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    The document discusses sterilization methods used in operating rooms. It describes three main sterilization methods: 1) saturated steam under pressure using an autoclave or flash sterilizer, 2) gas sterilization using ethylene oxide, and 3) liquid chemical sterilization. It emphasizes that the sterilization method and parameters like temperature and time must conform to the manufacturer's specifications for the item being sterilized.

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    The document discusses sterilization methods used in operating rooms. It describes three main sterilization methods: 1) saturated steam under pressure using an autoclave or flash sterilizer, 2) gas sterilization using ethylene oxide, and 3) liquid chemical sterilization. It emphasizes that the sterilization method and parameters like temperature and time must conform to the manufacturer's specifications for the item being sterilized.

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    The document discusses sterilization methods used in operating rooms. It describes three main sterilization methods: 1) saturated steam under pressure using an autoclave or flash sterilizer, 2) gas sterilization using ethylene oxide, and 3) liquid chemical sterilization. It emphasizes that the sterilization method and parameters like temperature and time must conform to the manufacturer's specifications for the item being sterilized.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views1 page

    Img 0018

    Uploaded by

    O'jays Navarro
    The document discusses sterilization methods used in operating rooms. It describes three main sterilization methods: 1) saturated steam under pressure using an autoclave or flash sterilizer, 2) gas sterilization using ethylene oxide, and 3) liquid chemical sterilization. It emphasizes that the sterilization method and parameters like temperature and time must conform to the manufacturer's specifications for the item being sterilized.

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    16 o

    Perioperotive considerotions

    Protection of the Potient in Surgery

    r I/

    be accounted for. Closure counts for sharps follow the same format as those for sPonges'

    length of time. Heat-sensitive indicators should accom: lnny the instrument(s). Trays with mesh bottoms are
    recnmmended.

    lnstrument Counts

    Instruments should be counted for all surgical procedures. AlL parts of disassembled or broken instruments

    Wrapped instruments, trays. basins, and so on are usually sterilized in a prevacuum, high-temperature steam sterilizer. Proper packaging of trays and paekages is mandatory, as is the p:roper loading of the steritizer. The Bowie-Dick test is used to verify that there rere no air pockets, which would negate the sterilizing conditions. A heat-Sensitive indicator is placed within each wrapped tray (or package), and each package is secured with heat-sensitive tape.

    must be accounted for in their entirety. Closure counts for instruments follow the forrnat for other counts.
    STERILIZAIION

    All items (e.g., instruments, supplies, equipment) that com in tontact with the sterile field and the wound

    must be sterile. As soon ds possible following use, soiled instruments are cleaned in thd washer-sterilizer. Following terminal decontamination rin the washersterilizer, the instruments are cleaned in an ultrasonic cleaner to remove any remaining soil. The three most cornmonly used methods of sterilization employed in the operating room (or central supply) include: 1. Saturated steam under Pressure 2. Gas chemical sterilization 3. Liquid chemical sterilization Discussion of other methods of sterilization such as ionizing radiation (e.g., cobalt 60) used by manufacturers for prepackaged items is beyond the scope of this
    guide.

    Gos Chemicol Sterilizotion

    Soturoted Steom Under Pressure Tloe flash sterilizer is frequently used in the operating room for urgently needed unwrapped instruments. Customarily ihe temperature is set at 270"F (132'C) for a 3- or 1O-minute cycle. The length of the cycle is determined by the density of the item(s) to be sterilized. The recommendation of the manufacturer of the item regarding the temperature and length of exposure tirne at that temperature must be followed. The recording device on the sterilizer should be checked to confirm that the instrument(s) to be sterilized has (have) been
    exposed

    to the proper temperature for the

    desired

    Ethylene oxide gas is used to sterilize items that are vulnerable to heat or moisture. Any item that can withstand sterilization by steam under pressure s}lould not be gas-sterilized. Ethylene oxide sterilization depends on concentration of gas, temperature, humidity, and exposure time. The ethylene oxide sterilizer rnust be operated exactly according to the manufacturer's instructions in order to ensure that the requirements for sterilization are met. Type of item, arrangement of the load, and rate of penetration influence the amount of exposure time required. Penetration ofthe gas is aided by an initial vacuum within the sterilizer. Usually cycles cf 3 to 7 hours are employed. An ethylene oxide chemically sensitive indicator that is placed inside the wrapped package indicates that the item was exposed to ethylene oxide but does not necessarily indicate that sterilization has occurred; therefore, the sterilization process must conform to manufacturer's specifications. Inhalation ofethylene oxide is to be avoided, as is direct contact with the sterilized items prior to aeration. The length of aeration time required depends on the composition of the items, the type of wrapper used, the concentration of the ethylene oxide used, the airflow rate, and the temperature during aeration. When items are aerated in a mechanical aerator, the air is automatically changed a minimum of four times an hour. The temperature is controlled at 122"F (50'C) to 140'F

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