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Sterile Processing: Ch.8 Cleaning and Decontamination > Ch. 8 > Flashcards

Ch. 8 Flashcards

1
Q

What is clean?

A

The removal of all visible and non-visible soil and other foreign material from the medical device being reprocessed

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2
Q

Where does decontamination start?

A

Decontamination starts at the point of use.

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3
Q

What is a decontamination area?

A

The location within a healthcare facility designated for the collection, retention, and cleaning of soiled and/or contaminated items.

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4
Q

What is the goal of decontamination?

A

To remove all soil seen and unseen.

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5
Q

How many air exchanges should there be in the decontamination area.

A

The ventilation system should allow for no less than 10 air exchanges per hour.

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6
Q

What kind of pressure should it be in the decontamination area.

A

The area should be under negative pressure.

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7
Q

What is the temperature in the CSD?

A

60°F- 65°F

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8
Q

Why should the temperature be low in the CSD?

A

Low temperature keeps the technicians cool and inhibits the growth of microbes.

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9
Q

What is relative humidity?

A

the amount of water vapor in the atmosphere

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10
Q

What is the humidity level in the decontamination area?

A

30%-60%

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11
Q

Where should emergency eyewash be located?

A

Withing 10 seconds or 30 meters of areas of potential chemical exposure.

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12
Q

What is the first line of defense for reducing contaminates?

A

Maintaining a clean workspace.

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13
Q

Name the 4 cleaning procedures?

A
  1. Horizontal work surface cleaned and disinfected
  2. Spills spot clean immediately
  3. Floors disinfected and cleaned every day
  4. Biohazard waste should be removed frequently
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14
Q

What is biohazard waste?

A

Waste containing infectious agents that present a risk or potential risk to human health.

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15
Q

Name the PPEs.

A 
Head covering
Eye protection (goggles, face shield)
Fluid-resistant face mask
Strong general-purpose utility gloves
Skid-resistant decon shoe covers
Employer-provided cloth scrub attire
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16
Q

The workflow goes from ____ to____.

A

Dirty to clean

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17
Q

Name the 3 sinks in the 3 sink method.

A

Wash sink
Intermediate sink
Final rinse sink

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18
Q

Describe the wash sink.

A

Warm water 80°F-110°F
Add chemical according to IFU
Where you remove soil
Use a brush in a to and frow motion underwater

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19
Q

Why should you brush underwater?

A

To prevent aerosol ( water particles in the air).

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20
Q

Describe the second sink.

A

Initial rinse
Plain or softened water
Removes chemicals or residue

21
Q

Describe the third sink

A

Final rinse
Distilled, Deionized, or Reverse Osmosis water
Rinse off cleaning chemicals and pyrogens

22
Q

Water that has had all minerals removed.

A

Deionized water

23
Q

Water that has been heated to steam then allowed to cool removed impurities

A

Distilled water

24
Q

The process of water being purified after being forced through a semipermeable membrane.

A

Reverse Osmosis

25
Q

What is the primary cleaner in the CSD?

A

Pure Water

26
Q

What is turbidity?

A

Dirty water

27
Q

Name some manual cleaning tools.

A 
Brushes
Cleaning Cloths
Sponges
Water irrigators
Forced Instumentt Air
28
Q

When is manual cleaning performed?

A

On delicate devices
When IFU calls for it
To clean lumens
Laparoscopic instruments

29
Q

Name the Mechanical Cleaners

A

Ultrasonic Cleaner
Irrigation Sonic Cleaner
AER
Wash Cart

30
Q

What method do ultrasonic cleaners use to clean?

A

Cavitation

31
Q

Low-pressure bubbles implode and dislodge soil from the instrument

A

Cavitation

32
Q

Why should you rinse items cleaned in the ultrasonic cleaner?

A

ultrasonic cleaner dislodges the soil and pushes it to the top. The residue can settle on the instruments so they must be rinsed.

33
Q

What is an AER?

A

Automatic Endoscope Reprocessor

34
Q

What are the 3 methods of cleaning?

A

Precleaning
Manual Cleaning
Mechanical cleaning

35
Q

What is the advantage of mechanical equipment?

A

They save time and produce consistent processes.

36
Q

3 Types of Detergents

A

Emulsifier
Surfactant
Chelating Agents

37
Q

Name the 3 enzyme products.

A

Protease
Lipase
Amylase

38
Q

What type of soil does protease eat?

A

Protein

39
Q

What type of soil is lipase for?

A

Fat

40
Q

What type of soil is amylase for?

A

Starch

41
Q

Name the 4 Types of Chemicals

A

Enzyme products
Detergents
Descaler
Pre-soaking chemicals

42
Q

Where are pre-soaking chemicals used?

A

At the point of use.

43
Q

Lowers surface tension and increases the solubility

A

Surfactant

44
Q

Bind substances such as oil and water together

A

Emulsifier

45
Q

A substance that produces fever when introduced/ released into the blood.

A

Pyrogen

46
Q

What are the 4 steps of cleanliness testing?

A

Swab
Prepare
Read
Record

47
Q

Name the steps in the decontamination process.

A

Point of use cleaning
Soiled receiving
Cleaning
Inspection

48
Q

Acuta postoperative inflammatory reaction in which a noninfectious substance enters the anterior segment and induces toxic damage to the intraocular tissues

A

Toxic Anterior Segment Syndrome (TASS)

Sterile Processing: Ch.8 Cleaning and Decontamination (1 decks)

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