CBSPD EXAM REVIEW ALL SOLUTION 100% CORRECT SPRING FALL-2023/24 EDITION GUARANTEED GRADE A+

Functions of SPD Our functions are Decontamination, Assembly/Prep & Pack, Sterilization & Storage. Placement of Instrumentation on Sterilizer rack Top shelf Peel packs tilted on edge/side Placement of Instrumentation ...

Functions of SPD Our functions are Decontamination, Assembly/Prep & Pack, Sterilization & Storage. Placement of Instrumentation on Sterilizer rack Top shelf Peel packs tilted on edge/side Placement of Instrumentation on Sterilizer rack Middle shelf Textile, Basins, Non-Perforated trays - tilted on edge/side Where should Textiles etc. be placed on Sterilizer rack Textiles ect. should always be placed on the rack above the metal containers. Placement of Instrumentation on Sterilizer rack Bottom shelf Rigid container, perforated basket trays- placed flat LTGP back bottom shelf on top of tray/pack ( Geobacillus Sterarothermophilus) Incubated @ 131-140 deg. BI placement for Steam over the drain ( Geobacillus Sterarothermophilus) Incubated @ 131-140 deg. BI placement for ETO center of load (Geobacillus Sterarothermophilus ) Incubated @ 99 degrees BI placement for LTHP center top shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg. BI placement for Ozone upper shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg. BI placement for Dry Heat fullest densest load (Bacillus Atrophaeus) Incubated @ 96-120 deg. Cleaning is the removal of contamination from an item to the extent necessary for further processing or for the intend use. AAMI (Association for the Advancement of Medical Instrumentation) Issues standards which is an established norm based on theory,opinion, authority, & research AAMI is not law but recognized as best practices. AAMI makes recommendations for sterilization based on opinion, research, authority, and /or theory. 2 types of contact transmission direct and indirect via a reservoir. Which is either by human, animal or nonliving means as soil or water. 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. Indirect contact via objects/fomites inanimate objects. Instrument Usage : Hemostats Hemostats are used to clamp arteries to stop the flow of blood. Instrument Usage : Scissors Scissors are used to cut & dissect tissue and to cut dressings & suture. Instrument Usage : Tissue & Dressing forceps Tissue & Dressing forceps are used to manipulate & grasp tissue, sponges & dressings. Instrument Usage : Needle holders Needle holders are used to hold back tissue & organs. Retractors Retractors are used to hold back tissue & organs. Laparoscopic Laparoscopic instruments are used in minimally invasive surgery. FDA (Food and Drug Administration) The FDA regulates all medical devices are safe before companies market them and that they must provide IFU's for their products on how to reprocess. Also, any single use device must be cleared by FDA HIPAA (Health Insurance Portability and Accountability Act) Patient confidentiality is provided by HIPAA shelf life shelf life is time a sterile item is considered safe to use it is event related not time related. Use-life Period of time during which a germicidal solution is effective after it has been prepared for use Hazard Communication Safety Data Sheet is the right to know standard for all chemicals in the department. Safety Data Sheet Must be displayed in facilities where a hazardous substance is stored, manufactured, or used per OSHA. metal brushes metal brushes are used on Tungsten Carbide ( gold handled) for cleaning when needed. Nylon & plastic brushes are used for cleaning all other instrumentation when needed. Quality assurance is the collection of data & identification of issues that can be identified by anyone and is continuous quality improvement. one of the way to find issues is by random audits. Ethics what is good, bad, and moral and doing the right thing. work ethics understanding cultural differences is a trait of good work ethics. Morals principles of right & worng Agencies that are mandatory OSHA,FDA,DOH, & EPA we must do what they say compliance is not an option. Regulation a rule that must be followed it is not optional it is issued by regulatory agencies only. Recommendation are issued by AAMI, AORN, & CDC and are considered best practices. Quats are low-level disinfectants effective against gram-positive bacteria are bactericidal and used on inanimate objects like bed, tables, walls, & floors. Not effective against lipid-based viruses. Used in dietary & nursery departments & must remain wet for the required time to be effective. Halogens are oxidizing agents that can remove oxygen from living things & cause death. Bleach (hypochlorite) Is commonly used low to medium level disinfectant in the Halogens. It can destroy Hep Virus & HIV Iodine is another used as skin antiseptic to reduce microorganisms and prep skin for surgery. Phenolics are carbolic-acid effective against vegetative bacteria, fungi, some mycobacteria, but not against bacterial spores & some viruses. They are bcteriostatic and leave residue. not in dietary, baby equipment, mattresses & surgical instruments. but can be used on TB contaminated fomites. Alcohol are antiseptics/sanitizers that can kill mycobcteria, & fungi. They are Bacterricidal and flammable. Hydrogen Peroxide A general environmental cleaner-disinfectant For a disinfectant to perform correctly disinfectant must remain wet for the stated time to perform correctly. Low-level disinfectants can destroy Hep B Virus (HBV) Sterile supplies can be stored on wire carts and closed cabinets, but never on floors or in corrugated/ card board shipping boxes because they harbor dirt and soils. Storage Shelving should be 2" from walls Sterile items stored on top shelves must be 18 inches' way from sprinkler heads Irritant Contact Dermatitis (ICD) is the most common reaction to latex products. Mandatory PPE Scrubs/cover gown/bunny suit, hair cover, & shoe cover Gram-Positive Mycobacteria causes tuberculosis and leprosy. Temps for detergents when making a solution 111, 136, 140* The most important documentations required when processing using HLD ( high level Disinfectants) record results of MEC ( Minimum Effective Concentration) Documentation item was cleaned, Time the item was put in solution & time removed from solution Name of who did process Pt. name & Medical Record# Dr.'s name Scope Serial# Medical device reporting regulation Healthcare facilities must report deaths/ serious injury from medical devices because of the Medical Device reporting regulation. Class A extinguisher Wood, paper, cloth, trash, & ordinary materials. Class B extinguisher Gasoline, oil, paint flammable liquids Class C extinguisher electrical equipment Class D extinguisher Metals & metal alloys Class K extinguisher cooking oils striations voluntary movement are not a characteristics of smooth muscle. first step in processing a flexible endoscope Leak test Factors required for life water, food, oxygen, & pressure Portals of Exit: Respiratory tract by sneezing/Cough for TB, Whooping Cough, Pneumonia, Measles, Mumps Smallpox and is the most common via droplets. Portals of Exit: GI Tract by Feces/Saliva for Salmonella, Cholera, Shingles, Typhoid Fever, Polio mostly found in contaminated water and soil. Portals of Exit: Genitourinary tract By the Penis/ Vagina secretions also in Urine. All loads with implants must have a BI HAIs (Hospital Acquired Infections) 90,000 deaths a year are related to HAI's or nosocomial infections by direct contact. Bowie Dick Test pack A chemical monitor that test the air removal, presence of non-condensable gasses & air leaks of Pre-Vac dynamic air removal sterilizers. Bowie Dick Test is ran at 3-3 1/2 min. @270F daynamic-Air-Removal Decontamination is the use of physical/chemical means reducing the number of microorganisms from objects where they are not able to pass infectious particles. When marking instruments only use CONTINUED...