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Sterile Processing CBSPD Test/1925 Questions and Answers
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Sterile Processing CBSPD Test/1925Questions and Answers
Decontamination Area - -Where soiled items are received and cleaned. *All
levels for the same tray should be labeled w/a tag to identify the level
number and set to which it belongs.
-Preparation and Packaging Area - -where cleaned items are inspected,
assembled, and packaged.
-Sterilization Area - -where terminal sterilization is performed.
-Sterile Storage Area - -where sterile items are stored until needed.
-Sterile Stores - -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 - -where sterile supplies (trays and/or sterile items from
outside manufacturers) are kept and picked for surgical cases.
-Dispatch - -where sterile and clean items are dispensed.
-Loaner Area - -for the receipt and return of instruments borrowed for
specialty procedures.
-Patient Care Equipment Clean-Up Area - -where patient care equipment is
cleaned and disinfected.
-SPD Responsibilities - -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 - -how the work progresses through the department or
processing area. *Dirty to Clean
-People Flow - -how people move through the department or processing
area. *Clean to Dirty
-Traffic Control - -controlling access to SPD
-Ethics - -the discipline dealing with what is good and bad and with moral
duty and obligation.
, -Ethical Actions - -actions that conform to accepted and professional
standards of conduct.
-Morals - -deal with or relate to principles of right and wrong behavior.
-Unethical Professional Conduct - -failure to conform to moral standards or
policies.
-Professional Ethics - -principles of conduct governing an individual or
group.
-American Medical Association (AMA) - -the most important organization
related to healthcare ethics.
-Regulation - -a principle, rule, or law designed to control or govern
behavior.
-Agencies that issue regulations - -EPA, FDA, OSHA and State health
departments
-Standard - -an established norm determined by opinion, authority,
research and/or theory.
-Recommended Practices - -statements of sound principles of practice
based on scientific data and opinions of experts.
-Agencies that set standards - -AAMI, CDC
-Examples of recommended practices - -documents developed by
IAHCSMM, SGNA, AORN
-Environmental Protection Agency (EPA) - -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) - -regulates all medical devices.
MedWatch (recalls); approves reprocessing of single use devices; require IFU
(instructions for use)
-Function of CS/SPD - -receives, cleans, decontaminates, assembles,
inspects, disinfects, sterilizes reusable medical and surgical devices
-Sterile processing is A.K.A - -Central Material Service, Sterile Processing
Service, Central Service, Sterile Processing Department
, -Two groups that certify - -CBSPD (Cerification board for sterile processing
and distribution, IAHCSMM (International association of healthcare central
service material management)
-Chain of command - -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 - -mandatory/required by law
-Confidentiality - -HIPAA (Health insurance portability and accountability
act)
-the manufacturer performs ________ for a product, the facility end user
performs _______. - -validation; verification
-Occupational Safety Health Administration (OSHA) - -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 - -OSHA, EPA
-Ergonomics - -OSHA; fitting the job to the worker, prevent injuries before
they occur
-Emergency eyewash stations - -available within 10 seconds/30 meters of
chemicals; hands-free; test regularly and document, 0 4 gallons of water.
-Government Agencies - -EPA, FDA, OSHA
-NFPA - -National Fire Protection Association
-Center for Disease Control and prevention (CDC) - -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 - -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 - -health hazard
-NFPA Red Diamond - -flammability
, -NFPA Yellow Diamond - -instability
-NFPA White Diamond - -special hazard information
-The Joint Commission (TJC) formally (Joint Commission on Accreditation of
Healthcare Organizations (JCAHO)) - -voluntary; establishes accrediting
standards and conducts onsite inspections; annual competency testing
-Association for the Advancement of Medical Instrumentation (AAMI) - -
voluntary; sets standards for CS/SPD
-Association of peri-Operative Registered Nurses (AORN) - -voluntary;
develops nationally recognized standards, recommended practices and
guidelines for peri-operative setting
-Association for Professionals in Infection Control (APIC) - -voluntary;
international organization dedicated to prvention and control of infections
-Society of Gastroenterology Nurses and Associates (SGNA) - -voluntary;
established standards for effective processing of flexible endoscopes
-Department Of Transportation (DOT) - -enforces laws relating to
transportation of medical wastes
-American National Standards Institute (ANSI) - -voluntary; proposes
standards to include enhancing the global competitiveness and quality of life
-World Health Order (WHO) - -voluntary; furthers international cooperation
in improving health conditions
-National Institute for Occupational Safety and Health (NIOSH) - -division of
CDC; oversees airborne control/respiration masks
-Fire Safety - -ALL equipment (including personal) should be safety checked
by Biomedical Engineering Dept. and approval label attached before use
-Class A Fire Extinguisher - -ordinary combustibles
-Class B Fire Extinguisher - -flammable and combustible liquids
-Class C Fire Extinguisher - -electrical equipment
-Class D Fire Extinguisher - -combustible metals
-Class K Fire Extinguisher - -oils/fats in cooking appliances
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