Decontamination Area ✔✔Where soiled items are received and cleaned. *All levels for the same
tray should be labeled w/a tag to identify the level num... [Show More] ber and set to which it belongs.
Preparation and Packaging Area ✔✔where cleaned items are inspected, assembled, and packaged.
Sterilization Area ✔✔where terminal sterilization is performed.
Sterile Storage Area ✔✔where sterile items are stored until needed.
Sterile Stores ✔✔where items for patient care from outside manufacturers are stored. Sometimes
referred to as Medical Supply Distribution, Central Supply, or similar designation.
Case Cart Area ✔✔where sterile supplies (trays and/or sterile items from outside manufacturers)
are kept and picked for surgical cases.
Dispatch ✔✔where sterile and clean items are dispensed.
Loaner Area ✔✔for the receipt and return of instruments borrowed for specialty procedures.
Patient Care Equipment Clean-Up Area ✔✔where patient care equipment is cleaned and
disinfected.
SPD Responsibilities ✔✔providing dependable, reliable services to enhance the quality of patient
care. Instruments sets, patient care equipment, and other medical devices must be processed and
distributed in an accurate and timely manner so that patient care is not adversely affected.
Work Flow ✔✔how the work progresses through the department or processing area. *Dirty to
Clean
People Flow ✔✔how people move through the department or processing area. *Clean to Dirty
Traffic Control ✔✔controlling access to SPD
Ethics ✔✔the discipline dealing with what is good and bad and with moral duty and obligation.
Ethical Actions ✔✔actions that conform to accepted and professional standards of conduct.
Morals ✔✔deal with or relate to principles of right and wrong behavior.
Unethical Professional Conduct ✔✔failure to conform to moral standards or policies.
Professional Ethics ✔✔principles of conduct governing an individual or group.
American Medical Association (AMA) ✔✔the most important organization related to healthcare
ethics.
Regulation ✔✔a principle, rule, or law designed to control or govern behavior.
Agencies that issue regulations ✔✔EPA, FDA, OSHA and State health departments
Standard ✔✔an established norm determined by opinion, authority, research and/or theory.
Recommended Practices ✔✔statements of sound principles of practice based on scientific data
and opinions of experts.
Agencies that set standards ✔✔AAMI, CDC
Examples of recommended practices ✔✔documents developed by IAHCSMM, SGNA, AORN
Environmental Protection Agency (EPA) ✔✔Registers and regulates environmental disinfectants,
controls emissions into the air and water, regulates the manufacture and sale of EO gas
Food and Drug Administration (FDA) ✔✔regulates all medical devices. MedWatch (recalls);
approves reprocessing of single use devices; require IFU (instructions for use)
Function of CS/SPD ✔✔receives, cleans, decontaminates, assembles, inspects, disinfects,
sterilizes reusable medical and surgical devices
Sterile processing is A.K.A ✔✔Central Material Service, Sterile Processing Service, Central
Service, Sterile Processing Department
Two groups that certify ✔✔CBSPD (Cerification board for sterile processing and distribution,
IAHCSMM (International association of healthcare central service material management)
Chain of command ✔✔chief operating officer, VP nursing, sterile processing manager, SPD lead
tech, SPD processing tech, SPD inventory tech, SPD case cart tech
Compliance w/a regulation is ✔✔mandatory/required by law
Confidentiality ✔✔HIPAA (Health insurance portability and accountability act)
the manufacturer performs ________ for a product, the facility end user performs _______.
✔✔validation; verification
Occupational Safety Health Administration (OSHA) ✔✔protects workers; OSHA standards are
required by law; sets occupational exposure limits for all chemicals in the workplace under mSDS
(material safety data sheet); "right to know"; Emergency eyewash stations
Responsible for regulating EO gas ✔✔OSHA, EPA
Ergonomics ✔✔OSHA; fitting the job to the worker, prevent injuries before they occur
Emergency eyewash stations ✔✔available within 10 seconds/30 meters of chemicals; hands-free;
test regularly and document, 0 4 gallons of water.
Government Agencies ✔✔EPA, FDA, OSHA
NFPA ✔✔National Fire Protection Association
Center for Disease Control and prevention (CDC) ✔✔voluntary; promotes health by preventing
and controlling disease; publishes recommendations and guidelines; hand hygiene (15 second
minimum); NO artificial nails; classifies medical devices according to Spaulding
Spaulding Classification ✔✔Critical (exposed to sterile areas of the body; must be sterile); SemiCritical (touches mucous membranes; recommended sterile or high level disinfected); Non Critical
(touch the skin; can be cleaned or disinfected; less than high level disinfection)
NFPA Blue Diamond ✔✔health hazard
NFPA Red Diamond ✔✔flammability
NFPA Yellow Diamond ✔✔instability
NFPA White Diamond ✔✔special hazard information
The Joint Commission (TJC) formally (Joint Commission on Accreditation of Healthcare
Organizations (JCAHO)) ✔✔voluntary; establishes accrediting standards and conducts onsite
inspections; annual competency testing
Association for the Advancement of Medical Instrumentation (AAMI) ✔✔voluntary; sets
standards for CS/SPD
Association of peri-Operative Registered Nurses (AORN) ✔✔voluntary; develops nationally
recognized standards, recommended practices and guidelines for peri-operative setting
Association for Professionals in Infection Control (APIC) ✔✔voluntary; international
organization dedicated to prvention and control of infections
Society of Gastroenterology Nurses and Associates (SGNA) ✔✔voluntary; established standards
for effective processing of flexible endoscopes
Department Of Transportation (DOT) ✔✔enforces laws relating to transportation of medical
wastes
American National Standards Institute (ANSI) ✔✔voluntary; proposes standards to include
enhancing the global competitiveness and quality of life
World Health Order (WHO) ✔✔voluntary; furthers international cooperation in improving health
conditions
National Institute for Occupational Safety and Health (NIOSH) ✔✔division of CDC; oversees
airborne control/respiration masks
Fire Safety ✔✔ALL equipment (including personal) should be safety checked by Biomedical
Engineering Dept. and approval label attached before use
Class A Fire Extinguisher ✔✔ordinary combustibles
Class B Fire Extinguisher ✔✔flammable and combustible liquids
Class C Fire Extinguisher ✔✔electrical equipment
Class D Fire Extinguisher ✔✔combustible metals
Class K Fire Extinguisher ✔✔oils/fats in cooking appliances
R>A>C>E (fire safety) ✔✔Remove/Rescue; Alarm; Contain/Confine; Extinguish
P>A>S>S (operation of fire extinguisher) ✔✔Pull the pin; Aim the nozzle; Squeeze the handle;
Sweep the stream over base of fire
Personal Protective Equipment (PPE) ✔✔MUST be worn to protect from blood and bodily fluid
Sharps ✔✔instruments/devices with points/blades
disposable sharps must be disposed in ✔✔rigid biohazard container
warm up jackets ✔✔worn to prevent hair and bacterial shedding from bare arms
Quality Assurance (QA) ✔✔collection of data and identification of issues
Training ✔✔should be standardized
TAH ✔✔Total Abdominal Hysterectomy
THA ✔✔Total Hip Arthroplasty
Lap Appy ✔✔Laparoscopic Appendectomy
Lap Chole ✔✔Laparoscopic Cholecystectomy
ORIF ✔✔Open Reduction Internal Fixation
CABG ✔✔Coronary Artery Bypass Graft
BKA ✔✔Below the Knee Amputation
TSA ✔✔Total Shoulder Arthroplasty
Anatomy ✔✔structure, form and organization of body parts
superior ✔✔toward the head
inferior ✔✔toward the feet
distal ✔✔toward end of limb
proximal ✔✔top of limb; opposite distal
superficial ✔✔toward surface of skin; opposite deep
medial ✔✔toward center of body; opposite lateral
Physiology ✔✔functions of body parts
Cell ✔✔fundamental unit of life; smallest and most numerous structure of body; performs all
processes needed for life
Cells require ✔✔water; food; oxygen; heat; pressure; Do NOT require cold
Cellular>Tissue>Organ>System ✔✔levels of organization of body
Homeostasis ✔✔state of equilibrium; conditions within cells must remain stable
Nucleus ✔✔brain of cell; where DNA is found
Cell structure ✔✔Nucleus>Cell Wall>Cell Membrane>Cytoplasm>Cilla and Flagella
Major body systems ✔✔11; Skeletal, Muscular, Nervous, Endocrine, Circulatory; Cardiac,
Lymphatic, Digestive, Integumentary, Respiratory, Reproductive, Urinary
Skeletal system ✔✔framework for body; protects internal organs
grow and develop in bone marrow ✔✔red and white blood cells
adult body consist of _____ bones ✔✔206; plus ligaments and cartilage
Flat bones ✔✔protective shells (ribs)
Long bones ✔✔raise and lower (humerus and femur)
Short bones ✔✔bridges (metacarpals)
Irregular bones ✔✔don't fit any specific category (pelvis)
bony and cartilaginous parts that support and protect head, neck and trunk ✔✔Axial skeleton
Axial skeleton ✔✔skull>hyoid bone>vertebral column>thoracic cage
skull ✔✔cranium and facial bones
hyoid bone ✔✔located in neck; supports tongue and swallowing; only bone NOT articulated
w/another
vertebral column ✔✔vertebrae separated by discs; lumbar, thoracic and cervical spine
PLIF ✔✔Posterior Lumbar Interbody Fusion
Thoracic cage ✔✔sternum and 12 pairs of ribs; protect organs of chest and upper abdomen
Making an opening into thoracic cavity to give surgeons access to lung and heart ✔✔Thoracotomy
Appendicular skeleton ✔✔Appendages
Pectoral girdle ✔✔scapula and clavicle connect bones of arms and aids movemnet
Upper limb bones ✔✔humerus, radius, ulna, carpals, metacarpals and phalanges
Carpal Tunnel Repair ✔✔removing tissue displaced bone in wrist area to release pressure on
median nerve
Lower limb bones ✔✔femur, tibia, fibula, patella, tarsals
humerus, radius, ulna ✔✔connect at elbow joint
carpals, metacarpals, phalanges ✔✔form wrist and hand
femur, tibia, fibula ✔✔connect at knee joint
patella ✔✔knee bone
tarsals ✔✔ankle; metatarsals and phalanges form ankle and foot
Joints ✔✔junctions between bones; articulation
total hip and knee sets; osteotomes; screw sets ✔✔instruments used for skeletal system
skeletal muscle ✔✔responds to stimulation by contracting and relaxing; voluntary; striated;
*attached to bone by a tendon
smooth muscle ✔✔involuntary movement; slower to contract and relax; common throughout body
systems (e.g. digestive tract)
Types of muscle tissue ✔✔Cardiac; Smooth; Skeletal
cardiac muscle ✔✔makes up heart; contracts automatically; involuntary and rhythmical
ACL ✔✔Anterior Cruciate Ligament
a repair to the muscles and ligaments of the shoulder joint ✔✔Rotator Cuff Repair
Integumentary system ✔✔skin, hair, glands and nails
largest organ OF the body ✔✔skin
epidermis; dermis; hypodermis ✔✔layers of integument
epidermis ✔✔superficial protective layer
dermis ✔✔deeper than epidermis; *contains nerves and blood supply
hypodermis (subcutaneous) ✔✔deepest layer of skin [Show Less]
