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A comprehensive overview of sterilization methods and practices commonly used in healthcare settings. It covers various sterilization techniques, including steam sterilization, ethylene oxide sterilization, hydrogen peroxide gas plasma sterilization, and ozone sterilization. The document also includes information on sterilization parameters, monitoring, and quality assurance practices. It is a valuable resource for individuals preparing for the crcst exam or those seeking to enhance their knowledge of sterilization procedures.
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Dynamic Air Removal: Exposure Time For Any Wrapped Item At 275 Degrees. 3 Minutes What Is The Correct Percentage Of Relative Humidity For Steam Sterilization? 97%-100% What Are The 4 Cycles Of Steam Sterilization? Conditioning, Exposure, Exhaust, Drying Which Low-Temp Sterilization Method Requires Monitoring? Ethylene Oxide How Does Ethylene Oxide Kill Microbes? By A Process Called Alkylation. How Do Ozone And Hydrogen Peroxide Kill Microbes? By A Process Called Oxidation. Discuss Sterilization Parameters For Ethylene Oxide (Concentration, Temp, Humidity, Exposure Time, Aeration Time) Concentration: 450 - 1200 Mg/L Temp: 98 - 145 Degrees F Exposure Time: 1 - 6 Hours
Humidity: 40 - 80% Aeration Time: 8 - 12 Hours At 122 - 140 Degrees F What Is The Microorganism Of Choice For Ethylene Oxide Sterilization? Bacillus Atrophaeus What Are The Five Phases Of Gas Plasma Sterilization? Vacuum, Injection, Diffusion, Plasma, Vent Which Materials Are Not Recommended For Use In Hydrogen Peroxide Sterilization Method She? Cellulose, Muslin Wraps What Is The Microorganism Of Choice For Hydrogen Peroxide Gas Plasma Sterilization? Geobacillus Stearothermophilus Discuss Hydrogen Peroxide Gas Plasma Sterilization Parameters (Time, Temp, Concentration, Vacuum Level, Plasma) Time: 24 - 75 Minutes Temp: Less Than 131 Degrees F Concentration: 59 - 95% Vacuum Level: Auto Controlled Plasma: Auto Controlled What Are The 4 Cycles For Vaporized Hydrogen Peroxide Systems? Conditioning, Leak Test, Sterilization, Aeration Discuss Vaporized Hydrogen Peroxide Sterilization Parameters (Temp, Concentration, Time, Other). Temp: Less Than 122 Degrees F
60 - 65 Degrees F What Is The Temperature Range For Water In The Decontamination Area? 80 - 110 Degrees F This Temperature Should Not Be Exceeded When Using Enzymatic Cleaners. 140 Degrees F What Is The Ph Of Neutral Detergents? 6 - 8 Name The Most Common Low-Level Or Intermediate-Level Disinfectants. Quaternary Ammonium, Alcohols, Phenolic, Chlorines, Iodophors Discuss Characteristics Of Quats Non-Sporicidal, Must Remain Wet For 6 - 10 Minutes Discuss Characteristics Of Alcohols Non-Sporicidal, 5 Minute Wet-Contact Time Discuss Characteristics Of Phenolics Non- Sporicidal Discuss Characteristics Of Chlorine Member Of The Halogen Family, Non-Sporicidal, 2.5 Minute Wet Contact Time, 1:10 Dilution Of 5.25% Suggested For Use By The Cdc Process By Which Gluteraldehyde Kills Microbes Alkylation Name The High Level Disinfectants
Glutaraldehyde, Orthodox-Pthalaldehyde, Hydrogen Peroxide, Paracetic Acid Discuss Characteristics Of Glutaraldehyde Kills Bacteria Within 2 Minutes; For Sterilization, Soak Time Is 6 - 10 Hours; It Becomes Unstable After 14 Days Discuss Characteristics Of Opa Has A 14 Day Reuse Life, Can Be Discarded Down The Drain, Does Not Have A Sterilants Label Claim Discuss Characteristics Of Hydrogen Peroxide As An Hld. Can Be Used As A Sterilant At The Right Concentrations, Kills Bactria And Viruses Discuss Characteristics Of Paracetic Acid Broad Spectrum Hld, May Be Used As Sterilant In The Appropriate Aer, Achieves Hld In 5 Minutes What Is The Appropriate Time/Temperature Range For A Pasteurizer? 150 - 170 Degrees F For 30 Minutes What Is The Appropriate Temperature For The Assembly Area? 68 - 73 Degrees F What Is The Appropriate Humidity For The Assembly Area? 30 - 60% Class 5 Integrator Indicator Designed To React To All Critical Parameters And To Be Equivalent To Or Exceed Performance Requirements, Over A Specified Range Of Sterilization Cycles
What Is The Recommended Lighting For Sterile Storage Area? 200 - 500 Lux How Far Should Bottoms Sterile Storage Shelf Be From The Ground? 8 - 10 Inches How Far Away From The Ceiling Should Sterile Items Be Stored? At Least 18 Inches Fifo Ensures That Oldest Items Are Used First. Place Newest Item On The Left And Oldest On The Right. Pull Items From The Right. 4 Number Of Air Exchanges Required In The Sterile Storage Area. Gravity And Dynamic Air Removal These Sterilization Methods Have Commercially-Prepared Process Challenge Devices That Should Be Used At Least Weekly, But Preferably On A Daily Basis. Iuss, Tabletop Steam Sterilizers, Eto, Hydrogen Peroxide, And Ozone Bis Are The Acceptable Means For Providing Quality Assurance Monitoring For These Sterilization Methods. Leak Test This Test Should Be Performed At Least Weekly In An Empty Sterilization Chamber. Six Sigma A Quality Assurance Process That Focuses On Developing And Delivering Near-Perfect Products And Services,Strives To Eliminate Variations, Focuses On Process Improvement. Two Methods Used Are Dmadv And Dmaic.
Lean A Quality Process That Focuses On Eliminating Waste In The Production Of Products. Dmadv Define, Measure, Analyze, Design, Verify Process That Is Used To Develop New Processes. Dmaic Define, Measure, Analyze, Improve, Control Procedure To Monitor And Improve Existing Processes. Magnet Status An Award Given By The American Nurses Credentialing Center To Hospitals That Satisfy Factors That Measure The Strength And Quality Of Nursing Care. Iso An International Standard Used By Participating Organizations To Help Ensure That Quality Services And Products Are Consistently Delivered. Hcahps Standardized Survey Tool That Measures The Patient's Perception Of Their Experience During Their Hospital Stay. Failure Mode And Effect Analysis (Fmea) A Process Designed To Predict The Adverse Outcomes Of Various Human And Machine Failures To Prevent Future Adverse Outcomes. Root Cause Analysis (Rca) A Process That "Looks Backward" At An Event To Help Prevent Its Future Reoccurrence. Quality Assurance A Comprehensive And Measured Effort To Provide Total Quality. Also A Technical, Statistical Sampling Method That Measures Production Quality. Total Quality Improvement (Tqi)