Domain 6: Instrument Processing and Supply Management

Primary General Readings:

AORN S&RP: Recommended practices for: Cleaning and care of instruments and powered equipment; Sterilization; Selection and use of packaging systems for sterilization; Cleaning and processing flexible endoscopes

Alexander’s Care of the Patient in Surgery: Chapters 4, 8

Berry and Kohn’s Operating Room Technique: Chapter 18

Module Topics/Key Words Module-specific readings
1.Microbiological considerations related to infection control principles Airborne precautions, antisepsis, CRE, chain of infection, contact precautions, CJD, droplet precautions, MRSA, MDR-TB, PPE, standard precautions, transmission-based precautions, VRE S&RP: Recommended practices:
High level disinfection
Prevention of transmissible infections
B&K: Chapters 14, 15, 16
2. Cleaning and disinfecting instruments and supplies AAMI, bioburden, cleaning, critical item, decontamination, disinfection, documentation, enzymatic cleaner, FDA, germicide, high-level disinfection, loaner instrumentation, low-level disinfection, non-critical item, semi-critical item, Spaulding classification S&RP: Recommended practices:
High level disinfection
Guidance statements: Role of the health care industry representative
Environmental responsibility
B&K: Chapter 17
3. Packaging and sterilization of instruments and supplies Dynamic air removal, gravity displacement, hydrogen peroxide gas plasma sterilization, immediate use steam sterilization, implants, load, pre-vacuum, steam, sterilization See Primary General Readings
4. Principles of transporting and storing sterile supplies Controlled conditions, event related, shelf life, storage, time related, transportation See Primary General Readings
5. Principles of biological and chemical monitoring Biological indicator, Bowie-Dick dynamic air removal test, chemical indicator, emulating indicator, integrating indicator, pressure, process indicator, temperature See Primary General Readings
6. Safe handling practices for hazardous and bio-hazardous materials Anesthesia waste gases, blood-borne pathogen, chemotherapy, hands-free zone, methyl methacrylate, MSDS, neutral zone, sharps safety, smoke plume S&RP: Recommended practices for safe environment of care
Alexander’s: Chapter 3
B&K: Chapter 13


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