Lesson 1Managing missing, worn, or damaged items: quarantine, repair workflow, an' replacement documentationDescribes how to manage missing, worn, or damaged items usin' quarantine, repair workflows, an' replacement documentation, ensurin' traceability, patient safety, an' communication wid di operating room an' vendors, yuh hear.
Identify wear, corrosion, an' structural defectsTag an' quarantine unsafe or failed instrumentsComplete repair an' replacement request formsTrack items sent to outside repair vendorsCommunicate shortages to OR an' update recordsLesson 2Manual cleaning best practices for delicate laparoscopic instruments an' lumened devicesPresents manual cleaning best practices for delicate laparoscopic an' lumened devices, includin' soakin', brushin', flushin', an' detergent use, while preventin' damage an' ensurin' internal surfaces thoroughly cleaned, mon.
Follow pre-soak an' enzymatic detergent stepsBrush hinges, jaws, an' serrations methodicallyFlush lumens wid syringes or irrigation gunsPrevent damage to insulation an' sealsRinse an' dry to avoid residue an' corrosionLesson 3Completeness checks: count sheets, tray checklists, an' sterile set manifestsFocuses pon verifyin' tray completeness usin' count sheets, checklists, an' manifests. Emphasizes standard nomenclature, documentation accuracy, an' resolvin' discrepancies before release to sterilization or di operating room.
Read an' interpret tray count sheetsUse standardized tray checklists effectivelyCompare tray contents to sterile set manifestsDocument an' escalate missing item variancesUpdate records after substitutions or changesLesson 4Washer-disinfector verification: interpreting cycle records, visual checks, an' reprocessing decision treeExplains how to verify washer-disinfector performance by reviewin' cycle records, performin' visual checks, an' applyin' a decision tree to determine when to reprocess, troubleshoot, or escalate equipment concerns, seen.
Interpret printouts an' electronic cycle recordsVerify correct cycle selection for load typeInspect instruments post-wash for residual soilApply decision tree for rewash or releaseEscalate equipment alarms or failed cyclesLesson 5Packing an' protecting delicate instruments for sterilization: instrument protectors, peel pouches, trays an' rigid containersCovers methods to protect delicate instruments during sterilization, includin' selection of tip protectors, peel pouches, an' rigid containers, plus loadin' techniques dat prevent damage, retain sterility, an' support effective dryin'.
Select correct size an' type of tip protectorsUse peel pouches without overloading or foldingPrepare instrument trays wid silicone holdersConfigure rigid containers an' filters correctlyPosition delicate items to avoid metal contactLesson 6Assembly procedures for laparoscopic cholecystectomy set: trocars, insufflation, optics, an' insufflator accessoriesOutlines assembly of a laparoscopic cholecystectomy set, includin' trocars, insufflation lines, optics, an' accessories. Emphasizes correct configuration, leak prevention, an' protection of delicate laparoscopic components, irie.
Select an' size trocars an' cannulas correctlyArrange graspers, scissors, an' dissectorsPrepare laparoscope an' camera couplerOrganize insufflation tubing an' stopcocksProtect insulated shafts an' delicate tipsLesson 7Assembly procedures for an orthopedic total knee tray: components, implants, an' instrument setsExplains stepwise assembly of an orthopedic total knee tray, includin' component identification, implant protection, sequencin' of instruments, an' verification steps dat support accurate surgery an' efficient operating room workflow.
Identify femoral, tibial, an' patellar componentsMatch implants to sizing an' side indicatorsArrange cutting blocks an' alignment guidesOrganize reamers, rasps, an' trial componentsSecure implants wid appropriate protectionLesson 8Inspection techniques: instruments, optics, lumens, luminal patency tests, an' functional checksDetails inspection methods for instruments, optics, an' lumens, includin' magnified visual checks, patency testin', an' functional assessments dat detect damage, soil, or malfunction before assembly an' sterilization, yuh si.
Inspect hinges, jaws, an' box locks under lightCheck cutting edges for nicks an' alignmentEvaluate optics for clarity an' fiber integrityTest luminal patency wid brushes or styletsPerform functional checks on moving mechanismsLesson 9Use of magnification, borescopes, an' cleaning verification tools (ATP, protein tests)Covers use of magnification, borescopes, an' cleaning verification tools such as ATP an' protein tests to confirm cleanliness of complex devices, document results, an' adjust processes when failures detected, respect.
Use magnifiers to inspect fine surfacesPerform borescope exams of internal channelsApply ATP tests to high-risk device surfacesUse protein tests on difficult-to-clean areasDocument an' respond to failed test results
