CAii/CMII key terms
CAii/CMII · Get comfortable with the vocabulary.
- Chain of infection
- Related: Mode of transmission, Susceptible host
A model describing how an infectious agent leaves a reservoir, travels by a mode of transmission, and enters a susceptible host; breaking any link prevents spread.
- Mode of transmission
- Related: Chain of infection, Transmission-based precautions
The route by which a pathogen moves from source to host, such as contact, droplet, airborne, or vector-borne; determines the precautions required.
- Susceptible host
- Related: Chain of infection
A person with insufficient immunity or defense against a pathogen, making infection more likely after exposure.
- Standard precautions
- Related: Transmission-based precautions, Hand hygiene
Baseline infection control practices applied to all patients regardless of diagnosis, including hand hygiene, gloves, gowns, masks, and safe sharps handling.
- Transmission-based precautions
- Related: Standard precautions, Mode of transmission
Additional precautions beyond standard precautions used for patients with known or suspected pathogens spread by contact, droplet, or airborne routes.
- Hand hygiene
- Related: Standard precautions
Cleaning hands with soap and water or alcohol-based rub at defined moments to remove transient organisms and reduce cross-contamination.
- Personal protective equipment (PPE)
- Related: Standard precautions, Respirator fit testing
Barrier garments such as gloves, gowns, masks, respirators, and eye protection worn to prevent exposure to blood, body fluids, and infectious agents.
- Respirator fit testing
- Related: Personal protective equipment (PPE)
A process verifying that a tight-fitting respirator seals to the wearer's face; required before use and repeated periodically.
- Bloodborne pathogen exposure
- Related: Sharps injury, Personal protective equipment (PPE)
Contact of mucous membranes, non-intact skin, or a sharps injury with blood or other potentially infectious material; requires immediate first aid and reporting.
- Sharps injury
- Related: Bloodborne pathogen exposure
A percutaneous wound caused by a needle or other sharp device, creating risk of transmitting bloodborne viruses; must be reported and evaluated promptly.
- Spaulding classification
- Related: Critical device, Semi-critical device, Non-critical device
A system categorizing medical devices as critical, semi-critical, or non-critical based on the risk of infection if contaminated, which determines the required reprocessing level.
- Critical device
- Related: Spaulding classification, Sterilization
An item that enters sterile tissue or the vascular system, such as a surgical instrument or implant, and must be sterilized before use.
- Semi-critical device
- Related: Spaulding classification, High-level disinfection
An item that contacts mucous membranes or non-intact skin but not sterile tissue, requiring at least high-level disinfection.
- Non-critical device
- Related: Spaulding classification
An item that contacts only intact skin, such as a blood pressure cuff, and requires low-level disinfection or cleaning.
- Sterilization
- Related: Critical device, Biological indicator
A validated process that destroys all forms of microbial life, including bacterial spores, on an item.
- High-level disinfection
- Related: Semi-critical device
A process that kills all microorganisms except high numbers of bacterial spores, used for semi-critical devices such as endoscopes.
- Cleaning
- Related: Sterilization, High-level disinfection
Physical removal of soil, organic matter, and microorganisms from a device, usually with water, detergent, and mechanical action; a prerequisite for effective disinfection or sterilization.
- Decontamination
- Related: Cleaning
The process of reducing or removing contamination from reusable items so they are safe to handle during further reprocessing.
- Biological indicator (BI)
- Related: Sterilization, Chemical indicator
A preparation of known resistant spores used to monitor whether a sterilization cycle achieved the conditions needed to kill microorganisms.
- Chemical indicator
- Related: Biological indicator (BI), Sterilization
A test strip or label that changes color or form in response to one or more sterilization parameters, such as temperature, steam, or chemical exposure.
- Bowie-Dick test
- Related: Steam sterilization
A daily test for dynamic air removal steam sterilizers that detects air leaks or inadequate steam penetration in the chamber.
- Steam sterilization
- Related: Bowie-Dick test, Biological indicator (BI)
Sterilization using saturated steam under pressure in an autoclave to denature microbial proteins; requires direct steam contact with all surfaces.
- Sterile processing department (SPD)
- Related: Sterilization, Instrument tray
The unit responsible for cleaning, assembling, packaging, sterilizing, and storing reusable medical devices for patient care.
- Instrument tray
- Related: Sterile processing department (SPD)
A container holding a set of surgical instruments arranged for a specific procedure, often with a rigid container or wrap for sterilization.
- Instrument inspection
- Related: Instrument tray, Lubrication
Visual and functional examination of a device for cleanliness, damage, corrosion, alignment, and proper function before packaging and sterilization.
- Lubrication
- Related: Instrument inspection
Application of a compatible lubricant to instrument joints and moving parts to maintain function and prevent corrosion, using products compatible with sterilization.
- Corrosion
- Related: Instrument inspection, Passivation
Chemical or electrochemical deterioration of metal instruments, often caused by moisture, blood, or incompatible cleaning chemicals, leading to pitting and failure.
- Passivation
- Related: Corrosion
A process that restores a protective oxide layer on stainless steel instruments, improving corrosion resistance after manufacturing or damage.
- Lumen
- Related: Instrument inspection
The inner channel of a hollow device such as a cannula or endoscope, which must be cleaned and sterilized because it is difficult to reach.
- Biological monitoring
- Related: Biological indicator (BI), Sterilization
The scheduled use of biological indicators to verify that a sterilizer consistently achieves sterilization conditions.
- Regulatory standard
- Related: Accreditation
A rule or requirement issued by a government or standards body that defines minimum acceptable practice for safety, quality, or performance.
- Accreditation
- Related: Regulatory standard
Formal recognition by an independent body that an organization meets defined quality and safety standards, often required for reimbursement or licensure.
- Infection prevention and control program
- Related: Standard precautions, Surveillance
An organized set of policies, surveillance, education, and practices designed to prevent healthcare-associated infections and improve patient safety.
- Surveillance
- Related: Infection prevention and control program, Quality assurance
Ongoing systematic collection, analysis, and interpretation of infection or process data to detect problems and guide improvement.
- Quality assurance (QA)
- Related: Quality control, Surveillance
Planned activities and checks that confirm processes and products meet defined requirements before and during use.
- Quality control (QC)
- Related: Quality assurance (QA), Biological indicator (BI)
Specific tests and measurements performed on equipment, materials, or processes to verify they are functioning within established limits.
- Documentation
- Related: Traceability, Quality assurance (QA)
Written or electronic records of actions, tests, and results that provide traceability and evidence of compliance with standards.
- Traceability
- Related: Documentation
The ability to track a sterilized item back to the specific load, sterilizer, cycle, and operator that processed it.
- Safety data sheet (SDS)
- Related: Hazard communication
A document providing hazard, handling, storage, and first-aid information for a chemical product, required in workplaces using hazardous chemicals.
- Hazard communication
- Related: Safety data sheet (SDS)
A workplace program ensuring workers are informed about chemical hazards through labels, safety data sheets, and training.
- Ergonomics
- Related: Personal protective equipment (PPE)
Design of tasks, tools, and workstations to fit the worker, reducing strain, repetitive motion injury, and musculoskeletal disorders.
- Needlestick safety device
- Related: Sharps injury
A sharp with an engineered safety feature that reduces the risk of accidental injury during use or disposal.
- Professional communication
- Related: Documentation
Clear, respectful, and accurate exchange of information among staff, patients, and other teams, including handoffs and escalation of concerns.