Cleaning up after surgery

HEALTH

1. CLEANING UP AFTER SURGERY BY SAMBO N.M RN,RM,RPON,BNSC,PGDE,PM,MSc

2. OUTLINE Introduction The process of cleaning the instrument and envriroment General precautions Post operative theatre cleaning Refernces

3. Cleaning of the theatre

4. Introduction The first step in preparing an instrument for reuse after it has been used on a patient is cleaning. S tudies have shown that a soiled instrument cannot be effectively sterilized . Cleaning the operating theatre and its immediate environment minimises patients' and health care workers' exposure to potentially infectious microorganisms. Therefore it should be carried out after every procedure

5. THE PROCESS OF CLEANING INSTRUMENTS Recommended procedures for manual cleaning are to first soak the instrument in a tepid or lukewarm water or detergent bath for  at least 10 minutes , preferably until all soil on the instrument is softened. The next step is to completely brush the instrument with a medium-soft brush while it is in the soak bath . Ultrasonic cleaning is the follow-up to manual cleaning

6. THE PROCESS OF CLEANING INSTRUMENTS cont… This procedure ensures that the potential for cross contamination of instruments and instrument sets is reduced to a minimum Rinse instruments in clean water and dry Inspect/ maintain instrument before packing Sterilize the instruments Store in a dry cupboard

7. General Precautions Healthcare workers who do the hands-on work of cleaning soiled instruments should be protected from the possibility of infection from infectious material on the instruments . S pell out universal precautions that must be taken to followed provide personal protective equipment such as disposable gloves,

8. dispose of soiled dressings and potentially contaminated waste according to biohazardous material regulations The use of personal protective equipment is required when there is reasonably anticipated exposure to blood or other potentially infectious materials. Provide initial and annual training on the bloodborne pathogen regulations

9. The process cont… After each operation,  clean the soiled areas of the floor by wet-vacuuming or damp-mopping . Clean any furniture and equipment that came in contact with the patient or may have become soiled or damp, including the operating table, surgical lights, blood pressure cuffs, and tourniquets.

10. A clean O R.

11. Summary Cleaning is the first and possibly the most important step in reprocessing of reusable medical and dental instruments. The sequence soak, wash, rinse, dry (with appropriate preparation of the instrument) will provide a clean instrument that can be readily disinfected or sterilized prior to its next use on a patient.

12. References https://www.crosstex.com/cleaning-surgical-instruments-1182