Decontamination - ANSWER-Removing or reducing contamination by infectious organisms or other harmful substances.
Decontamination Area - ANSWER-location
... [Show More] within a healthcare facility designated for collection, retention, and cleaning of soiled and/or contaminated items. Negative air pressure.
Workflow - ANSWER-the workflow in a central service department is designed to avoid cross-contamination and insure that items efficiently flow through the process from decontamination to storage.
Central Service Workflow - ANSWER-Decontamination.
Preparation/packaging/sterilization.
Sterile storage.
Preparation/Packaging/Sterilization Area - ANSWER-Items are carefully inspected for cleanliness proper function, and defects. Instruments, utensils, and other devices are assembled into sets, and are then packaged and labeled in preparation for sterilization. positive air pressure
Sterile Storage - ANSWER-The supply area of central service is dedicated to the storage of sterile and clean supplies. Positive air pressure.
Case cart system - ANSWER-an inventory control system for products/equipment typically used in an operating room that involves use of an enclosed cart generally prepared for one surgical case.
Case cart pull sheet / pick list - ANSWER-a list of specific supplies, utensils and instruments for a specific procedure. Central service technicians use these lists to assemble the items needed for individual surgical procedures.
Negative air pressure - ANSWER-the situation that occurs when air flows into a room or area because the pressure in the area is less than that of surrounding areas.
Positive air pressure - ANSWER-the situation that occurs when air flows out of a room or area because the pressure in the area is greater than that of surrounding areas.
Processing cycle - ANSWER-Use.
Return.
Identify.
clean.
assemble.
package.
sterilize.
store.
Deliver.
At each step in the process, items are inspected to ensure that they are clean, in good repair, assembled and processed correctly.
Standard precautions - ANSWER-methods of using appropriate barriers to prevent transmissions of infectious organisms from contact with blood and all other body fluids, non-intact skin, and mucous membranes. applies to all patients, regardless of diagnosis or presumed infectious status.
Nosocomial - ANSWER-hospital acquired infection
Hemi- - ANSWER-half
gastro - ANSWER-stomach
-ectomy - ANSWER-surgical removal
hemigastrectomy - ANSWER-removal of half of the stomach
colo - ANSWER-colon
hemicolectomy - ANSWER-removal of half of the colon
-ac -al -ic -eal -ary -ous. are examples of. - ANSWER-pertaining to.
endo- - ANSWER-within
artery - ANSWER-artery
-cide - ANSWER-kill
-itis - ANSWER-inflammation
-cise - ANSWER-cut
-ectomy - ANSWER-surgical removal
-oscopy - ANSWER-visual exam of an organ or joint
-ostomy - ANSWER-creation of a new
-otomy - ANSWER-incision into an organ
laparoscopy - ANSWER-visual exam of organs in the abdomen
colostomy - ANSWER-creation of new opening to the colon on the body
-pexy - ANSWER-surgical fixation
orchiopexy - ANSWER-surgically fixation of an undescended testicle to the correct location.
-plasty - ANSWER-surgical restoration, plastic repair.
rhinoplasty - ANSWER-surgical repair of the nose
-rrhaphy - ANSWER-to suture
-tome - ANSWER-a cutting instrument
dermatome - ANSWER-an instrument used for cutting skin.
artho - ANSWER-joint
cardio - ANSWER-heart
chole - ANSWER-bile
cholecyst - ANSWER-gall bladder
costo - ANSWER-rib
intercosto - ANSWER-between the ribs
gastro - ANSWER-stomach
gyne - ANSWER-woman
hema - ANSWER-blood
hepat - ANSWER-liver
cranio - ANSWER-skull
herni - ANSWER-rupture
hyster - ANSWER-uterus
lipo - ANSWER-fat
litho - ANSWER-stone
lithotripsy - ANSWER-crushing of a stone
oophor - ANSWER-ovary
rhino - ANSWER-nose
tracheo - ANSWER-trachea
tracheostomy - ANSWER-surgical opening into trachea.
hyper- - ANSWER-above, excessive
hypo- - ANSWER-below, deficient
pre- - ANSWER-before
sub- - ANSWER-under, beneath
supra- - ANSWER-above
bi- - ANSWER-two/both sides
hemi- - ANSWER-half
para- - ANSWER-beside, near
peri- - ANSWER-around, about
post- - ANSWER-after
ACL - ANSWER-anterior cruciate Ligament.
reconstruction or repairing of the anterior cruciate ligament.
BSO - ANSWER-Bilateral Salpingooophorectomy.
surgical removal of both fallopian tubes and ovaries
BKA - ANSWER-below the knee amputation
CABG - ANSWER-coronary artery bypass graft.
creation of a new blood supply to an area of the heart with a clotted/blocked artery.
CR - ANSWER-closed reduction.
treatment of a fractured bone without a surgical incision.
D & C - ANSWER-dilation and curettage.
dilate the uterine cervix and remove the inner lining of the uterus by scraping with a curette.
ORIF - ANSWER-open reduction internal fixation.
treatment of a fractured bone with an incision and the use of plates and screws or pins to hold the fragments together.
TAH - ANSWER-total abdominal hysterectomy.
surgical removal of the uterus through an incision in the abdomen.
THA - ANSWER-total hip arthroplasty.
hip joint reconstruction.
TURP - ANSWER-transurethral resection of the prostate.
surgical removal of part of the prostate gland by inserting instruments across the urethra to reach the prostate internally.
Cell - ANSWER-basic unit of life. the smallest structural unit of living organisms capable of performig all basic functions of life.
Cell membran - ANSWER-outer covering of a cell that regulates what enters and leaves.
Cytoplasm - ANSWER-the lining matter of a cell between the cell membran and nucleus.
Nucleus - ANSWER-functional center of a cell that governs activity and heredity.
tissue - ANSWER-a group of similar cells that perform a specialized funtion.
organ - ANSWER-a part of the body containing two or more tissues that function together for a specific purpose.
Epithelial tissue - ANSWER-Skin
Connective tissue - ANSWER-provides support, stores energy, and connects other tissues and parts. Bones, fat, cartilage.
muscular tissue - ANSWER-muscle
nervous tissue - ANSWER-tissue of communication.
9 body systems - ANSWER-CN-MURDERS
Circulatory.
nervous.
muscular.
urinary and excretory.
reproductive.
digestive.
endocrine.
respiratory.
skeletal.
system - ANSWER-group of organs that work together to carry out a specific activity.
tendons - ANSWER-attaches muscle to bone.
ligaments - ANSWER-connects bone to another bone.
cartilage - ANSWER-type of flexible connective tissues
ossification - ANSWER-process which cartilage is replaced by bone.
joint - ANSWER-place where 2 bones meet.
Types of joints - ANSWER-Gliding joints; vertebrae/neck slide over one another.
ball and socket; shoulder and hip.
pivot joints; turning motion.
hinge joints; knees, elbows.
covering or lining of a joint - ANSWER-synovial membrane.
fluid produced and secreted by synovial membrane. - ANSWER-synovial fluid
3 types of muscle tissue. - ANSWER-Skeletal muscles - attached to bones by tendons.
Smooth muscle - involuntary muscles, control breathing, digestive system, blood flow.
cardiac muscle - involuntary muscles, heart beat.
Nervous system - ANSWER-controls all body activities, and allows us to respond to stimuli.
Nerve tissue - ANSWER-carries electrical messages from the brain and spinal cord that signal muscles to contract.
2 nervous system cells - ANSWER-Neurons - carry and transmit information.
Neuroglia - support and protect neurons.
3 brain membranes - ANSWER-Pia matter - inner membrane.
Arachnoid matter - middle membrane.
Dura matter - outer membrane.
Central nervous system - ANSWER-brain & spinal cord.
Peripheral nervous system - ANSWER-all nerve tissue outside central nervous system.
brain - ANSWER-main control unit
cerebrum - ANSWER-large part of brain, controls mental activities and movement.
cerebellum - ANSWER-2nd larges part of brain, controls muscle coordination, body balance, and posture.
brain stem - ANSWER-controls many automatic functions such as heartbeat and breathing.
3 eye layers - ANSWER-sclera - white portion.
choroid - middle layer, provides nourishment to eye.
retina - 3rd layer receive and transmit impressions to brain.
Endocrine system - ANSWER-made of glands that produce hormones, has profound influence on metabolism, growth, personality, reproduction.
Glands of the Endocrine system - ANSWER-pituitary gland.
thyroid gland.
adrenal gland.
pancreas.
testes.
ovaries.
urinary and excretory system - ANSWER-Pollution control eliminates waste.
organs of the urinary system - ANSWER-kidneys - remove excess water and waste from blood , yields urine.
Ureters - connect kidneys to urinary bladder
bladder - holds urine.
urethra - connect bladder to outside of body, piss tube.
Liver - filters blood to remove amino acids and neutralize toxins.
skin - eliminates toxins through sweating.
respiratory system - ANSWER-supplies body with oxygen and removes carbon dioxide.
inspiration - ANSWER-inhaling air
expiration - ANSWER-exhaling air
organs of respiratory system - ANSWER-Nose.
pharynx.
trachea.
lungs.
pharynx - ANSWER-throat
larynx - ANSWER-voice box
trachea - ANSWER-windpipe
esophagus - ANSWER-tube that carries food from throat to stomach
Digestive system - ANSWER-converts food into energy
(Digestive system) Alimentary system - ANSWER-Mouth.
esophagus.
stomach.
small intestine.
large intestine.
rectum.
anus.
Approximately 30 feet long.
circulatory system - ANSWER-transportation network. delivers nutrients and oxygen to body cells and carries away carbon dioxide and other harmful waste products.
plasma - ANSWER-55% of blood is made up of plasma, yellowish liquid that is composed of 92% water, and proteins. Transports dissolved nutrients, enzymes, waste, through the body.
Red blood cells - ANSWER-rich in hemoglobin, takes oxygen to lungs, transports carbon dioxide to lungs, life span approximately 120 days
white blood cells - ANSWER-twice as large as red blood cells, can live for years, produced by bone marrow, they attack, destroy, and digest disease-producing organisms that enter the body.
4 chambers of the heart - ANSWER-Atria - upper chambers, Left & Right.
Ventricles - Lower chambers, left & right.
aorta - ANSWER-the largest blood vessel in the body
arteries - ANSWER-carry blood away from heart
veins - ANSWER-carry blood to heart
capillaries - ANSWER-connections between veins and arteries.
contamination - ANSWER-state of being soiled or infected by contact with infectious organisms or other material.
cocci - ANSWER-round or spherical shaped, occur in pairs, clusters, or chains.
staphylococcus aureus.
Bacillus - ANSWER-Rods, brick shaped or stick-like.
Pseudomonas aeruginosa.
Spirillum - ANSWER-Spirals, comma shaped.
helicobacter pylori
Bacteria stain tests - ANSWER-Gram stain.
Ziehl-neilson stain/acid fast stain.
Gram positive = purple
Gram negative = Red
spore - ANSWER-microorganisms capable of forming a thick wall around themselves enabling them to survive in adverse conditions.
aerobic bacteria - ANSWER-requiring oxygen
anaerobic bacteria - ANSWER-Not requiring oxygen, deep puncture wound preceding tetanus or lockjaw.
psychrophiles - ANSWER-cold loving bacteria.
mesophiles - ANSWER-bacteria that grow best at moderate temperature. Most dangerous to humans.
thermophiles - ANSWER-hot temperature bacteria.
binary fission - ANSWER-way microorganisms reproduce multiply by dividing into two cells.
vegetative stage - ANSWER-state of active growth of microorganisms
MRSA - ANSWER-methicillin-resistant staphylococcus aureus.
bacteria that have developed resistance to methicillin.
VRE - ANSWER-vancomycin resistant enterococcus.
bacteria that are no longer sensitive to vancomycian.
virus - ANSWER-minute infectious agents that grow only in living tissues or cells. about 1000 times smaller than bacteria.
fungi - ANSWER-plant-like organisms including molds, mushrooms, and yeasts. Feed on living or dead organisms.
chain of infection - ANSWER-causative agent.
reservoir of agent.
portal of exit.
mode of transmission.
portal of entry.
susceptible host.
regulation - ANSWER-mandatory law or rule that is issued by a governing body.
standard - ANSWER-method of defining basic parameters for processes, products, services, and measurements.
regulatory standard - ANSWER-benchmark that is mandated by a governing agency and, if not complied with, may cause a facility to be in violation a d liable for legal penalty.
voluntary standard - ANSWER-benchmark that is strongly recommended.
statute - ANSWER-written and enforceable law enacted by a governing body.
FDA - ANSWER-Food and Drug administration. Regulates Medical devices, Medical device recalls, device classification. Etc
Class 1 device - ANSWER-low risk devices. Most hand-held surgical instruments, and ultrasonic cleaners. Subject to general controls which include registration and device listing, device reporting, and quality regulation and labeling. exempt from PMA and 510k
Class 2 device - ANSWER-pose potential risks great enough to warrant higher level of regulation. Sterilization equipment, packaging materials, biological and chemical indicators. Requires 510k before they can sell these products, subject to performance standards.
Class 3 device - ANSWER-most stringently regulated, pose greatest risk, heart valves, pacemakers, life sustaining devices. Most obtain a PMA, to demonstrate safety and effectiveness.
510k - ANSWER-required for class 1 and class 2 devices, comprehensive package of information designed to demonstrate that the new product is substantially equivalent to one or more devices already being marketed.
PMA - ANSWER-required for most class 3 devices which are new to the market, a PMA is more complicated to complete because it must prove the device has a reasonable assurance of safety and effectiveness for its intended use based on valid scientific evidence.
FDA Recall Class 1 - ANSWER-High Risk.
Reasonable chance product will cause serious problems or death.
FDA Recall Class 2 - ANSWER-Serious Risk.
possibility product will cause a temporary or reversible health problem or remote chance that device will cause serious health problem.
FDA Recall Class 3 - ANSWER-Low Risk.
little chance that using or being exposed to the product will cause health problems.
CDC - ANSWER-Centers for Disease Control.
promote the health and quality of life by preventing and controlling disease, injury, and disability, and by responding to health emergencies.
DOT - ANSWER-Department of Transportation.
EPA - ANSWER-Environmental protection agency.
create and enforce laws relating to cleaner water, air, and land. Regulate products such as disinfectants, and sanitizers.
OSHA - ANSWER-Occupational Safety and Health Administration.
protect workers from occupational-caused illnesses and injuries. Exposure to bloodborne Pathogens standard and guidelines for the use of Ethylene Oxide sterilization.
AAMI - ANSWER-Association for the advancement of Medical Instrumentation.
Develop new or revise existing recommended practices and standards that address the use, care and processing of devices and systems.
ANSI - ANSWER-American National standards Institute.
promote and facilitate voluntary consensus standards and ensuring their integrity.
AORN - ANSWER-Association of operating room nurses.
Dedicated to providing optimal care to the surgical patient.
APIC - ANSWER-Association for professionals in infection control and Epidemiology.
Dedicated to the prevention and control of infections and related outcomes.
Joint Commission - ANSWER-Develops standards for health care facilities. on site surveys at least every three years, loss of accreditation can result in forfeiture of medicare and medicaid payments.
USP-NF - ANSWER-United states pharmacopoeia - national formulary.
creates and revises standards for medicines, dosages, forms, drug substances, and dietary supplements. Also set standards for packaging, labeling, bacteriological purity, pH, and mineral content.
SGNA - ANSWER-Society of Gastroenterology Nurses and associates.
collects information and establishes standards and guidelines relating to the processing of flexible endoscopes.
Central Service Umbrella. - ANSWER-U-N-S-A-A-A-F-E-J-O.
USP-NF.
NFPA.
State Law.
APIC.
AORN.
AAMI.
FDA.
EPA.
Joint Commission.
OSHA.
goals of the central service Deparment - ANSWER-Eliminate and/or destroy all potentially infectious contaminants present on reusable instruments and equipment.
safely distribute instruments and equipment.
Establish and enforce standards for decontamination, disinfection and sterilization.
infection - ANSWER-invasion of human body tissue by microorganisms which multiply and produce a reaction.
the primary purpose of the central service department is to stop the spread of disease producing microorganisms in the healthcare facility. - ANSWER-each year approximately 2 million patients, about 10% of those hospitalized in U.S. hospitals develop healthcare facility-associated infection. Resulting in an estimated 90,000 deaths.
fingernails of personnel working in high-risk areas should be maintained at a length of. - ANSWER-1/4 inch or less because they may harbor microorganisms.
Putting on PPE - ANSWER-Shoe covers.
Gown.
Mask/respirator.
googles.
face shield.
Gloves. [Show Less]