CBSPD Exam

Negative w/10 air exchanges per hour

1. Manual and/or automated mechanical cleaning 2. application of a thermal or chemical disinfection process

The removal of contamination from an item to the extent necessary for further processing or for the intended use.

poor or ineffective decontamination of instruments

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

follow the device manufacturer's written instructions

Cleaning

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

-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

Box lock and jaws

A: large dollar amount items not used frequently B: moderately priced and used frequently C: items w/ low dollar value

Items are distributed to department by vendor no need for sterile storage or inventory control.

Carts placed in specific departments based on procedures personalized to needs of departments easily accessible.

visually in specialty areas case carts are delivered to department case cart is specialized to departments needs

Two identical carts are made one is out in the department and other stays in SPD

There is fixed inventory and when items become low they are replenished from the stockroom per department/specialty

An instrument/cart must be ordered in order to get it

1) demand 2)par-level 3)Exchange 4)case carts 5) Specialty 6) Just in time

positive air flows out

period of time which a sterile item is considered safe to use event related not time related

Immediately after sterilization

Small load testing

Max load testing

Daily for dynamic air removal sterilizers

one inch

plastic to paper or paper to plastic tilted on side

on tilted side same direction

metal instruments basin other metal items

textile packs and paper/plastic pouches

sides

tilted on sides

flat on rack

wick through the package

by condensation

1) neurosurgery 2) opthamology (eye)

Weekly with a biological and a class 5 or class 6 indicator

porous items items with lumens

In an emergency; a one of a kind instrument is dropped

only through gravity displacement liquid cycles

Dynamic Air Removal: Filtered air is drawn in achieve drying Gravity: Heat in chamber evaporates moisture *Approx.: 30 min. for both

steam is exhausted from the chamber drain line

exposure temperature is maintained for the prescribed amount of time

Air is removed and steam is injected

drain line

Drain- line

the jacket

a boiler

denaturing (coagulation)

true

4 per hour

70 to 80 degree farenheit

8-10 inches from the floor

2 inches

positive

drain line

1) Steam under pressure 2) time 3) Exposure/temperature

1) dynamic air removal (pre-vac) 2) Gravity Displacement (immediate use)

1)conditioning (air is removed) 2)sterilization/Exposure/ Hold (temperature is held) 3) Exhaust (steam out drain line) 4) drying (approx. 30 min.)

Pressure temperature

1) steam 2) EtO 3) Dry Heat 4) Gas plasma 5) Ozone 6) liquid chemical

Only one parameter of the process (ex.: autoclave tape)

132 degrees farenheit

ideally 97% to 100% saturated steam

10^-6

three

ten

all critical parameters

single parameter respond to one chemical parameter

spores geobacillus stearothermophilus

Geobacillus Stearothermophilus

Bacillus atrophaeus

true

Daily or when a new lot number is present

Coldest point (drain line)

Approximately the center of the load

First shelf back of chamber

Negative

posititve

yellow

Determine why it failed and recall everything from that cycle and reprocess it

weekly

1)lot number 2)date 3)cycle number

local and state regulations

contaminated items are rendered safe for handling by personnel who are not wearing protective attire

EtO manufacturing and emissions, and labeling

-joint commission (JC) -occupational safety (OSHA) -Environmental (EPA) -Food and Drug (FDA)

no it is a volunteer organization

Joint Commision

If too large, then a lift must be used; if can be lifted with body use legs not back/arms

Work practices that need improvement

-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

immediately

-surgical instrumentation -patient care equipment -other medical devices from all areas of the institution

When cleaning alone might not be enough to make an item safe for reuse or further handling without transmitting disease

clean activities are being performed (prep, packaging, and sterilization)

impervious (puncture proof), and leak proof containers

prohibited because the support the growth of microorganisms

Short

cannot be easily cleaned can catch on equipment causing injury

True

no

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

wear PPE

individuals with job responsibilities in the area

to inhibit he growth of microorganisms in the traps, prevent insects, prevent emission of noxious odors

clean to dirty areas with decontamination being the last area cleaned

daily in accordance to the policies and procedures

10 per hour

directly to the outside not recirculated

the discrepancies should be reported to the SPD manager or supervisor

be drawn into the room

Chlorination of water ad flushing of delivery systems

Biofilms are microbial communities that are tightly attached to surfaces and cannot be easily removed; Bacteria is 1000x more resistant than bacteria in suspension

because of the potential for biofilms

Manufacturer's IFU

-sorting -disposing of single-use items -prerinsing/presoaking reusable items -washing -rinsing -drying

True

treat as contaminated and completely reprocess it

fever reducing substances

remove rather than kill microorganisms

cleaning followed by thorough rinsing

The manufacturer's IFU

To make an item safe for reuse and/or further handing

1) Placing a towel moisteneed with water (not saline) over the instruments 2) Using an instrument spray designed for pre treatment (enzymatic foam/ gel that adheres to the surface to begin breaking down soils)

2/3 full to help prevent sharps injuries

1) how the detergent will work 2) how much detergent is needed