LO #1

Question 0

Describe proper “work flow” and its importance.

Answer 0

Simply: dirty to clean

Avoid breaks in the flow?

Question 1

List the four major areas of MDR and briefly describe each area.

Answer 1

Decontamination-reusable equipment, supplies, instruments are cleaned..
Assembly-prepared for sterilization or storage
Sterilization-packaged items disinfected
Storage and Distribution-until required in the OR or other areas

Question 2

Hand hygiene.. 5 examples of when it should be done.

Answer 2

Most important measure for minimizing the transmission of microorganisms.

1. when hands are dirty
2. before handling sterile supplies
3. after working in the decontamination area
4. following personal hygiene
5. between equipment procedures

Question 3

List two regulatory agencies that define “safe work practices” that need to be followed.

Answer 3

Canadian Standards Association (CSA)
Worker’s Compensation Board (WCB)
Occupational Health

Question 4

Describe Decontamination workflow

Answer 4

Cleaning/disinfection
Manual-surgical tools
Mechanical-ultrasonic/pasturization

Question 5

Describe Assembly workflow

Answer 5

Prepared based on what kind of item it is
ie in sets/packaged
Reusable textile wraps, disposable synthetic, or rigid instrument containers

Question 6

Describe sterilization

Answer 6

“Destroy da microorganisms”

• prevaccumed steam “preferred method”
• ethylene oxide
• gas plasma
• liquid chemical

Question 7

Describe sterile storage/distribution

Answer 7

Environmentally controlled (temp. Humidity)
Organized 
CSA standards (z317.3, z317.5)

Question 8

Importance of MDR

Answer 8

Function in hospital that provides decontamination, processing, inspection, assembling, packaging, sterilization of reusable patient care supplies and instruments. ORs, DIs, and other units depend heavily on the MDRD

Question 9

List 3 policies/procedures (documented ones)

Answer 9

1. Orientation/ongoing training
2. Health care settings organizational structure, accountability, lines of communication
3. Quality assurance records

Question 10

PIDAC

Answer 10

Provincial Infections Disease Advisory Committee

Question 11

Z314.0

Answer 11

MDR General Requirements

Question 12

Z314.3

Answer 12

Core standard for steam sterilization

Question 13

ISQua

Answer 13

International Society for Quality in Health Care

Question 14

CSA

Answer 14

Canadian Standards Association