CNOR Zander Notes Study Guide Test.
1. Name the 3 Spaulding
Critical
Classification Systems
Semi-
Critical
Non-
Critical
2. Meaning of Critical Spaulding Classifi- Items MUST be sterile.
cation System Spaulding Classification
System
3. Examples of items in Critical
Spauld- ing Classification
System
4. Meaning of Semi-Critical
Spaulding Classification
System
5. Examples of items in Semi-
Critical Spaulding
Classification System
6. Meaning of Non Critical
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157
, CNOR Zander Notes Study Guide Test.
Items will enter -sterile tissue- or -vascular system- SAYS).
-Spores survive HLD-
-Instruments-
-Laparoscopes- -Arthroscopes- -Bronchoscopes
-*Cutting endoscope accessories for biopsy*- -GI Scopes/GI endoscopes
-Cardiac Caths- -RT equipment (laryngoscope blades)
-IV caths- - Needles- -Anesthesia equipment
-*Urinary Caths-
-Will be in contact with INTACT SKIN
Items SHOULD be sterile. -Intermediate or Low Level Disinfection or Clean-
Items will contact -broken skin- or -MM- ing.
-Disinfect with an FDA approved disinfectant that's
If the manufacturers instructions say it WON'T tol- ettective against HEP B.
erate sterilization, they CAN be HLD (but only IF MF
2/
157
, CNOR Zander Notes Study Guide Test.
7. Examples of items in Non -Furniture
Critical Spaulding -Laundry/Linens
Classification System -OR bed
-BP Cutt/Leads/Monitors/Stethoscopes
-Tourniquets
-Must have a physical WALL or
8. Requirement for SEPARATION be- tween decontam and
decontamination area: processing areas.
-This includes Immediate Use Areas.
-Why: Because decontam requires
NEGATIVE PRESSURE
9. Sterile Processing Workflow Decontamination (always 1st) --> Prep&Pack
-->Sterilization
-->Distribute/Store
10. Most important step to prevent infec- Cleaning and Pre-treating with a non-
drying en-
tion: zymatic solution in order to avoid biofilm, which
encapsulates spores.
11. Decontamination processes -Disassemble everything
-Brush lumens/channels using a brush
based on mfr instruction for correct
diameter and length of lumen
-Brush lumens/channels/crevices/joints
UNDER WATER
-Automated (washers/ultrasonic) more
ettective than manual cleaning.
12. Two Types of Steam Sterilization -Pre-Vac Autoclave/Dynamic Air Remov
-Gravity Displacement
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157
, CNOR Zander Notes Study Guide Test.
13. PreVac settings
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157
1. Name the 3 Spaulding
Critical
Classification Systems
Semi-
Critical
Non-
Critical
2. Meaning of Critical Spaulding Classifi- Items MUST be sterile.
cation System Spaulding Classification
System
3. Examples of items in Critical
Spauld- ing Classification
System
4. Meaning of Semi-Critical
Spaulding Classification
System
5. Examples of items in Semi-
Critical Spaulding
Classification System
6. Meaning of Non Critical
1/
157
, CNOR Zander Notes Study Guide Test.
Items will enter -sterile tissue- or -vascular system- SAYS).
-Spores survive HLD-
-Instruments-
-Laparoscopes- -Arthroscopes- -Bronchoscopes
-*Cutting endoscope accessories for biopsy*- -GI Scopes/GI endoscopes
-Cardiac Caths- -RT equipment (laryngoscope blades)
-IV caths- - Needles- -Anesthesia equipment
-*Urinary Caths-
-Will be in contact with INTACT SKIN
Items SHOULD be sterile. -Intermediate or Low Level Disinfection or Clean-
Items will contact -broken skin- or -MM- ing.
-Disinfect with an FDA approved disinfectant that's
If the manufacturers instructions say it WON'T tol- ettective against HEP B.
erate sterilization, they CAN be HLD (but only IF MF
2/
157
, CNOR Zander Notes Study Guide Test.
7. Examples of items in Non -Furniture
Critical Spaulding -Laundry/Linens
Classification System -OR bed
-BP Cutt/Leads/Monitors/Stethoscopes
-Tourniquets
-Must have a physical WALL or
8. Requirement for SEPARATION be- tween decontam and
decontamination area: processing areas.
-This includes Immediate Use Areas.
-Why: Because decontam requires
NEGATIVE PRESSURE
9. Sterile Processing Workflow Decontamination (always 1st) --> Prep&Pack
-->Sterilization
-->Distribute/Store
10. Most important step to prevent infec- Cleaning and Pre-treating with a non-
drying en-
tion: zymatic solution in order to avoid biofilm, which
encapsulates spores.
11. Decontamination processes -Disassemble everything
-Brush lumens/channels using a brush
based on mfr instruction for correct
diameter and length of lumen
-Brush lumens/channels/crevices/joints
UNDER WATER
-Automated (washers/ultrasonic) more
ettective than manual cleaning.
12. Two Types of Steam Sterilization -Pre-Vac Autoclave/Dynamic Air Remov
-Gravity Displacement
3/
157
, CNOR Zander Notes Study Guide Test.
13. PreVac settings
4/
157
