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
Textile packs should be placed how in a sterilizer? ✔️sides
Solid bottom trays should be loaded now? ✔️tilted on sides
How should mesh bottom containers be loaded into the sterilizer? ✔️flat on rack
If packages are still moist when the sterilizer doors are open bacteria can do what? ✔️wick through the
package
How does steam sterilization occur? ✔️by condensation
What cases are proven to have prions? ✔️1) neurosurgery
2) opthamology (eye)