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DECONTAMINACIÓN
DEL INSTRUMETAL
QUIRÚRGICO
Luciana Caro
DECONTAMINACIÓN
2
”
Es el proceso que recibe todo elemento
biomédico haciéndolo bioseguro para ser
usado con otro paciente.
👉 Evita la contaminación cruzada.
3
CLASIFICACIÓN DE SPAULDING
Clasificación
de los
elementos
CRÍTICOS SEMICRÍTICOS NO CRÍTICOS
Ejemplo Bisturí Endoscopio Termómetro
Toma contacto
con: Tejido estéril
Mucosa
intacta
Piel intacta
Proceso a aplicar: Esterilización Desinfección
Limpieza de
alto nivel
4 Clasificación del
Instrumental según el
contacto que
tuvo con el paciente.
”
LIMPIEZA
La limpieza es la remoción mecánica de la materia
orgánica e inorgánica visible en superficies, en
objetos y en el ambiente.
5
PASOS DE LA DECONTAMINACIÓN
1. Prelavado
2. Lavado
3. Enjuague
4. Secado
5. Desinfección alto nivel, medio o
bajo o esterilización.
6
1° PRELAVADO
Se realiza en el lugar donde se
llevó a cabo el procedimiento.
Los elementos se colocan en un
recipiente con agua y detergente
enzimático hasta cubrirlos.
7
2° LAVADO
Comprende 3 acciones:
8
MECÁNICA
QUÍMICA
TÉRMICA
TIPOS DE LAVADO
MÁQUINAS
LAVADORAS
LAVADORAS
ULTRASÓNICAS
9
MANUAL
3° ENJUAGUE
Debe ser minucioso y
preferiblemente con agua
destilada/desmineralizada.
10
4° SECADO
Debe utilizarse un paño de
algodón, limpio y seco. Se revisa
cada instrumento para ver su
estado.
11
5° Desinfección alto nivel, medio o bajo o esterilización
Estandarizar las prácticas de
lavado hace posible que los
procesos de desinfección y
esterilización sean eficientes.
12
¡A TENER EN CUENTA!
Instalaciones
La limpieza debe realizarse en el
lugar destinado a ese fin con la
ventilación necesaria.
Agua
Lo ideal es la utilización de agua
desmineralizada o destilada.
Nunca sumergir en solución
isotónica.
Acción térmica
Se recomienda agua caliente
45° C.
Cepillado
Se realiza con cepillo de cerdas de
nylon, en el material
desensamblado y cepillando las
partes dentadas de los
instrumentos.
Detergente
Los detergentes de primera
elección son los enzimáticos, su
acción es el desprendimiento de la
materia orgánica adherida.
Manejo
La manipulación debe ser delicada
y deben ser separados en
pequeñas cantidades.
13
¡A TENER EN CUENTA!
Instrumental delicado
Deben apartarse y nunca ponerse
con los instrumentos más pesados
en la batea.
Instrumental
articulado
Los instrumentos con articulación
deben colocarse en la batea en
posición abierta.
Examen
Después de la limpieza y antes de
la esterilización se revisa cada
pieza para ver el correcto estado.
Mantenimiento
Los instrumentos que necesitan
y/o permitan reparaciones, deben
ser sometidos al mantenimiento.
Lubricación
Se realiza en instrumental con
cremallera y con lubricantes
hidrosolubles antimicrobianos.
Protección del
personal
Es importante que los servicios
cuenten con protocolos y
elementos de Protección personal.
14
ELEMENTOS DE PROTECCIÓN DEL PERSONAL
15
GAFAS DE SEGURIDAD GUANTES MASCARILLA O
PROTECTOR FACIAL
DELANTAL
IMPERMEABLE
¡GRACIAS!
16

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DECONTAMINACIÓN DEL INSTRUMENTAL QUIRÚRGICO

  • 3. ” Es el proceso que recibe todo elemento biomédico haciéndolo bioseguro para ser usado con otro paciente. 👉 Evita la contaminación cruzada. 3
  • 4. CLASIFICACIÓN DE SPAULDING Clasificación de los elementos CRÍTICOS SEMICRÍTICOS NO CRÍTICOS Ejemplo Bisturí Endoscopio Termómetro Toma contacto con: Tejido estéril Mucosa intacta Piel intacta Proceso a aplicar: Esterilización Desinfección Limpieza de alto nivel 4 Clasificación del Instrumental según el contacto que tuvo con el paciente.
  • 5. ” LIMPIEZA La limpieza es la remoción mecánica de la materia orgánica e inorgánica visible en superficies, en objetos y en el ambiente. 5
  • 6. PASOS DE LA DECONTAMINACIÓN 1. Prelavado 2. Lavado 3. Enjuague 4. Secado 5. Desinfección alto nivel, medio o bajo o esterilización. 6
  • 7. 1° PRELAVADO Se realiza en el lugar donde se llevó a cabo el procedimiento. Los elementos se colocan en un recipiente con agua y detergente enzimático hasta cubrirlos. 7
  • 8. 2° LAVADO Comprende 3 acciones: 8 MECÁNICA QUÍMICA TÉRMICA
  • 10. 3° ENJUAGUE Debe ser minucioso y preferiblemente con agua destilada/desmineralizada. 10
  • 11. 4° SECADO Debe utilizarse un paño de algodón, limpio y seco. Se revisa cada instrumento para ver su estado. 11
  • 12. 5° Desinfección alto nivel, medio o bajo o esterilización Estandarizar las prácticas de lavado hace posible que los procesos de desinfección y esterilización sean eficientes. 12
  • 13. ¡A TENER EN CUENTA! Instalaciones La limpieza debe realizarse en el lugar destinado a ese fin con la ventilación necesaria. Agua Lo ideal es la utilización de agua desmineralizada o destilada. Nunca sumergir en solución isotónica. Acción térmica Se recomienda agua caliente 45° C. Cepillado Se realiza con cepillo de cerdas de nylon, en el material desensamblado y cepillando las partes dentadas de los instrumentos. Detergente Los detergentes de primera elección son los enzimáticos, su acción es el desprendimiento de la materia orgánica adherida. Manejo La manipulación debe ser delicada y deben ser separados en pequeñas cantidades. 13
  • 14. ¡A TENER EN CUENTA! Instrumental delicado Deben apartarse y nunca ponerse con los instrumentos más pesados en la batea. Instrumental articulado Los instrumentos con articulación deben colocarse en la batea en posición abierta. Examen Después de la limpieza y antes de la esterilización se revisa cada pieza para ver el correcto estado. Mantenimiento Los instrumentos que necesitan y/o permitan reparaciones, deben ser sometidos al mantenimiento. Lubricación Se realiza en instrumental con cremallera y con lubricantes hidrosolubles antimicrobianos. Protección del personal Es importante que los servicios cuenten con protocolos y elementos de Protección personal. 14
  • 15. ELEMENTOS DE PROTECCIÓN DEL PERSONAL 15 GAFAS DE SEGURIDAD GUANTES MASCARILLA O PROTECTOR FACIAL DELANTAL IMPERMEABLE