A Practical Guide to Decontamination in Healthcare

Spis treści:
Chapter 1 Introduction to Decontamination Sciences and Service
– Brief history
– Role of department
– Design, function and workflows
Chapter 2 Personnel
– Skills and knowledge requirements
– Departmental organisation
– Ethics and legal responsibilities
– Resource management
– Communication skills and abilities
– Staff safety and dress codes
– Standard departmental procedures
– Teamwork
– Career growth and personal development
Chapter 3 Anatomy and Physiology
– Cells, tissues and organs
– Body systems
– Circulatory system
– Digestive system
– Endocrine system
– Muscular system
– Nervous system including sensory organs
– Reproductive system
– Respiratory system
– Skeletal system
– Urinary tract system
Chapter 4 Microbiology and Infection Control
– General introduction
– Definitions
– Types and behaviour of micro–organisms
– Methods of transmission
– Control and destruction of micro–organisms
– Control of infection team
– Responsibilities for control of infection
– Reporting mechanisms
– Control of infection methods in healthcare establishments
– General arrangements
– Universal precautions
– Blood–borne pathogen policy
– Hand hygiene protocols
– Use of personal protective equipment
– Principles of asepsis
– Routine maintenance of work environment
– Housekeeping requirements
– Maintenance of heating, lighting, water and air handling systems
– Waste disposal
– Pest control
Chapter 5 Regulations, Standards and Guidelines
– ISO STANDARDS
– LOCAL REQUIREMENTS
– Safety and Guidance Notices
– Policy on single use only medical devices
Chapter 6 Containment, Transportation and Handling of Used Medical Devices
– Point of use preparation
– Safe containment of devices for return to decontamination facility
– Transportation systems
– Receipt of sued medical devices into decontamination facility
Chapter 7 Requirements for Cleaning and Disinfection of Used Medical Devices
– Water supply
– Quality assessment
– Influences on water quality
– Test methods
– Water purification systems
– Distillation, deionisation and reverse osmosis systems
– Cleaning chemicals
– Detergents
– Rinse aids and other additives
– Safety precautions
– Waste disposal systems for effluent
– Equipment
– Automated washer disinfectors
– Automated cart/container washers
– Ultrasonic cleaners
– Manual cleaning appliances
– Medical gas air hoses
– Loading carts and configurations
– Cart accessories
– Instrument baskets and containers
– Accessories for baskets & containers
– Standard work room facilities
Chapter 8 Protocols for Wash Area Activities
– Receipt of used medical devices & initial sorting
– Dis–assembly of complex devices
– Loading baskets and carts to automated washer disinfector
– Routine testing and use of automated washer disinfectors
– Routine testing and use of ultrasonic cleaning equipment
– Manual cleaning practices
– Use of accessories for pre–cleaning and manual cleaning practices
– Cleaning of power tools and devices with electrical contacts
– Periodic testing and annual certification of key processing equipmentfor cleaning and disinfection of medical devices
Chapter 9 Surgical Instrumentation
– Materials used in manufacture of medical devices
– Manufacturing procedures
– Classification of surgical instruments
– Artery forceps (haemostats)
– Curettes
– Dressing forceps
– Needleholders
– Rongeurs and cutting forceps
– Scissors
– Speculae
– Suction devices
– Tissue forceps
– Tossie forceps
– Minimal invasive surgical equipment
– Instrument identification procedures
– Function testing practices
Chapter 10 Endoscopes and Endoscopic Accessories
TBC
Chapter 11 Inspection and Packing Area (IPA)
– Validation of cleaning and product release systems
– Inspection and test procedures
– Prioritisation and allocation of work
– Pack specifications
– Use of process indicators
– Objectives of packaging process
– Selection of packaging materials
– Methods of packing
– Secure sealing of packs
– Labelling systems
Chapter 12 Terminal Processing of Packs
– Methods of sterilization
– Moist heat (steam)
– Porous load sterilizers
– Bench top sterilizers
– Low temperature steam and formaldehyde
– Ethylene oxide
– Irradiation
– Dry heat
– Gas plasma
– Chemical sterilization (high level disinfection)
– Other methods being considered
– Loading sterilizer carts
– Product release systems
Chapter 13 Materials Management
– Raw material acquisition, storage and transfer arrangements
– Chemical storage
– Storage requirements for processed packs
– Issue and distribution systems
– Pack and product traceability systems
– Inventory control
Chapter 14 Quality Management System
– Standards to be observed
– Design of QMS
– Audit trail
– Internal
– External
– Quality ass urance and customer satisfaction
Chapter 15 Supervision Principles
– Framework for the supervision process
– Overview
– Communication principles
– Leadership and motivation
– Human relations
– Role in recruitment and selection of staff
– Role in orientation
– Role in training
– Role in performance evaluation
– Critical responsibilities
– Role in Total Quality Management System
– Work analysis/job design
– Assertiveness, employee discipline, staff interaction
– Team building
– Time management
– Conflict management
– Management of change
– Financial management
– Budget planning
– Budget management and cost containment
– Career management
– Responsibilities and accountabilities