Professional Documents
Culture Documents
Dr.T.V.Rao MD
Surgical Attire
Scrub suits Cap/hoods Shoe covers
Masks
Gloves
Gowns
Surgeon Skills
Non-technical skill set
Situation awareness Decision making Communication and teamwork Leadership
Medical equipment surfaces knobs, handles on equipment such as x-ray machines, instrument carts Housekeeping surfaces floors, walls, chairs, and tabletops
Cleaning
A form of decontamination by removing organic matter, salts, and visible soils
Physical action of scrubbing with detergents or surfactants and rinsing with water Necessary step prior to sterilization or disinfection
Cleaning Strategy
Minimize contamination of cleaning solutions and tools Change cleaning solutions frequently
Replace soiled cloths and mop heads with each cleaning solution change Launder cloths and mop heads after use and allow to dry before re-use or use disposable cloths and mop heads
Disinfection
treatment of devices and surfaces that do not require sterility for safe use
High-level Disinfection
Includes powerful sporocidal chemicals (glutaraldehyde, peracteic acid and hydrogen peroxide) Inactivates all vegetative bacteria, mycobacteria (TB), viruses, fungi, some bacterial spores, enveloped and non enveloped viruses Utilize for items that come into contact with intact mucous membranes and are heat sensitive
semi-critical medical instruments (s/a flexible fiber optic endoscopes) thermometers vaginal speculums sigmoid scopes
Intermediate-level Disinfection
Includes Chlorine-containing compounds, alcohols (small surfaces), some phenolic, and some iodophors Inactivates a highly resistant organisms and exhibits some sporocidal activity Utilize for non-critical medical equipment s/a stethoscopes, blood pressure cuffs, dialysis machines, equipment knobs and controls.
Low-level Disinfection
Includes quaternary ammonium compounds, some phenolic, and some iodophors Inactivates vegetative bacteria, fungi, and some lipid enveloped medium size viruses Utilize for items that come in contact with intact skin such as examining table top, baby weigh scale, blood pressure cuff
Hand Hygiene
Avoid artificial nails and keep natural nails < in For visibly soiled hands use soap and water Use alcohol-based hand rubs
Before and after each patient Before and after glove use
Economical loss
Money wasted on unnecessary use. People concentrate on Floors, Inanimate objects, If the resources are not spend with scientific understanding the limited resources are lost in particular developing countries.
Disinfection x Sterilization
Sterilization is absolute, removes microbes and spores too. To achieve Sterilization is Expensive, not sustainable, many times not needed. An effective Disinfection reduces the infections drastically.
Everyone
Created from Web sources Visit for Articles of Interest on Infectious Diseases
Programme Created by Dr.T.V.Rao MD for Medical and Paramedical Professionals in the Developing World Email doctortvrao@gmail.com