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CNOR 2024 Zander Notes Questions and Correct Answers | Latest Update $14.49   Add to cart

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CNOR 2024 Zander Notes Questions and Correct Answers | Latest Update

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Name the 3 Spaulding Classification Systems -:- Critical Semi-Critical Non-Critical Meaning of Critical Spaulding Classification System -:- Items MUST be sterile. Items will enter -sterile tissue- or -vascular systemExamples of items in Critical Spaulding Classification System -:- -In...

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  • September 17, 2024
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  • 2024/2025
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CNOR 2024 Zander Notes Questions and
Correct Answers | Latest Update
Name the 3 Spaulding Classification Systems


✓ -:- Critical

✓ Semi-Critical

✓ Non-Critical




Meaning of Critical Spaulding Classification System


✓ -:- Items MUST be sterile.

✓ Items will enter -sterile tissue- or -vascular system-




Examples of items in Critical Spaulding Classification System


✓ -:- -Instruments-

-Laparoscopes- -Arthroscopes-


-*Cutting endoscope accessories for biopsy*-


-Cardiac Caths-


-IV caths- - Needles-


-*Urinary Caths-



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Meaning of Semi-Critical Spaulding Classification System


✓ -:- Items SHOULD be sterile.

Items will contact -broken skin- or -MM-




If the manufacturers instructions say it WON'T tolerate sterilization, they CAN be HLD

(but only IF MF SAYS).


-Spores survive HLD-




Examples of items in Semi-Critical Spaulding Classification System


✓ -:- -Bronchoscopes

-GI Scopes/GI endoscopes


-RT equipment (laryngoscope blades)


-Anesthesia equipment




Meaning of Non Critical Spaulding Classification System


✓ -:- -Will be in contact with INTACT SKIN

-Intermediate or Low Level Disinfection or Cleaning.

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-Disinfect with an FDA approved disinfectant that's effective against HEP B.




Examples of items in Non Critical Spaulding Classification System


✓ -:- -Furniture

-Laundry/Linens


-OR bed


-BP Cuff/Leads/Monitors/Stethoscopes


-Tourniquets




Requirement for decontamination area:


✓ -:- -Must have a physical WALL or SEPARATION between decontam

and processing areas.

-This includes Immediate Use Areas.


-Why: Because decontam requires NEGATIVE PRESSURE




Sterile Processing Workflow


✓ -:- Decontamination (always 1st) --> Prep&Pack -->Sterilization

-->Distribute/Store

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Most important step to prevent infection:


✓ -:- Cleaning and Pre-treating with a non-drying enzymatic solution in

order to avoid biofilm, which encapsulates spores.




Decontamination processes


✓ -:- -Disassemble everything

-Brush lumens/channels using a brush based on mfr instruction for correct diameter and

length of lumen


-Brush lumens/channels/crevices/joints UNDER WATER


-Automated (washers/ultrasonic) more effective than manual cleaning.




Two Types of Steam Sterilization


✓ -:- -Pre-Vac Autoclave/Dynamic Air Removal

-Gravity Displacement




PreVac settings


✓ -:- 270-276


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