chapter 9

Answer 1

The Spaulding Classification System

Answer 2

• Critical items
• Semi-critical items
• Non-critical items

Question 3

What two organizations use the Spaulding Classification System in their guidelines and standards?

Answer 3

The Centers of Disease and Control (CDC) and the Association for the Advancement of Medical Instrumentation (AAMI)

Question 5

What are examples of critical items?

Answer 5

• implants
• cardiac catheters
• needles
• surgical instruments

Question 6

What are examples of semi-critical items?

Answer 6

• flexible fiberoptic endoscopes
• endotracheal tubes
• laryngoscope

Question 7

In many cases, the decontamination process is near blank because most soiled items are generated there.

Answer 7

The Operating Room (OR)

Question 8

Proper transportation of contaminated devices is necessary to reduce

Answer 8

Blood-borne pathogens and the risk of cross-contamination

Question 9

Floors and walls should be constructed in a way that tolerates

Answer 9

Cleaning chemicals

Question 10

Walls should not be constructed out of

Answer 10

Fiber-shedding materials

Question 11

Who monitors room temperature and humidity based on the version of ANSI/ASHRAE/ASHE 170?

Answer 11

The healthcare organization

Question 12

The ventilation system should allow for no less than blank air exchanges per hour.

Answer 12

10 air exchanges per hour

Question 13

The decontamination area should be on what type of pressure?

Answer 13

Negative pressure

Question 14

What pressure should the areas adjacent to the decontamination area be?

Answer 14

Negative pressure

Question 15

What is essential to a safe work environment and is a key element in the cleaning process?

Answer 15

Lighting

Question 16

Detailed inspection of instrumentation may require a

Answer 16

Higher level of illumination

Question 17

Lighting should be installed to avoid

Answer 17

shadows

Question 18

Lighting should be installed to allow the

Answer 18

Maximum light over the inspection area

Question 19

An emergency eyewash/shower station should be how many meters/seconds accessible when there is potential chemical exposure?

Answer 19

10 seconds or 30 meters

Question 20

Eyewash stations cannot be placed in a

Answer 20

Decontamination sink

Question 21

Eyewash stations cannot have what blocked?

Answer 21

Their access to it

Question 22

Eyewash/shower stations should be activated when and for how long to verify they are performing to standards?

Answer 22

Weekly
for a period long enough

Question 23

The routine testing for eyewash/shower stations should be

Answer 23

documented

Question 24

Where is the central point for handling contaminated devices?

Answer 24

The decontamination area

Question 25

The first line of defense for reducing contaminates is maintaining

Answer 25

A clean work area as possible

Question 26

Spills should be

Answer 26

Spot cleaned immediately

Question 27

Horizontal work surfaces should be blank and blank at least at the beginning or end of the shift and as needed.

Answer 27

Cleaned and disinfected

Question 28

Floors should be what daily?

Answer 28

Cleaned and disinfected

Question 29

What should be removed per facility policy to maintain cleanliness>

Answer 29

All trash and soiled linens

Question 30

What should be cleaned per facility policy?

Answer 30

Sinks

Question 31

What should be removed besides all trash and soiled linens per facility policy?

Answer 31

Biohazardous waste

Question 32

Can tools like mops in the decon. area be used in other areas?

Answer 32

no

Question 33

There should be what to store equipment where it should be available?

Answer 33

Adequate storage

Question 34

The space for donning and doffing PPE is preferably where?

Answer 34

Outside the decontamination work area and adjacent to the decontamination area.

Question 35

Whenever SP technicians remove PPE, they should

Answer 35

Properly wash their hands

Question 36

What is an essential first step in promoting safety and efficiency in the decontamination area?

Answer 36

Preparation of the work area

Question 37

In each workstation, what are the three sink bays called?

Answer 37

Washing intermediate rinsing final rinsing

Question 38

If three bays are not available, the cleaning process must be

Answer 38

modified

Question 39

The workflow should always move from

Answer 39

Dirty to clean

Question 40

A wash sink should have

Answer 40

Water and detergent or enzymatic solution

Question 41

Fill water should have a temperature range of

Answer 41

80F to 110F (27C to 44C)

Question 42

Temperature monitors should be used to verify that the cleaning solution maintains

Answer 42

The correct temperature

Question 43

Water hardness, pH, temperature, and the type of soil present on instrumentation impact

Answer 43

The effectiveness of enzyme cleaners and detergents

Question 44

All cleaning chemicals must be mixed per

Answer 44

The manufacturer's instructions

Question 45

Marking the sink to indicate gallon levels can help ensure

Answer 45

Solutions are mixed to the proper dilution ratios

Question 46

Cleaning solutions should be changed frequently for

Answer 46

Maximum cleaning

Question 47

What does the second sink (intermediate rinse) contain

Answer 47

Utility or critical water

Question 48

After cleaning, devices should be thoroughly

Answer 48

Rinsed to remove debris and detergent residue

Question 49

What should be changed frequently, so the cleaning chemicals do not build up and reattach to the instruments being rinsed?

Answer 49

Rinse water in the second sink

Question 50

What sink contains critical water?

Answer 50

Third sink (final rinse)

Question 51

Why is it important that the third sink have critical water?

Answer 51

to prevent instrument spotting, rinse off cleaning residues and prevent the redepositing of minerals and microbes.