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CNOR 2024 Zander Notes Latest Update

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 2/107 -Spores survive HLD- Examples of items in Semi-Critical Spaulding Classification System - Answer-- Bronchoscopes -GI Scopes/GI endoscopes -RT equipment (laryngoscope blades...

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  • October 3, 2024
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

CNOR 2024 Zander Notes Latest Update

Name the 3 Spaulding Classification Systems - Answer✔✔-Critical


Semi-Critical

Non-Critical

Meaning of Critical Spaulding Classification System - Answer✔✔-Items MUST be

sterile.

Items will enter -sterile tissue- or -vascular system-

Examples of items in Critical Spaulding Classification System - Answer✔✔--

Instruments-

-Laparoscopes- -Arthroscopes-

-*Cutting endoscope accessories for biopsy*-

-Cardiac Caths-

-IV caths- - Needles-

-*Urinary Caths-

Meaning of Semi-Critical Spaulding Classification System - Answer✔✔-Items

SHOULD be sterile.

Items will contact -broken skin- or -MM-



If the manufacturers instructions say it WON'T tolerate sterilization, they CAN be HLD

(but only IF MF SAYS).

1/107

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
-Spores survive HLD-

Examples of items in Semi-Critical Spaulding Classification System - Answer✔✔--

Bronchoscopes

-GI Scopes/GI endoscopes

-RT equipment (laryngoscope blades)

-Anesthesia equipment

Meaning of Non Critical Spaulding Classification System - Answer✔✔--Will be in

contact with INTACT SKIN

-Intermediate or Low Level Disinfection or Cleaning.

-Disinfect with an FDA approved disinfectant that's effective against HEP B.

Examples of items in Non Critical Spaulding Classification System - Answer✔✔--

Furniture

-Laundry/Linens

-OR bed

-BP Cuff/Leads/Monitors/Stethoscopes

-Tourniquets

Requirement for decontamination area: - Answer✔✔--Must have a physical WALL or

SEPARATION between decontam and processing areas.

-This includes Immediate Use Areas.

-Why: Because decontam requires NEGATIVE PRESSURE

Sterile Processing Workflow - Answer✔✔-Decontamination (always 1st) -->

Prep&Pack -->Sterilization

2/107

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
-->Distribute/Store

Most important step to prevent infection: - Answer✔✔-Cleaning and Pre-treating with

a non-drying enzymatic solution in order to avoid biofilm, which encapsulates spores.

Decontamination processes - Answer✔✔--Disassemble everything

-Brush lumens/channels using a brush based on mfr instruction for correct diameter and

length of lumen

-Brush lumens/channels/crevices/joints UNDER WATER

-Automated (washers/ultrasonic) more effective than manual cleaning.

Two Types of Steam Sterilization - Answer✔✔--Pre-Vac Autoclave/Dynamic Air

Removal

-Gravity Displacement

PreVac settings - Answer✔✔-270-276



3 min (NON porous instruments/regular instruments)



4 min (POROUS or LUMEN instruments, heavy plastic, rubber, wooden handles, poole

suction)

PreVac/Dynamic Air Removal setting for porous (heavy plastic, rubber, wood handels)

or lumen instruments (poole suction/channels) - Answer✔✔-270-276 for 4 min

PreVac/Dynamic Air Removal setting for Non Porous instruments - Answer✔✔-270-

276 for 3 min


3/107

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER
©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
How does PreVac/Dynamic Air Removal autoclave work? - Answer✔✔--Sucks air out

of chamber with a VACCUM then steam is released and snaps down onto inst/trays.

-DRAINS MUST BE CLEAN

-Most common. Most effective.

Gravity Displacement Autoclave settings - Answer✔✔-270-276



3 min: NonPorous/reg instruments



10 min: Porous/Lumens

Gravity Displacement autoclave settings for porous/lumens - Answer✔✔-270-276 10

min

Gravity Displacement autoclave settings for NonPorous/reg inst - Answer✔✔-270-

276 3 min

How does Gravity Displacement autoclave work? - Answer✔✔-Steam pushes air

down to a thermometer in the drain, the air exits the chamber, drain closes, cycle starts.



-Not great for trays or packages.



-Rarely used.

Both PreVac/Dynamic Air Removal and Gravity time and temperature requirements are

for the instrument and autoclave only.



4/107

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