chapter 23 sterile processing for ambulatory surgery and other practices
TRANSCRIPT
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Chapter 23
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As a result of successfully completing this chapter, students will be able to:
Review basic similarities and some differences between sterile processing in hospitals and other healthcare facilities
Explain basic standards and practices used for sterile processing in ambulatory surgical centers:
Overview and History Ownership and Regulatory Standards ASC Processing Personnel Processing Environment
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Explain basic standards and practices used for sterile processing in dental facilities:
Environmental Issues Instrument Processing Procedures
Provide an overview of Veterans’ Administration (VA) facilities, and list sterile processing differences between VA and other healthcare facilities
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Even though the type of facility may vary, the science of cleaning, decontamination, inspection, packaging, sterilization and sterile product handling does not change
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A healthcare facility that allows patients to have selected surgical and procedural services performed that do not require hospital admission
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Cosmetic Facial Plastic and
Reconstructive Gastroenterology General OB/GYN Opthalomological Oral/Maxillofacial Orthopedic Podiatry Urology Cardiovascular/Vascular
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ASCs came into being in the 1970s. Prior to that, all surgical procedures were performed in the hospital
ASCs must have at least 1 dedicated operating room
Physicians are involved in the ownership of the majority of ASCs
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A voluntary process by which an organization measures the quality of its services and performance against nationally recognized standards
◦ Joint Commission
◦ Accreditation Association of Ambulatory Health Care (AAAHC)
◦ American Association of Accreditation of Ambulatory Surgery Centers (AAAASF)
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Fast-paced
Tight instrument turnover timelines
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Cleaning/Decontamination
Instrument Assembly
Sterilization
Sterile Storage
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Require:
◦ Cleaning and Decontamination
◦ Preparation and Packaging
◦ Sterilization
◦ Inventory Management and Storage
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Clinical Contact Surfaces (infection control) ◦ - Surfaces that can be directly contaminated during patient
care; examples are: contamination from sprays, splatters, or direct contact with a dental professional’s gloved hand
Housekeeping Surfaces (infection control) ◦ - Surfaces such as floors, walls, and sinks that pose a risk of
disease transmission
Environmental Surfaces (infection control) ◦ - Surfaces or equipment that do not contact the patient
directly, but may become contaminated during patient acre; examples are: light and power unit switches and drawer knobs
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Transport Cleaning/Decontamination Inspection Assembly Packaging Sterilization Sterilization Quality
Assurance Storage and Handling
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Central Service Departments are called Supply, Processing, and Distribution (SPD) Departments
Has its own certification program and continuing education requirements
Follows directives that set guidelines for sterile processing
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Clinics
Veterinary Hospitals
Third Party Reprocessing Facilities
Manufacturers