Guidelines in Practice: Instrument Cleaning.

cleaning decontamination manufacturer’s instructions for use (IFU) point-of-use treatment sterile processing

Journal

AORN journal
ISSN: 1878-0369
Titre abrégé: AORN J
Pays: United States
ID NLM: 0372403

Informations de publication

Date de publication:
09 2021
Historique:
received: 10 05 2021
accepted: 10 05 2021
entrez: 26 8 2021
pubmed: 27 8 2021
medline: 14 9 2021
Statut: ppublish

Résumé

Care of surgical instruments and devices is a multifaceted process that begins with an interdisciplinary team's prepurchase determination that the facility has the resources to correctly process the items. Processing encompasses point-of use removal of organic and inorganic material, transport to the processing area, use of chemicals and equipment to clean and decontaminate the item, and inspection for cleanliness and function. Failure to correctly clean and decontaminate surgical instruments can impede subsequent sterilization processes and place patients at risk for developing surgical site infections. The AORN "Guideline for care and cleaning of surgical instruments" provides general guidance for care of reusable medical devices. When processing instruments, perioperative team members should use the guideline in conjunction with the instrument manufacturer's validated instructions for use. This article discusses the guideline recommendations related to prepurchase evaluation, point-of-use treatment, transport, cleaning and decontamination, and education; it also includes a scenario to illustrate these topics.

Identifiants

pubmed: 34436771
doi: 10.1002/aorn.13495
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

241-251

Informations de copyright

© AORN, Inc, 2021.

Références

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Rutala WA, Weber DJ; Healthcare Infection Control Practices Advisory Committee (HICPAC). Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf. Updated May 2019. Accessed May 13, 2021.
Jinadatha C, Bridges A. Cleaning, disinfection, and sterilization. In: APIC Text of Infection Control and Epidemiology. Arlington, VA: APIC; 2018. http://text.apic.org/toc/basic-principles-of-infection-prevention-practice/cleaning-disinfection-and-sterilization. Updated December 22, 2020. Accessed May 13, 2021.
Association for the Advancement of Medical Instrumentation. ANSI/AAMI ST79:2017. Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. Arlington, VA: AAMI; 2017.
Reprocessing of reusable medical devices. US Food and Drug Administration. https://www.fda.gov/medical-devices/products-and-medical-procedures/reprocessing-reusable-medical-devices. Accessed May 13, 2021.
Guideline for care and cleaning of surgical instruments. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2021:381-420.
Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling. Guidance for Industry and Food and Drug Administration Staff. Rockville, MD: US Food and Drug Administration; 2015. https://www.fda.gov/media/80265/download. Updated June 9, 2017. Accessed May 13, 2021.
Guideline for medical device and product evaluation. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2021:719-728.
Almatroudi A, Tahir S, Hu H, et al. Staphylococcus aureus dry-surface biofilms are more resistant to heat treatment than traditional hydrated biofilms. J Hosp Infect. 2018;98(2):161-167.
Association for the Advancement of Medical Instrumentation. AAMI TIR12:2010 Designing, Testing, and Labeling Reusable Medical Devices for Reprocessing in Health Care Facilities: A Guide for Medical Device Manufacturers. Arlington, VA: AAMI; 2010.
Guideline for sterilization. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2021:985-1014.

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