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Ch 21 L.O.

TermDefinition
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.
Created by: Cocoalover
 

 



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