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