1, the layout of the department
CSSD is usually divided into three major areas: cleaning area, inspection and packaging area, storage and distribution area. Connected closely between the three areas, follow the "items from dirty to clean, not cross, not retrograde" principle, in the cleaning area and packaging area can not be passed between the personnel channel, only running equipment through the cleaning machine through. Passing window set up for manual cleaning instruments to provide a dedicated channel.
2, recycling, classification,
Staff through a special closed box or car, the contaminated instruments from various departments were recycled, concentrated to the CSSD for unified centralized treatment. Operating room instruments take a special pollution channel for recycling. It is required to keep the recycling cart clean and wipe or soak it with chlorine-containing disinfectant after each use.
Sorting, correctly classifying instruments and loading them on the shelves is the first step to improve work efficiency.
First of all, heat-resistant items are cleaned by washing machine, non-heat-resistant items are chosen to be cleaned manually,
Tubular lumen instruments are handled according to a separate cleaning process.
Special departments of the general category of instruments to be placed separately, instruments with rust spots or blood, to be treated in a timely manner before placing the cleaning machine.
The instruments that need to be dismantled to minimize, according to the correct dismantling method, the parts and components are properly placed in the precision frame to prevent the loss of screws and nuts caused by the cleaning process.
3, cleaning, disinfection
How to decide whether to use the cleaning machine or manual cleaning? Depends on the characteristics of the instrument itself. Special instruments, choose the appropriate manual cleaning, ultrasonic cleaning, etc., ophthalmic instruments using a special ophthalmic cleaning machine, and other departments separate from the cleaning of instruments.
Before cleaning, you need to protect yourself adequately. The instruments are placed under flowing water for rinsing, after confirming that there are no contaminants visible to the naked eye on the surface, loading the instrument racks reasonably, choosing the appropriate cleaning procedure, and after cleaning by the cleaning machine, the Ao value is minimum 3000s, which is an indicator for evaluating the hygrothermal disinfection.
Manually cleaned instruments, according to the normal cleaning process, flowing water rinse - - enzyme wash - rinse - final rinse - disinfection - drying, rust, blood, tape traces to be initially cleaned, pay attention to prevent the cause of needlestick injuries, do a good job of self-protection, to avoid pollution of the surrounding environment.
Ultrasonic cleaning machine cleaning to cover the face cover to prevent aerosol generation.
4, inspection and packaging
With the naked eye or magnifying glass to assist, view all types of instruments clean and dry, no rust spots, blood, especially the shaft joints, grooves, threads, pipe lumen, etc., there is no stain, gently take and put, maintain hand hygiene.
Fine instruments, ophthalmic instruments, sharp instruments should be protected with protective sleeves to prevent damage to the instruments.
Select the appropriate packaging materials, commonly used cotton, non-woven, paper-plastic packaging, crumpled paper and so on.
5, sterilization, storage and distribution
According to the norms, the volume of the package to be sterilized is not more than 30*30*50, the dressing package is not more than 5kg, the instrument package is not more than 7kg. the package is suitable for the size, closed, dry and unbroken, and the labeling of the six markings are complete. The paper-plastic package is placed on the side.
After the sterilization is completed, after 30 minutes of rest and cooling, confirm that the sterilization process recorded on the sterilization process record printout is qualified. There is no wet package, if there is a wet package, return to check and repackage, make a record and find the cause, check the same pot time there is no other wet package.
Issue sterile items, in accordance with the principle of first-in, first-out, and return unqualified items for repackaging and sterilization. Maintain hand hygiene.
Down-delivery personnel will return items to the departments according to the designated route. No wet packages shall be issued, unqualified packages for sterilization, floor packages, and hand hygiene shall be maintained throughout.