Decontamination, Sterilization, and Disinfection

42 important questions on Decontamination, Sterilization, and Disinfection

Sterile instruments and supplies are loaded onto a _____ before surgery and transported to the surgical suite,

case cart

The first phase of reprocessing is ?

sorting

Because paper products are difficult or impossible to decontaminate, patient's charts, x-rays, and lab documentation should be ________.

kept free from contamination
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The flash sterilizer is used to rapidly sterilize clean, decontaminated equipment for immediate use. This method is used only when no other method is available. Implants are ______ sterilized except in a emergency and must be monitored with a biological control system.

not flash

The phrase flash sterilization has been replaced by ______ sterilization, in which unwrapped surgical equipment is sterilized by a high-vacuum steam sterilization method just before use.

immediate-use

_______ is used to sterilize objects that cannot tolerate the heat, moisture and pressure of steam sterilization.

Ethylene oxide

The temperature of the gas directly affects the penetration of items in the chamber. Operating temperature range from _______ for a "cold cycle"
and ______ for a "warm cycle"

85 to 100 degrees for cold / 130 to 145 degrees for warm

The recommended practice to damp dust the surgical lights, furniture, and fixed equipment in the operating suite is _______.

before the first case of the day

The process of _______ of the operating suite follows every surgical case.

terminal decontamination

Power-driven surgical instruments (drills, and saws) should be disassembled before ?

steam sterilization

The ultrasonic cleaner removes debris from instruments by a process called?

cavitation

A ______ is a paper strip or specialty treated tape that changes color when exposed to a specific temperature.

chemical indicator

The purpose of wrapping an item before sterilization is to protect it from _____ after the sterilization process.

contamination

The Spaulding classification of reprocessing instruments and patient materials assigns three risk levels based on the specific region of the body where the device will be used. These levels are critical, semicritical, and _____?

noncritical

The bacteria used during biological monitoring for steam sterilization is _____?

Geobacillus Sterarothermophilus

Most items available prepackaged from a manufacturer have been sterilized by ____?

Cobalt-60 radiation

After the sterilization cycle, hydrogen peroxide gas is converted to its molecular components, which is?

Water and oxygen

_______ sterilization requires aeration to dissipate any residual gas.

Ethylene oxide

What temperature can be used for Gravity Displacement steam sterilization?

All of these, 250 degrees, 270 degrees and 275 degrees

There are three distinct phases in all types of steam sterilizers. ______ is when air is removed from the chamber and replaced with steam.

conditioning

Two types of steam sterilizers are used in the clinical setting.

gravity displacement and dynamic steam sterilizers

The ______ sterilizers operates on the principle that air is heavier than steam

gravity displacement

______ is sporicidal and tuberculocidal and effective against HIV. The CDC recommends this product for the use in spot cleaning of blood spill, because it is very fast acting.

Hypochlorite

The important factor to remember about _____ is that they do not indicate sterility, only that certain conditions for sterility been met.

indicators

______ is a skilled, certified profession that requires expertise in the science and practice of materials management, decontamination, and sterilization.

CPT ( central processing technician)

_______ is a highly reliable method of determining whether the conditions inside the sterilizer met the parameters for sterilization.

biological monitoring

Stethoscopes, blood pressure, and tourniquet cuffs are

1. Critical items
2. Semicritical items
3. Noncritical items

Noncritical items

Objects that enter sterile tissue or the vascular system

1. Critical items
2. Semicritical items
3. Noncritical items

Critical items

Laryngoscopes, bronchscopes, and endotracheal tubes

1. Critical items
2. Semicritical items
3. Noncritical items

Semicritical items

Can include bed linens, crutches, tables

1. Critical items
2. Semicritical items
3. Noncritical items

Noncritical items

Comes into contact with mucous membranes or intact skin

1. Critical items
2. Semicritical items
3. Noncritical items

Semicritical items

Includes vascular and urinary catheters

1. Critical items
2. Semicritical items
3. Noncritical items

Critical items

Not required to be sterile because they do not penetrate intact tissues

1. Critical items
2. Semicritical items
3. Noncritical items

Noncritical items

Destruction of microorganisms, except spores, by heat or chemical means.

1. Decontamination
2. Disinfection
3. Sterilization

Disinfection

Performed in washer sterilizer.

1. Decontamination
2. Disinfection
3. Sterilization

Decontamination

Uses steam, ethylene oxide, peracetic acid, or cobalt-60.

1. Decontamination
2. Disinfection
3. Sterilization

Sterilization

Process by which all microorganisms, including spores, are destroyed.

1. Decontamination
2. Disinfection
3. Sterilization

Sterilization

Uses isopropyl alcohol 70 % to 90 %, glutaraldehyde, and iodophor solution.

1. Decontamination
2. Disinfection
3. Sterilization

Disinfection

Used for anesthesia equipment, gastrointestinal endoscopes, bronchoscopes.

1. Decontamination
2. Disinfection
3. Sterilization

Disinfection

Monitored by chemical and biological methods to ensure patient safety.

1. Decontamination
2. Disinfection
3. Sterilization

Sterilization

Used for surgical instruments, implants, and needles.

1. Decontamination
2. Disinfection
3. Sterilization

Sterilization

"CYCLE OF REPROCESSING" List the 8 stages in order, starting with the point of use.

1. Point of use
2. Sort and disassemble
3. Clean (ultrasonic cleaner)
4. Decontaminate (washer-sterilizer)
5. Inspect
6. Assemble and wrap
7. sterilize
8. Storage (Then its ready for point of use)

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