How to write a four-step cleaning method for medical instruments?

Cleaning methods and processes 3.1 manual cleaning process Pre-treatment: soak postoperative instruments in 3% chlorine disinfectant for 30-60 minutes; Rinse: rinse under tap water; water temperature <40 ℃; (Note: as far as possible, the cleaning materials will be disassembled and put into the mesh basket); Multi-enzymatic cleaning: pre-washed instruments in the preparation of multi-enzymatic cleaner for 2-8 minutes (Note: add Ruhof traditional multi-enzymatic cleaner preparation ratio of 1:270); multi-enzymatic cleaner a use for a change; Rinse: the multi-enzymatic cleaning agent will be used for a change. Rinse: rinse pre-washed instruments in prepared multi-enzyme cleaner for 2-8 minutes (note: add Ruhof Traditional Multi-Enzyme Cleaner at a ratio of 1:270); change the multi-enzyme cleaner once a day; Rinse: rinse instruments in clean water for 15 minutes after multi-enzyme cleaning; Rust or scale removal treatment: all instruments in this step are routinely maintained once a week for rust prevention and descaling (at a ratio of 1:7); time: 5 minutes; daily scale removal treatment; rinse: use clean water to clean the instruments. Rinsing: rinse with clean water, then rinse with distilled water (or deionized water); lubrication and oiling: soak with prepared Ruhof lubricant for 30 seconds (preparation ratio 1:10); drying: put the oiled instruments into a drying box for drying; Remarks: the process of descaling is only done once a week, so the daily cleaning in the absence of descaling is used in the scale removal treatment of the step and the subsequent rinsing step can be skipped. This step and the subsequent rinsing step can be skipped. 3.2 Ultrasonic cleaning process Pre-treatment: For instruments with serious organic contamination, soak the instruments with multi-enzymes for 10 minutes, and then place the instruments stored in the blue frame in the deep pool and rinse them with a manual nozzle or high-pressure water gun; the temperature of the water is <40℃; (Note: put the cleaned objects into the mesh baskets as much as possible after disassembling) Multi-enzymes cleaning: Put the pre-cleaned instruments with blue frames into the ultrasonic cleaning tank for 15 minutes (Note: add the original liquid of the Ruhof multi-enzymes cleaning agent). Multi-enzyme cleaning: put the pre-washed instruments with blue frames into the ultrasonic cleaning tank for 15 minutes (Note: add Ruhof Multi-Enzyme Cleaner 250ml); in principle, the Multi-Enzyme Cleaner is changed once for every use; Rinsing: put the instruments with blue frames after Multi-Enzyme Cleaning into the rinsing tank for 10 minutes; Rust prevention: all the instruments in this step do the routine maintenance of rust prevention and descaling once a week; the soaking time is 5 minutes. Rinse: rinse with water; lubrication oiling: with the preparation of a good Ruhof lubricant soaking time 30 seconds; drying: oiled instruments into the dryer to dry; Note: the process of descaling due to the process of rust only once a week, so the daily cleaning in the absence of descaling when the scale removal treatment of the step and the subsequent rinsing step can be skipped.

3.3 Spray Cleaning (DEKO-2000E) cleaning process Pre-wash and rinse: 2 minutes; (Step No. 1) multi-enzyme cleaning: 5 minutes (automatic inhalation of multi-enzyme cleaner, 20 liters of water need to inhalation of multi-enzymatic liquid: 64 ml); (Step No. 4) rinsing: 2 minutes; (Step No. 13) rinsing: rinsing hot water for 10 minutes (this step automatically inhaled rinse). Rinsing: 2 minutes; (Step No. 13) Rinsing: 10 minutes in hot water (automatic inhalation of rinsing varnish in this step: 70 ml); (Step No. 40) Drying: (Step No. 18)