c0fm.i-xxvi,1.qxd 10/19/05 2:32 PM Page v American Society for Healthcare Central Service Professionals of the American Hospital Association Training Manual for Health Care Central Service Technicians Fifth Edition Health Forum, Inc. An American Hospital Association Company CHICAGO c0fm.i-xxvi,1.qxd 10/19/05 2:32 PM Page iv c0fm.i-xxvi,1.qxd 10/19/05 2:32 PM Page i THE JOSSEY-BASS/AHA PRESS SERIES translates the latest ideas on health care management into practical and action- able terms. Together,Jossey-Bass and the American Hos- pital Association offer these essential resources for the health care leaders of today. c10.198-206.qxd 10/10/05 3:35 PM Page 205 c0fm.i-xxvi,1.qxd 10/19/05 2:32 PM Page iii Training Manual for Health Care Central Service Technicians c0fm.i-xxvi,1.qxd 10/19/05 2:32 PM Page iv c0fm.i-xxvi,1.qxd 10/19/05 2:32 PM Page v American Society for Healthcare Central Service Professionals of the American Hospital Association Training Manual for Health Care Central Service Technicians Fifth Edition Health Forum, Inc. An American Hospital Association Company CHICAGO c0fm.i-xxvi,1.qxd 10/19/05 2:32 PM Page vi Copyright © 2006 by John Wiley & Sons, Inc. All rights reserved. Published by Jossey-Bass AWiley Imprint 989 Market Street, San Francisco, CA 94103-1741 www.josseybass.com No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Dan- vers, MA 01923, 978-750-8400, fax 978-646-8600, or on the Web at www.copyright.com. Requests to the publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, 201-748-6011, fax 201-748- 6008, or online at http://www.wiley.com/go/permissions. 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Jossey-Bass also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Library of Congress Cataloging-in-Publication Data Training manual for health carecentral service technicians / American Society for Healthcare Central Service Professionals (ASHCSP). — 5th ed. p. ; cm. — (Jossey-Bass/AHA Press series) Includes bibliographical references. ISBN-13: 978-0-7879-8244-7 (alk. paper) ISBN-10: 0-7879-8244-X (alk. paper) 1. Hospitals—Central service department. 2. Hospitals—Staff. I. American Society for Healthcare Central Service Professionals. II. Series. [DNLM: 1. Central Supply,Hospital—manpower. 2. Personnel, Hospital—education. WX 165 T768 2006] RA975.5.C4T735 2006 362.11068'3—dc22 2005029308 Printed in the United States of America FIFTHEDITION PB Printing 10 9 8 7 6 5 4 3 2 1 c0fm.i-xxvi,1.qxd 10/10/05 3:25 PM Page vii Contents Foreword to the Fifth Edition xi Foreword to the Fourth Edition xiii Foreword to the Third Edition xvii Foreword to the Second Edition xix Foreword to the First Edition xxiii 1 Introduction to Central Service 2 Educational Objectives 2 Organizational Structure 3 Objectives and Functions 4 Major Areas in Central Service 5 Ethics 9 Safety 10 Personal Cleanliness 14 Continuous Quality Improvement 14 Rules and Regulations 15 Communication 19 Summary 21 2 Human Anatomy and Physiology 22 Educational Objectives 22 Cell Biology 23 The Skeletal System 25 The Muscular System 27 vii c0fm.i-xxvi,1.qxd 10/10/05 3:25 PM Page viii viii Contents The Nervous System 28 The Circulatory System 30 The Respiratory System 34 The Digestive System 35 The Urinary System 39 The Reproductive System 41 The Endocrine System 42 The Sensory System 44 Summary 47 3 Microbiology and Infection Control 48 Educational Objectives 48 Basic Microbiology 49 Disease Transmission 55 Disease Prevention 58 Nosocomial Infections and Cross-Contamination 59 Disinfection Principles 62 Sterilization Principles 63 Isolation 65 Summary 65 4 Decontamination 66 Educational Objectives 66 Collection and Transport of Used Supplies and Equipment 67 Decontamination Area 69 Standard Precautions 70 Detergents and Cleaning Agents 76 Disinfectants 77 Cleaning and Processing Equipment 82 Cleaning, Disinfection, and Preparation Procedures 91 Summary 101