1
Q
- Q: What is patient care equipment (PCE) in the context of SPD?
A
A: Equipment used in direct patient care that requires cleaning, disinfection, inspection, and distribution by SPD (e.g., IV poles, SCDs, infusion pumps).
2
Q
- Q: What is the Spaulding Classification System’s relevance to PCE processing?
A
A: Guides the level of disinfection or sterilization required based on the device’s contact with the patient (critical, semi-critical, non-critical).
3
Q
- Q: How are most items of patient care equipment classified according to Spaulding?
A
A: Non-critical (contact intact skin only); require low-level disinfection.
4
Q
- Q: What is low-level disinfection?
A
A: Kills most bacteria, some viruses, and some fungi; appropriate for non-critical items contacting intact skin.
5
Q
- Q: What types of equipment are non-critical items?
A
A: Blood pressure cuffs, stethoscopes, IV poles, bed rails, external thermometers, SCDs, pulse oximeter probes.
6
Q
- Q: What is the appropriate reprocessing for a non-critical item?
A
A: Cleaning followed by low-level disinfection using an EPA-registered hospital disinfectant.
7
Q
- Q: What is a sequential compression device (SCD) and how is it reprocessed?
A
A: A device used to prevent DVT; sleeves are often single-use; reusable sleeves are cleaned and low-level disinfected between patients.
8
Q
- Q: What is a blood pressure cuff and how is it cleaned?
A
A: A non-critical item used to measure blood pressure; cleaned with an EPA-registered disinfectant wipe between patients.
9
Q
- Q: What is a stethoscope and how should it be disinfected?
A
A: A non-critical item; diaphragm and earpieces should be wiped with 70% isopropyl alcohol or a disinfectant wipe between patient uses.
10
Q
- Q: What is a pulse oximeter and how is it disinfected?
A
A: A device measuring oxygen saturation; non-critical; clean with disinfectant wipe between patients.
11
Q
- Q: What is an IV pole and how is it cleaned?
A
A: A non-critical item; cleaned with a disinfectant wipe before each patient use and after it is visibly soiled.
12
Q
- Q: What is an infusion pump and how is it reprocessed?
A
A: A non-critical device; cleaned and low-level disinfected according to IFU; check for damage and BME certification.
13
Q
- Q: What is a patient scale and how is it disinfected?
A
A: A non-critical item; surface and platform cleaned with an appropriate disinfectant between each patient use.
14
Q
- Q: What is a thermometer and how should it be reprocessed?
A
A: Electronic ones with probe covers are non-critical; rectal thermometers are semi-critical and require HLD or dedicated use with covers.
15
Q
- Q: What is a semi-critical PCE item?
A
A: Equipment that contacts mucous membranes or non-intact skin; requires at minimum high-level disinfection (HLD).
16
Q
- Q: What is an example of a semi-critical PCE item?
A
A: Bronchoscope, nasopharyngoscope, reusable vaginal speculum, rectal temperature probe, laryngoscope blade.
17
Q
- Q: What is a laryngoscope blade’s Spaulding classification?
A
A: Semi-critical (contacts mucous membranes); requires at minimum HLD; many facilities choose to sterilize.
18
Q
- Q: What is a laryngoscope handle and how should it be disinfected?
A
A: Non-critical (contacts intact skin); requires low-level or intermediate-level disinfection; do not submerge unless waterproof-rated.
19
Q
- Q: What is a vaginal speculum and how is it reprocessed?
A
A: Semi-critical; reusable ones require sterilization or HLD; single-use specula are preferred.
20
Q
- Q: What is a critical PCE item?
A
A: Equipment that enters sterile tissue or the vascular system; must be sterilized (e.g., surgical instruments, implants).
21
Q
- Q: What is an otoscope speculum and how is it classified?
A
A: Semi-critical (contacts ear canal mucosa); requires HLD at minimum; often single-use disposable.
22
Q
- Q: What is an ophthalmoscope and how is it cleaned?
A
A: Non-critical (no direct patient contact); clean exterior surface with disinfectant wipe per IFU.
23
Q
- Q: What is a nebulizer and how is it reprocessed?
A
A: Semi-critical (contacts respiratory mucosa); requires HLD or sterilization per IFU; single-use preferred.
24
Q
- Q: What is a CPAP/BiPAP mask and circuit and how is it reprocessed?
A
A: Semi-critical; circuit and mask require HLD or sterilization between patients per IFU.
25
25. Q: What is a humidifier used in respiratory therapy and how is it reprocessed?
A: Semi-critical; cleaned and disinfected per IFU; high risk of bacterial contamination if not managed.
26
26. Q: What is a suction canister and how is it disposed of?
A: Single-use; disposed of as regulated medical waste; not reprocessed.
27
27. Q: What is a suction catheter and how is it classified?
A: Critical (contacts sterile airways); must be sterile, single-use, and disposed of after each use.
28
28. Q: What is a urinary catheter and how is it classified?
A: Critical (enters sterile urinary tract); must be sterile and single-use.
29
29. Q: What is a surgical drain and how is it classified?
A: Critical (placed in body cavities); sterile and typically single-use.
30
30. Q: What is a reusable bedpan or urinal and how is it reprocessed?
A: Non-critical; cleaned and low-level disinfected; bedpan washers use thermal disinfection.
31
31. Q: What is a bedpan washer-disinfector?
A: An automated machine that thermally disinfects bedpans, urinals, and other non-critical patient care items.
32
32. Q: What is the thermal disinfection standard for a bedpan washer?
A: 80°C for 1 minute (A0 = 60) per ISO 15883; sufficient for non-critical items.
33
33. Q: What is the difference between patient-dedicated and shared equipment?
A: Dedicated is for one patient only; shared equipment requires thorough cleaning and disinfection between each patient use.
34
34. Q: What is the policy for equipment used on a patient with C. difficile?
A: Equipment should be dedicated; after discharge, clean with soap and water and use a sporicidal agent (bleach).
35
35. Q: What is the policy for equipment used on a patient in contact isolation?
A: Equipment should be dedicated or thoroughly disinfected between uses; follow contact precaution signage.
36
36. Q: What is the "clean and dirty" separation principle for PCE?
A: Clean and dirty equipment should never be mixed; dirty items awaiting processing must be kept away from ready-to-use items.
37
37. Q: What is a biohazard label's significance on patient care equipment?
A: Indicates the equipment is contaminated and requires reprocessing before use on another patient.
38
38. Q: What is the role of the cleaning and inspection tag on PCE?
A: Documents the date, method, and technician; confirms the equipment is clean and ready for use.
39
39. Q: What is a patient equipment log?
A: A record tracking the cleaning, maintenance, and distribution of PCE for quality assurance.
40
40. Q: What is the role of SPD in patient equipment management?
A: Receive soiled equipment, clean/disinfect, inspect, apply verification, and return to circulation.
41
41. Q: What is a preventive maintenance (PM) check for PCE?
A: Scheduled testing by biomedical engineering to ensure safe and proper function.
42
42. Q: What is a biomedical engineering (BME) sticker?
A: A label indicating the item has been tested and cleared for patient use by the BME department.
43
43. Q: What should be done with equipment that fails a safety inspection?
A: Remove from service, tag as defective, and notify biomedical engineering for repair.
44
44. Q: What is the significance of electrical safety in PCE?
A: Defective equipment can cause shock or fire; BME inspects this; SPD should not attempt electrical repairs.
45
45. Q: What is the role of SPD in managing patient transport equipment?
A: Stretchers and wheelchairs must be disinfected between patients; SPD often manages this workflow.
46
46. Q: What is a hospital bed frame and how should it be cleaned?
A: Non-critical; cleaned with disinfectant between patients, focusing on high-touch rails and controls.
47
47. Q: What is a mattress overlay and how should it be cleaned?
A: Per IFU; impermeable covers can be wiped with disinfectant; torn covers must be replaced.
48
48. Q: What is the policy for specialty bariatric mattresses?
A: Clean and disinfect between patients per IFU; inspect for tears that could harbor microorganisms.
49
49. Q: What is the reprocessing requirement for ophthalmology tonometry equipment?
A: Semi-critical (contacts ocular surface); requires HLD or sterilization; single-use tips are preferred.
50
50. Q: What is an ultrasound probe and how is it classified?
A: Probes contacting mucous membranes (transvaginal) are semi-critical (HLD); surface probes are non-critical.
51
51. Q: What is the reprocessing challenge for endocavitary ultrasound probes?
A: They are semi-critical, cannot be autoclaved, and require HLD (e.g., OPA) even if a probe cover is used.
52
52. Q: What is an endocavitary probe cover and does it replace HLD?
A: It is a physical barrier but does not replace HLD; the probe must still be reprocessed between patients.
53
53. Q: What is the AIUM guidance on probe reprocessing?
A: Recommends HLD for endocavitary probes and low-level disinfection for non-invasive surface probes.
54
54. Q: What is a rigid bronchoscope and how is it classified?
A: Critical (enters sterile airways); requires full sterilization.
55
55. Q: What is a flexible bronchoscope and how is it classified?
A: Semi-critical (contacts respiratory tract mucosa); requires HLD after each use.
56
56. Q: What are the key steps in reprocessing a flexible bronchoscope?
A: Pre-clean → Leak test → Manual clean/brush → Rinse → HLD → Sterile water rinse → Dry → Store vertically.
57
57. Q: What is the risk of inadequate bronchoscope reprocessing?
A: Patient-to-patient transmission of pathogens like MRSA, M. tuberculosis, or drug-resistant bacteria.
58
58. Q: What is an AER and what are its limitations?
A: Automated machine for HLD of scopes; it does not replace manual pre-cleaning or leak testing.
59
59. Q: What is a duodenoscope and why is it a special concern?
A: Used for ERCP; elevator mechanism is very hard to clean; linked to drug-resistant CRE outbreaks.
60
60. Q: What is the FDA guidance on duodenoscope reprocessing?
A: Enhanced reprocessing required, including microbiological sampling, disposable components, or sterilization.
61
61. Q: What is disposable-component endoscopy?
A: Scopes with single-use parts (like elevator caps) to reduce reprocessing and infection risks.
62
62. Q: What is a single-use endoscope?
A: A scope designed for one use only; eliminates reprocessing risks but has higher per-use costs.
63
63. Q: What is a gastroscope and how is it reprocessed?
A: Flexible scope for upper GI; semi-critical; requires HLD or sterilization after each use per IFU.
64
64. Q: What is a colonoscope and how is it classified?
A: Semi-critical (contacts GI mucosa); requires HLD or sterilization after each use.
65
65. Q: What is cystoscope reprocessing?
A: Semi-critical; rigid ones are usually sterilized; flexible ones require HLD.
66
66. Q: What is the role of SPD in managing endoscope reprocessing logs?
A: Documents device ID, date, patient, operator, MEC results, and cycle time for traceability.
67
67. Q: What is endoscope storage best practice after HLD?
A: Hang vertically in a well-ventilated cabinet with valves removed and channels open.
68
68. Q: What is the recommended maximum storage time for HLD scopes?
A: Typically ≤7 days; if stored longer, repeat HLD may be required before patient use.
69
69. Q: What is the role of documentation in endoscope reprocessing?
A: Provides traceability linking a specific scope to a specific patient to handle potential failure investigations.
70
70. Q: What is the Endoscopy Society's recommendation for documentation?
A: Each scope must have a unique ID; every reprocessing event must be documented and linked to patient use.
71
71. Q: What is an enteral feeding tube and how is it managed?
A: Typically single-use; SPD manages inventory/distribution but does not reprocess them.
72
72. Q: What is an oxygen concentrator and how is it cleaned?
A: Non-critical; cleaned and disinfected between patients per IFU; filters changed on schedule.
73
73. Q: What is a nasal cannula and how is it managed?
A: Semi-critical (contacts nasal mucosa); single-use and disposed of after use; not reprocessed.
74
74. Q: What is an endotracheal tube and how is it classified?
A: Critical (contacts trachea); sterile, single-use, and disposed of after use.
75
75. Q: What is a laryngeal mask airway (LMA) and how is it classified?
A: Semi-critical; reusable ones require sterilization after each use per IFU.
76
76. Q: What is the IFU requirement for a reusable LMA?
A: Typically cleaned, inspected, and steam-sterilized; often has a limit on total reprocessing cycles.
77
77. Q: What is an anesthesia breathing circuit and how is it classified?
A: Semi-critical; typically single-use per patient; reusable ones must be sterilized.
78
78. Q: What is an anesthesia face mask and how is it reprocessed?
A: Semi-critical; reusable ones must be cleaned and sterilized per IFU.
79
79. Q: What is a hospital gown and how is it laundered?
A: Non-critical textile; handled by hospital laundry using hot water and high-heat drying.
80
80. Q: What is the role of SPD in managing textiles?
A: Limited; SPD supplies sterile drapes/gowns, but laundering is a separate department function.
81
81. Q: What is a sterile drape and how is it managed?
A: Single-use sterile textile; distributed by SPD as part of case cart preparation.
82
82. Q: What is surgical attire and its relevance to SPD?
A: Scrubs, caps, and masks; proper attire reduces contamination in the preparation area.
83
83. Q: What is the correct attire for the SPD preparation area?
A: Clean scrubs, hair cover, shoes; no outdoor clothing.
84
84. Q: What is the minimum attire for the decontamination area?
A: Full PPE (gloves, fluid-resistant gown, eye protection, shoe covers) over surgical scrubs.
85
85. Q: What is the attire requirement for sterile storage?
A: Clean surgical scrubs and hair cover; restricted to authorized personnel only.
86
86. Q: How is an SCD controller reprocessed?
A: Non-critical; cleaned with a disinfectant wipe; sleeves are disinfected separately.
87
87. Q: How is an AED cleaned?
A: Non-critical; exterior cleaned with a disinfectant wipe; pads are single-use and must be replaced.
88
88. Q: What is the role of SPD in managing AED pads?
A: Maintain inventory of replacement pads and restock units after use.
89
89. Q: How are physical therapy items (hot/cold packs) managed?
A: Non-critical; hot packs need thermal disinfection; cold packs follow IFU; covers changed between patients.
90
90. Q: How is a TENS unit cleaned?
A: Non-critical; electrodes are single-use; device exterior cleaned with disinfectant wipe between patients.
91
91. Q: How is a wound VAC device managed?
A: Non-critical; device exterior cleaned per IFU; canisters and dressings are single-use.
92
92. Q: What is the reprocessing requirement for an ECG cable?
A: Non-critical; cleaned with disinfectant wipe between patients; disposable leads are preferred.
93
93. Q: How is a reusable blood glucose meter reprocessed?
A: Non-critical; exterior cleaned with wipe; lancets and test strips are single-use.
94
94. Q: What is an enteroscope and how is it reprocessed?
A: GI endoscope; semi-critical; requires cleaning and HLD per IFU.
95
95. Q: How is an ultrasound transducer cleaned?
A: Surface ones are non-critical; endocavitary ones are semi-critical (HLD); follow IFU.
96
96. Q: What is the SPD role in patient lifts?
A: Clean surfaces between patients; check mechanical safety; report defects to BME.
97
97. Q: Role of EVS vs SPD in equipment cleaning?
A: EVS cleans rooms/large equipment; SPD handles specialized decontamination or sterilization.
98
98. Q: Coordination for patient discharge cleaning?
A: EVS performs terminal room cleaning; SPD retrieves and reprocesses designated patient care equipment.
99
99. Q: Responsibility of the nursing unit for PCE?
A: Identify and segregate dirty equipment; label and send to SPD; obtain clean items for use.
100
100. Q: What is the role of training in PCE reprocessing?
A: Staff must be trained on procedures and IFUs, with competency validated annually.
101
101. Q: Protocol for non-critical PCE in multi-patient areas?
A: Wipe with disinfectant, allow contact time, dry, inspect, document, and return to service.
102
102. Q: What is terminal cleaning of PCE?
A: Thorough cleaning/disinfection of all PCE used by a patient after they are discharged.
103
103. Q: Role of the charge nurse in PCE?
A: Ensures equipment is clean before use and reports problems to SPD/BME.
104
104. Q: Cleaning wipe vs. Disinfectant wipe?
A: Cleaning wipe removes soil; disinfectant wipe kills microbes; use the correct one for the job.
105
105. Q: Why does contact time for wipes matter?
A: Surface must remain wet for the full IFU time (e.g., 2 mins) to achieve stated microbial kill.
106
106. Q: Role of ventilation in PCE storage?
A: Prevents moisture and microbial growth; must meet facility standards.
107
107. Q: What is a clean utility room?
A: Where clean and sterile supplies are stored; must be separate from soiled utility rooms.
108
108. Q: What is a soiled utility room?
A: Where contaminated items await reprocessing or disposal; must be separate from clean areas.
109
109. Q: Signage for soiled utility rooms?
A: Must have biohazard symbols, restricted access, and hand hygiene facilities.
110
110. Q: Policy for contaminated equipment returned to SPD?
A: Must be in a covered, labeled cart and transported directly to decontamination.
111
111. Q: What is a high-touch surface?
A: Areas frequently touched (bedrails, buttons); require more frequent cleaning due to transfer risk.
112
112. Q: MDRO precaution for PCE?
A: Equipment used for MDRO patients (MRSA, VRE) must be dedicated or thoroughly disinfected with appropriate agents.
113
113. Q: Disinfectant for MRSA-contaminated PCE?
A: EPA-registered hospital disinfectant labeled for MRSA (e.g., quats or hydrogen peroxide).
114
114. Q: Disinfectant for VRE-contaminated PCE?
A: EPA-registered disinfectant; bleach solutions are also effective.
115
115. Q: Disinfectant for C. diff-contaminated PCE?
A: Sodium hypochlorite (bleach) at 1:10 dilution; standard disinfectants are not sporicidal.
116
116. Q: Disinfectant for Norovirus-contaminated PCE?
A: Bleach or EPA-registered disinfectant with a norovirus claim; alcohol is less effective.
117
117. Q: Significance of positive culture results from PCE?
A: Indicates inadequate cleaning; triggers investigation and staff retraining.
118
118. Q: Why is product compatibility important in PCE?
A: Harsh chemicals can damage electronics or surfaces; check the IFU for approved agents.
119
119. Q: What is a material compatibility issue?
A: When a disinfectant damages equipment (e.g., alcohol degrading rubber); compromises equipment life.
120
120. Q: Role of the infection preventionist in PCE?
A: Establishes cleaning policies based on Spaulding classification and monitors compliance.
121
121. Q: What is an occupational exposure to PCE?
A: Contact with infectious material on PCE; requires immediate first aid and OSHA reporting.
122
122. Q: Appropriate PPE for handling contaminated PCE?
A: Gloves at minimum; gown and eye protection if there is a splash risk.
123
123. Q: Role of SPD in PCE quality improvement?
A: Tracking damage, cleaning rates, and turnaround times to reduce infections.
124
124. Q: Role of a PCE tracking system?
A: Monitors location and status; ensures clean items are always available when needed.
125
125. Q: Single-use vs. Reusable PCE?
A: Single-use is for one patient; reusable is for multiple patients with proper reprocessing.
126
126. Q: Risk of reusing single-use PCE?
A: Transmission of pathogens, device failure, and regulatory non-compliance.
127
127. Q: Probe covers for endocavitary ultrasound?
A: Single-use barriers; they do not eliminate the need for HLD of the probe itself.
128
128. Q: Semi-critical example in respiratory therapy?
A: Manual resuscitator bags (Ambu bags) — they contact mucous membranes.
129
129. Q: Ambu bag reprocessing protocol?
A: Disassemble, clean per IFU, and HLD or sterilize between patients.
130
130. Q: Classification of insufflation tubing?
A: Critical (contacts sterile body cavity); must be sterile for each procedure.
131
131. Q: Classification of suction irrigation devices?
A: Critical; sterile single-use or sterilized reusable per IFU.
132
132. Q: What is a trocar?
A: Device used for access ports in laparoscopy; critical item requiring sterilization.
133
133. Q: Reusable trocar reprocessing?
A: Disassemble, clean mechanism per IFU, reassemble, inspect, and sterilize.
134
134. Q: Robot-assisted instrument management?
A: Critical; requires specific cleaning per IFU with specialized brushes and validated processes.
135
135. Q: Significance of IFU for every PCE item?
A: Unique requirements for each; failure to follow leads to device damage or patient harm.
136
136. Q: SPD role in powered surgical instruments?
A: Clean per IFU, wrap, and sterilize; verify battery and function before sterilization.
137
137. Q: How is a pneumatic tourniquet cleaned?
A: Non-critical; cuff and tubing wiped with disinfectant; cuffs are often single-use.
138
138. Q: How is a headlight cable reprocessed?
A: Non-critical; wiped with disinfectant per IFU.
139
139. Q: How is an ESU cleaned?
A: Non-critical device; exterior wiped with disinfectant; pencils and pads are single-use.
140
140. Q: Management of a surgical smoke evacuator?
A: Non-critical; filters changed per schedule; exterior cleaned between uses.
141
141. Q: Reprocessing of fiber-optic light cables?
A: Clean per IFU; some are sterilized if contacting sterile fields; inspect for broken fibers.
142
142. Q: Significance of broken fibers in cables?
A: Reduces light transmission and visualization; damaged cables must be removed from service.
143
143. Q: Reprocessing of camera heads?
A: Critical item; must be sterilized per IFU or used with sterile camera drapes.
144
144. Q: What is a camera drape system?
A: A sterile single-use bag that allows a non-sterile camera to be used in the sterile field.
145
145. Q: SPD responsibility for PCE complaints?
A: Investigate, document findings, and report to biomedical engineering.
146
146. Q: What is a PCE decontamination log?
A: Record of which item was cleaned, when, by whom, and the method; for traceability.
147
147. Q: What is a cleaning sticker program?
A: Tags placed on clean PCE providing visual assurance to clinical staff.
148
148. Q: Workflow for PCE management?
A: Receive → Decontaminate → Inspect/Test → Disinfect → Verify → Return.
149
149. Q: Impact of poorly managed PCE?
A: Transmission of pathogens, equipment injury, and increased HAI rates.
150
150. Q: Key principle of PCE management?
A: Apply Spaulding Classification, follow the IFU, and document every event.
151
151. Q: SPD role in ICU items?
A: Manage sterile/clean supplies and coordinate specialized ventilator circuit reprocessing.
152
152. Q: Risk of Legionella in PCE?
A: Thrives in water-based humidifiers and ice machines; transmitted if not disinfected.
153
153. Q: Prevention of Legionella in hospitals?
A: Water management plans (WMPs) including flushing, temperature checks, and testing.
154
154. Q: SPD role in ophthalmology PCE?
A: Sterilize instruments as critical items; HLD or sterilize contact devices per IFU.
155
155. Q: ISO classification relevance?
A: Defines air cleanliness; storage areas may need to meet specific ISO levels for specialized care.
156
156. Q: SPD role in the cath lab?
A: Provides sterile instruments/supplies and reprocesses reusable catheters where validated.
157
157. Q: SPD role in the Emergency Dept?
A: Rapidly reprocesses instruments and manages PCE cleaning for the ED.
158
158. Q: SPD role in Obstetrics (OB)?
A: Provides sterile sets for deliveries/C-sections and manages room PCE cleaning.
159
159. Q: SPD role in the NICU?
A: Provides sterile equipment for neonates with extreme focus on infection control.
160
160. Q: SPD role in Oncology?
A: Reprocesses specific instruments and manages PCE for immunocompromised patients.
161
161. Q: SPD role in Psych units?
A: Manages cleaning of shared equipment like cuffs/thermometers to reduce cross-infection.
162
162. Q: SPD role in ventilator circuits?
A: Provides sterile circuits and manages reusable components per HLD/sterilization IFU.
163
163. Q: Reprocessing for ventilator exhalation valves?
A: Semi-critical; requires HLD or sterilization per IFU.
164
164. Q: Inline suction catheter significance?
A: Reduces circuit disconnection; single-use items managed by SPD inventory.
165
165. Q: What is an HME filter?
A: Single-use device for humidifying ventilator air; changed every 24 hours; not reprocessed.
166
166. Q: Classification of a hysteroscope?
A: Critical (contacts sterile body cavity); must be sterilized via low-temp methods.
167
167. Q: How is a colposcope managed?
A: Non-critical (no direct contact); exterior cleaned with disinfectant wipe.
168
168. Q: GYN specula classification?
A: Semi-critical; requires HLD at minimum, but most facilities sterilize.
169
169. Q: Reusable rectal probe reprocessing?
A: Semi-critical; requires HLD between patients plus single-use covers.
170
170. Q: Reprocessing of ear irrigation systems?
A: Non-critical; cleaned and low-level disinfected.
171
171. Q: Acupuncture needle SPD relevance?
A: Critical item; must be sterile, single-use, and disposed of in sharps.
172
172. Q: Dermatology curette classification?
A: Critical; must be sterile for each procedure.
173
173. Q: Reprocessing of podiatry instruments?
A: Critical; must be sterilized; high risk of transmission if failed.
174
174. Q: SPD support for ASCs?
A: Functions as a processing hub following the same AAMI/AORN standards.
175
175. Q: SPD role in Dental procedures?
A: Dental items are critical; handpieces require specific internal cleaning and sterilization.
176
176. Q: Dental handpiece reprocessing?
A: Internal lubrication and steam sterilization after every patient; no cold-soaking.
177
177. Q: Water quality for dental unit waterlines?
A: Must be flushed, disinfected, and tested to prevent biofilm contamination.
178
178. Q: Reprocessing of flexible ureteroscopes?
A: Critical; requires thorough cleaning and low-temp sterilization (EtO/H2O2).
179
179. Q: Classification of an arthroscope?
A: Critical (enters joint space); must be sterilized per IFU.
180
180. Q: Classification of a laparoscope?
A: Critical (enters peritoneal cavity); must be sterilized per IFU.
181
181. Q: Classification of a rigid hysteroscope?
A: Critical (enters uterine cavity); must be sterilized per IFU.
182
182. Q: Bedside point-of-use care importance?
A: Prevents bioburden drying and biofilm; ensures quicker equipment turnaround.
183
183. Q: PCE left unused in a room for long periods?
A: Re-clean and disinfect before use on another patient due to environmental dust/microbes.
184
184. Q: What is "channel contamination"?
A: Biofilm in internal tubes of reusable PCE; requires active flushing and brushing.
185
185. Q: Management of items from isolation?
A: Consider contaminated; don full PPE to retrieve and decontaminate per protocol.
186
186. Q: Role of leadership in PCE quality?
A: Sets policies, monitors compliance, and promotes a safety culture.
187
187. Q: Role of QMS in PCE reprocessing?
A: Provides auditing and structured improvement of cleaning processes.
188
188. Q: What is a PCE audit?
A: Systematic review of practices and equipment condition to identify gaps.
189
189. Q: What is the PCE committee?
A: Multidisciplinary group (SPD, Nursing, BME) that oversees equipment policy.
190
190. Q: Significance of "clean equipment" tags?
A: Provides visual confirmation that an item is safe for patient use.
191
191. Q: RTLS role in PCE management?
A: Real-time tracking of location and status; reduces loss and monitors compliance.
192
192. Q: What is "terminal disinfection" of PCE?
A: Thorough HLD or intermediate disinfection upon patient discharge/transfer.
193
193. Q: Hand hygiene role in PCE infections?
A: Most effective measure to prevent pathogen transfer to and from equipment.
194
194. Q: What is an environmental culture for PCE?
A: Samples taken to identify pathogens; used to confirm contamination in outbreaks.
195
195. Q: Significance of biofilm in reusable PCE?
A: Protects microbes from disinfectants; requires mechanical removal during cleaning.
196
196. Q: Risk assessment role in PCE management?
A: Prioritizes resources based on Spaulding risk and patient vulnerability.
197
197. Q: Efficacy testing vs. Clinical effectiveness?
A: Efficacy is lab proof (kills it); effectiveness is real-world success (proper application).
198
198. Q: SPD role in identifying broken PCE?
A: Detect damage during inspection; remove from service, tag, and route for repair.
199
199. Q: SPD responsibility for patient privacy?
A: Comply with HIPAA; do not discuss patient info related to equipment requests.
200
200. Q: Summary principle of Domain 7?
A: Apply Spaulding, follow IFU, document events, and never reuse unvalidated single-use items.
CBSPD EXAM
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