Recycling ---- Classification ---- Cleaning ---- Inspection and Packaging ---- Sterilization ---- Storage ---- Distribution
A, recycling:
1, instruments, items after use, the department promptly remove the obvious dirt (normal water rinse), to avoid dry, closed temporary storage.
2, the supply center (room) staff at regular intervals, in accordance with the prescribed route, the use of special closed recycling car (or box) recycling to the section.
3, back to the department, and cleaning staff to hand over the number of items, to avoid counting in the department, check the contaminated instruments, items, to reduce cross-infection.
4, after each recovery, clean and disinfect the recovery car (or box), dry storage.
5, after the use of disposable items and medical waste shall not be recycled to the disinfection and supply center (room) and then transfer processing.
II. Classification:
1. Dress according to the requirements of personal protection, and hand over the number of items recovered to the next collector.
2, according to the different materials, properties, precision, pollution status of the instruments are categorized.
2, injurious waste into the sharps Hop, infectious waste into the yellow dirt bag.
Three, cleaning:
1, different types of instruments, items, using different cleaning methods (including manual and mechanical cleaning).
2, heat-resistant, moisture-resistant instruments and articles should be mechanically cleaned.
3, precision, complex instruments should be the first manual cleaning, ultrasonic enzyme wash, and then use mechanical cleaning methods or manual fine washing.
4, the basic process of cleaning: pre-wash (tap water) -→ cleaning (manual or mechanical + enzyme) -→ rinsing 1 (tap water) -→ rinsing 2 (deionized water or distilled water) -→ disinfection (hot and humid method) -→ Lubrication (water-soluble oil) -→ Drying (drying or wiping dry)
(1) Pre-wash (3~5 min): remove obvious dirt with running water (if the dirt becomes dry, it can be immersed for a few minutes more)
(2) Enzyme Wash (2~5 min): the enzyme can decompose the organic matter quickly, inhibit the bacteria and prevent the rust, and degrade naturally without residue. Degradation, no residue, water temperature 20 ~ 40 ℃, with joints of the instrument as far as possible to open. It has been solidified or contaminated seriously under the surface of the water brushing.
(3) rinsing: first tap water, then deionized water or distilled water.
(4) disinfection: it is appropriate to use wet heat method (90 ℃ 5min).
(5) Lubrication (30~60s): use water-soluble lubricating oil, can not use paraffin oil and other non-water-soluble oil.
(6) drying: drying (90 ℃ 2min) or wipe dry, should not be used to place in the air naturally cool dry.
Four, inspection and packaging:
1, cleaning quality inspection: visual inspection or magnifying glass, there is no residual material, blood stains, scale, rust spots, unqualified should be rewashed.
2, the inspection of instrument function: check the integrity of the instrument, flexibility, occlusion, etc., the sharpness of the blade instruments, puncture needles.
3, packaging requirements: (1) weight: instrument package & lt; 7kg, dressing package weight & lt; 5kg; (2) volume: & lt; 30cm * 30cm * 50cm (3) appropriate elastic (4) metal instruments, pots, bowls, with absorbent cloth (paper) between the interval
V. Sterilization:
1, pressure steam sterilization: the first choice (high temperature and high humidity resistant instruments and needles).
(1) Liquid, grease, powder, paste is contraindicated for pressure steam sterilization.
(2) All items to be sterilized need to be thoroughly cleaned so as not to affect the sterilization effect.
(3) sterilizer effectiveness testing as required, including: process, chemical and biological monitoring, B-D test
2, dry heat sterilization: high temperature, high humidity intolerant instruments and items selected.
(1) The thickness of oil, powder <0.635cm The thickness of Vaseline gauze <1.3cm
(2) The volume of the article <10cm*10cm*20cm
3, low-temperature sterilization: intolerant of high temperatures, intolerant of high humidity of the selection of instruments and articles
(1) Ethylene Oxide Sterilization
(2) hydrogen peroxide plasma sterilization
(3) low-temperature formaldehyde gas sterilization
(4) low-temperature sterilization of peroxyacetic acid
4, loading requirements:
(1) loading: under the exhaust, pre-vacuum, pulsating vacuum pressure steam sterilizer's maximum loading - shall not exceed 80%, 90% and 95% of the cabinet volume, respectively. 80%, 90% and 95%; pre-vacuum and pulsating vacuum pressure steam sterilizer minimum loading - shall not be less than 10% and 5% of the volume of the cabinet, in order to prevent "small loading effect.
(2) the same type of items in the same pot sterilization, sterilization of different types of items in the same pot when the dressing packages on the upper layer, metal packages on the lower layer. Easy to produce water droplets of goods as far as possible to put the lower layer.
(3) loaded with a special sterilization basket, can not be stacked, packages and packages separated by at least 2cm.
(4) surgical instruments tray should be placed flat, the fabric packages should be placed vertically, surgical basin should be placed diagonally.
(5) Items with paper-plastic packaging materials should be placed vertically in baskets or on shelves.
5, unloading requirements:
(1) pressure steam sterilization items removed and placed in the original away from the air conditioning or air inlet cooling.
(2) check the integrity of the packaging of the sterilized items, dry conditions; timely closure of the open and closed container sieve.
(3) check the color of the chemical indicator tape, failure to meet the requirements or suspicious should be re-sterilized.
(4) sterilization package off the ground or misplaced unclean place should be regarded as contamination.
Sixth, storage:
1, sterile goods storage conditions:
(1) clean, dry, temperature at 20 ~ 25 ℃, relative humidity <60%.
(2) The articles must be stored in clean cabinets or shelves, 20~25cm from the floor, 5~10cm from the wall and 50cm from the ceiling.
2. The validity period of the sterile articles:
(1) The validity period of the cotton or rigid containers is 10~14days (7days for other environments).
(2) The validity period of medical crumpled paper is 3 months.
(3) The expiration date of paper-plastic packaging is 6 months.
3, sterilized and unsterilized items should be placed strictly separate.
VII. Issuance:
1. Follow the principle of "first in, first out".
2, issued, expired sterile items must be re-cleaned and packaged and sterilized.
3, sent to the clinic, must use a special car or container, take the closed transport. Transportation tools to keep clean, clean and dirty separate.
Conclusion:
Is responsible for cleaning medical supplies and instruments --------- Yes
Is there any disease contagious and dangerous ---------- Basically no
High temperature and steam are the main working conditions and characteristics of the supply room, and it is relatively hard.
Good luck to the owner!