1. 1 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use.

2. 2 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Chapter 19 Equipment Processing and Surveillance

3. 3 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Related Microbiology Eukaryotic and prokaryotic cell types Bacterial shapes Gram stain Capsules and endospores Common causative organisms

4. 4 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Equipment Processing Terms Sterilization –Destruction of all microorganisms Disinfection –Destruction of vegetative forms of pathogenic microorganisms Antisepsis –Application of chemical agents to a surface to inhibit microbial growth and reproduction

5. 5 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Equipment Processing Methods Steam autoclaving Pasteurization Ethylene oxide processing Glutaraldehyde processing Quaternary ammonium compounds Gamma irradiation

6. 6 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Facility Design for Equipment Processing Divided into three main areas: –Decontamination –Processing –Storage

7. 7 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Bacteriological Surveillance Programs Aliquot Culturing Rinse Sampling Rodac Plate Sampling Swab Sampling

8. 8 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Data Utilization Culturing of clean equipment should be performed monthly Identifies the effectiveness of: –P rocessing –Storage procedures –Equipment assembly practices

9. 9 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Swab Sampling Obtain the required supplies Hand hygiene –Handwashing –Aseptic technique Aseptically withdraw the swab and sample the area

10. 10 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Surveillance Records Surveillance records must always be: –Correctly maintained –Completely filled out

11. 11 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use. Processing Respiratory Care Equipment Wash Rinse Package prior to processing Process Package after processing Label and store