Docstoc

Cleaning of Surgical Instruments - DOC

Document Sample
Cleaning of Surgical Instruments - DOC Powered By Docstoc
					Cleaning of Surgical Instruments

Word Count:
469

Summary:
Surgical instruments should be cleaned as soon as possible after use.
Blood and debris should never be allowed to dry on an instrument. This
only makes them harder to clean,and promotes corrosion.


Keywords:
sterilization,surgical instruments,cleaning surgical
instruments,sterilizers


Article Body:
Surgical instruments should be cleaned as soon as possible after use.
Blood and debris should never be allowed to dry on an instrument. This
only makes them harder to clean,and promotes corrosion.

Also all the instruments involved in the case should be cleaned
whether they were actually used or not. Immediately after the procedure,
or piercing, whatever the case may be, rinse the instruments in
demineralized, distilled water to remove excess blood and debris.

NEVER use an abrasive cleaning pad on surgical instruments. This will
scar the instruments and leave a scratch or groove where dirt and water
deposits can collect and lead to corrosion and pitting. This will also
remove the passivation layer, which is the thin film that covers the
instrument and protects its finish.

Detergents: It is best to use a neutral ph detergent when cleaning your
surgical instruments A ph of 7.0 to 8.5 will have the least adverse
effect on the instrument. A detergent that is a low-sudsing free-rinsing
and a good wetting agent is best for a washer sterilizer or ultra-sonic
cleaner. If a high sudsing detergent is used and all the detergent is not
removed then the instruments are more likely to spot and stain.

We had a continuing problem with spotting at one of our clinics and
finally determined a new person had been scrubbing the instrument to make
them shine. She had rubbed of all of the passivation film and scratched
the instruments so much that the cleaning agent was causing them to spot.

Washer sterilizers are a good method of cleaning and sterilizing your
instruments, but I know most small shops do have the room or the
facilities to use these. The next best thing is an ultrasonic cleaner.
This a thorough and rapid way of cleaning your instruments. Surgical
instruments can be cleaned and ready to autoclave, or sterilized in a
matter of five minutes.

 Ultrasonic cleaning is much more effective than hand cleaning, mostly
becasue the water is forced by the high frequency into all the crevices
of the instruments, escpecially, things like hemostats. An ultrasonic
cleaner can remove up to 90% of the soil and debris, but does not
eliminate the need for sterilization.

After cleaning your instruments they should be lubricated with an
approved surgical lubricant. This should be done to further protect your
instruments during sterilization and storage. The lubricant should be
water soluble and anti-microbial, and should be used after every
cleaning. Follow the manufacturer's directions to prepare your
lucrication bath.

Immediately after cleaning your instruments, dip them into the bath for
at least 30 seconds. Remove them and let the excess drain off, do NOT
rinse them. The lubrication film should remain on the instruments through
the sterilization process and storage to protect them.

I will be adding more articles on sterilization so stay tuned.