Vol. XIII, No. 11Archive > November, 2012

Infection Prevention - Test Your Instrument Reprocessing Acumen

Our quiz tackles sterilization and high-level disinfection protocols.

Linda Greene, RN, MPS, CIC

instrument sterility USE-BY DATE The old rule of thumb was 30 days, but more recent evidence regarding instrument sterility in wrapped packs may surprise you.

Ensuring surgical instruments have been reprocessed correctly is the cornerstone of infection prevention. Endoscopes and arthroscopes have different requirements from your typical wrapped packs, while "reposable" single-use devices (SUDs) have rules of their own. This 6-question quiz will test your knowledge of central sterile processing.

 
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1. Which of the following is true about your SUDs?; 2. After sterilization, wrapped instrument packs are placed into storage. For how long are the instruments inside these packs considered sterile?; 3. External indicator tape on wrapped packs changes color to indicate appropriate temperatures have been achieved inside the sterilizer chamber. Attaching this type of chemical indicator to each pack ensures sterilization.; 4. For reprocessing purposes, items such as colonoscopes and laryngoscopes are considered which of the following?; 5. Retesting of a sterilizer should be performed in all of the... show all keywords
1. Which of the following is true about your SUDs?; 2. After sterilization, wrapped instrument packs are placed into storage. For how long are the instruments inside these packs considered sterile?; 3. External indicator tape on wrapped packs changes color to indicate appropriate temperatures have been achieved inside the sterilizer chamber. Attaching this type of chemical indicator to each pack ensures sterilization.; 4. For reprocessing purposes, items such as colonoscopes and laryngoscopes are considered which of the following?; 5. Retesting of a sterilizer should be performed in all of the following cases except; 6. Recent reports of instrument-related SSIs after orthopedic procedures have put the spotlight on reprocessing arthroscopes and shaver blades. Your sterile processing department suggests changing from high-level disinfection to sterilization for these instruments. Will this ensure a lower risk of infection rates?; Attaching; CDC; Class; DATE; Disinfection; Endoscopes; Events; External; FDA; FDA-approved; Facilities; Guideline; Healthcare Facilities; However, FDA; INSURANCE; MEC; Recent; Reprocessing; Retesting; Routine; SSIs; SUD; SUDs? They; Sterilization; Studies; Test; Texas; USE-BY; WEB Download; ability; abreast; achieved; adjustments; air; alcohol; anesthesia; areas; arthroscope; arthroscopic; article; aseptic; automatic; back; benefits; bioburden; biological; broken; brush; cabinets; called; camera; case; ceiling; central; changing; channels; chemical; choose; clean; cleaning; co-author; colonoscopes; color; commonly; compared; complied; complies; compromise; concentration; conditions.The; consecutive; considered; contents; control; controversy; cornerstone; correct; correctly; covered; critical; cycle; cycles; damage; day; debate; degree; demonstrated; department; depends; designated; detailed; determine; developments; deviation; devices; disinfectant/sterilant; disinfection; disposed; distal; document; dry; due; effective; efficacy; employing; empty; emulating; end; end-point; endoscope; endoscopic; enforce; ensure; entities; enzymatic; equipment; evaluation; event; event-related; evidence; examine; exists; expert; extent; factors; failed; falls; falseIndicator; filtered; firms; flash; flexible; foot; forced; good; greater; gross; guidance; guidelines; handling; handpiece; headlines; high; high-level; holds; hospital; hour-plus; impervious; improper; inches; include; increases; increasingly; indicator; infection; inflow/outflow; initial; insertion; inside; inspect; instructions; instrument; instrument-related; instruments; integrity; intended; interest; intricate; issued; items; itemsSemi-critical; killed; knowledge; labels; laryngoscopes; leads; limits; list; loads; long; looked; lower; lumen; lumen-containing; lumened; manually; manufacturer; manufacturing; margin; material; maximum; meet; microbial; mind; minimal; minimum; minutes; multi-parameter; natural; negative; noAlthough; non-bristled; notes; occurred; occurrence; one-time; open/closed; organisms; original; orthopedic; outbreak; outsourced; pack; package; packs; parameters; part; perform; performed; perfuse; place; placing; plastic; policies; potential; power; preferably; preferred; prevent; principle; procedures; process; processing; properly; protocol; put; putting; quiz; raised; react; reason; recent; recommends; recommission; references; regularly; regulations; regulatory; reinforce; release; relocation; remain; reminder; removing; repairs; reports; reprocess; reprocessed; reprocessing; reprocessor; required; requirements; requirements.There; residual; review; rigid; risk; routine; rule; running; scope; seal; sealed; service; shaver; show; signal; simple; single-use; sinks; solution; spore; spotlight; sprinkler; staff; steam; sterilants; sterile; sterility; sterilization; sterilizer; sterilizer's; storage; store; storing; strict; strip; studies; sub-standard; submissions; suction; suggests; supplemental; surgical; surprise; takes; tap; tape; tear; temperature; temperatures; test; testing; testingAny; third-party; thumb; time; training; true; tubes; type; typical; validation; verify; water; wet; wrap; wrapped
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Anesthesia

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