Chapter 3 - Sterilization and Disinfection
After removing used instruments from an examining room, immediately rinse them thoroughly under hot running water to remove organic material
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An autoclave load is dried by cracking open the door approximately 6 inches
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An instrument should be rinsed after a lubricant has been applied to it
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Autoclave tape indicates whether an autoclaved item is sterile
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Autoclave tape turns from white to black, which indicates that the autoclaved item is sterile
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Daily care of the autoclave includes scrubbing the interior of the autoclave and the trays with scouring powder
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If a minor office surgery setup is being wrapped, double layer of sterilization paper is often used
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If an instrument has a movable joint, it should be placed in a slightly closed position when wrapping an instrument
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Pouches should be placed on an autoclave tray with the plastic side up and the paper side facing down
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Protective eyewear must be decontaminated using a high-level disinfectant
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Sanitization involves a series of steps designed to remove all microorganisms and spores from the article
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Sterilization is the process of destroying all forms of microbial life except for bacterial spores
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Stethoscopes must be decontaminated using a high-level disinfectant
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Store the packs in a clean, dustproof area with the most recently sterilized packs placed in front of previously sterilized packs
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Tap water should be used in the autoclave
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The agent used to destroy microorganisms on an article depends on the size of the article
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The autoclave is typically operated at 15 pound of pressure at a temperature of 212 degrees F
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The purpose of sanitization is to remove all microorganisms and spores from a contaminated article
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The purpose of the Hazard Communications Standard is to make sure that employees do not use hazardous chemicals in the workplace
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The wrapping material consists of a substance that prevents steam from reaching the instrument during the sterilization process
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Warm tap water must be used in the autoclave because it prevents corrosion of the stainless steel chamber of the autoclave
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A pack that has been in the storage cupboard for 4 weeks should be resterilized
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A surgical instrument requires a longer sterilizing time than a minor office surgery pack
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A wire brush should be used to clean the surface of each instrument
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According to OSHA, gloves do not need to be worn during the sanitization process
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A bacterial spore consists of a hard, thick-walled capsule the can resist adverse conditions
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A sterilization indicator strip is placed in the center of the pack next to the instrument
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After cleaning each instrument, rinse it thoroughly with warm water
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An MSDS provides information regarding a chemical, its hazards and measures to take to prevent injury and illness when handling the chemical
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An instrument cleaning agent that has expired loses its potency and should not be used
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An instrument should be placed in the center of the sterilization wrapping paper with the longest part if the instrument pointing toward the two side corners
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Before an article can be sterilized in the autoclave, it must first be sanitized
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Before surgical instruments can be sterilized in the autoclave, they must first be sanitized
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Ethylene oxide gas is used by medical manufacturers to sterilize disposable items
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Glutaraldehyde (Cidex) is a high-level disinfectant
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If a sterilization indicator does not change appropriately, the item is not sterile and must not be used
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If an autoclaved pack shows any damage, such as holes or tears, the article should be rewrapped and resterilized
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If the instrument is not completely dry following sanitization, stains may occur on the instrument
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If the sterilization strips are outdated, they may provide inaccurate results
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Instruments undergoing sanitization should be decontaminated by disinfecting them in an EPA-approved chemical disinfectant
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OSHA recommends a 10% bleach solution for decontaminating blood spills
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Small packs should be placed 1 to 3 inches apart, and large packs should be placed 2 to 4 inches apart in the autoclave to provide for adequate steam penetration
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Sterilization of articles in the autoclave destroys all microorganisms and spores
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The Hazard Communications Standard requires that the label of a hazardous chemical include information on how to store and handle the chemical
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The autoclave packs must dry fully; otherwise, microorganisms can move through the moisture on a wet wrap and contaminate the sterile article inside
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The best means of determining the effectiveness of the sterilization process are biologic indicators
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The inside of the autoclave should be wiped every day with a damp cloth
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The instrument disinfectant container should be labeled with the name of the disinfectant and today's date
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The manufacturer's instructions specify how to dispose of the instrument cleaning solution
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The pack should be marked with the date of the sterilization and your initials
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The proper time for sterilizing an article in the autoclave depends on what is being autoclaved
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The purpose of wrapping an instrument is to protect it from recontamination during handling and storage
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The rubber door gasket should be inspected for damage that could prevent a good seal
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The shelf life of a disinfectant indicates how long a disinfectant retains its effectiveness
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The wrapper used to autoclave articles should prevent contaminants from getting in during handling and storage
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Water contained in the water reservoir of the autoclave is converted to steam during the sterilization process
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