Question

CASE STUDY 1. Read the following scenario and answer the questions. You have scrubbed into your first case of the day. While preparing the instrument sets and supplies, you discover the following: • There is water in one of the basins that was wrapped. • A chemical indicator wrapped with a single instrument has not changed color. • There is moisture on the instruments in the set you need to prepare. • One of the hemostatic clamps has dried blood and tissue debris in the box lock. a. Explain what you should do immediately before the surgeons and patients arrive. b. Explain the probable cause of each problem and how it should have been prevented.

Answer 1

All above problem show failure of c.s.s.d. management

Water in basin and moisture in wrapped instrument sets are not considered as sterile because the principle of autoclave based on high temperature with high pressure in presence of water or steam

So all items should be checked for dryness and sterility

So we have to call c.s.s.d. to call back the instrument set

Biological and chemical is also a indicator for optimum pressure and temperature

We must exchange set with c.s.s.d. and inform to acting surgeon about that if required