3.03 Understand support services

Transcription

1 3.03 Understand support services

2 Clean and Decontaminate the Healthcare Environment Manage Hazardous Materials and Wastes Manage and Store Materials 3.03 Understand support services 2

3 Clean and Decontaminate the Healthcare Environment Follow standards precaution guidelines Implement cleaning methods to prevent the transmission of infectious agents 3.03 Understand support services 3

4 Clean and Decontaminate the Healthcare Environment Select procedures and precautions to be followed when using chemicals Integrate all infection control standards with design and construction activities 3.03 Understand support services 4

5 Manage Hazardous Materials and Wastes Monitor a waste management program Develop procedures that minimize customer cost of supplies, services, and equipment 3.03 Understand support services 5

6 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

7 Manage and Store Materials Handle and store sterile and nonsterile items properly Control inventory and distribution of materials 3.03 Understand support services 7

8 Manage and Store Materials Purchase materials, supplies, and equipment within budget Monitor materials distribution consumption pilferage Provide space for storage 3.03 Understand support services 8

9 Clean and Decontaminate the Healthcare Environment 3.03 Understand support services 9

10 Clean and Decontaminate the Healthcare Environment Environmental cleaning method for cleaning low-risk environmental surfaces walls floors bathrooms involves using appropriate detergents and chemicals use personal protective equipment 3.03 Understand support services 10

11 Clean and Decontaminate the Healthcare Environment Pre-cleaning Don t delay! Aims to remove visible soil from: reusable medical devices environmental surfaces medical equipment Decontamination removes or reduces infectious organisms 3.03 Understand support services 11

12 Disinfection Aseptic Procedures Clean and Decontaminate the Healthcare Environment Used to decontaminate medical devices that come in contact with mucous membranes, blood and body fluids Used for heat sensitive items 3.03 Understand support services 12

13 Clean and Decontaminate the Healthcare Environment 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 3.03 Understand support services 13

14 Clean and Decontaminate the Healthcare Environment 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 3.03 Understand support services 14

15 Clean and Decontaminate the Healthcare Environment Sterilizing with an Autoclave Autoclave uses steam under pressure or gas to sterilize equipment and supplies Destroys all microorganisms 3.03 Understand support services 15

16 Clean and Decontaminate the Healthcare Environment 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 3.03 Understand support services 16

17 Principles of Sterile Technique 3.03 Understand support services 17

18 Principles of Sterile Technique Surgical Asepsis Sterile field Contaminated Drop technique Mitten technique Transfer forceps 3.03 Understand support services 18

19 Principles of Sterile Technique Surgical Asepsis Procedures that keep an object or area free from living organisms STERILE 3.03 Understand support services 19

20 Principles of 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 dry 3.03 Understand support services 20

21 Principles of 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 3.03 Understand support services 21

22 Principles of Sterile Technique Contaminated - organisms are present Never reach across or turn your back on the sterile field When in doubt, consider it contaminated! 3.03 Understand support services 22

23 Principles of Sterile Technique Add an item to the sterile tray Drop technique Mitten technique Transfer forceps 3.03 Understand support services 23

24 Wrapping Instruments for Autoclave 3.03 Understand support services 24

25 Donning and Removing Sterile Gloves 3.03 Understand support services 25

26 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 3.03 Understand support services 26

27 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 3.03 Understand support services 27

28 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 Understand support services 28

29 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 3.03 Understand support services 29

30 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 3.03 Understand support services 30

31 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 3.03 Understand support services 31

32 Jamie wants to stop the spread of infectious agent on her hands. What process should she use? Asepsis, Antisepsis, Disinfection, Sterilization Antisepsis 3.03 Understand support services 32

33 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 3.03 Understand support services 33

34 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 3.03 Understand support services 34

35 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 Understand support services 35

36 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 3.03 Understand support services 36

37 What technique is used to add objects to a sterile field with an instrument? Drop technique, Mitten technique, Transfer technique, Wrap technique Transfer Technique 3.03 Understand support services 37