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AAMI
Association for the Advancement of medical instrumentation. authoritative source of standards for sterilization and disinfection
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Antisepsis
a process that greatly reduces the number of microorganisms on skin or other tissue
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autoclave
small steam sterilizer used in low volume clinical settings
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bactericidal
able to kill bacteria
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bacteriostatic
chemical agent capable of inhibiting the growth of bacteria
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biofilm
matrix of extracellular polymers produced by microorganisms. bind the microorganisms tightly to a living or nonliving surface, making them highly resistant to antimicrobial action
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biological indicator
quality control mechanism used in the process of sterilization
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case cart system
method of receiving clean and sterile equipment and preparing it for transportation to a central decontam area. all equipment is contained within a covered movable storage cart.
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cavitation
process in which air bubbles are imploded, releasing particles of soil or tissue debris
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central service department
area of the hospital where medical devices and equipment are processed
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central service technician
skilled professional who specializes in processing and maintenance of medical devices used in the health care facility
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chemical monitor
method of testing a sterilization parameter. chemical strips sensitive to physical condition, such as temp, are placed with the item being sterilized and change color when the parameter is reached.
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chemical sterilization
process that uses chemical agents to achieve sterilization
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-cidal
suffix indicating death
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cleaning
process that removes organic or inorganic soil or debris using detergent and mechanical or hand washing.
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cobalt-60 radiation
method of sterilizing prepackaged equipment using ionizing radiation
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contaminate
to render non sterile and unacceptable for use in critical areas of the body.
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decontamination
process in which recently used and soiled medical devices including intruments are rendered safe for personnel to handle
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detergent
chemical that breaks down organic debris by emulsification to aid in cleaning
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disinfection
destruction of microorganisms by heat or chemical means
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enzymatic cleaner
specific chemical used in detergents and cleaners to penetrate and break down biological debris, such as blood and tissue
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ethylene oxide
highly flammable, toxic gas that is capable of sterilizing an object
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event-related sterility
wrapped sterile item may become contaminated by environmental conditions or events, such as a puncture in the wrapper.
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evidence based practice
methods and procedures proven to be valid by rigorous testing and professional research
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exposure time
amount of time goods are held at a specific time, temperature, and pressure during a sterilization process
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fungicidal
able to kill fungi
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gas plasma sterilization
process that uses the form of matter known as plasma to sterilize an item
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germicidal
able to kill germs
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gravity displacement sterilizer
type of sterilizer that removes air by gravity
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high level disinfection
process that redues the bioburden to an absolute minimum
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high vacuum sterilizer
type of steam sterilizer that removes air in the chamber by vacuum and refills the chapter with pressurized steam.
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indicator
device used in the sterilization process to verify that a parameter of the process has been achieved
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just-in-time sterilization
items to be sterilized shortly before surgery must be processed so they are ready as close to the time of surgery as possible
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material safety data sheets
government mandated requirement for all chemicls used inthe workplace
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medical devices
any equipment, instrument, implant, material or apparatus used for diagnosis, treatment, or monitoring of patients
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non critical items
items that are no required to be sterile because they do not penetrate intact tissue.
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nonwoven
fabric or material that is bonded together as opposed to a process of interweaving individual threads
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peracetic acid
chemical used in the sterilization of critical items
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personal protective equipment
approved attire worn during the reporcessing of medical devices and the cleaning of patient areas
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prion
unique pathogenic substance which contains no nucleic acid.
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process challange monitoring
sealed, harmless bacteriologial sample is included in a load of goods to be sterilized.
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reprocessing
activities or tasks that prepare used medical devices for use on another patient.
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reuseable
deignation used by manufacturers to indicate that a medical devicecan be reprocessed for use on more than one patient
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sanitation
method that reduces the number of bacteria in the environment to a safe level
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sharps
any objects used in health care that are capable of penetrating the skin, causing injury
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shelf life
the length of time a wrapped item remains sterile after it has been subjected to a sterilization process
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single-use items
instruments and devices intended for use on one patient only
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spaulding system
system used to determine the level of microbial destruction required for medical devices and supplies based on the risk of infection associated with the area of the body where the device is used
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sporicidal
able to kill spores
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sterilization
process by which all microorganisms, including spores, are destroyed
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terminal decontamination
thorough cleaning and disinfection of supplies or an environment such as the or suite after patient use
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ultrasonic cleaner
equipment that cleans instruments using ultrasonic waves
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viricidal
able to kill viruses
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washer-sterilizer/ disinfector
equipment that washes and decontaminates instruments after an operative procedure
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woven wrappers
also called linen or cloth wrappers. these are fabric cloths used to wrap clean, disinfected supplies in preparation for sterilization process
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