Podcast
Questions and Answers
What is the purpose of presoaking surgical equipment?
What is the purpose of presoaking surgical equipment?
- To loosen any tissue or blood on the item (correct)
- To validate the equipment is sterile
- To assist with high level disinfection
- To ensure proper storage
Why is thorough cleaning necessary before high level disinfection and sterilization?
Why is thorough cleaning necessary before high level disinfection and sterilization?
- To validate the equipment is sterile
- To prevent foreign material from interfering with functionality (correct)
- To soften the material 'baked on' the item
- To ensure items are properly documented
What is the preferred method for cleaning items if mechanical equipment is not used?
What is the preferred method for cleaning items if mechanical equipment is not used?
- Soaking the equipment in water overnight
- Opening the equipment fully
- Storing the equipment properly
- Scrubbing with a brush or rag (correct)
What should be done to assess if items have been cleaned appropriately?
What should be done to assess if items have been cleaned appropriately?
Why are discussions ongoing about the effectiveness of local reprocessing areas for high level disinfection?
Why are discussions ongoing about the effectiveness of local reprocessing areas for high level disinfection?
What is the recommended color for bags containing biohazardous material?
What is the recommended color for bags containing biohazardous material?
Who is responsible for cleaning and maintaining isolation units if housekeeping personnel are not available?
Who is responsible for cleaning and maintaining isolation units if housekeeping personnel are not available?
What should be done before moving cleaning equipment to another room if a private room is required for a patient?
What should be done before moving cleaning equipment to another room if a private room is required for a patient?
What should be done with contaminated items before disposal according to the text?
What should be done with contaminated items before disposal according to the text?
When should routine cleaning of isolation units be carried out?
When should routine cleaning of isolation units be carried out?
What is typically required for bio-hazardous material before disposal?
What is typically required for bio-hazardous material before disposal?
What is the purpose of using masks in healthcare settings?
What is the purpose of using masks in healthcare settings?
When should a mask be worn in a patient's room if the infection is transmitted by large-particle aerosols?
When should a mask be worn in a patient's room if the infection is transmitted by large-particle aerosols?
What type of masks are more effective than cotton gauze or paper tissue masks according to the text?
What type of masks are more effective than cotton gauze or paper tissue masks according to the text?
Where should an isolation cart be placed according to the text?
Where should an isolation cart be placed according to the text?
Why is it important to restock the isolation cart as needed?
Why is it important to restock the isolation cart as needed?
What should be specified on the door of an isolation room?
What should be specified on the door of an isolation room?
Why are gowns worn in healthcare settings?
Why are gowns worn in healthcare settings?
When should gowns be discarded according to the text?
When should gowns be discarded according to the text?
Why are gloves worn in healthcare settings?
Why are gloves worn in healthcare settings?
According to OSHA, why is eye protection mandated in certain circumstances?
According to OSHA, why is eye protection mandated in certain circumstances?
What is the main purpose of wearing eye protection equipment?
What is the main purpose of wearing eye protection equipment?
Why should healthcare workers wear gloves when touching blood or body fluids?
Why should healthcare workers wear gloves when touching blood or body fluids?
What is the recommended action to avoid destroying personally significant items during the disinfection process?
What is the recommended action to avoid destroying personally significant items during the disinfection process?
How often should waste products be disposed of when working with a patient in isolation?
How often should waste products be disposed of when working with a patient in isolation?
What is the appropriate action for urine and feces in the context of managing waste products during patient care?
What is the appropriate action for urine and feces in the context of managing waste products during patient care?
When should gloves be worn by healthcare workers when working with an immunosuppressed patient?
When should gloves be worn by healthcare workers when working with an immunosuppressed patient?
What is not eliminated by wearing gloves during patient care?
What is not eliminated by wearing gloves during patient care?
In what situation should sterile gloves be worn by healthcare workers?
In what situation should sterile gloves be worn by healthcare workers?
Study Notes
Isolation Precautions
- Isolation cart can be placed outside the isolation unit instead of an anteroom, with necessary supplies and restocked as needed.
- A sign on the door should specify the type of isolation and precautions to take.
Masks
- Masks prevent transmission of airborne infectious agents and protect the wearer from inhaling large particle aerosols and small particle aerosols.
- Masks may also prevent transmission of infections spread by direct contact with mucous membranes.
- High-efficiency disposable masks are more effective than cotton gauze or paper tissue masks.
- Place mask on before entering the room and remove it before exiting.
Waste Products
- Waste products, such as contaminated dressings, urine, and feces, should be handled and disposed of according to local policy and EPA standards.
- Urine and feces should be flushed, and bedpans and containers should be cleaned and disinfected immediately after use.
- All waste products should be bagged, labeled, and disposed of at least daily or more often to prevent accumulation.
Gloves
- Gloves can be either sterile or nonsterile, depending on the type of isolation or procedure being done.
- Gloves do not eliminate the need for handwashing, as microorganisms can still accumulate beneath the gloves.
- Gloves should be worn for routine care, but sterile gloves should be used for sterile procedures or when working with immunosuppressed patients.
Cleaning and Disinfection
- Medical equipment should be cleaned using water and the proper detergent to ensure it is free of tissue or foreign material.
- Cleaning is required prior to high-level disinfection and sterilization.
- Surgical equipment should be presoaked to soften and loosen any tissue or blood.
- Equipment should be assessed to ensure it has been cleaned appropriately.
High Level Disinfection and Sterilization
- Contaminated items should be placed in a biohazard bag and disposed of properly.
- Biohazard bags may require a stronger secondary container to ensure integrity.
- Biohazardous material should be sent to another location for proper disposal.
Cleaning the Patient Unit
- Cleaning may be either routine or terminal.
- Routine cleaning is done every day and involves wiping up spills, cleaning bed rails, and all horizontal surfaces.
- If the patient's disease requires a private room, cleaning equipment should be conducted using an approved disinfectant before going to another room.
Gowns and Eye Protection
- Gowns are used to prevent contamination of uniforms and protect skin from blood and body fluid exposures.
- Gowns are worn only once and discarded before leaving the unit.
- Gloves are worn to provide a protective barrier, reduce the likelihood of microorganism transmission, and prevent gross contamination of hands.
- Eye protection, such as goggles or face shields, is mandated by OSHA to prevent transmission of bloodborne pathogens.
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Description
Test your knowledge on the correct procedures for sterilizing and storing medical equipment to ensure sterility prior to use. Learn about the importance of cleaning, the recommended detergents, and the process of high-level disinfection.
