Sterile Processing CBSPD Test

Decontamination Area - Where soiled items are received and cleaned. *All levels for the same tray should be labeled w/a tag to identify the level number and set to which it belongs. Preparation and Packaging Area - where cleaned items are inspected, assembled, and packaged. Sterilization Area - where terminal sterilization is performed. Sterile Storage Area - where sterile items are stored until needed. Sterile Stores - where items for patient care from outside manufacturers are stored. Sometimes referred to as Medical Supply Distribution, Central Supply, or similar designation. Case Cart Area - where sterile supplies (trays and/or sterile items from outside manufacturers) are kept and picked for surgical cases. Dispatch - where sterile and clean items are dispensed. Loaner Area - for the receipt and return of instruments borrowed for specialty procedures. Patient Care Equipment Clean-Up Area - where patient care equipment is cleaned and disinfected. SPD Responsibilities - providing dependable, reliable services to enhance the quality of patient care. Instruments sets, patient care equipment, and other medical devices must be processed and distributed in an accurate and timely manner so that patient care is not adversely affected. Work Flow - how the work progresses through the department or processing area. *Dirty to Clean People Flow - how people move through the department or processing area. *Clean to Dirty Traffic Control - controlling access to SPD Ethics - the discipline dealing with what is good and bad and with moral duty and obligation. Ethical Actions - actions that conform to accepted and professional standards of conduct. Morals - deal with or relate to principles of right and wrong behavior. Unethical Professional Conduct - failure to conform to moral standards or policies. Professional Ethics - principles of conduct governing an individual or group. American Medical Association (AMA) - the most important organization related to healthcare ethics. Regulation - a principle, rule, or law designed to control or govern behavior. Agencies that issue regulations - EPA, FDA, OSHA and State health departments Standard - an established norm determined by opinion, authority, research and/or theory. Recommended Practices - statements of sound principles of practice based on scientific data and opinions of experts. Agencies that set standards - AAMI, CDC Examples of recommended practices - documents developed by IAHCSMM, SGNA, AORN Environmental Protection Agency (EPA) - Registers and regulates environmental disinfectants, controls emissions into the air and water, regulates the manufacture and sale of EO gas Food and Drug Administration (FDA) - regulates all medical devices. MedWatch (recalls); approves reprocessing of single use devices; require IFU (instructions for use) Function of CS/SPD - receives, cleans, decontaminates, assembles, inspects, disinfects, sterilizes reusable medical and surgical devices Sterile processing is A.K.A - Central Material Service, Sterile Processing Service, Central Service, Sterile Processing Department Two groups that certify - CBSPD (Cerification board for sterile processing and distribution, IAHCSMM (International association of healthcare central service material management) Chain of command - chief operating officer, VP nursing, sterile processing manager, SPD lead tech, SPD processing tech, SPD inventory tech, SPD case cart tech Compliance w/a regulation is - mandatory/required by law Confidentiality - HIPAA (Health insurance portability and accountability act) the manufacturer performs ________ for a product, the facility end user performs _______. - validation; verification Occupational Safety Health Administration (OSHA) - protects workers; OSHA standards are required by law; sets occupational exposure limits for all chemicals in the workplace under mSDS (material safety data sheet); "right to know"; Emergency eyewash stations Responsible for regulating EO gas - OSHA, EPA Ergonomics - OSHA; fitting the job to the worker, prevent injuries before they occur Emergency eyewash stations - available within 10 seconds/30 meters of chemicals; handsfree; test regularly and document, 0 4 gallons of water. Government Agencies - EPA, FDA, OSHA NFPA - National Fire Protection Association Center for Disease Control and prevention (CDC) - voluntary; promotes health by preventing and controlling disease; publishes recommendations and guidelines; hand hygiene (15 second minimum); NO artificial nails; classifies medical devices according to Spaulding Spaulding Classification - Critical (exposed to sterile areas of the body; must be sterile); Semi-Critical (touches mucous membranes; recommended sterile or high level disinfected); Non Critical (touch the skin; can be cleaned or disinfected; less than high level disinfection) NFPA Blue Diamond - health hazard NFPA Red Diamond - flammability NFPA Yellow Diamond - instability NFPA White Diamond - special hazard information The Joint Commission (TJC) formally (Joint Commission on Accreditation of Healthcare Organizations (JCAHO)) - voluntary; establishes accrediting standards and conducts onsite inspections; annual competency testing Association for the Advancement of Medical Instrumentation (AAMI) - voluntary; sets standards for CS/SPD Association of peri-Operative Registered Nurses (AORN) - voluntary; develops nationally recognized standards, recommended practices and guidelines for peri-operative setting Association for Professionals in Infection Control (APIC) - voluntary; international organization dedicated to prvention and control of infections Society of Gastroenterology Nurses and Associates (SGNA) - voluntary; established standards for effective processing of flexible endoscopes Department Of Transportation (DOT) - enforces laws relating to transportation of medical wastes American National Standards Institute (ANSI) - voluntary; proposes standards to include enhancing the global competitiveness and quality of life World Health Order (WHO) - voluntary; furthers international cooperation in improving health conditions National Institute for Occupational Safety and Health (NIOSH) - division of CDC; oversees airborne control/respiration masks Fire Safety - ALL equipment (including personal) should be safety checked by Biomedical Engineering Dept. and approval label attached before use Class A Fire Extinguisher - ordinary combustibles Class B Fire Extinguisher - flammable and combustible liquids Class C Fire Extinguisher - electrical equipment Class D Fire Extinguisher - combustible metals Class K Fire Extinguisher - oils/fats in cooking appliances R>A>C>E (fire safety) - Remove/Rescue; Alarm; Contain/Confine; Extinguish P>A>S>S (operation of fire extinguisher) - Pull the pin; Aim the nozzle; Squeeze the handle; Sweep the stream over base of fire Personal Protective Equipment (PPE) - MUST be worn to protect from blood and bodily fluid Sharps - instruments/devices with points/blades disposable sharps must be disposed in - rigid biohazard container warm up jackets - worn to prevent hair and bacterial shedding from bare arms Quality Assurance (QA) - collection of data and identification of issues Training - should be standardized TAH - Total Abdominal Hysterectomy THA - Total Hip Arthroplasty Lap Appy - Laparoscopic Appendectomy Lap Chole - Laparoscopic Cholecystectomy ORIF - Open Reduction Internal Fixation CABG - Coronary Artery Bypass Graft BKA - Below the Knee Amputation TSA - Total Shoulder Arthroplasty Anatomy - structure, form and organization of body parts superior - toward the head inferior - toward the feet distal - toward end of limb proximal - top of limb; opposite distal superficial - toward surface of skin; opposite deep medial - toward center of body; opposite lateral Physiology - functions of body parts Cell - fundamental unit of life; smallest and most numerous structure of body; performs all processes needed for life Cells require - water; food; oxygen; heat; pressure; Do NOT require cold Cellular>Tissue>Organ>System - levels of organization of body Homeostasis - state of equilibrium; conditions within cells must remain stable Nucleus - brain of cell; where DNA is found Cell structure - Nucleus>Cell Wall>Cell Membrane>Cytoplasm>Cilla and Flagella Major body systems - 11; Skeletal, Muscular, Nervous, Endocrine, Circulatory; Cardiac, Lymphatic, Digestive, Integumentary, Respiratory, Reproductive, Urinary Skeletal system - framework for body; protects internal organs grow and develop in bone marrow - red and white blood cells adult body consist of _____ bones - 206; plus ligaments and cartilage Flat bones - protective shells (ribs) Long bones - raise and lower (humerus and femur) Short bones - bridges (metacarpals) Irregular bones - don't fit any specific category (pelvis) bony and cartilaginous parts that support and protect head, neck and trunk - Axial skeleton Axial skeleton - skull>hyoid bone>vertebral column>thoracic cage skull - cranium and facial bones hyoid bone - located in neck; supports tongue and swallowing; only bone NOT articulated w/another vertebral column - vertebrae separated by discs; lumbar, thoracic and cervical spine PLIF - Posterior Lumbar Interbody Fusion Thoracic cage - sternum and 12 pairs of ribs; protect organs of chest and upper abdomen Making an opening into thoracic cavity to give surgeons access to lung and heart - Thoracotomy Appendicular skeleton - Appendages Pectoral girdle - scapula and clavicle connect bones of arms and aids movemnet Upper limb bones - humerus, radius, ulna, carpals, metacarpals and phalanges Carpal Tunnel Repair - removing tissue displaced bone in wrist area to release pressure on median nerve Lower limb bones - femur, tibia, fibula, patella, tarsals