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Mbawine EchoBlog



Posted on February 4, 2011 at 11:59 AM


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Reply Manny
9:34 PM on February 6, 2011 
Surgical supplies and equipments are trusted in the hands of central processing technicians to clean, disinfect, sterilize, and distribute for safe patient use. Medical items get contaminated when they are used for sterile surgical procedures and non-sterile procedures. These soiled items need to be decontaminated, disinfected sterilized, and stored for use when needed to care and treat patients. For proper workflow, cross-contamination and safety purposes, the central service department has three functional work areas. Contaminated items go through a thorough cleaning process under joint commission established regulatory standards and AAMI’s recommended standards for best practice, which makes them safe for handling before sterilization. Contaminated medical items are received from internal customers, such as, operating room personnel, at the decontamination area. Those soiled medical items are then sorted with like items, soaked, and manually or mechanically cleaned with appropriate cleaning agents.

After thoroughly decontaminating those soiled medical items, they are now ready to go to the next functional work area: the preparation/packaging/sterilization area. In this area, the central service technicians in charge of the preparation and packaging duties cautiously inspect those cleaned instruments for cleanliness, defects, and proper functioning of those medical items. They are then assembled into sets, and wrapped with appropriate or standardized packaging materials. Wrapped instruments are now ready to be sterilized. In this function, all appropriate measures and standards must be carefully and attentively followed to bring the best and safest outcome of the sterilization process. Sterile packaged items are now stored at the sterile storage area for later use.

In conclusion, the central service professionals work hard to provide the possible best of infection control that benefits patients, internal customers and the healthcare facility as a whole. Central service professionals also make sure that all aspects of standards are followed in cleaning, disinfecting, and sterilizing medical supplies and equipments to insure that the goal of safety and lives-saving of patients, employees as well as their own are met. Central service professionals always strive to provide the highest possible quality of product and services to meet the needs of patients and customers.
Reply MCS
12:17 AM on February 7, 2011 
Great piece!
Reply Bismark Oduro
1:28 AM on February 8, 2011 
The Sterile-processing department is the heart of the operating room (OR). Directly or indirectly, the sterile processing department contributes a lot to what goes on when a case is schedule in the operating room. The outcomes of patients’ surgeries partly depend on the sterile processing department, who carry the operating room on it’s shoulders by reprocessing surgical equipments and also working with the operating room personnel to ensure trays are handled in accordance to AAMI and AORN standard guidelines for best practices to help eliminate nosocomial infections (post operative infections).

The Central service department influences patients’ surgeries by picking up soiled instruments from the OR and reprocessing them through decontamination. One of the challenging areas in the sterile processing department is working in the decontamination area. Employees assigned in this area are responsible for picking up soiled instrument on time-scheduled bases. Instruments must be pick up immediately a case is completed and should not be allowed to dry up at the soiled utility area of the surgery unit. At the decontamination area, personnel disassemble, and clean soiled instruments either manually or by using automated machines.

After decontamination, the instruments are inspected, and tested for proper functionality, prepared and packaged. The workload in this area is massive. Everything has to be done according to guidelines and proper procedures. There should be no shortcuts and mistakes should be avoided because any minor variance could adversely cause to staff, care givers and to the patients. Every step in this area must be taken seriously and demands fully concentration.

Moreover, sterile processing technicians contribute partly to a patient surgery by sterilizing medical devices as directed by the original equipment manufacturers. This step comes after preparation and packaging where technicians have successfully tested the cleanliness and functionality of the instruments. Steam is one of the most widely used sterilization methods and does require four critical parameters to be qualified before the sterile processing technicians could release a load. These parameters are time, steam pressure/moisture, temperature, and contact. Personnel in charge of sterilization must do proper documentation and identification. The sterile processing department always ensures that instruments and trays are prepared in a ready to use manner so when the L&D calls for circumcision trays or the OR calls for a hand tray, they could be delivered to them without any delays.

Although surgeons, nurses, and surgical technicians are trained to perform and assist in surgery respectively, sterile processing department is the heart of the operation room and cannot be neglected when it comes to controlling infections and surgery outcomes. Central service department contributes massively to patient’s surgery through processing instrument by decontamination, preparation, packaging, sterilization and distribution as well as responding to phone calls during emergencies.

Reply MCS
12:08 AM on February 12, 2011 
Good job.
5:26 PM on February 12, 2011 
Shateka McCartha, CRCST:
As Central Service professionals, it is our responsibility to ensure sterility of our instruments for patient care. Quality patient care is our concern- and giving a 110% to what we do is to give all patients the same standard of care, which is deserving of our own loved ones. It is important that central service technicians follow instructions and pay attention to detail- we may all be at risk as care givers if protocols are broken, which in turn may begin a chain of unfortunate events for the patients.
At the first functional work area, (the decontamination area) the sterile processing technicians begin the cleaning and decontamination of soiled instruments. We rid these instruments of all soiled materials and prepare them for the next step, which is the preparation/packaging and sterilization where instruments, utensils, and other devices are assembled into sets and are then packaged and labeled, ready for sterilization.
The last step is the sterile storage area or supply area of Central Service and is dedicated to the storage of sterile supplies. The majority of work in this area is receiving, storing, and dispensing supplies and sterile instruments.
To sum up, the reprocessing of reusable surgical instrumentation, and disinfections of portable patient care mobile equipment will not be carried out successfully without knowledge, skill and teamwork with a passion to protect the patient from sterile processing technicians. The Central Sterile Processing and Distribution Professionals ensure quality in our work and that proves a phenomenal outcome to all patients in a healthcare environment.
Reply MCS
5:30 AM on February 13, 2011 
Good comments!
Reply maria castillo
6:20 PM on December 12, 2012