CAii/CMII study materials
CAii/CMII study resources

CAii/CMII key terms

CAii/CMII · Get comfortable with the vocabulary.

Chain of infection

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.

Related: Mode of transmission, Susceptible host
Mode of transmission

The route by which a pathogen moves from source to host, such as contact, droplet, airborne, or vector-borne; determines the precautions required.

Related: Chain of infection, Transmission-based precautions
Susceptible host

A person with insufficient immunity or defense against a pathogen, making infection more likely after exposure.

Related: Chain of infection
Standard precautions

Baseline infection control practices applied to all patients regardless of diagnosis, including hand hygiene, gloves, gowns, masks, and safe sharps handling.

Related: Transmission-based precautions, Hand hygiene
Transmission-based precautions

Additional precautions beyond standard precautions used for patients with known or suspected pathogens spread by contact, droplet, or airborne routes.

Related: Standard precautions, Mode of transmission
Hand hygiene

Cleaning hands with soap and water or alcohol-based rub at defined moments to remove transient organisms and reduce cross-contamination.

Related: Standard precautions
Personal protective equipment (PPE)

Barrier garments such as gloves, gowns, masks, respirators, and eye protection worn to prevent exposure to blood, body fluids, and infectious agents.

Related: Standard precautions, Respirator fit testing
Respirator fit testing

A process verifying that a tight-fitting respirator seals to the wearer's face; required before use and repeated periodically.

Related: Personal protective equipment (PPE)
Bloodborne pathogen exposure

Contact of mucous membranes, non-intact skin, or a sharps injury with blood or other potentially infectious material; requires immediate first aid and reporting.

Related: Sharps injury, Personal protective equipment (PPE)
Sharps injury

A percutaneous wound caused by a needle or other sharp device, creating risk of transmitting bloodborne viruses; must be reported and evaluated promptly.

Related: Bloodborne pathogen exposure
Spaulding classification

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.

Related: Critical device, Semi-critical device, Non-critical device
Critical device

An item that enters sterile tissue or the vascular system, such as a surgical instrument or implant, and must be sterilized before use.

Related: Spaulding classification, Sterilization
Semi-critical device

An item that contacts mucous membranes or non-intact skin but not sterile tissue, requiring at least high-level disinfection.

Related: Spaulding classification, High-level disinfection
Non-critical device

An item that contacts only intact skin, such as a blood pressure cuff, and requires low-level disinfection or cleaning.

Related: Spaulding classification
Sterilization

A validated process that destroys all forms of microbial life, including bacterial spores, on an item.

Related: Critical device, Biological indicator
High-level disinfection

A process that kills all microorganisms except high numbers of bacterial spores, used for semi-critical devices such as endoscopes.

Related: Semi-critical device
Cleaning

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.

Related: Sterilization, High-level disinfection
Decontamination

The process of reducing or removing contamination from reusable items so they are safe to handle during further reprocessing.

Related: Cleaning
Biological indicator (BI)

A preparation of known resistant spores used to monitor whether a sterilization cycle achieved the conditions needed to kill microorganisms.

Related: Sterilization, Chemical indicator
Chemical indicator

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.

Related: Biological indicator (BI), Sterilization
Bowie-Dick test

A daily test for dynamic air removal steam sterilizers that detects air leaks or inadequate steam penetration in the chamber.

Related: Steam sterilization
Steam sterilization

Sterilization using saturated steam under pressure in an autoclave to denature microbial proteins; requires direct steam contact with all surfaces.

Related: Bowie-Dick test, Biological indicator (BI)
Sterile processing department (SPD)

The unit responsible for cleaning, assembling, packaging, sterilizing, and storing reusable medical devices for patient care.

Related: Sterilization, Instrument tray
Instrument tray

A container holding a set of surgical instruments arranged for a specific procedure, often with a rigid container or wrap for sterilization.

Related: Sterile processing department (SPD)
Instrument inspection

Visual and functional examination of a device for cleanliness, damage, corrosion, alignment, and proper function before packaging and sterilization.

Related: Instrument tray, Lubrication
Lubrication

Application of a compatible lubricant to instrument joints and moving parts to maintain function and prevent corrosion, using products compatible with sterilization.

Related: Instrument inspection
Corrosion

Chemical or electrochemical deterioration of metal instruments, often caused by moisture, blood, or incompatible cleaning chemicals, leading to pitting and failure.

Related: Instrument inspection, Passivation
Passivation

A process that restores a protective oxide layer on stainless steel instruments, improving corrosion resistance after manufacturing or damage.

Related: Corrosion
Lumen

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.

Related: Instrument inspection
Biological monitoring

The scheduled use of biological indicators to verify that a sterilizer consistently achieves sterilization conditions.

Related: Biological indicator (BI), Sterilization
Regulatory standard

A rule or requirement issued by a government or standards body that defines minimum acceptable practice for safety, quality, or performance.

Related: Accreditation
Accreditation

Formal recognition by an independent body that an organization meets defined quality and safety standards, often required for reimbursement or licensure.

Related: Regulatory standard
Infection prevention and control program

An organized set of policies, surveillance, education, and practices designed to prevent healthcare-associated infections and improve patient safety.

Related: Standard precautions, Surveillance
Surveillance

Ongoing systematic collection, analysis, and interpretation of infection or process data to detect problems and guide improvement.

Related: Infection prevention and control program, Quality assurance
Quality assurance (QA)

Planned activities and checks that confirm processes and products meet defined requirements before and during use.

Related: Quality control, Surveillance
Quality control (QC)

Specific tests and measurements performed on equipment, materials, or processes to verify they are functioning within established limits.

Related: Quality assurance (QA), Biological indicator (BI)
Documentation

Written or electronic records of actions, tests, and results that provide traceability and evidence of compliance with standards.

Related: Traceability, Quality assurance (QA)
Traceability

The ability to track a sterilized item back to the specific load, sterilizer, cycle, and operator that processed it.

Related: Documentation
Safety data sheet (SDS)

A document providing hazard, handling, storage, and first-aid information for a chemical product, required in workplaces using hazardous chemicals.

Related: Hazard communication
Hazard communication

A workplace program ensuring workers are informed about chemical hazards through labels, safety data sheets, and training.

Related: Safety data sheet (SDS)
Ergonomics

Design of tasks, tools, and workstations to fit the worker, reducing strain, repetitive motion injury, and musculoskeletal disorders.

Related: Personal protective equipment (PPE)
Needlestick safety device

A sharp with an engineered safety feature that reduces the risk of accidental injury during use or disposal.

Related: Sharps injury
Professional communication

Clear, respectful, and accurate exchange of information among staff, patients, and other teams, including handoffs and escalation of concerns.

Related: Documentation