CSSD Duties & Responsibilities Quiz and Flashcards

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Questions and Answers

How should devices in a surgical instrument tray typically be arranged?

By size, with the largest devices first

By frequency of use

By alphabetical order

From left to right in the order they are required in a procedure (correct)

Why should forceps be placed on instrument pins?

To hold them together and reduce tangling (correct)

To prevent them from getting lost

To make them easier to sterilize

To separate them from other devices

What should be done with devices that require special sterilization methods?

Consult with a supervisor

Sterilize them in a separate tray

Follow the manufacturer's IFU (correct)

Use a standard sterilization method

Why should devices with ratchets be left open?

To ensure steam can penetrate all surfaces Signup and view all the answers

What should be done with plastic items in a surgical instrument tray?

Distribute them evenly across the tray surface Signup and view all the answers

What should be done if a missing or extra device is found while assembling a surgical instrument tray?

Report it to a supervisor Signup and view all the answers

What should be done if a small percentage of RMD in a load were not cleaned and/or dried effectively?

Return the entire load for re-processing Signup and view all the answers

What is checked during the inspection of devices unloaded from the washer-disinfector?

Cleanliness, stains, corrosion, cracks, breakage, and stiffness of movable parts Signup and view all the answers

Why is it important to inspect devices under magnification?

To detect small pieces of bioburden or debris Signup and view all the answers

What should be reported immediately to the supervisor?

Any damaged, incomplete or malfunctioning devices Signup and view all the answers

What is the purpose of function testing telescopes and light cables?

To check for functioning according to the manufacturer's instructions Signup and view all the answers

What is the importance of checking cannulated devices?

To ensure the channel is patent (clear) Signup and view all the answers

What is the primary function of the assembly area in the CSSD?

To inspect and prepare surgical instruments for use Signup and view all the answers

Who should perform the job of inspecting and preparing surgical instruments in the assembly area?

Trained decontamination specialists and technicians Signup and view all the answers

What is the purpose of maintaining a positive pressure in the IAP room?

To reduce the risk of airborne bacteria introduction Signup and view all the answers

What is the recommended temperature range for the IAP room?

20-23°C Signup and view all the answers

Why is it important to use smooth, non-porous materials for furniture in the IAP room?

To make the furniture easier to clean Signup and view all the answers

Why is daily environmental cleaning important in the IAP room?

To prevent the settlement of lint on clean surgical instruments Signup and view all the answers

What is the importance of sealing peel-apart pouches?

To ensure the product remains sterile after autoclaving Signup and view all the answers

What type of pouch is used for sterilization methods involving steam and ethylene oxide?

Paper pouch Signup and view all the answers

Why should instruments be packed with opened hinges?

To ensure complete sterilant contact to surfaces Signup and view all the answers

Why is it recommended to use a tip protector?

To prevent instruments from puncturing the pouch during sterilization or normal handling Signup and view all the answers

What should be done with excessive air in the pouch before sealing?

Remove excessive air Signup and view all the answers

Where should labeling be done on the pouch?

On the plastic side Signup and view all the answers

What is the purpose of double pouching?

To ensure aseptic presentation of the items inside the sterile field Signup and view all the answers

What is the advantage of see-through peel packaging?

It is a time-saving concept Signup and view all the answers

Why should the inner pouch not be folded during double pouching?

Because it affects air removal and sterilant penetration Signup and view all the answers

What is the recommended method of sealing Tyvek or medical grade paper pouches?

Using a proper temperature Signup and view all the answers

What is the primary purpose of labeling packages before sterilization?

To help the end user select the correct pack Signup and view all the answers

Where can labeling information be written?

On sterilization tape, commercially available adhesive labels, or the plastic side of peel pouches Signup and view all the answers

Study Notes

Assembly Area

A clean area in CSSD where surgical instruments are inspected for intactness, cleanliness, and functionality before being dispensed to OR rooms or clinics.
This job must be carried out by trained decontamination specialists and technicians, following manufacturer's IFU.

Environmental Requirements for IAP

Ventilation meets clean room standards according to ISO 14644-1: 1999 Class 8 or other internationally accepted equivalent standard.
The room must be maintained under positive pressure to ensure air flows outward instead of into the work area.
Temperature: 20–23°C, relative humidity: 30–60%.
Furniture must be made of smooth, non-porous, easy-to-clean materials.

Environmental Cleaning

Must follow policies and procedures approved by the hospital's infection control committee.
Cleaning must be carried out daily in accordance with hospital policies and procedures.
A dedicated cleaning room is located within the IAP room.

Manually Cleaned Device Acceptance

Quality checks are carried out when accepting items not processed in a WD.
Checks include:
Soil or staining: rejected and sent back for reprocessing.
Excessive wetness: items must be dry before moving to the IAP room.
Damage: reported immediately to the line manager.
Correct disassembly: adequate cleaning may not have occurred, so the item is returned for reprocessing.
Documentation: completed and reported to the line manager.

Inspection and Function Testing

All surgical devices unloaded from the washer-disinfector must be inspected for:
Cleanliness, stains, corrosion, cracks, breakage, and stiffness of movable parts.
Devices checked under magnification to detect small pieces of bioburden or debris.
Each RMD set inspected separately.
Critically inspected areas: box joints, serrations, crevices, hinges, jaws, and teeth.
Function testing: telescopes, light cables, and cannulated devices.

Assembly of Devices into Trays

Items arranged from left to right in the order required in a procedure.
Items can also be arranged by size to prevent tangling or according to surgeon and OR nurse preferences.
Accurate checklist followed to ensure consistency.
Forceps placed on instrument pins to hold them together and reduce tangling.

Packaging and Sealing

Peel-apart pouches used to pack small, lightweight single instruments.
Pouches made of medical-grade paper/plastic or spunbond polyolefin-plastic (Tyvek).
Choice of pouch type depends on sterilization method.
Identification of packed devices made easy due to transparent plastic film.
Recommended sealing temperatures and pressures followed carefully.

Package Labeling

Labeling necessary before sterilization.
Complete and accurate labeling helps the end user select the correct pack.
Label includes:
Package contents
Lot number
Sterilization date
Pack complete name
Assembler/packager name
Requesting department
Sterilizer number and used cycle.

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Description

Learn about the critical role of the assembly area in CSSD, where surgical instruments are inspected and prepared for use in OR rooms and clinics. Understand the importance of trained professionals following manufacturer's guidelines.

CSSD Module 9: Inspection, Assembly, and Packaging

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