The Manual Cleaning Process - IAHCSMM

1 CRCST Self-Study Lesson Plan Lesson No. CRCST 150 (Technical Continuing Education - TCE) by Gwendolyn Byrd, CHL, CIS, CRCST. CPD Educator, Children's Hospital of Philadelphia Sponsored by: Christina Parson, CHL, CIS, CRCST. SP Manager, Brandon Regional Hospital The Manual Cleaning Process I. LEARNING OBJECTIVES NSTRUMENT Cleaning HAS BECOME A TOPIC OF INTEREST IN. 1. Define Manual Cleaning TODAY'S news. It is also a major focus in hospitals because of the increase in 2. Outline the importance of Manual healthcare-associated infections (HAIs). The importance of proper learning of Cleaning to prevent healthcare instrumentation or equipment used on patients is a key factor in HAI prevention.

2 Associated infections and promote Knowledge of the latest industry recommendations, guidelines and standards, employee safety combined with practical skills, ensures that reusable medical devices are safe for 3. Review the Manual Cleaning Process handling and patient use. The US Food and Drug Administration (FDA) requires 4. Address the need for quality assurance that manufactures provide instructions for use (IFU) to outline proper care and testing handling, and appropriate methods for device Cleaning and reprocessing. This information would include disassembly instructions, types of detergents to be used, proper use of Cleaning tools, type of rinse water, and type of mechanical Cleaning approved for processing the devices .

3 OBJECTIVE 1: DEFINE Manual Using an approved post-operative Cleaning pre- Cleaning spray to keep blood and Manual Cleaning is the physical removal protein substances from drying on the of all visible soil (gross debris) from an instruments is an effective approach. item to render it safe for handling and Covering instruments with a lint-free further processing for patient care. This cloth that is moistened with water is Process begins with point-of-use Cleaning another option for keeping blood and in the surgical suite. Gross soil should be protein from drying on the instruments wiped from the instruments and lumens prior to being transported to the should be flushed with sterile water decontamination area.

4 Keeping soiled during and after the surgical case. instruments moist after the procedure Any soil left on the instruments makes Cleaning easier and less time should be not be allowed to dry. consuming. This series of self-study lessons on CS topics was de- Purdue University, Stewart Center Room 110, 128 For More Information: veloped by the International Association of Healthcare Memorial Mall, West Lafayette, IN 47907-2034. IAHCSMM provides online grading service for Central Service Materiel Management ( IAHCSMM ). any of the Lesson Plan varieties. Purdue University Purdue University's Extended Campus and IAHCSMM Scoring: Each quiz graded online at or provides grading services solely for CRCST and both offer grading opportunities.

5 Through Purdue University, with a passing score of 70% CIS lessons. Direct any questions about online grading or higher, is worth two points (2 contact hours) toward to IAHCSMM at Questions about Earn Continuing Education Credits: CRCST re-certification (12 points). written grading are answered by Purdue University at Online: Visit for online Subscription Series: From January 1 to June 30 each grading at a nominal fee. year, Purdue Extended Campus offers an annual mail-in or online self-study lesson subscription for $75 (six By mail: For written grading of individual lessons, specific lessons worth 2 points each toward CRCST.)

6 Send completed quiz and $15 to: PEC Business Office, re-certification of 12 CE). Call for details. SEPTEMBER / OCTOBER 2016 Communiqu 45. CRCST Self-Study Lesson Plan In some cases, such as for non-critical devices , Manual Cleaning will be the only step required in the reprocessing cycle;. however, Central Service (CS) technicians should carefully follow the manufacturer's Instructions for Use (IFU) to ensure that proper steps are being taken. OBJECTIVE 2: OUTLINE THE. IMPORTANCE OF Manual . Cleaning TO PREVENT. HEALTHCARE-ASSOCIATED. INFECTIONS AND PROMOTE. EMPLOYEE SAFETY. Patients enter the healthcare facility in a weakened and compromised state, which makes them more susceptible to contracting an infection.

7 The CS. department plays an important role in infection prevention; therefore, it Figure 1 Immersible instruments should be cleaned below the water's surface. is important that CS professionals meticulously follow standards, instruments as potentially disease What follows are the basic steps for recommendations and manufacturers' causing. CS professionals' use of standard proper Manual Cleaning . Note: The IFU for Manual Cleaning . Proper precautions when handling contaminated manufacturer's IFU for each device should orientation and annual competency instruments, along with their consistent be carefully followed to ensure proper within the facility also helps ensure that adherence to proper Cleaning processes, Cleaning .

8 All staff members are following standards is critical for reducing the likelihood properly and consistently. of cross contamination. Note: The use PRESOAK: Presoaking helps loosen Thorough Cleaning is the first step in of proper personal protective equipment soil on devices and makes the devices the disinfection and sterilization Process . (PPE) in the decontamination area is easier to clean. The manufacturer's Failure to completely follow the defined required by the Occupational Safety and IFU should be followed when mixing Cleaning Process (as outlined in the latest Health Administration (OSHA) to protect soaking solution, and the temperature standards, recommendations and IFU) personnel from potentially infectious should be monitored and documented.

9 May cause inadequate decontamination, microorganisms. Optimal temperature ranges should be interfere with the disinfection or between 80 F to 110 F (27 C to 44 C), sterilization Process , and cause patients to OBJECTIVE 3: REVIEW THE and not exceed 140 F (60 C). These become exposed to infectious agents. Manual Cleaning Process temperatures will prevent coagulation Infection prevention and control Most items that enter the decontamination and assist in the removal of protein goes hand in hand with reprocessing area will be subjected to some type of substances. Once items are received and of medical devices in the healthcare Manual Cleaning .

10 For some instruments, sorted in the decontamination area, they setting. An infection is a type of disease Manual Cleaning is used as a preparation should be disassembled before soaking that is caused by microorganisms, also of instruments before the use of in an approved solution. CS professionals known as pathogens. Improperly-cleaned mechanical cleaners; however, for some should be careful not to lose small medical devices can be the cause of an medical devices , such as delicate parts. All surfaces of the instruments infection. It is important to note that microsurgical, lensed and power surgical must be exposed to the solution; hinged not all microorganisms are disease instruments, Manual Cleaning will be the instruments should be opened to causing; however, CS professionals only Cleaning Process performed prior to completely expose the box locks.