SOP Test: Sterilization And Quality
Each mechanical washer should use the TOSI test...
Daily
How often should temperature and humidity should be reviewed and documented
Daily
When performing a tray audit on a rigid container, there is NO need to check the placement of the retention plates. T/F?
False
When reviewing load documentation, the physical monitor should be checked to ensure the correct time, temperature, and pressure were reached. What are the appropriate time, temperature, and pressure for a Prevac steam cycle?
4 min, 270 degrees F at 27 psi
The BI PCD should be placed
Center of sterilization cart
When reprocessing instruments that have been exposed to known or suspected CJD what is appropriate method?
Clean tray using manufactures IFU, run unwrapped in Prevac steam autoclave for minimum of 18 minutes at 273 degrees F and cool, assemble and process in the normal manner
When biologically monitoring the sterrad, the pouch that contains the vial should be placed in what area of the sterilizer shelf?
Close to the rear of sterilizer
Load documents for Cidex OPA should include the follow:
Date, Time, Test results (pass or fail)
A BI PCD should be used
In the first full load of the day if monitoring plus implants for IUSS sterilizer, run in an empty load following Bowie dick test
The TOSI test will need to be processed on which cycle of the mechanical load?
Instrument
Process challenge device (PCD), which includes type V indicator, needs to be placed
Over the drain
When using steam sterilization, a PCD containing a type five integrating indicator should be placed in which area of the sterilizer?
Over the drain
When reading the results of a Bowie dick test, grey/ silver tones across grub represents
Overexposure
When reading results of the Bowie dick test, uniform color across the entire grid represents
Pass
When sterilizing peel pouches using EtO, how should the pouch be placed?
Tilted on rack
All processed trays must be allowed to completely cool prior to being stored. T/F?
True
Any equipment that is not in working order should be reported to the department manager and an "out of service" sign should be placed on the equipment. T/F
True
Prior to placing any item in an automated Endoscope reprocessor, The item must be appropriately leak tested, clean, rinsed, and dried to the extent necessary to adhere to a specific manufacturer recommendations. T/F
True
The time weighted average is defined by OSHA as "the employees average airborne exposure in any 8 hour work shift of a 40 hour work week shall not be exceeded." T/F?
True
Unloading the sterilizer poses the greatest exposure to EtO. To minimize this risk only a single chamber process for EO sterilization May be used- sterilization and aeration must take place in same chamber. T/F
True
When using EtO, All trays and wrapped items must have a tamper evident lock, type one indicator tape, and CI that are appropriate for EtO sterilization. T/F
True
When performing quality testing on OPA test strips, the 3 test strips dipped in the negative control solution should turn what color?
Yellow
When using the Sterrad, how often should the biological indicator (BI) be run?
first load of the day
Any tray or instrument set that MUST be released for immediate use prior to completion of the cooling process should
Be considered an IUSS Opened immediately for the procedure Be released or delivered with early release form
When using the Metricide OPA plus test strips, the negative control control should be prepared by using _________ cc of full strength OPA solution and 15cc of water.
10
When storing unit dose of EtO, how many can be stored outside a flammable good cabinet?
12
When using a high level disinfectant, CIDEX OPA, what is the minimum effective soak time?
12 minutes
When using EtO sterilization, the recommended aeration time for an aerator set at
140 degrees 10 hours 122 degrees 12 hours 140 degrees 8 hours
When running a Bowie dick test pack, the pack should be placed in
A empty chamber on the lowest shelf of the sterilizer cart; first load of day
How often should sterrad vaporization plate be changed?
Every 30 days or 145 cycles, whatever comes first
When reading the results of the Bowie dick test, non-uniform color across grind means
Fail
When working with EtO, appropriate PPE should be work for the task at hand. This includes
Gloves, gown, face shield
When sterilizing mentor and natrelle breast implants sizers, what method of sterilization should be used?
Gravity
When performing quality testing on Metricide OPA plus, a positive strip should turn what color?
Magenta (purplish red)
When performing quality testing on OPA test strips, the 3 test strips dipped in the positive control solution should turn what color?
Magenta (purplish red)
During the inspection of a processed load,,/ wet pack is found. What happens?
Notify OR manager or suspected wet pack Inspect at least 3 other packages from that tray
What should be done with a failed BI?
Notify SPD manager Review Sterilizer tape or print out the Chemical Indicator results, including results of Bowie Dick Recall all loads of that sterilizer to the last negative BI result
Following repair of sterilizer, what steps should be taken before it being put back in use.
Run 1 BI PCD in 3 consecutive cycles in an empty chamber, run 1 Bowie sick in 3 consecutive cycles in an empty chamber following last BI PCD. Sterilizer out of services until all results are satisfactory
