3.04 understand support services
TRANSCRIPT
3.03 Understand support services
Aseptic Procedures
Clean and Decontaminate the
Healthcare Environment
Manage Hazardous Materials and
Wastes
Manage and Store Materials
3.03 Understand support services 2
Aseptic Procedures
Clean and Decontaminate the
Healthcare Environment
Follow standards precaution guidelines
Implement cleaning methods to prevent the
transmission of infectious agents
3.03 Understand support services 3
Aseptic Procedures
Clean and Decontaminate the
Healthcare Environment
Select procedures and precautions to be
followed when using chemicals
Integrate all infection control
standards with design and
construction activities
3.03 Understand support services 4
Aseptic Procedures
Manage Hazardous Materials and Wastes
Monitor a waste management program
Develop procedures that minimize customer cost
of supplies, services, and equipment
3.03 Understand support services 5
Aseptic Procedures
Manage Hazardous Materials and
Wastes
Ensure that regulated waste is
handled
packaged
stored
disposed of
in accordance with federal, state, and local
regulations
Maintain appropriate documentation 3.03 Understand support services 6
Aseptic Procedures
Manage and Store Materials
Handle and store sterile and non-
sterile items properly
Control inventory and distribution
of materials
3.03 Understand support services 7
Aseptic Procedures
Manage and Store Materials
Purchase materials, supplies, and equipment
within budget
Monitor materials
distribution
consumption
pilferage
Provide space for storage
3.03 Understand support services 8
Aseptic Procedures
Clean and Decontaminate
the Healthcare Environment
3.03 Understand support services 9
Aseptic ProceduresClean and Decontaminate
the Healthcare Environment
Environmental cleaning
method for cleaning low-risk environmental
surfaces
walls
floors
bathrooms
involves using appropriate detergents
and chemicals
use personal protective equipment
3.03 Understand support services 10
Aseptic ProceduresClean and Decontaminate
the Healthcare Environment
Pre-cleaning – Don’t delay!
Aims to remove visible soil from:
reusable medical devices
environmental surfaces
medical equipment
Decontamination removes or reduces
infectious organisms
3.03 Understand support services 11
Aseptic ProceduresClean and Decontaminate
the Healthcare Environment
Disinfection
Used to decontaminate medical devices that
come in contact with mucous membranes, blood
and body fluids
Used for heat sensitive items
3.03 Understand support services 12
Aseptic ProceduresClean and Decontaminate
the Healthcare Environment
Chemical disinfection
used to disinfect instruments that do not
penetrate body tissue
clean to remove particles or debris
follow manufacturer’s directions
may need to use antirust tablets
3.03 Understand support services 13
Aseptic ProceduresClean and Decontaminate
the Healthcare Environment
Ultrasonic cleaners
remove debris and provide thorough cleaning
of stainless steel devices with joints, lumens
or other complicated parts that are difficult to
clean by other methods
Cavitation –
Process where a bubble in a fluid is forced to
fluctuate in size or shape, usually by sound
Picks up and carries contaminated particles away
3.03 Understand support services 14
Aseptic ProceduresClean and Decontaminate
the Healthcare Environment
Sterilizing with an Autoclave
Autoclave uses steam under
pressure or gas to sterilize
equipment and supplies
Destroys all microorganisms
3.03 Understand support services 15
Aseptic ProceduresClean and Decontaminate
the Healthcare Environment
Sterilizing with an Autoclave
Wrap items prior to sterilization
Autoclave indicators ensure that
articles are sterile
Consult manufacture’s guide for
length of time
amount of pressure
3.03 Understand support services 16
Aseptic Procedures
Principles of
Sterile Technique
3.03 Understand support services 17
Aseptic Procedures
Principles of
Sterile Technique Surgical Asepsis
Sterile field
Contaminated
Drop technique
Mitten technique
Transfer forceps
3.03 Understand support services 18
Aseptic ProceduresPrinciples of
Sterile Technique Surgical Asepsis
Procedures that keep an object or area free
from living organisms
STERILE
3.03 Understand support services 19
Aseptic ProceduresPrinciples of
Sterile Technique Sterile field – area that is free from all
organisms
2-inch border of sterile field is considered
contaminated
To maintain a sterile field,
never reach across or turn your
back on the sterile field
keep the sterile field dry3.03 Understand support services 20
Aseptic ProceduresPrinciples of
Sterile Technique Sterile Packages
Check expiration date: do not use if past
Check sterile indicator
Opening Sterile Packages Touch only the outside of the wrap to
pull the top flap away from you
pull the wrap out to the side, on each side of the package
pull back on the wrap to open the side nearest you
3.03 Understand support services 21
Aseptic ProceduresPrinciples of
Sterile Technique Contaminated - organisms are present
Never reach across or turn your
back on the sterile field
When in doubt, consider
it contaminated!
3.03 Understand support services 22
Aseptic ProceduresPrinciples of
Sterile TechniqueAdd an item to the sterile tray
Drop technique
Mitten technique
Transfer forceps
3.03 Understand support services 23
Aseptic ProceduresWrapping Instruments for
Autoclave
243.03 Understand support services
Aseptic ProceduresDonning and Removing
Sterile Gloves
253.03 Understand support services
See What you Know…
Kristina wants to add gauze to a sterile
field. If she does not have an instrument,
what technique will she use?
Drop technique, open technique, transfer
forceps, wrap technique
263.03 Understand support services
Drop technique
The surgical technician displays an
understanding of sterile technique by
making sure the:
Surgical field stays dry, surgical field has a
4 inch buffer area, sterile indicator is on
the supply package, surgical field is free
from microorganisms.
273.03 Understand support services
Surgical field stays dry
The support services employee is cleaning
a hospital bed following a patient’s
discharge . Which statement shows
understanding of disinfection?
“I will use a chemical solution to disinfect
the bed.” “I will use betadine to disinfect
the bed.” “I will use soap and water to
disinfect the bed.” “I will use steam to
disinfect the bed.”
283.03 Understand support services
“I will use a chemical solution to disinfect the
bed.”
A housekeeping supervisor monitors the
use of gloves by employees washing
floors and walls in the hospital. This
ensures the hospital is complying with
guidelines for:
Chemical disinfection, Cleaning of medical
devices, Environmental cleaning,
principles of sterile technique
293.03 Understand support services
Environmental Cleaning
Which action by a surgical technician
shows understanding of the principles of
sterile technique?
Check the expiration date on sterile
packages, Maintain a 1-inch border on the
edge of the sterile field, reach across the
sterile field to pass items for the doctor,
touch the inside of sterile packages
303.03 Understand support services
Check the expiration date on sterile
packages
What is the best way for the central supply
technician to assure patient safety from
contamination by surgical instruments?
Antisepsis, Disinfection, Sterilization,
Ultrasonic cleaning
313.03 Understand support services
Sterilization
Jamie wants to stop the spread of
infectious agent on her hands. What
process should she use?
Asepsis, Antisepsis, Disinfection,
Sterilization
323.03 Understand support services
Antisepsis
McCormick Hospital is working to integrate
control standards by designing and
constructing areas that will make it easier
for employees to comply with OSHA
standards. Which aspect procedure does
this address?
Acquire and distribute resources,
Decontaminate the healthcare
environment, manage and store materials,
manage hazardous materials and wastes.
333.03 Understand support services
Decontaminate the healthcare environment
When an operating room technician sets
up surgical trays, what is the best way to
add a sterile bowl to a sterile tray?
Drop technique, Mitten technique, Transfer
technique, Throw technique.
343.03 Understand support services
Mitten technique
Which statement by a nurse would
indicate that he/she understands the
principles of sterile technique?
“I always check the expiration date of
sterile packages.” “I always hand the
doctor any item needed on the sterile
field.”, “I can walk around the room to get
items needed for the procedure.” “I
considers sterile field to be contaminated
after it is opened.
353.03 Understand support services
“I always check the expiration
date of sterile packages.”
A hospital ensures that regulated trash is handles,
packaged, stored and then disposed of in
accordance with the law. This action ensures the
facility is following which aseptic procedure?
Cleaning and decontaminating of the healthcare
environment, Managing and storing materials,
managing hazardous materials and waste,
purchasing materials within budget
363.03 Understand support services
Managing hazardous materials and waste
What technique is used to add objects to a
sterile field with an instrument?
Drop technique, Mitten technique, Transfer
technique, Wrap technique
373.03 Understand support services
Transfer Technique