Decon sciences Flashcards

1
Q

What is a standard operating procedure

A

Is the way we standardise our activity within the department and make it reproducible and consistent so all staff can identify the correct process and follow it

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2
Q

What is the role of user

A

The user is defined as the person designated by mangement to be responsible for the management of a washer disinfector

The principle responsibilities are
-Certify the WD is fit for ise
-Hold all documentation relating to the WD
-ensure that the WD is subject to periodic tests and maintenance
-To appoint operators where required and ensure that they are adequately trained
-Maintain production records

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3
Q

What is the definition of medical device from the Medical Device Regulation

A

means any instrument, apparatus, appliance, software, implant, reagent, material or other article intended
by the manufacturer to be used, alone or in combination, for human beings for one or more of the following specific medical
purposes:
— diagnosis, prevention, monitoring, prediction, prognosis, treatment or alleviation of disease
— products specifically intended for the cleaning, disinfection or sterilization of devices

etc

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4
Q

In the scottish health technical memoranda (SHTM) what stages are defined as essential

A

Preparation prior to Washer-Disinfector

Cleaning – Manual and Ultrasonic
Cleaning and Disinfection in WD

Drying

Inspection, maintenance and functionality testing

Assembly

Packaging

Sterilisation

Storage

Transportation

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5
Q

If you purchase and operate a WD or Steriliser what must you do

A

it must be CE (UKCA) marked and comply with the conditions of the MDR 2017/745

The cycle must comply with the requirements outlined within SHTM 01

When sterilising instrumentation, it must comply with SHTM 01

If you are operating a small steam sterilizer (bench top) the standard is BS EN 13060

When installing this equipment and designing a facility the SHPN documentation must be referenced, SHPN 36 Part 2 for surgery design and
SHPN 13 Part 2 for decontamination facilities

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6
Q

What is a medical device

A

any of the instrumentation used for carrying out procedures on humans
and also covers any of the equipment that we use to re-process this instrumentation,
even down to the software that is used to operate and control equipment

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7
Q

What are your obligations when getting a medical device

A

You need to verify that any of the equipment you intend on using has gone
through this rigorous process

That provides assurance that no danger to patients will arise from your use of
any of these products

There is a duty under the Consumer Protection Act 1987 whether it be a Sterilizer, AWD or instrumentation

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8
Q

When buying instrumentation what must you check

A

Procurement of instrumentation should always be
from a reputable company that can prove their
manufacturing is in compliance with the MDR

As well as being CE (UKCA) marked

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9
Q

What is essential in record keeping

A

to maintain an accurate and detailed record
of the way instrumentation is processed

Records for all the stages in the decontamination process must be created and maintained

The dates on your chemicals and when you started using them

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10
Q

Whats essential to collect from WD’s

A

Info from each wash stage recorded to create a traceable record:

General
-Date
-Operator
-Cycle Start Time

Cycle Data
-Cycle No.
-Wash Temp.
-Disinfection Temp. & Hold Time
-Cycle Duration
-Was detergent added
-Did machine indicate cycle complete

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11
Q

On a daily basis what info is collected from the first scyle of the day of a WD

A

Date

Time

Operator

Cycle No.

Disinfection temp

Daily tests performed

Detergent added

Disinfection successful Yes/No

Machine identified cycle completed successfully – Yes/No

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12
Q

For records what is also essential to carry out

A

parametric release of loads that have been processed

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13
Q

What is meant by parametric release

A

Parametric release is defined as the release of a batch of sterilized items based on data from the
sterilization process. All parameters within the process have to be met before the batch can be released for use

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14
Q

What daily info should be recorded from the steriliser

A

Date

Time started

Operator

Cycle No.

Sterilisation temp

Daily tests performed - Yes/No

Bowie & Dick successful -Yes/No

Sterilisation successful - Yes/No

Machine identified cycle completed successfully – Yes/No

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15
Q

What should be carried out on a weekly basis for each piece of equipment

A

An Automatic Control Test (A.C.T.)

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16
Q

What is involved in a ACT for a WD

A

Temp of each stage

Time each stage was active for

Disinfenction start and end with stage duration

Volume of chemical dosed

Cycle time overall

other relevant
information like date, time,
cycle number and operator

17
Q

What is also included in a ACT for a steriliser

A

As well as recording the temperature at each stage
pressure is recorded as well

The high and low pressure and the temp. for the pre-sterilisation stages

During the sterilization stage the temperature must be recorded at the
start and at 1 minute intervals until the
stage ends

Other relevant information such as date, time, cycle no., operator