Surgical Technologist School B301033 Section 3.5

Front 1

Method that determines presence of pathogenic bacteria on objects subjected to sterilization process.

Back 1

Biological Control

Front 2

Method of sterilizing prepackage equipment

Back 2

Cobalt 60 radiation

Front 3

Toxic gas that is capable of sterilization.

Back 3

Ethylene oxide gas

Front 4

Absorbed moisture may be seen or felt. Water droplets may be visible on inside or outside.

Back 4

Wet Load (wet packs)

Front 5

Sterilizers designed to use steam under pressure as sterilizing agents

Back 5

Autoclaves

Front 6

Type of sterilizer that removes are by gravity

Back 6

Gravity displacement sterilizer

Front 7

Steam Sterilizer that removes air in chamber by vacuum

Back 7

High vacuum sterilizer

Front 8

used for identification and retrieval of supplies. recorded as a Julian or Georgian date

Back 8

Load control number

Front 9

Used to measure if proper temperature, pressure, and time were reached

Back 9

Chemical Indicator

Front 10

Duration for which sterility is assumed to be maintained

Back 10

Shelf life

Front 11

Processed by which pathogenic and non-pathogenic microorganisms including spores, are killed

Back 11

Sterilization

Front 12

Procedures carried out for the destruction of pathogens at the end of the surgical procedure in the OR or other areas of patient contact

Back 12

Terminal Sterilization and Disinfection

Front 13

Steam under pressure/ dry heat.
Hot air/dry heat

Back 13

Thermal Sterilization process

Front 14

Ethylene oxide gas. Formaldehyde gas and solution. hydrogen peroxide plasma/vapor, ozone gas, acetic acid solution, Gluteraldehyde solution, paracetic acid 0.2% solution

Back 14

Chemical Sterilization Processes

Front 15

Moist heat in the from of steam under pressure cause denaturation and coagulation of protein or the enzyme-protein system within cells 250* for 15 min.

Back 15

Steam under pressure / Moist heat sterilization

Front 16

Steam under Pressure displacement aire downward through wrapped items, 250*-254*F, 15-17 PSI, exposure time period size of the chamber and the contents determines the exposure time 15 MIN.

Back 16

Gravity displacement

Front 17

270*-276*F, chamber pressure 27 psi, exposure time period 4min, takes 15 to 30 min for complete cycle. Air is almost completely evacuated from chamber before sterilizing steam is admitted. procedure allows for rapid and near compleat air removal

Back 17

Pre-vacuum

Front 18

to ensure air vacuum pump is functioning correctly

Back 18

Bowie Dick test performed daily

Front 19

temp 270*-274*F, 27psi or 22psi @ 5000 ft above sea level. 3min for unwrapped stainless steel without lumans. 5 min instruments with marking tape on lumen 4 min in prevacuum sterilized longer than 10 min in gravity. to sterilized small quantities not for items to be permanently implanted. may operate as gravity displacement or prevacuum.

Back 19

Flash/ High Speed pressure

Front 20

85*-145*F humidity 30%- 80% Chemical alkylation agent kills microorganism including spors intering with normal metabolism.

Back 20

Ethylene Oxide (EtO or EO)

Front 21

Ethylene oxide gas (EtO or EO) dependent on 4 variables

Back 21

1. CFC-12 obsolete by 2000 harmful to ozone layer.
2.HCFC-124 (Oxyfume 2000 sterilant replace CFC-12)
3.100% EO unit dose cartridges
4. EO/CO2 (10/90) must mintain high pressure cycle.

Front 22

Alternative method for sterilizing if gas or plasma sterilizers are not available minimally invasice for heat sensitive items. Items must be immersed in solution for required time to be sporicidal.

Back 22

Liquid chemical

Front 23

kills microorganisms by denaturation of protein in cells. effected at room temp. fumes may have mild odor and can be irritation to eyes, nose, and throat if solution becomes diluted below 15% must be discared. 10hrs as sterilant

Back 23

Activated Glutaraldehyde 2% (cidex)

Front 24

Non-toxic 35% peracetic acid, hydrogen peroxide, and water. low temp solution 122*-131* F during the 20-30 min sterilization before using washed thorougly, rinsed, dried

Back 24

Peracetic Acid (steris)

Front 25

used as a sterilant by converting it from a liquid to either a vapor or to plasma. produced by either and electri or magnetic field.

Back 25

Hydrogen peroxide sterilizers

Front 26

104* F; sterilized in 1 hr. Subjects the liquid hydrogen peroxide to radio frequency energy to form a reactive plasma. water and 58% hydrogen peroxide is vaporized by radio frequency energy

Back 26

Gas plasma Sterilizer (Sterrad)

Front 27

use low-pressure steam with non ionizing radiation. chamber size 1 to 3 cubic feet

Back 27

Microwave Sterilization

Front 28

sterilized by irradiation (ionizing radiation); Bata Particles & Gamma Rays; Cobalt 60 most commonly used. Exposed 10-20 hrs. monitored with biologic indicator (bacillus pumilus). Size 1.5 cubic ft. to more than 70 cubic may have 1 or 2 doors hinged or sliding

Back 28

Gamma Ray Sterilization

Front 29

Large packs are place ____ to ___ inches apart in one layer only on one shelf of the autoclave.

Back 29

2 to 4 inches

Front 30

Small packages may be placed on shelf aboce with __ to __ inches and small packages place on top of another should be ___________.

Back 30

1 to 2 inches and crisscrossed

Front 31

Drying load after sterilizer doors is oped loads of wrapped packages are left untouch to dry for ___ to ___ minutes and package should be compleately dry after cooling for min of __ hr after placed on a wire mesh padded with absorbent materials.

Back 31

15 to 60 min cooling for min for 1 hr

Front 32

field day is ___ a week secure the steam power to the autoclave the night prior to cleaning allows autoclave to cool use a mild detergent and a soft brush.

Back 32

once

Front 33

devices which monitors function of sterilizers. identifies process errors in packaging and loading IE gauges, thermometers, timers, recorders

Back 33

Mechanical Indericators

Front 34

Verifies exposure to the sterilization process visible on out side of the on-site sterilized package detects sterilizer malfunction or human error in packaging or loading sterilizer

Back 34

Chemical indicators

Front 35

Sterility of load is evidence by killing of all spores on biological test indicators, detects non-sterilizing condition in the sterilizer.

Back 35

Biologic indicator

Front 36

Enzyme becomes flourescent yellow with in ___ min as the spores are killed

Back 36

60 min

Front 37

a control test is performed a min of ___ weekly in each sterilizer but many hospitals perform ___ or each cycle

Back 37

WEEKLY. DAILY

Front 38

test pack placed on edge in lower front of load (fully loaded chamber) content of test pack is 3 woven fabric gowns, 12 towels, 30 gauze sponges 4x4, 5 laparotomy tapes 12x12, and 1 woven drape sheet.

Back 38

biologic challenge test for Gravity Displacement

Front 39

same as Gravity test pack; Bowie -dick test; place on bottom shelf at front near door over drain of EMPTY chamber. test contains 28-32 absorbent towels one bowie-dick test, commercially prepared test packs

Back 39

Biologic challenge test for Prevacuum

Front 40

Shelf Life temp maintained below ___ degrees F and relative between ___ % and ___ %. ___ air exchanges per hr is recommended

Back 40

80 degrees F; 30% and 60%; 10 air exchanges per hr.

Front 41

woven fabric and paper wrapped items may be stored in closed cabinets in enclosed or covered carts for up to ____ days

Back 41

30 days

Front 42

highest shelf should me at least ____ inches below ceiling and __ inches off the floor.

Back 42

18 inches below ceiling and 8 inches off the floor

Front 43

Hermetically (air tight) sealed package arbitrarily determined sterile for ____ to ___ months

Back 43

6 to 12 months