EVALUATION OF CLEANING OF SURGICAL INSTRUMENTS IN THE CENTER OF MATERIALS AND STERILIZATION (CME)

Abstract

THE CLEANING AND STERILIZATION OF THE SURGICAL INSTRUMENTS SHOULD BE PERFORMED CAREFULLY AND EXHAUSTIVELY, AS THEY ARE RESPONSIBLE FOR EXTERMINATING ALL ORGANIC MATTER, REDUCING THE MICROBIAL LOAD AND ELIMINATING ALL PRESENT MICROBIAL LIFE FORMS. THE OBJECTIVE OF THIS STUDY WAS TO ANALYZE THE CLEANLINESS OF THE PRODUCTS, BEING THE FIRST AND ONE OF THE MOST IMPORTANT STAGES OF THE PROCESSING OF HEALTH PRODUCTS IN THE MATERIAL AND STERILIZATION CENTER (CME) OF A MEDIUM-SIZED HOSPITAL IN ANÁPOLIS. THE DATA COLLECTION WAS CARRIED OUT IN MAY OF 2018 IN THE CLEAN AREA OF �€‹�€‹THE CME, WHERE THE STEPS OF THE INSPECTION, ASSEMBLY OF THE KITS AND PACKAGING OF THE HEALTH PRODUCTS ARE PERFORMED, WHICH WILL BE SUBMITTED TO THE STEAM - STERILIZATION PROCESS UNDER PRESSURE - AUTOCLAVE STEAM. THE INSPECTION AND ANALYSIS OF THE INSTRUMENT CLEANING PROCESS WERE PERFORMED IN TWO STAGES: IN THE FIRST THE INSTRUMENTS WERE INSPECTED WITH THE NAKED EYE AND LATER WITH THE USE OF MAGNIFYING GLASS AS FORESEEN IN RDC 15/2012. FIVE HUNDRED SURGICAL INSTRUMENTS OF COMPLEX AND NON-COMPLEX CONFORMATION WERE INSPECTED AND EVALUATED. OF THIS AMOUNT, 29 INSTRUMENTAL INSTRUMENTS WITH PRESENCE OF RESIDUAL ORGANIC MATTER FROM ORGANIC TISSUES OF THE SURGERY WERE FOUND, AND IT WAS NECESSARY TO RE-CLEAN OR REPLACE THE ARTICLE, WHICH REPRESENTED 6% OF INSTRUMENTS WITH DIRT. IT IS CONCLUDED THAT THERE ARE WEAKNESSES IN THE PROCESS OF CLEANING THE INSTRUMENTS THAT CAN INTERFERE IN THE STERILIZATION PROCESS AND FAVOR THE SURGICAL SITE INFECTION PROCESS. IN THIS WAY, THE QUALIFICATION OF THE TEAMS REGARDING THE BEST FORM AND ADEQUACY IN THE PROCESSING OF THE PRODUCTS IN THE CLEANING PHASE SHOULD BE IMPLEMENTED TO GUARANTEE THE EFFICIENCY OF THIS STAGE OF THE CLEANING AND THE ADEQUATE PROCESSING OF THE PRODUCTS FOR HEALTH GUARANTEEING PATIENT SAFETY AND SUSTAINABILITY.