Infection Prevention
An infection that occurs at or near the site of a surgical incision within 30 days of surgery, or up to one year if prosthetic material is implanted.
What is Surgical Site Infection?
When removing a set or item from the cooling autoclave racks, what should you look for?
Temp. must be low enough, chemical indicators are present, lack of moisture, no damage to containers/wrap, and proper labels including autoclave load and date.
IFU
Instructions for Use
Why do we not put scissors on the cradle through the Belimed washers?
To prevent staff injury and to allow the water pressure to clean the full blades of the scissors.
How long is an HLD cycle? (How long is the item exposed to the cleaning chemical?)
12 minutes is what the IFU states.
Name one or more modes of transition for infection (or how disease spreads).
Contact transmission - direct or indirect
Includes: Droplet, Airborne, Vehicle, or Vector transmission
How does our hospital define shelf-life of sterile items?
Event related, not time related.
IUSS
Immediate Use Steam Sterilization - historically called 'flashing'
Summarize the steps needed to clean a davinci robot arm.
1 Precleaning (in OR)
2 Prepare to soak - flush, remove obvious debris, prepare sink
3 soak for 30 minutes, priming all ports with soapy water
4 scrub hinges and the working end, flush with water
5 sonic on the robotic cycle
6 thermal disinfection is optional
What kind of infectious agent doesn't get killed by HLD?
Bacterial spores
Name one feature of the Sterile Processing department that helps protect STAFF from infection.
Examples include positive and negative air pressure, PPE, regular cleaning, hand-washing stations, etc.
What are the stacking limits for our wrap?
Per IFU, no more than 2 items stacked on top of each other.
TASS
Toxic Anterior Segment Syndrome
When inspecting an autoclave load receipt, what 3 parameters are you checking?
Pressure, temperature, and time
What are the temperature requirements?
68 degrees F. or more
Name one feature of the Sterile Processing Department that protects PATIENTS from infection.
Answers include sterile storage techniques, environmental controls, process checks like chemical and biological indicators, routine maintenance of our washers and sterilizers, effectiveness tests like the TOSI test
What are the stacking limits for our rigid (aesculap) containers?
No more than 3 stacked containers.
AAA
Abdominal Aortic Aneurysm or Ascending Aortic Aneurysm
What is the bacterial spore used in our steam BIs?
G. stearothermophilus
How often does our HLD chemical need to be replaced?
Every 30 days
Where is our eye wash station located? How do you use it correctly?
By the decontamination hallway door. Flush your eyes for at least 15 minutes while keeping your eyelids open and moving your eyes to ensure thorough rinsing.
How does our department track temperature and humidity requirements? Bonus points if you can name what the parameters are!
Daily logs. In the core, less than 60% humidity and 75degrees F.
ORIF
Open Reduction and Internal Fixation
Spaulding Classification system - name the three catagories.
Critical, Semi-Critical, and Non-Critical.
Name our High Level Dissinfection chemical
OPA, ortho-phthalaldehyde