3M™ Attest™ Rapid 5 Steam-Plus Test Pack 41382 Competency Assessment for use of the 3M™ Attest™ Rapid 5 Steam-Plus Test Pack 41382 in conjunction with the 3M™ Attest™ Auto-reader 290 or 390 Employee Name: ________________________________ Date: ______________________ Facility: ________________________________________ Dept: ______________________ Assessor’s Name: ________________________________ Employee Competent? Yes No Observation Checklist Task Demonstrates Competency The 41382 test pack is placed flat, with label side up, on the bottom shelf, over the drain, in full sterilizer Test pack is run in an appropriate cycle [250°F (121°C) gravity ≥30 minutes or 270°F (132°C) pre-vacuum ≥4 minutes steam sterilization cycle] 41382 test pack is retrieved from sterilizer and external process indicator is checked to verify it has turned brown or darker 41382 test pack is opened, coil is slipped off 1292 BI and BI is allowed to cool outside test pack for 10 minutes Comply™ SteriGage™ Steam Chemical Integrator is checked to verify the dark color has reached the ACCEPT window. Integrator result is documented according to facility policy Safety glasses are donned The process indicator on the 1292 BI label is checked to confirm it has changed from rose to brown 1292 BI is identified (i.e., load #, sterilizer #, and date are written on BI label) 1292 BI is activated following these steps: BI cap is closed, BI is placed in Auto-reader crusher well and media ampoule is crushed, BI is tapped on hard surface to distribute growth media BI is placed in incubation well that is color-coded brown in Attest™ Auto-reader Model 290 or Model 390 User verifies Auto-reader has recognized placement of BI in incubation well (as indicated by yellow light on Model 290 or 180 minute countdown time on Model 390) Test BI result, as indicated on Auto-reader, is correctly interpreted Test BI lot # and result are documented according to facility policy Control BI lot # and result are documented or user verifies a control BI (having the same lot # as the test BI) result has already been documented for the day (Please turn over for Written Assessment component of competency) Written Assessment 1. Biological indicators (BIs) are used to assess the lethality of a sterilization cycle. True False 2. For steam sterilizers, our facility’s policy is to run a BI process challenge device (BI PCD), such as the Attest™ 41382 Rapid 5 Test Pack,: a) In every load b) Daily and in every implant load c) Weekly and in every implant load d) Other 3. According to AAMI ST79, BIs used to monitor steam sterilizers should contain spores of which microorganism? a) Bacillus atrophaeus b) Geobacillus stearothermophilus c) Clostridium difficile 4. A control 1292 BI, having the same lot # as the test packs, should be placed in each Auto- reader at what frequency? a. Daily and whenever a box having a new lot number is opened b. Weekly c. Once/box of biological indicators or test packs 5. According to AAMI ST79, implant loads should be monitored with a BI PCD that also contains a Class 5 integrating indicator. In the event of a documented medical emergency, the results of the Class 5 integrating indicator may be used as a basis for early load release of an implant. a. True b. False 6. After a successful sterilization cycle, the Attest™ 1292 BI requires ____ of incubation before a negative result (indicated by a green light under the incubating BI in an Auto-reader 290 or a ‘-‘ symbol under the incubating BI on the Auto-reader 390 LCD display) is displayed: a. 30 minutes b. 1 hour c. 3 hours d. 48 hours 7. A positive result (red light on the Auto-reader 290 or ‘+‘ symbol on the Auto-reader 390 LCD display) for a 1292 BI from a processed 41382 test pack indicates: a. a failed sterilization cycle b. a successful sterilization cycle 8. When a positive result occurs for a processed BI, and the cause of the failure cannot be immediately identified, (circle correct answer) a. No action is necessary b. That load should be quarantined. c. The sterilizer should be removed from service, all items processed in the sterilizer since the last cycle having a negative BI result should be recalled, and the supervisor should be notified. 3M, Attest, Comply and SteriGage are trademarks of 3M Company. © 2014, 3M. All rights reserved.
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