CARE FOR REUSABLE MEDICAL DEVICES

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TAFE NSW - Sydney Institute *

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HLTSTE005

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Mechanical Engineering

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Feb 20, 2024

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docx

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4

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HLTSTE005- Assignment 1 What you have to do This unit is concerned with the essential knowledge required to follow correct procedures for preparing, handling and inspecting reusable medical devices. This includes the knowledge to identify instruments that require insulation testing and understand those items requiring disassembling and re-assembly. Answer all knowledge questions below. Type your answers in the fields provided. Save your answers in this document then submit via the OLS. You may need to refer back to your learning resource. 1. What lubricate is suitable for lubricating instruments and is safe for sterilization? All water soluble lubricants are suitable for lubricating instruments and sterilisation as they allow steam penetration. 2. What is classified as loan equipment? Any. single or complete set of items not owned by the hospital and have beeen loaned for usage with the purpose of returning to the supplier 3. You are inspecting instruments for packing when you come across a faulty instrument, what is the correct requirement for instrument repair? The instrument should be removed immediately and workplace procedures and policies followed for reporting and documenting and the equipment should be sent to be repaired. Your workplace should have a detailed instrument repair program in place and the instrument repair company contacted, this would allow for the instruments to be repaired properly and returned. 4. Why is leak testing required for an endoscope? Leak testing for endoscopes are very important to protect paitents from infection. If fluid leaks into the scope it can cause damage to the fibreoptic, image bundles and video chips. This could cause stiffness and loss of angulation capabilities. This would then lead to expensive repairs. 5. What procedures can we follow to ensure microsurgical instruments are not damaged during the reprocessing? Most importantly follow manufacturers reccommendations and take extreme care. You must use special perforated tray with clip inserts for mechanical cleaning. Instruments should always be seperated and not stacked, when sterilising or stored they are to be in perforated trays with lids. LA021003 Assignment 1, HLTSTE005, Ed 1 1 © New South Wales Technical and Further Education Commission, 2016 TAFE NSW – WSI, Archive version 1, March 2016
6. You received a loan set that requires priority processing there will not be enough time for the set to go through every step of the process, theatres are asking you to have it ready for the next case Do you take shortcuts after all the set looks clean? List the correct steps you will follow. Short cuts are never acceptable. On arrival loan sets should be thoroughly checked for damage, cleaned and processed before sterilisation by the wrapped method. Any instrument that isnt clean should be reported to the supplier. Check delivery documents and follow suppliers information and instructions for each piece of equipment. After usage all loan equipment should be cleaned and sterilised before returning it to the supplier 7. How are telescopes checked after they have been cleaned? You will need to look through the eye piece towards the light to check that the telescope lens is clear, if it appears foggy or is damaged it would need to be sterilised and sent out for repairs. 8. Why is it important to follow manufacturer’s instructions for soaking any instruments in enzyme solution? It is important to follow manufacturers instructions to avoid injury to staff or paitents. With its ability to break down proteins this raises concerns about inhalation of enzymes which can result in asthma or allergic effects. 9. What do you need to do with a dental hand piece at the end of each procedure? At the end of each procedure the hand piece needs to be changed, to discharge water and air for atleast 30 seconds or follow manufacturers instructions. This will ensure any gross debris will be distrubed. 10. What is the correct procedure for cleaning a light lead? Fibre optic light leads should be handled with care to protect the fine glass rods. They should be manually cleaned with a soft lint free cloth with the appropiate cleaning chemicals. A neutral or mild alkali detergent diluted in water, then gently rinse manufacturers instructions should always be referred to. 11. Write down the correct procedure for cleaning a power drill. Power drills should be inspected before cleaning or sterilisation. A cabinet or exhaust hood should be used to reduce exposure from aerosols. They should never be immersed in water or put in an ultrasonic cleaner. All power hoses should be attached when cleaning, this prevents cleaning fluids from entering the hose or hand piece. A drying cabinet or another separate non-lint cloth needs to be used to dry them. 12. What is the correct procedure for cleaning general instruments? Manual or mechanically clean instruments in a designated area wearing appropiate PPE. Cleaning minimises staining, corrosion and pitting. 2 LA021003 Assignment 1, HLTSTE005, Ed 1 © New South Wales Technical and Further Education Commission, 2016 TAFE NSW – WSI, Archive version 1, March 2016
After cleaning thoroughly rinse instruments with water ensuring debris and detergent residue is removed. Inspect each instrument before drying for left over debris or damage. Then continue reprocessing. 13. Define single use instrument. A single use instrument is only to be used once and then discarded. The same single use item can be used multiple times on the same paitent following manufacturers instructions for cleaning between uses. 14. Why is it important that multipart instruments are pulled apart for cleaning and sterilisation? Always follow manufacturers guidelines when dismantling multipart instruments. This allows easier removal of visable or non-visable soils when cleaning. Also during sterilisation it makes for total access to destroy all micro-organisms for total sterility. 15. Why is it important to have ratcheted instruments left open for cleaning? The importance of ratcheted instruments left in the open position is to ensure the jaws and box joints are thoroughly cleaned and all debris removed. 16. Scenario question A nurse has come in the department with an instrument you have not seen before and ask you to clean and sterilise it for the next case. What is the correct procedure to follow before you process this equipment? You would need to call the manufacturer to get the correct advise on how to clean and sterilise this particular piece of equipment. That way you would then know the correct cleaning fluids needed, if a rinse is needed, what tempertaure it can withstand and the sterilising method. 17. What is the correct technique for cleaning cannulated instruments? Cannulated instruments need you to use a soft bristle brush and the suitable size brush which is inserted and pulled through to the other side to remove all debris, if you pull the brush back and forth you could dislodge in the middle thus leaving them dirty. 18. Describe how you would handle an endoscope after patient use. As proteinaecious matter is extremely hard to remove once dried, it is very important that once the endoscope and accessories are removed from the paitent, the process of cleaning needs to start immediately. 19. Instruments on loan should not be interchanged between human, necropsy and animal use. All instruments used on animals should never be reprossed in sterilisers or other equpiment used for reprocessing instruments that are used for humans. if tehse requirements are not met infection transmission hazards exist. 20. How often should insulation testing be performed on insulated instruments? LA021003 Assignment 1, HLTSTE005, Ed 1 3 © New South Wales Technical and Further Education Commission, 2016 TAFE NSW – WSI, Archive version 1, March 2016
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caution should be followed and always follow manufacturers instuctions when testing insulated instruments. Testing should be attended to everytime the instrument or equipment has been used. Documentation should be kept for all failures and repairs. Checklist I have: answered all questions in the space provided saved my answers in this document. If you are unable to complete this task for a specific reason, please contact your teacher to discuss alternative arrangements for demonstrating your skills and knowledge. 4 LA021003 Assignment 1, HLTSTE005, Ed 1 © New South Wales Technical and Further Education Commission, 2016 TAFE NSW – WSI, Archive version 1, March 2016