<p><strong>IAHCSMM CCSVP </strong></p><p><strong>Vendor Education Program </strong></p><p><strong>Module Three </strong></p><p><strong>Assembly and Packaging </strong></p><p><strong>Introduction: </strong></p><p>• <strong>Once items have been decontaminated and made </strong></p><p><strong>safe to handle, they are assembled and packaged. While this may sound simple, it is a multi-step </strong></p><p><strong>process that requires several technical skills. </strong></p><p>• <strong>This module is designed to provide you with an overview of the inspection, assembly and packaging processes. </strong></p><p><strong>Objectives: </strong></p><p>• <strong>Upon completion of this module, you will be able </strong></p><p><strong>to: </strong></p><p>– <strong>List the steps in instrument inspection and assembly </strong></p><p>– <strong>Explain the impact that positioning and placement of </strong></p><p><strong>instruments has on sterilization processes </strong></p><p>– <strong>Identify common packaging methods </strong></p><p>– <strong>List factors that can impact assembly and packaging outcomes </strong></p><p><strong>Instructions </strong></p><p>• <strong>Read Chapters 10, 11 and 12, in the </strong><br><strong>IAHCSMM Central Service Technical Manual, Eighth Edition, 2016. </strong></p><p>• <strong>Review this&nbsp;module. </strong>• <strong>Complete the online quiz for Module </strong></p><p><strong>Three . </strong></p><p><strong>Central Service Technicians… </strong></p><p><strong>…are responsible </strong></p><p><strong>for the quality of instruments. </strong></p><p><strong>Instrument Manufacturing </strong></p><p>• <strong>Forging </strong></p><p>• <strong>Grinding and Milling </strong>• <strong>Assembly </strong>• <strong>Heat Tempering </strong>• <strong>Polishing </strong></p><p>• <strong>Note: Instruments&nbsp;are </strong></p><p><strong>inspected throughout their manufacturing </strong></p><p><strong>process. </strong><br>• <strong>Passivation </strong></p><p>• <strong>Final Inspection </strong>• <strong>Etching </strong></p><p><strong>Passivation </strong></p><p>A chemical process applied during instrument manufacture that provides a corrosion-resistant finish by forming a thin transparent oxide film. </p><p><strong>Reminder: </strong></p><p>• <strong>Be sure to watch the </strong></p><p><strong>Instrument </strong></p><p><strong>Manufacturing Process </strong></p><p><strong>Video from “How It’s Made” that </strong></p><p><strong>accompanies this unit. </strong></p><p><strong>Post-operative Care of </strong></p><p><strong>Surgical Instruments </strong></p><p>• <strong>Keep instruments moist. Do&nbsp;not allow </strong></p><p><strong>blood to dry on </strong></p><p><strong>instruments. </strong><br>• <strong>Transport to Central </strong><br><strong>Service for cleaning as </strong></p><p><strong>soon as possible. </strong></p><p><strong>Solutions that Damage Surgical </strong></p><p><strong>Instruments </strong></p><p></p><ul style="display: flex;"><li style="flex:1">• Saline </li><li style="flex:1">• Laundry Detergents </li></ul><p></p><p>• Betadine • Peroxide <br>• Long-term Soaking in Rust <br>Remover </p><p>• Long-term Soaking in Stain </p><p>• Dish Soaps </p><p>• Soaking in Water • Soaking in Saline </p><p>• Bleach </p><p>Remover </p><p>• Surgeon’s Hand Scrubs </p><p>• Household Lubricants • Household Powder Cleaners <br>• Iodine </p><p>• Hand Soaps </p><p></p><ul style="display: flex;"><li style="flex:1"><strong>Inspection and Assembly Tips </strong></li><li style="flex:1"><strong>Instrument Assembly </strong></li></ul><p></p><p>• <strong>Inspect for cleanliness </strong>• <strong>Test for function </strong></p><p>• <strong>Verify that all components </strong></p><p><strong>are available on multi-part instruments </strong></p><p>• <strong>Check the device’s manufacturer’s IFU for </strong></p><p><strong>specific instructions </strong></p><p><strong>Tray Assembly Tips </strong></p><p>• <strong>Select an instrument tray that allows adequate space for weight distribution. </strong></p><p>• <strong>Place heavy instruments on the bottom or side of the tray. </strong>• <strong>Place all curved instruments in the same direction. </strong>• <strong>Nest tissue and dressing forceps. </strong>• <strong>Protect delicate instruments. </strong>• <strong>Use instrument stringers (holders) to keep instruments open and in place. </strong>• <strong>Avoid metal to metal contact between laser finish instruments. </strong></p><p><strong>Assemble instruments in a manner that will </strong></p><p><strong>facilitate the sterilization method chosen </strong></p><p><strong>Complex Surgical </strong></p><p><strong>Instruments </strong></p><p><strong>Powered Surgical Instruments (PSI’s) </strong></p><p><strong>What We See and Don’t See </strong></p><p><strong>Powered Surgical Instruments </strong></p><p><strong>Look Simple – Are Complex </strong></p><p><strong>Look Durable – Are Delicate Look Plain – Are Expensive </strong><br><strong>Look Easy to Clean – Are Difficult to Clean </strong></p><p><strong>Electrically Powered Instruments </strong></p><p>• <strong>Cable attached to a motorized hand piece. </strong></p><p><strong>Electrically Powered Instruments </strong></p><p>• <strong>Require a cable that can be sterilized.&nbsp;One </strong></p><p><strong>end attached to the instrument handpiece </strong></p><p><strong>and the other to a motor or adapter that is connected to an electrical outlet. </strong></p><p><strong>Pneumatic Powered Instruments </strong></p><p>• <strong>Powered by Compressed </strong><br><strong>Gas. </strong></p><p><strong>Pneumatic Powered Instruments </strong></p><p>• <strong>Powered by compressed gas. </strong><br><strong>They require a hose that can be sterilized.&nbsp;One end </strong></p><p><strong>attaches to the instrument </strong></p><p><strong>handpiece and the other to a stand alone cylinder tank or a wall or column-mounted regulator panel. </strong></p><p><strong>Battery Powered Instruments </strong></p><p>• <strong>Least cumbersome because there is no cord or </strong></p><p><strong>cable. Requires&nbsp;batteries and a battery charger. </strong></p><p><strong>Example of a Battery Powered </strong></p><p><strong>PSI and Two Styles of Batteries </strong></p><p><strong>PSI Processing Concerns </strong></p><p>• <strong>PSIs are complex </strong></p><p><strong>instruments that are difficult to clean and </strong></p><p><strong>easy to damage. </strong></p><p>• <strong>Central Service </strong><br><strong>Technicians should </strong></p><p><strong>follow manufacturer’s </strong></p><p><strong>processing instructions </strong></p><p><strong>carefully. </strong></p><p><strong>PSI Cleaning </strong></p><p>• <strong>PSI’s must be processed </strong></p><p><strong>manually</strong>. <br>• <strong>Care MUST be taken to </strong></p><p><strong>prevent Fluid Invasion. </strong></p><p><strong>Fluid Invasion </strong></p><p>• <strong>Occurs when water or cleaning solution is allowed to </strong></p><p><strong>enter PSIs. </strong></p><p>• <strong>Fluid invasion can severely damage a PSI. </strong></p><p><strong>Decontamination batteries and cords can protect PSIs from fluid invasion </strong></p><p><strong>PSI Processing Concerns </strong></p><p>• <strong>Do not immerse PSIs </strong>• <strong>Inspect cords and air hoses for signs of wear or </strong></p><p><strong>damage </strong></p>