3.04 Understand Support Services

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



Follow standards precaution guidelines

Implement cleaning methods to prevent the

transmission of infectious agents


Aseptic Procedures



Select procedures and precautions to be

followed when using chemicals

Integrate all infection control

standards with design and

construction activities


Aseptic Procedures

Manage Hazardous Materials and Wastes

Monitor a waste management program

Develop procedures that minimize customer cost

of supplies, services, and equipment


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


Handle and store sterile and non-

sterile items properly

Control inventory and distribution

of materials


Aseptic Procedures


Purchase materials, supplies, and equipment

within budget

Monitor materials

distribution

consumption

pilferage

Provide space for storage


Aseptic Procedures

Clean and Decontaminate

the Healthcare Environment


Aseptic ProceduresClean and Decontaminate


Environmental cleaning

method for cleaning low-risk environmental

surfaces

walls

floors

bathrooms

involves using appropriate detergents

and chemicals

use personal protective equipment




Pre-cleaning – Don’t delay!

Aims to remove visible soil from:

reusable medical devices

environmental surfaces

medical equipment

Decontamination removes or reduces

infectious organisms




Disinfection

Used to decontaminate medical devices that

come in contact with mucous membranes, blood

and body fluids

Used for heat sensitive items




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




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




Sterilizing with an Autoclave

Autoclave uses steam under

pressure or gas to sterilize

equipment and supplies

Destroys all microorganisms




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


Aseptic Procedures

Principles of

Sterile Technique


Aseptic Procedures

Principles of

Sterile Technique Surgical Asepsis

Sterile field

Contaminated

Drop technique

Mitten technique

Transfer forceps


Aseptic ProceduresPrinciples of

Sterile Technique Surgical Asepsis

Procedures that keep an object or area free

from living organisms

STERILE



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


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



Sterile Technique Contaminated - organisms are present

Never reach across or turn your

back on the sterile field

When in doubt, consider

it contaminated!



Sterile TechniqueAdd an item to the sterile tray

Drop technique

Mitten technique

Transfer forceps


Aseptic ProceduresWrapping Instruments for

Autoclave


Aseptic ProceduresDonning and Removing

Sterile Gloves


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


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.


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.”


“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


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


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


Sterilization

Jamie wants to stop the spread of

infectious agent on her hands. What

process should she use?

Asepsis, Antisepsis, Disinfection,

Sterilization


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.


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.


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.


“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


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


Transfer Technique

3.04 Understand Support Services

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