Quality control of manual cleaning of medical devices for animal use
I. The concept of manual cleaning
Manual cleaning is to remove the dirt adhering to the instruments by physical methods, in flowing water and detergents matching the contamination of the instruments, with a brush or a cleaning cloth to clean the instruments.
II. Scope of application
1. Initial treatment of severely contaminated items.
2. Precise and complex instruments should be cleaned manually first, and then mechanically cleaned.
3. Items that cannot be immersed in water for a long time.
4. Instruments that cannot be processed by mechanical cleaning methods.
Three, manual cleaning before quality control
1. Animal medical devices manual cleaning before the preparation
(1) good occupational protection operators should wear hats, masks, with special waterproof shoes, wear protective masks or goggles, wear waterproof protective clothing or aprons and sleeves, rubber gloves or puncture-proof latex gloves. Operators with wounds on their hands should try to avoid participating in instrument cleaning.
(2) with the preparation of cleaning agents, lubricants, disinfectants, cleaning mesh baskets, mesh baskets to identify signs, various types of cleaning brushes, high-pressure water gun, stainless steel closed trolley, air guns, drying cabinets and so on.
( 3) pre-treatment before cleaning manual cleaning is an indispensable part of the pre-treatment,
Mainly includes the instruments for moisturizing treatment, cleanliness inspection, classification of instruments, special contamination of instruments disinfection treatment.
①Animal medical equipment cleaning before the soaking of contaminated dry instruments will increase the difficulty of cleaning instruments, direct cleaning will aggravate the wear and tear of the instruments, and cleaning quality can not be guaranteed. Before cleaning, the instruments should be completely submerged in the water temperature of 40 ℃ multi-enzyme solution for 5 to 10 minutes to loosen or dissolve the dirt adhering to the instruments.
②Disassembly of some structurally complex instruments, the joints should be opened before immersion, and instruments that can be disassembled should be fully disassembled, and if there is a lumen, the core should be pulled out to avoid covering the washing surface.
③ Degreasing instruments need to be pre-treated with a suitable solvent if they are seriously contaminated by oiling agents.
④Special contamination of instruments disinfection has special contamination of the instruments first containing 2000 mg / L effective chlorine disinfectant immersion, in order to initially kill the disease-causing microorganisms on the surface of the instrument.
Four, animal medical equipment manual cleaning link quality control
1. classification
(1) open the recycling box, check the instruments, according to the material of the instrument, shape or a single instrument package for a cleaning unit of the instrument and other ways to classify.
( 2) Evaluate the type of instrument contaminant and the degree of instrument contamination and categorize.
( 3) Select the appropriate cleaning agent, according to the instructions for use, according to the degree of instrument contamination to formulate the appropriate concentration of cleaning solution, the instruments will be classified into the basket, the instrument package as a unit placed in the mesh basket
identification tags.
( 4) the classification of animal medical equipment to be placed in one step, to reduce the number of staff repeated contact with contaminated instruments, can be prepared for a number of loading containers, such as a variety of baskets, instrument brackets, etc., in the classification of inventory can be based on the next step in the cleaning of the requirements of the placement of different containers, so that the staff handling does not need to directly contact the contaminated instruments.
(5) Prohibit staff from touching the contaminated items and instruments with bare hands when classifying. Attention should be paid to good occupational safety protection to avoid occupational exposure.
(6) Set the cleaning water temperature of 15 ℃ ~ 30 ℃.
2. Rinse
The instruments, appliances and items will be placed under flowing water to rinse, preliminary removal of dirt, tubular lumen type instruments with high-pressure water gun rinse.
3. Animal medical devices according to the degree of contamination, category and instrument characteristics of the treatment
(1) dry stained instruments first soaked with enzyme-containing cleaning solution before brushing or scrubbing.
4. Rinsing
After washing, use running water to rinse or brush.
5. Final rinsing
Soft water, purified water or distilled water should be used for rinsing.
6. Precautions for rinsing
(1) It is important to make sure that the instruments have been brushed and the quality has been achieved before choosing to use running water to rinse the instruments thoroughly. When rinsing, attention should be paid to the inner wall of the lumen, articular surfaces, occlusal surfaces and other parts that can be adequately rinsed.
(2) The precious, fine and tiny instruments are placed separately from ordinary instruments when rinsing to prevent damage and loss.
( 3) animal medical equipment rinsing is not complete will directly affect the cleanliness of the instruments, common instruments appear after drying gray and white powder adhesion, metal coloring and other phenomena is the main reason for the rinsing of the water quality does not meet the requirements, or rinsing the amount of water is insufficient.
7. After cleaning the instruments should be taken in a timely manner corresponding to the disinfection method
(1) boiling or low-temperature steam disinfection and other thermal disinfection.
(2) 75% ethanol, acidic oxidation potential water or obtain health permit approval disinfectant for disinfection.
8. Drying instruments
(1) ethanol, acidic oxidation potential water and other disinfection of instruments, again with soft water, purified water or distilled water for rinsing, the instruments will be placed in clean baskets, drying cabinets drying or direct low-fiber wadding wipes dry one by one.
(2) Heat sterilization instruments directly into the drying cabinet drying.
( 3) Tubular lumen instruments are blown dry with a high-pressure air gun.
The final interpretation of this text belongs to Henan Yihuikang Technology Co.