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.

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EBAI CME 2013

  1. 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. 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. 3. Cleaning of Instruments PBMA’S H. V. DESAI EYE HOSPITAL
  4. 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. 5. Cleaning Step 1 • Soaking used instruments for 15min in Aldasan 2000 PBMA’S H. V. DESAI EYE HOSPITAL
  6. 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. 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. 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. 9. PBMA’S H. V. DESAI EYE HOSPITAL Cleaning Log
  10. 10. PBMA’S H. V. DESAI EYE HOSPITAL Packing of Instruments
  11. 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. 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. 13. PBMA’S H. V. DESAI EYE HOSPITAL Instruments Packing Step 3 • The tray is then double wrapped
  14. 14. PBMA’S H. V. DESAI EYE HOSPITAL Instruments Packing Step 4 A SIGNALOC indicator is stuck on double wrapped pack
  15. 15. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization of Instruments
  16. 16. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization • “A Validated Process Which Ensures Complete Elimination or Destruction of Living Microorganisms and Spores”
  17. 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. 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. 19. PBMA’S H. V. DESAI EYE HOSPITAL Autoclaves
  20. 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. 21. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization Register
  22. 22. PBMA’S H. V. DESAI EYE HOSPITAL Sterilization Monitoring Tools Chemical Indicators Verify desired temp. & Time
  23. 23. PBMA’S H. V. DESAI EYE HOSPITAL Handling of Biohazards Waste
  24. 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. 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. 26. PBMA’S H. V. DESAI EYE HOSPITAL
  27. 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. 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. 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. 30. PBMA’S H. V. DESAI EYE HOSPITAL Non Infectious Waste Disposable Black Bags • Paper • Stationary
  31. 31. Thank you!!! PBMA’S H. V. DESAI EYE HOSPITAL

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