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CBSPD – Decontamination Exam Questions and Answers
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CBSPD – Decontamination Exam Questions and Answers
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CBSPD – Decontamination ExamQuestions and Answers
Cleaning - Answer -The removal of contamination from an item to the extent necessary
for further processing or for the intended use. - Defined by the AAMI
AAMI (Association for the Advancement of Medical Instrumentation) - Answer -the
Association for the Advancement of Medical Instruments.
Decontamination - Answer -Defined by OSHA. The use of physical and chemical means
to remove, inactivate, or destroy blood-borne pathogens on a surface or item to the
point where they are no longer capable of transmitting infectious particles and the
surface or item is rendered safe for handling, use, or disposal.
2 Steps in Decontamination - Answer -1. Manual and/or automated mechanical cleaning
- First and most important step.
2. Application of a thermal or chemical disinfection process.
The disinfection process is used when... - Answer -Cleaning alone may not be enough
to make the item safe for reuse or further handling without transmitting disease.
Items processed in decontamination are... - Answer -surgical instruments, patient care
equipment, and other medical devices
Items processed in decontamination may contain... - Answer -Blood, body tissue, bone,
and bodily fluids & may contain/have unknown pathogenic and nonpathogenic
organisms.
SPD staff works in a wet environment & constantly handles... - Answer --Contaminated
sharps
-Potentially hazardous chemicals (detergents, disinfectants)
The decontamination area... - Answer -Should be set up to provide for efficient and
effective
cleaning and also to minimize and contain potential
environmental contamination
Bioburden - Answer -microorganisms on a contaminated item
,The process of decontaminating medical devices should be... - Answer -Centralized to
one location to accomplish consistent, effective, and efficient processing and
containment of bioburden.
The decontamination area should... - Answer --provide space for staff to don and
remove PPE
-provide space for storage of PPE
-contain the equipment needed for manual and automated cleaning and disinfection
-provide sufficient space to accommodate the type and quantity of supplies, equipment,
and instrumentation to be processed
-allow traffic control & efficient workflow
-allow unobstructed access to eyewash facilities
-accommodate disposal of hazardous materials/substances
Decontamination area - Answer -should allow for temperature and humidity control so
that the temperature can be maintained in the range of 60○F to 65○F and the humidity
can be maintained in the range of 30% to 60%
The Decontamination area - Answer -must maintain negative air pressure to help
contain contaminants inside the decontamination area
Temperature and humidity in the decontamination area... - Answer -should be
monitored daily. If the temp/humidity levels are above or below the recommended
levels, the discrepancy should be reported. DO NOT PROCEED WORKING UNTIL
IDEAL CONDITIONS ARE MET.
The ventilation system in the decontamination area should... - Answer -be designed to
maintain negative air pressure due to the potentially high levels of contaminants within
the area.
Air within the decontamination area must be... - Answer -exhausted directly outside the
facility - not recirculated/ There should be at least 10 air exchanges per hour.
When physical barriers are not present... - Answer -procedural barriers must be used
According to OSHA, - Answer -PPE's must not permit blood or other potentially
infectious materials to pass through or reach the employee's work clothes, street
clothes, skin, eyes, mouth, undergarments, or other mucous membranes under normal
conditions of use and for the duration of time which the PE will be used.
PPEs are... - Answer -required to be impervious - fluid-proof
Appropriate PPE for decontamination area includes... - Answer -surgical scrub attire,
fluid resistant mask, eye and face protection, long sleeved, impervious or fluid resistant
gown or jumpsuit, head covering, fluid protective shoe covers with slip-proof bottoms, &
heavy protective gloves with long fitted cuffs
,Scrubs must be... - Answer -laundered by the facility
Applying PPE... - Answer -shoe covers, gown, mask, goggles, gloves
Removing PPE - Answer -shoe covers, gloves, goggles, gown, mask, wash hands
fingernails should be - Answer -1/4 inch or less
acrylic nails - Answer -are prohibited because they might support the growth of
microorganisms & puncture gloves
Sharps are.... - Answer -any medical device that could cut a person. All sharps should
be confined and contained in am impervious or puncture and leak proof container.
Container should be changed when it is 2/3 full.
Needle logs - Answer -used to document the number of sharps injuries & should include
how the injury occurred, corrective actions taken to improve procedures, and how to
prevent future injuries
transporting contaminated items - Answer -must be appropriately handled, confined and
contained after use and during transport to decon; separation/segregation of clean and
contaminated during transport
transporting contaminated items - Answer -•Handle as little as possible at the point of
use
•Handle only if wearing PPE
•Disposable items should be removed and discarded in
the appropriate containers at the point of use
•Reusable items are to be placed in a container or a
covered/enclosed cart that will prevent staff and
others from being exposed to contaminates during
transport
acceptable containers for transporting contaminated items - Answer --covered or
enclosed carts
-bins with lids
-sterilization containers with solid bottoms
-disposable impermeable bags
all transport containers... - Answer -must be cleaned and disinfected between uses and
does NOT require sterilization
containers and carts... - Answer -must be labeled with a biohazard label or symbol
, transportation carts/containers - Answer -must be rigid, covered, and have a solid
bottom
soiled items - Answer -must be transported immediately to the decontamination area for
processing to prevent blood, body fluids, and other contaminants from drying on the
surfaces
gross soil - Answer -such as bones, body organs, etc. should be removed at the POINT
OF USE with a disposable gauze pad or a cloth moistened with water
Saline... - Answer -should not be used for the purpose of removing gross soil as it can
damage the surface of the item
to prevent soils from drying on the surface of items... - Answer -place a towel moistened
with water (not saline) inside the package to maintain humid conditions and/or place
items in an appropriate container and coat them with enzymatic foam or gel - adheres to
the surface of the contaminated item and breaks down soils - the foam or gel will not
splash or spill in transport
The objective of decontamination is - Answer -To make an item safe for reuse and/or for
further handling by personnel in preparation for reuse and to prevent the transmission of
disease
before any medical device is cleaned - Answer -the manufacturer's written instructions
must be obtained
instructions should include - Answer -cleaning and or disinfecting agents (type of
solution)
cleaning implements (tools needed)
methods to be used (how to clean the device)
Cleaning followed by thorough rinsing - Answer -The first and most important step in the
decontamination process to remove microorganism rather than kill
if too many microorganisms remain after the cleaning process - Answer -the process
may not be effective and may form pyrogens, causing foreign body reactions and
leading to medical complications for the patient
Pyrogens - Answer -fever producing substances, dead microorganisms in soil or organic
debris that are left behind on medical devices after sterilization
New instruments - Answer -must be cleaned as well
sterilized equipment - Answer -must also be cleaned
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