Biofilm
A collection of microorganisms that attach to surfaces and each other to form a colony. The Colony produces a protective gel that is very difficult to penetrate with detergents or disinfectants<\/p>\n\n\n\n
Gastroscope
is a flexible endoscope designs to view the interior of the stomach.<\/p>\n\n\n\n
Duodenoscope
a flexible scope used to diagnose and treat abnormalities in the duodenum<\/p>\n\n\n\n
Colonoscope
a scope used to examine the lower GI tract<\/p>\n\n\n\n
Enteroscope
a scope used to examine the small intestine to investigate irregularities such as blocked bowel passages and small bowel tumors<\/p>\n\n\n\n
Bronchoscope
scope used to examine the throat, larynx, trachea, and lower airways<\/p>\n\n\n\n
Rhinolaryngoscope
a scope to examine upper Airways such as nasal passages nasopharynx, oropharynx, and larynx<\/p>\n\n\n\n
Choledochoscope
scope used to visualize the interior of the biliary tract. Also used to visualize gallstones and has been a channel that also allows for accessories for removal of stones<\/p>\n\n\n\n
Ureteroscope
scope designed to provide visualization of the ureters that connect the kidney to the urinary bladder<\/p>\n\n\n\n
Cystoscope
scope used to examine the inside of the bladder<\/p>\n\n\n\n
Hysteroscope
Scope used to provide visualization of the uterus<\/p>\n\n\n\n
Deflection
The ability of the tip of a flexible endoscope to bend to increase the area that can be accessed by a physician, visually or with an instrument<\/p>\n\n\n\n
Relative humidity should not exceed\u2026
60%<\/p>\n\n\n\n
The soiled and decontamination areas should be designed so air flows into the area known as
negative pressure<\/p>\n\n\n\n
The soiled and decontamination areas should hold a minimum of __<\/em> air exchanges per hour IFU List (3) ways endoscopes can be used to meet patient needs Reprocessing that begins more than (1) hour after the endoscope has been used is called Ethylene oxide sterilization of a flexible endoscope may result in a blown endoscope if Borescope Waterproof Tape Endoscopy Arthroscope Insertion tube bronchoscope colonscopes gastroscopes control body bending section deflection microorganisms bacteria symbiotic pathogens fungi virulence gram stain endospore stain capsule stain endospore anaerobes germinate capsules diploid tetrad cocci bacilli DNA capsid Enveloped virus Non-enveloped virus decontamination room parameters safety data sheet eye wash stations sterile storage room parameters Preparation\/Disinfection room parameters aersols reprocessing Personal Protective Equipment (PPE) gloves soiled items cleaning decontamination definition enzymes detergents disinfectants biofilm Pre-cleaning at the point-of-use leak testing fluid invasion olestra dehiscence Residue validation thrombosis manual cleaning simethicone adhesions cleaning verification tests ATP testing delayed reprocessing leak tests borescope lumens ventilation cap sterilization high-level disinfection The Spaulding Classification of medical devices and level of disinfection system critical semi-critical sterile cleaning instrument air aeration plasma steam sterilizers bowie-dick cross-contamination risk assessment cystoscopy Rod Lenses statue regulations standards best practice U.S. Food and Drug Administration The Centers for Disease Control and Prevention U.S. Department of Transportation The U.S. Environmental Protection Agency Occupational Safety and Health Administration The Centers for Medicare & Medicaid Services Association for the Advancement of Medical Instrumentation American National Standards Institute Association of periOperative Registered Nurses The Association for Professionals in Infection Control and Epidemiology International Standards Organization Joint Commission National Fire Protection Association Society of Gastroenterology Nurses and Associates World Health Organization (WHO) United States Pharmacopoeia National Formulary turnaround Human factors ECRI Institute Reprocessing delays misinformation BiofilmA collection of microorganisms that attach to surfaces and each other to form a colony. The Colony produces a protective gel that is very difficult to penetrate with detergents or disinfectants Gastroscopeis a flexible endoscope designs to view the interior of the stomach. Duodenoscopea flexible scope used to diagnose and treat abnormalities in the duodenum […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-109941","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/109941","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=109941"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/109941\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=109941"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=109941"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=109941"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
10<\/p>\n\n\n\n
Manufacturer’s Instructions For Use. Written recommendations provided by the manufacturer of a medical device that provide instructions for safe and effective reprocessing methods for that device<\/p>\n\n\n\n
Routine Screening, Diagnostic Treatment, Therapeutic Treatment<\/p>\n\n\n\n
Delayed Processing<\/p>\n\n\n\n
The endoscope is not vented properly<\/p>\n\n\n\n
scope used to identify soil or damage within a lumen that cannot be seen by the manual visual inspection<\/p>\n\n\n\n
can be used to temporarily seal a leaking the endoscope and allow it to be disinfected<\/p>\n\n\n\n
Visual examination of the interior structures of the body is called:<\/p>\n\n\n\n
An example of a rigid endoscope is a\/an:<\/p>\n\n\n\n
The portion of the flexible endoscope that enters the body is called:<\/p>\n\n\n\n
examines air passages in the lungs<\/p>\n\n\n\n
examine the colon<\/p>\n\n\n\n
examine the small intestine,stomach and esophagus<\/p>\n\n\n\n
contains hand controls,: angulation control knobs, elevator\/lifter, air\/water, suction control valves, remote video switches, biopsy port and focus mechanism.<\/p>\n\n\n\n
articulates to aid insertion into curved areas.<\/p>\n\n\n\n
ability of the tip of a flexible endoscope to bend using control knobs to increase the area that can be accessed by a physician.<\/p>\n\n\n\n
are organisms that can only be seen with the aid of a standard or electron microscope.<\/p>\n\n\n\n
is a single celled microorganisms that multiply by splitting.<\/p>\n\n\n\n
are good bacteria that help in some way.<\/p>\n\n\n\n
are capable of causing disease.<\/p>\n\n\n\n
a diverse group of microorganisms and plants that include microscopic fungi and yeasts. This can include mold, mushrooms, mildews and smuts.<\/p>\n\n\n\n
the ability of a microorganism to overcome a persons immune defenses and cause disease.<\/p>\n\n\n\n
uses the bacterium’s outer surfaces to determine which color the bacteria will stain.<\/p>\n\n\n\n
Endospores look like bubbles when gram stained. Because of their tough protein coats made of keratin, spores are highly resistant to normal staining procedures.<\/p>\n\n\n\n
Some bacteria have slimy capsules that give bacteria added protection from a defensive attack of immune cells.<\/p>\n\n\n\n
are tough dormant structure that some bacteria are able to form when cells find themselves in extreme peril conditions and are dying.<\/p>\n\n\n\n
Bacteria that do not need oxygen<\/p>\n\n\n\n
refers to the spore process moving from the dormant, highly-protected spore state to an active bacteria in a favorable environment. It is also referred as moving from the spore form back to a vegetative (non-spore) form as we<\/p>\n\n\n\n
are associated with bacterial virulence (the ability for a microorganism to overcome a person’s immune system and cause disease).<\/p>\n\n\n\n
bacteria that are cocci shaped appearing in pairs.<\/p>\n\n\n\n
bacteria that are cocci appearing in groups of four.<\/p>\n\n\n\n
spiral or ball-shaped bacteria<\/p>\n\n\n\n
rod shaped bacteria<\/p>\n\n\n\n
carries genetic information of the organism.<\/p>\n\n\n\n
is the protective protein structure housing the DNA and RNA.<\/p>\n\n\n\n
are a delicate membrane around the capsid that is studded with proteins.<\/p>\n\n\n\n
are viruses without an envelope around the cuspid referred to as naked viruses.<\/p>\n\n\n\n
temp: 60\u00b0F- 65\u00b0F, humidity: 20-60%, air exchanges: 10, air pressure: Negative<\/p>\n\n\n\n
for the chemical steriliant or high-level disinfectant should be consulted for safety requirements.<\/p>\n\n\n\n
should be located within a 10 second walk of the work area to enable workers to reach them quickly in an event of a chemical splash.<\/p>\n\n\n\n
temp: 60\u00b0F-75\u00b0F, humidity: Above 20%, air exchanges: 4, air pressure: Positive<\/p>\n\n\n\n
temp: 68\u00b0F-73\u00b0F, humidity: 20-60%, air exchanges: 10, air pressure: Positive<\/p>\n\n\n\n
a suspension of ultra-microscopic solid or liquid particles in air or gas; a spray<\/p>\n\n\n\n
is the process of rendering a clinically used device safe and ready for reuse.<\/p>\n\n\n\n
is required by the Occupational Safety and Health Administration (OSHA).<\/p>\n\n\n\n
should be long enough to prevent contact with contaminated water.<\/p>\n\n\n\n
should be transported to the decontamination area as soon as possible after use so the cleaning process can begin.<\/p>\n\n\n\n
is the removal of soil from the item being reprocessed.<\/p>\n\n\n\n
removing or reducing contamination by infectious organisms or other harmful substances.<\/p>\n\n\n\n
work best if allowed several minutes for contact time; therefore, they are especially useful in pre-soak or sonic applications with longer contact time.<\/p>\n\n\n\n
are composed of several agents that aid in soil removal.<\/p>\n\n\n\n
are not typically recommended as the primary cleaning agents for endoscopes.<\/p>\n\n\n\n
contains living and non-living microorganisms that can adhere to the surfaces of endoscopes.<\/p>\n\n\n\n
helps remove organic materials, including blood and body fluids, on the endoscope’s exterior and interior surfaces.<\/p>\n\n\n\n
is the first step in the reprocessing of the endoscope. Must be performed before the endoscope is immersed in reprocessing solutions to minimize damage to the endoscope.<\/p>\n\n\n\n
is a situation where fluid gets inside the internal section of an endoscope.<\/p>\n\n\n\n
synthetic fat used in some foods labeled fat free and leaves a waxy substance stuck to the endoscope<\/p>\n\n\n\n
splitting open of a surgical wound along the surgical incision line<\/p>\n\n\n\n
something unintentionally left on or in an endoscope that is not part of the endoscope itself. can seem minor and harmless, but they can be devastating, resulting in complications that can occur almost immediately or not surface for years.<\/p>\n\n\n\n
the U.S. Food and Drug Administration (FDA) defines validation as establishing by objective evidence that a process consistently produces a result or product that meets its predetermined specifications.<\/p>\n\n\n\n
blood clots<\/p>\n\n\n\n
is the most important step in removing the microbial burden from an endoscope.<\/p>\n\n\n\n
ingredient in anti-gas medications<\/p>\n\n\n\n
holding together of two surfaces or parts that are normally separate<\/p>\n\n\n\n
are performed after cleaning to verify the effectiveness of a cleaning process at removing or reducing to an acceptable level, organic soil and microbial contamination.<\/p>\n\n\n\n
is performed by swabbing sections of the endoscope and inserting the swabbing device into an ATP reader.<\/p>\n\n\n\n
is reprocessing activities that begin more than one hour after an endoscope’s use.<\/p>\n\n\n\n
is an important part of the inspection process because it allows the observer to determine if the tubes and\/or channels are intact. It is a fundamental inspection step that allows the observer to determine whether the tubes and\/or channels are intact.<\/p>\n\n\n\n
is a device used for visual inspection in areas that are inaccessible by other means.<\/p>\n\n\n\n
pose a cleaning challenge because of their narrow structure that prevents visualization during cleaning.<\/p>\n\n\n\n
pose a cleaning challenge because of their narrow structure that prevents visualization during cleaning.<\/p>\n\n\n\n
is the process by which ALL forms of microbial life, including bacteria, viruses, spores and fungi are completely destroyed.<\/p>\n\n\n\n
is the destruction of all vegetative microorganisms, mycobacterium, small non-lipid viruses fungal spores and some bacterial spores.<\/p>\n\n\n\n
is universally used to determine which type of disinfection or sterilization is appropriate for medical devices.<\/p>\n\n\n\n
Enters sterile tissue or vascular system. Examples: Implants & Surgical instruments; Requires: Sterilization<\/p>\n\n\n\n
Touches mucus membranes, except dental. Examples: \u2022 Flexible Endoscopes, Laryngoscopes & Endotracheal Tubes; Requires: High-Level Disinfection (HLD)<\/p>\n\n\n\n
is to completely devoid of all living microorganisms.<\/p>\n\n\n\n
is the first step in the multi-step process of sterilization.<\/p>\n\n\n\n
a medical gas that falls under the general requirements and is filtered to 0.01 micron.<\/p>\n\n\n\n
process by which sterilized packages are subjected to moving air to facilitate removal of toxic residuals after exposure to a sterilizing agent such as ethylene oxide.<\/p>\n\n\n\n
is a state of matter distinguishable from a solid, liquid or gas.<\/p>\n\n\n\n
all use a combination of air removal, steam and time to accomplish sterilization.<\/p>\n\n\n\n
all use a combination of air removal, steam and time to accomplish sterilization.<\/p>\n\n\n\n
To reduce the risk of damage or __<\/em><\/strong>, endoscope should be stored so they do not touch one or another; or touch the bottom or sides of the storage cabinet.<\/p>\n\n\n\n
is the process of identifying all risks to and from an activity, and assessing the potential impact of each risk.<\/p>\n\n\n\n
is the examination, diagnosis, or treatment of the urethra & bladder or prostate gland.<\/p>\n\n\n\n
multiple of these produced from the purest quality glass are positioned between the objective (distal end) and ocular (proximal) lenses though the interior of the endoscope.<\/p>\n\n\n\n
is a written law adopted by a legislative body that governs a city, county, state, or country. Failure to comply will result in legal consequences.<\/p>\n\n\n\n
are rules issued by administrative agencies that have the force of law.<\/p>\n\n\n\n
are uniform methods of defining parameters for processes, products, services and measurements. May be regulatory or voluntary. Voluntary are strongly suggested but not mandated.<\/p>\n\n\n\n
method or technique that has consistently shown results superior to those achieved by other means.<\/p>\n\n\n\n
federal agency responsible for ensuring that foods, cosmetics, human and veterinary drugs, biological products, medical devices, and electronic products that emit radiation are safe and effective for public use.<\/p>\n\n\n\n
is a federal agency organized within the U.S. Department of Health and Human Services.<\/p>\n\n\n\n
is a federal agency dedicated to ensuring a fast, safe, and efficient transportation system.<\/p>\n\n\n\n
purpose is to protect the human health and environment by writing and enforcing regulations based on laws passed by Congress.<\/p>\n\n\n\n
operates under the U.S. Department of Labor. Its primary responsibility is to protect workers from occupationally-caused illnesses and injuries.<\/p>\n\n\n\n
operates under the U.S. Department of Health and Human Services.<\/p>\n\n\n\n
is a non-profit voluntary consensus organization whose membership is comprised of healthcare technology professionals may be manufacturers, scientist, healthcare organizations, independent healthcare personnel, FDA, or members of another organization that sit on committees or workgroups.<\/p>\n\n\n\n
its primary mission is to enhance global competitiveness of U.S. business and the American quality of life by promoting and facilitation voluntary consensus standards and ensuing their integrity.<\/p>\n\n\n\n
is a professional organization consisting of perioperative nurses and others who are dedicated to providing optimal care to the surgical patient.<\/p>\n\n\n\n
voluntary international organization whose members work to prevent HAIs in healthcare facilities. Work in conjunction with the CDC to adopt disease and infection prevention.<\/p>\n\n\n\n
non-government organization with a network of National Standards Institutes representing 163 countries.<\/p>\n\n\n\n
private, independent, nonprofit organization that develops standards for healthcare facilities. TJC personnel evaluate healthcare organizations and programs in the US by conducting on-site surveys every 3 years and is usually unannounced<\/p>\n\n\n\n
international organization that works to reduce the burden of fire and other hazards around the world.<\/p>\n\n\n\n
nonprofit organization of nurses and associates dedicated to the safe and effective practice of gastroenterology and endoscopy nursing.<\/p>\n\n\n\n
is an agency of the United Nations that was established in 1948 to further international cooperation in improving health conditions.<\/p>\n\n\n\n
creates and revises the standards for the purity of medicines, drug substances and dietary supplements.<\/p>\n\n\n\n
is a situation where a medical device, such as an endoscope or surgical instrument, is used on one patient and is needed immediately for another procedure.<\/p>\n\n\n\n
examine relationship between human beings and the system with which they interact.<\/p>\n\n\n\n
a nonprofit patient safety organization, identified “inadequate cleaning of flexible endoscopes before disinfection” as the number one health technology hazard<\/p>\n\n\n\n
can make the endoscope more difficult to clean.<\/p>\n\n\n\n
can lead to failed processes and damaged endoscopes. Always refer to the manufacturers IFU and stick to it.<\/p>\n","protected":false},"excerpt":{"rendered":"