CARE OF RUBBER GOODS.STORAGES,MANAGING..

Clean and disinfect regularly Rubber goods should be cleaned and disinfected regularly to prevent the growth of bacteria and other harmful microorganisms.

1. CARE OF RUBBER GOODS MRS. JAYA.R LECTURE GANGA COLLEGE OF NURSING COIMBATORE.

2. OBJECTIVES At the end of the session the learners will be able to : Describe about care of rubber goods Discuss about care of mackintosh Explain about care of rubber tubes Enumerate the care of rubber gloves

3. Discuss about care of ambu bag Explain about care of stainless steel goods Describe about care of glass equipment Enumerate the care of plastic items Discuss the care of furniture Describe the maintenance of ward inventory and indent

4. LIST OF RUBBER ARTICLES USED IN HOSPITAL Mackintosh Rubber tubing ( drainage rectal catheters, suction tubes, enema tubes, gastric lavage etc.) AMBU bag and its mouth piece Breast pump Hot water bottle, air pillow, ice caps, air cushion, etc .,

5. CARE OF RUBBER MACKINTOSH

6. STORAGE AND HANDLING Rubber mackintosh should be stored in dry, dark and cool place . It should not be exposed to sunlight. They should be folded by rolling them to avoid breakage. Avoid using sharp articles like blade, pins, etc., as they can cut rubber easily. Avoid using kerosene , benzene, oils and hot water for cleaning.

7. CLEANING AND DISINFECTING Spread it on a flat surface and wet it with cold water. Rub the upper surface with soap and water using a clean cloth Turn the other side and repeat the same Washing both surface under running water If stains are present, it should be removed by appropriate method

8. CONT….. For disinfection-Lysol or Dettol used in the ratio1:40 Hang them horizontally in shade to dry When both surfaces are dried, powder them with French chalk powder Roll it and store in dark cool place

9. Keep the rubber tubes upside down and run water through it Make use of swab stick to remove any organic matter for ensuring patency of tube Apply soap and water on the surface of the tube to remove dirt, grease or any other matter. Wash them again under running water CARE OF RUBBER TUBES

10. CONT…. To sterilize them, boil the tubes for 5 minutes by putting them in the boiling water Hang the tubing for drying in shaded place Coil the tube and store it in cupboard

11. CARE OF RUBBER GLOVES

12. GLOVES

13. CLEANING The wearer of the gloves should wash them on their hands just before they are removed After removing from the hands, they are washed with soap and cold water, first on outside, then invert and repeat on inside Rinse well with water both inside and outside Holes and tears are discovered by submerging the glove filled with air in the water. If there are holes, the bubbles will pass up,sepreate torn gloves

14. CONT…. Hang then to dry, when the outside is dried, turn inside out and dry After drying, they are powered inside and outside, then packed in pairs If sterilization needed, send it for autoclaving.

15. CARE OF AIR CUSHION , RUBBER BEDS , ICE CAPS , HOT WATER BOTTLES Remove the cloth cover of bottle,caps,cushions and decontaminated the covers. Keep the bottles,caps,cushions empty by removing water, ice and air before cleaning The valves of the air cushions or beds should never be immersed in water

16. CONT…. Clean the outer surface with soap and water Hang them upside down for drying When the bags are completely dried inflate them with air, water or ice In case of hot water bottles, ice caps , etc., empty the contents immediately after use.

17. CARE OF AMBU BAGS Clean the rubber part with a clean cloth Disinfect it using methylated spirit swab.

18. STERILIZATION OF RUBBER ARTICLES Autoclaving At 120 degree Celsius temperature with minimum pressure of 15 minutes Chemical sterilization Alcohol 50-70%(for 20-30 minutes) Savlon(for 30 minutes)

19. CARE OF STAINELESS STEEL GOODS

20. LIST OF STEEL ITEMS Forceps Sharp instruments Scopes ( endoscopes, laryngoscopes, etc .,)

21. CLEANING Steel items get sterilized using chemicals and autoclaving Wear gloves while handling these items Dip the items in 5 % chlorine for 5 to 6 minutes then wash under running water

22. CONT… Make sure that tips, toothed ends, grooves of forceps are cleaned properly Instruments with fine tip are covered in hard rubber cap After drying, send it for sterilization.

23. CARE OF LARYNGOSCOPE

24. CLEANING Take dry gauze piece to clean saliva from laryngoscope Separate blade from laryngoscope and dip it in disinfectant for 20-30 minutes With the help of chital forceps take it out and dry it. Reattach blade to laryngoscope and store on emergency trolley for resuscitation.

25. Articles made up of glass are very fragile and special care is needed while handling them . List of Items: Test tubes Funnel Slides Specimen bottle Thermometers Ounce glass, jar CARE OF GLASS EQUIPMENTS

26. CARE AND CLEANING Immerse the used glass item in disinfectant 5% chlorine for 5 minutes in a container covered with lid Clean tubes and jars with plastic brush Patients utensils and items are cleaned with soapy solution If the items is soiled or very much contaminated, must be discarded in puncture proof container

27. CARE OF PLASTIC ITEMS Items made up of polyvinyl chloride (PVC) are the plastic items. These items are heat sensitive and hence they should be protected from heat radiations

28. LIST OF PLASTIC ITEMS Basin, bowl Kidney tray Bed pan, urinal Syringes Airways, connectors Oxygen hood

29. CARE OF KIDNEY TRAY/BED PAN/URINALS The contents of kidney tray, bedpan or urinals should be discarded in appropriate area, its contents should not be left standing for a long time Rinse it in cold running water Wash with soap and warm water using a brush and rinse it well to disinfect, soak them in Lysol 1:40 for one hour They can be placed in direct sunlight for few hours.

30. CARE OF FURNITURE Furniture is movable article in a room established to fit for living or working In hospital setting, it is a collective term used for different types of portable objects.

31. TYPES OF FURNITURE

32. CARE AND MAINTENANCE OF FURNITURE Always keep the furniture dust free, clean it with a piece of soft cloth They can be disinfected with glutaraldehyde or savlon and also washed with soap and water Hospital bed should be cleaned daily Trolley,lockers,iv stand treatment table must be disinfected after discharge or death of the patient

33. CONT… Iron furniture should be cleaned with dry duster Repair of furniture must be done regularly Stock record of furniture should be maintained and old damaged furniture are send for condemnation.

34. IMPORTANCE OF MAINTAINING FURNITURE Maintenance of furniture is very important for preserving its maximum usefulness It gives aesthetic sense for patient It prevents cross infection It helps in prolonging the life of furniture It provides favorable environment for the recovery of the patient

35. CARE OF MACHINERY AND EQUIPMENTS

36. ITEMS USING ELECTRIC CURRENT Suction apparatus Defibrillator Nebulizer machine Refrigerator Monitor Ventilator Pulse oximeter

37. POINTS TO REMEMBER Power off the equipment when not in use Clean the equipment and its parts with wet soft cloth In suction apparatus,the tubing should changed for every 24 hours The working condition of the equipment should be checked before using it

38. CONT…. The equipment should be kept in safe and appropriate place The defibrillator should be in the charge always In refrigerator, unnecessary things such as food items, expired medicines, opened medication, unused blood samples, etc., should not be kept.

39. MAINTENANCE OF WARD INVENTORY

40. INVENTORY Inventory is a list of articles available in ward.their characteristics, standard number.it is record of articles available in the ward. Inventory control means stocking an adequate number and type of stores,so that the materials are available whenever required

41. PURPOSES/USES OF MAINTAINING WARD INVENTORY To provide maximum supply of materials To facilitate the smooth functioning of the ward To avoid shortage and insufficiency To determine the condition of articles and to order repaired or replacement if necessary

42. CONT…. To reduce financial investment Inventory helps to handle unforeseen circumstance Inventory also helps to avoid workers and machinery being idle To check the functioning status of articles To return the articles to its proper places It helps to avoid missing articles and keep a check on the articles

43. INDENT Indent is a list of items made for availing in the ward. A list of items is made, which are not available in the stock . Indent is done weekly/monthly basis depending upon the shortage of items. After making the list, it is been send to the main store

44. SUMMARY Till we have discussed about various equipment and machinery used in hospital and its maintenance and proper storage and cleaning methods .hope the learners will use their knowledge in their working setting.

45. REFERENCES Potter,P.A,Perry,A.G,Stockert ,Essential of nursing practice,9 th edition,(2019),Elsevier publications louis, page no 1028. Ignatavicius,D.D,Workman M.L &Rebar C.R,Medical surgical nursing; concepts for interprofessional collaborative care 9 th edition,(2018),Elsevier publications louis, page no 689. Brunner&suddarths,Textbook of medical-surgical nursing 14 th edition, Wolters Kluwer publication, Philadelphia, page no 1282.