CAii/CMII case studies
CAii/CMII · Put your knowledge to work in context.
The CAii (Certified Associate in Infection Control and Instrumentation) and CMII (Certified Medical Instrumentation and Infection Control) credentials are aimed at people who handle reusable medical devices and the infection-control side of that work: sterile processing technicians, endoscopy reprocessing staff, biomedical equipment technicians, and the supervisors who sign off on their work. The exams test whether you can reason across the full loop from contaminated device to patient-ready device, and whether you understand the safety and documentation obligations that sit around it. The CAii/CMII case studies are 5 cases and about 3,874 words.
1Duodenoscope Culture Positive During an ERCP Cluster
At a 240-bed community hospital, the endoscopy suite performs about 12 ERCPs per week. Over six weeks, four patients who underwent ERCP with the same duodenoscope develop carbapenem-resistant Enterobacteriaceae (CRE) bacteremia; two have positive blood cultures and one has a liver abscess.
789 words, about 4 min2Positive Biological Indicator in a Load With Implants
At 06:40, a sterile processing technician releases a 20-tray steam load from a pre-vacuum sterilizer. The cycle parameters are 132°C (270°F), 4-minute exposure, and 20-minute dry.
862 words, about 4 min3Damaged Laparoscopic Instruments and an Unverified Loaner Set
A sterile processing technician is assembling a laparoscopic cholecystectomy set at 14:35 for a 15:00 case. During inspection, the technician finds a 5-mm trocar with a hairline crack at the proximal seal, a Maryland dissector with a 1-mm break in the insulation 4 mm from the tip, and a reusable biopsy forceps with a stiff hinge that does not close completely.
770 words, about 4 min4Surveyor Tracer Finds Immediate-Use Steam Sterilization and Documentation Gaps
A Joint Commission surveyor is conducting a sterile processing tracer at a 180-bed hospital. The surveyor asks for 3 months of sterilizer records for two pre-vacuum steam sterilizers.
735 words, about 4 min5Glutaraldehyde Spill With Eye and Skin Exposure
At 10:15 in the decontamination room, a 1-gallon jug of 2.5% glutaraldehyde tips from a shelf and breaks on the floor. A sterile processing technician is splashed in both eyes and on the forearms; she is wearing a fluid-resistant gown, gloves, and safety glasses but no face shield.
718 words, about 4 min