Functions of SPD
Our functions are Decontamination, Assembly/Prep & Pack, Sterilization & Storage.
Placement of Instrumentation on Sterilizer rack Top shelf
Peel packs tilted on edge/side
Placement of Instrumentation on Sterilizer rack Middle shelf
Textile, Basins, Non-Perforated trays - tilte...
Functions of SPD
Our functions are Decontamination, Assembly/Prep & Pack, Sterilization & Storage.
Placement of Instrumentation on Sterilizer rack Top shelf
Peel packs tilted on edge/side
Placement of Instrumentation on Sterilizer rack Middle shelf
Textile, Basins, Non-Perforated trays - tilted on edge/side
Where should Textiles etc. be placed on Sterilizer rack
Textiles ect. should always be placed on the rack above the metal containers.
Placement of Instrumentation on Sterilizer rack Bottom shelf
Rigid container, perforated basket trays- placed flat
LTGP
back bottom shelf on top of tray/pack ( Geobacillus Sterarothermophilus) Incubated @
131-140 deg.
BI placement for Steam
over the drain ( Geobacillus Sterarothermophilus) Incubated @ 131-140 deg.
BI placement for ETO
center of load (Geobacillus Sterarothermophilus ) Incubated @ 99 degrees
BI placement for LTHP
center top shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg.
BI placement for Ozone
upper shelf (Geobacillus Sterarothermophilus ) Incubated @ 131-140 deg.
BI placement for Dry Heat
fullest densest load (Bacillus Atrophaeus) Incubated @ 96-120 deg.
Cleaning
is the removal of contamination from an item to the extent necessary for further
processing or for the intend use.
AAMI (Association for the Advancement of Medical Instrumentation)
Issues standards which is an established norm based on theory,opinion, authority, &
research AAMI is not law but recognized as best practices. AAMI makes
recommendations for sterilization based on opinion, research, authority, and /or theory.
2 types of contact transmission
direct and indirect via a reservoir. Which is either by human, animal or nonliving means
as soil or water.
direct contact
person to person or physical contact between the source to the person by animals
which is considered a vector that causes Lymes disease via ticks/lice which is a
spriochete that is spiral shaped also causes syphilis, Influenza via birds & Rabies via
rats,bats, skunks, foxes, dogs,cats.
Indirect contact
via objects/fomites inanimate objects.
, Instrument Usage : Hemostats
Hemostats are used to clamp arteries to stop the flow of blood.
Instrument Usage : Scissors
Scissors are used to cut & dissect tissue and to cut dressings & suture.
Instrument Usage : Tissue & Dressing forceps
Tissue & Dressing forceps are used to manipulate & grasp tissue, sponges & dressings.
Instrument Usage : Needle holders
Needle holders are used to hold back tissue & organs.
Retractors
Retractors are used to hold back tissue & organs.
Laparoscopic
Laparoscopic instruments are used in minimally invasive surgery.
FDA (Food and Drug Administration)
The FDA regulates all medical devices are safe before companies market them and that
they must provide IFU's for their products on how to reprocess. Also, any single use
device must be cleared by FDA
HIPAA (Health Insurance Portability and Accountability Act)
Patient confidentiality is provided by HIPAA
shelf life
shelf life is time a sterile item is considered safe to use it is event related not time
related.
Use-life
Period of time during which a germicidal solution is effective after it has been prepared
for use
Hazard Communication Safety Data Sheet
is the right to know standard for all chemicals in the department.
Safety Data Sheet
Must be displayed in facilities where a hazardous substance is stored, manufactured, or
used per OSHA.
metal brushes
metal brushes are used on Tungsten Carbide ( gold handled) for cleaning when
needed.
Nylon & plastic brushes
are used for cleaning all other instrumentation when needed.
Quality assurance
is the collection of data & identification of issues that can be identified by anyone and is
continuous quality improvement. one of the way to find issues is by random audits.
Ethics
what is good, bad, and moral and doing the right thing.
work ethics
understanding cultural differences is a trait of good work ethics.
Morals
principles of right & worng
Agencies that are mandatory
OSHA,FDA,DOH, & EPA we must do what they say compliance is not an option.
Regulation
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