Sterile Processing Chapter 1 Flashcards
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Questions and Answers

What is a decontamination room?

Where soiled items are received and cleaned

What is the purpose of the prep and packaging area?

Where cleaned items are inspected, assembled, and packaged

What occurs in the high level disinfectant room?

Where items are high-level disinfected before going to prep and packaging area

What happens in the sterilization area?

<p>Where terminal sterilization is performed</p> Signup and view all the answers

What is the sterile storage area?

<p>Where sterile items are stored until needed</p> Signup and view all the answers

What is the function of the dispatch area?

<p>Where instruments are dispensed</p> Signup and view all the answers

What does IFU stand for?

<p>Instructions for use</p> Signup and view all the answers

IFU's are in alignment with recommendations from ____ standards.

<p>OSHA</p> Signup and view all the answers

What does PPE stand for?

<p>Personal protective equipment</p> Signup and view all the answers

What is the workflow in sterile processing?

<p>Decontamination, prep and package, sterilization, sterile storage, distribution</p> Signup and view all the answers

Instruments should always go in a ___ to ___ order.

<p>dirty to clean</p> Signup and view all the answers

When leaving decontamination, you must leave all PPE behind.

<p>True</p> Signup and view all the answers

What does CBSD stand for?

<p>Certification board for sterile processing and distribution</p> Signup and view all the answers

What does HIPAA stand for?

<p>Health Insurance Portability and Accountability Act</p> Signup and view all the answers

What is a regulation?

<p>Law</p> Signup and view all the answers

What is a standard?

<p>Established norm</p> Signup and view all the answers

CSPD rules follow ______ standards.

<p>AAMI</p> Signup and view all the answers

What does AAMI stand for?

<p>Association for the Advancement of Medical Instrumentation</p> Signup and view all the answers

What standards does AAMI have?

<p>Decontamination, disinfection, sterilization, steam sterilizers, EO sterilizers, biological indicators, and chemical indicators</p> Signup and view all the answers

What does CDC stand for?

<p>Centers for Disease Control and Prevention</p> Signup and view all the answers

What are recommended practices?

<p>Statements of sound principles of practice based on scientific data and the opinions of experts</p> Signup and view all the answers

What does AORN stand for?

<p>Association of Operating Room Nurses</p> Signup and view all the answers

What does EPA stand for?

<p>Environmental Protection Agency</p> Signup and view all the answers

What does the EPA do?

<p>Registers and regulates environmental disinfectants, controls air and water emissions, sale and use of ethylene oxide</p> Signup and view all the answers

What does FDA stand for?

<p>Food and Drug Administration</p> Signup and view all the answers

What does the FDA regulate?

<p>New drugs, medical devices, microwave ovens, cosmetics, dietary supplements</p> Signup and view all the answers

The FDA regulates single-use devices.

<p>True</p> Signup and view all the answers

The FDA does not regulate the reprocessing of open but unused devices or pacemakers or hemodialysis.

<p>True</p> Signup and view all the answers

What is the medical device reporting regulation?

<p>Requires that medical device manufacturers and distributors report patient deaths, serious injury, and malfunctions</p> Signup and view all the answers

What does OSHA stand for?

<p>Occupational Safety and Health Administration</p> Signup and view all the answers

What does OSHA regulate?

<p>PPE, airborne contaminants, occupational exposure to bloodborne pathogens and communication of workplace hazards</p> Signup and view all the answers

What is an SDS?

<p>Safety Data Sheet - should have one for every single chemical used</p> Signup and view all the answers

What does NFPA stand for?

<p>National Fire Protection Association</p> Signup and view all the answers

What does a blue diamond indicate on the fire diamond?

<p>Health hazard</p> Signup and view all the answers

What does a red diamond indicate on the fire diamond?

<p>Flammability</p> Signup and view all the answers

What does a yellow diamond indicate on the fire diamond?

<p>Instability</p> Signup and view all the answers

What does a white diamond indicate on the fire diamond?

<p>Special hazard information</p> Signup and view all the answers

What does JC stand for?

<p>The Joint Commission</p> Signup and view all the answers

How does Spalding's classification rank items?

<p>Critical, semicritical, and noncritical</p> Signup and view all the answers

High level disinfection can kill spores.

<p>False</p> Signup and view all the answers

Spores can only be killed by sterilization.

<p>True</p> Signup and view all the answers

Should you always sterilize loaner instruments?

<p>False</p> Signup and view all the answers

What is a Class A fire?

<p>Anything regular that can catch on fire, wood, paper, rubber, etc.</p> Signup and view all the answers

What is a Class B fire?

<p>Combustible liquids like gas, alcohol, oil, etc.</p> Signup and view all the answers

What is a Class C fire?

<p>Involves electrical equipment</p> Signup and view all the answers

What is a Class D fire?

<p>Combustible metals like magnesium, titanium, and sodium</p> Signup and view all the answers

What is a Class E fire?

<p>Fires with kitchen stuff like vegetable and animal oil</p> Signup and view all the answers

What is the fire triangle?

<p>Ignition source, oxygen, fuel</p> Signup and view all the answers

What does PASS stand for?

<p>Pull, Aim, Squeeze, Sweep</p> Signup and view all the answers

What does RACE stand for?

<p>Rescue, Alarm, Contain, Extinguish</p> Signup and view all the answers

Study Notes

Sterile Processing Basics

  • Decontamination Room: The initial area where soiled items are cleaned.
  • Prep and Packaging Area: Where cleaned items are inspected, assembled, and packaged for use.
  • High Level Disinfectant Room: Dedicated space for high-level disinfection of items before they move to preparation and packaging.
  • Sterilization Area: The zone where terminal sterilization of instruments occurs.
  • Sterile Storage Area: Storage for sterile items until they are needed for procedures.
  • Dispatch Area: The location where instruments are dispensed for use.
  • IFU: Stands for Instructions for Use; essential for proper handling of medical instruments.
  • IFU Alignment: IFUs must align with OSHA (Occupational Safety and Health Administration) standards.
  • PPE: Refers to Personal Protective Equipment, vital for safe handling of materials.
  • Workflow Components: Key steps include decontamination, prep and package, sterilization, sterile storage, and distribution.
  • Instrument Handling: Items should always be organized from dirty to clean.
  • PPE Protocol: All PPE must be left behind when exiting the decontamination area for safety.

Standards and Regulations

  • CBSD: The Certification Board for Sterile Processing and Distribution, involved in maintaining standards.
  • HIPAA: The Health Insurance Portability and Accountability Act, focusing on patient data protection.
  • Regulation Definition: Laws that govern practices within the sterile processing domain.
  • Standard Definition: Established norms guiding sterile practices.
  • CSPD Standards: Follow AAMI (Association for the Advancement of Medical Instrumentation) standards for safety and efficiency.
  • AAMI Standards: Cover essential areas such as decontamination, sterilization processes, and indicators for sterilization.

Health and Safety Organizations

  • CDC: Centers for Disease Control and Prevention, provides guidelines to prevent health hazards.
  • Recommended Practices: Based on scientific data and expert opinion, ensure safe and effective procedures.
  • AORN: Association of Operating Room Nurses, focuses on nursing standards and practices in surgery.
  • EPA: Environmental Protection Agency, regulates environmental disinfectants and manages waste from sterilization processes.
  • FDA: Food and Drug Administration, oversees regulation of drugs, medical devices, and asserts control over single-use devices.

Fire and Safety Protocols

  • SDS: Safety Data Sheet; crucial for understanding the risks associated with chemicals used in sterile processing.
  • NFPA Fire Diamonds:
    • Blue Diamond: Indicates health hazard.
    • Red Diamond: Indicates flammability risk.
    • Yellow Diamond: Denotes instability hazard.
    • White Diamond: Provides special hazard information.
  • Joint Commission (JC): Oversees compliance with health care regulations.

Disinfection and Sterilization

  • Spalding's Classification: Ranks instruments as critical, semi-critical, or noncritical based on risk of infection.
  • High-Level Disinfection Limitation: Cannot kill spores; sterilization is required for spore elimination.
  • Loaner Instrument Policy: Always sterilize loaner instruments before use for patient safety.

Fire Safety Classifications

  • Class A Fire: Involves ordinary combustible materials (wood, paper).
  • Class B Fire: Involves flammable liquids (gasoline, oils).
  • Class C Fire: Involves electrical equipment and materials.
  • Class D Fire: Involves combustible metals (magnesium, sodium).
  • Class E Fire: Involves kitchen fires from oils and fats.

Emergency Procedures

  • Fire Triangle Components: Ignition source, oxygen, and fuel are necessary for a fire.
  • PASS Acronym: For extinguisher use—Pull, Aim, Squeeze, Sweep.
  • RACE Acronym: Emergency response steps—Rescue, Alarm, Contain, Extinguish.

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Test your knowledge on the basics of sterile processing with these flashcards. Chapter 1 covers essential terms such as decontamination, prep and packaging, high level disinfectant areas, and sterilization zones. Ideal for students and professionals in the healthcare field.

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