1. ST220 Concorde Career College

2. Objectives List the three phases of the instrument cycle, identify the tasks performed during each phase, and describe the rationale for each. Describe the technique utilized when assembling an instrument set and explain the rationale. Define the term decontamination. Describe the decontamination process, list the types of disinfectants, and explain the usage for each type.

3. Objectives Define the term sterilization. Describe the sterilization process, list the types of sterilants, and explain the usage for each type. Identify sterilization process monitoring concepts, list and describe the monitoring methods, and explain the rationale for each. List and describe the types of microbial barriers and state the advantages and disadvantages of each type.

4. Objectives List the sealing methods utilized with the various microbial barriers and describe the usage of each type. Identify methods utilized for identification of sterile items. Describe the methods utilized when applying microbial barriers and describe the application procedure for each type. Describe the principles for storage of sterile items and outline the technique for storing, handling, and distributing sterile supplies.

5. Surgical Case Management Operating Room Cycle Preoperative Phase Intraoperative Phase Postoperative Phase

6. Surgical Case Management Instrument Cycle Preoperative Phase Intraoperative Phase Postoperative Phase

7. Instruments Surgical Instrument Set Assembly

8. What’s the Difference? Decontamination vs. Sterilization

9. Decontamination

10. Sterilization

11. Sterilization Process Monitoring Mechanical Chemical Biological

12. Mechanical Monitoring Printout What are the parameters shown? Gauges Displays External devices

13. Chemical Monitoring  Chemical Monitor - chemical indicator (CI)  Tape  Packaging  Peel pouches, arrows, locks  Indicator strips  ISO Class I - VI

14. Bowie-Dick Test

15. Biological Monitoring  Biological Indicator (BI)  Spores:  geobacillus stearothermophilus  Steam, gas plasma, peracetic acid  bacillus atrophaeus  Ethylene oxide, dry heat

16. Microbial Barriers

17. What happens betweens cases? Handling, Storage, and Distribution of Sterile Items