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Questions and Answers
What is the main purpose of the Spaulding classification system?
What is the main purpose of the Spaulding classification system?
- To define the appropriate methods for cleaning reusable medical devices.
- To categorize surgical procedures based on complexity.
- To classify medical devices based on their level of risk and contamination. (correct)
- To determine the training required for medical personnel in decontamination.
Which of the following devices is classified as non-critical according to the Spaulding classification system?
Which of the following devices is classified as non-critical according to the Spaulding classification system?
- Scout needle
- Travers retractor
- Stethoscope (correct)
- Parkes retractor
What is the minimum level of processing for semi-critical devices outlined in the Spaulding classification?
What is the minimum level of processing for semi-critical devices outlined in the Spaulding classification?
- Wiping with a disinfectant
- Low-level disinfection
- High-level disinfection (correct)
- Sterilization
Which cleaning method is considered the most effective for thoroughly decontaminating reusable medical devices?
Which cleaning method is considered the most effective for thoroughly decontaminating reusable medical devices?
When sorting and disassembling reusable medical devices prior to automated cleaning, which action is NOT recommended?
When sorting and disassembling reusable medical devices prior to automated cleaning, which action is NOT recommended?
What could be a common user error when loading a washer-disinfector?
What could be a common user error when loading a washer-disinfector?
In the context of infection prevention, what is the critical step in reprocessing reusable medical devices after surgery?
In the context of infection prevention, what is the critical step in reprocessing reusable medical devices after surgery?
What is the role of water quality in the cleaning and disinfection processes?
What is the role of water quality in the cleaning and disinfection processes?
What is the minimum reprocessing requirement for devices used in critical sites?
What is the minimum reprocessing requirement for devices used in critical sites?
Which classification applies to devices that undergo high-level disinfection after each use?
Which classification applies to devices that undergo high-level disinfection after each use?
Which classification identifies surgical scissors as being at critical risk requiring sterilization?
Which classification identifies surgical scissors as being at critical risk requiring sterilization?
For which type of site is routine cleaning generally sufficient without additional disinfection?
For which type of site is routine cleaning generally sufficient without additional disinfection?
What level of disinfection is required for devices like endoscopes that contact intact skin or mucous membranes?
What level of disinfection is required for devices like endoscopes that contact intact skin or mucous membranes?
What minimum level of decontamination is necessary for devices meant for non-intact skin or mucous membranes?
What minimum level of decontamination is necessary for devices meant for non-intact skin or mucous membranes?
Which practice should NOT be followed when cleaning reusable medical devices in mesh trays?
Which practice should NOT be followed when cleaning reusable medical devices in mesh trays?
Which of the following best describes the devices used in sterile areas of the body?
Which of the following best describes the devices used in sterile areas of the body?
What is a key factor in determining the appropriate level of decontamination for a medical device?
What is a key factor in determining the appropriate level of decontamination for a medical device?
What primary action is essential for ensuring timely decontamination of reusable medical devices?
What primary action is essential for ensuring timely decontamination of reusable medical devices?
Which statement about critical and non-critical devices is accurate?
Which statement about critical and non-critical devices is accurate?
What is generally the minimum acceptable level of reprocessing for semi-critical devices when sterilization is not feasible?
What is generally the minimum acceptable level of reprocessing for semi-critical devices when sterilization is not feasible?
What condition applies when using devices classified as non-critical?
What condition applies when using devices classified as non-critical?
What role do manufacturer’s instructions play in the cleaning process of reusable medical devices?
What role do manufacturer’s instructions play in the cleaning process of reusable medical devices?
When using an automated cleaner for reusable medical devices, what is essential for effective cleaning?
When using an automated cleaner for reusable medical devices, what is essential for effective cleaning?
In the sorting process for reusable medical devices, which factor must be considered?
In the sorting process for reusable medical devices, which factor must be considered?
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Study Notes
Spaulding Classifications
- Spaulding classifications are a system for categorizing medical devices based on the risk of infection associated with their use.
- There are three categories: Non-critical, Semi-critical, and Critical.
- Non-critical devices are those that come into contact with intact skin, such as stethoscopes. They require cleaning and/or disinfection.
- Semi-critical devices come into contact with mucous membranes or non-intact skin, examples are Parkes retractors. They require high-level disinfection.
- Critical devices come into contact with sterile areas of the body, or blood. They must be sterilized, examples are Travers retractors.
Reprocessing Levels
- Critical devices require sterilization, either through single-use, steam sterilization, or low-temperature sterilization.
- Semi-critical devices require sterilization or high-level disinfection.
- Non-critical devices need to be cleaned, with intermediate or low-level disinfection depending on specific circumstances.
RMD Decontamination
- Reusable medical devices (RMDs) should be decontaminated after each use to prevent infection.
- Decontamination processes must be validated and the devices reprocessed to a level appropriate for their intended use.
- The choice of decontamination process depends on the body sites where the device will be used and the risk associated with the procedure.
Sorting and Disassembly of RMDs
- RMDs should be sorted and disassembled to facilitate cleaning and minimize risk.
- Policies and procedures should be developed for handling, sorting and disassembly of all devices used within the facility.
- Manufacturer's instructions for cleaning should be followed to ensure adequate cleaning and prevent damage.
- Disassembly of RMDs should involve:
- Opening all locks and hinges.
- Placing devices in mesh baskets so all surfaces are exposed to cleaning.
- Placing jointed devices in an open position.
- Using markers to identify sets and numbers if extra baskets are needed.
Surgical Instrument Processing Steps
- The processing steps for surgical instruments include:
- Pre-preparation (wiping and keeping moist)
- Manual cleaning
- Ultrasonic cleaning
- Rinsing
- Drying
- Packaging
- Sterilization
- Storage
- These steps ensure that the instruments are properly cleaned and sterilized before use.
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