decontamination sciences - guidance and legislation Flashcards

1
Q

medical device

A

‘Medical device’ 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,
* diagnosis, monitoring, treatment, alleviation of, or compensation for, an injury or disability,
* investigation, replacement or modification of the anatomy or of a physiological or pathological process or state,
* providing information by means of in vitro examination of specimens derived from the human body, including organ, blood tissue donations, and which does not achieve its principal intended action by pharmacological, immunological or metabolic means, in or on the human body, but which may be assisted in its function by such means.

The following products shall also be deemed to be medical devices:
* devices for the control or support of conception;
* products specifically intended for the cleaning, disinfection or sterilisation of devices as referred to in Article 1(4) and of those referred to in the first paragraph of this point

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2
Q

guidance documents for Scotland for sterilisation and washer-disinfectors

A

SHTM 01 – 01 Part A - D

updated version of the previous guidance documents: SHTM 2010 – Sterilization and SHTM 2030 – Washer-Disinfectors
still reference all the same BS EN standards

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3
Q

where to find guidance documents

A

the ‘Health Facilities Scotland’ website

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4
Q

SHTM 01-01 part A section 3
Decontamination process applicable to the CDU listed

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

These are the specific stages defined within the SHTM that are necessary to subject instrumentation to when processing from dirty to clean after being used for a procedure

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5
Q

where are the specific stages defined that instruments need to go through from being dirty to clean before can be used again

A

SHTM 01-01 part A section 3

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6
Q

do guidance documents exist for the equipment operation and performation

A

yes
* info on the way in which our decontamination equipment must operate and descriptions and definitions
* definition of what ‘Cleaning Performance Requirements’ and ‘Disinfection Performance Requirements’ will have to be when operating WD
* time temperature relationship for successful ‘thermal disinfection’ stage
* how to test operation of equipment and frequency to do this

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7
Q

different supporting documentation standards for decontamination

7

A

SHTM – Scottish Health Technical Memorandum
SHPN – Scottish Health Planning Note
NP 143 – National Procurement Framework
BS EN – British Standard, European Norm
BSI – British Standards Institute
ISO – International Standards Organisation
MDR – Medical Device Regulation

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8
Q

decontamination standards define

A
  • how our equipment should be produced and to what level of quality,
  • how it is operated
  • how we test the operation of it,
  • how we design and operate facilities for processing,
  • waste management
  • how to minimise the spread of contaminants and infectious substances

guidance documents tell us how to met these standards

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9
Q

purchasing WD or steriliser

standards and guidance to comply with

A

it must be CE marked and comply with the conditions of the MDR.

The cycle must comply with the requirements outlined within SHTM 01 – 01 referencing BS EN 15883.

When sterilising instrumentation it must comply with SHTM 01 – 01 referencing BS EN 285

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10
Q

when designing a facility reference

A

SHPN
Scottish Health Planning Note

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11
Q

failure to comply with directives/standards/guidance

A

criminal charges can be brought against you,

The GDC actively prosecute individuals that fail to comply

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12
Q

SHTM

A

scottish health technical memorandum

guidance documents for equipment

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13
Q

SHPN

A

scottish health planning note

design facility

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14
Q

NP 143

A

national procurement framework

getting equipment

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15
Q

BS EN

A

british standard, european norm

standards set, guidance notes availale to meet these (SHTM)

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16
Q

BSI

A

bristish standards institutes

standards

17
Q

ISO

A

international standards organisation

standards

18
Q

MDR

A

medial device regulation

equipment needs to meet these and be CE marked