"Clean  Instument Provide  Safer Care"
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Clean Instument Provide Safer Care

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"Clean Instument Provide Safer Care"

Infection Control Nurse

16 .. 51


Thailand Patient Safety Goal

  • (HAIs)

  • (medication safety)

  • (blood safety)


(HAIs)

  • (Clean Equipment)

    :


......


... ...


  • :

    -

    -

    -

  • :

    -

  • :

    -

    -

    -

    - /

    - /

    -

    -

    -

    -


Step in Sterile Process


  • /

  • (,)


  • Prions

  • Bacterial spores

  • Mycobacteria

  • Non-enveloped (small) Viruses

  • Fungi

  • Vegetative bacteria

  • Enveloped (medium) Viruses



Antiseptic

Disinfectant


Disinfection

Sterilization

Pasteurization


??



Dr.Spaulding 3

1. (Critical items)

2. (Semi-critical items)

3. (Non-critical items)


!!

Non-critical

Semi-critical

Critical


  • (Critical items)


Criticalitem

  • EO

  • H2O2 Gas Plasma

  • Ozone

  • chemical sterilant???


2.

(Semi-critical items)

  • ( High level disinfection)

  • -

    -

    -

    -


Semi-criticalitem

  • EO

  • H2O2 Gas Plasma

  • Ozone

  • chemical sterilant???


3.

(Non-critical items)

  • Low level disinfection

  • -

    -

    -

    - EKG leads

    -


Non-criticalitem

  • (detergent)


Non-critical

Critical

Semi-critical

Disinfection

Sterilization

Cleaning


EO , H2O2 plasma, Formaldehyde

Steam , Dry heat

6%H2O2 2%Glutaraldehyde


Quaternary NH4 compound (savlon)

70-90% Alcohol Chlorine compound Phenolic , Iodophor

6%H2O2 2%Glutaraldehyde


....

....


  • :

    - antiseptic

    -

    -

    -


ultrasonic

Washer

Pasteurizer


  • (Negative Pressure)

  • 10 /.


Enzymatic detergent

1.

2.

3.


Standard Precautions

  • /

!!


-

~ 80%


( )

1. , pH

2. EO ethylene glycol

3. /


Ultrasonic

  • ,

  • electrolysis


Ultrasonic


ULTRASONIC

- WASHER


  • (biofilm)


Dry heat sterilization


3 - 6

8-12 .

Low-temperature sterilization : EO gas


(+)

Gas Plasma : H2O2 Plasma


1. /

2. : , Bowie-Dick test

3. : Spore test ** **


EO gas

implant

Steam

(AORN)

implant

1

spore test


Heat is the best !!

Heat Sterilization


...

!!


Heat is the best !!

  • ???


**


  • First in ,First out

  • 18-22 C

  • 35-70 %

  • 8

    18 2


( /)

1.


??



( /)

2. /

3. (OK) ()

4. /


( /)

5.

6.(/)


Do !

Dont !


Best Practice


Best Practice


...Sterilization is not Magic...


  • CSSD


Summary

  • -

    -

    -

    -




Thank you for your kind attention


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