Device Safety and Maintenance

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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?

Document the non-conformances and move to the IAP room

Send the items to the supervisor for inspection

Return the entire load for re-processing (correct)

Check the items for damage and report to the line manager

What is the purpose of a diathermy pin point tester?

To inspect the insulation of devices (correct)

To track the decontamination process of devices

To test the sharpness of cutting edges

To lubricate devices with a water-based solution

What is the primary reason for quality checks when accepting items not processed in a WD?

To test for excessive wetness

To inspect for soil or staining (correct)

To check documentation completion

To ensure devices are correctly disassembled

What should be checked on jointed RMDs during the inspection process?

The tightness of the screws Signup and view all the answers

What is the purpose of inspecting devices under magnification?

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

What is the primary benefit of using a computerized track and trace system in the CSSD?

It ensures the accurate tracking of devices and device trays Signup and view all the answers

What is critical to inspect on devices during quality checks?

All areas of the devices, including box joints, serrations, and crevices Signup and view all the answers

What should be done with devices that are damaged, incomplete, or malfunctioning?

Report them immediately to the supervisor Signup and view all the answers

What is generated automatically when a barcode label is scanned by the specialist preparing the tray?

A packing list Signup and view all the answers

Why is it important to check cannulated devices?

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

What is the purpose of a manual label gun in the CSSD?

To label devices and trays manually Signup and view all the answers

How should telescopes and light cables be checked?

According to the manufacturer's instructions Signup and view all the answers

Why is it necessary to check the edges of clamping RMDs for overlap?

To ensure proper meshing of the teeth Signup and view all the answers

What is the purpose of a water-based lubricant in the inspection process?

To facilitate the movement of joints and parts Signup and view all the answers

What should be checked for during the final inspection of a device set?

All of the above Signup and view all the answers

What is the primary consideration when arranging devices in a surgical instrument tray?

The order of use in a procedure Signup and view all the answers

What is the purpose of placing forceps on instrument pins?

To reduce tangling and organize devices Signup and view all the answers

Why should forceps with ratchets be left open during sterilization?

To ensure all surfaces are presented to sterilants Signup and view all the answers

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

Spread them evenly across the tray Signup and view all the answers

What is the purpose of validated tip protectors in a surgical instrument tray?

To protect delicate or sharp items Signup and view all the answers

What should be done if a device is missing or extra during tray assembly?

Report it to the supervisor for further action Signup and view all the answers

Why is it important to follow the manufacturer's IFU for device sterilization?

To ensure all surfaces are presented to sterilants Signup and view all the answers

What is the purpose of a tray liner or silicone mat in a surgical instrument tray?

To protect delicate devices from damage Signup and view all the answers

What is the consequence of having an incorrect count of surgical instrument sets?

Delays in the surgical procedure Signup and view all the answers

What is the recommended maximum weight of surgical instrument sets trays?

25 pounds Signup and view all the answers

Why should metal basins be positioned to allow moisture to drain during sterilization?

To prevent water droplets from forming Signup and view all the answers

What material can be used to facilitate drainage and drying of metal basins during sterilization?

Wicking material such as surgical towels Signup and view all the answers

Why should there be a 1-inch size difference when processing multiple basins?

To avoid condensation accumulation Signup and view all the answers

What is the purpose of assembling devices that were disassembled for washing?

To ensure good presentation of the devices Signup and view all the answers

What are the two main considerations when wrapping or packaging a tray for sterilization?

Type of wrap or packaging chosen and the packaging techniques applied Signup and view all the answers

What is the purpose of laying out the tray in a manner that ensures good presentation of the devices?

To ensure devices are protected against damage in accordance with the tray list Signup and view all the answers

What is the primary purpose of allowing a method of sealing that results in a complete seal?

To provide adequate seal integrity Signup and view all the answers

What is the main advantage of using sequential wrapping over simultaneous wrapping?

It is more commonly used in CSSD Signup and view all the answers

What is the characteristic of Sterilization Flat Wrap that makes it suitable for single-use products?

It is designed for single-use products Signup and view all the answers

What is the primary advantage of using rigid reusable containers?

They can be very cost-effective if used properly Signup and view all the answers

What is the purpose of the square fold technique?

To wrap heavier items Signup and view all the answers

What is the characteristic of Sterilization Flat Wrap that makes it resistant to physical damage?

It is resistant to tears, abrasions, and punctures Signup and view all the answers

What is the difference between sequential wrapping and simultaneous wrapping?

Sequential wrapping wraps two layers individually Signup and view all the answers

What is the purpose of the envelope fold technique?

To wrap smaller items Signup and view all the answers

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.