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Questions and Answers
What should be done if a small percentage of RMD in a load were not cleaned and/or dried effectively?
What is the purpose of a diathermy pin point tester?
What is the primary reason for quality checks when accepting items not processed in a WD?
What should be checked on jointed RMDs during the inspection process?
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What is the purpose of inspecting devices under magnification?
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What is the primary benefit of using a computerized track and trace system in the CSSD?
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What is critical to inspect on devices during quality checks?
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What should be done with devices that are damaged, incomplete, or malfunctioning?
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What is generated automatically when a barcode label is scanned by the specialist preparing the tray?
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Why is it important to check cannulated devices?
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What is the purpose of a manual label gun in the CSSD?
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How should telescopes and light cables be checked?
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Why is it necessary to check the edges of clamping RMDs for overlap?
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What is the purpose of a water-based lubricant in the inspection process?
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What should be checked for during the final inspection of a device set?
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What is the primary consideration when arranging devices in a surgical instrument tray?
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What is the purpose of placing forceps on instrument pins?
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Why should forceps with ratchets be left open during sterilization?
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What should be done with plastic items in a surgical instrument tray?
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What is the purpose of validated tip protectors in a surgical instrument tray?
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What should be done if a device is missing or extra during tray assembly?
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Why is it important to follow the manufacturer's IFU for device sterilization?
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What is the purpose of a tray liner or silicone mat in a surgical instrument tray?
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What is the consequence of having an incorrect count of surgical instrument sets?
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What is the recommended maximum weight of surgical instrument sets trays?
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Why should metal basins be positioned to allow moisture to drain during sterilization?
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What material can be used to facilitate drainage and drying of metal basins during sterilization?
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Why should there be a 1-inch size difference when processing multiple basins?
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What is the purpose of assembling devices that were disassembled for washing?
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What are the two main considerations when wrapping or packaging a tray for sterilization?
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What is the purpose of laying out the tray in a manner that ensures good presentation of the devices?
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What is the primary purpose of allowing a method of sealing that results in a complete seal?
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What is the main advantage of using sequential wrapping over simultaneous wrapping?
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What is the characteristic of Sterilization Flat Wrap that makes it suitable for single-use products?
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What is the primary advantage of using rigid reusable containers?
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What is the purpose of the square fold technique?
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What is the characteristic of Sterilization Flat Wrap that makes it resistant to physical damage?
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What is the difference between sequential wrapping and simultaneous wrapping?
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What is the purpose of the envelope fold technique?
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Study Notes
Device Inspection and Assembly
- Inspect cutting edges (scissors, rongeurs, chisels, curettes) for sharpness and check devices with outer insulation coating for damage
- Ensure free movement of all parts and non-sticking joints, and check for overlapping edges and proper teeth alignment
- Use a water-based lubricant if necessary (refer to IFU for dilutions and application)
- Check screws on jointed RMD for tightness and ensure no loose parts
Assembly and Checking
- Assemble devices into trays after inspection and function-testing
- Use computerized track and trace systems to log and store tray information, generating a unique barcode label for each tray
- For manual systems, use a pre-printed tray checklist and manual label gun
Manually Cleaned Device Acceptance
- Reject items with visible soil, staining, excessive wetness, or damage
- Ensure devices are correctly disassembled and adequately cleaned
- Document and report any non-conformances or rejected items to the line manager
Inspection and Function Testing
- Inspect devices for cleanliness, stains, corrosion, cracks, breakage, and stiffness of movable parts
- Use magnification to inspect small areas and check devices under magnification
- Check hinges, jaws, teeth, and cannulated devices for proper function
- Report any damaged, incomplete, or malfunctioning devices to the supervisor
Assembling Devices into Trays
- Arrange devices in a specific order (left to right, by size, or surgeon/OR nurse preference)
- Ensure all contents of a surgical instrument tray are checked and verified against the checklist
- Place forceps on instrument pins to hold them together and reduce tangling
- Follow manufacturer's IFU for device sterilization and disassembly
- Avoid overcrowding or overweight trays, and ensure devices are protected during sterilization
Packaging
- Choose a wrap or packaging material that allows for complete and secure enclosure, protection from physical damage, and adequate air removal
- Use techniques such as sequential wrapping or simultaneous wrapping, with fold techniques like square fold or envelope fold
- Consider using rigid reusable containers as an alternative to wrapping
- Ensure packaging follows ANSI/AAMI ST77 and ST79 guidelines for sterilization and sterility assurance
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Description
Check and inspect cutting edges and insulated devices for sharpness and damage to prevent patient and user harm. Learn how to use diathermy pin point testers and more.