Central Service Chapter 1 Review Roles and Responsibilities

1. When should new employees become familiar with SDSs (Safety Data Sheets) in CS/SPD?

on the first day

Standards for sterile processing practices are developed by

AAMI

1. What class fire extinguisher would be used to extinguish an electrical equipment fire?

Class C

In your own words, Define the Health Insurance Portability and Accountability Act (HIPAA):

HIPAA assuring the confidentiality and security of health information. It assures that patient information is to not be spoken about so that patients can be protected.

The medical Device Reporting regulation requires that

Healthcare facilities report deaths or serious injuries from medical devices

1. The name of the agency that requires eyewash stations to be available for emergency use

OSHA

1. What defines what a SPD department must do

Policies

A rule designed to govern behaviors is called

Regulation

To comply with the Occupational Safety and Health Administration's Hazard Communication Standard [Right-to-Know Standard], employers must ensure that ____________ are available for employees?

Safety Data Sheets for chemical (SDS)

An established norm which is based on theory is called

Standard

1. Provide three additional names for the Sterile Processing Department (SPD) in some healthcare facilities?

a. 1. Central Services b. 2. Central Supply c. 3. Central Sterile Supply d. 4. Material Services e. 5. Sterile processing

1. What is the first step in the SPD workflow? Why is understanding the SP department layout important for SPD technicians?

a. 1. Decontamination for contaminated items from various departments b. 2. To ensure proper workflow and adherence to safety protocols

What is the importance/benefit of certification for sterile processing technicians? What type of training is most common for sterile processing technicians? Which states require certification of sterile processing technicians? In regards, to credentials, what might other states and countries be attempting regarding sterile processing?

1. It signifies that the individual has met established professional standards, enhancing both their personal and professional development. And it recognizes individuals who have met professional standards and is an important personal and professional goal. 2. On-the-job training. 3. New Jersey, New York, Connecticut, and Tennessee. 4. They are attempting to require certification for sterile processing technicians.

What does people flow refer to in the control of sterile processing? What does traffic control in the SPD involve?

1. People flow refers to how people move through the department or processing area 2. Controlling access to the SPD, restricting it to departmental employees and authorized personnel only.

What is the role of the SPD in disaster preparedness? What does the Joint Commission require facilities to be prepared for? What should SPD technicians understand about their role in disaster preparedness? How often should disaster plans and supplies be reviewed and maintained? Who should make sure that disaster plans are reviewed and updated in the SPD?

1. Providing supplies and equipment for disaster response. 2. Both internal disasters (e.g., a sewer backup) and external disasters (e.g., a train accident with multiple injured patients). 3. The location of disaster-related supplies, where supplies are to be delivered, and the types of supplies needed. 4. Routinely. 5. The SPD management and technicians.

What is the responsibility of the sterile processing technician regarding visitors? How should visitors conduct their tour of the SPD? What must visitors wear when visiting the SPD?

1. To ensure visitors abide by the required dress code and that cover garments, head covers, and shoe covers are available 2. Visitors should start in the clean areas (sterile storage, sterilization) and complete their tour in decontamination area (soiled) 3. Cover garments (bunny suit), head covers, and shoe covers as per the required dress code.

Any injury to an employee, no matter how slight, should be

Documented in an incident report

In your own words, Define EPA

EPA stands for environmental protection agency. The EPA is a government agency that focusses on the environment and the safety of people by making rules about how disinfectants, emissions in the air and into the water, sterilant, and chemicals work in the healthcare.

List names of the single-use items that are exempt from the Food and Drug Administration's third-party reprocessing regulation?

FDA does not regulate the reprocessing of opened but unused devices, pacemakers, or hemodialyzers

In your own words, Define FDA

FDA stands for food and drug administration. Their mission is to promote and protect the public health by helping safe and effective products reach the market in a timely way. They review products before they are sold and make sure they work accordingly.

For fire safety, SPD personnel should know

The location of two fire alarm pull boxes

1. How does Perkins (1982) define the Sterile Processing Department? What did Dr. John Perkins observe about sterilization responsibilities? How did Dr. John Perkins suggest improving the sterilization process?

a. 1. The SPD is defined as the service area within the hospital which processes, issues, and controls professional supplies and equipment, both sterile and unsterile, for all departments and units of the hospital for the care and safety of the patients. b. 2. He observed that "sterilization is everyone's business but no one's responsibility' and advocated for the centralization of processing. c. 3. By centralizing the processing in one department to allow for standardization of procedures.

1. What are the major physical areas of a typical Sterile Processing department?

a. Decontamination à Prep and Pack à Sterilization à Sterile Storage

1. What is ethics as defined in the CBSPD textbook? How are ethical actions described in the CBSPD textbook? What is the significance of professional ethics in sterile processing? According to Steven Coughlin, what kind of ethical issues might healthcare professionals face? What are some potential penalties for healthcare workers who do not follow ethical guidelines and policies?

a. Ethics is the discipline dealing with what is good and bad and with moral duty and obligation. Ethical actions are those that conform to accepted and professional standards of conduct. Professional ethics are principles of conduct governing an individual or group, crucial for ensuring that actions in the SPD align with moral standards and patient safety. Ethical issues such as conflicts of interest, distortion of medical facts, exorbitant or inconsistent billing, poor privacy and security of patient records and information, and compliance with health regulations. Workers could face suspension, fines, loss of their medical license, lawsuits, and jail time, depending on the violation.

The name of the agency that requires medical device manufacturers to provide end users in healthcare facilities with specific instructions on how to reprocess their reusable products?

a. FDA (Food and Drug Administration)

1. What was the challenge with sterilization when it was performed in areas where items were used?

a. It was difficult to monitor and standardize sterilization processes because each department had its own policies and procedures.

1. What functions does the Central Services Sterile Processing Department (CSSPD) perform?

a. Retrieves/receives, cleans, decontaminates, assembles, disinfects and/or sterilizes, and distributes or stores reusable medical and surgical devices.

1. What organization is credited with the birth of sterile processing?

a. The American College of Surgeons (ACS)

1. What began the modern era of sterilization in 1933?

a. The development of the first steam sterilizer that allowed temperatures to be measured using a thermometer by Amsco, now part of the STERIS Corporation.

1. The SPD Loaned Instrument policy should specify:

a. The time frame during which the instrument should be delivered