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HSPA - Chapter 1. Introduction to Sterile Processing Questions and Answers
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Minimally invasive surgery (MIS) - answerA surgical procedure performed in a manner that causes little or no trauma or injury to the patient; it is often performed through a cannula using lasers, endoscopes or laparoscopes. What are the benefits of minimally invasive procedures? - answer Shortened hospital stays Less tissue damage and bleeding Smaller amount of anesthesia Less pain and minimal scarring Smaller incisions Reduced trauma Shorter recovery times SPD (Sterile Processing Department) - answerThe SPD is the central location for the delivery of soiled (used) medical devices and the distribution of clean and sterile items. One-way flow of materials - answerRefers to the movement of products/materials from the soiled area to the clean processing area and on to the sterile storage area. Physical barriers/ walls used to separate the functional areas of the SPD - answerThese areas include: Decontamination Preparation and packaging (prep and pack) Sterilization Sterile storage/distribution Decontamination - answerTo make safe by removing or reducing contamination by infectious organisms or other harmful substances to an acceptable level. Cleaning - answerThe removal of all visible and non-visible soil and any other foreign material from medical devices being processed. Why is decontamination an important process? - answerItems cannot be considered sterile or high-level disinfected if they are not effectively cleaned; therefore cleaning is the first step in the sterilization process.
How may an effective cleaning process be accomplished? - answerAn effective cleaning process may be accomplished with manual and/or mechanical cleaning techniques. What knowledge is required for SP staff while working in decontamination? - answerThorough knowledge and understanding of microbiology Protocols for waste disposal Transportation of contaminated items Operation of equipment used in the cleaning process (washer-disinfectors, ultrasonic cleaners, cart washers, steam guns, and specialty washers) According to Occupational Safety and Health Administration (OSHA) safety requirements, what special attire must SP technicians wear? - answerPersonal protective equipment (PPE) Personal Protective Equipment (PPE) - answerA part of Standard Precautions for all healthcare workers to prevent skin and mucous membrane exposure when in contact with blood and body fluids of any patient. What does PPE include? - answerFluid-resistant protective clothing Disposable gloves Eye protection Face masks Shoe covers After decontamination, what area are items delivered to? - answerAfter items are safe for handling, they are delivered to the prep and pack area (clean processing area) of the SPD. What duties are performed in the Prep & Pack area? - answerEach item should be carefully inspected for cleanliness, proper function and possible defects. Instruments and other devices should be inspected, packaged, and labeled in preparation for sterilization. Sterilization - answerProcess by which all forms of microbial life, including bacteria, viruses, spores, and fungi, are completely destroyed. Instructions for use (IFU) - answerInformation provided by a device manufacturer that provides detailed instructions on how to properly use an/or process the device. Duties of Sterile Storage and Distribution Area - answerThe major portion of the work in this area involves receiving, storing, and dispensing supplies and sterile instruments.
Which inventory system is primary used by the department of surgery to ensure that supplies and instruments are prepared for a surgical case? - answerCase cart system Which federal agency mandates that employees wear PPE to minimize exposure to bloodborne pathogens? - answerOSHA (Occupational Safety and Health Administration) Where are clean instruments found in the CS department? - answerClean Processing Area (Prep & Pack) Which document identifies all of the instrument and supplies that a physician will need for a specific case? - answerDoctor's (physician's) preference card One-way flow - answerSoiled Area (Decontamination) > Clean Processing Area (Prep & Pack) > Sterile Storage Area What are the different names for Sterile Processing? - answerCentral Processing Sterile Processing Surgical Supply & Processing What does the Sterile Storage Area house? - answerInstruments/ medical equipment sterilized by the SPD Instruments/ medical equipment pre-sterilized by another facility Single use (disposable) sterile items Where can instrumentation and medical equipment be collected from? - answerInstrumentation and medical equipment can be collected from different places within the healthcare facilities [e.g., Labor and Delivery (L&D), the Emergency Department (ED) and patient care units like the Intensive Care Unit (ICU). Is an N95 mask a part of SP technicians PPE requirement? - answerNo Is it possible that you can wear an N95 mask in decontamination? - answerYes; an N mask may be required as part of an instrument/equipment manufacturers IFU. How many instruments must SP technicians be able to identify? - answerSP technicians must be able to identify thousands of surgical instruments. While items may be dispensed to all areas of a facility, where is the major focus of the SPD? - answerThe Operating Room Using analytic skills to solve problems and make decisions is a component of: - answerEmployability Working in the decontamination area requires: - answerKnowledge of microbiology
Knowledge of cleaning and disinfecting processes Instrument identification SP workflow should move from: - answerSoiled to clean True or False: Since Sterile Processing (SP) technicians do not handle money, ethics considerations do not apply to them. - answerFalse True or False: SP technicians practice resource management when they control costs and reduce waste. - answerTrue True or False: SP technicians must be able to identify approximately 100 surgical instruments in order to be proficient in their job. - answerFalse True or False: SP technicians must be able to adapt to change. - answerTrue True or False: Because all Sterile Processing departments (SPDs) structured alike, healthcare facilities use one standard job description for all SP technicians. - answerFalse True or False: PPE is required in the decontamination and sterile storage areas. - answerFalse True or False: Good communication skills are an important part of an SP technician's basic job requirements. - answerTrue True or False: SP workflow can be divided into the handling of three categories of items: soiled items, clean items and sterile items. - answerTrue True or False: The use of good verbal communication skills is the most important and most used skill for SP technicians to provide or obtain information. - answerFalse True or False: Since modern SPDs are virtually risk free, SP technicians need not be concerned with safety practices. - answerFalse Communication Skills - answerInteract appropriately and respectfully with diverse groups in numerous situations. Access and use electronically produced information. Facility Systems - answerPrevent unnecessary waste and duplication. Participate in quality improvement activities. Employability Skills - answerUsing analytical skills to solve problems and make decisions. Adapting to changing situations.