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Questions and Answers
What is the minimum acceptable reprocessing level for devices used on semi-critical sites?
What is the minimum acceptable reprocessing level for devices used on semi-critical sites?
- Sterilization after each use
- Cleaning without any disinfection
- Low-level disinfection only when cleaning is insufficient
- High-level disinfection if sterilization is not possible (correct)
Which classification corresponds to devices that contact sterile areas of the body?
Which classification corresponds to devices that contact sterile areas of the body?
- Intermediate-level
- Non-critical
- Semi-critical
- Critical (correct)
If a device is considered non-critical, what is the acceptable level of decontamination?
If a device is considered non-critical, what is the acceptable level of decontamination?
- Intermediate disinfection regardless of condition
- Sterilization after each use
- High-level disinfection only if visibly soiled
- Only cleaning is sufficient (correct)
In which scenario is high-level disinfection the minimum requirement for device reprocessing?
In which scenario is high-level disinfection the minimum requirement for device reprocessing?
What is a key consideration when choosing decontamination processes for reusable medical devices?
What is a key consideration when choosing decontamination processes for reusable medical devices?
Which device classification requires that all items must be sterile before use, including blood contact devices?
Which device classification requires that all items must be sterile before use, including blood contact devices?
What is the primary focus of reprocessing methods for medical devices?
What is the primary focus of reprocessing methods for medical devices?
What defines a critical site for medical device usage?
What defines a critical site for medical device usage?
What is the primary purpose of ultrasonic cleaning in the decontamination process?
What is the primary purpose of ultrasonic cleaning in the decontamination process?
What classification does a surgical instrument like surgical scissors fall under based on its risk to the patient?
What classification does a surgical instrument like surgical scissors fall under based on its risk to the patient?
Which of the following best describes non-critical items as per Spaulding classifications?
Which of the following best describes non-critical items as per Spaulding classifications?
Which level of disinfection is required for an endoscope that contacts intact skin or mucous membranes?
Which level of disinfection is required for an endoscope that contacts intact skin or mucous membranes?
Which of these actions is NOT recommended when sorting reusable medical devices before automated cleaning?
Which of these actions is NOT recommended when sorting reusable medical devices before automated cleaning?
What is the first step in the decontamination process after reusable medical devices are received?
What is the first step in the decontamination process after reusable medical devices are received?
What is the main focus when determining the decontamination process level for a reusable medical device?
What is the main focus when determining the decontamination process level for a reusable medical device?
Which type of reusable medical device is considered semi-critical according to the Spaulding classification?
Which type of reusable medical device is considered semi-critical according to the Spaulding classification?
Why is it important to open all box locks and hinges of reusable medical devices before cleaning?
Why is it important to open all box locks and hinges of reusable medical devices before cleaning?
What is the purpose of placing a marker in extra mesh baskets used for cleaning?
What is the purpose of placing a marker in extra mesh baskets used for cleaning?
What is a common misconception about manual cleaning of surgical instruments?
What is a common misconception about manual cleaning of surgical instruments?
What is the function of a washer disinfector in the decontamination process?
What is the function of a washer disinfector in the decontamination process?
What could result from placing reusable medical devices on top of one another in cleaning baskets?
What could result from placing reusable medical devices on top of one another in cleaning baskets?
Which method is essential for ensuring reusable medical devices are cleaned without damage?
Which method is essential for ensuring reusable medical devices are cleaned without damage?
Which of the following factors has the least impact on the selection of a decontamination process?
Which of the following factors has the least impact on the selection of a decontamination process?
What is the significance of timely decontamination of reusable medical devices?
What is the significance of timely decontamination of reusable medical devices?
Flashcards
Reprocessing level for semi-critical devices
Reprocessing level for semi-critical devices
The minimum acceptable reprocessing level for devices used on semi-critical sites.
Critical device classification
Critical device classification
A classification for devices that contact sterile areas of the body, requiring sterilization.
Non-critical device classification
Non-critical device classification
Devices that don't directly contact the patient or enter sterile body cavities. Only cleaning is sufficient.
When high-level disinfection is required
When high-level disinfection is required
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Device compatibility in decontamination
Device compatibility in decontamination
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Sterilization for critical devices
Sterilization for critical devices
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Focus of device reprocessing
Focus of device reprocessing
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What defines a critical site?
What defines a critical site?
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Purpose of ultrasonic cleaning
Purpose of ultrasonic cleaning
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Surgical instrument risk classification
Surgical instrument risk classification
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Non-critical items according to Spaulding classification
Non-critical items according to Spaulding classification
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Disinfection level for endoscopes
Disinfection level for endoscopes
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First step in decontamination
First step in decontamination
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Determining decontamination process level
Determining decontamination process level
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Classification of Parkes retractor
Classification of Parkes retractor
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Importance of device opening before cleaning
Importance of device opening before cleaning
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Purpose of markers in cleaning baskets
Purpose of markers in cleaning baskets
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Misconception about manual cleaning
Misconception about manual cleaning
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Function of a washer disinfector
Function of a washer disinfector
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Consequences of stacking devices in baskets
Consequences of stacking devices in baskets
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Cleaning importance of manufacturer instructions
Cleaning importance of manufacturer instructions
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Least important factor in decontamination selection
Least important factor in decontamination selection
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Significance of timely decontamination
Significance of timely decontamination
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Study Notes
Decontamination Point Zone
- The decontamination point zone focuses on methods for receiving, cleaning, and disinfecting contaminated reusable medical devices (RMDs).
- This includes both automated processes like washer disinfectors, ultrasonic washers, and cart washers, as well as manual cleaning and disinfection processes.
- Essential topics covered include testing equipment, water quality, and chemistries.
Choice of Decontamination Process
- The Spaulding classification system defines three risk categories for RMDs based on their intended use and contact with the patient or surgical field.
- Non-critical devices (e.g., stethoscope) require only cleaning or low/intermediate level disinfection.
- Semi-critical devices (e.g., Parkes retractor) require high-level disinfection or sterilization.
- Critical devices (e.g., Travers retractor) require sterilization.
- The appropriate level of decontamination depends on the body sites where the device will be used and the risk associated with the procedure.
Sorting and Disassembly of Contaminated RMD
- To ensure timely and safe decontamination, RMDs should be sorted and disassembled promptly.
- Policies and procedures should be developed for the handling, sorting, and disassembly of all devices used within the facility, including specialized items.
- Manufacturer's instructions for cleaning should be followed to avoid damage and ensure adequate cleaning.
- The goal of this process is to facilitate effective cleaning by exposing all surfaces to the cleaning action.
- Key steps include:
- Opening all box locks, hinges, etc.
- Arranging devices in mesh trays to expose all surfaces.
- Placing devices in mesh baskets in a way that ensures effective cleaning.
- Placing each jointed device in the open position.
- Using extra mesh baskets if needed and labeling them with the set name and number.
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Description
Test your knowledge on the decontamination point zone and the processes involved in cleaning reusable medical devices. This quiz covers the Spaulding classification system and the various risk categories for different types of medical devices. Understand the requirements for cleaning, disinfection, and sterilization based on device classification.