What should the sterilizer access area pressure be? - Negative w/10 air exchanges per
hour
What two steps are involved in decontamination? - 1. Manual and/or automated
mechanical cleaning
2. application of a thermal or chemical disinfection process
Define Cleaning... - The removal of contamination from an item to the extent necessary
for further processing or for the intended use.
nosocomial infections are well documented and caused by... - poor or ineffective
decontamination of instruments
What are Employee hazards in the decontamination process? - Technicians work with a
large amount of 1) unidentified bioburden 2) wet enviornment 3) handling contaminated
sharps 4) must know procedures for proper handling, equipment, cleaning/sterilization
agents
How do you properly clean a device? - follow the device manufacturer's written
instructions
What is the starting point in sterilization? - Cleaning
Define decontamination - The process of cleaning surgical instruments, patient care
devices, and all involved surfaces in order to render areas and items safe for handling
and/or further processing
What are physical safety hazards? - -good body mechanics -correct body techniques
and posture for lifting, pushing, pulling, and reaching -should be alert and correct
anything that is a potential injury -lifts to lift heavy supplies, available work material,
adjustable chairs, padding on sharp edges, correct height tables -proper clothing can
prevent injury
What is the weakest point of an instrument? - Box lock and jaws
What does the ABC system stand for? - A: large dollar amount items not used
frequently
B: moderately priced and used frequently
C: items w/ low dollar value
What is just in time distribution? - Items are distributed to department by vendor no
need for sterile storage or inventory control.
, What are specialty/ procedure carts? - Carts placed in specific departments based on
procedures
personalized to needs of departments easily accessible.
What is case cart distribution? - visually in specialty areas case carts are delivered to
department case cart is specialized to departments needs
What is the exchange cart distribution? - Two identical carts are made one is out in the
department and other stays in SPD
What is par level distribution? - There is fixed inventory and when items become low
they are replenished from the stockroom per department/specialty
What is demand distribution? - An instrument/cart must be ordered in order to get it
What are the most common distribution systems? - 1) demand 2)par-level 3)Exchange
4)case carts 5) Specialty 6) Just in time
What is the air pressure of the sterile storage area? - positive air flows out
What is shelf life - period of time which a sterile item is considered safe to use
event related not time related
When are packs most vulnerable to contamination? - Immediately after sterilization
What is it when a sterilizer's ability is tested under worst case conditions? - Small load
testing
What is it called when a sterilizer is tested for sterilization under actual use conditions? -
Max load testing
How often is a Bowie Dick test ran? - Daily for dynamic air removal sterilizers
How much space should be between packages and chamber wall? - one inch
How should paper-plastic pouches be placed in a sterilizer? - plastic to paper or paper
to plastic
tilted on side
How should basins be placed in a sterilizer? - on tilted side same direction
What should be placed on the bottom of the rack in a mixed load? - metal instruments
basin
other metal items
What should be placed on the top shelf? - textile packs and paper/plastic pouches