how should instruments be handled after the surgery is complete?

Championisme authors

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21-10-2024

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From Scalpel to Sterilization: Proper Instrument Handling After Surgery

Surgery is a delicate procedure, and the instruments used are essential tools for successful outcomes. However, the work isn't finished once the incision is closed. Proper instrument handling after surgery is crucial for patient safety and the longevity of the instruments themselves.

Why is Post-Surgical Instrument Handling Important?

• Preventing Infections: Unsterile instruments pose a significant risk of infection for the patient.
• Maintaining Instrument Quality: Improper handling can damage instruments, leading to costly repairs or replacements.
• Ensuring Efficient Workflow: Streamlined instrument processing allows for quicker turnaround times between surgeries.

Step-by-Step Guide to Instrument Handling After Surgery

1. Initial Cleaning:

   • Immediately after surgery: "Instruments should be cleaned immediately after surgery to prevent dried blood and tissue from hardening and becoming difficult to remove." (Source: "Instrument Processing in the Operating Room" by M. L. MacKenzie, et al.)
   • Use a cleaning solution: A suitable enzymatic detergent solution helps break down organic debris.
   • Utilize appropriate tools: Use brushes, basins, and ultrasonic cleaners as needed to ensure thorough cleaning.

2. Inspection and Sorting:

   • Identify any damage: Look for signs of wear, tears, cracks, or broken parts.
   • Sort instruments: Separate instruments based on their type and required sterilization methods.

3. Sterilization:

   • Choose the appropriate method: Common sterilization methods include steam sterilization (autoclaving), ethylene oxide gas sterilization, and plasma sterilization.
   • Follow manufacturer instructions: Each instrument has specific sterilization requirements.
   • Ensure proper packaging: Instruments should be packaged appropriately for sterilization and storage.

4. Storage and Maintenance:

   • Clean, dry storage: Store sterilized instruments in a clean, dry, and well-ventilated area.
   • Prevent corrosion: Lubricating instruments can help prevent rust and corrosion.
   • Regular maintenance: Schedule regular instrument maintenance to ensure optimal performance.

Beyond the Basics: Enhancing Efficiency and Safety

• Instrument Tracking Systems: Implementing instrument tracking systems can improve efficiency and accountability.
• Sharps Handling Procedures: Strict sharps handling protocols help reduce the risk of needle stick injuries.
• Employee Training: Continuous training for surgical staff ensures everyone is following proper procedures.

Practical Example:

Imagine a laparoscopic surgery where delicate instruments are used to perform intricate procedures. Failing to properly clean and sterilize these instruments could lead to contamination and potentially serious complications for the patient. Following the proper handling protocols ensures these instruments are ready for the next surgery, safe for both patient and surgeon.

Conclusion:

Proper instrument handling after surgery is not just a matter of routine; it is a vital step in maintaining patient safety and ensuring the smooth functioning of the operating room. By adhering to established protocols, we can contribute to the overall quality of care and the longevity of these essential surgical tools.