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49 Cards in this Set

  • Front
  • Back
Sterilzer- Gravity Displacement Type
30 minutes at 15-17 PSI at 121-125 degree C
15 minutes at 30-32 PSI at 132-135 degree C
Sterilization - Prevacum Type
Temperatures 132-135 degree C
Asepsis
Preventing access of micro-organisms
Bioburden
Number of micro-organisms contaminating an object
Biological Control
Unprocessed biological monitor from the same lot as the test moniter. When cultured, serves as a control by verifying the viability of the unexposed organisms.
Biological Moniter
Bacterial endospore test designed to access whether sterilization has actually occured.
Chemical Indicator
Chemical dyes used to determine if conditons required for sterilization were met.
Infection Control is addressed how often and by who?
Addressed quarterly as part of Command Assurance Program by the Infection Control Officer
HBV and HIV Testing intervals
Initial, 6 weeks, 12 weeks and 6 months
Infection Control Training requirements for reporting to command and thereafter.
Within 90 days and annually afterwards
Infectious contol training records will be maintained for how long and will include what information?
Three years
-personnel who attended and instructor(s).
-Dates
-Summary
What percentage of people effected with HBV or HIV are unaware of their infection?
80%
At the beginning of the day flush each water line for at least how many minutes?
10 minutes
Flush handpieces for how many minutes prior to first patient and how many seconds between each patients
Flush for one minute prior to first patient
30 seconds between patients
lubricate and run for 15 seconds
Three 10 second rinses reduce microbial count by what percentage?
97 % (Temporary)
Open decanted irrigation used daily is ok for how long?
one week
Open decanted irrigation for surgical use is ok for how long?
One day
Why would you not use (what percentage) gluteraldehyde as a surface disinfectant?
2 percent
-caustic vapors
Securing the DTR at end of day procedures
-Flush High volume evacuator system with at least 1 quart of water
-spray-wipe-spray countertops etc...
Flush each unit water line for 30 seconds
Laundry-
What temperature and for how long
160 degrees F
25 minutes
Mops
-How long can they be used for?
Sodium Hypochlorite dilution?
one day
1:100
What type of Flora does skin harbor (two types)?
Which is is harder to remove?
Resident
Transient
Resident is harder to remove.
Transient can easily be removed.
Which product is not approved for handwashing?
Aqueous quaternary ammonium compounds
-such as those containing dilute benzalkonium chloride
What are idophors used for?
Gram positive and Gram negative bacteria and viruses.
What is Chlorhexidine Gluconate
Marketed as 4 % chlorhexidine Gluconate.
Reduces transient and residents microbial hand flora
Approved for surgical scrub
What is the preferable for all equipment and materials?
Heat Sterilization
Double wrap items not in which type of sealed packages?
Heat
Which type of sterilization is the most effective?
Steam Heat Sterilization
Dry Heat Sterilization must be at what temperature or above?
Typical use?
320 degree F or above
Typical 90 minutes at 320-345 degree F
Which cleaning is safer and more effective than mannual scrubbing?
Ultrasonic
How do you label with wrapping and packaging?
Label packs with Identification number of the sterilizer and the dates of sterilization and expiration.
A mixture of alcohols, formaldehyde, water and other chemicals under pressure forms a gas that can achive sterilization?
-What temperature and how many minutes?
Chemical Vapor Sterilization
20 minutes at 270 degrees F
For Ethylene oxide sterilization
-Produce which type of gas
-Temperatue and time?
-Serious ____ problem?
Ethylene Oxide Gas
2-3 hours at 120 degrees F
OSHA
Used Bead Sterilizers only for _____?
intra-appointment sterilization of clean metallic instruments
How often do you use biological moniters?
Bowie Dick Test?
Weekly
Dosage Indicators?
Chemical dyes that change color when exposed to steam, dry heat, or chemical vapors for specified period of time. Indicate if sterilization has been met.
Process Indicators?
Chemical dyes that change color upon short exposure to sterilizing conditions.Necessary to distinguish processed packages from those that have not been cycled.
Guidelines for Dosage Indicators and Process Indicators?
Use dosage indicator inside and process indicators outside each instrument pack.
Gluteraldehyde-Based Solutions require what?
Proper ventilation because vapors are extermely toxic. Consided high-level disinfectant
Idophors are classifed as what and should not be used on what?
Intermediate-level disinfectants if the product label claims tuberculocida activity.
Should not be used on white or pastels vinyls subject to staining.
Chlorine Dioxide-Based Solutions are what level disinfectant and are irritating to what?
High-Level
Skin and eyes
Phenolics are classifed as what and used as?
Intermediate-level
Available as sprays
Which concept prevents the contamination of bulk supplies?
Unit dose concept
How long do you soak reusable impression trays in an EPA registered disinfectant?
10 minutes
scurb with soapy water
deal in peel packs before autoclaving
Protheses Received
Scrub all prostetic devices with?
Store the brush in?
Replace solution?
brush with Bacterological soap
Store in 2 % glutaraldehyde solution
As recommended by manufacture or at least weekly
autoclave brushes weekly
For minor adjustments and Rush cases. Barriers and Disinfectants turnaround time can be __minutes?
Incoming cases can be placed in a self-sealing plastic bag.... to be consided disinfected.
20 minutes
5.25 percent sodium hypochlorite solution. The bag is then immersed at least one minute in a 37 % ultrasonic bath.
How do you disinfect film positioning devices between patients?
Immersion in and EPA-registered chemical disinfectant such as a 2 % glutaraldehyde. Rinse throughly after disinfection.
CSR Flow Chart
Receiving---cleaning------processing-----sterilization---sterile storage------issue
Chemical Disinfection
The destruction or inhibition of most viruses and bacteria while in their active growth phase.