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EBAI CME 2013

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The EBAI CME 2013 - 21st and 22nd of September 2013, Golden Valley Resort, Ghodbunder Road, Thane West, Mumbai.

The EBAI CME 2013 - 21st and 22nd of September 2013, Golden Valley Resort, Ghodbunder Road, Thane West, Mumbai.

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  • 1. Poona Blind Men’s Association H.V.Desai Eye Hospital, Pune. Kantalaxmi Shah Eye Hospital, Nandurbar. PBMA’S H. V. DESAI EYE HOSPITAL
  • 2. Cleaning, Packing, Sterilization of Instruments & Handling of Biohazard Waste Mr. Satish Kurpad, Eye Bank Technician, Eye Bank H V Desai Eye Hospital, Pune PBMA’S H. V. DESAI EYE HOSPITAL
  • 3. Cleaning of Instruments PBMA’S H. V. DESAI EYE HOSPITAL
  • 4. Cleaning • All reusable surgical instruments to be sterilized should be thoroughly cleaned before sterilization. • If you don’t clean you can’t sterilize • Sorting should be done according to method of cleaning. • Types of cleaning agent are detergents and enzymatic cleaners. • Cleaning may be done manually or mechanically or by both • Is an essential part of a programme of Infection Control • Is a pre-requisite to disinfection and sterilisation PBMA’S H. V. DESAI EYE HOSPITAL
  • 5. Cleaning Step 1 • Soaking used instruments for 15min in Aldasan 2000 PBMA’S H. V. DESAI EYE HOSPITAL
  • 6. Cleaning Step 2 • Properly dressed Technician • Scrubbed with soft bristle brush • Wash under running Hot tap water PBMA’S H. V. DESAI EYE HOSPITAL
  • 7. PBMA’S H. V. DESAI EYE HOSPITAL Cleaning Step 3 • Allow the instruments to dry on fresh washed cloth • Alternatively can use blower/ Dryer
  • 8. PBMA’S H. V. DESAI EYE HOSPITAL Cleaning Step 4 • Washed instruments are placed over a clean washed cloths in washed steel tray
  • 9. PBMA’S H. V. DESAI EYE HOSPITAL Cleaning Log
  • 10. PBMA’S H. V. DESAI EYE HOSPITAL Packing of Instruments
  • 11. PBMA’S H. V. DESAI EYE HOSPITAL Instruments Packing Step 1 • The Washed instruments are placed over cloth in steel tray • Cloth is laid to protect the instruments
  • 12. PBMA’S H. V. DESAI EYE HOSPITAL Instruments Packing Step 2 • The instruments are covered with 2 cotton massage pads to give an extra secure
  • 13. PBMA’S H. V. DESAI EYE HOSPITAL Instruments Packing Step 3 • The tray is then double wrapped
  • 14. PBMA’S H. V. DESAI EYE HOSPITAL Instruments Packing Step 4 A SIGNALOC indicator is stuck on double wrapped pack
  • 15. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization of Instruments
  • 16. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization • “A Validated Process Which Ensures Complete Elimination or Destruction of Living Microorganisms and Spores”
  • 17. PBMA’S H. V. DESAI EYE HOSPITAL Type of Sterilization • Dry Heat Sterilization • Moist Heat Sterilization • Chemical Sterilization - ETO Sterilization & Gluteraldehyde • Low Temp Steam & Formaldehyde • Gas Plasma Sterilization • Ionizing Radiation - Gamma irradiation
  • 18. PBMA’S H. V. DESAI EYE HOSPITAL Moist Heat Sterilization (Autoclaves) • Chamber which is filled with hot steam under pressure. Preferred method of sterilization, unless material is damaged by heat, moisture, or high pressure. • Temperature of steam reaches 110o C at 10 Lbs • Temperature of steam reaches 121o C at 15 Lbs • Temperature of steam reaches 134o C at 30 Lbs • Most effective when organisms contact steam directly
  • 19. PBMA’S H. V. DESAI EYE HOSPITAL Autoclaves
  • 20. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization Procedure • Double wrapped Instrument tray & Linen Pack placed in the sterilization drum. • A label giving the date & time of packing & Sterilization and expiry date along with SIGNALOC indicator
  • 21. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization Register
  • 22. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization Monitoring Tools Chemical Indicators Verify desired temp. & Time
  • 23. PBMA’S H. V. DESAI EYE HOSPITAL Handling of Biohazards Waste
  • 24. PBMA’S H. V. DESAI EYE HOSPITAL Handling of Biohazards Waste • Protective Dress should be used by the technician while dealing with donor materials. • Hands should be washed before and after handling the infected materials • All used Needles & Blades are disposed as soon as possible.
  • 25. PBMA’S H. V. DESAI EYE HOSPITAL Handling of Biohazards Waste • Needles and blades should be discarded after flashing the sharp ends in puncture proof container through a hole in the lid of the container. • Puncture Proof container must be changed before reaching the filling line. • Never shear or break contaminated needles. • Do not bend & recap disposable needles
  • 26. PBMA’S H. V. DESAI EYE HOSPITAL
  • 27. PBMA’S H. V. DESAI EYE HOSPITAL Sharps Disposable • Sharps (needle & Blades) are disposed in labeled puncture proof container (containing 1% sodium hypochlorite salutation) through the hole in the lid of the container Infectious Waste Disposable
  • 28. PBMA’S H. V. DESAI EYE HOSPITAL Infectious Waste Disposable Yellow Bags • Discarded eye balls, C S Rims. • Used Cotton Swabs • Gauze pads • Cotton buds
  • 29. PBMA’S H. V. DESAI EYE HOSPITAL Infectious Waste Disposable Red Bags • Gloves • Disposable Syringes • Swabs • Saline bottle (Plastic) • All Plastic items, Syringe
  • 30. PBMA’S H. V. DESAI EYE HOSPITAL Non Infectious Waste Disposable Black Bags • Paper • Stationary
  • 31. Thank you!!! PBMA’S H. V. DESAI EYE HOSPITAL