Podcast
Questions and Answers
What is the primary function of an ultrasonic cleaner in the context of instrument sterilization?
What is the primary function of an ultrasonic cleaner in the context of instrument sterilization?
To use a detergent solution along with sonic action to break up and loosen debris on instruments.
Why is hand scrubbing the least preferable method for cleaning instruments?
Why is hand scrubbing the least preferable method for cleaning instruments?
It poses an increased risk of exposure to biological hazards.
What steps must be taken after cleaning instruments before they can be sterilized?
What steps must be taken after cleaning instruments before they can be sterilized?
Instruments must be free of biological debris, disinfecting solutions, and detergents, and they must be dry.
What should be included on the labeling of instrument packages before sterilization?
What should be included on the labeling of instrument packages before sterilization?
Signup and view all the answers
Why is heat sterilization considered the most effective method in dentistry?
Why is heat sterilization considered the most effective method in dentistry?
Signup and view all the answers
What is the purpose of using biological indicators (BIs) in sterilization processes?
What is the purpose of using biological indicators (BIs) in sterilization processes?
Signup and view all the answers
How often must practices in Saskatchewan complete biological indicator tests for each sterilizer?
How often must practices in Saskatchewan complete biological indicator tests for each sterilizer?
Signup and view all the answers
List two scenarios in which biological monitors must be used.
List two scenarios in which biological monitors must be used.
Signup and view all the answers
What steps should be taken if a positive spore test is identified?
What steps should be taken if a positive spore test is identified?
Signup and view all the answers
Why is it important to review sterilizer procedures after a positive spore test?
Why is it important to review sterilizer procedures after a positive spore test?
Signup and view all the answers
List three human errors that can lead to a positive spore test result.
List three human errors that can lead to a positive spore test result.
Signup and view all the answers
What actions should be taken if a mechanical failure of a sterilizer is confirmed?
What actions should be taken if a mechanical failure of a sterilizer is confirmed?
Signup and view all the answers
Why is it important to check wrappers/packages before opening sterilized items?
Why is it important to check wrappers/packages before opening sterilized items?
Signup and view all the answers
What are the factors that determine the shelf life of in-house sterilized items?
What are the factors that determine the shelf life of in-house sterilized items?
Signup and view all the answers
What percentage of dental practice autoclave failures were due to human errors according to the SWMS database?
What percentage of dental practice autoclave failures were due to human errors according to the SWMS database?
Signup and view all the answers
What is the significance of a Central Sterilization Room (CSR) in instrument processing?
What is the significance of a Central Sterilization Room (CSR) in instrument processing?
Signup and view all the answers
List the first three stages of instrument processing.
List the first three stages of instrument processing.
Signup and view all the answers
What distinguishes critical items from semi-critical items in terms of sterilization?
What distinguishes critical items from semi-critical items in terms of sterilization?
Signup and view all the answers
What classification system is used to determine the level of disinfection required for dental instruments?
What classification system is used to determine the level of disinfection required for dental instruments?
Signup and view all the answers
Why must non-critical items be cleaned and disinfected between uses?
Why must non-critical items be cleaned and disinfected between uses?
Signup and view all the answers
What is the recommended procedure for transporting contaminated instruments?
What is the recommended procedure for transporting contaminated instruments?
Signup and view all the answers
Explain the role of dividers in the instrument processing area.
Explain the role of dividers in the instrument processing area.
Signup and view all the answers
How should visible blood and contamination on instruments be addressed after use?
How should visible blood and contamination on instruments be addressed after use?
Signup and view all the answers
What is an automated washer's advantage over hand scrubbing in instrument cleaning?
What is an automated washer's advantage over hand scrubbing in instrument cleaning?
Signup and view all the answers
What key practices must be followed when handling contaminated instruments?
What key practices must be followed when handling contaminated instruments?
Signup and view all the answers
What is the most common type of autoclave used in dental practices?
What is the most common type of autoclave used in dental practices?
Signup and view all the answers
What temperature and pressure are typically used for flash sterilization of unwrapped items?
What temperature and pressure are typically used for flash sterilization of unwrapped items?
Signup and view all the answers
Why is chemical vapor not an acceptable method for instrument sterilization?
Why is chemical vapor not an acceptable method for instrument sterilization?
Signup and view all the answers
What must be done to instrument packs before removing them from the sterilization chamber?
What must be done to instrument packs before removing them from the sterilization chamber?
Signup and view all the answers
What is the minimum exposure time for dry heat sterilization at 170 C (340 F)?
What is the minimum exposure time for dry heat sterilization at 170 C (340 F)?
Signup and view all the answers
What are the key factors to inspect in sterilized packages before use?
What are the key factors to inspect in sterilized packages before use?
Signup and view all the answers
What is the recommended sterilization temperature and duration for heavily wrapped items in an autoclave?
What is the recommended sterilization temperature and duration for heavily wrapped items in an autoclave?
Signup and view all the answers
Identify one disadvantage of using dry heat sterilization compared to steam sterilization.
Identify one disadvantage of using dry heat sterilization compared to steam sterilization.
Signup and view all the answers
What are high-level disinfectants not suitable for in dental practices?
What are high-level disinfectants not suitable for in dental practices?
Signup and view all the answers
What is the significance of sterile packaging materials in the sterilization process?
What is the significance of sterile packaging materials in the sterilization process?
Signup and view all the answers
What is the role of mechanical monitors in sterilization processes?
What is the role of mechanical monitors in sterilization processes?
Signup and view all the answers
Why can’t a single sterilization indicator assure complete sterilization?
Why can’t a single sterilization indicator assure complete sterilization?
Signup and view all the answers
What is the significance of recording sterilization cycle readings for 10 years?
What is the significance of recording sterilization cycle readings for 10 years?
Signup and view all the answers
How do chemical indicators provide information about sterilization conditions?
How do chemical indicators provide information about sterilization conditions?
Signup and view all the answers
What is the purpose of a Bowie-Dick test in sterilization?
What is the purpose of a Bowie-Dick test in sterilization?
Signup and view all the answers
What distinguishes Class V chemical integrating indicators from other indicators?
What distinguishes Class V chemical integrating indicators from other indicators?
Signup and view all the answers
What are biological indicators, and why are they important in sterilization?
What are biological indicators, and why are they important in sterilization?
Signup and view all the answers
Why is it necessary to use chemical indicators in every sterilization load?
Why is it necessary to use chemical indicators in every sterilization load?
Signup and view all the answers
What is the main function of Class I and Class IV chemical indicators?
What is the main function of Class I and Class IV chemical indicators?
Signup and view all the answers
What indicates a 'fail' result during the Bowie-Dick test?
What indicates a 'fail' result during the Bowie-Dick test?
Signup and view all the answers
Study Notes
Clinical Disinfection and Sterilization
-
Clinical disinfection and sterilization are crucial for preventing the transmission of diseases in healthcare settings.
-
Key terms are defined for understanding the process.
Definitions
- Sanitation: Public health conditions focusing on clean water and proper waste disposal to prevent disease transmission. Includes hand-washing and adequate food preparation. Sterilization is not achieved.
- Cleaning: Removal of foreign material like soil or bodily fluids. Does not disinfect or sterilize. Often accomplished with soap and water; must remove debris for effective disinfection/sterilization.
- Disinfection: Reduces the number of pathogens on inanimate objects, but may not eliminate all microbes, including bacterial spores. Usually a chemical process.
- Antisepsis: A specific type of disinfection applied to living tissue (e.g., skin or mucous membranes).
- Sterilization: Destroys all forms of microbial life, including parasites, fungi, bacteria, bacterial spores, and viruses. It's an absolute term; an object is either sterile or not.
- Spores are difficult to destroy; if spores are destroyed, sterilization is assured.
Instrument Processing
-
Standard Operating Procedures (SOPs) are used for instrument processing and central sterile room (CSR) is recommended.
-
Standard protocols must be followed.
-
Stages of instrument processing
- Wiping off debris and discarding sharps
- Transport to CSR
- Sorting instruments
- Cleaning Instruments
- Preparation and Packaging
- Sterilization
- Storage
-
Instruments must be cleaned and disinfected within 24 hours of use.
Instrument Processing Pathway
-
Instrument are first cleaned and inspected at point-of-use
-
Transportation to processing area in a closed, labeled container.
-
Cleaning and sorting proceed after appropriate personal protective equipment (PPE) is put on.
-
Choice of treatment (either autoclave or ultrasonic cleaner) may depend on type of instrument.
-
Reprocessing (e.g. washing, cleaning, drying or other protocols) occurs before packaging/labeling.
-
Items are packaged and labeled (as applicable).
-
Items must be dry before further process. -Sterilization processes used, and their variables (time and temperature) are recorded and followed.
-
Packaging requires consideration of sterilization equipment. External and internal chemical indicators are utilized for every instrument package.
Classification for Dental Instruments
- Critical: These items come into contact with sterile areas of the body, creating a higher risk of transmitting infections. They must be sterilized. Examples include surgical instruments, periodontal scalers, and scalpel blades.
- Semi-critical: These instruments contact mucous membranes or non-intact skin, which pose a moderate risk of transmitting infections. Heat-tolerant semi-critical items are typically sterilized, but if a semi-critical item is heat-sensitive, it should be single-use. Examples include dental mouth mirrors, air/water syringe tips, and handpieces.
- Non-critical: These objects have the lowest risk of infection transmission, typically contact only intact skin. Cleaning and, when necessary, disinfection is generally adequate. Examples include blood pressure cuffs, radiograph head/cone, lead aprons, etc.
Monitoring Sterilization
- All sterilized items require pre-use inspection.
- Packaging, cassettes, and instruments must be free of damage.
- Indicators must be inspected to verify proper sterilization procedures have taken place
- Mechanical monitors (e.g., digital displays and printouts), chemical monitors, and biological monitors verify sterilization.
- Report all positive results to the regulatory body.
Sterilization Techniques
-
Heat is the most effective sterilization method in dentistry, especially with steam under pressure (autoclave).
-
Steam Sterilization techniques (pulse vacuum autoclaves, class B autoclaves), used for heat-tolerant instruments.
-
Dry heat (hot air oven), for a longer duration and high-temperature sterilization.
-
Chemical Vapor is not suitable for sterilizing instruments.
Storage
- Sterilized items must be stored in covered/closed cabinets.
- Check wrappers for integrity before opening.
- Damaged items must be reprocessed.
- Instruments are open and visible for inspection.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Explore the essential concepts of clinical disinfection and sterilization to prevent disease transmission in healthcare settings. This quiz covers key definitions and practices including sanitation, cleaning, disinfection, antisepsis, and sterilization processes.