Module 1 Flashcards
The main function of the MDRD is to
Produce and/or supply clean and/or sterile devices
The main work areas within the MDRD include
Decontam, Assembly, Sterilization, Sterile Storage and Distribution
Soft skills such as client service, teamwork, communication and professionalism are required of MDRTs because
Working as a team is essential to quality patient care
A general description of job duties in the decontamination area includes
Sorting of medical equipment according to recommended cleaning procedures
True or False
The MDRD is a term that is used interchangeably with Central Service Department
True
True or False
The MDRD and its technicians are typically responsible for cleaning the operating room
False
True or False
MDRTs are expected to work all shifts in order to meet the production needs of a facility
True
True of False
To maintain the one-way flow of goods, imaginary barriers separate the different areas in a MDRD including decontamination
False
The ventilation system in soiled areas should be designed to allow
Negative air pressure to be exhausted outside
The recommended temperature and humidity in a MDRD is
18c to 23c and a humidity level of 30% to 60%
Portable fans must not be used in the processing department because
They interfere with designed airflow characteristics
A strict dress code must be followed before entering a MDRD in order to
Protect equipment from exposure to outside contaminates
Who is the ultimate client of the MDRD
The patient
The MDRD is the __________ of the hospital
Heart
The acronym FIFO stands for
First in first out
The physical layout of MDRD should allow adequate space for all functions; however, space requirements may vary depending on the following considerations:
Processing needs of the facility
• Volume of work
• Amount of product(s) to be processed and stored
• Degree of mechanization (how many machines required for production)
• Product mix
• Storage and distribution systems
What must separate the dirty decontamination area from the clean processing areas such as the assembly, sterilization, sterile storage and distribution areas?
Walls or partitions with pass-through, operational windows
Prior to reporting to the assigned work area all MDRTs must attend what?
a brief shift report meeting
What is in the brief shift report meeting?
covers the status of operating room (OR) work levels including high turnover and priority items.
Before starting a work shift, what do MDRTs must also read
The communication log book
What is in the communication log book
A record of essential and new job-related information
What must each MDRT do since their last shift?
Each MDRT must bring him/herself up to date with any recent department requirements or policy changes by reading all entries in the log since his/her last shift.
What is the conceptual design of the medical device reprocessing department?
facilitates a one-way flow of materials.
Who is the biggest user of the MDRD?
The biggest user of MDRD is the operating room (OR)
Who else are users of the MDRD?
• Emergency
• Labour and delivery unit
• Gastrointestinal/genitourinary (GI/GU) unit
• Health services
• Pharmacy
• Cancer unit
• Respiratory unit
• Rural hospitals
• Local clinics
• Surgical centres
What is The main purpose of decontam?
to render equipment safe for handling for further processing in the clean areas of MDRD.
Once instruments have been processed through decontamination, what are they considered?
they are considered safe to handle and are transferred to the clean assembly or preparation area of MDRD.
Instruments are prepared for sterilization at workstations specific to their design and use. Preparation methods include:
• Inspection
• Function-testing
• Assembly
• Packaging
What is required for the sterilization process.
Properly cleaned, disinfected and prepared instruments
Once devices have been properly prepared, they are subjected to what?
the appropriate method of sterilization.
How are items usually organized in the Sterile Storage?
• Alphabetically by surgical service and instrument name
• Numerically by stock code
• Using the first in, first out principle (FIFO)
How do you use the FIFO method?
To add new items, shift items to the right
The physical area of distribution is often interconnected with what area?
the sterile storage area.
Where are Manufactured and reprocessed medical and surgical supplies are maintained and distributed to?
point of use areas from the distribution area.
What are The 5 main factors that directly affect the structural and environmental requirements of the MDRD
- Traffic Control
- Structural Requirements
- Ventilation
- Temperature and Humidity
- Hand Washing Facilities
How should the Movement into and through the department should be restricted to?
authorized personnel only
How should The decontamination area should be segregated?
With no direct access to the clean processing and sterile storage areas, except through pass-through partitions or windows.
What must be followed before entering any area in a MDRD
A strict dress code
What is the purpose of the strict dress code?
The purpose of this dress code is to protect personnel and visitors from exposure to harmful contaminates (decontam) and to prevent microorganisms from being carried into clean areas (assembly and sterile storage).
What kind of surfaces should the floors be?
Floors should have non-slip surfaces to prevent accidental injuries.
What kind of material should both floor and walls be constructed with?
Both floors and walls should be constructed and finished with washable materials.
True or False
The floors and walls should not be of a particulate or fibre-shedding composition, which may generate contaminants.
True
Why should they not be of a particulate or fibre-shedding composition?
They may generate contaminants.
How should ceilings being constructed?
Ceilings should be constructed to create a flush surface with recessed, enclosed fixtures.
Why should Ceilings should be constructed to create a flush surface with recessed, enclosed fixtures?
to limit condensation, dust accumulation, and other reservoirs for contaminants.
How should pipes and fixtures above work areas be?
Pipes and other fixtures above work areas should be enclosed.
Why should work areas be well lit?
adequate lighting is critical to personnel safety.
What kind of pressure from the ventilation system be in the clean areas?
The ventilation system in clean areas should be under positive pressure.
Why should The ventilation system in clean areas be under positive pressure?
To reduce air contamination from outside areas.
What kind of air pressure should the decontam area be under?
the decontamination area should be under negative air pressure
Why is the decontamination area under negative air pressure
to prevent air contamination to adjacent clean areas.
True or False
All air is ultimately exhausted to the outside, and not re-circulated.
True
Why should there be no less than 10 air exchanges per hour in all areas with the exception of sterile storage?
to reduce environmental contamination by air dilution and to facilitate removal of possible fumes and other by-products from chemicals.
Can portable fans be used in the MDRD?
Portable fans must not be used since they create turbulent air flow which recirculates dust and microorganisms from the floor and work surfaces.
What Temperature in work areas should be maintained at?
18°C to 23°C.
What is the relative humidity ?
30% to 60%
What happens to the woven packaging materials/linens if the humidity is off?
Moisture levels are off and Dehydrated linen can impede the steam sterilization process and, in some cases, become scorched.
Where are the hand washing facilities located?
Hand washing facilities should be conveniently located in or near the decontamination and processing areas
What are Some of the most critical skills required of a MDRT?
Soft skills or people skills
Who are the primary focus of the work you are expected to do?
The patients
Who is the ultimate client of the MDRD?
The patient
Beside the patient, who are the other clients who use the MDRD?
Other clients include doctors, nurses, clinicians and other healthcare providers.
What happens if one area fails to meet established quality standards?
a subsequent area can be adversely affected. As well as harm to the patient.
What if a team member fails to process an item through decontamination properly, sterilization cannot be achieved.
Can result in a serious infection, or even the death of a patient.
How must MDRTs work as?
Medical device reprocessing technicians must work as a collective to achieve quality customer service
What is essential for MDRTs Medical device reprocessing personnel while working closely with OR personnel while providing quality service to the patient.
effective communication skills
True or False
It is an inexcusable breach of confidentiality for a healthcare worker to discuss any patient information in public.
True
Confidentiality, in other words, is not just an ethical duty; but it is also ?
A legal duty
Any discussion among professionals regarding patients should be limited to what?
To the care of the patient and only on a need to know basis.
What is put into place after much discussion and collaboration between the management team and instrument manufacturers
Policies and procedures
Why should you Never take it upon yourself to deviate from an established procedure without permission from your superiors?
short cuts and good intentions can cause adverse harm to yourself, a coworker, or a patient.
Your career mandate as MDRT professionals includes what?
Training and mentoring students
How do large facilities operate ?
24 hours per day; 7 days a week
What’s an example of how a department may be organized and the typical structure of reporting relationships within the department.
MDRD Manager/director/Site coordinator
Supervisor
Shift change person
Staff technician
Service Aide
How many air exchanges per hour are there in the decontamination area?
10
What is the main purpose of Decontam?
The main purpose of decontam is to render equipment safe for handling for further processing in the clean areas of MDRD.
In Decontam, what is sorted and cleaned?
Instruments
What are the 4 preparation methods used (utilized) in Assembly?
• Inspection
• Function-testing
• Assembly
• Packaging
What are the 3 “General Abilities required for the overall success of the medical device reprocessing technician.
Language/Communication
Physical
Personal
What are some advantages of minimally invasive procedures?
• Shorter stays
• Reduced trauma
• Smaller incisions
• Shorter recovery times
