PDF CSSD guide PDF

‫‪1‬‬ ‫إﻋداد‪ :‬ﻓﮭد اﻟﺣﺎرﺛﻲ‬ ‫ﺑرﻧﺎﻣﺞ ﻓﻧﻲ ﺗﻌﻘﯾم اﻟدﻓﻌﺔ اﻟﺛﺎﻧﯾﺔ – ﻣرﻛز ﺟﺎﻣﻌﺔ اﻟطﺎﺋف‬ ‫ﻟﻼﻗﺗراﺣﺎت‪٠٥٠١٠٣٣٣٧٧ :‬‬ ‫ھذا اﻟﻣﻠف ﻣﺟﺎﻧﻲ ﺷﺎﻣل ﻟﻛﺗﺎب اﻟﮭﯾﺋﺔ واﻻﯾﺷم ﻣﻊ اﻟﺗرﺟﻣﺔ‪) ،‬اﻟﻧﺳﺧﺔ اﻷوﻟﻰ(‬ ‫‪Module Introductory:‬‬ ‫وﺣﺪة ﺗﻤﮭﯿﺪﯾﺔ‬ ‫‪Introduction to Central Services:‬‬ ‫ﻣﻘﺪﻣﺔ ﻓﻲ اﻟﺨﺪﻣﺎت اﻟﻤﺮﻛﺰﯾﺔ‬ ‫‪ :‬اﭘﺮو...

‫‪1‬‬ ‫إﻋداد‪ :‬ﻓﮭد اﻟﺣﺎرﺛﻲ‬ ‫ﺑرﻧﺎﻣﺞ ﻓﻧﻲ ﺗﻌﻘﯾم اﻟدﻓﻌﺔ اﻟﺛﺎﻧﯾﺔ – ﻣرﻛز ﺟﺎﻣﻌﺔ اﻟطﺎﺋف‬ ‫ﻟﻼﻗﺗراﺣﺎت‪٠٥٠١٠٣٣٣٧٧ :‬‬ ‫ھذا اﻟﻣﻠف ﻣﺟﺎﻧﻲ ﺷﺎﻣل ﻟﻛﺗﺎب اﻟﮭﯾﺋﺔ واﻻﯾﺷم ﻣﻊ اﻟﺗرﺟﻣﺔ‪) ،‬اﻟﻧﺳﺧﺔ اﻷوﻟﻰ(‬ ‫‪Module Introductory:‬‬ ‫وﺣﺪة ﺗﻤﮭﯿﺪﯾﺔ‬ ‫‪Introduction to Central Services:‬‬ ‫ﻣﻘﺪﻣﺔ ﻓﻲ اﻟﺨﺪﻣﺎت اﻟﻤﺮﻛﺰﯾﺔ‬ ‫‪ :‬اﭘﺮوﺗﺸﯿﺲ ﺗﻮ ﻟﯿﺮﻧﯿﻨﻖ ‪Approaches to Learning‬‬ ‫ﻣﻨﺎھﺞ اﻟﺘﻌﻠﻢ‪:‬‬ ‫ﺧﺼﺎﺋﺺ اﻟﻤﺘﻌﻠﻤﯿﻦ اﻟﺒﺎﻟﻐﯿﻦ ‪acteristics of adult learners :‬‬ ‫‪ Autonomous and self-directed‬‬ ‫ﻣﺴﺘﻘﻞ وذاﺗﻲ اﻟﺘﻮﺟﯿﮫ‬ ‫‪ Experienced and knowledgeable‬‬ ‫اﻟﺨﺒﺮة واﻟﻤﻌﺮﻓﺔ‬ ‫‪ Goal oriented‬‬ ‫ﻣﻮﺟﮫ ﻧﺤﻮ اﻟﮭﺪف‬ ‫‪ Relevancy oriented‬‬ ‫اﻟﻤﻼءﻣﺔ اﻟﻤﻮﺟﮭﺔ‬ ‫‪ Practical and learn by doing‬‬ ‫اﻟﺘﻌﻠﻢ واﻟﻌﻤﻞ ﺑﺎﻟﻤﻤﺎرﺳﺔ‬ ‫‪ Respectful and want to be respected‬‬ ‫ﻣﺤﺘِﺮم وﯾﺮﯾﺪ ان ﯾﻜﻮن ُﻣﺤﺘَﺮم‬  2 Challenges for Returning Students ‫ اﻟﺘﺤﺪﯾﺎت اﻟﺘﻲ ﺗﻮاﺟﮫ اﻟﻄﻼب اﻟﻌﺎﺋﺪﯾﻦ‬: Responsibilities ‫اﻟﻤﺴﺆوﻟﯿﺎت‬ Social fears ‫ﻣﺨﺎوف اﺟﺘﻤﺎﻋﯿﺔ‬ Learning curve ‫ﻣﻨﺤﻨﻰ اﻟﺘﻌﻠﻢ‬ Diversity ‫اﻟﺘﻨﻮع‬ The Four Stages of Competence: :‫اﻟﻤﺮاﺣﻞ اﻷرﺑﻌﺔ ﻟﻠﻜﻔﺎءة‬ You dont understand or know how todo something. You must recognized your Unconscious Incompetence incompetence before moving on to the next ‫ﻋﺪم اﻟﻜﻔﺎءة اﻟﻼواﻋﯿﺔ‬ stage. ‫ ﯾﺠﺐ أن ﺗﻌﺘﺮف ﺑﻌﺪم‬.‫أﻧﺖ ﻻ ﺗﻔﮭﻢ أو ﺗﻌﺮف ﻛﯿﻒ ﺗﻔﻌﻞ ﺷﯿﺌﺎ ﻣﺎ‬.‫ﻛﻔﺎءﺗﻚ ﻗﺒﻞ اﻻﻧﺘﻘﺎل إﻟﻰ اﻟﻤﺮﺣﻠﺔ اﻟﺘﺎﻟﯿﺔ‬ Though you do not understand or know how to do some- thing, you recognize the deficit and see Conscious Incompetence the value in learning a new skill. ‫ﻋﺪم اﻟﻜﻔﺎءة اﻟﻮاﻋﯿﺔ‬ ‫ إﻻ أﻧﻚ‬،‫ﻋﻠﻰ اﻟﺮﻏﻢ ﻣﻦ أﻧﻚ ﻻ ﺗﻔﮭﻢ أو ﺗﻌﺮف ﻛﯿﻔﯿﺔ اﻟﻘﯿﺎم ﺑﺸﻲء ﻣﺎ‬.‫ﺗﺪرك اﻟﻌﺠﺰ وﺗﺮى اﻟﻘﯿﻤﺔ ﻓﻲ ﺗﻌﻠﻢ ﻣﮭﺎرة ﺟﺪﯾﺪة‬ You know how to do something, but must use Conscious Competence strong concentration to execute the new skill. ‫اﻟﻜﻔﺎءة اﻟﻮاﻋﯿﺔ‬ ‫ وﻟﻜﻦ ﯾﺠﺐ أن ﺗﺴﺘﺨﺪم ﺗﺮﻛﯿﺰا ﻗﻮﯾﺎ‬،‫أﻧﺖ ﺗﻌﺮف ﻛﯿﻒ ﺗﻔﻌﻞ ﺷﯿﺌﺎ ﻣﺎ‬.‫ﻟﺘﻨﻔﯿﺬ اﻟﻤﮭﺎرة اﻟﺠﺪﯾﺪة‬ You have had so much practice with the new skill that it has become second nature and can be performed easily. At this level the skill can be performed while doing another task and you Unconscious Competence may be able to teach it to others. ‫اﻟﻜﻔﺎءة اﻟﻼواﻋﯿﺔ‬ ‫ﻟﻘﺪ ﻛﺎن ﻟﺪﯾﻚ اﻟﻜﺜﯿﺮ ﻣﻦ اﻟﻤﻤﺎرﺳﺔ ﻣﻊ اﻟﻤﮭﺎرة اﻟﺠﺪﯾﺪة ﻟﺪرﺟﺔ أﻧﮭﺎ‬ ،‫ ﻓﻲ ھﺬا اﻟﻤﺴﺘﻮى‬.‫أﺻﺒﺤﺖ طﺒﯿﻌﺔ ﺛﺎﻧﯿﺔ وﯾﻤﻜﻦ ﺗﻨﻔﯿﺬھﺎ ﺑﺴﮭﻮﻟﺔ‬ ‫ﯾﻤﻜﻦ أداء اﻟﻤﮭﺎرة أﺛﻨﺎء اﻟﻘﯿﺎم ﺑﻤﮭﻤﺔ أﺧﺮى وﻗﺪ ﺗﺘﻤﻜﻦ ﻣﻦ ﺗﻌﻠﯿﻤﮭﺎ‬.‫ﻟﻶﺧﺮﯾﻦ‬ Multicultural Workplace: ‫ﻣﻜﺎن ﻋﻤﻞ ﻣﺘﻌﺪد اﻟﺜﻘﺎﻓﺎت‬ In a multicultural team people come from many different countries and backgrounds and may have different perspectives and perceptions based on influences like: ‫ ﯾﺄﺗﻲ اﻟﻨﺎس ﻣﻦ اﻟﻌﺪﯾﺪ ﻣﻦ اﻟﺒﻠﺪان واﻟﺨﻠﻔﯿﺎت اﻟﻤﺨﺘﻠﻔﺔ وﻗﺪ ﯾﻜﻮن ﻟﺪﯾﮭﻢ وﺟﮭﺎت ﻧﻈﺮ وﺗﺼﻮرات ﻣﺨﺘﻠﻔﺔ ﺑﻨﺎء ﻋﻠﻰ‬،‫ﻓﻲ ﻓﺮﯾﻖ ﻣﺘﻌﺪد اﻟﺜﻘﺎﻓﺎت‬ :‫ﺗﺄﺛﯿﺮات ﻣﺜﻞ‬ Age ‫اﻟﻌﻤﺮ‬ Ethnicity ‫اﻟﻌﺮق‬ Class ‫اﻟﻔﺌﺔ‬ Gender ‫اﻟﺠﻨﺲ‬ Race ‫اﻟﺴﻼﻟﺔ‬ Language ‫اﻟﻠﻐﺔ‬ Education ‫اﻟﺘﻌﻠﯿﻢ‬ Religion ‫اﻟﺪﯾﻦ‬ Disability ‫اﻟﻌﺠﺰ‬  3 Treating people differently can constitute harassment or a hostile work environment..‫ﯾﻤﻜﻦ أن ﺗﺸﻜﻞ ﻣﻌﺎﻣﻠﺔ اﻟﻨﺎس ﺑﺸﻜﻞ ﻣﺨﺘﻠﻒ ﻣﻀﺎﯾﻘﺔ أو ﺑﯿﺌﺔ ﻋﻤﻞ ﻋﺪاﺋﯿﺔ‬ What is CSSD? Central Sterile Service Department (CSSD) is a place in hospitals or healthcare facilities that performs reprocessing of reusable medical devices used by health workers in the operating room for sugical and other patient procedures. ‫( ھﻮ ﻣﻜﺎن ﻓﻲ اﻟﻤﺴﺘﺸﻔﯿﺎت أو ﻣﺮاﻓﻖ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ ﯾﻘﻮم ﺑﺈﻋﺎدة ﻣﻌﺎﻟﺠﺔ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة‬CSSD) ‫ﻗﺴﻢ ﺧﺪﻣﺔ اﻟﺘﻌﻘﯿﻢ اﻟﻤﺮﻛﺰي‬.‫اﻻﺳﺘﺨﺪام واﻟﺘﻲ ﯾﺴﺘﺨﺪﻣﮭﺎ اﻟﻌﺎﻣﻠﻮن اﻟﺼﺤﯿﻮن ﻓﻲ ﻏﺮﻓﺔ اﻟﻌﻤﻠﯿﺎت ﻹﺟﺮاء اﻟﻌﻤﻠﯿﺎت اﻟﺠﺮاﺣﯿﺔ وﻏﯿﺮھﺎ ﻣﻦ إﺟﺮاءات اﻟﻤﺮﺿﻰ‬ This department is sometimes called the sterile processing department (SPD), central supply department (CSD) and central decontamination unit (CDU)..(CDU) ‫ ووﺣﺪة اﻟﺘﻄﮭﯿﺮ اﻟﻤﺮﻛﺰﯾﺔ‬،(CSD) ‫ وﻗﺴﻢ اﻹﻣﺪاد اﻟﻤﺮﻛﺰي‬،(SPD) ‫ﯾُﻄﻠﻖ ﻋﻠﻰ ھﺬا اﻟﻘﺴﻢ أﺣﯿﺎﻧًﺎ اﺳﻢ ﻗﺴﻢ اﻟﻤﻌﺎﻟﺠﺔ اﻟﻤﻌﻘﻤﺔ‬ Manufacturing ‫ﻣﯿﻨﯿﻮ ﻓﺎﻛﺸﺮﻧﻖ‬ :‫اﻟﺘﺼﻨﯿﻊ‬ Manufacturing is the term most commonly applied to industrial production, where raw materials are transformed into finished goods on a large acale..‫ ﺣﯿﺚ ﯾﺘﻢ ﺗﺤﻮﯾﻞ اﻟﻤﻮاد اﻟﺨﺎم إﻟﻰ ﺳﻠﻊ ﺗﺎﻣﺔ اﻟﺼﻨﻊ ﻋﻠﻰ ﻧﻄﺎق واﺳﻊ‬،‫ﻋﺎ اﻟﺬي ﯾﻨﻄﺒﻖ ﻋﻠﻰ اﻹﻧﺘﺎج اﻟﺼﻨﺎﻋﻲ‬ ً ‫اﻟﺘﺼﻨﯿﻊ ھﻮ اﻟﻤﺼﻄﻠﺢ اﻷﻛﺜﺮ ﺷﯿﻮ‬ Medical Device Manufacturing: ‫ﺗﺼﻨﯿﻊ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ‬ Medical devices are defined by international regulatory bodies, such as the US Food and Drug Administration (FDA) and the European Medical Devices Directive, as any object or component used in the diagnosis, treatment, prevention, or cure of medical conditions or diseases, or affects body structure or function through means other than chemical or metabolic reaction to humans or animals. ‫( وﺗﻮﺟﯿﮭﺎت اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ‬FDA) ‫ ﻣﺜﻞ إدارة اﻟﻐﺬاء واﻟﺪواء اﻷﻣﺮﯾﻜﯿﺔ‬،‫ﯾﺘﻢ ﺗﻌﺮﯾﻒ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ ﻣﻦ ﻗﺒﻞ اﻟﮭﯿﺌﺎت اﻟﺘﻨﻈﯿﻤﯿﺔ اﻟﺪوﻟﯿﺔ‬ ‫ أو ﯾﺆﺛﺮ ﻋﻠﻰ‬،‫ ﻋﻠﻰ أﻧﮭﺎ أي ﻛﺎﺋﻦ أو ﻣﻜﻮن ﯾﺴﺘﺨﺪم ﻓﻲ اﻟﺘﺸﺨﯿﺺ أو اﻟﻌﻼج أو اﻟﻮﻗﺎﯾﺔ أو اﻟﺸﻔﺎء ﻣﻦ اﻟﺤﺎﻻت اﻟﻄﺒﯿﺔ أو اﻷﻣﺮاض‬،‫اﻷوروﺑﯿﺔ‬.‫ﺑﻨﯿﺔ اﻟﺠﺴﻢ أو وظﯿﻔﺘﮫ ﻣﻦ ﺧﻼل وﺳﺎﺋﻞ أﺧﺮى ﻏﯿﺮ اﻟﺘﻔﺎﻋﻞ اﻟﻜﯿﻤﯿﺎﺋﻲ أو اﻷﯾﻀﻲ ﻟﻺﻧﺴﺎن أو اﻟﺤﯿﻮان‬ This includes all mediacl tools, excluding drugs, ranging from tongue depressors, to surgical instruments and radiology treatments..‫ إﻟﻰ اﻷدوات اﻟﺠﺮاﺣﯿﺔ واﻟﻌﻼﺟﺎت اﻹﺷﻌﺎﻋﯿﺔ‬،‫ ﺑﺪءا ً ﻣﻦ ﺧﺎﻓﻀﺎت اﻟﻠﺴﺎن‬،‫ ﺑﺎﺳﺘﺜﻨﺎء اﻷدوﯾﺔ‬،‫وﯾﺸﻤﻞ ذﻟﻚ ﺟﻤﯿﻊ اﻷدوات اﻟﻄﺒﯿﺔ‬ In healthcare, CSSD is where the critical function of reprocessing reusable medical devices occurs..‫ ھﻮ اﻟﻤﻜﺎن اﻟﺬي ﺗﺤﺪث ﻓﯿﮫ اﻟﻮظﯿﻔﺔ اﻟﺤﺎﺳﻤﺔ ﻹﻋﺎدة ﻣﻌﺎﻟﺠﺔ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬CSSD ،‫ﻓﻲ ﻣﺠﺎل اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬ In a hospital setting, reusable medical devices and surgical instruments are more commonly used than disposable ones, as it is more cost effective and creates less environmental waste. This is especially true for surgical procedures in operating rooms where 50 or more surgical instruments are commonly used. ‫ ﺗﺴﺘﺨﺪم اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام واﻷدوات اﻟﺠﺮاﺣﯿﺔ ﺑﺸﻜﻞ أﻛﺜﺮ ﺷﯿﻮﻋﺎ ﻣﻦ اﻷﺟﮭﺰة اﻟﺘﻲ ﯾﻤﻜﻦ اﻟﺘﺨﻠﺺ‬،‫ﻓﻲ ﺑﯿﺌﺔ اﻟﻤﺴﺘﺸﻔﻰ‬ ‫ ھﺬا ﺻﺤﯿﺢ ﺑﺸﻜﻞ ﺧﺎص ﺑﺎﻟﻨﺴﺒﺔ ﻟﻺﺟﺮاءات اﻟﺠﺮاﺣﯿﺔ ﻓﻲ ﻏﺮف اﻟﻌﻤﻠﯿﺎت‬.‫ ﻷﻧﮭﺎ أﻛﺜﺮ ﻓﻌﺎﻟﯿﺔ ﻣﻦ ﺣﯿﺚ اﻟﺘﻜﻠﻔﺔ وﺗﺨﻠﻖ ﻧﻔﺎﯾﺎت ﻋﻘﻠﯿﺔ أﻗﻞ‬،‫ﻣﻨﮭﺎ‬.‫ أداة ﺟﺮاﺣﯿﺔ أو أﻛﺜﺮ‬٥٠ ‫ﺣﯿﺚ ﯾﺸﯿﻊ اﺳﺘﺨﺪام‬  4 :‫اﻟﻤﻨﻈﻤﺎت اﻟﻤﺴﺆوﻟﺔ ﻋﻦ ﺗﻮﻓﯿﺮ اﻟﺘﻌﻠﯿﻤﺎت‬ AAMI WHO IAHCSMM CBSPD AORN UK DH IE HSE international standard, ISO 17664, that specifies what all manufacturers must do to create procedures or Professional groups and associaions use research and evidence-based practice to define minimum standards used to help set guidelines for standard practices and procedures for reusable medical device reprocessing. ‫ اﻟﺬي ﯾﺤﺪد ﻣﺎ ﯾﺠﺐ ﻋﻠﻰ ﺟﻤﯿﻊ اﻟﺸﺮﻛﺎت اﻟﻤﺼﻨﻌﺔ اﻟﻘﯿﺎم ﺑﮫ ﻹﻧﺸﺎء إﺟﺮاءات أو ﺗﺴﺘﺨﺪم اﻟﻤﺠﻤﻮﻋﺎت‬،ISO 17664 ،‫اﻟﻤﻌﯿﺎر اﻟﺪوﻟﻲ‬ ‫واﻟﺠﻤﻌﯿﺎت اﻟﻤﮭﻨﯿﺔ اﻟﺒﺤﻮث واﻟﻤﻤﺎرﺳﺔ اﻟﻘﺎﺋﻤﺔ ﻋﻠﻰ اﻷدﻟﺔ ﻟﺘﺤﺪﯾﺪ اﻟﺤﺪ اﻷدﻧﻰ ﻣﻦ اﻟﻤﻌﺎﯾﯿﺮ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻟﻠﻤﺴﺎﻋﺪة ﻓﻲ وﺿﻊ ﻣﺒﺎدئ ﺗﻮﺟﯿﮭﯿﺔ‬.‫ﻟﻠﻤﻤﺎرﺳﺎت واﻹﺟﺮاءات اﻟﻘﯿﺎﺳﯿﺔ ﻹﻋﺎدة ﻣﻌﺎﻟﺠﺔ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ Decontamination Life Cycle: ‫دورة ﺣﯿﺎة إزاﻟﺔ اﻟﺘﻠﻮث‬  5 Stage Frequency Cleaning involves removing all visible soil such as body fluids and tissues from reusable medical devices. ‫ﯾﺸﻤﻞ اﻟﺘﻨﻈﯿﻒ إزاﻟﺔ ﺟﻤﯿﻊ اﻷوﺳﺎخ اﻟﻤﺮﺋﯿﺔ ﻣﺜﻞ ﺳﻮاﺋﻞ اﻟﺠﺴﻢ واﻷﻧﺴﺠﺔ ﻣﻦ‬.‫اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ This may involve wiping or precleaning, ultrasonication, Cleaning manual or automated cleaning. At completion of this stage, 95% of microorganisms are removed from the device. ‫ أو اﻟﺘﻨﻈﯿﻒ‬،‫ أو اﻟﻤﻮﺟﺎت ﻓﻮق اﻟﺼﻮﺗﯿﺔ‬،‫ﻗﺪ ﯾﺸﻤﻞ ذﻟﻚ اﻟﻤﺴﺢ أو اﻟﺘﻨﻈﯿﻒ اﻟﻤﺴﺒﻖ‬ ‫ ﻣﻦ اﻟﻜﺎﺋﻨﺎت اﻟﺤﯿﺔ‬٪٩٥ ‫ ﯾﺘﻢ إزاﻟﺔ‬،‫ ﻋﻨﺪ اﻻﻧﺘﮭﺎء ﻣﻦ ھﺬه اﻟﻤﺮﺣﻠﺔ‬.‫اﻟﯿﺪوي أو اﻵﻟﻲ‬.‫اﻟﺪﻗﯿﻘﺔ ﻣﻦ اﻟﺠﮭﺎز‬ Disinfection follows cleaning and kills the majority of remaining microbes, usually by chemical or heat treatment. ‫ ﻋﺎدة ﻋﻦ طﺮﯾﻖ اﻟﻤﻌﺎﻟﺠﺔ‬،‫ﯾﺘﺒﻊ اﻟﺘﻄﮭﯿﺮ اﻟﺘﻨﻈﯿﻒ وﯾﻘﺘﻞ ﻏﺎﻟﺒﯿﺔ اﻟﻤﯿﻜﺮوﺑﺎت اﻟﻤﺘﺒﻘﯿﺔ‬.‫اﻟﻜﯿﻤﯿﺎﺋﯿﺔ أو اﻟﺤﺮارﯾﺔ‬ Spores, some mycobacteria, and prions may not be Disinfection inactivated by this. For flexible endoscopes and other delicate reusable medical devices, this may be the final hygiene stage and must be as rigorous as possible. ‫ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻤﻨﺎظﯿﺮ‬.‫ﻗﺪ ﻻ ﯾﺘﻢ ﺗﻌﻄﯿﻞ اﻟﺠﺮاﺛﯿﻢ وﺑﻌﺾ اﻟﻤﺘﻔﻄﺮات واﻟﺒﺮﯾﻮﻧﺎت ﺑﮭﺬا‬ ‫ ﻗﺪ‬،‫اﻟﺪاﺧﻠﯿﺔ اﻟﻤﺮﻧﺔ وﻏﯿﺮھﺎ ﻣﻦ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﺤﺴﺎﺳﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬.‫ﺗﻜﻮن ھﺬه ھﻲ ﻣﺮﺣﻠﺔ اﻟﻨﻈﺎﻓﺔ اﻟﻨﮭﺎﺋﯿﺔ وﯾﺠﺐ أن ﺗﻜﻮن ﺻﺎرﻣﺔ ﻗﺪر اﻹﻣﻜﺎن‬ The reusable medical device is then inspected for functionality, visible soil, and damage. ‫ﯾﺘﻢ ﺑﻌﺪ ذﻟﻚ ﻓﺤﺺ اﻟﺠﮭﺎز اﻟﻄﺒﻲ اﻟﻘﺎﺑﻞ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام ﺑﺤﺜ ًﺎ ﻋﻦ اﻷداء اﻟﻮظﯿﻔﻲ‬.‫واﻟﺘﺮﺑﺔ اﻟﻤﺮﺋﯿﺔ واﻷﺿﺮار‬ Remaining soil or damaged areas on reusable medical device may harbor clusters of microorganisms that are Inspection difficult to remove. Such reusable medical device are rejected or returned to the cleaning stage again. ‫ﻗﺪ ﺗﺤﺘﻮي اﻟﺘﺮﺑﺔ اﻟﻤﺘﺒﻘﯿﺔ أو اﻟﻤﻨﺎطﻖ اﻟﻤﺘﻀﺮرة ﻋﻠﻰ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة‬ ‫ ﯾﺘﻢ‬.‫اﻻﺳﺘﺨﺪام ﻋﻠﻰ ﻣﺠﻤﻮﻋﺎت ﻣﻦ اﻟﻜﺎﺋﻨﺎت اﻟﺤﯿﺔ اﻟﺪﻗﯿﻘﺔ اﻟﺘﻲ ﯾﺼﻌﺐ إزاﻟﺘﮭﺎ‬ ‫رﻓﺾ ﻣﺜﻞ ھﺬا اﻟﺠﮭﺎز اﻟﻄﺒﻲ اﻟﻘﺎﺑﻞ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام أو إﻋﺎدﺗﮫ إﻟﻰ ﻣﺮﺣﻠﺔ‬.‫اﻟﺘﻨﻈﯿﻒ ﻣﺮة أﺧﺮى‬ Reusable medical device which have been cleaned and disinfected are wrapped in special barrier packaging, ready for sterilization of the contents. This packaging will prevent microorganisms from entering the pack until time Packaging of use. ،‫ واﻟﺘﻲ ﺗﻢ ﺗﻨﻈﯿﻔﮭﺎ وﺗﻄﮭﯿﺮھﺎ‬،‫ﯾﺘﻢ ﺗﻐﻠﯿﻒ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ ‫ ﺳﺘﻤﻨﻊ ھﺬه اﻟﻌﺒﻮة اﻟﻜﺎﺋﻨﺎت اﻟﺤﯿﺔ‬.‫ ﺟﺎھﺰة ﻟﺘﻌﻘﯿﻢ ﻣﺤﺘﻮﯾﺎﺗﮭﺎ‬،‫ﻓﻲ ﻋﺒﻮة ﺣﺎﺟﺰة ﺧﺎﺻﺔ‬.‫اﻟﺪﻗﯿﻘﺔ ﻣﻦ دﺧﻮل اﻟﻌﺒﻮة ﺣﺘﻰ وﻗﺖ اﻻﺳﺘﺨﺪام‬ Sterilization kills any remaining microorganisms in the reusable medical device pack. There is no such thing as a device being more or less sterile—sterile means zero live Sterilization microorganisms. ‫ﯾﻘﺘﻞ اﻟﺘﻌﻘﯿﻢ أي ﻛﺎﺋﻨﺎت دﻗﯿﻘﺔ ﻣﺘﺒﻘﯿﺔ ﻓﻲ ﻋﺒﻮة اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة‬ ‫ ﻓﺎﻟﺘﻌﻘﯿﻢ ﯾﻌﻨﻲ‬،‫ ﻻ ﯾﻮﺟﺪ ﺷﻲء اﺳﻤﮫ أن ﯾﻜﻮن اﻟﺠﮭﺎز أﻛﺜﺮ أو أﻗﻞ ﺗﻌﻘﯿًﻤﺎ‬.‫اﻻﺳﺘﺨﺪام‬.‫ﻋﺪم وﺟﻮد ﻛﺎﺋﻨﺎت ﺣﯿﺔ دﻗﯿﻘﺔ‬  6 Sterile reusable medical devices are transported to the storage zone or to the point of use in a careful way to prevent damage or rupture to the packaging and prevent Transport recontamination. ‫ﯾﺘﻢ ﻧﻘﻞ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﻌﻘﻤﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام إﻟﻰ ﻣﻨﻄﻘﺔ اﻟﺘﺨﺰﯾﻦ أو إﻟﻰ‬.‫ﻧﻘﻄﺔ اﻻﺳﺘﺨﺪام ﺑﻄﺮﯾﻘﺔ دﻗﯿﻘﺔ ﻟﻤﻨﻊ ﺗﻠﻒ اﻟﻌﺒﻮة أو ﺗﻤﺰﻗﮭﺎ وﻣﻨﻊ إﻋﺎدة اﻟﺘﻠﻮث‬ Packed sterile reusable medical devices must be stored in a zone having cleanroom conditions in a way that does not damage or rupture the packaging during handling or Storage storage. ‫ﯾﺠﺐ ﺗﺨﺰﯾﻦ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﻌﻘﻤﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام اﻟﻤﻌﺒﺄة ﻓﻲ ﻣﻨﻄﻘﺔ ﺑﮭﺎ‬ ‫ظﺮوف ﻏﺮف ﻧﻈﯿﻔﺔ ﺑﻄﺮﯾﻘﺔ ﻻ ﺗﻠﺤﻖ اﻟﻀﺮر ﺑﺎﻟﺤﺰﻣﺔ أو ﺗﻤﺰﻗﮭﺎ أﺛﻨﺎء اﻟﻤﻨﺎوﻟﺔ أو‬.‫اﻟﺘﺨﺰﯾﻦ‬ Sterile reusable medical devices are used on patients in surgeries, theatres and wards. Once used, the reusable medical device is contaminated by microorganisms on or in the patient. Use ‫ﺗﺴﺘﺨﺪم اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﻌﻘﻤﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام ﻋﻠﻰ اﻟﻤﺮﺿﻰ ﻓﻲ‬ ‫ ﯾﺘﻢ ﺗﻠﻮﯾﺚ اﻟﺠﮭﺎز‬،‫ ﺑﻤﺠﺮد اﺳﺘﺨﺪاﻣﮫ‬.‫اﻟﻌﻤﻠﯿﺎت اﻟﺠﺮاﺣﯿﺔ واﻟﻤﺴﺎرح واﻷﻗﻨﺎب‬ ‫اﻟﻄﺒﻲ اﻟﻘﺎﺑﻞ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام ﺑﻮاﺳﻄﺔ اﻟﻜﺎﺋﻨﺎت اﻟﺤﯿﺔ اﻟﺪﻗﯿﻘﺔ ﻋﻠﻰ اﻟﻤﺮﯾﺾ أو‬.‫ﻓﯿﮫ‬ Used reusable medical devices are contaminated by microorganisms and must carefully be transported back to the decontamination facility. Loss, spillage or carelessness could result in the spread of infection. Standard Transport Precautions are implemented. ‫اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام ﻣﻠﻮﺛﺔ ﺑﺎﻟﻜﺎﺋﻨﺎت اﻟﺤﯿﺔ اﻟﺪﻗﯿﻘﺔ‬ ‫ ﯾﻤﻜﻦ أن ﯾﺆدي اﻟﻔﻘﺪان أو اﻻﻧﺴﻜﺎب أو‬.‫وﯾﺠﺐ ﻧﻘﻠﮭﺎ ﺑﻌﻨﺎﯾﺔ إﻟﻰ ﻣﺮﻓﻖ إزاﻟﺔ اﻟﺘﻠﻮث‬.‫ ﯾﺘﻢ ﺗﻨﻔﯿﺬ اﻻﺣﺘﯿﺎطﺎت اﻟﻘﯿﺎﺳﯿﺔ‬.‫اﻹھﻤﺎل إﻟﻰ اﻧﺘﺸﺎر اﻟﻌﺪوى‬ Decontamination Design: Some building design resources are: :‫ﺑﻌﺾ ﻣﻮارد ﺗﺼﻤﯿﻢ اﻟﺒﻨﺎء ھﻲ‬ HBN 13 AAMI AIA Ensuring a proper one-way flow is a key part of safe reprocessing of reusable medical devices..‫ﯾﻌﺪ ﺿﻤﺎن اﻟﺘﺪﻓﻖ اﻟﻤﻨﺎﺳﺐ ﻓﻲ اﺗﺠﺎه واﺣﺪ ﺟﺰءا أﺳﺎﺳﯿﺎ ﻣﻦ إﻋﺎدة اﻟﻤﻌﺎﻟﺠﺔ اﻵﻣﻨﺔ ﻟﻸﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ Separating dirty, clean, and sterile items avoids routes and workflows that could re-contaminate processed reusable medical devices. ‫ﯾﺆدي ﻓﺼﻞ اﻟﻌﻨﺎﺻﺮ اﻟﻘﺬرة واﻟﻨﻈﯿﻔﺔ واﻟﻤﻌﻘﻤﺔ إﻟﻰ ﺗﺠﻨﺐ اﻟﻤﺴﺎرات وﺳﯿﺮ اﻟﻌﻤﻞ اﻟﺘﻲ ﯾﻤﻜﻦ أن ﺗﻌﯿﺪ ﺗﻠﻮﯾﺚ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﻌﺎﻟﺠﺔ واﻟﻘﺎﺑﻠﺔ‬.‫ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ In CSSD this is achieved by using walls to separate the work areas into three primary functional zones..‫ ﯾﺘﻢ ﺗﺤﻘﯿﻖ ذﻟﻚ ﺑﺎﺳﺘﺨﺪام اﻟﺠﺪران ﻟﻔﺼﻞ ﻣﻨﺎطﻖ اﻟﻌﻤﻞ إﻟﻰ ﺛﻼث ﻣﻨﺎطﻖ وظﯿﻔﯿﺔ أﺳﺎﺳﯿﺔ‬،CSSD ‫ﻓﻲ‬  7 Design: ZONE 1 DECONTAMINATION ZO: Decontamination is the combination of processes (including cleaning, disinfection and sterilization) used to render reusable medical devices safe for handling by staff and for use on patients ‫إزاﻟﺔ اﻟﺘﻠﻮث ھﻲ ﻣﺠﻤﻮﻋﺔ ﻣﻦ اﻟﻌﻤﻠﯿﺎت )ﺑﻤﺎ ﻓﻲ ذﻟﻚ اﻟﺘﻨﻈﯿﻒ واﻟﺘﻄﮭﯿﺮ واﻟﺘﻌﻘﯿﻢ( اﻟﻤﺴﺘﺨﺪﻣﺔ ﻟﺠﻌﻞ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام آﻣﻨﺔ‬ ‫ﻟﻠﺘﻌﺎﻣﻞ ﻣﻌﮭﺎ ﻣﻦ ﻗﺒﻞ اﻟﻤﻮظﻔﯿﻦ واﺳﺘﺨﺪاﻣﮭﺎ ﻋﻠﻰ اﻟﻤﺮﺿﻰ‬ this zone is defined by specific rooms or at minimum segregated areas to ensure safety to staff and a unidirectional flow of reusable medical devices. ‫ﯾﺘﻢ ﺗﻌﺮﯾﻒ ھﺬه اﻟﻤﻨﻄﻘﺔ ﺑﻐﺮف ﻣﺤﺪدة أو ﻋﻠﻰ اﻷﻗﻞ ﻣﻨﺎطﻖ ﻣﻌﺰوﻟﺔ ﻟﻀﻤﺎن ﺳﻼﻣﺔ اﻟﻤﻮظﻔﯿﻦ واﻟﺘﺪﻓﻖ أﺣﺎدي اﻻﺗﺠﺎه ﻟﻸﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ‬.‫ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ Contaminated returns room: ‫ﻏﺮﻓﺔ اﻟﻤﺮﺗﺠﻌﺎت اﻟﻤﻠﻮﺛﺔ‬ provides outside staff with secure and controlled access into the zone, allowing delivery of contaminated containers and trolleys ‫ ﻣﻤﺎ ﯾﺴﻤﺢ ﺑﺘﺴﻠﯿﻢ اﻟﺤﺎوﯾﺎت واﻟﻌﺮﺑﺎت اﻟﻤﻠﻮﺛﺔ‬،‫ﯾﻮﻓﺮ ﻟﻠﻤﻮظﻔﯿﻦ اﻟﺨﺎرﺟﯿﯿﻦ إﻣﻜﺎﻧﯿﺔ اﻟﻮﺻﻮل اﻵﻣﻦ واﻟﺨﺎﺿﻊ ﻟﻠﺮﻗﺎﺑﺔ إﻟﻰ اﻟﻤﻨﻄﻘﺔ‬ Gowning room: ‫ﻏﺮﻓﺔ اﻟﻤﻼﺑﺲ‬ provides controlled entry and exit to the wash area, space for changing into PPE, a hand wash sink for hand hygiene, and an eye wash station in case of eye splash ‫ وﺣﻮض ﻏﺴﯿﻞ اﻟﯿﺪﯾﻦ ﻟﻨﻈﺎﻓﺔ‬،‫ وﻣﺴﺎﺣﺔ ﻟﻠﺘﻐﯿﯿﺮ إﻟﻰ ﻣﻌﺪات اﻟﻮﻗﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ‬،‫ﯾﻮﻓﺮ اﻟﺪﺧﻮل واﻟﺨﺮوج اﻟﺨﺎﺿﻌَﯿﻦ ﻟﻠﺮﻗﺎﺑﺔ إﻟﻰ ﻣﻨﻄﻘﺔ اﻟﻐﺴﯿﻞ‬ ‫ وﻣﺤﻄﺔ ﻏﺴﻞ اﻟﻌﯿﻦ ﻓﻲ ﺣﺎﻟﺔ رش اﻟﻌﯿﻦ‬،‫اﻟﯿﺪﯾﻦ‬  8 Wash room: ‫ﻏﺮﻓﺔ اﻟﻐﺴﯿﻞ‬ space to carry out preparation, cleaning and disinfection of contaminated reusable medical devices ‫ﻣﺴﺎﺣﺔ ﻟﻠﻘﯿﺎم ﺑﺈﻋﺪاد وﺗﻨﻈﯿﻒ وﺗﻄﮭﯿﺮ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﻠﻮﺛﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ Environmental cleaner room: ‫ﻏﺮﻓﺔ اﻟﻨﻈﺎﻓﺔ اﻟﺒﯿﺌﯿﺔ‬ dedicated to cleaning only the decontamination room ‫ﻣﺨﺼﺺ ﻟﺘﻨﻈﯿﻒ ﻏﺮﻓﺔ إزاﻟﺔ اﻟﺘﻠﻮث ﻓﻘﻂ‬ personal protective equipment such as: ‫ﻣﻌﺪات اﻟﺤﻤﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ‬ Cover gown with sleeves ‫ﻏﻄﺎء ﺛﻮب ﺑﺄﻛﻤﺎم‬ Face mask ‫ﻗﻨﺎع اﻟﻮﺟﮫ‬ Eye protection ‫ﺣﺎﻣﻲ اﻟﻌﯿﻦ‬ Gloves ‫ﻗﻔﺎزات‬ Shoe covers or alternative shoes or boots ‫أﻏﻄﯿﺔ اﻷﺣﺬﯾﺔ‬ Head cover ‫ﻏﻄﺎء اﻟﺮأس‬ In order to clean specialized reusable medical devices, processes and appropriate tools are required such as: :‫ ھﻨﺎك ﺣﺎﺟﺔ إﻟﻰ ﻋﻤﻠﯿﺎت وأدوات ﻣﻨﺎﺳﺒﺔ ﻣﺜﻞ‬،‫ﻣﻦ أﺟﻞ ﺗﻨﻈﯿﻒ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﺘﺨﺼﺼﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ Hand wash sink ‫ﺣﻮض ﻏﺴﯿﻞ ﯾﺪوي‬ with liquid soap and paper towels ‫ﻣﻊ اﻟﺼﺎﺑﻮن اﻟﺴﺎﺋﻞ واﻟﻤﻨﺎﺷﻒ اﻟﻮرﻗﯿﺔ‬ Instrument cleaning sink ‫ﺣﻮض ﺗﻨﻈﯿﻒ اﻷﺟﮭﺰة‬ with two or three basins ‫ﻣﻊ ﺣﻮﺿﯿﻦ أو ﺛﻼﺛﺔ‬ Brushes ‫ﻓﺮش‬ Air guns ‫ﻣﺪاﻓﻊ ھﻮاﺋﯿﺔ‬ Water guns ‫ﻣﺪاﻓﻊ ﻣﯿﺎه‬ Magnifiers ‫ﻣﻜﺒﺮات‬ Additional lighting ‫اﺿﺎءه إﺿﺎﻓﯿﮫ‬ Detergents ‫ﻣﻨﻈﻔﺎت‬ Disinfectants ‫ﻣﻄﮭﺮات‬ Lubricants ‫ﻣﻮاد اﻟﺘﺸﺤﯿﻢ‬ Ultrasonic washers ‫ﻏﺴﺎﻻت ﺑﺎﻟﻤﻮﺟﺎت ﻓﻮق اﻟﺼﻮﺗﯿﺔ‬ Automated washer disinfectors ‫ﻣﻄﮭﺮات اﻟﻐﺴﺎﻟﺔ اﻵﻟﯿﺔ‬ Cart washer ‫ﻏﺴﺎﻟﺔ اﻟﻌﺮﺑﺔ‬ Automated endoscope re-processer ‫اﻋﺎدة ﻣﻌﺎﻟﺠﺔ اﻟﻤﻨﻈﺎر اﻵﻟﻲ‬ Environmental monitors ‫اﻟﻤﺮاﻗﺒﺔ اﻟﺒﯿﺌﯿﺔ‬ temperature, humidity and pressure ‫درﺟﺔ اﻟﺤﺮارة واﻟﺮطﻮﺑﺔ واﻟﻀﻐﻂ‬ Spill kits ‫ﻣﺠﻤﻮﻋﺔ اﻻﻧﺴﻜﺎب‬  9 In the decontamination zone: :‫ﻓﻲ ﻣﻨﻄﻘﺔ إزاﻟﺔ اﻟﺘﻠﻮث‬ PPE is worn to ensure specialist safety ‫ ﯾﺘﻢ ارﺗﺪاء ﻣﻌﺪات اﻟﻮﻗﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ ﻟﻀﻤﺎن اﻟﺴﻼﻣﺔ اﻟﻤﺘﺨﺼﺼﺔ‬ Reusable medical devices received are checked for missing parts, manually pre-cleaned and prepared for automated washing ‫ وﺗﻨﻈﯿﻔﮭﺎ ﻣﺴﺒﻘﺎ ﯾﺪوﯾﺎ وإﻋﺪادھﺎ ﻟﻠﻐﺴﯿﻞ اﻵﻟﻲ‬،‫ ﯾﺘﻢ ﻓﺤﺺ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام اﻟﻤﺴﺘﻠﻤﺔ ﺑﺤﺜﺎ ﻋﻦ اﻷﺟﺰاء اﻟﻤﻔﻘﻮدة‬ Reusable medical devices not compatible with automated washers are manually cleaned and disinfected ‫ ﯾﺘﻢ ﺗﻨﻈﯿﻒ وﺗﻄﮭﯿﺮ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام ﻏﯿﺮ اﻟﻤﺘﻮاﻓﻘﺔ ﻣﻊ اﻟﻐﺴﺎﻻت اﻵﻟﯿﺔ ﯾﺪوﯾﺎ‬ ZONE 2 Inspection, Assembly and Packaging (IAP) Zone: ‫ﻣﻨﻄﻘﺔ اﻟﺘﻔﺘﯿﺶ واﻟﺘﺠﻤﯿﻊ واﻟﺘﻌﺒﺌﺔ واﻟﺘﻐﻠﯿﻒ‬ zone is defined by specific rooms or at minimum segregated areas to ensure safety to staff and ensure a unidirectional flow..‫ﯾﺘﻢ ﺗﻌﺮﯾﻒ اﻟﻤﻨﻄﻘﺔ ﻣﻦ ﺧﻼل ﻏﺮف ﻣﺤﺪدة أو ﻋﻠﻰ اﻷﻗﻞ ﻣﻨﺎطﻖ ﻣﻨﻔﺼﻠﺔ ﻟﻀﻤﺎن اﻟﺴﻼﻣﺔ ﻟﻠﻤﻮظﻔﯿﻦ وﺿﻤﺎن ﺗﺪﻓﻖ أﺣﺎدي اﻻﺗﺠﺎه‬ Inspection, assembly and packing (IAP) room: ‫ ﻏﺎﻟﺒﺎ ﻣﺎ ﺗﻮﺟﺪ اﻟﻤﻌﻘﻤﺎت ﻓﻲ‬.‫ اﻟﻨﻈﯿﻔﺔ ﻟﻠﺘﺤﻀﯿﺮ ﻟﻠﺘﻌﻘﯿﻢ‬RMD ‫ﺗﻘﺘﺼﺮ ھﺬه اﻟﻐﺮﻓﺔ ﻓﻘﻂ ﻋﻠﻰ اﻟﻤﺘﺨﺼﺼﯿﻦ اﻟﺬﯾﻦ ﯾﻘﻮﻣﻮن ﺑﻔﺤﺺ وﺗﺠﻤﯿﻊ وﺗﻌﺒﺌﺔ‬.‫ھﺬه اﻟﻐﺮﻓﺔ‬ Gowning room: ‫ﻏﺮﻓﺔ اﻟﻤﻼﺑﺲ‬ provides controlled entry and exit to the IAP zone allows for changing into personal protective equipment, and a hand wash sink for hand hygiene to protect clean instrumentation from the risk of contamination IAP ‫ﯾﻮﻓﺮ اﻟﺪﺧﻮل واﻟﺨﺮوج اﻟﺨﺎﺿﻊ ﻟﻠﺮﻗﺎﺑﺔ إﻟﻰ ﻣﻨﻄﻘﺔ‬ ‫ وﻣﻐﺴﻠﺔ ﻏﺴﻞ اﻟﯿﺪﯾﻦ ﻟﻨﻈﺎﻓﺔ اﻟﯿﺪﯾﻦ ﻟﺤﻤﺎﯾﺔ اﻷﺟﮭﺰة اﻟﻨﻈﯿﻔﺔ ﻣﻦ ﺧﻄﺮ اﻟﺘﻠﻮث‬،‫ﯾﺴﻤﺢ ﺑﺎﻟﺘﻐﯿﯿﺮ إﻟﻰ ﻣﻌﺪات اﻟﺤﻤﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ‬ Materials transfer room: ‫ﻏﺮﻓﺔ ﻧﻘﻞ اﻟﻤﻮاد‬ maintains an air-lock to bring raw materials in and out of the IAP zone IAP ‫ﯾﺤﺎﻓﻆ ﻋﻠﻰ ﻗﻔﻞ اﻟﮭﻮاء ﻟﺠﻠﺐ اﻟﻤﻮاد اﻟﺨﺎم ﻣﻦ وإﻟﻰ ﻣﻨﻄﻘﺔ‬ Environmental cleaner room: ‫ﻏﺮﻓﺔ ﻧﻈﺎﻓﺔ اﻟﺒﯿﺌﺔ‬ dedicated to cleaning materials and equipment for use only in the IAP zone IAP ‫ﻣﺨﺼﺺ ﻟﻤﻮاد وﻣﻌﺪات اﻟﺘﻨﻈﯿﻒ ﻟﻼﺳﺘﺨﺪام ﻓﻘﻂ ﻓﻲ ﻣﻨﻄﻘﺔ‬ Sterilization room: in newer CSSD designs sterilization equipment is located in a room separate from IAP and Storage to further reduce contamination risks to unwrapped RMD ‫ ﻏﯿﺮ اﻟﻤﻐﻠﻒ‬RMD ‫ واﻟﺘﺨﺰﯾﻦ ﻟﺘﻘﻠﯿﻞ ﻣﺨﺎطﺮ اﻟﺘﻠﻮث إﻟﻰ‬IAP ‫ ﺗﻮﺟﺪ ﻣﻌﺪات اﻟﺘﻌﻘﯿﻢ ﻓﻲ ﻏﺮﻓﺔ ﻣﻨﻔﺼﻠﺔ ﻋﻦ‬،‫ اﻷﺣﺪث‬CSSD ‫ﻓﻲ ﺗﺼﻤﯿﻤﺎت‬  10 The extensive range of complex instrumentation requires specialized processes and appropriate tools for inspection and packing such as: :‫ﺗﺘﻄﻠﺐ اﻟﻤﺠﻤﻮﻋﺔ اﻟﻮاﺳﻌﺔ ﻣﻦ اﻷﺟﮭﺰة اﻟﻤﻌﻘﺪة ﻋﻤﻠﯿﺎت ﻣﺘﺨﺼﺼﺔ وأدوات ﻣﻨﺎﺳﺒﺔ ﻟﻠﻔﺤﺺ واﻟﺘﻌﺒﺌﺔ ﻣﺜﻞ‬ Packing tables ‫طﺎوﻻت اﻟﺘﻌﺒﺌﺔ‬ Chairs ‫ﻛﺮاﺳﻲ‬ Magnifiers ‫ﻣﻜﺒﺮات‬ Additional task lighting ‫إﺿﺎءة ﻣﮭﻤﺔ إﺿﺎﻓﯿﺔ‬ Wrappers and containers ‫اﻷﻏﻠﻔﺔ واﻟﺤﺎوﯾﺎت‬ View pack pouches ‫ﻋﺮض أﻛﯿﺎس اﻟﻌﺒﻮة‬ Heat sealers ‫اﻟﺴﺪادات اﻟﺤﺮارﯾﺔ‬ Surgical instrument tip protectors ‫واﻗﯿﺎت طﺮف اﻷدوات اﻟﺠﺮاﺣﯿﺔ‬ Tray liners ‫ﺑﻄﺎﻧﺎت ﺻﯿﻨﯿﺔ‬ Air guns ‫ﻣﺪاﻓﻊ ھﻮاﺋﯿﺔ‬ Pass through hatchs ‫ﻣﻤﺮات ﻋﺒﻮر اﻟﺒﻮاﺑﺎت‬ Drying cabinets ‫ﺧﺰاﺋﻦ اﻟﺘﺠﻔﯿﻒ‬ Sterilizers—high temperature ‫ درﺟﺔ ﺣﺮارة ﻋﺎﻟﯿﺔ‬- ‫اﻟﻤﻌﻘﻤﺎت‬ Sterilizers—low temperature ‫ درﺟﺔ ﺣﺮارة ﻣﻨﺨﻔﻀﺔ‬-‫اﻟﻤﻌﻘﻤﺎت‬ Biological incubators ‫اﻟﺤﺎﺿﻨﺎت اﻟﺒﯿﻮﻟﻮﺟﯿﺔ‬ Environmental monitors temperature, humidity and pressure ‫أﺟﮭﺰة ﻣﺮاﻗﺒﺔ اﻟﺒﯿﺌﺔ ﻟﺪرﺟﺔ اﻟﺤﺮارة واﻟﺮطﻮﺑﺔ واﻟﻀﻐﻂ‬ In the Inspection, Assembly and Packaging zone, surgical instruments are unloaded from automated washers or pass through hatches (if manually cleaned) and: (‫ ﯾﺘﻢ ﺗﻔﺮﯾﻎ اﻷدوات اﻟﺠﺮاﺣﯿﺔ ﻣﻦ اﻟﻐﺴﺎﻻت اﻵﻟﯿﺔ أو اﻟﻤﺮور ﻋﺒﺮ اﻟﺒﻮاﺑﺎت )إذا ﺗﻢ ﺗﻨﻈﯿﻔﮭﺎ ﯾﺪوﯾﺎ‬،‫ﻓﻲ ﻣﻨﻄﻘﺔ اﻟﺘﻔﺘﯿﺶ واﻟﺘﺠﻤﯿﻊ واﻟﺘﻌﺒﺌﺔ واﻟﺘﻐﻠﯿﻒ‬ :‫و‬ Visually checked to ensure cleanliness ‫ﺗﻢ ﻓﺤﺼﮫ ﺑﺼﺮﯾﺎ ﻟﻀﻤﺎن اﻟﻨﻈﺎﻓﺔ‬ Manually inspected against a checklist to ensure items are correct and functional ‫ﯾﺘﻢ ﻓﺤﺼﮭﺎ ﯾﺪوﯾﺎ ﻣﻘﺎﺑﻞ ﻗﺎﺋﻤﺔ ﻣﺮﺟﻌﯿﺔ ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﺻﺤﺔ اﻟﻌﻨﺎﺻﺮ وﻋﻤﻠﯿﺘﮭﺎ‬ Packaged in appropriate materials and labelled ‫ﻣﻌﺒﺄة ﻓﻲ ﻣﻮاد ﻣﻨﺎﺳﺒﺔ وﻣﻮﺳﻮﻣﺔ‬ Sterilized with the correct ‫ﺗﻢ ﺗﻌﻘﯿﻤﮫ ﺑﺎﻟﺸﻜﻞ اﻟﺼﺤﯿﺢ‬ process or passed to a sterilization room if separate from IAP IAP ‫ﻋﻤﻠﯿﺔ أو ﺗﻤﺮﯾﺮھﺎ إﻟﻰ ﻏﺮﻓﺔ اﻟﺘﻌﻘﯿﻢ إذا ﻛﺎﻧﺖ ﻣﻨﻔﺼﻠﺔ ﻋﻦ‬  11 ZONE 3 Sterile Storage Zone: ‫ﻣﻨﻄﻘﺔ اﻟﺘﺨﺰﯾﻦ اﻟﻤﻌﻘﻤﺔ‬ CSSD requires a safe storage zone for sterile and clean supplies used in production..‫ ﻣﻨﻄﻘﺔ ﺗﺨﺰﯾﻦ آﻣﻨﺔ ﻟﻺﻣﺪادات اﻟﻤﻌﻘﻤﺔ واﻟﻨﻈﯿﻔﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ اﻹﻧﺘﺎج‬CSSD ‫ﯾﺘﻄﻠﺐ‬ Sterile reusable medical devices are packaged, and stored safely in an environmentally monitored (temperature, humidity and pressure) room using: :‫ﯾﺘﻢ ﺗﻌﺒﺌﺔ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻤﻌﻘﻤﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام وﺗﺨﺰﯾﻨﮭﺎ ﺑﺄﻣﺎن ﻓﻲ ﻏﺮﻓﺔ ﻣﺮاﻗﺒﺔ ﺑﯿﺌﯿًﺎ )درﺟﺔ اﻟﺤﺮارة واﻟﺮطﻮﺑﺔ واﻟﻀﻐﻂ( ﺑﺎﺳﺘﺨﺪام‬ Washable, round-edged shelving designed to avoid damage to packaging ‫رﻓﻮف ﻗﺎﺑﻠﺔ ﻟﻠﻐﺴﻞ ذات ﺣﻮاف ﻣﺴﺘﺪﯾﺮة ﻣﺼﻤﻤﺔ ﻟﺘﺠﻨﺐ ﺗﻠﻒ اﻟﻌﺒﻮة‬ Transport carts ‫ﻋﺮﺑﺎت اﻟﻨﻘﻞ‬ Workstations ‫ﻣﺤﻄﺎت اﻟﻌﻤﻞ‬ In the Sterile Storage zone processed reusable medical devices are: :‫ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام اﻟﺘﻲ ﺗﻤﺖ ﻣﻌﺎﻟﺠﺘﮭﺎ ھﻲ‬،‫ﻓﻲ ﻣﻨﻄﻘﺔ اﻟﺘﺨﺰﯾﻦ اﻟﻤﻌﻘﻤﺔ‬ Transferred from the sterilizer to this room where they will either be kept until required or staged for end-user delivery ‫ﯾﺘﻢ ﻧﻘﻠﮭﺎ ﻣﻦ ﺟﮭﺎز اﻟﺘﻌﻘﯿﻢ إﻟﻰ ھﺬه اﻟﻐﺮﻓﺔ ﺣﯿﺚ ﺳﯿﺘﻢ اﻻﺣﺘﻔﺎظ ﺑﮭﺎ ﻟﺤﯿﻦ اﻟﺤﺎﺟﺔ إﻟﯿﮭﺎ أو ﺗﺠﮭﯿﺰھﺎ ﻟﺘﺴﻠﯿﻤﮭﺎ ﻟﻠﻤﺴﺘﺨﺪم اﻟﻨﮭﺎﺋﻲ‬ Removed from shipping boxes and containers before being transferred here for storage or staged for end-user delivery ‫ﯾﺘﻢ إزاﻟﺘﮭﺎ ﻣﻦ ﺻﻨﺎدﯾﻖ وﺣﺎوﯾﺎت اﻟﺸﺤﻦ ﻗﺒﻞ ﻧﻘﻠﮭﺎ ھﻨﺎ ﻟﻠﺘﺨﺰﯾﻦ أو ﺗﻨﻈﯿﻤﮭﺎ ﻟﺘﺴﻠﯿﻤﮭﺎ ﻟﻠﻤﺴﺘﺨﺪم اﻟﻨﮭﺎﺋﻲ‬ Additional CSSD Support Areas: ‫ﻣﻨﺎطﻖ دﻋﻢ إﺿﺎﻓﯿﺔ‬ Staff Facilities—Changing, Toilets, and Showers: ‫ ﺗﻐﯿﯿﺮ اﻟﻤﻼﺑﺲ واﻟﻤﺮاﺣﯿﺾ واﻻﺳﺘﺤﻤﺎم‬- ‫ﻣﺮاﻓﻖ اﻟﻤﻮظﻔﯿﻦ‬ Male and female toilets and areas to change from outdoor to working clothing ‫ﻣﺮاﺣﯿﺾ وﻣﻨﺎطﻖ ﻟﻠﺬﻛﻮر واﻹﻧﺎث ﻟﻠﺘﻐﯿﯿﺮ ﻣﻦ اﻟﻤﻼﺑﺲ اﻟﺨﺎرﺟﯿﺔ إﻟﻰ ﻣﻼﺑﺲ اﻟﻌﻤﻞ‬ Lockers to accommodate storage of specialist belongings ‫ﺧﺰاﺋﻦ ﻻﺳﺘﯿﻌﺎب ﺗﺨﺰﯾﻦ اﻟﻤﻤﺘﻠﻜﺎت اﻟﻤﺘﺨﺼﺼﺔ‬ Showers located close to the decontamination area to ensure quick access in case of a workplace spill or contamination incident ‫ﺗﻘﻊ ﺣﻤﺎﻣﺎت اﻻﺳﺘﺤﻤﺎم ﺑﺎﻟﻘﺮب ﻣﻦ ﻣﻨﻄﻘﺔ إزاﻟﺔ اﻟﺘﻠﻮث ﻟﻀﻤﺎن اﻟﻮﺻﻮل اﻟﺴﺮﯾﻊ ﻓﻲ ﺣﺎﻟﺔ ﺣﺪوث اﻧﺴﻜﺎب أو ﺣﺎدث ﺗﻠﻮث ﻓﻲ ﻣﻜﺎن اﻟﻌﻤﻞ‬ Hand hygiene station ‫ﻣﺤﻄﺔ ﻧﻈﺎﻓﺔ اﻟﯿﺪﯾﻦ‬ Mirrors to check PPE ‫ﻣﺮاﯾﺎ ﻟﻔﺤﺺ ﻣﻌﺪات اﻟﻮﻗﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ‬  12 Staff Rest Room: ‫ﻏﺮﻓﺔ اﺳﺘﺮاﺣﺔ اﻟﻤﻮظﻔﯿﻦ‬ Facilities to prepare hot and cold drinks for staff breaks ‫ﻣﺮاﻓﻖ ﻟﺘﺤﻀﯿﺮ اﻟﻤﺸﺮوﺑﺎت اﻟﺴﺎﺧﻨﺔ واﻟﺒﺎردة ﻹﺳﺘﺮاﺣﺎت اﻟﻤﻮظﻔﯿﻦ‬ Area for eating and drinking (restricted to this area) (‫ﻣﻨﻄﻘﺔ ﻟﺘﻨﺎول اﻟﻄﻌﺎم واﻟﺸﺮب )ﻣﻘﺘﺼﺮة ﻋﻠﻰ ھﺬه اﻟﻤﻨﻄﻘﺔ‬ Materials Storage: ‫ﺗﺨﺰﯾﻦ اﻟﻤﻮاد‬ Separate segregated area for bulk storing of production materials ‫ﻣﻨﻄﻘﺔ ﻣﻨﻔﺼﻠﺔ ﻟﺘﺨﺰﯾﻦ ﻛﻤﯿﺎت ﻛﺒﯿﺮة ﻣﻦ ﻣﻮاد اﻹﻧﺘﺎج‬ Sufficient stock levels of materials to ensure smooth operations ‫ﻣﺴﺘﻮﯾﺎت ﻣﺨﺰون ﻛﺎﻓﯿﺔ ﻣﻦ اﻟﻤﻮاد ﻟﻀﻤﺎن ﺳﻼﺳﺔ اﻟﻌﻤﻠﯿﺎت‬ Not used to store sterile processed items ‫ﻻ ﯾﺴﺘﺨﺪم ﻟﺘﺨﺰﯾﻦ اﻟﻌﻨﺎﺻﺮ اﻟﻤﻌﺎﻟﺠﺔ اﻟﻤﻌﻘﻤﺔ‬ Education, Training and Meeting Rooms: ‫ﻏﺮف اﻟﺘﻌﻠﯿﻢ واﻟﺘﺪرﯾﺐ واﻻﺟﺘﻤﺎﻋﺎت‬ Separate from the work area and provides space for teaching materials and work samples ‫ﻣﻨﻔﺼﻠﺔ ﻋﻦ ﻣﻨﻄﻘﺔ اﻟﻌﻤﻞ وﺗﻮﻓﺮ ﻣﺴﺎﺣﺔ ﻟﻠﻤﻮاد اﻟﺘﻌﻠﯿﻤﯿﺔ وﻋﯿﻨﺎت اﻟﻌﻤﻞ‬ Support for important regular training and education for all grades of staff ‫دﻋﻢ اﻟﺘﺪرﯾﺐ واﻟﺘﻌﻠﯿﻢ اﻟﻤﻨﺘﻈﻢ اﻟﻤﮭﻢ ﻟﺠﻤﯿﻊ درﺟﺎت اﻟﻤﻮظﻔﯿﻦ‬ Central Detergent Dosing Room: ‫ﻏﺮﻓﺔ ﺟﺮﻋﺎت اﻟﻤﻨﻈﻔﺎت اﻟﻤﺮﻛﺰﯾﺔ‬ Adjacent room for detergent replacement without entering the contaminated area, reducing the opportunity for automated washer contamination ‫ ﻣﻤﺎ ﯾﻘﻠﻞ ﻣﻦ ﻓﺮﺻﺔ ﺗﻠﻮث اﻟﻐﺴﺎﻟﺔ اﻵﻟﯿﺔ‬،‫ﻏﺮﻓﺔ ﻣﺠﺎورة ﻻﺳﺘﺒﺪال اﻟﻤﻨﻈﻔﺎت دون اﻟﺪﺧﻮل إﻟﻰ اﻟﻤﻨﻄﻘﺔ اﻟﻤﻠﻮﺛﺔ‬  13 General CSSD Requirements: ‫اﻟﻤﺘﻄﻠﺒﺎت اﻟﻌﺎﻣﺔ ل ﻗﺴﻢ ﺧﺪﻣﺔ اﻟﺘﻌﻘﯿﻢ اﻟﻤﺮﻛﺰي‬ Unit Access: ‫اﻟﻮﺻﻮل إﻟﻰ اﻟﻮﺣﺪة‬ Due to the critical nature of this unit, access is restricted to authorized personnel and trained specialists..‫ ﯾﻘﺘﺼﺮ اﻟﻮﺻﻮل ﻋﻠﻰ اﻟﻤﻮظﻔﯿﻦ اﻟﻤﻌﺘﻤﺪﯾﻦ واﻟﻤﺘﺨﺼﺼﯿﻦ اﻟﻤﺪرﺑﯿﻦ‬،‫ﻧﻈﺮا ﻟﻠﻄﺒﯿﻌﺔ اﻟﺤﺮﺟﺔ ﻟﮭﺬه اﻟﻮﺣﺪة‬ Lighting: The light is kept at a brightness and color balance for good working practices and visual examination of reusable medical devices..‫ﯾﺘﻢ اﻟﺤﻔﺎظ ﻋﻠﻰ ﺳﻄﻮع اﻟﻀﻮء وﺗﻮازن اﻷﻟﻮان ﻟﻤﻤﺎرﺳﺎت اﻟﻌﻤﻞ اﻟﺠﯿﺪة واﻟﻔﺤﺺ اﻟﺒﺼﺮي ﻟﻸﺟﮭﺰة اﻟﻄﺒﯿﺔ اﻟﻘﺎﺑﻠﺔ ﻹﻋﺎدة اﻻﺳﺘﺨﺪام‬ Additional task lighting and magnification are available in decontamination and IAP areas..IAP‫ﺗﺘﻮﻓﺮ إﺿﺎءة وﺗﻜﺒﯿﺮ إﺿﺎﻓﯿﺔ ﻟﻠﻤﮭﺎم ﻓﻲ ﻣﻨﺎطﻖ إزاﻟﺔ اﻟﺘﻠﻮث و‬ Temperature: Room temperature is controlled between 18–25°C (64–77°F) and kept at a relative humidity of 30–60% depending on the activities carried out in the area. ‫ درﺟﺔ ﻓﮭﺮﻧﮭﺎﯾﺖ( وﯾﺘﻢ اﻻﺣﺘﻔﺎظ ﺑﮭﺎ ﻋﻨﺪ رطﻮﺑﺔ ﻧﺴﺒﯿﺔ ﺗﺘﺮاوح ﺑﯿﻦ‬٧٧-٦٤) ‫ درﺟﺔ ﻣﺌﻮﯾﺔ‬٢٥-١٨ ‫ﯾﺘﻢ اﻟﺘﺤﻜﻢ ﻓﻲ درﺟﺔ ﺣﺮارة اﻟﻐﺮﻓﺔ ﺑﯿﻦ‬.‫ اﻋﺘﻤﺎدا ﻋﻠﻰ اﻷﻧﺸﻄﺔ اﻟﻤﻨﻔﺬة ﻓﻲ اﻟﻤﻨﻄﻘﺔ‬٪٦٠‫ و‬٣٠ Air Pressure: ‫ﺿﻐﻂ اﻟﮭﻮاء‬ Air pressure is regulated to prevent cross contamination of airborne pathogens between each zone. A ventilation system ‫ ﻧﻈﺎم ﺗﮭﻮﯾﺔ‬.‫ﯾﺘﻢ ﺗﻨﻈﯿﻢ ﺿﻐﻂ اﻟﮭﻮاء ﻟﻤﻨﻊ اﻟﺘﻠﻮث اﻟﻤﺘﺒﺎدل ﻟﻤﺴﺒﺒﺎت اﻷﻣﺮاض اﻟﻤﺤﻤﻮﻟﺔ ﺟﻮا ً ﺑﯿﻦ ﻛﻞ ﻣﻨﻄﻘﺔ‬ is used to either exhaust air out of a room, creating negative air pressure, or vent air into the room, creating positive air pressure..‫ ﻣﻤﺎ ﯾﺨﻠﻖ ﺿﻐﻂ ھﻮاء إﯾﺠﺎﺑﻲ‬،‫ أو ﻟﺘﻨﻔﯿﺲ اﻟﮭﻮاء إﻟﻰ اﻟﻐﺮﻓﺔ‬،‫ ﻣﻤﺎ ﯾﺨﻠﻖ ﺿﻐﻂ ھﻮاء ﺳﻠﺒﻲ‬،‫ﯾﺘﻢ اﺳﺘﺨﺪاﻣﮫ إﻣﺎ ﻹﺧﺮاج اﻟﮭﻮاء ﻣﻦ اﻟﻐﺮﻓﺔ‬ Work Surfaces: ‫اﺳﻄﺢ اﻟﻌﻤﻞ‬ Walls are smooth, non-shedding, water resistant and withstand frequent cleaning..‫اﻟﺠﺪران ﻧﺎﻋﻤﺔ وﻏﯿﺮ ﺳﻔﻚ وﻣﻘﺎوﻣﺔ ﻟﻠﻤﺎء وﺗﺘﺤﻤﻞ اﻟﺘﻨﻈﯿﻒ اﻟﻤﺘﻜﺮر‬ Floors are a washable non-slip material and have no exposed seams or openings..‫اﻷرﺿﯿﺎت ھﻲ ﻣﺎدة ﻏﯿﺮ ﻗﺎﺑﻠﺔ ﻟﻼﻧﺰﻻق ﻗﺎﺑﻠﺔ ﻟﻠﻐﺴﻞ وﻻ ﺗﺤﺘﻮي ﻋﻠﻰ طﺒﻘﺎت أو ﻓﺘﺤﺎت ﻣﻜﺸﻮﻓﺔ‬ All tables, workstations and shelving are made of easily cleanable materials with non-glare surfaces. Adequate spacing allows for staff and equipment movement..‫ﺟﻤﯿﻊ اﻟﻄﺎوﻻت وﻣﺤﻄﺎت اﻟﻌﻤﻞ واﻷرﻓﻒ ﻣﺼﻨﻮﻋﺔ ﻣﻦ ﻣﻮاد ﻗﺎﺑﻠﺔ ﻟﻠﺘﻨﻈﯿﻒ ﺑﺴﮭﻮﻟﺔ ﻣﻊ أﺳﻄﺢ ﻏﯿﺮ وھﺞ‬.‫ﯾﺴﻤﺢ اﻟﺘﺒﺎﻋﺪ اﻟﻜﺎﻓﻲ ﺑﺤﺮﻛﺔ اﻟﻤﻮظﻔﯿﻦ واﻟﻤﻌﺪات‬  14 prevents air from exiting the room Decontamination Negative (-) ‫ﯾﻤﻨﻊ اﻟﮭﻮاء ﻣﻦ اﻟﺨﺮوج ﻣﻦ اﻟﻐﺮﻓﺔ‬ prevents air from entering the room IAP Positive (+) ‫ﯾﻤﻨﻊ اﻟﮭﻮاء ﻣﻦ دﺧﻮل اﻟﻐﺮﻓﺔ‬ prevents air from entering the room Sterile Storage Positive (+) ‫ﯾﻤﻨﻊ اﻟﮭﻮاء ﻣﻦ دﺧﻮل اﻟﻐﺮﻓﺔ‬ 15  16 Module 1: Minimally invasive procedure: ‫إﺟﺮاء طﻔﯿﻒ اﻟﺘﻮﻏﻞ‬ A surgical procedure done in a manner that causes little or no trauma or injury to the patient ‫إﺟﺮاء ﺟﺮاﺣﻲ ﯾﺘﻢ ﺑﻄﺮﯾﻘﺔ ﻻ ﺗﺴﺒﺐ ﺳﻮى اﻟﻘﻠﯿﻞ ﻣﻦ اﻟﺼﺪﻣﺔ أو اﻹﺻﺎﺑﺔ ﻟﻠﻤﺮﯾﺾ أو ﻻ ﺗﺴﺒﺐ أي ﺿﺮر ﻋﻠﻰ اﻹطﻼق‬ minimally invasive procedures involve smaller incisions, less bleeding, smaller amounts of anesthesia, less pain and minimal scarring. ً ‫ﺗﺘﻀﻤﻦ اﻹﺟﺮاءات طﻔﯿﻔﺔ اﻟﺘﻮﻏﻞ ﺷﻘﻮﻗًﺎ أﺻﻐﺮ وﻧﺰﯾﻔًﺎ أﻗﻞ وﻛﻤﯿﺎت أﻗﻞ ﻣﻦ اﻟﺘﺨﺪﯾﺮ وأﻟًﻤﺎ أﻗﻞ وﺗﻨﺪﺑًﺎ ﺑﺴﯿ‬.‫ﻄﺎ‬ Integrated delivery network (IDN) A system of healthcare providers and organizations that provides (or arranges to provide) a coordinated range of services to a specific population. ‫( ﻧﻈﺎم ﻣﻦ ﻣﻘﺪﻣﻲ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ واﻟﻤﻨﻈﻤﺎت اﻟﺘﻲ ﺗﻮﻓﺮ )أو ﺗﻨﻈﻢ ﻟﺘﻘﺪﯾﻢ( ﻣﺠﻤﻮﻋﺔ ﻣﻨﺴﻘﺔ ﻣﻦ اﻟﺨﺪﻣﺎت‬IDN) ‫ﺷﺒﻜﺔ اﻟﺘﻮﺻﯿﻞ اﻟﻤﺘﻜﺎﻣﻠﺔ‬.‫ﻟﻤﺠﻤﻮﻋﺔ ﺳﻜﺎﻧﯿﺔ ﻣﻌﯿﻨﺔ‬ Proven material handling techniques are employed to provide high levels of efficiency..‫ﯾﺘﻢ اﺳﺘﺨﺪام ﺗﻘﻨﯿﺎت ﻣﻌﺎﻟﺠﺔ اﻟﻤﻮاد اﻟﻤﺜﺒﺘﺔ ﻟﺘﻮﻓﯿﺮ ﻣﺴﺘﻮﯾﺎت ﻋﺎﻟﯿﺔ ﻣﻦ اﻟﻜﻔﺎءة‬ Common names for the department include: Central Processing; Sterile Processing and Distribution; Central Sterile Supply; and Surgical Supply and Processing..‫ اﻟﻤﻌﺎﻟﺠﺔ اﻟﻤﺮﻛﺰﯾﺔ؛ اﻟﻤﻌﺎﻟﺠﺔ واﻟﺘﻮزﯾﻊ اﻟﻤﻌﻘﻢ؛ اﻟﻌﺮض اﻟﻤﻌﻘﻢ اﻟﻤﺮﻛﺰي؛ واﻹﻣﺪاد واﻟﻤﻌﺎﻟﺠﺔ اﻟﺠﺮاﺣﯿﺔ‬:‫ﺗﺸﻤﻞ اﻷﺳﻤﺎء اﻟﺸﺎﺋﻌﺔ ﻟﻠﻘﺴﻢ ﻣﺎ ﯾﻠﻲ‬ Note: The U.S. Department of Labor uses the name "Medical Equipment Preparers” when discussing this field..‫ ﺗﺴﺘﺨﺪم وزارة اﻟﻌﻤﻞ اﻷﻣﺮﯾﻜﯿﺔ اﺳﻢ "ﻣﺤﻀﺮو اﻟﻤﻌﺪات اﻟﻄﺒﯿﺔ" ﻋﻨﺪ ﻣﻨﺎﻗﺸﺔ ھﺬا اﻟﻤﺠﺎل‬:‫ﻣﻼﺣﻈﺔ‬ Soiled materials must be isolated from their clean counterparts to ensure acceptable processing conditions. A one-way flow of materials from the soiled area to the clean processing area, and on to the sterile storage area is required. (See Figure 1.4) ‫ ﻣﻄﻠﻮب ﺗﺪﻓﻖ اﻟﻤﻮاد ﻓﻲ اﺗﺠﺎه واﺣﺪ ﻣﻦ اﻟﻤﻨﻄﻘﺔ اﻟﻤﺘﺴﺨﺔ‬.‫ﯾﺠﺐ ﻋﺰل اﻟﻤﻮاد اﻟﻤﺘﺴﺨﺔ ﻋﻦ ﻧﻈﯿﺮاﺗﮭﺎ اﻟﻨﻈﯿﻔﺔ ﻟﻀﻤﺎن ظﺮوف اﻟﻤﻌﺎﻟﺠﺔ اﻟﻤﻘﺒﻮﻟﺔ‬ (١٫٤ ‫ )اﻧﻈﺮ اﻟﺸﻜﻞ‬.‫ وإﻟﻰ ﻣﻨﻄﻘﺔ اﻟﺘﺨﺰﯾﻦ اﻟﻤﻌﻘﻤﺔ‬،‫إﻟﻰ ﻣﻨﻄﻘﺔ اﻟﻤﻌﺎﻟﺠﺔ اﻟﻨﻈﯿﻔﺔ‬  17 To facilitate one-way flow of goods and maintain distinction between soiled and clean work areas, physical barriers or walls are used to segregate the functional areas of CS. ‫ ﯾﺘﻢ اﺳﺘﺨﺪام اﻟﺤﻮاﺟﺰ أو اﻟﺠﺪران اﻟﻄﺒﯿﻌﯿﺔ‬،‫ﻟﺘﺴﮭﯿﻞ ﺗﺪﻓﻖ اﻟﺒﻀﺎﺋﻊ ﻓﻲ اﺗﺠﺎه واﺣﺪ واﻟﺤﻔﺎظ ﻋﻠﻰ اﻟﺘﻤﯿﯿﺰ ﺑﯿﻦ ﻣﻨﺎطﻖ اﻟﻌﻤﻞ اﻟﻤﺘﺴﺨﺔ واﻟﻨﻈﯿﻔﺔ‬.CS ‫ﻟﻔﺼﻞ اﻟﻤﺠﺎﻻت اﻟﻮظﯿﻔﯿﺔ ﻟـ‬ Decontamination ‫إزاﻟﺔ اﻟﺘﻠﻮث‬ The decontamination area is where all soiled instruments and other items are received from user departments..‫ﻣﻨﻄﻘﺔ اﻟﺘﻄﮭﯿﺮ ھﻲ اﻟﻤﻜﺎن اﻟﺬي ﯾﺘﻢ ﻓﯿﮫ اﺳﺘﻼم ﺟﻤﯿﻊ اﻷدوات اﻟﻤﺘﺴﺨﺔ واﻷﺷﯿﺎء اﻷﺧﺮى ﻣﻦ اﻷﻗﺴﺎم اﻟﻤﺴﺘﺨﺪﻣﺔ‬ Decontamination is the physical or chemical process that renders an inanimate object, such as a medical device that may be contaminated with harmful microbes, safe for further handling. ‫ آﻣﻨًﺎ ﻟﻤﺰﯾﺪ ﻣﻦ‬،‫ ﻣﺜﻞ اﻟﺠﮭﺎز اﻟﻄﺒﻲ اﻟﺬي ﻗﺪ ﯾﻜﻮن ﻣﻠﻮﺛ ًﺎ ﺑﺎﻟﻤﯿﻜﺮوﺑﺎت اﻟﻀﺎرة‬،‫إزاﻟﺔ اﻟﺘﻠﻮث ھﻲ ﻋﻤﻠﯿﺔ ﻓﯿﺰﯾﺎﺋﯿﺔ أو ﻛﯿﻤﯿﺎﺋﯿﺔ ﺗﺠﻌﻞ ﺟﺴًﻤﺎ ﻏﯿﺮ ﺣﻲ‬.‫اﻟﺘﻌﺎﻣﻞ ﻣﻌﮫ‬ ( ‫) ﺗﺠﻌﻠﮫ آﻣﻨﺎ ً ﻟﻠﺘﻌﺎﻣﻞ ﻣﻌﮫ وﻟﯿﺲ ﻣﻌﻘﻢ‬ It involves a thorough cleaning process that may be accomplished with manual and/or mechanical cleaning..‫أو اﻟﻤﯿﻜﺎﻧﯿﻜﻲ‬/‫إﻧﮭﺎ ﺗﺘﻀﻤﻦ ﻋﻤﻠﯿﺔ ﺗﻨﻈﯿﻒ ﺷﺎﻣﻠﺔ ﯾﻤﻜﻦ إﻧﺠﺎزھﺎ ﺑﺎﻟﺘﻨﻈﯿﻒ اﻟﯿﺪوي و‬ Cleaning is the first step in the sterilization process. All items returned to this area are considered contaminated ‫ ﺟﻤﯿﻊ اﻟﻌﻨﺎﺻﺮ اﻟﺘﻲ ﯾﺘﻢ إرﺟﺎﻋﮭﺎ إﻟﻰ ھﺬه اﻟﻤﻨﻄﻘﺔ ﺗﻌﺘﺒﺮ ﻣﻠﻮﺛﺔ‬.‫اﻟﺘﻨﻈﯿﻒ ھﻮ اﻟﺨﻄﻮة اﻷوﻟﻰ ﻓﻲ ﻋﻤﻠﯿﺔ اﻟﺘﻌﻘﯿﻢ‬ Medical devices must disassembled and cleaned using the established protocols. (See Figure 1.5) (١٫٥ ‫ )اﻧﻈﺮ اﻟﺸﻜﻞ‬.‫ﯾﺠﺐ ﺗﻔﻜﯿﻚ اﻷﺟﮭﺰة اﻟﻄﺒﯿﺔ وﺗﻨﻈﯿﻔﮭﺎ ﺑﺎﺳﺘﺨﺪام اﻟﺒﺮوﺗﻮﻛﻮﻻت اﻟﻤﻌﻤﻮل ﺑﮭﺎ‬ To meet the facility's and the Occupational Safety and Health Administration's (OSHA's) safety requirements, CS technicians must wear special attire, called personal protective equipment (PPE). ‫ ارﺗﺪاء ﻣﻼﺑﺲ ﺧﺎﺻﺔ ﺗﺴﻤﻰ ﻣﻌﺪات‬CS ‫ ﯾﺠﺐ ﻋﻠﻰ ﻓﻨﯿﻲ‬،(OSHA) ‫ﻟﺘﻠﺒﯿﺔ ﻣﺘﻄﻠﺒﺎت اﻟﺴﻼﻣﺔ اﻟﺨﺎﺻﺔ ﺑﺎﻟﻤﻨﺸﺄة وإدارة اﻟﺴﻼﻣﺔ واﻟﺼﺤﺔ اﻟﻤﮭﻨﯿﺔ‬.(PPE) ‫اﻟﺤﻤﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ‬ PPE includes fluid resistant facemask, eye protection, a fluid-resistant, cover gown, general purpose utility gloves, and fluid-resistant shoe covers. ،‫ وﻗﻔﺎزات ﻟﻸﻏﺮاض اﻟﻌﺎﻣﺔ‬،‫ ورداء ﺗﻐﻄﯿﺔ ﻣﻘﺎوم ﻟﻠﺴﻮاﺋﻞ‬،‫ وﺣﻤﺎﯾﺔ ﻟﻠﻌﯿﻦ‬،‫ﺗﺸﺘﻤﻞ ﻣﻌﺪات اﻟﻮﻗﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ ﻋﻠﻰ ﻗﻨﺎع وﺟﮫ ﻣﻘﺎوم ﻟﻠﺴﻮاﺋﻞ‬.‫وأﻏﻄﯿﺔ أﺣﺬﯾﺔ ﻣﻘﺎوﻣﺔ ﻟﻠﺴﻮاﺋﻞ‬ After items are safe for handling, they are delivered to the prep and pack area of the CS department. Each item is carefully inspected for cleanliness, proper function and possible defects. Instruments and other devices are assembled, packaged and labeled in preparation for sterilization. ‫ ﯾﺘﻢ ﻓﺤﺺ ﻛﻞ ﻣﻨﺘﺞ ﺑﻌﻨﺎﯾﺔ ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﻧﻈﺎﻓﺘﮫ‬.CS ‫ ﯾﺘﻢ ﺗﺴﻠﯿﻤﮭﺎ إﻟﻰ ﻣﻨﻄﻘﺔ اﻹﻋﺪاد واﻟﺘﻌﺒﺌﺔ ﺑﻘﺴﻢ‬،‫ﺑﻌﺪ أن ﺗﺼﺒﺢ اﻟﻌﻨﺎﺻﺮ آﻣﻨﺔ ﻟﻠﺘﻌﺎﻣﻞ ﻣﻌﮭﺎ‬.‫ ﯾﺘﻢ ﺗﺠﻤﯿﻊ اﻷدوات واﻷﺟﮭﺰة اﻷﺧﺮى وﺗﻌﺒﺌﺘﮭﺎ ووﺿﻊ اﻟﻌﻼﻣﺎت ﻋﻠﯿﮭﺎ اﺳﺘﻌﺪادًا ﻟﻠﺘﻌﻘﯿﻢ‬.‫ووظﯿﻔﺘﮫ اﻟﻤﻨﺎﺳﺒﺔ واﻟﻌﯿﻮب اﻟﻤﺤﺘﻤﻠﺔ‬  18 It is essential that CS professionals have the knowledge and training to maintain instruments properly, consistently and safely. (Figures 1.7 and 1.8 provide examples of inspection and assembly activities.) ١٫٨‫ و‬١٫٧ ‫ )ﯾﻘﺪم اﻟﺸﻜﻼن‬.‫ ﺑﺎﻟﻤﻌﺮﻓﺔ واﻟﺘﺪرﯾﺐ اﻟﻼزﻣﯿﻦ ﻟﺼﯿﺎﻧﺔ اﻷدوات ﺑﺸﻜﻞ ﺻﺤﯿﺢ وﻣﺘﺴﻖ وآﻣﻦ‬CS ‫ﻣﻦ اﻟﻀﺮوري أن ﯾﺘﻤﺘﻊ ﻣﺘﺨﺼﺼﻮ‬ (.‫أﻣﺜﻠﺔ ﻋﻠﻰ أﻧﺸﻄﺔ اﻟﻔﺤﺺ واﻟﺘﺠﻤﯿﻊ‬ CS technicians must be able to select the proper packaging system and use proper techniques for wrapping and packaging items for sterilization. (See Figure 1.9) ‫ )اﻧﻈﺮ اﻟﺸﻜﻞ‬.‫ ﻗﺎدرﯾﻦ ﻋﻠﻰ اﺧﺘﯿﺎر ﻧﻈﺎم اﻟﺘﻐﻠﯿﻒ اﻟﻤﻨﺎﺳﺐ واﺳﺘﺨﺪام اﻟﺘﻘﻨﯿﺎت اﻟﻤﻨﺎﺳﺒﺔ ﻟﻄﻲ وﺗﻐﻠﯿﻒ اﻟﻌﻨﺎﺻﺮ ﻟﻠﺘﻌﻘﯿﻢ‬CS ‫ﯾﺠﺐ أن ﯾﻜﻮن ﻓﻨﯿﻮ‬ (١٫٩ Sterilization: ‫اﻟﺘﻌﻘﯿﻢ‬ the correct methods and parameters for sterilization must be followed according to the manufacturer's Instructions for Use (IFU)..(IFU) ‫ﯾﺠﺐ اﺗﺒﺎع اﻟﻄﺮق واﻟﻤﻌﻠﻤﺎت اﻟﺼﺤﯿﺤﺔ ﻟﻠﺘﻌﻘﯿﻢ وﻓﻘًﺎ ﻟﺘﻌﻠﯿﻤﺎت اﻻﺳﺘﺨﺪام اﻟﺨﺎﺻﺔ ﺑﺎﻟﺸﺮﻛﺔ اﻟﻤﺼﻨﻌﺔ‬ Instructions for Use (IFU) Information provided by a device manufacturer that provides detailed instructions on how to properly use and process the device. ‫( ﻣﻌﻠﻮﻣﺎت ﻣﻘﺪﻣﺔ ﻣﻦ اﻟﺸﺮﻛﺔ اﻟﻤﺼﻨﻌﺔ ﻟﻠﺠﮭﺎز واﻟﺘﻲ ﺗﻮﻓﺮ إرﺷﺎدات ﻣﻔﺼﻠﺔ ﺣﻮل ﻛﯿﻔﯿﺔ اﺳﺘﺨﺪام اﻟﺠﮭﺎز وﻣﻌﺎﻟﺠﺘﮫ‬IFU) ‫ﺗﻌﻠﯿﻤﺎت اﻻﺳﺘﺨﺪام‬.‫ﺑﺸﻜﻞ ﺻﺤﯿﺢ‬ While items may be dispensed to almost all departments within a healthcare facility, the major focus of this area is servicing the OR. This is usually accomplished through the use of a case cart system. ‫ ﻓﺈن اﻟﺘﺮﻛﯿﺰ اﻟﺮﺋﯿﺴﻲ ﻓﻲ ھﺬا اﻟﻤﺠﺎل ھﻮ ﺧﺪﻣﺔ ﻏﺮﻓﺔ‬،‫ﻓﻲ ﺣﯿﻦ أﻧﮫ ﻗﺪ ﯾﺘﻢ ﺗﻮزﯾﻊ اﻟﻌﻨﺎﺻﺮ ﻋﻠﻰ ﺟﻤﯿﻊ اﻷﻗﺴﺎم ﺗﻘﺮﯾﺒًﺎ داﺧﻞ ﻣﻨﺸﺄة اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬.‫ ﯾﺘﻢ ﺗﺤﻘﯿﻖ ذﻟﻚ ﻋﺎدة ً ﻣﻦ ﺧﻼل اﺳﺘﺨﺪام ﻧﻈﺎم ﻋﺮﺑﺔ اﻟﺼﻨﺎدﯾﻖ‬.‫اﻟﻌﻤﻠﯿﺎت‬  19 When surgical procedures are scheduled, authorized personnel assign a case cart or doctor's (physician's) preference card to each procedure..‫ ﯾﻘﻮم اﻟﻤﻮظﻔﻮن اﻟﻤﻌﺘﻤﺪون ﺑﺘﻌﯿﯿﻦ ﻋﺮﺑﺔ ﺻﻨﺪوق أو ﺑﻄﺎﻗﺔ ﺗﻔﻀﯿﻼت اﻷطﺒﺎء )اﻟﻄﺒﯿﺐ( ﻟﻜﻞ إﺟﺮاء‬،‫ﻋﻨﺪ ﺟﺪوﻟﺔ اﻟﻌﻤﻠﯿﺎت اﻟﺠﺮاﺣﯿﺔ‬ This generates a case cart pull sheet (pick list) that identifies items specific to the doctor and procedure..‫ﯾﺆدي ذﻟﻚ إﻟﻰ إﻧﺸﺎء ورﻗﺔ ﺳﺤﺐ ﻟﻌﺮﺑﺔ اﻟﺼﻨﺎدﯾﻖ )ﻗﺎﺋﻤﺔ اﻻﻧﺘﻘﺎء( اﻟﺘﻲ ﺗﺤﺪد اﻟﻌﻨﺎﺻﺮ اﻟﺨﺎﺻﺔ ﺑﺎﻟﻄﺒﯿﺐ واﻹﺟﺮاء‬ CS technicians use this sheet to place supplies from the sterile storage area storage shelves onto the case carts that transport these items to the appropriate OR/surgical suite. ‫ ھﺬه اﻟﻮرﻗﺔ ﻟﻮﺿﻊ اﻹﻣﺪادات ﻣﻦ أرﻓﻒ اﻟﺘﺨﺰﯾﻦ اﻟﻤﻌﻘﻤﺔ ﻓﻲ ﻣﻨﻄﻘﺔ اﻟﺘﺨﺰﯾﻦ ﻋﻠﻰ ﻋﺮﺑﺎت اﻟﺼﻨﺪوق اﻟﺘﻲ ﺗﻨﻘﻞ ھﺬه اﻟﻌﻨﺎﺻﺮ‬CS ‫ﯾﺴﺘﺨﺪم ﻓﻨﯿﻮ‬.‫اﻟﺠﺮاﺣﺔ اﻟﻤﻨﺎﺳﺐ‬/‫إﻟﻰ ﺟﻨﺎح ﻏﺮﻓﺔ اﻟﻌﻤﻠﯿﺎت‬ Open lines of communication must be maintained between those in CS and sterile storage areas to help ensure that an adequate stock of sterile items is always available. Also, the Materiel Management department is an important link in the supply process ٍ ‫ وﻣﻨﺎطﻖ اﻟﺘﺨﺰﯾﻦ اﻟﻤﻌﻘﻤﺔ ﻟﻠﻤﺴﺎﻋﺪة ﻓﻲ ﺿﻤﺎن ﺗﻮﻓﺮ ﻣﺨﺰون ﻛﺎ‬CS ‫ﯾﺠﺐ اﻟﺤﻔﺎظ ﻋﻠﻰ ﺧﻄﻮط اﺗﺼﺎل ﻣﻔﺘﻮﺣﺔ ﺑﯿﻦ اﻟﻤﻮﺟﻮدﯾﻦ ﻓﻲ‬ ‫ف ﻣﻦ‬ ‫ ﻛﻤﺎ ﯾﻌﺪ ﻗﺴﻢ إدارة اﻟﻤﻮاد ﺣﻠﻘﺔ وﺻﻞ ﻣﮭﻤﺔ ﻓﻲ ﻋﻤﻠﯿﺔ اﻟﺘﻮرﯾﺪ‬.‫اﻟﻌﻨﺎﺻﺮ اﻟﻤﻌﻘﻤﺔ داﺋًﻤﺎ‬ Personnel working in the sterile storage area must have thorough knowledge of: :‫ﯾﺠﺐ أن ﯾﻜﻮن ﻟﺪى اﻟﻤﻮظﻔﯿﻦ اﻟﻌﺎﻣﻠﯿﻦ ﻓﻲ ﻣﻨﻄﻘﺔ اﻟﺘﺨﺰﯾﻦ اﻟﻤﻌﻘﻤﺔ ﻣﻌﺮﻓﺔ ﺷﺎﻣﻠﺔ ب‬ 1- Inventory control and supply distribution.. ‫ﻣﺮاﻗﺒﺔ اﻟﻤﺨﺰون وﺗﻮزﯾﻊ اﻻﻣﺪاد‬ 2- Surgical specialties and procedures..‫اﻟﺘﺨﺼﺼﺎت واﻹﺟﺮاءات اﻟﺠﺮاﺣﯿﺔ‬ 3- Sterile storage and handling requirements..‫ﻣﺘﻄﻠﺒﺎت اﻟﺘﺨﺰﯾﻦ واﻟﻤﻨﺎوﻟﺔ اﻟﻤﻌﻘﻤﺔ‬ 4- Computer systems relating to inventory and case carts..‫أﻧﻈﻤﺔ اﻟﻜﻤﺒﯿﻮﺗﺮ اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﻤﺨﺰون وﻋﺮﺑﺎت اﻟﺤﺎﻟﺔ‬ 5- Acquisition and disposition of supplies..‫اﻗﺘﻨﺎء اﻹﻣﺪادات واﻟﺘﺼﺮف ﻓﯿﮭﺎ‬ 6- Resolution of supply problems..‫ﺣﻞ ﻣﺸﺎﻛﻞ اﻻﻣﺪاد‬ Proper air pressure control helps to prevent the flow of bacteria-laden particulates and dust from the soiled to the clean areas..‫ﯾﺴﺎﻋﺪ اﻟﺘﺤﻜﻢ اﻟﻤﻨﺎﺳﺐ ﻓﻲ ﺿﻐﻂ اﻟﮭﻮاء ﻋﻠﻰ ﻣﻨﻊ ﺗﺪﻓﻖ اﻟﺠﺰﯾﺌﺎت واﻟﻐﺒﺎر اﻟﻤﺤﻤﻠﺔ ﺑﺎﻟﺒﻜﺘﯿﺮﯾﺎ ﻣﻦ اﻟﻤﻨﺎطﻖ اﻟﻤﺘﺴﺨﺔ إﻟﻰ اﻟﻤﻨﺎطﻖ اﻟﻨﻈﯿﻔﺔ‬ Case cart system An inventory control system for products/equipment typically used in an Operating Room that involves use of an enclosed or covered cart generally prepared for one surgical case, and not used for general supply replenishment. ‫اﻟﻤﻌﺪات اﻟﻤﺴﺘﺨﺪﻣﺔ ﻋﺎدة ﻓﻲ ﻏﺮﻓﺔ اﻟﻌﻤﻠﯿﺎت واﻟﺘﻲ ﺗﺘﻀﻤﻦ اﺳﺘﺨﺪام ﻋﺮﺑﺔ ﻣﻐﻠﻘﺔ أو‬/‫ﻧﻈﺎم ﻋﺮﺑﺔ اﻟﺤﺎﻻت ھﻮ ﻧﻈﺎم ﻟﻤﺮاﻗﺒﺔ ﻣﺨﺰون اﻟﻤﻨﺘﺠﺎت‬.‫ وﻻ ﺗﺴﺘﺨﺪم ﻟﺘﺠﺪﯾﺪ اﻹﻣﺪادات اﻟﻌﺎﻣﺔ‬،‫ﻣﻐﻄﺎة ﯾﺘﻢ إﻋﺪادھﺎ ﺑﺸﻜﻞ ﻋﺎم ﻟﺤﺎﻟﺔ ﺟﺮاﺣﯿﺔ واﺣﺪة‬ Case cart A cart prepared for an individual procedure. Case carts usually contain all instruments, supplies and utensils needed for a specific procedure..‫ ﺗﺤﺘﻮي ﻋﺮﺑﺎت اﻟﺼﻨﺪوق ﻋﺎدة ً ﻋﻠﻰ ﺟﻤﯿﻊ اﻷدوات واﻟﻠﻮازم واﻷدوات اﻟﻼزﻣﺔ ﻹﺟﺮاء ﻣﻌﯿﻦ‬.‫ﻋﺮﺑﺔ اﻟﺤﺎﻟﺔ ﻋﺮﺑﺔ ﻣﻌﺪة ﻹﺟﺮاء ﻓﺮدي‬  20 Doctor's (Physician's) preference card A document that identifies a physician's needs (requests and preferences) for a specific medical procedure. Preference cards usually contain information regarding the instruments, equipment, supplies and utensils used by a specific physician. They may also include reminders for the staff of the physician's preferences regarding patient draping, instruments and supplies. ‫ ﺗﺤﺘﻮي ﺑﻄﺎﻗﺎت اﻟﺘﻔﻀﯿﻼت ﻋﺎدة‬.‫ﺑﻄﺎﻗﺔ ﺗﻔﻀﯿﻼت اﻟﻄﺒﯿﺐ )اﻷطﺒﺎء( وﺛﯿﻘﺔ ﺗﺤﺪد اﺣﺘﯿﺎﺟﺎت اﻟﻄﺒﯿﺐ )اﻟﻄﻠﺒﺎت واﻟﺘﻔﻀﯿﻼت( ﻹﺟﺮاء طﺒﻲ ﻣﺤﺪد‬ ‫ﻀﺎ ﺗﺬﻛﯿﺮات ﻟﻠﻤﻮظﻔﯿﻦ ﺑﺘﻔﻀﯿﻼت‬ ً ‫ وﻗﺪ ﺗﺘﻀﻤﻦ أﯾ‬.‫ﻋﻠﻰ ﻣﻌﻠﻮﻣﺎت ﺗﺘﻌﻠﻖ ﺑﺎﻷدوات واﻟﻤﻌﺪات واﻟﻠﻮازم واﻷدوات اﻟﺘﻲ ﯾﺴﺘﺨﺪﻣﮭﺎ طﺒﯿﺐ ﻣﻌﯿﻦ‬.‫اﻟﻄﺒﯿﺐ ﻓﯿﻤﺎ ﯾﺘﻌﻠﻖ ﺑﺘﻐﻄﯿﺔ اﻟﻤﺮﯾﺾ وأدواﺗﮫ وإﻣﺪاداﺗﮫ‬ Case cart pull sheet (pick list) A list of specific supplies, utensils and instruments for a specific procedure. Central Service technicians use these lists to assemble the items needed for individual procedures. ‫ ﯾﺴﺘﺨﺪم ﻓﻨﯿﻮ اﻟﺨﺪﻣﺔ اﻟﻤﺮﻛﺰﯾﺔ ھﺬه‬.‫ورﻗﺔ ﺳﺤﺐ ﻋﺮﺑﺔ اﻟﺼﻨﺪوق )ﻗﺎﺋﻤﺔ اﻻﺧﺘﯿﺎر( ﻗﺎﺋﻤﺔ ﺑﺎﻟﻤﺴﺘﻠﺰﻣﺎت واﻷدوات واﻷدوات اﻟﻤﺤﺪدة ﻹﺟﺮاء ﻣﻌﯿﻦ‬.‫اﻟﻘﻮاﺋﻢ ﻟﺘﺠﻤﯿﻊ اﻟﻌﻨﺎﺻﺮ اﻟﻼزﻣﺔ ﻟﻺﺟﺮاءات اﻟﻔﺮدﯾﺔ‬ Materiel Management department The healthcare department responsible for researching, ordering, receiving, and managing inventory (consumable supplies)..(‫ﻗﺴﻢ إدارة اﻟﻤﻮاد ﻗﺴﻢ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ اﻟﻤﺴﺆول ﻋﻦ اﻟﺒﺤﺚ واﻟﻄﻠﺐ واﻻﺳﺘﻼم وإدارة اﻟﻤﺨﺰون )اﻟﻤﺴﺘﻠﺰﻣﺎت اﻻﺳﺘﮭﻼﻛﯿﺔ‬ THE PROCESSING CYCLE: ‫دورة اﻟﻤﻌﺎﻟﺠﺔ‬ Work performed in CS usually follows the following processing cycle. (See Figure 1.13) (١٫١٣ ‫ )اﻧﻈﺮ اﻟﺸﻜﻞ‬.‫ دورة اﻟﻤﻌﺎﻟﺠﺔ اﻟﺘﺎﻟﯿﺔ‬CS ‫ﻋﺎدة ً ﻣﺎ ﯾﺘﺒﻊ اﻟﻌﻤﻞ اﻟﻤﻨﺠﺰ ﻓﻲ‬ After use, items that can be reprocessed are returned to the decontamination area to start the process all over again..‫ ﯾﺘﻢ إرﺟﺎع اﻟﻌﻨﺎﺻﺮ اﻟﺘﻲ ﯾﻤﻜﻦ إﻋﺎدة ﻣﻌﺎﻟﺠﺘﮭﺎ إﻟﻰ ﻣﻨﻄﻘﺔ إزاﻟﺔ اﻟﺘﻠﻮث ﻟﺒﺪء اﻟﻌﻤﻠﯿﺔ ﻣﻦ ﺟﺪﯾﺪ‬،‫ﺑﻌﺪ اﻻﺳﺘﺨﺪام‬ It is important to note that at each step in the process, items are inspected to ensure that they are clean, in good repair, assembled and processed correctly..‫ ﯾﺘﻢ ﻓﺤﺺ اﻟﻌﻨﺎﺻﺮ ﻟﻠﺘﺄﻛﺪ ﻣﻦ أﻧﮭﺎ ﻧﻈﯿﻔﺔ وﻓﻲ ﺣﺎﻟﺔ ﺟﯿﺪة وﻣﺠﻤﻌﺔ وﻣﻌﺎﻟﺠﺘﮭﺎ ﺑﺸﻜﻞ ﺻﺤﯿﺢ‬،‫ﻣﻦ اﻟﻤﮭﻢ ﻣﻼﺣﻈﺔ أﻧﮫ ﻓﻲ ﻛﻞ ﺧﻄﻮة ﻣﻦ اﻟﻌﻤﻠﯿﺔ‬ It is also important to ensure that packaging materials are not damaged, which could compromise sterility..‫ ﻣﻤﺎ ﻗﺪ ﯾﻌﺮض اﻟﻌﻘﻢ ﻟﻠﺨﻄﺮ‬،‫ﻀﺎ اﻟﺘﺄﻛﺪ ﻣﻦ ﻋﺪم ﺗﻠﻒ ﻣﻮاد اﻟﺘﻌﺒﺌﺔ واﻟﺘﻐﻠﯿﻒ‬ ً ‫وﻣﻦ اﻟﻤﮭﻢ أﯾ‬  21 CS technicians must not only master specific skills in each work area to perform the job, but they must also learn new ones as technologies, regulations, standards, and best practices evolve. Figure 1.14 provides some examples of skills CS technicians may routinely perform. ‫ﻀﺎ ﺗﻌﻠﻢ ﻣﮭﺎرات ﺟﺪﯾﺪة ﻣﻊ ﺗﻄﻮر‬ ً ‫ ﺑﻞ ﯾﺠﺐ ﻋﻠﯿﮭﻢ أﯾ‬،‫ﻻ ﯾﺠﺐ ﻋﻠﻰ ﻓﻨﯿﻲ اﻟﺘﻌﻘﯿﻢ إﺗﻘﺎن ﻣﮭﺎرات ﻣﺤﺪدة ﻓﻲ ﻛﻞ ﻣﺠﺎل ﻋﻤﻞ ﻷداء اﻟﻤﮭﻤﺔ ﻓﺤﺴﺐ‬.‫ ﺑﻌﺾ اﻷﻣﺜﻠﺔ ﻋﻠﻰ اﻟﻤﮭﺎرات اﻟﺘﻲ ﻗﺪ ﯾﺆدﯾﮭﺎ ﻓﻨﯿﻮ اﻟﺘﻌﻘﯿﻢ ﺑﺸﻜﻞ روﺗﯿﻨﻲ‬١٫١٤ ‫ ﯾﻘﺪم اﻟﺸﻜﻞ‬.‫اﻟﺘﻘﻨﯿﺎت واﻟﻠﻮاﺋﺢ واﻟﻤﻌﺎﯾﯿﺮ وأﻓﻀﻞ اﻟﻤﻤﺎرﺳﺎت‬ A Basic Educational Foundation Is Needed: ‫ھﻨﺎك ﺣﺎﺟﺔ إﻟﻰ ﻣﺆﺳﺴﺔ ﺗﻌﻠﯿﻤﯿﺔ أﺳﺎﺳﯿﮫ‬ this education foundation include the ability to: ‫ﺗﺘﻀﻤﻦ ﻣﺆﺳﺴﺔ اﻟﺘﻌﻠﯿﻢ ھﺬه اﻟﻘﺪرة ﻋﻠﻰ‬ 1- Read and write, including the use of reports, manuals and Instructions for Use..‫ ﺑﻤﺎ ﻓﻲ ذﻟﻚ اﺳﺘﺨﺪام اﻟﺘﻘﺎرﯾﺮ واﻷدﻟﺔ وﺗﻌﻠﯿﻤﺎت اﻻﺳﺘﺨﺪام‬،‫اﻟﻘﺮاءة واﻟﻜﺘﺎﺑﺔ‬ 2- Communicate with inter- and intra-departmental team members..‫اﻟﺘﻮاﺻﻞ ﻣﻊ أﻋﻀﺎء اﻟﻔﺮﯾﻖ داﺧﻞ اﻹدارات وداﺧﻠﮭﺎ‬ 3- Interpret technical materials used for CS practices and procedures..CS ‫ﺗﻔﺴﯿﺮ اﻟﻤﻮاد اﻟﺘﻘﻨﯿﺔ اﻟﻤﺴﺘﺨﺪﻣﺔ ﻓﻲ ﻣﻤﺎرﺳﺎت وإﺟﺮاءات‬ 4- Understand concepts of microbial transmission and infection prevention..‫ﻓﮭﻢ ﻣﻔﺎھﯿﻢ اﻧﺘﻘﺎل اﻟﻤﯿﻜﺮوﺑﺎت واﻟﻮﻗﺎﯾﺔ ﻣﻦ اﻟﻌﺪوى‬ 5- Understand and use surgical and medical terminology..‫ﻓﮭﻢ واﺳﺘﺨﺪام اﻟﻤﺼﻄﻠﺤﺎت اﻟﺠﺮاﺣﯿﺔ واﻟﻄﺒﯿﺔ‬ 6- Operate tracking and other CS-related computer systems..CS ‫ﺗﺸﻐﯿﻞ اﻟﺘﺘﺒﻊ وأﻧﻈﻤﺔ اﻟﻜﻤﺒﯿﻮﺗﺮ اﻷﺧﺮى اﻟﻤﺘﻌﻠﻘﺔ ﺑـ‬  22 BASIC JOB KNOWLEDGE AND SKILLS: ‫اﻟﻤﻌﺮﻓﺔ واﻟﻤﮭﺎرات اﻟﻮظﯿﻔﯿﺔ اﻷﺳﺎﺳﯿﺔ‬ CS professionals require significant knowledge and skill sets to perform effectively on the job. Knowledge and skill sets should include the following: ‫ ﯾﺠﺐ أن ﺗﺘﻀﻤﻦ ﻣﺠﻤﻮﻋﺎت اﻟﻤﻌﺮﻓﺔ واﻟﻤﮭﺎرات ﻣﺎ ﯾﻠﻲ‬.‫ إﻟﻰ ﻣﺠﻤﻮﻋﺔ ﻛﺒﯿﺮة ﻣﻦ اﻟﻤﻌﺮﻓﺔ واﻟﻤﮭﺎرات ﻷداء اﻟﻌﻤﻞ ﺑﻔﻌﺎﻟﯿﺔ‬CS ‫ﯾﺤﺘﺎج ﻣﺘﺨﺼﺼﻮ‬ Communication Skills: ‫ﻣﮭﺎرات اﻟﺘﻮاﺻﻞ‬ 1- Assess the ability of other people to understand what is being communicated..‫ﺗﻘﯿﯿﻢ ﻗﺪرة اﻵﺧﺮﯾﻦ ﻋﻠﻰ ﻓﮭﻢ ﻣﺎ ﯾﺘﻢ ﺗﻮﺻﯿﻠﮫ‬ 2- Adapt communication style to individual needs..‫ﺗﻜﯿﯿﻒ أﺳﻠﻮب اﻻﺗﺼﺎل ﻣﻊ اﻻﺣﺘﯿﺎﺟﺎت اﻟﻔﺮدﯾﺔ‬ 3- Apply active listening skills using reflection, restatement and clarification techniques..‫ﺗﻄﺒﯿﻖ ﻣﮭﺎرات اﻻﺳﺘﻤﺎع اﻟﻨﺸﻂ ﺑﺎﺳﺘﺨﺪام ﺗﻘﻨﯿﺎت اﻟﺘﻔﻜﯿﺮ وإﻋﺎدة اﻟﺼﯿﺎﻏﺔ واﻟﺘﻮﺿﯿﺢ‬ 4- Interact appropriately and respectfully with diverse groups in numerous employment situations..‫اﻟﺘﻔﺎﻋﻞ ﺑﺸﻜﻞ ﻣﻨﺎﺳﺐ وﻣﺤﺘﺮم ﻣﻊ ﻣﺠﻤﻮﻋﺎت ﻣﺘﻨﻮﻋﺔ ﻓﻲ اﻟﻌﺪﯾﺪ ﻣﻦ ﻣﻮاﻗﻒ اﻟﺘﻮظﯿﻒ‬ 5- Communicate in a straightforward, under standable, accurate and timely manner..‫اﻟﺘﻮاﺻﻞ ﺑﻄﺮﯾﻘﺔ واﺿﺤﺔ وﻗﺎﺑﻠﺔ ﻟﻠﺘﺤﻤﻞ ودﻗﯿﻘﺔ وﻓﻲ اﻟﻮﻗﺖ اﻟﻤﻨﺎﺳﺐ‬ 6- Use facility-specific guidelines and methods to send and receive information..‫اﺳﺘﺨﺪم اﻹرﺷﺎدات واﻷﺳﺎﻟﯿﺐ اﻟﺨﺎﺻﺔ ﺑﺎﻟﻤﻨﺸﺄة ﻹرﺳﺎل اﻟﻤﻌﻠﻮﻣﺎت واﺳﺘﻼﻣﮭﺎ‬ 7- Access and use electronically-produced information..‫اﻟﻮﺻﻮل إﻟﻰ اﻟﻤﻌﻠﻮﻣﺎت اﻟﻤﻨﺘﺠﺔ إﻟﻜﺘﺮوﻧﯿًﺎ واﺳﺘﺨﺪاﻣﮭﺎ‬ Facility Systems: ‫أﻧﻈﻤﺔ اﻟﻤﺮاﻓﻖ‬ requires that they: :‫ﯾﺘﻄﻠﺐ ﻣﻦ ﻣﺘﺨﺼﺼﻮ اﻟﺘﻌﻘﯿﻢ‬ 1- Are aware of the range of services offered to customers..‫ﻋﻠﻰ دراﯾﺔ ﺑﻤﺠﻤﻮﻋﺔ اﻟﺨﺪﻣﺎت اﻟﻤﻘﺪﻣﺔ ﻟﻠﻌﻤﻼء‬ 2- Prevent unnecessary waste and duplication..‫ﻣﻨﻊ اﻟﮭﺪر واﻻزدواﺟﯿﺔ ﻏﯿﺮ اﻟﻀﺮورﯾﺔ‬ 3- Participate in quality improvement activities..‫اﻟﻤﺸﺎرﻛﺔ ﻓﻲ أﻧﺸﻄﺔ ﺗﺤﺴﯿﻦ اﻟﺠﻮدة‬ 4- Use resources, including other staff members, manuals and training opportunities..‫ ﺑﻤﺎ ﻓﻲ ذﻟﻚ اﻟﻤﻮظﻔﯿﻦ اﻵﺧﺮﯾﻦ واﻷدﻟﺔ وﻓﺮص اﻟﺘﺪرﯾﺐ‬،‫اﺳﺘﺨﺪم اﻟﻤﻮارد‬  23 Employability Skills: ‫ﻣﮭﺎرات اﻟﺘﻮظﯿﻒ‬ Successful CS technicians practice employability skills to enhance their employment opportunities and job satisfaction, and they maintain and upgrade those skills as required. Examples include: ‫ وﯾﺤﺎﻓﻈﻮن ﻋﻠﻰ ھﺬه اﻟﻤﮭﺎرات وﯾﻄﻮروﻧﮭﺎ ﻛﻤﺎ‬،‫ﯾﻤﺎرس ﻓﻨﯿﻮ ﻗﺴﻢ اﻟﺘﻌﻘﯿﻢ اﻟﻨﺎﺟﺤﻮن ﻣﮭﺎرات اﻟﺘﻮظﯿﻒ ﻟﺘﻌﺰﯾﺰ ﻓﺮص اﻟﻌﻤﻞ واﻟﺮﺿﺎ اﻟﻮظﯿﻔﻲ‬ :‫ اﻻﻣﺜﻠﮫ ﺗﺸﻤﻞ‬.‫ھﻮ ﻣﻄﻠﻮب‬ 1- Maintaining appropriate personal skills, such as attendance and time management, and assume individual responsibility for their actions..‫ وﺗﺤﻤﻞ اﻟﻤﺴﺆوﻟﯿﺔ اﻟﻔﺮدﯾﺔ ﻋﻦ أﻓﻌﺎﻟﮭﻢ‬،‫ ﻣﺜﻞ اﻟﺤﻀﻮر وإدارة اﻟﻮﻗﺖ‬،‫اﻟﺤﻔﺎظ ﻋﻠﻰ اﻟﻤﮭﺎرات اﻟﺸﺨﺼﯿﺔ اﻟﻤﻨﺎﺳﺒﺔ‬ 2- Maintaining professional conduct standards..‫اﻟﺤﻔﺎظ ﻋﻠﻰ ﻣﻌﺎﯾﯿﺮ اﻟﺴﻠﻮك اﻟﻤﮭﻨﻲ‬ 3- Using analytical skills to solve problems and make decisions..‫اﺳﺘﺨﺪام اﻟﻤﮭﺎرات اﻟﺘﺤﻠﯿﻠﯿﺔ ﻟﺤﻞ اﻟﻤﺸﻜﻼت واﺗﺨﺎذ اﻟﻘﺮارات‬ 4- Formulating solutions to problems using critical thinking skills (analyze, synthesize, evaluate), independently and in teams..‫ﺻﯿﺎﻏﺔ ﺣﻠﻮل ﻟﻠﻤﺸﻜﻼت ﺑﺎﺳﺘﺨﺪام ﻣﮭﺎرات اﻟﺘﻔﻜﯿﺮ اﻟﻨﻘﺪي )اﻟﺘﺤﻠﯿﻞ واﻟﺘﺮﻛﯿﺐ واﻟﺘﻘﯿﯿﻢ( ﺑﺸﻜﻞ ﻣﺴﺘﻘﻞ وﺿﻤﻦ ﻓﺮق‬ 5- Adapt to changing situations..‫اﻟﺘﻜﯿﻒ ﻣﻊ اﻟﻤﻮاﻗﻒ اﻟﻤﺘﻐﯿﺮة‬ 6- Practice personal integrity and honesty ‫ﻣﻤﺎرﺳﺔ اﻟﻨﺰاھﺔ اﻟﺸﺨﺼﯿﺔ واﻟﺼﺪق‬ 7- Engage in continuous self-assessment and goal modification for their personal and professional improvement..‫اﻻﻧﺨﺮاط ﻓﻲ اﻟﺘﻘﯿﯿﻢ اﻟﺬاﺗﻲ اﻟﻤﺴﺘﻤﺮ وﺗﻌﺪﯾﻞ اﻷھﺪاف ﻟﺘﺤﺴﯿﻨﮭﻢ اﻟﺸﺨﺼﻲ واﻟﻤﮭﻨﻲ‬ 8- Exhibit respectful and empathetic behavior as they interact with peers, superiors, subordinates and customers in one-on-one and group situations..‫إظﮭﺎر ﺳﻠﻮك ﻣﺤﺘﺮم وﺗﻌﺎطﻔﻲ أﺛﻨﺎء ﺗﻔﺎﻋﻠﮭﻢ ﻣﻊ أﻗﺮاﻧﮭﻢ ورؤﺳﺎﺋﮭﻢ وﻣﺮؤوﺳﯿﮭﻢ واﻟﻌﻤﻼء ﻓﻲ اﻟﻤﻮاﻗﻒ اﻟﻔﺮدﯾﺔ واﻟﺠﻤﺎﻋﯿﺔ‬ 9- Listen attentively to verbal instructions, requests and other information to verify accuracy..‫اﺳﺘﻤﻊ ﺑﺎﻧﺘﺒﺎه ﻟﻠﺘﻌﻠﯿﻤﺎت اﻟﺸﻔﮭﯿﺔ واﻟﻄﻠﺒﺎت وﻏﯿﺮھﺎ ﻣﻦ اﻟﻤﻌﻠﻮﻣﺎت ﻟﻠﺘﺤﻘﻖ ﻣﻦ دﻗﺘﮭﺎ‬ 10- Understand various career options and the preparation required for them..‫ﻓﮭﻢ اﻟﺨﯿﺎرات اﻟﻤﮭﻨﯿﺔ اﻟﻤﺨﺘﻠﻔﺔ واﻹﻋﺪاد اﻟﻤﻄﻠﻮب ﻟﮭﺎ‬ Legal Responsibilities: ‫اﻟﻤﺴﺆوﻟﯿﺎت اﻟﻘﺎﻧﻮﻧﯿﺔ‬ To do so, they must: : ‫ﻟﻠﻘﯿﺎم ﺑﺬﻟﻚ ﯾﺠﺐ ﻋﻠﻰ ﻣﺨﺘﺼﻮ اﻟﺘﻌﻘﯿﻢ‬ 1- Solve problems relating to legal dilemmas or issues..‫ﺣﻞ اﻟﻤﺸﻜﻼت اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﻤﻌﻀﻼت أو اﻟﻘﻀﺎﯾﺎ اﻟﻘﺎﻧﻮﻧﯿﺔ‬ 2- Comply with established risk management factors and procedures..‫اﻻﻣﺘﺜﺎل ﻟﻌﻮاﻣﻞ وإﺟﺮاءات إدارة اﻟﻤﺨﺎطﺮ اﻟﻤﻌﻤﻮل ﺑﮭﺎ‬  24 3- Determine when an incident must be reported..‫ﺗﺤﺪﯾﺪ ﻣﺘﻰ ﯾﺠﺐ اﻹﺑﻼغ ﻋﻦ ﺣﺎدﺛﺔ ﻣﺎ‬ 4- Maintain confidentiality ‫اﻟﺤﻔﺎظ ﻋﻠﻰ اﻟﺴﺮﯾﺔ‬ 5- Operate within the required scope of practice..‫اﻟﻌﻤﻞ ﺿﻤﻦ ﻧﻄﺎق اﻟﻤﻤﺎرﺳﺔ اﻟﻤﻄﻠﻮﺑﺔ‬ 6- Follow mandated standards for workplace safety..‫اﺗﺒﻊ اﻟﻤﻌﺎﯾﯿﺮ اﻟﻤﻘﺮرة ﻟﻠﺴﻼﻣﺔ ﻓﻲ ﻣﻜﺎن اﻟﻌﻤﻞ‬ 7- Apply mandated standards for harassment, labor and other employment laws..‫ﺗﻄﺒﯿﻖ اﻟﻤﻌﺎﯾﯿﺮ اﻹﻟﺰاﻣﯿﺔ اﻟﻤﺘﻌﻠﻘﺔ ﺑﺎﻟﺘﺤﺮش واﻟﻌﻤﻞ وﻗﻮاﻧﯿﻦ اﻟﺘﻮظﯿﻒ اﻷﺧﺮى‬ 8- Comply with legal requirements for documentation..‫اﻻﻣﺘﺜﺎل ﻟﻠﻤﺘﻄﻠﺒﺎت اﻟﻘﺎﻧﻮﻧﯿﺔ ﻟﻠﺘﻮﺛﯿﻖ‬ Ethics: ‫أﺧﻼق ﻣﮭﻨﯿﺔ‬ Ethics relates to knowing the difference between "right"and "wrong." In the healthcare environment, it means conforming to accepted and professional standards of conduct..‫ ﯾﻌﻨﻲ ذﻟﻚ اﻻﻟﺘﺰام ﺑﻤﻌﺎﯾﯿﺮ اﻟﺴﻠﻮك اﻟﻤﻘﺒﻮﻟﺔ واﻟﻤﮭﻨﯿﺔ‬،‫ وﻓﻲ ﺑﯿﺌﺔ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬."‫ﺗﺘﻌﻠﻖ اﻷﺧﻼق ﺑﻤﻌﺮﻓﺔ اﻟﻔﺮق ﺑﯿﻦ "اﻟﺼﻮاب" و"اﻟﺨﻄﺄ‬ Ethical behavior is "doing the right thing in the right way." Ethics should govern and guide the way CS technicians act and make decisions. They must always: ‫ ﯾﺠﺐ أن ﺗﺤﻜﻢ اﻷﺧﻼﻗﯿﺎت وﺗﻮﺟﮫ اﻟﻄﺮﯾﻘﺔ اﻟﺘﻲ ﯾﺘﺼﺮف ﺑﮭﺎ ﻓﻨﯿﻮ ﻗﺴﻢ اﻟﺘﻌﻘﯿﻢ‬."‫اﻟﺴﻠﻮك اﻷﺧﻼﻗﻲ ھﻮ "ﻓﻌﻞ اﻟﺸﻲء اﻟﺼﺤﯿﺢ ﺑﺎﻟﻄﺮﯾﻘﺔ اﻟﺼﺤﯿﺤﺔ‬ :‫ ﯾﺠﺐ ﻋﻠﯿﮭﻢ داﺋﻤﺎ‬.‫وﯾﺘﺨﺬون اﻟﻘﺮارات‬ 1- Respect patient rights. ‫اﺣﺘﺮام ﺣﻘﻮق اﻟﻤﺮﯾﺾ‬ 2- Promote justice and the equal treatment of all individuals..‫ﺗﻌﺰﯾﺰ اﻟﻌﺪاﻟﺔ واﻟﻤﻌﺎﻣﻠﺔ اﻟﻤﺘﺴﺎوﯾﺔ ﻟﺠﻤﯿﻊ اﻷﻓﺮاد‬ 3- Recognize the importance of the patient's needs over other considerations..‫اﻟﺘﻌﺮف ﻋﻠﻰ أھﻤﯿﺔ اﺣﺘﯿﺎﺟﺎت اﻟﻤﺮﯾﺾ ﻋﻠﻰ اﻻﻋﺘﺒﺎرات اﻷﺧﺮى‬ 4- Exhibit loyalty to fellow workers and the healthcare facility ‫إظﮭﺎر اﻟﻮﻻء ﻟﺰﻣﻼﺋﮫ اﻟﻌﺎﻣﻠﯿﻦ وﻣﺮﻓﻖ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬ 5- Report any activity that adversely affects the health, safety or welfare of patients, visitors or fellow workers..‫اﻹﺑﻼغ ﻋﻦ أي ﻧﺸﺎط ﯾﺆﺛﺮ ﺳﻠﺒًﺎ ﻋﻠﻰ ﺻﺤﺔ أو ﺳﻼﻣﺔ أو رﻓﺎھﯿﺔ اﻟﻤﺮﺿﻰ أو اﻟﺰوار أو زﻣﻼﺋﮭﻢ اﻟﻌﺎﻣﻠﯿﻦ‬ 6- Comply at all times with pertinent regulatory guidelines, facility policies, departmental policies and procedures..‫اﻻﻣﺘﺜﺎل ﻓﻲ ﺟﻤﯿﻊ اﻷوﻗﺎت ﻟﻠﻤﺒﺎدئ اﻟﺘﻮﺟﯿﮭﯿﺔ اﻟﺘﻨﻈﯿﻤﯿﺔ ذات اﻟﺼﻠﺔ وﺳﯿﺎﺳﺎت اﻟﻤﻨﺸﺄة وﺳﯿﺎﺳﺎت وإﺟﺮاءات اﻹدارات‬ 7- Respect interdisciplinary differences among team members..‫اﺣﺘﺮام اﻻﺧﺘﻼﻓﺎت ﺑﯿﻦ اﻟﺘﺨﺼﺼﺎت ﺑﯿﻦ أﻋﻀﺎء اﻟﻔﺮﯾﻖ‬  25 8- Differentiate between ethical and legal issues..‫اﻟﺘﻤﯿﯿﺰ ﺑﯿﻦ اﻟﻘﻀﺎﯾﺎ اﻷﺧﻼﻗﯿﺔ واﻟﻘﺎﻧﻮﻧﯿﺔ‬ 9-.Demonstrate professionalism when interacting with co-workers and customers..‫إظﮭﺎر اﻻﺣﺘﺮاف ﻋﻨﺪ اﻟﺘﻔﺎﻋﻞ ﻣﻊ زﻣﻼء اﻟﻌﻤﻞ واﻟﻌﻤﻼء‬ Safety Practices: ‫ﻣﻤﺎرﺳﺎت اﻟﺴﻼﻣﺔ‬ :‫ﺑﻔﻌﻞ اﻟﺘﺎﻟﻲ‬ 1- Practice infection control procedures..‫ﻣﻤﺎرﺳﺔ إﺟﺮاءات ﻣﻜﺎﻓﺤﺔ اﻟﻌﺪوى‬ 2- Use standard precautions to control the spread of infection..‫اﺳﺘﺨﺪم اﻻﺣﺘﯿﺎطﺎت اﻟﻘﯿﺎﺳﯿﺔ ﻟﻠﺴﯿﻄﺮة ﻋﻠﻰ اﻧﺘﺸﺎر اﻟﻌﺪوى‬ 3- Practice appropriate cleaning, disinfecting and sterilizing processes..‫ﻣﻤﺎرﺳﺔ ﻋﻤﻠﯿﺎت اﻟﺘﻨﻈﯿﻒ واﻟﺘﻄﮭﯿﺮ واﻟﺘﻌﻘﯿﻢ اﻟﻤﻨﺎﺳﺒﺔ‬ 4- Apply principles of body mechanics, including use of proper lifting techniques..‫ ﺑﻤﺎ ﻓﻲ ذﻟﻚ اﺳﺘﺨﺪام ﺗﻘﻨﯿﺎت اﻟﺮﻓﻊ اﻟﻤﻨﺎﺳﺒﺔ‬،‫ﺗﻄﺒﯿﻖ ﻣﺒﺎدئ ﻣﯿﻜﺎﻧﯿﻜﺎ اﻟﺠﺴﻢ‬ 5- Recognize and correct fire and electrical hazards..‫اﻟﺘﻌﺮف ﻋﻠﻰ ﻣﺨﺎطﺮ اﻟﺤﺮاﺋﻖ واﻟﻜﮭﺮﺑﺎء وﺗﺼﺤﯿﺤﮭﺎ‬ 6- Use equipment as directed..‫اﺳﺘﺨﺪم اﻟﻤﻌﺪات ﺣﺴﺐ اﻟﺘﻮﺟﯿﮭﺎت‬ 7- Manage hazardous materials..‫إدارة اﻟﻤﻮاد اﻟﺨﻄﺮة‬ 8- Use safety data sheets (SDS). ‫اﺳﺘﺨﺪم أوراق ﺑﯿﺎﻧﺎت اﻟﺴﻼﻣﺔ‬ 9- Follow emergency procedures and protocols..‫اﺗﺒﻊ إﺟﺮاءات وﺑﺮوﺗﻮﻛﻮﻻت اﻟﻄﻮارئ‬ 10- Comply with pertinent regulatory guidelines, including OSHA standards..‫ ﺑﻤﺎ ﻓﻲ ذﻟﻚ ﻣﻌﺎﯾﯿﺮ إدارة اﻟﺴﻼﻣﺔ واﻟﺼﺤﺔ اﻟﻤﮭﻨﯿﺔ‬،‫اﻻﻣﺘﺜﺎل ﻟﻠﻤﺒﺎدئ اﻟﺘﻮﺟﯿﮭﯿﺔ اﻟﺘﻨﻈﯿﻤﯿﺔ ذات اﻟﺼﻠﺔ‬ Standard precautions Method of using appropriate barriers to reduce the risk of transmission of bloodborne and other pathogens from both recognized and unrecognized sources. ‫اﻻﺣﺘﯿﺎطﺎت اﻟﻘﯿﺎﺳﯿﺔ طﺮﯾﻘﺔ اﺳﺘﺨﺪام اﻟﺤﻮاﺟﺰ اﻟﻤﻨﺎﺳﺒﺔ ﻟﻠﺤﺪ ﻣﻦ ﻣﺨﺎطﺮ اﻧﺘﻘﺎل ﻣﺴﺒﺒﺎت اﻷﻣﺮاض اﻟﻤﻨﻘﻮﻟﺔ ﺑﺎﻟﺪم وﻏﯿﺮھﺎ ﻣﻦ اﻟﻤﺼﺎدر اﻟﻤﻌﺘﺮف‬.‫ﺑﮭﺎ وﻏﯿﺮ اﻟﻤﻌﺘﺮف ﺑﮭﺎ‬ It is the basic level of infection control to prevent transmission of infectious organisms from contact with blood and all other body fluids to non-intact skin, and mucous membranes. ‫ھﻮ اﻟﻤﺴﺘﻮى اﻷﺳﺎﺳﻲ ﻟﻤﻜﺎﻓﺤﺔ اﻟﻌﺪوى ﻟﻤﻨﻊ اﻧﺘﻘﺎل اﻟﻜﺎﺋﻨﺎت اﻟﻤﻌﺪﯾﺔ ﻣﻦ ﻣﻼﻣﺴﺔ اﻟﺪم وﺟﻤﯿﻊ ﺳﻮاﺋﻞ اﻟﺠﺴﻢ اﻷﺧﺮى إﻟﻰ اﻟﺠﻠﺪ ﻏﯿﺮ اﻟﺴﻠﯿﻢ‬.‫واﻷﻏﺸﯿﺔ اﻟﻤﺨﺎطﯿﺔ‬ This standard applies to all patients, regardless of diagnosis or presumed infectious status..‫ ﺑﻐﺾ اﻟﻨﻈﺮ ﻋﻦ اﻟﺘﺸﺨﯿﺺ أو اﻟﺤﺎﻟﺔ اﻟﻤﻌﺪﯾﺔ اﻟﻤﻔﺘﺮﺿﺔ‬،‫ﯾﻨﻄﺒﻖ ھﺬا اﻟﻤﻌﯿﺎر ﻋﻠﻰ ﺟﻤﯿﻊ اﻟﻤﺮﺿﻰ‬  26 Teamwork: ‫اﻟﻌﻤﻞ ﺑﺮوح اﻟﻔﺮﯾﻖ اﻟﻮاﺣﺪ‬ 1- Practice team membership skills, such as cooperation, leadership and anticipation of their co- workers'needs..‫ ﻣﺜﻞ اﻟﺘﻌﺎون واﻟﻘﯿﺎدة وﺗﻮﻗﻊ اﺣﺘﯿﺎﺟﺎت زﻣﻼﺋﮭﻢ ﻓﻲ اﻟﻌﻤﻞ‬،‫ﻣﻤﺎرﺳﺔ ﻣﮭﺎرات ﻋﻀﻮﯾﺔ اﻟﻔﺮﯾﻖ‬ 2- Respect diversity within their team..‫اﺣﺘﺮام اﻟﺘﻨﻮع داﺧﻞ ﻓﺮﯾﻘﮭﻢ‬ 3- Interact with others in a manner consistent with the healthcare team's structure and lines of authority..‫اﻟﺘﻔﺎﻋﻞ ﻣﻊ اﻵﺧﺮﯾﻦ ﺑﻄﺮﯾﻘﺔ ﺗﺘﻔﻖ ﻣﻊ ھﯿﻜﻞ ﻓﺮﯾﻖ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ وﺣﺪود اﻟﺴﻠﻄﺔ‬ 4- Manage conflict within the workplace by considering the points of view of others..‫إدارة اﻟﺼﺮاع داﺧﻞ ﻣﻜﺎن اﻟﻌﻤﻞ ﻣﻦ ﺧﻼل اﻟﻨﻈﺮ ﻓﻲ وﺟﮭﺎت ﻧﻈﺮ اﻵﺧﺮﯾﻦ‬ 5- Respect and value the expertise and contri butions of all team members..‫اﺣﺘﺮام وﺗﻘﺪﯾﺮ ﺧﺒﺮات وﻣﺴﺎھﻤﺎت ﺟﻤﯿﻊ أﻋﻀﺎء اﻟﻔﺮﯾﻖ‬ 6- Accept compromise as necessary to ensure the best outcomes..‫ﻗﺒﻮل اﻟﺘﺴﻮﯾﺔ ﻋﻨﺪ اﻟﻀﺮورة ﻟﻀﻤﺎن أﻓﻀﻞ اﻟﻨﺘﺎﺋﺞ‬ Resource Management: ‫إدارة اﻟﻤﻮارد‬ :‫ﯾﻘﻮم ﻓﻨﯿﻮ ﻗﺴﻢ اﻟﺘﻌﻘﯿﻢ ﺑﺈدارة اﻟﻤﻮارد ﺑﺸﻜﻞ ﻓﻌﺎل ﻋﻨﺪﻣﺎ ﯾﻘﻮﻣﻮن ب‬ 1- Control costs and reduce waste..‫اﻟﺘﺤﻜﻢ ﻓﻲ اﻟﺘﻜﺎﻟﯿﻒ وﺗﻘﻠﯿﻞ اﻟﻨﻔﺎﯾﺎت‬ 2- Provide quality service..‫ﺗﻘﺪﯾﻢ ﺧﺪﻣﺔ ﻋﺎﻟﯿﺔ اﻟﺠﻮدة‬ 3- Practice time management skills..‫ﻣﻤﺎرﺳﺔ ﻣﮭﺎرات إدارة اﻟﻮﻗﺖ‬ 4- Identify and solve potential problems and anticipate customers' needs..‫ﺗﺤﺪﯾﺪ وﺣﻞ اﻟﻤﺸﺎﻛﻞ اﻟﻤﺤﺘﻤﻠﺔ وﺗﻮﻗﻊ اﺣﺘﯿﺎﺟﺎت اﻟﻌﻤﻼء‬ 5- Know and use inventory appropriately..‫ﻣﻌﺮﻓﺔ واﺳﺘﺨﺪام اﻟﻤﺨﺰون ﺑﺸﻜﻞ ﻣﻨﺎﺳﺐ‬ 6- Practice recycling and sustainability, whenever possible..‫ ﻛﻠﻤﺎ أﻣﻜﻦ ذﻟﻚ‬،‫ﻣﻤﺎرﺳﺔ إﻋﺎدة اﻟﺘﺪوﯾﺮ واﻻﺳﺘﺪاﻣﺔ‬  27 Other Skills: ‫ﻣﮭﺎرات أﺧﺮى‬ 1- Practice prescribed techniques to prevent healthcare-associated infections (HAI)..(HAI) ‫ﻣﻤﺎرﺳﺔ اﻟﺘﻘﻨﯿﺎت اﻟﻤﻮﺻﻮﻓﺔ ﻟﻠﻮﻗﺎﯾﺔ ﻣﻦ اﻟﻌﺪوى اﻟﻤﺮﺗﺒﻄﺔ ﺑﺎﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬ 2- Keep departmental work areas in good repair..‫اﻟﺤﻔﺎظ ﻋﻠﻰ ﻣﻨﺎطﻖ ﻋﻤﻞ اﻹدارات ﻓﻲ ﺣﺎﻟﺔ ﺟﯿﺪة‬ 3- Keep their work environment clean and organized..‫اﻟﺤﻔﺎظ ﻋﻠﻰ ﺑﯿﺌﺔ ﻋﻤﻠﮭﻢ ﻧﻈﯿﻔﺔ وﻣﻨﻈﻤﺔ‬ Healthcare-associated infection (HAI) An infection that is not present when a patient is admitted to a hospital or healthcare facility. If the infection develops in a patient on or after day three of admission to the hospital or healthcare facility, the infection is referred to as a hospital-acquired or healthcare- associated infection. ‫ إذا ﺗﻄﻮرت‬.‫( ﻋﺪوى ﻏﯿﺮ ﻣﻮﺟﻮدة ﻋﻨﺪ دﺧﻮل اﻟﻤﺮﯾﺾ إﻟﻰ اﻟﻤﺴﺘﺸﻔﻰ أو ﻣﺮﻓﻖ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬HAI) ‫اﻟﻌﺪوى اﻟﻤﺮﺗﺒﻄﺔ ﺑﺎﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬ ‫ ﻓﯿﺸﺎر إﻟﻰ اﻟﻌﺪوى ﻋﻠﻰ أﻧﮭﺎ ﻋﺪوى ﻣﻜﺘﺴﺒﺔ ﻣﻦ‬،‫اﻟﻌﺪوى ﻟﺪى اﻟﻤﺮﯾﺾ ﻓﻲ أو ﺑﻌﺪ اﻟﯿﻮم اﻟﺜﺎﻟﺚ ﻣﻦ دﺧﻮل اﻟﻤﺴﺘﺸﻔﻰ أو ﻣﺮﻓﻖ اﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬.‫اﻟﻤﺴﺘﺸﻔﻰ أو ﻋﺪوى ﻣﺮﺗﺒﻄﺔ ﺑﺎﻟﺮﻋﺎﯾﺔ اﻟﺼﺤﯿﺔ‬ BASIC JOB RESPONSIBILITIES: ‫ﻣﺴﺆوﻟﯿﺎت اﻟﻮظﯿﻔﺔ اﻷﺳﺎﺳﯿﺔ‬ Job descriptions are used to define and communicate job duties and requirements to employees within an organization. They are intended to be overviews that capture the general purpose and major accountabilities of a job, and they are used for the following reasons: ‫ اﻟﻐﺮض ﻣﻨﮭﺎ ھﻮ أن ﺗﻜﻮن ﻧﻈﺮة ﻋﺎﻣﺔ‬.‫ﯾﺘﻢ اﺳﺘﺨﺪام اﻷوﺻﺎف اﻟﻮظﯿﻔﯿﺔ ﻟﺘﺤﺪﯾﺪ واﺟﺒﺎت وﻣﺘﻄﻠﺒﺎت اﻟﻮظﯿﻔﺔ وإﺑﻼﻏﮭﺎ ﻟﻠﻤﻮظﻔﯿﻦ داﺧﻞ اﻟﻤﻨﻈﻤﺔ‬ :‫ وﯾﺘﻢ اﺳﺘﺨﺪاﻣﮭﺎ ﻟﻸﺳﺒﺎب اﻟﺘﺎﻟﯿﺔ‬،‫ﺗﻮﺿﺢ اﻟﻐﺮض اﻟﻌﺎم واﻟﻤﺴﺆوﻟﯿﺎت اﻟﺮﺋﯿﺴﯿﺔ ﻟﻠﻮظﯿﻔﺔ‬ To evaluate positions and determine compensation. They can be used in conjunction with other resources to establish a pay range for a given position..‫ وﯾﻤﻜﻦ اﺳﺘﺨﺪاﻣﮭﺎ ﻣﻊ اﻟﻤﻮارد اﻷﺧﺮى ﻟﺘﺤﺪﯾﺪ ﻧﻄﺎق اﻷﺟﻮر ﻟﻤﻨﺼﺐ ﻣﻌﯿﻦ‬.‫ﻟﺘﻘﯿﯿﻢ اﻟﻮظﺎﺋﻒ وﺗﺤﺪﯾﺪ اﻟﺘﻌﻮﯾﻀﺎت‬ To clarify expectations. Job descriptions outline keyjob duties, which can be reviewed at the time of hire to clarify performance standards and expectations. They should be reviewed regularly (usually annually) by both the supervisor and those who occupy the position. ‫ واﻟﺘﻲ ﯾﻤﻜﻦ ﻣﺮاﺟﻌﺘﮭﺎ ﻓﻲ وﻗﺖ اﻟﺘﻮظﯿﻒ ﻟﺘﻮﺿﯿﺢ ﻣﻌﺎﯾﯿﺮ اﻷداء‬،‫ ﯾﺤﺪد اﻟﺘﻮﺻﯿﻒ اﻟﻮظﯿﻔﻲ واﺟﺒﺎت اﻟﻮظﯿﻔﺔ اﻟﺮﺋﯿﺴﯿﺔ‬.‫ﻟﺘﻮﺿﯿﺢ اﻟﺘﻮﻗﻌﺎت‬.‫ وﯾﻨﺒﻐﻲ ﻣﺮاﺟﻌﺘﮭﺎ ﺑﺎﻧﺘﻈﺎم )ﻋﺎدة ﺳﻨﻮﯾًﺎ( ﻣﻦ ﻗﺒﻞ ﻛﻞ ﻣﻦ اﻟﻤﺸﺮف وﻣﻦ ﯾﺸﻐﻠﻮن ھﺬا اﻟﻤﻨﺼﺐ‬.‫واﻟﺘﻮﻗﻌﺎت‬ To review performance. Job descriptions can be used during annual performance reviews..‫ ﯾﻤﻜﻦ اﺳﺘﺨﺪام اﻷوﺻﺎف اﻟﻮظﯿﻔﯿﺔ أﺛﻨﺎء ﻣﺮاﺟﻌﺎت اﻷداء اﻟﺴﻨﻮﯾﺔ‬.‫ﻟﻤﺮاﺟﻌﺔ اﻷداء‬ To recognize exceptional performance, restate performance expectations, determine growth opportunities and establish goals..‫ وﺗﺤﺪﯾﺪ ﻓﺮص اﻟﻨﻤﻮ وﺗﺤﺪﯾﺪ اﻷھﺪاف‬،‫ وإﻋﺎدة ﺻﯿﺎﻏﺔ ﺗﻮﻗﻌﺎت اﻷداء‬،‫ﻟﻠﺘﻌﺮف ﻋﻠﻰ اﻷداء اﻻﺳﺘﺜﻨﺎﺋﻲ‬ Job description A human resources tool that identifies the major tasks performed by individuals in specific positions..‫اﻟﻮﺻﻒ اﻟﻮظﯿﻔﻲ أداة ﻟﻠﻤﻮارد اﻟﺒﺸﺮﯾﺔ ﺗﺤﺪد اﻟﻤﮭﺎم اﻟﺮﺋﯿﺴﯿﺔ اﻟﺘﻲ ﯾﺆدﯾﮭﺎ اﻷﻓﺮاد ﻓﻲ ﻣﻨﺎﺻﺐ ﻣﺤﺪدة‬  28 Career Growth and Professional Development: ‫اﻟﻨﻤﻮ اﻟﻮظﯿﻔﻲ واﻟﺘﻄﻮﯾﺮ اﻟﻤﮭﻨﻲ‬ certification of CS technicians is frequently becoming a requirement for working in the department. ً ‫ﻏﺎﻟﺒًﺎ ﻣﺎ ﺗﺼﺒﺢ ﺷﮭﺎدة ﻓﻨﯿﻲ ﻗﺴﻢ اﻟﺘﻌﻘﯿﻢ ﺷﺮ‬.‫طﺎ ﻟﻠﻌﻤﻞ ﻓﻲ اﻟﻘﺴﻢ‬ Career growth and professional development opportunities for CS professionals typically depend on their individual motivation to achieve departmental and personal goals..‫ﯾﻌﺘﻤﺪ اﻟﻨﻤﻮ اﻟﻮظﯿﻔﻲ وﻓﺮص اﻟﺘﻄﻮﯾﺮ اﻟﻤﮭﻨﻲ ﻟﻤﺤﺘﺮﻓﻲ ﻗﺴﻢ اﻟﺘﻌﻘﯿﻢ ﻋﺎدة ً ﻋﻠﻰ دواﻓﻌﮭﻢ اﻟﻔﺮدﯾﺔ ﻟﺘﺤﻘﯿﻖ اﻷھﺪاف اﻹدارﯾﺔ واﻟﺸﺨﺼﯿﺔ‬ Certification Association/industry recognition attained by individuals with educational and/or work experience requirements who successfully complete an examination process demonstrating their knowledge of pertinent, job-related subject matter. ‫أو اﻟﺨﺒﺮة اﻟﻌﻤﻠﯿﺔ اﻟﺬﯾﻦ أﻛﻤﻠﻮا ﺑﻨﺠﺎح ﻋﻤﻠﯿﺔ‬/‫اﻟﺼﻨﺎﻋﺔ اﻟﺬي ﯾﺤﺼﻞ ﻋﻠﯿﮫ اﻷﻓﺮاد ذوي اﻟﻤﺘﻄﻠﺒﺎت اﻟﺘﻌﻠﯿﻤﯿﺔ و‬/‫ اﻻﻋﺘﺮاف ﺑﺎﻟﺠﻤﻌﯿﺔ‬: ‫اﻟﺸﮭﺎدة‬.‫اﻻﻣﺘﺤﺎن اﻟﺘﻲ ﺗﻮﺿﺢ ﻣﻌﺮﻓﺘﮭﻢ ﺑﺎﻟﻤﻮﺿﻮع ذي اﻟﺼﻠﺔ ﺑﺎﻟﻮظﯿﻔﺔ‬ :‫اﻟﻤﺼﻄﻠﺤﺎت اﻟﻤﮭﻤﺔ اﻟﻤﺬﻛﻮرة ﻓﻲ ھﺬه اﻟﻮﺣﺪة ھﻲ‬ Minimally invasive surgery (MIS) Integrated delivery network (IDN) Decontamination Personal protective equipment (PPE) Instructions for Use (IFU) Case cart system Case cart Doctor's (Physician's) preference card Case cart pull sheet (pick list) Materiel Management department Standard precautions Healthcare-associated Infection (HAI) Job description Certification  29 Module 2: TERMINOLOGY, ANATOMY AND PHYSIOLOGY ‫اﻟﻤﺼﻄﻠﺤﺎت واﻟﺘﺸﺮﯾﺢ وﻋﻠﻢ وظﺎﺋﻒ اﻷﻋﻀﺎء‬ medical words are meant to convey information..‫ﺗﮭﺪف اﻟﻜﻠﻤﺎت اﻟﻄﺒﯿﺔ إﻟﻰ ﻧﻘﻞ اﻟﻤﻌﻠﻮﻣﺎت‬ medical terms describe the human body in health and in disease ‫ﺗﺼﻒ اﻟﻤﺼﻄﻠﺤﺎت اﻟﻄﺒﯿﺔ ﺟﺴﻢ اﻹﻧﺴﺎن ﻓﻲ اﻟﺼﺤﺔ وﻓﻲ اﻟﻤﺮض‬ Why is medical terminology important? terminology allows us to specifically identify places in the body ‫ﺗﺳﻣﺢ ﻟﻧﺎ اﻟﻣﺻطﻠﺣﺎت ﺑﺗﺣدﯾد اﻷﻣﺎﻛن ﻓﻲ اﻟﺟﺳم ﻋﻠﻰ وﺟﮫ اﻟﺗﺣدﯾد‬ The anatomy of a medical word may (but will not always) consist of three types of word elements: ‫ﻗﺪ ﯾﺘﻜﻮن ﺗﺸﺮﯾﺢ اﻟﻜﻠﻤﺔ اﻟﻄﺒﯿﺔ )وﻟﻜﻦ ﻟﯿﺲ داﺋًﻤﺎ( ﻣﻦ ﺛﻼﺛﺔ أﻧﻮاع ﻣﻦ ﻋﻨﺎﺻﺮ اﻟﻜﻠﻤﺔ‬ medical terminology is rooted in learning the four basic word parts: prefixes , roots ,suffixes ,and combining forms. ‫ وأﺷﻛﺎل اﻟﺟﻣﻊ‬،‫ واﻟﻼﺣﻘﺎت‬،‫ واﻟﺟذور‬،‫ اﻟﺑﺎدﺋﺎت‬:‫اﻟﻣﺻطﻠﺣﺎت اﻟطﺑﯾﺔ ﺗﺗﺟذر ﻓﻲ ﺗﻌﻠم أﺟزاء اﻟﻛﻠﻣﺔ اﻷﺳﺎﺳﯾﺔ اﻷرﺑﻌﺔ‬ Most medical terms are derived from Latin and Greek languages.‫ﻣﻌﻈﻢ اﻟﻤﺼﻄﻠﺤﺎت ﻣﺸﺘﻘﮫ ﻣﻦ اﻟﻼﺗﯿﻨﯿﮫ واﻟﯿﻮﻧﺎﻧﯿﺔ‬ 75% of all English words are derived from Latin and Greek.‫ ﻣن ﺟﻣﯾﻊ اﻟﻛﻠﻣﺎت اﻹﻧﺟﻠﯾزﯾﺔ ﻣﺷﺗﻘﺔ ﻣن اﻟﻼﺗﯾﻧﯾﺔ واﻟﯾوﻧﺎﻧﯾﺔ‬٪٧٥ Nearly every medical term contains one or more roots. It may also contain one or more prefixes and one or more suffixes.‫ أو ﻻﺣﻘﮫ أو اﻛﺜﺮ‬، ‫ أو ﺑﺎدﺋﺔ أو اﻛﺜﺮ‬، ‫ﯾﺤﺘﻮي ﻛﻞ ﻣﺼﻄﻠﺢ طﺒﻲ ﻋﻠﻰ ﺟﺬر أو اﻛﺜﺮ‬ A medical term may be formed by a root alone, by combining two roots, a root and suffix, or a prefix and root. Some medical terms can even be formed by combining three roots together. ‫ﻀﺎ ﺗﻜﻮﯾﻦ ﺑﻌﺾ‬ ً ‫ ﯾﻤﻜﻦ أﯾ‬.‫ أو ﺑﺎدﺋﺔ وﺟﺬر‬،‫ أو ﺟﺬر وﻻﺣﻘﺔ‬،‫ ﻣﻦ ﺧﻼل اﻟﺠﻤﻊ ﺑﯿﻦ ﺟﺬرﯾﻦ‬،‫ﯾﻤﻜﻦ ﺗﻜﻮﯾﻦ اﻟﻤﺼﻄﻠﺢ اﻟﻄﺒﻲ ﻣﻦ اﻟﺠﺬر وﺣﺪه‬.‫اﻟﻤﺼﻄﻠﺤﺎت اﻟﻄﺒﯿﺔ ﻣﻦ ﺧﻼل اﻟﺠﻤﻊ ﺑﯿﻦ ﺛﻼﺛﺔ ﺟﺬور ﻣﻌًﺎ‬ Root word element Tells the primary meaning of a medical term, which can then be modified by either a prefix, suffix or both. Many roots signify a procedure, disease or body part. ‫ ﺗﺷﯾر‬.‫ واﻟذي ﯾﻣﻛن ﺑﻌد ذﻟك ﺗﻌدﯾﻠﮫ إﻣﺎ ﺑواﺳطﺔ ﺑﺎدﺋﺔ أو ﻻﺣﻘﺔ أو ﻛﻠﯾﮭﻣﺎ‬،‫ﻋﻧﺻر اﻟﻛﻠﻣﺔ اﻟﺟذري ﯾﺣﻛﻲ اﻟﻣﻌﻧﻰ اﻷﺳﺎﺳﻲ ﻟﻠﻣﺻطﻠﺢ اﻟطﺑﻲ‬.‫اﻟﻌدﯾد ﻣن اﻟﺟذور إﻟﻰ إﺟراء أو ﻣرض أو ﺟزء ﻣن اﻟﺟﺳم‬ Prefix word element Comes before the root. When added to a root (at the beginning of a word), the prefix can alter or modify its meaning..‫ ﯾﻣﻛن ﻟﻠﺑﺎدﺋﺔ أن ﺗﻐﯾر أو ﺗﻌدل ﻣﻌﻧﺎھﺎ‬،(‫ ﻋﻧد إﺿﺎﻓﺗﮭﺎ إﻟﻰ اﻟﺟذر )ﻓﻲ ﺑداﯾﺔ اﻟﻛﻠﻣﺔ‬.‫ﻋﻧﺻر اﻟﻛﻠﻣﺔ اﻟﺑﺎدﺋﺔ ﯾﺄﺗﻲ ﻗﺑل اﻟﺟذر‬ Suffix word element Comes after the root. When added to the root (at the end of a word), the suffix can also alter or modify its meaning..‫ﺿﺎ ﺗﻐﯾﯾر ﻣﻌﻧﺎھﺎ أو ﺗﻌدﯾﻠﮫ‬ ً ‫ ﯾﻣﻛن ﻟﻠﻼﺣﻘﺔ أﯾ‬،(‫ ﻋﻧد إﺿﺎﻓﺗﮭﺎ إﻟﻰ اﻟﺟذر )ﻓﻲ ﻧﮭﺎﯾﺔ اﻟﻛﻠﻣﺔ‬.‫ﻋﻧﺻر اﻟﻛﻠﻣﺔ اﻟﻼﺣﻘﺔ ﯾﺄﺗﻲ ﺑﻌد اﻟﺟذر‬  30 Combining vowel A letter (usually an "o") that is sometimes used to ease the pronounciation of a medical word..‫"( ﯾﺳﺗﺧدم أﺣﯾﺎﻧًﺎ ﻟﺗﺳﮭﯾل ﻧطق ﻛﻠﻣﺔ طﺑﯾﺔ‬o" ً ‫اﻟﺟﻣﻊ ﺑﯾن ﺣرف اﻟﻌﻠﺔ ﺣرف )ﻋﺎدة‬ : ‫ﻣﺛﺎل‬ "herniorraphy" ‫إﺻﻼح اﻟﻔﺗق‬ (-rrhaphy) (herni) (herni-o-rrhaphy) Understanding the Operating Room: ‫ﻓﮭم ﻏرﻓﺔ اﻟﻌﻣﻠﯾﺎت‬ For example, if the OR calls for instrumentation needed for an emergency pericardial window, a knowledgeable CS technician will know that this is a cardiac procedure that involves cutting into the pericardium (a membranous sac that surrounds the heart) in order to drain fluid from the pericardial space into the pleural cavity. ‫ ذو‬CS ‫ ﻓﺳﯾﻌرف ﻓﻧﻲ‬،‫ إذا ﻛﺎﻧت ﻏرﻓﺔ اﻟﻌﻣﻠﯾﺎت ﺗﺗطﻠب اﺳﺗﺧدام اﻷﺟﮭزة اﻟﻼزﻣﺔ ﻟﻧﺎﻓذة اﻟﺗﺎﻣور ﻓﻲ ﺣﺎﻻت اﻟطوارئ‬،‫ﻋﻠﻰ ﺳﺑﯾل اﻟﻣﺛﺎل‬ ‫اﻟﻣﻌرﻓﺔ أن ھذا إﺟراء ﻗﻠﺑﻲ ﯾﺗﺿﻣن ﻗطﻊ اﻟﺗﺎﻣور )ﻛﯾس ﻏﺷ