Rigid Containers in Sterilization
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Questions and Answers

What is the primary purpose of packaging materials in CSSD?

  • To allow for complete and secure enclosure of the item(s) (correct)
  • To provide adequate air removal
  • To provide a method of sealing that results in a complete seal
  • To ensure the seal is tamper-proof and able to seal only once
  • What type of fabric is used to make Sterilization Flat Wrap?

  • Woven fabric
  • Bonded double-layer fabric
  • Single-layer wrapper
  • Nonwoven Spunbond-meltblown-spunbond (SMS) fabric (correct)
  • What is the primary advantage of using Rigid reusable containers?

  • They are cost-effective if used properly (correct)
  • They are more resistant to tears and punctures
  • They provide a complete seal and adequate seal integrity
  • They are more user-friendly compared to other options
  • What is the difference between Sequential Wrapping and Simultaneous Wrapping?

    <p>Sequential wrapping wraps two layers individually, while Simultaneous wrapping wraps two layers together</p> Signup and view all the answers

    What is the purpose of the Square Fold Technique?

    <p>To wrap heavier items</p> Signup and view all the answers

    Which of the following is NOT a requirement for packaging materials in CSSD?

    <p>To ensure the seal is reusable</p> Signup and view all the answers

    What is the advantage of using Sterilization Flat Wrap?

    <p>It is a single-use product</p> Signup and view all the answers

    What is the purpose of the Envelope Fold Technique?

    <p>To wrap smaller items</p> Signup and view all the answers

    What is the primary benefit of using Sequential Wrapping?

    <p>It is more commonly used in CSSD</p> Signup and view all the answers

    What is the primary difference between Rigid reusable containers and Sterilization Flat Wrap?

    <p>Rigid reusable containers are reusable, while Sterilization Flat Wrap is single-use</p> Signup and view all the answers

    Study Notes

    Rigid Containers

    • Rigid containers are almost indestructible, providing sterility and customer reassurance if handled and maintained according to manufacturer's instructions.
    • Containers should be:
      • Easily disassembled for cleaning, drying, and storage
      • Suitable for the method of sterilization being used
      • Compatible with the cleaning method and cleaning agent being used
      • Suitable for the storage configuration
      • Lockable, tamperproof, and non-resealable
      • Packed in a manner that allows for penetration of the sterilizing agent
      • Able to remove contents without the risk of contamination of the contents
    • Containers have filter and/or valve systems that are secure and must be in proper working order before sterilization.
    • Examine the filter plate for integrity both before use and after the sterilization process.
    • Clean containers between each use; clean and check the seal between the base and the lid for possible damage.
    • Containers should be serviced regularly by the manufacturer as per the IFUs.

    Disadvantages of Using Containers

    • Creates ergonomics challenge to those who will lift them due to heaviness.
    • Requires additional space to store them as they are larger than wrapped trays.
    • Longer cycle time may be required to avoid issues associated with excessively wet packs.
    • Entails extra effort since the containers must be cleaned between uses.
    • Potential risk of filter dislodge leading to instruments contamination.

    Pouches and Reels

    • Peel-apart pouches with a see-through front and paper backing are often used for single devices or small loads.
    • They come in reels of various sizes where both ends need to be sealed or as single forms of various sizes for self-seal.

    Microbiological Monitoring

    • Microbiological monitoring is carried out in the IAP room according to hospital infection control policies.
    • Monitoring is used as an early warning system to alert staff when environmental quality is drifting out of control.
    • One method of monitoring involves placing contact or settle plates in pre-planned locations in the room and then sending them to the lab for culturing and analysis.

    Dress Code Requirement

    • Staff movement, between dirty and clean areas is not possible without passing through a clothing change and hand-wash area.
    • Protective clothing is worn by personnel entering the IAP room to reduce the risk of possible contamination of the clean reusable medical devices and the environment.
    • Managers ensure that protective clothing is available and all personnel are responsible for correct use and disposal.

    Specialists Working in the IAP

    • Specialists wear:
      • A freshly laundered scrub suit to minimize bacterial shedding and provide comfort and a professional appearance.
      • A clean, single-use, low-lint surgical hat or hood that confines all hair.

    IAP Room Considerations

    • Layout should allow for easy cleaning and decontamination.
    • Clean and dirty zones should be separated.
    • Traffic flow should be controlled to prevent contamination.

    ANSI/AAMI Guidelines

    • ANSI/AAMI ST77 containment devices for reusable medical devices sterilization and ANSI/ AAMI ST79, comprehensive guide to steam sterilization and sterility assurance in health care facility.
    • Maximum weight of surgical instrument sets trays is 25 pounds, including the weight of the instruments and the instruments containers.

    Packaging

    • Two main considerations for packaging are the type of wrap or packaging chosen and the packaging techniques applied.
    • Packaging should:
      • Allow for complete and secure enclosure of the item(s)
      • Protect the contents of the package from physical damage as far as possible due to stacking or compression
      • Allow a method of sealing that results in a complete seal and provide adequate seal integrity
      • Be resistant to tears, abrasions, and punctures
      • Ensure the seal is tamper-proof and able to seal only once
      • Permit adequate air removal

    Sterilization Flat Wrap

    • Made of nonwoven Spunbond-meltblown-spunbond (SMS) fabrics and designed as single-use products.
    • Available in a variety of sizes and weights.

    Wrapping Techniques

    • Sequential Wrapping: Two layers of wrap material are wrapped individually using a fold technique.
    • Simultaneous Wrapping: Both layers of wrap material are wrapped together simultaneously.
    • Square Fold Technique: Items are placed on the table parallel to the wrapper.
    • Envelope Fold Technique: Items are placed on the table in a diamond shape to the wrapper.

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    Description

    This quiz assesses your knowledge of the characteristics and considerations when using rigid containers for sterilization. Topics include container maintenance, sterilization methods, and storage configurations.

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