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Medical Instrument Cleaning

  1. Sep 7, 2014 #1

    Drakkith

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    From this article:

    Can anyone tell me why handwashing an instrument before putting it in the cleaning machine is a no-no?
     
  2. jcsd
  3. Sep 7, 2014 #2

    SteamKing

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    Well, the total circumstances surrounding the hand cleaning of the instruments are not clear, but don't you think that hand washing a potentially contaminated instrument can spread infection to the person doing the washing? And then this person is putting their hands in your mouth, even with gloves on? :eek:

    Still, it's bad clinical practice. A doctor or a dentist should use disposable stuff or have an autoclave to sterilize instruments after each use.
     
  4. Sep 7, 2014 #3

    Drakkith

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    Hmm, I see what you mean about spreading a disease to the person doing the washer, however it seems like they did use an autoclave or similar machine to clean their instruments after handwashing them. I wonder if the problem was that the tools were possible infected, or that the people were? (or both?)
     
  5. Sep 7, 2014 #4

    AlephZero

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    They were also potentially contaminating the hand-washing facility, which might have been used by other people for supposedly "low risk" activities like (literally) hand washing.
     
  6. Sep 7, 2014 #5

    atyy

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    http://www.va.gov/oig/54/reports/VAOIG-10-03346-112.pdf
    - Soiled items were observed being packaged and heat-sealed for sterilization without proper cleaning.
    - Items were visibly dirty post-sterilization.
    - Items sealed for sterilization were visibly wet.
    - A basin was observed to be incorrectly wrapped prior to sterilization.
    - Items were being packaged for the incorrect sterilization method.
    - Standard operating procedures (SOPs), manufacturers’ instructions, and staff competencies were not available for review.
    - Staff was not familiar with relevant VHA guidance regarding RME.
     
  7. Sep 7, 2014 #6

    Drakkith

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    Thanks, Atyy, that makes a lot more sense.
     
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