Roles & Responsibilities
Decontamination
Prep & Pack
Sterilization "A"
Sterilization "B"
100
Work flow meaning dirty to clean. People flow meaning clean to dirty. Traffic flow meaning controlling access to SPD.
What is work progression through the SPD dept?
100
Microorganisms left on contaminated instruments
What is bio-burden?
100
To maintain the sterility of an item until it is opened or damaged
What is the main purpose of packaging?
100
time, temp, saturated steam under pressure
What are the parameters for steam sterilization?
100
microbial kill
What is done by oxidation?
200
The discipline dealing with what is good and bad.
What is ethics?
200
The removal of contamination or foreign matter from an item necessary for further processing or intended use.
What is cleaning?
200
no larger than 12" x 12" x 20" and weigh no more than 12 lbs and have a max density of 7.2 lbs
What are the proper dimensions for woven textile packs?
200
the absence of all forms of microbial life including bacterial spores
What is sterility?
200
gas concentration, time, temp, humidity, pressure
What are the cycle parameters for EO?
300
Fuel source, Oxygen source, and Ignition source
What is the "Fire triangle"?
300
1. sorting 2. disposal of single use items 3. pre-rinse/ pre-soak reusable items 4. washing 5. rinsing 6. drying
What are the steps in the cleaning process?
300
A device to show you it has been exposed to one or more of the conditions necessary for sterilization.
What is an indicator?
300
70-72 degrees F, we use an infrared thermometer
What is the suggested temp to release an item and what do we use to verify?
300
steam under pressure, EO, LTGP, dry heat, and ozone
What are the types of sterilization for wrapped items?
400
Association for the Advancement of Medical Instrumentation, and they set standards for Decontamination, Disinfection, and Sterilization practices.
What is AAMI and what do they do for SPD?
400
1. Saline puts holes on instruments(pitting) 2. Bleach is corrosive to the finish of an instrument 3. Iodine stains the instrument
What are 3 chemicals that should not be used on an instrument and why?
400
A process in which a chemical dip removes all debris and creates a layer of chromium oxide
What is "Passivation"?
400
it is flash sterilization, and its used in an emergency situation such as when an item gets dropped on the floor, it is a one of a kind item, or when its needed for the case they are doing, items are NOT wrapped
What is IUSS and when is it used?
400
Bacillus Atrophaeous
What germ does the BI contain for EO and Dry Heat?
500
-Critical: devices exposed to normally sterile areas of the body -Semi Critical: devices that are exposed to intact mucus membranes during use -Non Critical: devices that only touch skin or exposed to people indirectly
What is CDC classification for medical devices?
500
PPE must "not permit blood or other potentially infectious materials to pass through or reach your work cloths, street cloths, undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used."
What is OSHA's statement in regards to PPE?
500
Usually not rust, caused by high PH surface deposits from chlorhexidine, improper soaps/detergents, baked on blood, or soaking in saline
What causes brown/orange stains on an instrument?
500
its used to verify that the sterilization conditions within the load were adequate to kill a known number of bacterial spores.
What is biological monitoring?
500
Cycle time is 23 mins per load with a 6 minute exposure time and 4 rinse cycles
What is the cycle time for chemical sterilization using Peracetic acid?
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