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How Sterilization of Medical Devices

Sterilization
understanding; An act to kill pathogenic germs and apatogen along the spores on treatment and medical equipment by boiling, stoom, high heat, or use chemicals.

The type of equipment which can be sterilized:
Equipment made of metal, such as tweezers, scissors, speculum and others.
Equipment made of glass, for example syringe (syringe), chemical tube and others.
The equipment is made of rubber, for example, catheters, gloves, gastric probe pipe, drain and others.
Equipment made of ebonite, for example kanule rectum, kanule trachea and others.
Equipment made of email, for example bent (nierbekken), basin and others.
Equipment made of porcelain, such as bowls, cups, plates and others.
Equipment made of plastic, for example slang i8nfus and others.
Equipment made of woven, for example gauze, tampon, doek surgery, clothes, bed sheets, pillowcases and others.

implementation:
(1) Sterilization by means boiled
Mensterikan equipment by boiling in water until boiling (1000C) and wait 15 to 20 minutes. Eg equipment from metal, glass and rubber.
(2) Sterilization by means stoom
Mensterikan equipment with hot steam inside the autoclave with time, temperature and pressure. For example looms, pharmaceuticals and others.
(3) Sterilization by means of dry heat
Mensterikan equipment with high heat oven with steam. Eg sharp metal utensils, glassware and certain medications.
(4) Sterilization by using chemicals
Mensterikan equipment using chemicals such as alcohol, sublimat, formalin vapors, especially for equipment that quickly broken when the heat kene. For example gloves, catheters, and others.

Caution:
(1) Sterilisator should be ready for immediate use.
(2) Equipment should be clean and masigh functioning.
(3) equipment in wrapped must be labeled clearly state the name, equipment type, date and hour sterilized.
(4) Prepare the equipment inside the sterilizer must be such that all parts can be sterilized.
(5) The time required to sterilize each type of equipment to be precise (calculated from the sterilized equipment).
(6) It is prohibited to enter or add other equipment into the sterilizer, before the time to sterilize finished.
(7) Moving equipment already sterile cage where should the korentang sterile.
(8) To cool sterile equipment is prohibited unwrapping and lid.
(9) When the new equipment is sterilized open, the equipment must be sterilized again.

Maintenance Care and Medical Equipment
Definition:
Carry out maintenance of equipment and medical care by cleaning, disinfecting or sterilizing and storing.

Aim :
(1) Setting up equipment and medical care in the state ready for use.
(2) Prevent the equipment quickly broken.
(3) Prevent the occurrence of cross-infection.

a.Pemeliharaan Tools Of Metal.

Type of equipment:

For example:
(1) blade operation.
(2) Scissors.
(3) Tweezers.
(4) Kocher.
(5) Korentang.
Preparation :
(1) Equipment to be cleaned.
(2) Place whet pencucuian with water or a basin of water.
(3) soap.
(4) Brush smooth.
(5) Crooked (nierbekken).
(6) Wipe dry.
(7) A solution of disinfectant.
(8) Gauze.
(9) Stalisator ready for immediate use.

implementation:
(1) The equipment has been used, rinse water (preferably under running water) to remove dirt, then soaked in a disinfectant solution for at least two hours. Special equipment that has been used in patients with contagious diseases, must be soaked for at least 24 hours.
(2) Hardware disabuni satuper one, then rinsed. Furthermore sterilized by boiling in the sterilizer that has been filled with water to taste, cooked until boiling. After the water boils at 15 minutes = Lack newly appointed.
(3) The equipment has been sterilized, removed or moved to the place penyiumpanan korentang sterile sterile.
(4) Once completed, the equipment is cleaned, in \ clean up and returned to the place originally.
Caution:
Special equipment sharp metal (eg, knives, scissors, needles, etc.) must first be wrapped with gauze, and then inserted into the sterilizer, after boiling water and three to five minutes ditungguantara newly appointed.

b.Pemeliharaan Equipment of Glass.

Type of equipment:
For example:
(1) Catheter.
(2) suction mucus baby
(3) syringes.
Preparation :
(1) Equipment to be cleaned.
(2) The washing with water flowing ataubaskom clean water.
(3) The soap
(4) Brush smooth.
(5) Crooked (nierbekken).
(6) Wipe dry.
(7) A solution of disinfectant.
(8) Kais gauze.
(9) Sterilisator ready for immediate use.
(10) Sticks of cotton

implementation:
Same with implementation of equipment maintenance ligam dai. But a special syringe, the plunger is removed and the needle is removed, and then each tool wrapped with gauze, and after it had entered into a sterilizer that has been filled with water and diltakkan side by side.

c.Pemeliharaan Tools Of Rubber.

Type of equipment:
For example:
(1) catheter.
(2) Pipe gastric probe or maagslang.
(3) Drain.
Preparation :
(1) Equipment to be cleaned.
(2) The washing with water or basin.
(3) soap.
(4) Crooked (nierbekken).
(5) syringes.
(6) Cotton clean and place.
(7) A solution of disinfectant.
(8) Sterilisator ready for immediate use.

implementation:
(1) the equipment is cleaned and if there are traces of plastic is removed with a clean cotton.
(2) Section therein are cleaned with water squirted from a syringe or running water as he massaged-massage thoroughly.
(3) Once clean, the equipment and then soaked in a disinfectant solution for at least two hours, then disabuni and rinsed.
(4) After boiling water in the sterilizer, the equipment is inserted and left between five samapai ten minutes, then removed with sterile korentang. After that equipment be kept sterile.
(5) Once completed, the equipment is cleaned, cleared and restored to its original place.
d.Pemeliharaan glove hand.

Preparation :
(1) gloves dirty (the former is used).
(2) The washing with running water or a basin of water.
(3) soap.
(4) Dry wipe or towel.
(5) Powder usual.
(6) Tablet formalin taste.
(7) Drum or a sealed jar.

implementation:
(1) Gloves cleaned and disabinu the outside and inside, then rinsed.
(2) Gloves examined whether leak or not, by means of air entering into it, then dipped into the water. If the leak is separated.
(3) Once clean, glove dried by hanging them upside down or langsungdikeringkan outside and inside with a towel or a dry cloth.
(4) Give thin powder evenly the outside and inside.
(5) Gloves arranged or rolled up in pairs or groups separated eg one piece left or right. When separated left or right, must be given a clear identification label on a drum or a jar each of which shows the right or left, as well as the date and time of commencement of sterilization.
(6) Gloves and then inserted into the drum or jars already containing formalin tablet to be sterilized for 24 hours from when it is inserted. To drum or jar the size of one liter of formalin used four 50 gram tablet.
(7) Upon completion, the equipment is cleaned, cleared and returned to the place originally.

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