SPD Cheat Sheet 2026

The 30 highest-yield SPD facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. What is the primary purpose of a count sheet in sterile processing? → To document the contents of instrument trays for completeness verification
2. Which standard provides guidance on documentation requirements for steam sterilization in healthcare facilities? → AAMI ST79: Comprehensive Guide to Steam Sterilization and Sterility Assurance
3. What is the primary goal of proper storage in SPD? → To maintain the sterility of instruments until they are used
4. Which document provides specific instructions for reprocessing a particular medical device? → Device manufacturer's instructions for use (IFU)
5. Which of the following workplace safety practices is mandated by OSHA's Bloodborne Pathogens Standard for the decontamination area of the SPD? → Providing and ensuring the use of appropriate Personal Protective Equipment (PPE).
6. Which of the following is NOT part of the SPD workflow? → Patient diagnosis
7. According to the Spaulding Classification system, high-level disinfection is the required processing method for which category of medical devices? → Semi-critical items that contact mucous membranes or non-intact skin.
8. What tool is commonly used to inspect small or hard-to-see areas of surgical instruments? → Magnifying glass or lighted magnifier
9. During inspection, what should be done if an instrument is found to be damaged? → Remove it from the set and tag it for repair or replacement
10. Which of the following is NOT a focus during instrument inspection? → Ensuring proper labeling
11. To verify the cleaning efficacy of a mechanical washer-disinfector, a technician should use a: → Cleaning verification device, such as a TOSI.
12. Why is infection control critical in the SPD? → To prevent the spread of pathogens through medical instruments
13. What does 'case cart system' refer to in sterile processing operations? → A system for assembling procedure-specific instrument sets on mobile carts
14. What are the two main types of steam sterilizers used in healthcare facilities? → Gravity-displacement and dynamic-air-removal (pre-vacuum) steam sterilizers
15. When preparing to load a washer-disinfector, which of the following is an INCORRECT practice? → Ensuring hinged instruments are in the closed and locked position.
16. Which of the following is considered the first step in the decontamination process, beginning immediately after a surgical procedure? → Point-of-use cleaning.
17. Why is instrument inspection important in SPD? → To ensure instruments are ready for sterilization and meet quality standards
18. What is the recommended temperature range for the decontamination area in a sterile processing department? → 68-73°F (20-23°C)
19. Which of the following provides evidence-based guidelines and recommendations for infection prevention but does NOT have regulatory authority to enforce them? → Centers for Disease Control and Prevention (CDC)
20. What is the significance of maintaining separate workflow areas (dirty, clean, sterile) in the SPD? → It prevents cross-contamination between processing stages
21. Which factor most directly affects the efficiency of the SPD workflow? → Proper scheduling and coordination with surgical services
22. Why is it important to document the specific sterilizer used (e.g., Sterilizer #2) on every load record? → To enable targeted recalls and investigations if a specific sterilizer malfunctions
23. What is the primary purpose of performing a Minimum Effective Concentration (MEC) test on a reusable high-level disinfectant solution? → To confirm the disinfectant is still potent enough to kill microorganisms.
24. What is the purpose of using a magnifying glass or lighted magnification during instrument inspection? → To detect minute cracks, pitting, burrs, and residual soil invisible to the naked eye
25. The process of cavitation, which uses microscopic bubbles imploding to dislodge soil from instrument surfaces, is characteristic of which cleaning method? → Ultrasonic Cleaner
26. What should a sterile processing technician do before placing a sterilized package into sterile storage? → Inspect the package for integrity, correct labeling, and chemical indicator change
27. What information should be documented when a loaner instrument set is received in the SPD? → Receipt date, vendor name, count, condition of instruments, and IFU availability
28. What is the purpose of using Biological Indicators (BIs) in sterilization? → To confirm the sterility of a processed load
29. What visual indicator suggests an instrument has been exposed to a harsh chemical or improper cleaning process? → Unusual staining, discoloration, or a rainbow-like appearance on the surface
30. Which area in the sterile processing department maintains the highest air pressure relative to adjacent areas? → Sterile storage area