Disinfection and Decontamination Flashcards
RMD
Reusable Medical Devices
LDU
Local Decontamination Unit
AWD
Automatic Washer Disinfector
What two parts of the cleaning cycle occur in the AWD
Cleaning and Disinfection
Stages AWD goes through (3)
Prewash/flush
Main wash
Rinse
What types of steam steriliser processes wrapped instruments (2)
- B Type
- Vacuum capable
What type of steam steriliser processes unwrapped instruments (2)
- N Type
- Gravity Displacement
Requirements for the box which transports instruments (4)
- Rigid sided
- Leak proof
- Tight fitting lid
- Colour coded
What must be done before using an AWD
Daily checks carried out
Hinged instruments in AWD
Must be open at the hinge
SOP
Standard Operating Procedure
What is used to inspect instruments after the AWD
Illuminated magnifier
What areas should particular attention be paid to on inspection of instruments (3)
- Hinges
- Joints
- Textured or threaded surfaces
What to do if instruments are still contaminated after AWD (3)
- Manually scrub
- Ultrasonic bath
- AWD again
SHTM
Scottish Health Technical Memorandum
MDR
Medical Device Regulation
SHPN
Scottish Health Planning Note
BSI
British Standards Institute
ISO
International Organisation for Standardisation
Stages of life cycle of re-usable surgical instruments (9)
- Cleaning
- Disinfection
- Inspection
- Packaging
- Sterilisation
- Transport
- Storage
- Use
- Transport
Chain of Infection (6)
- Infectious agent
- Reservoir
- Portal of exit
- Mode of transmission
- Portal of entry
- Susceptible host
CPI
Combined Practice Inspection
Pseudomonas Aeruginosa (3)
- Gram negative bacilli
- Thick polysaccharide capsule
- Water borne
What microbe is alcohol hand rub ineffective against?
C. Diff