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The operations of a sterile services department usually consist of the cleaning, disinfection, and sterilization of reusable medical equipment. Reusable medical equipment, or RME, can consist of any medical equipment from stainless steel surgical instrumentation, to IV pumps and crash carts. RME is separated into three classes: non-critical ...
The field of infection prevention describes a hierarchy of removal of microorganisms from surfaces including medical equipment and instruments. Cleaning is the lowest level, accomplishing substantial removal. Disinfection involves the removal of all pathogens other than bacterial spores.
A less specific measurement of effectiveness is the United States Environmental Protection Agency (EPA) classification into either high, intermediate or low levels of disinfection. "High-level disinfection kills all organisms, except high levels of bacterial spores" and is done with a chemical germicide marketed as a sterilant by the U.S. Food ...
This is a list of instruments used in microbiological sterilization and disinfection. [1] [2] [3]
[12] [11] In semi-critical situations, or situations with contact of mucous membranes or non-intact skin, high-level disinfectants are required. Cleaning and disinfecting devices with high-level disinfectants, rinsing with sterile water, and drying all equipment surfaces to prevent microorganism growth are methods nurses and doctors must follow.
Earle Spaulding of Temple University (Philadelphia, Pennsylvania) in a 1939 paper on disinfection of surgical instruments in a chemical solution proposed "a strategy for sterilization or disinfection of inanimate objects and surfaces based on the degree of risk involved in their use". [1]
Microorganisms growing on an agar plate. Sterilization (British English: sterilisation) refers to any process that removes, kills, or deactivates all forms of life (particularly microorganisms such as fungi, bacteria, spores, and unicellular eukaryotic organisms) and other biological agents (such as prions or viruses) present in fluid or on a specific surface or object. [1]
Nosocomial infections claim approximately 90,000 lives in the United States annually. When patients are hospitalized and identified as having methicillin-resistant Staphylococcus aureus or infections that can be spread to other patients, best practices isolate these patients in rooms that are subjected to terminal cleaning when the patient is discharged.