Instrument Reprocessing

Slides:



Advertisements
Similar presentations
Overall Classification: UNCLASSIFIED//REL TO NATO/ISAF.
Advertisements

Chapter 21 Principals and Techniques of Sterilization Copyright 2003, Elsevier Science (USA). All rights reserved. No part of this product may be reproduced.
Tracheostomy Cleaning Guidelines (All Information taken from individual manufacturer’s guidelines) Arcadia Cleaning Soak the tube for 60 minutes in warm.
Infection Control Procedures in Dentistry Part II Asma’a Al-Ekrish.
Using Disinfectants and practicing Sterilization in the Veterinary Clinic.
1 Clean? Disinfect? Sterilize? What does it all mean?? DA 116 Infection Control.
Onsite Biomedical Waste Management Environmental Health & Safety Environmental Protection Program
Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 6 Infection Control: Clinical Procedures.
3.03 Understand support services
Clean? Disinfect? Sterilize? What does it all mean??
Infection Control AHS II Unit F. Standard Precautions Sometimes called “Universal” precautions Sometimes called “Universal” precautions Used to break.
DENT 1260 IC Unit 5 Unit 5 Sterilization 1. 3 methods of HEAT Sterilization Autoclave- steam under pressure Chemclave- chemical heated under pressure.
Sterilizing Techniques 4-H Veterinary Science Extension Veterinary Medicine Texas AgriLife Extension Service College of Veterinary Medicine and Biomedical.
STERLIZATION AND CROSS INFECTION CONTROL IN THE DENTAL PRACTICE:
Instrument Processing DA 116 Infection Control
Instrument Processing DA 116 Infection Control. Instrument Contamination Levels: 1. _______________ 2. _____________________ 3. _____________________.
What is the autoclave thing again. Sanitization: fancy word for Cleaning Removing of foreign material Dirt, body fluids, lubricants Using detergents,
Manage infectious conditions..  Write down as many infection control and cross infection issues as possible 
PART B Physical Barrier Protection Personal Protective Equipment (PPE): is important and includes important and includes Gloves Gloves Masks Masks Eyewear.
Autoclave. What is an Autoclave? Autoclave is a pressurized device designed to heat aqueous solutions above their boiling point at normal atmospheric.
8.02 Aseptic Techniques Implement aseptic technique to maintain equipment Images courtesy of google images.
University of Palestine College of Dentistry DR. MUSTAFA I. ELGHOUL B.SC,B.D.S,MS(ORTHO) Master of Orthodontic FOUR HANDED DENTISTRY&INFECTION CONTROL.
Infection Control.
Sterilization Equipment. Protective Mask  To protect against chemicals, airborne pathogens, bacteria, and viruses during processing of instruments for.
Play Instructions: 1) Divide into Teams 2) Ask a Question to a Team 3) If correct, click the Spin Wheel Button to choose the number of points that team.
STERLIZATION AND CROSS INFECTION CONTROL IN THE DENTAL PRACTICE: part 2 BY. DR HINA ADNAN DNT 362.
$1 Million $500,000 $250,000 $125,000 $64,000 $32,000 $16,000 $8,000 $4,000 $2,000 $1,000 $500 $300 $200 $100 Welcome.
Infection Control And Sterilization In Dentistry
Infection Control and Medical Asepsis
ASEPTIC TECHNIQUE IN HEALTHCARE. MICROBIAL GROWTH FOLLOWING FACTORS INFLUENCE MICROBIAL GROWTH: TEMPERATURE PH, OR THE VALUES USED IN CHEMISTRY TO EXPRESS.
STRILIZATION AND DISINFECTION IN A DENTAL CLINIC
Dr. Saleem Shaikh.   Defn: Cross infection can be defined as the passing of one infection causing microorganism (bacteria, viruses, fungal spores, etc.)
Chemical Bonds and Crystalline Solids 12/9/08. Chemical Bonds  Covalent Bond- a chemical bond formed by the sharing of electrons.  Ionic Bond-a chemical.
Procedures for Cleaning, Disinfecting and Sterilization Of Medical Instruments.
Handling and Disposal of Infectious Wastes
Pearson's Comprehensive Medical Assisting Administrative and Clinical Competencies CHAPTER Pearson's Comprehensive Medical Assisting: Administrative and.
Presented to: Dr. Manzar Anwar Dr. Shakeel Anwar Dr. Shazia Makhdoom Presented By: Jawad Ullah Shah Class # 04 1.
Decontamination and Cleaning
1 |1 | Module 7 Cleaning & Disinfection WASH FIT Module 7 Cleaning & Disinfection WASH FIT.
1- Low temperature steam: dry steam at 73C° for 20 minutes at sub atmospheric pressure. 2- Boiling water exposure to 100C° for 5 minutes at normal pressure.
Germicide Use in Dentistry
Onsite Medical Waste Management and Bloodborne Pathogens
World Health Organization
Autoclave Safety Prepared by Curt Speaker
3.03 Understand support services PP2
به نام خدایی که در این نزدیکی است
Principles of Sterilization
3.03 Understand support services
CENTRAL STERILE SUPPLY SERVICE
بسم الله الرحمن الرحيم.
Asepsis and Standard Precautions
Infection Control in the GI Setting
Use of Personal Protective Equipment
Sterilization Methods CTVT pages
Infection Prevention.
November 16, 2005 University of Kentucky Department of Biosafety
Basics of Cleaning, Sterilization and High Level Disinfection (HLD)
3.03 Understand support services
Infection Control Lesson 3: Surgical Asepsis
Sterilization process
3.03 Understand support services
Sterilization September 2018.
Registered Dental Assistant: Infection Control Techniques
Prevent Disease…. …………….Wash your Hands.
3.03 Understand support services PP2
3.03 Understand support services
Sterile Technique.
3.03 Understand support services
Laboratory equipment Lecture (9).
3.03 Understand support services
Presentation transcript:

Instrument Reprocessing Raghunath Puttaiah, BDS, MPH Dental - Innovative Devices & Educational Solutions www.dental-ideas.com

Basic Rules in Reprocessing Always clean instruments before sterilization Sterilization required for Critical and Semi-critical items Only disinfect if equipment cannot be sterilized Heat or heat + chemical methods superior to chemical immersion methods Weekly sterilization monitoring Test ultrasonic machine monthly Take good care of reprocessing equipment

Adaptation of Spaulding’s Classification to clinical surfaces Critical* Semi-critical surfaces* Non-critical surfaces Environmental surfaces * These items enter the oral cavity and must be single- use-disposable or sterilized

PPE required for reprocessing + Eyewear + Mask + Gown + Utility Gloves

5a. Manually clean and rinse only if sonication has not Reprocessing Cycle Separate instruments From waste Immerse in Holding solution 3. Sonicate instruments 1a. Sharps and Regulated Waste 7. Sterilization and use 4. Rinse instruments 1b. Non-regulated waste 6. Dry and bag for sterilization 5. Inspection of instruments 5a. Manually clean and rinse only if sonication has not achieved cleaning Sterilization monitoring to be done weekly

Manual cleaning Don’t do this Manual scrubbing instruments to be done only if visible debris seen after sonication. It should be done with a long handle brush while wearing utility gloves

Types of ultrasonic solutions Non Ionic Detergents Cationic Detergents Anionic Detergents Enzymatic Solutions The Same can be used as a holding solution Some solutions can be corrosive

Foil test for efficacy of the ultrasonic cleaning process Part of the foil that was not submerged in the bath Uniformly pitted area that was submerged in the bath

Common methods of sterilization in dentistry Autoclave Chemiclave Rapid heat transfer

Dry Heat Sterilization using Dry Heat: Slow Fast Rapid Heat Transfer Temp 1600C (3200F) 1700C (3400F) 1900C (3750F) Time 120 minutes 60 minutes 6-12 minutes* *6 minutes for unpackaged, 12 minutes for packaged

Sterilization Steam Under Pressure STERILIZATION USING AUTOCLAVE Temperature 1210C (2500F) Pressure 15 psi Time* 15-20 minutes Temperature 1340C (2730F) Pressure 30 psi Time* 3-5 minutes * Does not include warm-up / drying / cool-down time

Steam Under Pressure Warm-up time Sterilization Time Drying+Cooldown <--------------------60-90 minutes---------------------> Packaging material must allow penetration of steam paper, plastic, surgical muslin Do not use closed metal or glass containers

Unsaturated Chemical Vapor Temperature 1310C (2700F) Pressure 20 psi Time 30 minutes Packaging materials: allow vapors to precipitate on item surface vapors must not react with packaging no contact of plastics with side of sterilizer Perforated Metal Trays Are Ideal Solid Trays, Sealed Glass Jars are BAD

Sterlization Monitoring All sterilizers that are used must be monitored at least weekly For Dry Heat Sterilizers Bacillus subtilis For Autoclaves and Chemiclaves Bacillus stearothermophilus

Sterlization Monitoring

Outcomes of monitoring Successful- No growth Failure - b. subtilis Failure - b. stearothermophilus