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ZANDER CNOR > Sterile processing > Flashcards

Sterile processing Flashcards

1
Q

What kind of temperature is glutaraldehyde?

A

It is considered cold sterilization

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2
Q

true or false; glutaraldehyde sterilized items can be used later on

A

false; it is point of care use only

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3
Q

How long should instruments be immersed in glutaraldehyde?

A

10 hours

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4
Q

What is glutaraldehyde also known as?

A

cy dex

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5
Q

What are 4 downsides of glutaraldehyde?

A
  1. poor ease of use
  2. environmental problems
  3. Alters DNA synthesis
  4. Bad for instruments
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6
Q

What kind of sterilization is ethylene oxide?

A

cold and dry

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7
Q

What is ethylene oxide best used for?

A

for heat and moisture sensitive items?

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8
Q

What is the temperature of ethylene oxide?

A

99-145 degrees fahrenheit

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9
Q

What is the humidity of ethylene oxide?

A

45-75%

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10
Q

What is exposure time for instruments in ethylene oxide?

A

2-5 hours

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11
Q

What is the aeration time for instruments in ethylene oxide?

A

8-12 hours

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12
Q

What are downsides of ethylene oxide?

A
  1. human carcinogen
  2. lumens must be completely dry - causes antifreeze if not
  3. environmentally hazardous
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13
Q

What is important for personnel and exposure with ethylene oxide?

A

exposure limited to 1 ppm in an 8 hour period

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14
Q

What is low temp hydrogen peroxide plasma sterilization also known as?

A

Sterrad or V-PRO

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15
Q

What kind of items are used in low temp hydrogen peroxide plasma sterilization?

A

used for heat and moisture sensitive times

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16
Q

How does low temp hydrogen peroxide plasma sterilization work?

A

Turns electrical current into a plasma

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17
Q

Is aeration cycle needed in low temp hydrogen peroxide plasma sterilization?

A

no

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18
Q

Do things have to be completely dry in low temp hydrogen peroxide plasma sterilization?

A

yes

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19
Q

What is cycle time for low temp hydrogen peroxide plasma sterilization?

A

75 minutes

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20
Q

What is a positive of low temp hydrogen peroxide plasma sterilization?

A

good for environment

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21
Q

What is paracetic acid also known as?

A

automated endoscope reprossesor (AER)

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22
Q

What kind of items are sterilized in paracetic acid?

A

for items that can be immersed

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23
Q

What is 1 downside of paracetic acid?

A

corrosive to instruments and people

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24
Q

What is temperature of paracetic acid?

A

120-130 degrees fahrenheit

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25
What is run time for paracetic acid?
20-30 minutes
26
What is a really important step after paracetic acid cycle? How many?
micron filtered tap water rinses. 4 of them
27
true or false; paracetic acid is for point of care use only
true
28
Does paracetic acid need to have sterilization log?
yes for patient safety
29
What kind of sterilization is ozone?
low temperature sterilization
30
How many manufacturers make ozone?
only 1
31
The FDA has cleared ozone for sterilization of what?
metal and plastic
32
What are 2 pros of ozone?
1. environmentally sound 2. no aeration cycle is necessary
33
What happens with exhaust and ozone?
passed through a catalytic converter
34
What kind of sterilization is dry heat?
high temperature
35
What is dry heat best for?
powders and oils
36
What can be put in dry heat?
1. dental instruments 2. burrs 3. reusable needles 4. glassware
37
Can you use tape with dry heat?
no
38
Items that are sterilized should be what with quality control?
should be traceable from the method of sterilization
39
For each item what should be documented?
1. lot control number 2. load or cycle # 3. date and time
40
Sterile technique is founded in what?
individual's surgical conscience
41
How many times should we do spore testing on gravity displacement and pre-vaccuum?
daily and weekly! Exam is weekly
42
What indicator should be done daily with pre-vacuum?
bowie dick
43
What does the uniform pattern indicate with bowie dick?
that the vacuum cycle has function properly
44
What item do you need to have a biologic with every time?
with every implant
45
What is important with biologic indicator and ethylene oxide?
needs to be one in every load
46
Where should the results of spore testing be on a log sheet?
at the top
47
What type of spore testing should be done with steam-gravity displacement and prevacuum
geobacillus stearothermophilus at least weekly and preferably daily
48
What type of spore testing should be done with prevacuum?
bowie dick done daily
49
What type of spore testing should be done with ethylene oxide?
bacillus atropheus with every load
50
What type of spore testing should be done with plasma?
geobacillus stearothermophilius done at the same interval as other sterilizers in the facility
51
What type of spore testing should be done with ozone?
geobacillus stearothermophilius done daily
52
What type of spore testing should be done with paracetic acid?
geobacillus stearothermophilus daily
53
What type of spore testing should be done with dry heat?
bacillus atropheus upon installantion and after any repair
54
Packaging must work with what?
with the type of sterilization
55
Packaging must all for identification of what?>
the contents
56
Weight of instruments in packages can not exceed what?
25 lbs
57
What should packages be free of?
1. lint 2. holes
58
Sterile storage areas must not exceed what temperature? what humidity?
1. 75 degrees F 2. 60% humidity
59
What should not be placed inside the tray?
no textiles, peel pouches or rubber mats
60
How should instruments be in packages?
1. disassembled 2. open, unlocked position
61
Where should the integrator be in a tray?
corner of the tray
62
Where should the indicator be in a try?
on the inside and outside of the tray
63
Where should counts be?
count sheets on the outside of trays
64
Peel pouches should not be what?
stacked inside of sterilization chamber?
65
How should peel pouches be stored and sterilized?
vertically
66
How should peel pouches be labeled?
write on plastic, not on the paper
67
Peel pouches are not to be used with what?
heavy times i.e. drills
68
What are 3 criteria for double pouching?
1. with manufacturer's instructions only 2. inner pouch fits without being folded 3. facing same direction
69
What should be done on the field with endoscopes?
manual cleaning on the field throughout procedure: 1. clear lumen with water 2. wipe exterior
70
How should endoscopes be kept during delay or transport to decontamination?
damp or wet but not submerged
71
Endoscopes should not be allowed to do what durin delay or transport to decontam?
not allowed to dry
72
Endoscopes should be cleaned within how long of use?
1 hour
73
Additional cleaning of endoscopes is used for what 4 things?
1. simethicone 2. radiographic medium 3. lubricant/tissue adhesive 4. poor bowel prep - emergent
74
What is wrong with simethicone on endosocpes?
it's difficult to remove
75
What should you not do with simethicone?and instead do what?
don't add it to the water bottle. Add low concentration directly into the working channel
76
What is important for cleaning with personnel?
hand-over process includes information about additional cleaning for difficult things
77
Clean endoscopes within what? or what?
clean within 1 hour or follow delayed processing instructions
78
What should there be from transporter to decontam with endoscopes?
hand over process that communcates about end of procedure time
79
What is done before endoscopes are placed in cleaning solutions?
leak testing
80
What is done after manual (scrub with brush) cleaning of endoscopes?
visual inspection
81
What is used for visual inspection of endoscopes?
use 10x magnification and borescope
82
Endoscopes are sterilized when possible?
true
83
Can we use disposable endoscopes or components?
yes
84
What should be done daily with sterilization of endoscopes? SWAB
1. ATP testing, protein testing, hemoglobin etc.
85
What kind of high risk flexible endoscopes need to have ATP testing, protein testing, hemoglobin etc. with every use? SWAB
duodenoscopes, ultrasound endoscopes, bronchoscopes, ureteroscopes, cystoscopes
86
What is actively done with endoscopes after processing? for how long?
actively dried for minimum of 10 minutes or no visible moisture
87
How is drying measured with endoscopes?
borescope inspection or moisture detection test
88
Does automated air purge cycle AER count as drying with endoscopes?
no; unless extended time feature used
89
What should personnel have in processing area for endoscopes?
1. ergonomics 2. frequent breaks from hot PPE 3. cooling devices
90
Where should endoscopes be stored?
drying cabinet
91
Where should endoscopes not be stored?
in procedure rooms
92
Is there a time frame for storage of endoscopes? What do you do instead
NO; rather risk assessment to establish storage times. CULTURES
93
What are 7 risk assessment things

ZANDER CNOR (15 decks)

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