Chapter 23 sterile processing for ambulatory surgery and other practices

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Chapter 23 sterile processing for ambulatory surgery and other practices

  1. 1. Chapter 23
  2. 2. 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
  3. 3.  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
  4. 4.  Even though the type of facility may vary, the science of cleaning, decontamination, inspection, packaging, sterilization and sterile product handling does not change
  5. 5.  A healthcare facility that allows patients to have selected surgical and procedural services performed that do not require hospital admission
  6. 6.  Cosmetic  Facial Plastic and Reconstructive  Gastroenterology  General  OB/GYN  Opthalomological  Oral/Maxillofacial  Orthopedic  Podiatry  Urology  Cardiovascular/Vascular
  7. 7.  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
  8. 8.  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)
  9. 9.  Fast-paced  Tight instrument turnover timelines
  10. 10.  Cleaning/Decontamination  Instrument Assembly  Sterilization  Sterile Storage
  11. 11.  Require: ◦ Cleaning and Decontamination ◦ Preparation and Packaging ◦ Sterilization ◦ Inventory Management and Storage
  12. 12.  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
  13. 13.  Transport  Cleaning/Decontamination  Inspection  Assembly  Packaging  Sterilization  Sterilization Quality Assurance  Storage and Handling
  14. 14.  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
  15. 15.  Clinics  Veterinary Hospitals  Third Party Reprocessing Facilities  Manufacturers

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