Integra JARIT DETACH Manual Del Usuario página 6

MANUAL DECONTAMINATION
PRECLEANING: Remove gross debris from surgical instruments with a
sponge and sterile water routinely during the procedure to prevent drying
on of blood and body fluids, etc. It is important to rinse instruments that
have been exposed to blood and saline solution before these substances
dry. Blood and body fluids as well as saline solutions are highly corrosive. In
addition, blood can produce a stain that is difficult to remove.
CLEANING: To prevent the formation of biofilm, cleaning should occur as
soon as possible after instrumentation is used. Biofilm is an accumulation
of a biomass of bacteria and extracellular material that tightly adheres itself
to the surface of the instruments. It cannot be easily removed by ordinary
cleaning/decontamination methods used in hospitals. It is particularly
problematic in lumened medical devices. Cleaning should occur as soon as
possible after instrumentation is used.
Step 1. Maintain moisture: Immediately after the surgical procedure, place
the instruments in an instrument tray/container and cover with a towel
moistened with sterile distilled water. Transport tray of soiled instruments in
an impervious plastic bag or container with a tight lid to the decontamination
environment (keep the outside of the containment clean). Foam, spray or
gel products, specifically intended for use with surgical instruments, are
available to keep the soil moist.
Step 2. Enzymatic Soak: Immerse fully opened and/or disassembled
instruments in an enzymatic solution, specific for use with surgical
instruments. Prepare the solution and use per enzyme manufacturer's
recommendations, paying special attention to instructions for correct
dilution, temperature and soak time. Flush air from lumens and fill them
with enzymatic solution for full contact with this inner surface during the
soak time.
Step 3. Rinse: Remove from enzymatic soak after the time period
recommended by the enzymatic manufacturer and rinse thoroughly with
lukewarm distilled water. Flush lumens until rinse water runs clear.
Step 4. Cleaning Instruments: Choose a cleaning solution appropriate
for surgical instruments and follow the manufacturer's instructions for
use. The use of neutral pH detergents is vital to the maintenance of
surgical instruments. Contact with acidic or alkaline solution will remove
the instruments' protective barrier of chromium oxide often leading to
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