Training Manual for Health Care Central Service Technicians

American Society for Healthcare Central Services Professionals (ASHCSP), a personal membership group of the American Hospital Association, Chicago, IL, was founded in 1968 and currently serving nearly 1,000 members nationwide. ASHCSP is the principal connection for central services and sterile processing, providing quality services, publications and information designed to help professionals excel in the field and reach their maximum potential. Its members include managers and technicians who are either directly involved in or responsible for sterile processing and supply distribution.

• Foreword to the Fifth Edition xiForeword to the Fourth Edition xiiiForeword to the Third Edition xviiForeword to the Second Edition xixForeword to the First Edition xxiii1 Introduction to Central Service 2Educational Objectives 2Organizational Structure 3Objectives and Functions 4Major Areas in Central Service 5Ethics 9Safety 10Personal Cleanliness 14Continuous Quality Improvement 14Rules and Regulations 15Communication 19Summary 212 Human Anatomy and Physiology 22Educational Objectives 22Cell Biology 23The Skeletal System 25The Muscular System 27The Nervous System 28The Circulatory System 30The Respiratory System 34The Digestive System 35The Urinary System 39The Reproductive System 41The Endocrine System 42The Sensory System 44Summary 473 Microbiology and Infection Control 48Educational Objectives 48Basic Microbiology 49Disease Transmission 55Disease Prevention 58Nosocomial Infections and Cross-Contamination 59Disinfection Principles 62Sterilization Principles 63Isolation 65Summary 654 Decontamination 66Educational Objectives 66Collection and Transport of Used Supplies and Equipment 67Decontamination Area 69Standard Precautions 70Detergents and Cleaning Agents 76Disinfectants 77Cleaning and Processing Equipment 82Cleaning, Disinfection, and Preparation Procedures 91Summary 1015 Instrumentation 102Educational Objectives 102Handheld Surgical Instruments 104Powered Instruments 111Endoscopic Instruments 112Summary 1156 Preparation and Packaging for Sterilization 116Educational Objectives 116Preparation of Instruments 117Pack Construction 121Basin Set Preparation 123Miscellaneous Preparation 125Principles of Packaging 125Types of Packaging Materials 128Wrapping Techniques 129Pouches 134Containerized Packaging 135Labeling Packages 140Shelf Life 140Summary 1417 Sterilization 142Educational Objectives 142Factors Affecting Sterilization 143Monitoring the Sterilization Process 144Steam Sterilization 152EtO Sterilization 163Dry-Heat Sterilization 169Liquid Chemical Sterilization 171Gas Plasma Sterilization 174Ozone Sterilization 175Summary 1778 Sterile Storage 178Educational Objectives 178Maintaining Product Sterility 179Stock Arrangement, Rotation, and Shelf Life 185Summary 1879 Distribution 188Educational Objectives 188Types of Distribution Systems 189Delivery Methods and Equipment 194Distribution Work Practices 195Summary 19710 Inventory Control 198Educational Objectives 198Measuring Inventory Performance 199Managing Inventory 200Summary 205Appendix A: Central Service Terminology 207Appendix B: Medical Terminology for Central Service Department Employees 249Appendix C: Symbols Used by Device Manufacturers 263Bibliography 267