Guideline Implementation: Surgical Instrument Cleaning

作者: Liz Cowperthwaite , Rebecca L. Holm

DOI: 10.1016/J.AORN.2015.03.005

关键词:

摘要: Cleaning, decontaminating, and handling instructions for instruments vary widely based on the type of instrument manufacturer. Processing in accordance with manufacturer's can help prevent damage keep devices good working order. Most importantly, proper cleaning disinfection may transmission pathogenic organisms from a contaminated device to patient or health care worker. The updated AORN "Guideline surgical instruments" provides guidance cleaning, transporting, inspecting, storing instruments. This article focuses key points guideline perioperative personnel implement appropriate protocols their practice settings. address timely decontamination after use; heating, ventilation, air conditioning parameters area; processing ophthalmic laryngoscopes; precautions take used cases suspected prion disease. Perioperative RNs should review complete additional information when writing updating policies procedures.

参考文章(36)
, Recommended practices for cleaning and sterilizing intraocular surgical instruments. Journal of Cataract and Refractive Surgery. ,vol. 33, pp. 1095- 1100 ,(2007) , 10.1016/J.JCRS.2007.03.020
Gerald McDonnell, Prion disease transmission: can we apply standard precautions to prevent or reduce risks? Journal of perioperative practice. ,vol. 18, pp. 298- 304 ,(2008) , 10.1177/175045890801800706
Patrick J. McCormick, James J. Kaiser, Michael J. Schoene, Matthew A. Dehmler, Julie M. Conyer, Christine E. Skolnick, Ned Luce, Susan E. Norton, Ophthalmic Viscoelastic Devices As a Cleaning Challenge Biomedical Instrumentation & Technology. ,vol. 47, pp. 347- 355 ,(2013) , 10.2345/0899-8205-47.4.347
Nobuyuki Shimono, Masayuki Murata, Yoko Kanamoto, Yujiro Uchida, Hiroko Matsumoto, Jun Hayashi, Nobuyuki Shimono, Takahiro Takuma, Noriko Tsuchimochi, Nobuyuki Shimono, Yujiro Uchida, Akira Shiose, Shigeki Morita, Masayuki Murata, Yoko Kanamoto, Jun Hayashi, An outbreak of Pseudomonas aeruginosa infections following thoracic surgeries occurring via the contamination of bronchoscopes and an automatic endoscope reprocessor Journal of Infection and Chemotherapy. ,vol. 14, pp. 418- 423 ,(2008) , 10.1007/S10156-008-0645-9
Pritish K. Tosh, Maureen Disbot, Jonathan M. Duffy, Marc L. Boom, Gary Heseltine, Arjun Srinivasan, Carolyn V. Gould, Sandra I. Berríos-Torres, Outbreak of Pseudomonas aeruginosa surgical site infections after arthroscopic procedures: Texas, 2009. Infection Control and Hospital Epidemiology. ,vol. 32, pp. 1179- 1186 ,(2011) , 10.1086/662712
Cynthia C. Spry, Care and Handling of Basic Surgical Instruments AORN Journal. ,vol. 86, pp. S77- S81 ,(2007) , 10.1016/J.AORN.2007.11.006
William A. Rutala, David J. Weber, Guideline for disinfection and sterilization of prion-contaminated medical instruments. Infection Control and Hospital Epidemiology. ,vol. 31, pp. 107- 117 ,(2010) , 10.1086/650197
Judith Lipton Goldberg, What the Perioperative Nurse Needs to Know About Cleaning, Disinfection, and Sterilization Perioperative Nursing Clinics. ,vol. 5, pp. 263- 272 ,(2010) , 10.1016/J.CPEN.2010.04.009