click below
click below
Normal Size Small Size show me how
Ch 21 L.O.
| Term | Definition |
|---|---|
| Critical Instruments | Instruments that penetrate soft tissue or bone; high risk for transmission and must be heat sterilized. |
| Semicritical Instruments | Instruments that touch mucous membranes but do not penetrate soft tissue; moderate risk and should be heat sterilized if possible. |
| Noncritical Instruments | Instruments that contact intact skin only; very low risk and reprocessed with intermediate or low-level disinfectants. |
| Single-Loop Workflow | The required pattern for instrument processing: Dirty -> Clean -> Sterile -> Storage. |
| Ultrasonic Cleaner | Cleaning device using high-frequency sound waves to create imploding bubbles (cavitation) to loosen bioburden in 5-15 minutes. |
| Holding Solution | A biohazard-labeled liquid used when instruments cannot be cleaned immediately, preventing blood/saliva from drying. |
| Hand Scrubbing | The least desirable precleaning method due to the high risk of direct hand contact and puncture wounds from sharp instruments. |
| Steam Autoclave | Sterilization method using steam under pressure; fast and leaves no chemical residue, but can rust carbon steel. |
| Unsaturated Chemical Vapor | Sterilizer using alcohol, formaldehyde, and acetone; does not rust dry instruments, but requires special ventilation. |
| Dry Heat Sterilizer | Heats air to 320-375°F to sterilize instruments without rusting metal, but requires long cycles and melts plastics. |
| Liquid Chemical Sterilants | Glutaraldehyde solutions requiring 10 hours of continuous immersion; used exclusively for heat-sensitive items. |
| Process Indicators | External indicators (e.g., autoclave tape) on the outside of packs showing exposure to heat to distinguish processed packs. |
| Process Integrators | Internal multiparameter indicators placed inside packages to respond to a combination of time, temperature, and steam. |
| Biological Monitoring | Spore testing; the only guaranteed method to confirm sterilization and destruction of bacterial spores (CDC recommends weekly). |
| Wicking | Process where bacteria pass through wet packaging materials onto sterile instruments inside; packs must dry fully before handling. |
| Event-Related Packaging | Concept stating that packages remain sterile indefinitely unless an event occurs (e.g., tearing, wetting) that compromises sterility. |
| Sterilization Failure Protocol | Immediately remove sterilizer from service, review for human error, retest, and recall all items processed since last passed test. |
| Sterilizer Return Rule | After a failure or repair, a sterilizer requires three consecutive empty-chamber biological tests with negative results before re-use. |
| Biological Test Placement | Place the spore test strip/vial in a test pack in the center of the sterilizer load, the hardest area for steam to reach. |
| Control Indicator | An un-sterilized spore vial processed alongside the test indicator to confirm the viable growth of spores during testing. |
| Handpiece Pre-Sterilization | Flush water/air through lines for 10-20 seconds with bur in place, clean exterior, lubricate if required, and pouch. |
| Handpiece Cooling Rule | Handpieces must cool naturally in the pouch; never run under cold water to cool, which damages internal turbines. |
| Glutaraldehyde Rinsing Rule | Items removed from liquid sterilants must be rinsed with sterile water to remove toxic chemicals that burn tissue. |
| Aluminum Foil Test | Periodically tests ultrasonic cleaner efficiency; a properly functioning unit leaves evenly pitted foil after 20 seconds. |
| FIFO Storage Rule | First-In, First-Out; practice of rotating sterile packages so that the oldest sterilization dates are used first. |