Why is Handwashing Before Using a Cleaning Machine a Protocol Violation?

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Discussion Overview

The discussion revolves around the protocol violation of handwashing dental instruments before placing them in cleaning machines. Participants explore the implications of this practice on infection control and clinical standards.

Discussion Character

  • Debate/contested
  • Technical explanation
  • Conceptual clarification

Main Points Raised

  • Some participants question the rationale behind handwashing instruments before machine cleaning, suggesting it may lead to infection spread to the person washing the instruments.
  • Others argue that using disposable tools or autoclaving instruments after each use is a better practice to ensure safety.
  • There is uncertainty about whether the issue lies with the potential contamination of the tools or the individuals handling them.
  • Concerns are raised about the contamination of the hand-washing facility, which could affect others using it for low-risk activities.
  • One participant cites a report highlighting various procedural failures in the cleaning and sterilization process, including visibly dirty items post-sterilization and improper packaging for sterilization.

Areas of Agreement / Disagreement

Participants express differing views on the safety and appropriateness of handwashing instruments before machine cleaning, indicating that multiple competing perspectives remain without consensus.

Contextual Notes

Limitations include unclear circumstances surrounding the handwashing practice, the potential for contamination in the hand-washing facility, and the lack of familiarity with relevant guidelines among staff.

Drakkith
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From this article:

Dr. Gina Michael, the association chief of staff at the hospital, told the affiliate that some dental technicians broke protocol by handwashing tools before putting them in cleaning machines.

The instruments were supposed to only be put in the cleaning machines, Michael said.

Can anyone tell me why handwashing an instrument before putting it in the cleaning machine is a no-no?
 
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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.
 
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?)
 
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.
 
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.
 
Thanks, Atyy, that makes a lot more sense.
 

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