Quality control of pre-sterilization cleaning.

A. AZOPYRAMIC TEST.

Functional purpose – preventive

Conditions of implementation – outpatient, inpatient, sanatorium-resort.

PURPOSE: control of pre-sterilization cleaning of instruments for occult blood and chlorine-containing substances

INDICATIONS:

– centralized sterilization – daily

– self-monitoring at the department – once a week

– the center of sanitary and epidemiological supervision controls health facilities – 1 time per quarter

EQUIPMENT: 1% of products of the same name, but not less than 3-5 pieces; stock solution of azopyram prepared by a pharmacy; 3% hydrogen peroxide; gauze napkin; glasses with blood smears; pre-sterilization cleaning control log, alcohol, soap, dispenser with a disposable towel.

Technology Algorithm

1. Prepare a working solution of azopyram by mixing equal volumes (1/1) of the stock solution of azopyram and 3% hydrogen peroxide, the working solution is only usable for 1-2 hours.

2. Check the activity of the working control by dropping a few drops on the slide with a blood smear.

3. Wipe cold products (not higher than 25 0 ) with a swab moistened with a reagent or apply 3-4 drops of a working solution with a pipette into a syringe and move the reagent with a piston several times. At higher temperatures, the reagent is destroyed

4. Exposure 0.5-1 minute. Control of suitability and activity of the working control.

5. Displace the solution from the syringe onto a gauze napkin or wipe a smooth product with a gauze napkin. Ensure the penetration of the working solution into the joints.

6. Sample reading:

– pink-lilac staining appears in the presence of hemoglobin on the product;

– brownish staining appears in the presence of oxidizing agents, chlorine-containing substances, washing powder, bleaches, rust. If the color change occurs later than one minute, the sample is not counted.

7. Evaluation of the result.

8. Regardless of the test result, rinse the product with water or alcohol to remove toxic substances.

9. With a positive sample, the entire batch of products is subject to re-cleaning.

10. Record the result of the test in the logbook.

11. Clean up until a negative test result appears.

B. PHENOLPHTHALEIN TEST.

PURPOSE: quality control of pre-sterilization cleaning of instruments for the completeness of cleaning instruments from detergents. In the centralized pre-sterilization room (CSO) – daily

– Self-monitoring in the department – 1 time per week

– The Center for Sanitary and Epidemiological Surveillance controls health care facilities once a quarter.

EQUIPMENT: 1% of products of the same name, but not less than 3-5 pieces; 1% alcohol solution of phenolphthalein; gauze napkins; cotton swabs; pipettes or syringe, a pre-sterilization cleaning control log, alcohol, soap, a dispenser with a disposable towel.

Technology Algorithm

one. Prepare a 1% alcohol solution of phenolphthalein.

2. Wipe (introduce inside) the instrument, syringe, needle or cotton swab with an alcohol solution of 1% phenolphthalein and move the reagent several times with a piston.

3. Exposure – 0.5-1 minute. If the color change is later than one minute, the sample is not counted.

4. Displace the solution from the syringe onto a gauze napkin or a smooth product, wipe it with a gauze napkin.

5. Sample Reading:

– “Pink” staining – in the presence of detergents (positive test);

– No staining – (negative test) in the absence of detergents.

6. Regardless of the results of the sample, the products are washed with water or alcohol.

7. With a positive sample, the entire batch of products is subject to repeated washing under running water.

8. Record the result of the test in a journal.

9. Clean up until a negative test result appears

B. SUDAN TEST III.

EQUIPMENT: 1% of products of the same name, but not less than 3-5 pieces; sudan III , ammonia, distilled water, gauze wipes; cotton swabs; pipettes or syringe, a pre-sterilization cleaning control log, alcohol, soap, a dispenser with a disposable towel.

1. Prepare 0.2 grams of sudan III . ammonia, distilled water, mixing equal volumes (1/1) of the initial solution, the working solution is suitable for use only within 14 days.

2. Wipe cold products (not higher than 25 0 ) with a swab moistened with a reagent or apply 3-4 drops of a working solution with a pipette into a syringe and move the reagent with a piston several times. At higher temperatures, the reagent is destroyed

3. Exposure 0.5-1 minute. Control of suitability and activity of the working control.

4. Displace the solution from the syringe onto a gauze napkin or wipe a smooth product with a gauze napkin. Ensure the penetration of the working solution into the joints.

5. Sample Reading:

– pink-lilac staining appears in the presence of hemoglobin on the product;

– brownish coloring appears in the presence of oxidizing agents, chlorine-containing substances, washing powder, bleaches, rust. If the color change is later than one minute, the sample is not counted.

6. Evaluation of the result.

7. Regardless of the test result, rinse the product with water or alcohol to remove toxic substances.

8. With a positive sample, the entire batch of products is subject to re-cleaning.

9. Record the result of the test in the log book.

10. Clean up until a negative test result appears.

MEDICAL SERVICE No. 16

The technique of using sterile bix in the treatment room

Functional purpose – preventive

Conditions of implementation – outpatient, inpatient, sanatorium-resort.

PURPOSE: maintaining the sterility of the dressing material, ensuring asepsis

INDICATIONS:

invasive procedures

treatment of skin and mucous membranes

EQUIPMENT: soap or antiseptic solution for hand treatment, sterile gloves, manipulation table, bix on a stand with sterile material, sterile gripping tools (tweezers, forceps) in a craft bag, 70% alcohol, sterile tray, tray (small) non-sterile.

Procedure algorithm

one. Put on a gown, cap, mask.

2. Pay attention to the tightness of the bix, and the date of sterilization on the tag of the bix.

3. Open the latch on the bix.

4. Wash your hands in a hygienic way.

5. Put on sterile gloves.

6. Remove the sterile tweezers from the kraft bag and place on the sterile tray.

7. Open the bix cover by pressing the stand pedal.

8. Remove the sterilization indicator with sterile tweezers and check compliance with the sterilization regimen.

9. Discard the sterilization indicator into a non-sterile tray and keep until the end of the work shift.

10. With sterile tweezers, “open” the corners of the sterile diaper in the bix and get the right amount of sterile dressing

11. One of the corners of the sterile diaper cover the dressing material in the bix, leave the rest outside.

12. Close the bix cover by releasing the pedal.

13. Put the sterile forceps into the sterile tray.

14. The shelf life of sterile material in a hidden bix is 2 hours.

MEDICAL SERVICE No. 17

Be First to Comment

Leave a Reply

Your email address will not be published.