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Packaged devices must be _____ before being sterilized
Devices need to be ________ unless the MIFU states differently
Ratchets and valves need to be in what position?
Lumens need to be inspected for what?
Dried
Disassembled
Open position
make sure they are not obstructed
Can you use moisture with lumens?
No, unless the manufacturer recommends it…
Syringes need to have what removed from the barrel?
The plunger
Do you need to remove obturators or stylets?
Yes
Before sterilization: all packs containing reusable textiles need to be cooled to _____ and ______ in __ to __ degress C and __
to ___ % humidity
Room temperature and humidity
18 to 23 Degrees and 30 to 60% humidity
The combined weight of the wrapped instruments and their container shall not be more than ____ Kg
10 Kg
Should lumens be open on both sides?
Yes they should, unless MIFU states otherwise
What types of products shall not be used with vaporized hydrogen peroxide and hydrogen peroxide gas plasma?
Can devices adversely affected by vacuum be sterilized with hydrogen peroxide and hydrogen peroxide ozone systems?
Cellulose-based products
No
Before any packaging system is used in a healthcare setting for the first time the following must be qualified which includes
Installation qualification
Operational qualification
performance qualification
Facilities that reprocess reusable surgical textiles must have documented policies and procedures for
1
2
3
Evaluation and purchase of reprocessing equipment
Access to reprocessing areas
Requirements pertaining to subcontractors
If laundry is being done by an external contractor, the health care setting has to audit it ____ a year against the CSA standard ______
once a year
CSA Z314-18
If any devices hits the floor, where must you send it?
Back through the whole process, starting at decontamination
A “HAI” can increase a patient’s hospital stay by up to ___ days or more
10 days or more
Why should you not wrap items too tightly?
Sterilization wrapping needs to be large enough to ________ of the wrap during the sterilization process.
The wrapper should be large enough to cover the medical device, but it should not be so large that you have to wrap it ____
Too tightly wrapped can create holes or tears
Accommodate movement
several times around
Assembly surfaces need to be __ ___ of _____size, ____lit and ____
Flat, smooth, of adequate size well lit and clean
Wrapper configuration shall provide a _____ path to stop microbial migration
tortuous
The sterilization wrapping method shall ensure that the opened wrapper will drape_____ from the sterile field
The wrapped package needs to be designed so all the edges are secured and do not interfere with ________ into the sterile field
Methods and materials used when wrapping a pack or medical device for sterilization shall not _____ sterilization or maintenance of sterility
Away from the sterile field
aseptic presentation
Inhibit
Why is lint bad?
Lint can be carried by air and deposited anywhere; the lint fibers could have microorganisms on them. Lint could fall into a wound and cause infection.
What is meant by a “clean” item?
Ready to be assembled, in the assembly area
What direction should the basins follow?
The same direction
Who is responsible for the facilities,
personnel, equipment, organization and
processes?
Administration of the healthcare facility
True or False Questions
Packaging materials must facilitate aseptic presentation of contents
Sharps do not need to be shielded because the wrapping acts as a barrier
The number of reprocessing cycles that can be tolerated needs to be stated in the product labelling and/or the end of the useful life shall be detectable
Hospitals will have a limited number of patches that can be used to repair textiles
“Memory free” means that the devices outline will show through the package
True
False
True
True
False: memory free means that the material will not spring back along the fold lines
True or False Questions
Metals and textiles can be mixed
You should not place a packaged item into another package
If you use chemical indicator tape, it must be placed on the inside
False
True: unless the MIFU states otherwise
False: the tape can only be used on the outside
Define: Ingress
Define: Egress
Ingress: act of entering
Egress: act of exiting
