Human Skeleton and Medical Hygiene Quiz

Module 1: Introduction to Central Services

• This module introduces the field of decontamination and sterilization in hospital, dental, or ambulatory settings.
• It covers reusable medical device reprocessing, required facilities, and the lifecycle of a reusable medical device.

Table of Contents

• Module 1: Introduction to Central Services (page 1)
• Module 2: Medical Terminology, Anatomy, and Physiology (page 25)
• Module 3: Microbiology for Central Service Technician (page 67)
• Module 4: Infection Prevention (page 92)
• Module 5: Regulation and Standards (page 95)
• Module 6: Surgical Instrumentation (page 99)
• Module 7: Quality Assurance (page 123)
• Module 8: Decontamination Point Zone (page 134)
• Module 9: Assembly and Packaging Zone (page 147)
• Module 10: Sterilization Zone (page 158)
• Module 11: Sterile Storage and Transport (page 170)
• Module 12: Safety and Risk Management (page 179)
• Module 13: Personal and Professional Development (page 190)

Introduction (Page 4)

• Decontamination is an entry-level program focused on the reprocessing of reusable medical devices.
• It identifies the required facilities for decontamination processes.

What is CSSD? (Page 4)

• Central Sterile Service Department (CSSD) or SPD or CSD or CDU is responsible for the reprocessing of reusable medical devices.

Manufacturing (Page 4)

• Manufacturing is the large-scale transformation of raw materials into finished products.
• Medical devices are manufactured with safety and reliability in mind, especially for use on patients with health conditions.

Medical Device Manufacturing (Page 5)

• Medical devices are used for treatment, prevention, and cure of conditions/diseases.
• Reusable medical devices require thorough cleaning as these are used repeatedly on different patients.

Organizational Groups (Page 6).

• AAMI: Association for the Advancement of Medical Instrumentation.
• WHO: World Health Organization
• IAHCSMM: International Association of Healthcare Central Service Material Management.
• CBSPD: Certification Board for Sterile Processing and Distributions .
• AORN: Association of peri-operative Registered Nurses
• UK DH: United Kingdom Department of Health
• IE HSE: Ireland Health Service Executive.

Decontamination Life Cycle (Page 7)

• The model illustrates the steps for reprocessing medical devices from acquisition to disposal, and across the facility's organization.

Stage and Frequency (Page 8)

• Describes the steps and frequency of cleaning, disinfection, inspection, packaging, sterilization, transport, and storage within the decontamination process.

Decontamination Design (Page 9)

• Emphasizes the importance of the design of zones in the CSSD (Decontamination, Inspection, Assembly and Packing, Sterile Storage)
• Provides guidance and resources such as HBN 13, AAMI and AIA.

Decontamination Zone (Page 10)

• Includes gowning room, wash room, and environmental cleaner room in this zone.
• Personnel must follow strict usage of Personal Protective Equipment (PPE).

Medical Device Manufacturing (Page 11)

• Lists equipment required for manufacturing medical devices:
  • Hand wash/ instrument cleaning sinks with basins
  • Brushes
  • Air/ Water Guns
  • Magnifiers/additional lighting
  • Detergents/Disinfectants/lubricants
  • Ultrasonic Washers
  • Automated Washer Disinfectors
  • Cart Washers
  • Automated Endoscope Reprocessors
  • Environmental monitors (measuring temperature, humidity and pressure)
  • Spill kits

Inspection, Assembly, and Packaging (IAP) Zone (Page 12)

• Staff performing tasks in this area must maintain strict hand hygiene and use specialized PPE.
• This is a specialized zone with areas for gowning, Materials transfer, and environmental cleaner room to maintain clean instrumentation..

Inspection, Assembly and Packaging (IAP) Zone (Page 13)

• Lists essential equipment for inspecting, assembling and packaging items in the IAP zone:
  • Packing tables
  • Chairs
  • Magnifiers
  • Additional task lighting
  • Wrappers and containers
  • Heat sealers
  • Surgical instrument tip protectors/tray liners
  • Air guns
  • Pass-through hatches
  • Drying cabinets
  • Sterilizers
  • Biological incubators
  • Environmental monitors (temperature, humidity and pressure)

Sterile Storage Zone (Page 16)

• This is the zone where the processed medical devices are stored safely, under environmentally monitored conditions.
• Appropriate storage facilities like washable, round-edged shelving, transport carts/workstations are required.

Staff Restroom, Rooms (Page 17)

• Details the requirements for staff facilities such as showers, toilets, and lockers.
• Includes areas for eating and drinking, and education/training rooms.

Unit Access, Air Pressure, and Lighting (Page 18)

• The decontamination zone must have a negative pressure to prevent airborne contamination and outward spread to outside areas.
• The IAP and Sterile Storage zones must have positive pressure to prevent inward contamination and ensure air continues circulating.
• Lighting is important for visibility in all areas.

CSSD Layout (Page 19)

• Details the layout of the CSSD, highlighting the one-way flow and separate zones for dirty, clean and sterile items to prevent cross-contamination..

Exercises and Checklists (Page 20)

• Students should compare what they've learned to real-world examples in their current training environment.

Module 2: Medical Terminology, Anatomy, and Physiology (Page 27)

• This module introduces basic medical terminology in relation to the body.
• It covers prefixes, suffixes, roots and combining forms in relation to anatomical terms.

Organization of the Body (Page 39)

• The body is divided into many levels of organization: cells, tissues, organs, organ systems and organism.
• Anatomic position is the standard reference point for directions that describe a relationship between anatomical structures.
• Directional terms are used to precisely define any location of any anatomical structure..
• Body planes are imaginary surfaces used as guides for locating structural arrangements using standard terms.
• Body cavities are hollow spaces inside the body that enclose and protect organs like the cranial, spinal, thoracic, and abdominopelvic cavities.
• Abdominal and pelvic divisions are sub-divisions of abdominopelvic cavity.
• Regions and quadrants are subdivisions of abdominal and pelvic divisions, as these parts of the body are involved in multiple surgical and physical examination procedures.

Module 3: Microbiology for Central Service Technician (Page 67)

• Focuses on microbiology in the context of the Central Sterile Services Department (CSSD).
• Discusses microbes and how they affect the cleaning and decontamination processes in a hospital.
• Includes discussion of different types of microorganisms: protozoa, fungi, yeast, and bacteria and their impact on health.
• Prepares students for risks associated with these microbes during the decontamination process.

Microbiology and Decontamination (Page 71)

• Microbiology, also known as the study of microscopic organisms or germs, covers microorganisms such as bacteria, viruses, fungi, protozoa, and more.

Microbes and CSSD (Page 72)

• Explains that all microbes are dangerous in a healthcare environment and should be controlled through standard precautions.

Standard Precautions and Infectious Agent Transmission (Page 82)

• Describes measures used to minimize risks of microbial contamination.
• Includes personal protective equipment (PPE), and hand hygiene.

Chain of Infection (Page 88)

• Explains the steps of how contamination is transmitted in healthcare (source, portal of exit, mode of transmission, portal of entry and susceptible host).

Housekeeping and Infection Control (Page 93)

• Discusses zone- specific cleaning and decontamination procedures with standards and equipment that must be followed.
• Examines proper disposal and methods for cleaning equipment in every zone and in the entire CSSD.
  • Staff must observe all safety and hygiene policies and procedures.

Module 4: Infection Prevention (Page 94)

• Focus on infection prevention through the understanding of "standard precautions" and environmental standards to reduce the transmission of infectious agents.
• Includes details of the role of the CSSD in infection prevention..

Additional Modules (The following are in various pages)

• Covering topics on quality assurance, surgical instrumentation, Decontamination Point Zone, Assembly and Packaging Zone, Sterilization Zone, Sterile Storage and Transport, and Safety and Risk Management.
• Additional Modules include details from various sections, including definitions and guidelines for implementing different cleaning processes such as manual and automated methods, along with important safety equipment.
• Details and explanation and descriptions for various types of packaging like pouches, and containers are also included in some of these modules.

Test your knowledge on the human skeletal system, focusing on the axial and appendicular skeletons. Additionally, assess your understanding of hygiene practices related to endoscopes and delicate medical devices. This quiz covers essential anatomy and medical disinfection protocols.