"Clean  Instument Provide  Safer Care"
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Clean instument provide safer care

"Clean Instument Provide Safer Care"

Infection Control Nurse

16 .. 51


Thailand patient safety goal

Thailand Patient Safety Goal

  • (HAIs)

  • (medication safety)

  • (blood safety)


Clean instument provide safer care

(HAIs)

  • (Clean Equipment)

    :


Clean instument provide safer care

......


Clean instument provide safer care

... ...


Clean instument provide safer care

  • :

    -

    -

    -

  • :

    -

  • :

    -

    -

    -

    - /

    - /

    -

    -

    -

    -


Step in sterile process

Step in Sterile Process


Clean instument provide safer care

  • /

  • (,)


Clean instument provide safer care

  • Prions

  • Bacterial spores

  • Mycobacteria

  • Non-enveloped (small) Viruses

  • Fungi

  • Vegetative bacteria

  • Enveloped (medium) Viruses


Clean instument provide safer care


Clean instument provide safer care

Antiseptic

Disinfectant


Clean instument provide safer care

Disinfection

Sterilization

Pasteurization


Clean instument provide safer care

??


Clean instument provide safer care


Clean instument provide safer care

Dr.Spaulding 3

1. (Critical items)

2. (Semi-critical items)

3. (Non-critical items)


Clean instument provide safer care

!!

Non-critical

Semi-critical

Critical


Clean instument provide safer care

  • (Critical items)


Critical item

Criticalitem

  • EO

  • H2O2 Gas Plasma

  • Ozone

  • chemical sterilant???


Clean instument provide safer care

2.

(Semi-critical items)

  • ( High level disinfection)

  • -

    -

    -

    -


Semi critical item

Semi-criticalitem

  • EO

  • H2O2 Gas Plasma

  • Ozone

  • chemical sterilant???


Clean instument provide safer care

3.

(Non-critical items)

  • Low level disinfection

  • -

    -

    -

    - EKG leads

    -


Non critical item

Non-criticalitem

  • (detergent)


Clean instument provide safer care

Non-critical

Critical

Semi-critical

Disinfection

Sterilization

Cleaning


Clean instument provide safer care

EO , H2O2 plasma, Formaldehyde

Steam , Dry heat

6%H2O2 2%Glutaraldehyde


Clean instument provide safer care

Quaternary NH4 compound (savlon)

70-90% Alcohol Chlorine compound Phenolic , Iodophor

6%H2O2 2%Glutaraldehyde


Clean instument provide safer care

....

....


Clean instument provide safer care

  • :

    - antiseptic

    -

    -

    -


Clean instument provide safer care

ultrasonic

Washer

Pasteurizer


Clean instument provide safer care

  • (Negative Pressure)

  • 10 /.


Clean instument provide safer care

Enzymatic detergent

1.

2.

3.


Standard precautions

Standard Precautions

  • /

!!


Clean instument provide safer care

-

~ 80%


Clean instument provide safer care

( )

1. , pH

2. EO ethylene glycol

3. /


Ultrasonic

Ultrasonic

  • ,

  • electrolysis


Ultrasonic1

Ultrasonic


Clean instument provide safer care

ULTRASONIC

- WASHER


Clean instument provide safer care

  • (biofilm)


Dry heat sterilization

Dry heat sterilization


Low temperature sterilization eo gas

3 - 6

8-12 .

Low-temperature sterilization : EO gas


Gas plasma h 2 o 2 plasma

(+)

Gas Plasma : H2O2 Plasma


Clean instument provide safer care

1. /

2. : , Bowie-Dick test

3. : Spore test ** **


Spore test

EO gas

implant

Steam

(AORN)

implant

1

spore test


Clean instument provide safer care

Heat is the best !!

Heat Sterilization


Clean instument provide safer care

...

!!


Clean instument provide safer care

Heat is the best !!

  • ???


Clean instument provide safer care

**


Clean instument provide safer care

  • First in ,First out

  • 18-22 C

  • 35-70 %

  • 8

    18 2


Clean instument provide safer care

( /)

1.


Clean instument provide safer care

??


Clean instument provide safer care


Clean instument provide safer care

( /)

2. /

3. (OK) ()

4. /


Clean instument provide safer care

( /)

5.

6.(/)


Clean instument provide safer care

Do !

Dont !


Best practice

Best Practice


Clean instument provide safer care

Best Practice


Clean instument provide safer care

...Sterilization is not Magic...


Clean instument provide safer care

  • CSSD


Summary

Summary

  • -

    -

    -

    -


Clean instument provide safer care


Clean instument provide safer care


Clean instument provide safer care

Thank you for your kind attention


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