High Level Disinfection
These 3 components are crucial to achieve high level disinfection.
What is disinfectant concentration, temperature, and exposure time?
Authorization to use IUSS must come from leadership in these two areas.
What are Sterile Processing and the Operating Room?
To maintain the sterility of an item until it is opened or damaged.
What is "Event Related" Sterility?
What are the parameters for steam sterilization?
time, temp, saturated steam under pressure
This color liner indicates a contaminated probe during transport.
What is a red liner?
If using a high-level disinfectant in a secondary container, these three items must be included on the label.
What is Product name, open date, and expiration dates?
This was the previous name of IUSS.
What is Flash Sterilization?
Documentation of tray assembly in the instrument tracking system supports what critical component of surgical instrument management?
What is traceability?
The absence of all forms of microbial life including bacterial spores.
What is sterility?
What does ECH consider the length of time that instruments which have undergone reprocessing with high-level disinfection can safely be stored before needed to be reprocessed?
7 days, 30 days in Endo dry cabinet
These 5 parts of documentation must be included in HLD log record.
What is Date, scope ID, disinfectant used, MEC result, and operator initials?
Implants processed via IUSS must not be released until this test result is confirmed.
What is a negative biological indicator?
A device to show you it has been exposed to one or more of the conditions necessary for sterilization.
What is an indicator?
This monitoring device must be included with every sterilization load.
What is a biological indicator?
Failure of storage cabinet protein testing requires this corrective action.
What is reprocessing of all stored scopes and probes?
This documentation is required to certify quality testing of the Rapicide PA test strips.
What is Online Certificate of Analysis (or Conformance)?
3 pieces of critical information specific to IUSS documentation.
What is MRN, Reason for IUSS, and Physician name?
A process in which a chemical dip removes all debris and creates a layer of chromium oxide.
What is "Passivation"?
Known as the 3 "R's" these three steps must happen in the event of sterilization process failure?
What is Recall, Repackage, Reprocess?
Storing probes without proper drying increases the risk of this adverse outcome.
What is microbial growth or recontamination?
This classifies instruments as Critical: devices exposed to normally sterile areas of the body. Semi Critical: devices that are exposed to intact mucus membranes and Non Critical: devices that only touch skin or exposed to people indirectly.
What is CDC Spaulding classification for medical devices?
____ is the appropriate time to use IUSS sterilization
What is "only in Emergency situations" where there is no substitute and not enough time for terminal sterilization?
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?
This device is designed to simulate the most difficult instruments to sterilize and should be placed in the most challenging spot to reach inside the sterilizer.
What is a Process Challenge Device.
How frequently must cleaning of the TEE storage cabinet be documented?
What is Weekly?