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Chapter 23
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
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
Even though the type of facility may vary, the science of cleaning, decontamination, inspection, packaging, sterilization and sterile product handling does not change
A healthcare facility that allows patients to have selected surgical and procedural services performed that do not require hospital admission
Cosmetic Facial Plastic and
Reconstructive Gastroenterology General OB/GYN Opthalomological Oral/Maxillofacial Orthopedic Podiatry Urology Cardiovascular/Vascular
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
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)
Fast-paced
Tight instrument turnover timelines
Cleaning/Decontamination
Instrument Assembly
Sterilization
Sterile Storage
Require:
◦ Cleaning and Decontamination
◦ Preparation and Packaging
◦ Sterilization
◦ Inventory Management and Storage
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
Transport Cleaning/Decontamination Inspection Assembly Packaging Sterilization Sterilization Quality
Assurance Storage and Handling
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
Clinics
Veterinary Hospitals
Third Party Reprocessing Facilities
Manufacturers