STERILIZATION Flashcards
instruments used on field should be:
wiped with a sponge moistened in water/soak in water
Decontamination
removing organic debris
- -handwashing
- ultrasonic cleaner
- washer-decontaminator/washer sterilizer
ultrasonic cleaner
breaks down debris from crevices
- must be free of any debris
- does NOT clean or sterilize
cavitation machine
uses high frequency sound waves
washer-sterilizer
washer decontaminator/water spray wash
- safe to handle
- not safe on patients
instrument assembly
- instruments inspected and sorted into appropriate sets
- heavy instruments on bottom
- sharp instruments turned downward
- instruments w/ concave surfaces placed upside down
packaging criteria: Trays
- perforated bottoms
- line w/ towel
- stainless steel
- sterilization containers
packaging criteria: Peel Pouch
- paper/plastic combo wrapper
- individual items (dif. sizes avail.)
- air free
wrapping methods
Envelope technique
- double wrapped,sequentially
- wrap basins/double basins
- separate with a towel
sterilization process
Process used is dependent on items to be sterilized
- Steam –> gravity-displacement
- Pre-Vacuum - Gas –> Ethylene Oxide
- Hydrogen Peroxide (STERRAD) - Ionizing radiation–> Cobalt 60
- Peracetic Acid–> Steris
- Dry heat
steam sterilization
steam under pressure
- most common
- cheapest method
- stainless steel instruments
exposure cycle, exhaust cycle, drying cycle
exposure-reached certain temp.
- exhaust-after reaches temp., steam removed from chamber
- drying- then dry!
pre vacuum steam sterilizer
270 degrees F - 27 psi (per square inch of pressure) - 4 mins
- air eliminated from chamber through vacuum force
- air is replaced by steam
- *MOST STANDARD
- quick bc vacuum already took out air
gravity displacement sterilizer
250 degrees F - 15psi - 30mins
- air is heavier than steam
- steam injected into chamber
- air is pushed down by gravity and released from chamber through a valve below
- air replaced by steam
DART
Daily Air Removal Test
*used to test & monitor the efficiency of the high-vacuum sterilizer
(BOWIE DICK TEST)
how do you load basins and towels?
on their sides
*items shouldn’t touch
maximum size of wrapped towels
12x12x20 inches ; 12lbs