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Section 1
Temperature, humidity and airflow requirements by work area
Preview
Preview: Departmental Considerations
Preview includes- 4 of 5 lesson topics
- 1 overview segment
- 3 core concepts
- 2 exam tips
Lesson Topics
- Decontamination is separated from clean work and is maintained so contaminated air does not migrate into clean areas
- Preparation/packaging, sterilization support and sterile storage require environmental conditions appropriate to clean work and product protection
- Directional airflow/pressure relationships matter as much as the displayed temperature or humidity value
- An out-of-range reading is a process deviation that requires evaluation, documentation and correction
Overview
Domain weight: Departmental Considerations = 15% of the current HSPA CRCST blueprint.
Core Concepts
- Decontamination is separated from clean work and is maintained so contaminated air does not migrate into clean areas.
- Preparation/packaging, sterilization support and sterile storage require environmental conditions appropriate to clean work and product protection.
- Directional airflow/pressure relationships matter as much as the displayed temperature or humidity value.
Exam Tips
- Tie every environmental question to the function of the room.
- On an excursion, think: verify -> assess impact -> correct -> document.
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Section 2
Corrective action for environmental deviations
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Section 3
Work-area cleaning protocols
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Section 4
Chemical safety, SDS and spill response
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Section 5
Dress code and hand hygiene
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Section 6
Traffic control and one-way workflow
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Section 7
Ergonomics and body mechanics
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Section 8
FDA/CMS regulations and ANSI/AAMI/AORN standards
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Section 9
Record retention and documentation
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Section 10
Quality assurance, tray audits, IUSS metrics, LEAN and Six Sigma
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Section 11
OSHA bloodborne pathogen precautions
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Section 12
Microbiology and chain of infection
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Section 13
PPE selection and donning/doffing
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Section 14
Safe transport of soiled items
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Section 15
Cleaning tool and chemical selection per IFU
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Section 16
Washer-disinfector, ultrasonic and cart washer operation
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Section 17
Cleaning equipment efficacy testing
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Section 18
Manual and mechanical cleaning
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Section 19
Water quality
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Section 20
Spaulding classification
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Section 21
High/intermediate/low-level disinfection concepts
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Section 22
Minimum effective concentration testing
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Section 23
Disinfection documentation and corrective actions
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Section 24
Prep-and-pack work-area safety
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Section 25
Inspection for cleanliness and function
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Section 26
Instrument testing, lubrication and damage handling
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Section 27
Count sheets and item identification
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Section 28
Instrument protection and placement
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Section 29
Chemical indicators/integrators
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Section 30
Weight distribution and set assembly
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Section 31
Peel pouches, wraps and rigid containers
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Section 32
Wrapping and closure methods
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Section 33
Package inspection and labeling
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Section 34
High- and low-temperature sterilizer safety
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Section 35
Sterilizer maintenance and functionality
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Section 36
Bowie-Dick/DART, leak and biological testing
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Section 37
Steam, dry heat, EO, hydrogen peroxide and other low-temperature methods
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Section 38
Cycle phases and cycle selection
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Section 39
Load configuration
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Section 40
Process challenge devices and biological indicators
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Section 41
Physical monitoring and release criteria
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Section 42
Cooling, handling and sterility maintenance
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Section 43
IUSS concepts
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Section 44
Failed-cycle response, recall and documentation
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Section 45
Load control and traceability
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Section 46
Sterile-storage environmental and safety requirements
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Section 47
PAR, exchange-cart and requisition systems
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Section 48
Ordering and product identification
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Section 49
Inventory shortages and substitutions
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Section 50
Package integrity and expiration
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Section 51
FIFO and event-related sterility
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Section 52
Storage-distance and shelving requirements
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Section 53
Closed transport and case carts
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Section 54
Loaned/consignment inventory
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Section 55
Recalls, waste and inventory tracking
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Section 56
PPE and electrical safety for patient-care equipment
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Section 57
Work-area preparation and charging stations
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Section 58
Manual/computer/RFID equipment tracking
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Section 59
Cleaning and inspection of patient-care equipment
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Section 60
Preventive-maintenance status
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Section 61
Corrective action for noncompliant equipment
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Section 62
Assembly, testing, storage and distribution
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Section 63
Professional communication
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Section 64
Service recovery and customer needs
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Section 65
Critical thinking and prioritization
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Section 66
HIPAA-aware communication
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Section 67
Medical terminology
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Section 68
Work groups and teamwork
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Section 69
Roles, accountability and task prioritization
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Section 70
Career development and continuing education
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