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Sterile Processing CBSPD Exam
2024 Review
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. - Answer>> Decontamination Area where cleaned items are inspected, assembled, and packaged. - Answer>> Preparation and Packaging Area where terminal sterilization is performed. - Answer>> Sterilization Area where sterile items are stored until needed. - Answer>> Sterile Storage Area where items for patient care from outside manufacturers are stored. Sometimes referred to as Medical Supply Distribution, Central Supply, or similar designation. - Answer>> Sterile Stores where sterile supplies (trays and/or sterile items from outside manufacturers) are kept and picked for surgical cases. - Answer>> Case Cart Area where sterile and clean items are dispensed. - Answer>> Dispatch for the receipt and return of instruments borrowed for specialty procedures. - Answer>> Loaner Area where patient care equipment is cleaned and disinfected. - Answer>> Patient Care Equipment Clean-Up Area
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. - Answer>> SPD Responsibilities how the work progresses through the department or processing area. *Dirty to Clean - Answer>> Work Flow how people move through the department or processing area. *Clean to Dirty - Answer>> People Flow controlling access to SPD - Answer>> Traffic Control the discipline dealing with what is good and bad and with moral duty and obligation. - Answer>> Ethics actions that conform to accepted and professional standards of conduct. - Answer>> Ethical Actions deal with or relate to principles of right and wrong behavior. - Answer>> Morals failure to conform to moral standards or policies. - Answer>> Unethical Professional Conduct principles of conduct governing an individual or group. - Answer>> Professional Ethics the most important organization related to healthcare ethics. - Answer>> American Medical Association (AMA) a principle, rule, or law designed to control or govern behavior. - Answer>> Regulation
CBSPD (Cerification board for sterile processing and distribution, IAHCSMM (International association of healthcare central service material management) - Answer>> Two groups that certify chief operating officer, VP nursing, sterile processing manager, SPD lead tech, SPD processing tech, SPD inventory tech, SPD case cart tech - Answer>> Chain of command mandatory/required by law - Answer>> Compliance w/a regulation is HIPAA (Health insurance portability and accountability act) - Answer>> Confidentiality validation; verification - Answer>> the manufacturer performs ________ for a product, the facility end user performs _______. 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 - Answer>> Occupational Safety Health Administration (OSHA) OSHA, EPA - Answer>> Responsible for regulating EO gas OSHA; fitting the job to the worker, prevent injuries before they occur - Answer>> Ergonomics available within 10 seconds/30 meters of chemicals; hands-free; test regularly and document, 0 4 gallons of water. - Answer>> Emergency eyewash stations EPA, FDA, OSHA - Answer>> Government Agencies
National Fire Protection Association - Answer>> NFPA voluntary; promotes health by preventing and controlling disease; publishes recommendations and guidelines; hand hygiene ( second minimum); NO artificial nails; classifies medical devices according to Spaulding - Answer>> Center for Disease Control and prevention (CDC) 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) - Answer>> Spaulding Classification health hazard - Answer>> NFPA Blue Diamond flammability - Answer>> NFPA Red Diamond instability - Answer>> NFPA Yellow Diamond special hazard information - Answer>> NFPA White Diamond voluntary; establishes accrediting standards and conducts onsite inspections; annual competency testing - Answer>> The Joint Commission (TJC) formally (Joint Commission on Accreditation of Healthcare Organizations (JCAHO)) voluntary; sets standards for CS/SPD - Answer>> Association for the Advancement of Medical Instrumentation (AAMI) voluntary; develops nationally recognized standards, recommended practices and guidelines for peri-operative setting - Answer>> Association of peri-Operative Registered Nurses (AORN)
combustible metals - Answer>> Class D Fire Extinguisher oils/fats in cooking appliances - Answer>> Class K Fire Extinguisher Remove/Rescue; Alarm; Contain/Confine; Extinguish - Answer>> R>A>C>E (fire safety) Pull the pin; Aim the nozzle; Squeeze the handle; Sweep the stream over base of fire - Answer>> P>A>S>S (operation of fire extinguisher) MUST be worn to protect from blood and bodily fluid - Answer>> Personal Protective Equipment (PPE) instruments/devices with points/blades - Answer>> Sharps rigid biohazard container - Answer>> disposable sharps must be disposed in worn to prevent hair and bacterial shedding from bare arms - Answer>> warm up jackets collection of data and identification of issues - Answer>> Quality Assurance (QA) should be standardized - Answer>> Training Total Abdominal Hysterectomy - Answer>> TAH Total Hip Arthroplasty - Answer>> THA Laparoscopic Appendectomy - Answer>> Lap Appy
Laparoscopic Cholecystectomy - Answer>> Lap Chole Open Reduction Internal Fixation - Answer>> ORIF Coronary Artery Bypass Graft - Answer>> CABG Below the Knee Amputation - Answer>> BKA Total Shoulder Arthroplasty - Answer>> TSA structure, form and organization of body parts - Answer>> Anatomy toward the head - Answer>> superior toward the feet - Answer>> inferior toward end of limb - Answer>> distal top of limb; opposite distal - Answer>> proximal toward surface of skin; opposite deep - Answer>> superficial toward center of body; opposite lateral - Answer>> medial functions of body parts - Answer>> Physiology fundamental unit of life; smallest and most numerous structure of body; performs all processes needed for life - Answer>> Cell water; food; oxygen; heat; pressure; Do NOT require cold - Answer>> Cells require
Axial skeleton - Answer>> bony and cartilaginous parts that support and protect head, neck and trunk skull>hyoid bone>vertebral column>thoracic cage - Answer>> Axial skeleton cranium and facial bones - Answer>> skull located in neck; supports tongue and swallowing; only bone NOT articulated w/another - Answer>> hyoid bone vertebrae separated by discs; lumbar, thoracic and cervical spine
- Answer>> vertebral column Posterior Lumbar Interbody Fusion - Answer>> PLIF sternum and 12 pairs of ribs; protect organs of chest and upper abdomen - Answer>> Thoracic cage Thoracotomy - Answer>> Making an opening into thoracic cavity to give surgeons access to lung and heart Appendages - Answer>> Appendicular skeleton scapula and clavicle connect bones of arms and aids movemnet - Answer>> Pectoral girdle humerus, radius, ulna, carpals, metacarpals and phalanges - Answer>> Upper limb bones removing tissue displaced bone in wrist area to release pressure on median nerve - Answer>> Carpal Tunnel Repair
femur, tibia, fibula, patella, tarsals - Answer>> Lower limb bones connect at elbow joint - Answer>> humerus, radius, ulna form wrist and hand - Answer>> carpals, metacarpals, phalanges connect at knee joint - Answer>> femur, tibia, fibula knee bone - Answer>> patella ankle; metatarsals and phalanges form ankle and foot - Answer>> tarsals junctions between bones; articulation - Answer>> Joints instruments used for skeletal system - Answer>> total hip and knee sets; osteotomes; screw sets responds to stimulation by contracting and relaxing; voluntary; striated; *attached to bone by a tendon - Answer>> skeletal muscle involuntary movement; slower to contract and relax; common throughout body systems (e.g. digestive tract) - Answer>> smooth muscle Cardiac; Smooth; Skeletal - Answer>> Types of muscle tissue makes up heart; contracts automatically; involuntary and rhythmical - Answer>> cardiac muscle Anterior Cruciate Ligament - Answer>> ACL
atria and ventricles - Answer>> separated by mitral (bicuspid) and tricuspid valves pulmonary; bluish color of vein indicate blood needs oxygen - Answer>> when veins vs. arteries are reversed in the concept of blood flow instruments used for circulatory system - Answer>> sternal saws, open heart instruments, coronary dilators Respiratory system - Answer>> main function is to supply oxygen to the body and remove carbon dioxide from the body; *the area where homeostasis (regulation) of pH occurs in the body nose, nasal cavity, pharynx, sinuses and larynx - Answer>> upper respiratory system trachea, bronchial tree, lungs - Answer>> lower respiratory system inhalation and expiration; exchange of air between atmosphere and alveoli of lungs - Answer>> breathing bronchoscopes; tracheostomy sets - Answer>> instruments used for respiratory system main functions of digestive system (GI tract) - Answer>> digestion and absorption removing lymph tissue in the pharynx (throat) - Answer>> tonsillectomy ingest food, mix w/ saliva and swallow - Answer>> oral cavity
receives food and transports to esophagus - Answer>> pharynx transports food to stomach by peristalsis - Answer>> esophagus receives food from esophagus; mixes with gastric juices; moves chyme to duodenum - Answer>> stomach *longest part of GI tract; receives chyme; liver and pancreatic secretions breaks down chyme; absorbs nutrients and transports waste to large intestine - Answer>> small intestine ascending colon; transverse colon; descending colon; sigmoid colon; rectum; forms, stores and expels feces through anus - Answer>> large intestine teeth, tongue, salivary glands, liver, pancreas - Answer>> Accessory digestive organs accessories of mechanical chewing - Answer>> teeth moves food around; assist w/swallowing - Answer>> tongue produce saliva to cleanse teeth and dissolve food chemicals; mucous used to lubricate pharynx - Answer>> salivary glands removing a salivary gland because of a tumor formation - Answer>> parotidectomy *largest INTERNAL organ; produces and secretes digestive enzyme bile - Answer>> liver
*center of consciousness; largest part of brain - Answer>> cerebrum maintains balance - Answer>> cerebellum essential functions controlled - Answer>> brain stem cerebrum, cerebellum, brain stem - Answer>> 3 parts of brain conducts nerve impulses; center for spinal reflexes; provides two way communication between brain and body - Answer>> spinal cord autonomic/involuntary nervous system; voluntary nervous system
- Answer>> major divisions of nervous system central nervous system (brain an spinal cord); peripheral nervous system (nerves that connect brain and spinal cord to other parts of body) - Answer>> nervous system composed of two major parts conducts impulses to smooth muscle, cardiac muscle and glands; controls heart rate and breathing - Answer>> autonomic/involuntary nervous system sensation; mental function; skeletal muscle contractions - Answer>> voluntary nervous system craniotomy sets; cervical fusion discs; laminectomy sets - Answer>> instruments used for the nervous system making an opening into the skull to access the brain - Answer>> craniotomy
extensions of the nervous system that allow perception of environment - Answer>> sensory organs olfactory - Answer>> sense of smell straightening or removing cartilage and/or bone in the nose when the nasal septum is deformed, injured or fractured - Answer>> septoplasty gustatory - Answer>> sense of taste associated structures of eye - Answer>> eyebrow, facial muscles, eyelids, eyelashes, conjunctiva and tear ducts fibrous and vascular tunics, retina; sclera; cornea;iris; pupil; retina
- Answer>> eyeball eyes refract and focus incoming light waves onto photoreceptors in back of eye - Answer>> sense of sight ear - Answer>> organ of hearing plays role in equilibrium and balance; consist of the smallest bones of the body - Answer>> ear reconstructing the ear drum so sound waves can be sent to the middle and inner ear - Answer>> tympanoplasty tympanic cavity and membrane; malleus, incus, and stapes; eustachian tube connects middle ear to throat; cochlea (organ of corti) - Answer>> ear consist of instruments used for sensory organs - Answer>> myringotomy set(ear); cataract set(eye); corneal transplant set(eye)
instruments used in viewing urinary system - Answer>> cystoscopes; ureteroscopes male reproductive organs - Answer>> testes, seminal vesicles, prostate gland, bulbourethral glands sperm cells and male sex hormones formed - Answer>> testes removing a testicle - Answer>> orchiectomy secrete fluid as a medium for sperm - Answer>> seminal vesicles secretions assist sperm mobility - Answer>> prostate gland secrete substance to coat lining of urethra, neutralize pH of urine and lubricate penis in preparation for coitus - Answer>> bulbourethral glands female reproductive organs - Answer>> vagina, fallopian tubes, uterus, mammary glands receives penis and is birth canal - Answer>> vagina transports egg to uterus - Answer>> fallopian tubes environment for implantation of egg and development of fetus - Answer>> uterus produce milk for nourishment of child after birth - Answer>> mammary glands Bilateral SalpingoOopherectomy - Answer>> BSO
removing both fallopian tubes and ovaries - Answer>> Bilateral SalpingoOopherectomy laparotomy sets; vaginal delivery sets; vasectomy set - Answer>> instruments used for the reproductive system branch of biology; deals with microorganisms and their effects on other living organisms - Answer>> microbiology microorganisms - Answer>> minute living things too small to be seen with the naked eye branch of science; studies the cause of and origins of disease/abnormal conditions - Answer>> etiology contamination - Answer>> state of being soiled or infected by contact with infectious organisms or other material invasion of body tissue by microorganisms which multiply and produce a reaction - Answer>> infection animal, plant or human that supports the growth of microorganisms - Answer>> host organisms of microscopic/submicroscopic size; generally include viruses, rickettsiae, bacteria, algae, yeasts and molds - Answer>> microbe six steps; causative agent, reservoir of the agent, portal of exit, mode of transmission, portal of entry, susceptible host - Answer>> chain of infection the microorganism that causes an infectious disease - Answer>> causative agent
