Podcast
Questions and Answers
What is the primary purpose of arranging devices in a surgical instrument tray from left to right?
What is the primary purpose of arranging devices in a surgical instrument tray from left to right?
Why is it important to have an accurate checklist for a surgical instrument tray?
Why is it important to have an accurate checklist for a surgical instrument tray?
What is the recommended method for holding forceps together in a surgical instrument tray?
What is the recommended method for holding forceps together in a surgical instrument tray?
Why is it important to follow the manufacturer's IFU for device sterilization?
Why is it important to follow the manufacturer's IFU for device sterilization?
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What is the purpose of a manual label gun in a surgical instrument tray?
What is the purpose of a manual label gun in a surgical instrument tray?
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What should be done with forceps that have ratchets when placing them in a surgical instrument tray?
What should be done with forceps that have ratchets when placing them in a surgical instrument tray?
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What is the primary benefit of arranging devices in a surgical instrument tray by size?
What is the primary benefit of arranging devices in a surgical instrument tray by size?
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Why is it important to verify the contents of a surgical instrument tray against its checklist?
Why is it important to verify the contents of a surgical instrument tray against its checklist?
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What should be done if stringers are not available for closing devices with ratchets?
What should be done if stringers are not available for closing devices with ratchets?
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What is the primary purpose of a pre-printed tray checklist?
What is the primary purpose of a pre-printed tray checklist?
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Study Notes
Inspection, Assembly, and Packaging (IAP)
- IAP area is a clean area in the CSSD where surgical instruments are inspected for intactness, cleanliness, and functionality.
- Trained decontamination specialists and technicians conduct this critical job according to manufacturer's IFU.
- The area is designated and controlled to optimize sterilization and minimize contamination risks.
Environmental Requirements for IAP
- Ventilation meets clean room standards according to ISO 14644-1:1999 Class 8 or other internationally accepted equivalent standards.
- The room is maintained under positive pressure to prevent airborne bacteria introduction.
- Temperature is maintained between 20-23°C, and relative humidity is between 30-60%.
- Environmental cleaning follows hospital-approved policies and procedures.
- Furniture is made of smooth, non-porous, easy-to-clean materials.
Dress Code Requirements
- Staff wear protective clothing to reduce contamination risks.
- Protective clothing includes:
- Freshly laundered scrub suits that minimize bacterial shedding and provide comfort.
- Head/hair cover that confines all hair and minimizes microbial dispersal.
- Dedicated sturdy shoes that are only used inside the IAP.
Assembly and Checking
- Inspected and function-tested devices are assembled into trays using a track and trace system or manual system.
- Computerized track and trace systems log and store information for each tray and generate a unique barcode label.
- Devices are arranged in trays according to procedure requirements, size, or surgeon/OR nurse preferences.
- All contents of a specific surgical instrument tray must be checked and verified against its checklist.
- Forceps are placed on instrument pins to hold them together and reduce tangling.
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Description
Test your knowledge on the critical processes of inspection, assembly, and packaging of surgical instruments in a CSSD setup.