St. Mark's Cbspd Certification Training / Chapter 5- Decontamination
Hello friends! If you are here, looking at this test you are either very lost or very interested in passing the CBSPD Certification Test. (I hope its the latter) I designed this test using direct facts and concepts from "The Basics of Sterile Processing" Sixth Edition Sterile Processing University, LLC. Chapter 5- Decontamination Passing this test does not guarantee that you will pass the CBSPD Certification, but will help test your knowledge and understanding of the key concepts and practices within sterile processing. If you have any questions or concerns pertaining to this test please feel free to email me at spd. [email protected] Com I wish you the best of luck on your path to certi
- 1.What is the most important part of the disinfection or sterilization process?
- A.
Thermal Disinfection
- B.
Chemical Disinfection
- C.
Pre-cleaning
- D.
Cleaning
- 2.What does the acronym IFU stand for?
- A.
Information For Us
- B.
Instructions For Use
- C.
Indications For Use
- D.
Interface Unit
- E.
It doesn't mean anything. It's a professional way of cursing out your coworkers.
- 3.To ensure that cleaning equipment is in good working order, all equipment used for cleaning should be maintained with a [Blank] program
- A.
Preventative Maintenance
- B.
Equipment Maintenance
- C.
Scheduled Service
- D.
Equipment Refurbishment
- 4.According to the CDC, training and competency verification should be required:
- A.
Every two years
- B.
Every year
- C.
Whenever a new device or instrument is introduced to the department.
- D.
Whenever an existing device or instrument manufacturer updates and/or changes a device or instrument's reprocessing procedures.
- E.
Upon initial hire
- F.
Whenever a surgical site infection occurs
- 5.[Blank] is defined as the "removal of contamination from an item to the extent necessary for further processing or for the intended use."
- 6.What are the two steps in the decontamination process?
- A.
Inspection
- B.
Manual or Automated Cleaning
- C.
Ultrasonic Cleaning
- D.
Thermal or Chemical Disinfection
- E.
Sterilization
- 7.What should the temperature range in the decontamination area be? Note: For the purposes of this test the symbol (*) should be referred to as the degree symbol. Unfortunately I am not skilled enough to figure out how to put that fancy degree circle in this test.
- A.
55*F - 60*F
- B.
60*F - 65*F
- C.
65*F - 70*F
- D.
63*F - 68*F
- 8.What should the humidity range be in the decontamination area?
- A.
0% - 20%
- B.
25% - 40%
- C.
30% - 60%
- D.
35% - 65%
- 9.The decontamination area should be designed to maintain positive air pressure to help contain contaminants inside the decontamination area.
- A.
True
- B.
False
- 10.How often should temperature and humidity be recorded and documented?
- A.
Hourly
- B.
2x's a day
- C.
Daily
- D.
Weekly
- 11.How many air exchanges per hour should the decontamination area have?
- A.
4
- B.
10
- C.
14
- D.
20
- 12.The use of PPE (personal protective equipment) is NOT optional and is regulated by which government agency?
- A.
OSHA / Occupational Safety and Health Administration
- B.
CDC / Center for Disease Control
- C.
APIC / Association for Professionals in Infection Control
- D.
FDA / Food and Drug Administration
- E.
Although PPE is mandatory, it is not regulated by a governing body. Rather, policies and procedures pertaining to PPE are created and enforced by the Hospital's "Standard Operating Procedure."
- 13.Select all the appropriate PPE for the decontamination area
- A.
Civilian Street Clothes
- B.
Surgical scrub attire
- C.
Eye and face shield
- D.
Non-skid "decontamination area only" shoes
- E.
Fluid resistant mask
- F.
Head covering (surgical bonnet or scrub cap)
- G.
Neck covering
- H.
Heavy duty gloves
- I.
Long-sleeved fluid resistant gown
- J.
Fluid protective shoe covers
- 14.Wearing jewelry and having long fingernails is acceptable in the decontamination area because you are wearing gloves and therefore poses no risk of contamination
- A.
True
- B.
False
- 15.In 2001 OSHA (Occupational Safety and Health Administration) required that [Blank] be confined and contained in impervious, leak-proof container.
- A.
Enzymatic chemicals
- B.
Sharps
- C.
Acid based cleaning agents
- D.
Discarded cleaning brushes
- 16.When transporting contaminated items, what type of label should be used to alert personnel that they contain potentially biohazardous materials?
- A.
Biochemical
- B.
Sharps
- C.
Bioburden
- D.
Biohazard
- 17.Soiled items should be transported immediately to the decontamination are for processing to prevent blood, body fluids, and other contaminants from drying on the surfaces.
- A.
True
- B.
False
- 18.What is the policy regarding the use of saline on surgical instruments for soaking?
- A.
The use of saline is acceptable as long as instrumentation is removed from the solution and rinsed within 10 minutes.
- B.
The use of saline is acceptable because the sodium will make it easier to remove blood, film, and proteins from the surface of the instrument.
- C.
The use of saline is not acceptable because the sodium will cause blood and tissue to harden on the instruments.
- D.
The use of saline is not acceptable because it can damage the surface of the instrument.
- 19.Soaking contaminated items in an enzyme solution at the point of use is discouraged because the solution must be discarded before transport. As each item is introduced into the solution, the contamination level increases, as does the potential for cross-contamination.
- A.
True
- B.
False
- 20.If an instrument is discovered to be damaged in the decontamination area, it is permissible to skip the complete decontamination process because it will be sent out for repair and not used on a patient.
- A.
True
- B.
False
- 21.[Blank] is defined as "the use of physical or chemical means to remove, inactivate, or destry 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"
- 22.What are the factors that affect cleaning? Select all that apply
- A.
Water quality
- B.
Water temperature
- C.
Cleaning activity of detergents
- D.
Mechanical action of the cleaning process
- E.
Nature and design of the instruments or devices
- F.
Type of soil
- G.
Human factors
- H.
Cleaning verification
- I.
Quality assurance
- 23.What are the basic steps in the cleaning process? Select all that apply
- A.
Pre-soaking
- B.
Sorting
- C.
Disposing single use only items
- D.
Washing
- E.
Repairing
- F.
Tagging damaged instrumentation
- G.
Rinsing
- H.
Drying
- I.
Inspecting
- 24.What is defined as "groups or collections of microorganisms and extracellular material that adhere to the surface of any object and are protected by a slimy film (polysaccharides)
- A.
Biofilm
- B.
Bioburden
- C.
MRSA (Methicillin-resistant Staphylococcus aureus)
- D.
Gram-Positive Bacteria
- 25.Why are biofilms so concerning as it pertains to sterile processing?
- A.
Biofilms are extremely corrosive to surgical instruments
- B.
Biofilms can affect water quality which therefore affects the cleaning process
- C.
Biofilms can not be easily removed from instrumentation and are extremely resistant to many methods of cleaning and disinfection
- D.
Biofilms can cause discoloration on instruments that are difficult to remove.
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