ST220 Concorde Career College

ObjectivesList 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.

ObjectivesDefine 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.

ObjectivesList 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.

Surgical Case Management

Operating Room Cycle

Preoperative PhaseIntraoperative

PhasePostoperative

Phase

Surgical Case Management

Instrument Cycle

Preoperative Phase

Intraoperative Phase

Postoperative Phase

Instruments

Surgical Instrument Set

Assembly

What’s the Difference?

Decontamination vs.

Sterilization

Decontamination

Sterilization

Sterilization Process Monitoring

MechanicalChemicalBiological

Mechanical Monitoring

Printout What are the

parameters shown?GaugesDisplaysExternal devices

Chemical Monitoring

Chemical Monitor - chemical indicator (CI) Tape Packaging

Peel pouches, arrows, locks

Indicator strips

ISO Class I - VI

Bowie-Dick Test

Biological Monitoring

Biological Indicator (BI)

Spores: geobacillus

stearothermophilus Steam, gas plasma,

peracetic acid bacillus atrophaeus

Ethylene oxide, dry heat

Microbial Barriers

What happens betweens cases?

Handling, Storage, and Distribution of Sterile Items