting the job to the worker, prevent injuries before they occur Emergency eyewash stations - correct answer available within 10 seconds/30 meters of chemicals; hands-free; test regularly and document, 0 4 gallons of water. Government Agencies - correct answer EPA, FDA, OSHA NFPA - correct answer National Fire Protection Association Center for Disease Control and prevention (CDC) - correct answer voluntary; promotes health by preventing and controlling disease; publishes recommendations and guidelines; hand hygiene (15 second minimum); NO artificial nails; classifies medical devices according to Spaulding Spaulding Classification - correct answer Critical (exposed to sterile areas of the body; must be sterile); Semi-Critical (touches mucous membranes; recommended sterile or high level disinfected); Non Critical (touch the skin; can be cleaned or disinfected; less than high level disinfection) NFPA Blue Diamond - correct answer health hazard NFPA Red Diamond - correct answer flammability NFPA Yellow Diamond - correct answer instability NFPA White Diamond - correct answer special hazard information The Joint Commission (TJC) formally (Joint Commission on Accreditation of Healthcare Organizations (JCAHO)) - correct answer voluntary; establishes accrediting standards and conducts onsite inspections; annual competency testing Association for the Advancement of Medical Instrumentation (AAMI) - correct answer voluntary; sets standards for CS/SPD Association of peri-Operative Registered Nurses (AORN) - correct answer voluntary; develops nationally recognized standards, recommended practices and guidelines for peri-operative setting Association for Professionals in Infection Control (APIC) - correct answer voluntary; international organization dedicated to prvention and control of infections Society of Gastroenterology Nurses and Associates (SGNA) - correct answer voluntary; established standards for effective processing of flexible endoscopes Department Of Transportation (DOT) - correct answer enforces laws relating to transportation of medical wastes American National Standards Institute (ANSI) - correct answer voluntary; proposes standards to include enhancing the global competitiveness and quality of life World Health Order (WHO) - correct answer voluntary; furthers international cooperation in improving health conditions National Institute for Occupational Safety and Health (NIOSH) - correct answer division of CDC; oversees airborne control/respiration masks Fire Safety - correct answer ALL equipment (including personal) should be safety checked by Biomedical Engineering Dept. and approval label attached before use Class A Fire Extinguisher - correct answer ordinary combustibles Class B Fire Extinguisher - correct answer flammable and combustible liquids Class C Fire Extinguisher - correct answer electrical equipment Class D Fire Extinguisher - correct answer combustible metals Class K Fire Extinguisher - correct answer oils/fats in cooking appliances R>A>C>E (fire safety) - correct answer Remove/Rescue; Alarm; Contain/Confine; Extinguish P>A>S>S (operation of fire extinguisher) - correct answer Pull the pin; Aim the nozzle; Squeeze the handle; Sweep the stream over base of fire Personal Protective Equipment (PPE) - correct answer MUST be worn to protect from blood and bodily fluid Sharps - correct answer instruments/devices with points/blades disposable sharps must be disposed in - correct answer rigid biohazard container warm up jackets - correct answer worn to prevent hair and bacterial shedding from bare arms Quality Assurance (QA) - correct answer collection of data and identification of issues Training - correct answer should be standardized TAH - correct answer Total Abdominal Hysterectomy THA - correct answer Total Hip Arthroplasty Lap Appy - correct answer Laparoscopic Appendectomy Lap Chole - correct answer Laparoscopic Cholecystectomy ORIF - correct answer Open Reduction Internal Fixation CABG - correct answer Coronary Artery Bypass Graft BKA - correct answer Below the Knee Amputation TSA - correct answer Total Shoulder Arthroplasty Anatomy - correct answer structure, form and organization of body parts superior - correct answer toward the head inferior - correct answer toward the feet distal - correct answer toward end of limb proximal - correct answer top of limb; opposite distal superficial - correct answer toward surface of skin; opposite deep medial - correct answer toward center of body; opposite lateral Physiology - correct answer functions of body parts Cell - correct answer fundamental unit of life; smallest and most numerous structure of body; performs all processes needed for life Cells require - correct answer water; food; oxygen; heat; pressure; Do NOT require cold Cellular>Tissue>Organ>System - correct answer levels of organization of body Homeostasis - correct answer state of equilibrium; conditions within cells must remain stable Nucleus - correct answer brain of cell; where DNA is found Cell structure - correct answer Nucleus>Cell Wall>Cell Membrane>Cytoplasm>Cilla and Flagella Major body systems - correct answer 11; Skeletal, Muscular, Nervous, Endocrine, Circulatory; Cardiac, Lymphatic, Digestive, Integumentary, Respiratory, Reproductive, Urinary Skeletal system - correct answer framework for body; protects internal organs grow and develop in bone marrow - correct answer red and white blood cells adult body consist of _____ bones - correct answer 206; plus ligaments and cartilage Flat bones - correct answer protective shells (ribs) Long bones - correct answer raise and lower (humerus and femur) Short bones - correct answer bridges (metacarpals) Irregular bones - correct answer don't fit any specific category (pelvis) bony and cartilaginous parts that support and protect head, neck and trunk - correct answer Axial skeleton Axial skeleton - correct answer skull>hyoid bone>vertebral column>thoracic cage skull - correct answer cranium and facial bones hyoid bone - correct answer located in neck; supports tongue and swallowing; only bone NOT articulated w/another vertebral column - correct answer vertebrae separated by discs; lumbar, thoracic and cervical spine PLIF - correct answer Posterior Lumbar Interbody Fusion Thoracic cage - correct answer sternum and 12 pairs of ribs; protect organs of chest and upper abdomen Making an opening into thoracic cavity to give surgeons access to lung and heart - correct answer Thoracotomy Appendicular skeleton - correct answer Appendages Pectoral girdle - correct answer scapula and clavicle connect bones of arms and aids movemnet Upper limb bones - correct answer humerus, radius, ulna, carpals, metacarpals and phalanges Carpal Tunnel Repair - correct answer removing tissue displaced bone in wrist area to release pressure on median nerve Lower limb bones - correct answer femur, tibia, fibula, patella, tarsals humerus, radius, ulna - correct answer connect at elbow joint carpals, metacarpals, phalanges - correct answer form wrist and hand femur, tibia, fibula - correct answer connect at knee joint patella - correct answer knee bone tarsals - correct answer ankle; metatarsals and phalanges form ankle and foot Joints - correct answer junctions between bones; articulation total hip and knee sets; osteotomes; screw sets - correct answer instruments used for skeletal system skeletal muscle - correct answer responds to stimulation by contracting and relaxing; voluntary; striated; *attached to bone by a tendon smooth muscle - correct answer involuntary movement; slower to contract and relax; common throughout body systems (e.g. digestive tract) Types of muscle tissue - correct answer Cardiac; Smooth; Skeletal cardiac muscle - correct answer makes up heart; contracts automatically; involuntary and rhythmical ACL - correct answer Anterior Cruciate Ligament a repair to the muscles and ligaments of the shoulder joint - correct answer Rotator Cuff Repair Integumentary system - correct answer skin, hair, glands and nails largest organ OF the body - correct answer skin epidermis; dermis; hypodermis - correct answer layers of integument epidermis - correct answer superficial protective layer dermis - correct answer deeper than epidermis; *contains nerves and blood supply hypodermis (subcutaneous) - correct answer deepest layer of skin circulatory system - correct answer pumps blood (tissue) throughout the entire body and removes waste products transportation, regulation, protection - correct answer 3 main functions of the circulatory system heart - correct answer pumps more than 10 gallons of blood a minute through arteries and veins; has 4 chambers atria - correct answer upper chambers; receive blood back from veins ventricles - correct answer lower chambers; force blood out of heart into arteries separated by septum - correct answer right and left chambers separated by mitral (bicuspid) and tricuspid valves - correct answer atria and ventricles when veins vs. arteries are reversed in the concept of blood flow - correct answer pulmonary; bluish color of vein indicate blood needs oxygen sternal saws, open heart instruments, coronary dilators - correct answer instruments used for circulatory system main function is to supply oxygen to the body and remove carbon dioxide from the body; *the area where homeostasis (regulation) of pH occurs in the body - correct answer Respiratory system upper respiratory system - correct answer nose, nasal cavity, pharynx, sinuses and larynx lower respiratory system - correct answer trachea, bronchial tree, lungs breathing - correct answer inhalation and expiration; exchange of air between atmosphere and alveoli of lungs instruments used for respiratory system - correct answer bronchoscopes; tracheostomy sets digestion and absorption - correct answer main functions of digestive system (GI tract) tonsillectomy - correct answer removing lymph tissue in the pharynx (throat) oral cavity - correct answer ingest food, mix w/ saliva and swallow pharynx - correct answer receives food and transports to esophagus esophagus - correct answer transports food to stomach by peristalsis stomach - correct answer receives food from esophagus; mixes with gastric juices; moves [Show Less]
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CBSPD TECH CERTIFICATION EXAM STUDY GUIDE
A broken glass suction bottle is returned to Decontamination. Which of the following should the technician do? - correct answer Place it in an appropriate ... [Show More] rigid container Safety Data Sheets (SDS) provide health and safety hazard and risk information on which of the following? - correct answer Chemical Which of the following generally describes the correct sequence for traffic workflow in areas in which medical devices are processed? - correct answer Decontamination, Assembly, Packaging, Sterilization, Sterile Storage The MAJOR reason why acrylic nails are not permitted to be worn in the sterile processing department is because they can - correct answer Allow fungus to grow beneath them Which of the following agencies would approve the disinfectants used on floors and walls in the Sterile Processing Department? - correct answer Environmental Protection Agency (EPA) Every healthcare facility has an organizational structure, or chart, that outlines - correct answer Departmental authority relationships "Clean to dirty" is a sterile processing department term used to describe - correct answer Work flow What are the major physical areas of a typical Sterile Processing Department? - correct answer Decontamination, Assembly, Preparation and Packaging, Sterilization, and Sterile Storage Loose fitting clothing and jewelry should NOT be worn in sterile processing because it - correct answer Can get caught in moving equipment Hair coverings are REQUIRED - correct answer In all areas of the department Decontamination procedures - correct answer Reduce contamination to permit reprocessed medical devices to be sterilized A patient contracts an infection from an improperly sterilized surgical instrument. This is an example of - correct answer A healthcare acquired infection Coronary artery bypass surgery may be performed on patients with - correct answer Arteriosclerosis All of the following are classified as critical medical devices EXCEPT - correct answer Thermometers The function of the gastrointestinal system is to - correct answer Provide the body with nutrients A liver biopsy would be performed to check for which disease? - correct answer Hepatitis C Virus The growth of pathogenic bacteria in living tissue is called - correct answer Sepsis Nosocomial infections can be prevented by all the following EXCEPT - correct answer Increasing the patient length of stay Healthcare workers are most likely to be infected by which of the following agents? - correct answer Hepatitis B A staff member brings several contaminated trays to the Sterile Processing Department in a cart and requests that replacement trays be put on the same cart. The technician should - correct answer Clean and dry the transport cart and send it to DIstribution for the trays When manual cleaning devices, all of the following personal protective equipment should be worn EXCEPT - correct answer A plastic apron over the scrub suit Which of the following BEST describes the manual cleaning process of surgical instruments? - correct answer Cleaning/brushing the instrument beneath the water level A technician working in Decontamination notices that the maintenance person working on the washer/sterilizer did not remove the barrier attire when the person left the area to get additional tools. The technician should - correct answer Report the problem to your supervisor while delivering sterile supplies to multiple nursing units, the tech is asked to take an opened/used tray to decon, best procedure? - correct answer Return for the used tray after completing all deliveries, using the appropriate collection cart When preparing a set of instruments for processing in a washer/decontaminator, the instruments should be positioned with the - correct answer Retractors on the bottom of the basket and the hand-held instruments on the top The pH of detergent solution that has been demonstrated to be the safest for cleaning surgical instruments is - correct answer Neutral Which of the following solutions is generally considered MOST appropriate for high level disinfection of semi-critical devices - correct answer 2% activated glutaraldehyde The effectiveness of any chemical disinfection process depends on all the following EXCEPT - correct answer Cost of the chemical After manually cleaning contaminated surgical instruments, the NEXT step in the decontamination process is - correct answer Rinsing Generally, the first step in loosening blood soils from the channels of an instrument is to soak it in - correct answer An enzymatic detergent When cleaning an intravenous (IV) pump, it is important to use a germicide on the pump surface in order to - correct answer Reduce the bioburden present on the equipment The chemical disinfectant that leaves a residual film is - correct answer Phenolic A tray of instruments has been brought to the decontamination area in a saline solution. Which of the following actions should the technician take? - correct answer Rinse them with water and then clean them according the manufacturer's instructions The MOST commonly recognized halogen is - correct answer Sodium hypochlorite When working the decontamination area, transmission of pathogenic organisms from used surgical instruments can BEST be minimized by - correct answer Wearing appropriate personal protective equipment Paper-plastic pouches are generally used to package - correct answer One to two light weight instruments When using the sequential wrapping method - correct answer Apply one wrapper followed by a second one Surgical grade instruments, if properly cared for, usually last longer than floor grade instruments because they have - correct answer Passivation layer If the operating room requests instruments for an emergency ruptured aortic aneurysm, the technician should send - correct answer Major vascular instruments Which of the following is the main DISADVANTAGE of using a rigid sterilization container system? - correct answer They must be disassembled, processed, reassembled, and checked before each use. containerized packaging systems are most commonly used to protect which if the following during steam sterilization? - correct answer Surgical instrument sets Simultaneous wrapping means to wrap an instrument set with - correct answer Single non-woven wrapper, double-ply, bonded at the edges Clamps used for hemostasis are also designed to - correct answer Minimize damage to tissue An instrument tray for a laparotomy procedure must include a(n) - correct answer Abdominal retractor Inspection and verification of adequate cleaning is difficult with instruments - correct answer With lumens Cotton gauze cannot be used in which sterilization process? - correct answer Low-Temperature gas plasma Failure to completely dry devices to be processed in low-temperature gas plasma can result in - correct answer A cycle cancellation Which of the following chemical indicators should only be used in the specific cycle for which they are labeled? - correct answer Emulating If a technician's skin is exposed to liquid ethylene oxide, what should the technician do FIRST? - correct answer Wash the exposed area with large amounts of soap and water A positive biological indicator (BI) test shows that sterilization process - correct answer Did not result in the death of all the test organisms Lot control numbers should be placed on each package sterilized, and on the - correct answer Sterilization log Basin sets must be titled forward, on their side, on the steam sterilizer rack to - correct answer Permit condensate to run off Which of the following is necessary to attain the high temperature needed in a steam sterilizer? - correct answer Pressure The purpose of the dynamic air removal cycle of pre-vacuum steam sterilizer is to - correct answer Remove air from the chamber Heat sensing thermometers for steam sterilizers are located in the - correct answer Drain line To kill the remaining microoragnisms on surgical instruments, the MOST cost-effective sterilization method is generally considered to be - correct answer Steam under pressure When heat is added to steam without increasing the moisture content, the steam is called - correct answer Superheated steam Which of the following sterilization methods would be appropriate for petrolatum guaze - correct answer Dry heat When a steam sterilizer load contains a mixture of fabric and metal items, the items should be places - correct answer With the metal items below the fabric items When a steam sterilizer is loaded with linen packs, they should be - correct answer Placed on their edges There are two pressure gauges on a steam sterilizer. These guages measure the pressure in the - correct answer Jacket and the chamber A bowie dick test should be performed in which of the following types of sterilizers? - correct answer Pre-vacuum steam Lot control numbers are used to - correct answer Enable recall of the following sterilization failure All of the following agencies are involved with regulation and control of ethylene oxide when it is used as a sterilant EXCEPT - correct answer Centers for Disease Control and Prevention (CDC) In which distribution system are requisitions filled and delivered as they are received? - correct answer Demand Sterility maintenance covers should be placed on sterile items - correct answer When the sterilized items are cool to room temperature Which of the following statements is the primary reason that items should be allowed to cool on a sterilizer cart before being placed in storage? - correct answer Condensation and contamination may result if items are moved to cooler areas when they are still warm Which of the following BEST describes the general environmental conditions of the sterile storage area? - correct answer Controlled temperature and humidity, limited traffic Outside shipping cartons should not be brought into sterile processing area because they are often - correct answer Biologically contaminated Which of the following is the MOST important factor in preventing bacteria from contaminating sterile packages? - correct answer The handling of packages When transporting sterile packaged items by hand - correct answer Place in a plastic bag or tote bin The best way to reprocess patient care equipment is to - correct answer Follow the equipment manufacturer's instructions Patient care equipment - correct answer Is considered non-critical A coworker is observed taking dressing supplies for use at home. Which of the following would be FIRST action to take? - correct answer To tell him/her that this is not the right thing to do You are taking a used IV pump from a nursing unit to be reprocessed. The nurse tells you not to take it because there is an emergency admission and the patient will need it. Which of the following would be ethically correct? - correct answer Call your department to have a clean pump brought to the unit right away You are in a hurry to leave for a doctor's appointment and you forget to punch your time card. Which of the following actions should be taken? - correct answer Report this to your supervisor the next day You receive a cell phone text message from your friend while you're assembling instrument sets. Which action is BEST to take? - correct answer Ignore the text until you are on break Which of the following would be an action to take if you note that a coworker has hair hanging out of his/her surgical cap while assembling sets? - correct answer Let him/her know the hair is visible [Show Less]
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CBSPD FINAL EXAM 2023 ANSWERED QUESTIONS WITH COMPLETE SOLUTIONS
Why is it Important to evenly distribute large instruments in a set? - correct answer Extra condensation will make the set more difficult to dry. Which ... [Show More] of the following best describes the overall role of the CS/SPD? - correct answer To provide dependable service to enhance patient care. Which of the following government agencies regulates environmental disinfectants? - correct answer EPA The function of a ratchet can be checked by? - correct answer Closing the ratchet on the first click, then tapping the handle on the worktable. During cycle counts, items that have a large dollar value but are not used frequently are classified as? - correct answer Class A Anatomy is the science that deals with the ? Of the body parts? - correct answer Structure Which of the following transports molecules within the cell? - correct answer cytoplasm Which of the following sets are considered high-risk for special prion processing? - correct answer Craniotomy Set The metacarpals are located in the? - correct answer Hands Microorganisms are measured in? - correct answer Microns With respect to rigid sterilization container testing, which term defines the sterilizes ability to sterilize under actual use conditions? - correct answer Maximum-load testing What is the ideal human body temperature? - correct answer 98.6 degrees F What may be the cause of a blue stain Ima scope in Orthophthaldehyde? - correct answer Improper cleaning Which of the following is true of a capsule? - correct answer It is resistant to heat and chemicals. Pulmonary capillaries are found in which system? - correct answer Respiratory Ethics is the practice of: - correct answer Doing the right thing. A microorganism that is resting and has a hard, shell like outer covering is called a ? - correct answer Spore Spongiform encephalopathy is caused by which of the following? - correct answer Prions? Nails, tissues, and money are examples of ? - correct answer Fomites The Zika virus is transmitted by ? - correct answer Vectors In the final step of hand washing, the fingers should be rinsed with the fingertips facing ? - correct answer Up. Waterless hand antiseptics contain what percentage concentration f alcohol to make them nose effective? - correct answer 65%-95% All of the following play a role in how bones support other body systems except? - correct answer Distribution of hormones OSHA requires that containers of potentially infectious materials be ? - correct answer Leakproof Flagella helps bacteria to ? - correct answer Propel through liquid medium The removal of contamination from an item to the extent necessary for further processing is called? - correct answer Cleaning Ventilation in the decontamination area should be ? - correct answer Negative pressure with 10 air exchanges per hour. Which of the following should be cleaned daily? - correct answer Floors and work surfaces. Which of the following is a TRUE statement regarding the use of PPE in the decontamination area? - correct answer Failure to wear PPE can result in a disciplinary action. Before a medical device is cleaned and processed? - correct answer The manufacturers instructions must be obtained. Which of the following additional chemicals is recommended when a high-alkaline detergent is used in a mechanical washer ? - correct answer Neutralizing Acid Which of the following types of organisms is able to survive adverse environment conditions by forming spores? - correct answer Clostrudium The relative acidity or alkalinity of a solution is referred to as ? - correct answer pH Barrier precautions, hand washing and sharps precautions come under the umbrella of ? - correct answer Standard precautions A solution with a pH level of 3 is considered ? - correct answer Acidic A solution having a pH of 13 is ? - correct answer Alkaline Which of the following are major non living reservoirs of infectious diseases? - correct answer Soil and water Alkaline detergents are best for mechanical washers because of ? - correct answer A lack of friction in washing Which of the following is used to remove severe stains on stainless steel instruments? - correct answer Organic acid detergent One method of preventing biofilm formation on instruments is to ? - correct answer Rinse the instruments with distilled water and dry them well. Open but unused instrument sets should be ? - correct answer Completely reprocessed. Unless otherwise directed, an item high-level disinfected in glutaraldehyde MUST be rinsed a minimum of ? - correct answer Two times Generally the distal end of a rigid endoscope should be cleaned with a ? - correct answer Soft bristle brush. If too many microorganisms remain on an item after the cleaning process, the what? - correct answer Disinfection process may not be effective. Which of the following are bacteriostatic and used for inanimate environmental surfaces and floors? - correct answer Quaternary ammonium compounds Which of the following is true of steam sterilization? - correct answer Higher temps these require higher pressure. Which of the following pieces of equipment is used to regulate body temperature? - correct answer Hypo/Hyperthermia machine Which of the following pieces of equipment is used to prevent the formation of blood clots? - correct answer Sequential compression device Which series of stainless steel is used to manufacture osteotomes? - correct answer 400 Instruments should be placed in the lubricant solution and then ? - correct answer Allowed to air-dry. Which of the following should be cut with dissecting scissors? - correct answer tissue What is the purpose of a tungsten carbide insert on a needle holder? - correct answer to hold suture needle better When should laparoscopic instruments be reassembled for sterilization? - correct answer When recommended by the manufacturer Which of the following types of instruments is used to view internal organs through very small openings? - correct answer Endoscopic Instruments must never be ? - correct answer engraved Which of the following is an example of a flexible endoscope? - correct answer Colonoscopy scope. In the sterile storage are of the SPD, the temperature is 70 deg F and the humidity is 69%. What should be done? - correct answer Continue with routine activities Anyone entering the preparation are must? - correct answer Wear proper attire. Where should the chemical indicator be placed when sterilizing two large basins with smaller basins in one set? - correct answer In the top and bottom basins. If a wrapper is to be used as a sterile field, how far over the edge of the table should it be? - correct answer 6 inches When can loaner instrument sets be placed inside rigid sterilization containers? - correct answer With instructions from the loaner instrument company The three basic shapes of microbes are round, spiral and ? - correct answer Rod-like in non table top steam sterilizers steam is generating in - correct answer boiler Autoclave tape is considered which class of indicator ? - correct answer Class 1 Which part of the steam sterilizer produces heat inside the chamber to prevent condensation from forming on the chamber walls? - correct answer The jacket The need for frequent reprocessing can be minimized by - correct answer Proper stock rotation What is the coldest part of the sterilizer? - correct answer Drain line Gradual heating of the packs occur during which phase of the steam sterilization cycle? - correct answer Conditioning All of the following apply to eye wash expect ? - correct answer They must flush one eye at a time. What is the most important thing to remember when double peel pouching? - correct answer The inner pouch must lay flat inside the outer pouch. Which of the following best describes a minimum exposure time, temperature, and pressure for prevacuum steam sterilization of wrapped items ? - correct answer 4 minutes @270 degree F 38-40 pounds per square inch. What is the first step to take when an instrument needs to be sterilized for immediate use ? - correct answer Clean the instrument according to the manufactures instructions. Incoming saturated steam should be witching which of the following ranges of dryness ? - correct answer 97%-100% Failure to remove all air from a package within the steam sterilizer will result in ? - correct answer Poor steam penetration Damage to medical/surgical supplies stored in the receiving area can be avoided by ? - correct answer avoiding temperature and humidity extremes In a NON tabletop sterilizer, Steam is exhausted from the sterilizer through the ? - correct answer Chamber drain line Why must textile packs be placed on their sides for sterilization? - correct answer To facilitate air removal and steam penetration. The most unique feature of a chemical integrator is its ability to ? - correct answer Perform in parallel to a biological indicator. EO kills microorganisms by a process called ? - correct answer Alkylation The nominal concentration of hydrogen peroxide in a low temperature gas plasma sterilizer is ? - correct answer 59% Rigid sterilization containers should be biologically tested before ? - correct answer Purchasing In the sterile storage area, the ventilation system must be under ? - correct answer Positive pressure The hourly air exchange rate in the sterile storage area should be at least ? - correct answer 4 Which of the following is NOT a factor affecting the dry time in a steam sterilizer ? - correct answer Selected sterilization time. The optimum amount of a supply to order is called the ? - correct answer Economical order quantity The cochlea is part of the ? - correct answer Inner ear CS/SPD should be capable of planning for approximately what percentage of the total needs of a unit ? - correct answer 90% [Show Less]
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CBSPD EXAM (updated 2023) QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
1. Functions of SPD 2. Placement of In- strumentation on Sterilizer rack Top shelf 3. Placement of In- strumentation on Sterilizer rack Middle shelf 4. ... [Show More] Where should Textiles etc. be placed on Steril- izer rack 5. Placement of In- strumentation on Sterilizer rack Bottom shelf Our functions are Decontamination, Assembly/Prep & Pack, Sterilization & Storage. Peel packs tilted on edge/side Textile, Basins, Non-Perforated trays - tilted on edge/side Textiles ect. should always be placed on the rack above the metal containers. Rigid container, perforated basket trays- placed flat 6. LTGP back bottom shelf on top of tray/pack ( Geobacillus Ster- arothermophilus) Incubated @ 131-140 deg. 7. BI placement for Steam 8. BI placement for ETO 9. BI placement for LTHP 10. BI placement for Ozone 11. BI placement for Dry Heat over the drain ( Geobacillus Sterarothermophilus) Incu- bated @ 131-140 deg. center of load (Geobacillus Sterarothermophilus ) Incu- bated @ 99 degrees center top shelf (Geobacillus Sterarothermophilus ) Incu- bated @ 131-140 deg. upper shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg. fullest densest load (Bacillus Atrophaeus) Incubated @ 96-120 deg. 12. Cleaning is the removal of contamination from an item to the extent necessary for further processing or for the intend use. 13. AAMI (Associ- ation for the Advancement of Medical Instru- mentation) 14. 2 types of con- tact transmis- sion Issues standards which is an established norm based on theory,opinion, authority, & research AAMI is not law but recognized as best practices. AAMI makes recom- mendations for sterilization based on opinion, research, authority, and /or theory. direct and indirect via a reservoir. Which is either by human, animal or nonliving means as soil or water. 15. direct contact person to person or physical contact between the source to the person by animals which is considered a vector that causes Lymes disease via ticks/lice which is a spriochete that is spiral shaped also causes syphilis, Influenza via birds & Rabies via rats,bats, skunks, foxes, dogs,cats. 16. Indirect contact via objects/fomites inanimate objects. 17. Instrument Us- age : Hemostats 18. Instrument Us- age : Scissors 19. Instrument Us- age : Tissue & Dressing forceps 20. Instrument Us- age : Needle holders Hemostats are used to clamp arteries to stop the flow of blood. Scissors are used to cut & dissect tissue and to cut dressings & suture. Tissue & Dressing forceps are used to manipulate & grasp tissue, sponges & dressings. Needle holders are used to hold back tissue & organs. 21. Retractors Retractors are used to hold back tissue & organs. 22. Laparoscopic Laparoscopic instruments are used in minimally invasive surgery. [Show Less]
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CBSPD EXAM (updated 2023) QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
What should the sterilizer access area pressure be? - correct answer Negative w/10 air exchanges per hour What two steps are involved in decontamination... [Show More] ? - correct answer 1. Manual and/or automated mechanical cleaning 2. application of a thermal or chemical disinfection process Define Cleaning... - correct answer 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... - correct answer poor or ineffective decontamination of instruments What are Employee hazards in the decontamination process? - correct answer 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? - correct answer follow the device manufacturer's written instructions What is the starting point in sterilization? - correct answer Cleaning Define decontamination - correct answer 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? - correct answer -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? - correct answer Box lock and jaws What does the ABC system stand for? - correct answer 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? - correct answer Items are distributed to department by vendor no need for sterile storage or inventory control. What are specialty/ procedure carts? - correct answer Carts placed in specific departments based on procedures personalized to needs of departments easily accessible. What is case cart distribution? - correct answer visually in specialty areas case carts are delivered to department case cart is specialized to departments needs What is the exchange cart distribution? - correct answer Two identical carts are made one is out in the department and other stays in SPD What is par level distribution? - correct answer There is fixed inventory and when items become low they are replenished from the stockroom per department/specialty What is demand distribution? - correct answer An instrument/cart must be ordered in order to get it What are the most common distribution systems? - correct answer 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? - correct answer positive air flows out What is shelf life - correct answer period of time which a sterile item is considered safe to use event related not time related When are packs most vulnerable to contamination? - correct answer Immediately after sterilization What is it when a sterilizer's ability is tested under worst case conditions? - correct answer Small load testing What is it called when a sterilizer is tested for sterilization under actual use conditions? - correct answer Max load testing How often is a Bowie Dick test ran? - correct answer Daily for dynamic air removal sterilizers How much space should be between packages and chamber wall? - correct answer one inch How should paper-plastic pouches be placed in a sterilizer? - correct answer plastic to paper or paper to plastic tilted on side How should basins be placed in a sterilizer? - correct answer on tilted side same direction What should be placed on the bottom of the rack in a mixed load? - correct answer metal instruments basin other metal items What should be placed on the top shelf? - correct answer textile packs and paper/plastic pouches Textile packs should be placed how in a sterilizer? - correct answer sides Solid bottom trays should be loaded now? - correct answer tilted on sides How should mesh bottom containers be loaded into the sterilizer? - correct answer flat on rack If packages are still moist when the sterilizer doors are open bacteria can do what? - correct answer wick through the package How does steam sterilization occur? - correct answer by condensation What cases are proven to have prions? - correct answer 1) neurosurgery 2) opthamology (eye) When should a flash sterilizer be monitored? - correct answer Weekly with a biological and a class 5 or class 6 indicator What can not be processed in an express cycle? - correct answer porous items items with lumens When should a flash sterilizer be used? - correct answer In an emergency; a one of a kind instrument is dropped How are liquids sterilized? - correct answer only through gravity displacement liquid cycles What occurs during the drying phase? - correct answer 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? - correct answer steam is exhausted from the chamber drain line What occurs during he sterilization/exposure/"holding phase"? - correct answer exposure temperature is maintained for the prescribed amount of time What occurs during the conditioning phase of steam sterilizers? - correct answer Air is removed and steam is injected Where should the bowie dick test be placed in a steam sterilizer - correct answer drain line Where is the sterilizers heat-sensing thermometer located? - correct answer Drain- line What provides heat inside the chamber and prevents condensation in a steam sterilizer? - correct answer the jacket where is the dedicated steam supply made? - correct answer a boiler Steam kills microorganisms by_______ the protein - correct answer denaturing (coagulation) True/false Removing as many microorganisms as possible before sterilization enhances the probability of microbial kill - correct answer true What is the air exchange in sterile storage - correct answer 4 per hour What is the suggested release temperature of packs? - correct answer 70 to 80 degree farenheit How far from the floor should medical devices be stored? - correct answer 8-10 inches from the floor How far should shelving be from outside walls? - correct answer 2 inches What kind of pressure should the sterilization area be under? - correct answer positive What is the coldest area of the sterilizer? - correct answer drain line What are the three parameters of steam sterilization? - correct answer 1) Steam under pressure 2) time 3) Exposure/temperature What are the two types of cycles in steam sterilization? - correct answer 1) dynamic air removal (pre-vac) 2) Gravity Displacement (immediate use) What are the phases of the cycle? - correct answer 1)conditioning (air is removed) 2)sterilization/Exposure/ Hold (temperature is held) 3) Exhaust (steam out drain line) 4) drying (approx. 30 min.) It takes a certain ______ to reach a certain ____________ - correct answer Pressure temperature What are the types of sterilization processes used? - correct answer 1) steam 2) EtO 3) Dry Heat 4) Gas plasma 5) Ozone 6) liquid chemical What does a class on indicator respond to? - correct answer Only one parameter of the process (ex.: autoclave tape) Geobacillus steurothermophilus must be incubated at what temp.? - correct answer 132 degrees farenheit What should the incoming saturated steam dryness be? - correct answer ideally 97% to 100% saturated steam What should the sterility assurance level be? - correct answer 10^-6 When a new sterilizer comes in or relocated how many consecutive biologicals be ran in an empty sterilizer? - correct answer three How many air exchanges should there be in the sterilization area? - correct answer ten Class five responds to - correct answer all critical parameters Class three responds to - correct answer single parameter respond to one chemical parameter Biological monitors contain... - correct answer spores geobacillus stearothermophilus The biological used for team, ozone, and pareacetic sterilization contains.... - correct answer Geobacillus Stearothermophilus The biological used for EtO, gas plasma, and dry heat contains... - correct answer Bacillus atrophaeus True/False Adequate cleaning will lead to easier sterilization b/c it reduces present bioburden - correct answer true When must a control biological be ran? - correct answer Daily or when a new lot number is present When are biologicals placed for steam sterilization? - correct answer Coldest point (drain line) Where do you place biologicals for EtO sterilization? - correct answer Approximately the center of the load Where are biologicals placed for gas plasma sterilization? - correct answer First shelf back of chamber If no microorganisms survived, the biological test is the positive or negative? - correct answer Negative If microorganisms survive the biological test is considered positive or negative? - correct answer posititve If bacteria lives what color does the biological turn? - correct answer yellow When a BI tests positive you must... - correct answer Determine why it failed and recall everything from that cycle and reprocess it Steam sterilizers should be monitors at a minimum of... - correct answer weekly Each package ran through sterilizers should be labeled with what? - correct answer 1)lot number 2)date 3)cycle number What must CSD comply with? - correct answer local and state regulations What is decontamination? - correct answer contaminated items are rendered safe for handling by personnel who are not wearing protective attire What does the EPA regulate? - correct answer EtO manufacturing and emissions, and labeling What agencies govern central sterile departments? - correct answer -joint commission (JC) -occupational safety (OSHA) -Environmental (EPA) -Food and Drug (FDA) Is JCAHO a government agency? - correct answer no it is a volunteer organization The standards of _____________ affect most areas of the health care facility. - correct answer Joint Commision What should large items be lifted with? - correct answer If too large, then a lift must be used; if can be lifted with body use legs not back/arms What can an incident report lead to? - correct answer Work practices that need improvement What should be in an incident report? - correct answer -how the accident happened -where/ when it occurred -any witnesses -medical treatment given -any work time lost due to accident -description of corrective actions to prevent the recurrence of the accident When should an incident report for an accident/injury be reported? - correct answer immediately What items can be disinfected? - correct answer -surgical instrumentation -patient care equipment -other medical devices from all areas of the institution When is disinfection used? - correct answer When cleaning alone might not be enough to make an item safe for reuse or further handling without transmitting disease Decontamination activites should not take place when - correct answer clean activities are being performed (prep, packaging, and sterilization) What kind of containers should sharps be kept in? - correct answer impervious (puncture proof), and leak proof containers Acrylic nails are... - correct answer prohibited because the support the growth of microorganisms How long should fingernails be kept? - correct answer Short Why should jewelry not be worn? - correct answer cannot be easily cleaned can catch on equipment causing injury True/false eyewash stations must be available in the decontam area and in areas where disinfectants are being used and a hands free operation - correct answer True Is the use of PPE optional? - correct answer no PPE must not... - correct answer permit blood or other potentially infectious materials to pass through or reach the employees work clothes, street clothes, undergarments, skin, eyes, mouth, or mucous membrane during the time of use Individuals entering the area must... - correct answer wear PPE traffic in the decontamination area must be restricted to? - correct answer individuals with job responsibilities in the area Provisions for the cleaning of walls, vents, and drains should be made because... - correct answer to inhibit he growth of microorganisms in the traps, prevent insects, prevent emission of noxious odors How should the work flow in decontamination? - correct answer clean to dirty areas with decontamination being the last area cleaned Floors and work surfaces should be cleaned? - correct answer daily in accordance to the policies and procedures How many air exchanges should there be in the decontamination area? - correct answer 10 per hour Air should be exhausted where? - correct answer directly to the outside not recirculated temp. and humidity should be monitored and documented daily, when it reaches above/below those standards what should you do? - correct answer the discrepancies should be reported to the SPD manager or supervisor Negative air pressure should... - correct answer be drawn into the room what helps control biofilm in pipes - correct answer Chlorination of water ad flushing of delivery systems What are biofilms - correct answer Biofilms are microbial communities that are tightly attached [Show Less]
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