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central sterile study guideIt looks like your browser needs updating. For the best experience on Quizlet, please update your browser. Learn More. Centralized distribution of supplies to all customers in the hospital. What is the Central Service One Way Work Flow ? -Decontamination (soiled) -Preparation, Packaging, Sterilization (clean) -Sterile Storage (sterile) What is the purpose of a One Way Work Flow. To prevent cross contamination. Decontamination Physically or chemically render instruments or equipment that may be contaminated with harmful micro organisms to make it safe to handle. Negative air flow Air flows into a room from other surrounding areas, pressure is less than other adjacent areas. Positive Air Pressure Maintains air flow out of a room, this helps with keeping all dust particles and microorganisms out. Job Description Define and communicate job duties and requirements in organization. Nosocomial Infection Hospital Acquired Infection. Containers with moisture after the sterilization process is complete. Sterility (event-related) Items are considered sterile unless the integrity of the packaging is compromised or suspected of being compromised. Name the 4 things that event-related sterility depends on. 1. Quality of the wrapping material. 2. Handling procedures. 3. Storage and transport conditions. 4. Number of times the package has been handled (4 times). Name 4 concerns when it comes to packaging. 1. Moisture contamination. 2. Dirt, Dust, and Debris. 3. Physical damage. 4. Breakdown of packaging material due to wear of age. A chemical process applied during instrument manufacture that provides a corrosion-resistant finish by forming a thin transparent oxide film. Explain and be specific. After a stain is discovered, use the eraser to remove the discoloration, look at the metal below the discoloration to determine if there are any tiny pit marks. If pit marks are discovered, this is corrosion. Take instruments out of rotation. Why do we use lubricants on instruments.http://chickenwild.com/upload/contents/images/epson-1000-ics-manual.xml
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Where is it applied. To secrete hormones. The pancreas has 2 primary hormones that it produces, what are they. What is their function? 1. Insulin- reduces the level of sugar in the blood stream. 2. Glucagon- increases the blood sugar level. What is the alimentary canal. What does it consists of. Pathway that food takes through the digestive system. Consists of; mouth, esophagus, stomach, small intestine, large intestine, rectum, and anus. What is plasma? A yellow fluid that contains dissolved proteins, glucose, clotting factors, minerals and hormones. Methicillin-Resistant Staphylococcus aureus What does VRE stand for. Vancomycin-Resistant Eneterococcus How do bacteria reproduce. By a process called Binary fission. What is the chain of infection. Please explain. 1. Causative agent- microorganism that causes infection 2. Reservoir of the agent- where infectious agent stays 3. Portal of Exit- where infectious agent leaves 4. Mode of transmission- method of transfer from reservoir to a susceptible host 5. Portal of Entry- path used to enter susceptible host 6. Susceptible Host- Person fighting off infection What does FDA regulate. The manufacturer of all medical devices. What is the classification of medical devices. What is the risk? Does it require a 510k or pre-market approval. Please explain and give an example of each. 1. Class I Medical devices-low risk, no pre-market approval. Ex:Ultrasonic cleaners 2. Class II Medical devices- medium risk, needs 510k. Ex: Sterilizers 3. Class III Medical devices-high risk, requires pre-market approval. Ex: Heart valves What is a 510k application vs Pre-market approval ? -510k application is used when there are changes in the product. -Pre-market approval is done when there is a new product being released. Please illustrate. (U.N.S.A.F.E.J.O.E) CDC Centers for Disease Control. Federal agency that issues infection control guidelines. EPA Environmental Protection Agency.http://dgsyhg.com/images/xinwen_nr/20190221_105421_195/20201005_001330_185.xml Establishes in 1970 to enforce federal laws pertaining to air and water pollution and other environmentally related statues. DOT Department of Transportation. Federal agency that regulates labeling and containment of hazardous waste, biohazard items and minimally processed items for transport. OSHA Occupational Safety and Health Administration. Primary role is to protect workers from conditionally caused illnesses and injuries. AAMI Association for the Advancement of Medical Instrumentation. Develops recommended practices and standards. ANSI American National Standards Institute. Standards are submitted to ANSI for approval, such as AAMI. AORN Association of Operating Room Nurses. Dedicated to providing optimal care to the surgical patient. APIC Association for professionals in Infection Control and Epidemiology. Voluntary international organization dedicated to the prevention and control of infections and related outcomes. ISO International Standards Organization. Globally based non-governmental standards organization. Joint Commission Independent non-profit organization, sets healthcare quality standards and protects patients and visitors, conducts inspections of healthcare facilities. NFPA National Fire Protection Association. International association that works to reduce the burden of fire and other hazards; sets fire safety standards. USP-NF United States Pharmacopeia-National Formulary. Sets standards for packaging, labeling, bacteriological purity, pH, and mineral content. WHO World Health Organization. Combats infectious diseases and promotes the general health of the people of the world. SGNA Society of Gastroenterology Nurses and Associates. A non-profit organization that collects information and establishes standards and guidelines relating to the processing of flexible endoscopes. What do you wear in the different areas ? -Decon: scrubs, hair cover, shoe cover, gown, eye goggles, face shield, gloves, and face mask. -Assembly and Sterile storage: scrubs and hair cover. -OR: scrubs, hair cover, and face mask may be required. -Normal traffic areas: regular street attire. Fomites Inanimate objects that can transmit bacteria. Breakout area Asepsis The absence of microorganisms tat cause disease. Aseptic Technique Any activity or procedure that prevents infection or breaks the chain of infection. Medical Asepsis Procedures performed to reduce the number of microorganisms or minimize their spread. What are the 5 basic principles of Asepsis? 1. Know what is dirty. 2. Know what is clean. 3. Know what is sterile. 4. Keep the 3 conditions seperate. 5. Remedy contamination immediately. Conductivity A measurement of the ability of water to carry an electric current. What causes hard water stains. Calcium and Magnesium What causes rainbow stains on stainless steel. The diffusion of water through a semi-permeable membrane to eliminate impurities in the water. Protease Enzymes that break down proteins. Lipase Enzymes that break down fats. Amylase Enzymes that break down starches. Free Rinsing Removal of any residue of cleaning agents and chemicals remaining after the cleaning process. What is the preferred transportation method. Why? Closed transport system to avoid cross contamination. Surfactant A surface-acting agent that lowers the surface tension of a liquid so it can penetrate deeper.This process reaches small areas that brushes cannot reach. What process is used for Mechanical Washers. Impingement, which is a spray force of water. What are prions? What do they cause? A sort of virus that is hard to kill, has a misfolded protein, it lacks DNA and RNA. It causes Mad Cow Disease, and TSE (Transmissible Spongiform Encephalopathy) Shelf life vs Use life? -Shelf life: Length of time a disinfectant can be properly stored till expired. -Use life: Length of time or number of times disinfectant can be used until efficiency (strength) or disinfectant is diminished. What is MEC and what level should it be at. MEC is a test used to check the effectiveness of the chemical concentration level, which should be at 0.3 or higher for OPA. Fill in the blanks in the Spaulding Classification System. Body Contact Destruction Method Item Class Intact skin High-Level Critical Name 3 types of PSI? 1. Electrically powered instruments 2. Pneumatic powered instruments 3. Battery powered instruments What is an AER. Automatic Endoscope Reprocessors, they clean, disinfect, and rinse flexible endoscopes. Name 5 advantages of using AERs. 1. Timed cleaning 2. Consistent exposure 3. Timed contact 4. Air flush cycle 5. Use of of copious rinse water What is a leak test. How is it done? It is done to check for holes on the scopes' shaft. Close all port openings with proper caps, submerge endoscope shaft in water, force air through it using a syringe or wall powered air then look for continuous bubbles, if there is a leak take it out of rotation. Flash Sterilization The process by which unwrapped instruments are sterilized for immediate use when and emergency situation arises. Peracetic Acid A liquid oxidiZing agent that is an effective biocide at low temperature. Bowie Dick Test AKA Residual Air Removal test, must be ran everyday to check the efficiency of the sterilizers air removal system during the pre-vac cycle to detect inadequate air removal or air leaks in the chamber. What should Flash Documentation contain ? -Patient's name -contents of the flash cycle -type of sterilization cycle -cycle parameters -reason for flash sterilization -signature of staff person responsible for release of the load Negative BI result should not be the only one depended on to prove all items in loads are sterile, also check for what? -chemical indicators -class 5 integrators -mechanical monitor printout -Bowie dick test results Conduction Heat transfer from one part of an item to another. Convection Heat transfer from one point to another as gas or liquid circulates. Saturated steam Steam that contains the maximum amount of water vapor. What are the common temperatures for Steam sterilization ? -250 and 270-275 degrees F What is the time frame for items to cool down before use? 30-60 minutes, heavier items can take several hours. Validation Procedures used by equipment manufacturers to obtain, record, and interpret test results required to establish that a process consistently produces a sterile product. Verification Procedures used by healthcare facilities to confirm that the validation undertaken by the equipment manufacturer is applicable to the specific setting. What is the most common temperature for Dry Heat sterilization ? 320 degrees F for preferably 2 hours. D-Value The amount of time required to kill 90 of the microorganisms present. Please explain how you clean the chamber drain filter. Clean daily, under running water with mild detergent using a non-abrasive brush. Name 4 factors that impact sterilization. 1. Type of microorganisms present 2. Number of microorganisms present 3. Amount and type of soil present 4. Amount of protection the medical device provides Residual (EtO) The amount of EtO that remains inside the materials after they have been sterilized. PEL Limits developed by OSHA to indicate the maximum airborne concentration of a contaminant to which an employee may be exposed over the duration assigned to that contaminant. What is the aeration time for EtO sterilized items ? -8 hours at 140 degrees F -12 hours at 122 degrees F Aeration A process in which a device is actively subjected to moving air. Pull, push Gas plasma kills by what process. In addition, the answers to the retired questions are in the back of the book. The CBSPD does not endorse these materials, and they are not the best or only means of preparation for the certification exams Please allow 7-10 days for delivery. If a book is out of stock, you can still place your order and we will ship it when it becomes available. I memorized all the material and none of the exam questions covered what was in the book. The questions are meant to illustrate how the exam questions are set up, with multiple choice answers. The book(s) must be returned to our office in the same condition as when shipped them out. Any returned materials that are written in or damaged will not be refunded. There is a 10 restocking fee on all returns. Shipping charges are also not refunded. Meet the Board. We'll bring you back here when you are done. Please select the correct language below. Find out how you can intelligently organize your Flashcards. Please upgrade to Cram Premium to create hundreds of folders! Therefore, eight to fourteen the liquids are considered basic. For instance, a pH of two is goi. Alkaline or primary buffer answers are those who have sturdy alkalis and weak acids within themixture. they. Concentration of the extra. The control will have no motor oil so the ratio of water to motor oil will be 10:0. 4. Add to one. As well as blood agar, which is a nutritive media with differential propertie. Hardness of wate. About Back Who We Are Governance 2021 Bylaws Revision Chapters Committees News Online Buyers Guide Sterile Processing Week Back Supplier Support Back Contact Us Membership Back Member Benefits Back My Account Digital Resources Back Advocacy Back Career Center Discussion Forum Awards Back Scholarships Certification Back Certification Overview Become Certified Back Stay Certified Back My Certifications Verify Status Resources Back Program Policies Statistics How-To Videos Certification Council Education Back Publications Back Events Back Educational Posters Back Training Courses Back Lesson Plans Back Webinars Podcast: Process This. Envision Staff Education Videos Resource Documents Fellowship Back CE Approval Protocol Foundation Back What We Do Scholarships Back Certified Registered Central Service Technician (CRCST) The introductory certification for Sterile Processing Professionals. CRCST's are integral members of the healthcare team who are responsible for decontaminating, inspecting, assembling, disassembling, packaging and sterilizing reusable surgical instruments or devices in a healthcare facility that are essential for patient safety. Accreditation The CRCST Certification is accredited by both the American National Standards Institute (ANSI) and the National Commission for Certifying Agencies (NCCA). Initial Eligibility Requirements As well as passing the certification exam, 400 hours of hands-on experience are required in order to obtain CRCST status. To apply for the CRCST examination, you must satisfy the requirements of one of the following options: Full CRCST Certification (Recommended) Provide 400 hours of hands-on experience during the previous five years, preceding the application. Firsthand experience is essential to supplement an individual's understanding of Sterile Processing knowledge and concepts and to illustrate their practical use. OR Provisional Certification Provide 400 hours of hands-on experience within 6 monts after passing the certification exam. Documentation of the completed hours of hands-on experience must be submitted to IAHCSMM prior to the 6-month expiration date. Failure to submit these hours within this designated time fram will result in a forfeiture of your Provisional CRCST certification, and you will need to re-apply for the certification exam. These hours can be completed before testing or within 6 months of passing the exam (see options above). It is your responsibility to find a department in which to complete your hours. If you are unsure if your department is.please fill out our Department Authorization Form. Rationale IAHCSMM believes that both training and experience for entry into practice contribute to the delivery of quality patient care. The rationale for the experience requirement of the sterile processing role is consistent with the most recent job analysis conducted, where 80 of the work of the SP is hands-on experience in a hospital setting. The 400 hours requirement affirms the need for a minimum of 10 weeks (400 hours) experience. The experience component, which is divided into six areas of hands-on work, is based on industry and Subject Matter Expert surveys and recommendations, and demonstrates an applicant’s practical understanding and application of the knowledge assessed on the certification exam. The hands-on experience requirement represents the largest domains in the recent job analysis for sterile processing technicians. The categories of experience, the tasks that comprise them, and the percentage of time required for each was calculated through an industry-wide job task analysis. You can find out more about the course by calling Purdue at 800.830.0269 or by visiting their website. Please Note: Courses are preparation for the exam only. Passing a course does not equate to Certification and taking a course does not negate the hands-on hours requirement. Self-Study: You may purchase reference materials and choose to study on your own to prepare for the CRCST exam. You can order these publications through IAHCSMM.org and aornstandards.org Please Note: IAHCSMM's education department developed the material referenced above as an optional method to assist individuals in preparing for the CRCST exam. The material was developed and produced independently from the Certification Council, which does not develop, require, approve, or endorse any specific training materials. Work Experience: You may take the exam based on your personal knowledge from experience in the field. It is not required that you take or pass a preparatory course, nor study materials on your own. Applicants can apply directly to take the exam without purchasing study materials or enrolling in a course. The Content Outline also describes further detail on the type and amount of content covered in each section, as well as its weight on the certification exam. For testing details. Exam Structure The exam is computer based and no writing instruments are needed (a written version of the exam is not available) The current version of the test is comprised of 150 multiple choice questions You will have 3 hours in which to complete the exam Questions can be marked for review and answered or changed later in the exam A 15 minute tutorial describing how to take the exam on the computer precedes the test and is also available online, below Test Tutorial Verification of Examination Requirements Hands-on experience is required for your examination, and documentation of that experience must be provided on the exam application as indicated. No other documentation is necessary or acceptable. An individual may never document their own experience. Provided they are in a position above your own then experience hours can be documented by: Lead Technicians, Coordinators, or Supervisors Managers, Chiefs, Directors, or Administrators Hospital-based Educators or Trainers Hours cannot be documented by technicians or private instructors. In order to verify experience, all contact information provided for the manager or supervisor documenting your hours must be current or your application will be rejected. Hands-on hours can be accumulated on a paid or volunteer basis and you need not be currently employed or volunteering with a facility in order to test. Applications requiring hands-on experience may be subject to verification before processing. Applicants who have submitted a completed application and who are notified that they do not meet the eligibility requirements may appeal this decision by sending a written notice of the appeal to the Certification Council within 30 days of the time stamp on the eligibility decision. Appeals that cannot be resolved to the applicant's satisfaction will be forwarded by the Certification Manager to the Council for review along with any relevant information from the initial review of the application. Written notice of the final decision will be sent to the applicant within 30 days of the review. The decision of the CC will be final. Apply Today Validate that you meet the eligibility requirements detailed above and in the IAHCSMM Certification Handbook and apply today. All rights reserved. This website uses cookies to offer you a better browsing experience. You may set your web browser settings to block cookies, but portions of the website may not function properly. To learn more about how we use cookies, please read our Privacy Policy. By continuing to the website, you consent to our use of cookies in accordance with the Privacy Policy. I accept. 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