Clean Up After Patient Treatment • The following protocol will be used: o Remove gloves and wash hands immediately
Instrument Recirculation • Transporting:
All contaminated instruments and instrument cassettes should be transported from the operatory to the sterilization area in a sealed plastic container provided between each operatory. Students should use heave nitrile utility gloves when working with contaminated instruments. • Containment All contaminated instruments and instrument cassettes that are not immediately placed into the Instrument Washer must be submerged in an appropriate holding solution or otherwise confined to a limited area until such time as
o Walk patient to Exit desk to reschedule or reappoint the patient at the appropriate recall interval. Complete entries on any forms and records relating to the treatment. Return to clinic. o Apply utility gloves, mask, glasses, and face shield. Remove all disposables and discard in the appropriate containers. o Place all contaminated instruments, syringes, needles and other sharps as well as any other reusable in a sealed plastic container and transfer to the sterilization area. o Discard any sharps into sharps containers located in the central sterilization center. o Place contaminated instruments or cassette into a holding solution or ultrasonic cleaner immediately then return to operatory. o Remove all plastic barriers and place into inverted chair bag and discard the entire bag into one of the black trash bag lined waste receptacles located throughout the clinic. Secure the lid. o Following operatory surface management procedures, clean, disinfect, and/or prepare the unit for the next patient. This procedure includes flushing the water lines for 20-30 seconds).
it may be cleaned. • Decontamination
Ultrasonic and other mechanical means of cleaning instruments have proven to be more effective, efficient, and safer than hand-scrubbing and will implemented. For this reason, the Instrument Washer will be used. However, if using an ultrasonic cleaner, the lid must be in place and students would need to rinse, dry, and visually inspect items to be certain all debris has been removed before placing the items into the sterilizer. Renewal • Heat Sterilization All contaminated re-usable instruments, including handpieces, must be sterilized in verifiable heat-sterilizing devices, must be thoroughly cleaned and heat sterilized before use in the treatment of another patient. All items must be packaged for sterilization in sterilization wrapping materials or pouches that will maintain sterility. The use of chemicals as a substitute for heat sterilization of these items in unacceptable. Biological monitoring will be performed weekly on each sterilization device. • Chemical Sterilization/Disinfection All re-usable items that cannot be heat sterilized must be thoroughly cleaned and
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Hodges University Student Handbook
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