Question

Research and discuss CDC key recommendations for cleaning, disinfecting, and/or sterilizing medical equipment in ambulatory care settings. Also, define ambulatory!

Answer 1

I​​​​​​IInfection control is the descipline concerned with preventing nosocomial infection. It is an essential part of the infrastructure of the health care.

Infection control addresses the factors related to the spread of infections within the health care settings ( patient - patient, patient - staff, staff - patient ), including prevention via ( hand hygiene / hand washing, cleaning / disinfection / sterilization, vaccination, survrsurveil )

CDC ( Central for disease control and prevention )

Nations health protection agency. Head quarters is in Atlanta, Georgia. It is an agency of the US, Department Health & Human Services

Cleaning

Removal of all soil from object & surface with soap & water.

Key Recommendations

When cleaning an equipment that is soiled by organic materials such as blood, fecal matter or pus, this need applies a mask & protective eyewear & water proof gloves.

Rinse the contaminated articy with cold running water to remove organic material

Hot water causes the protein in organic material to coagulate.

After rinsing, clean the object with soap & warm water.

Use brush to remove dirt or msterima in gloves or steams.

Friction dislodges contaminated materials & can be easily removed.

Rinse the object in the warm water

Dry the object & prepare it for disinfection

Disinfection

It describes a process that eliminates may or all micro-organisms with the exception of bacterial spores

Sterilization

It is the complete elimination of all micro-organisms including spores steam under pressure, gas hydrogen peroxide, plasma

Key Recommendations for disinfection & sterilization

Concentration of solution & duration of contact : a weaker concentration or short exposure time may lessen effectiveness.

Type & Number of pathogens : Certain organisms are killed more easily than other by disinfection

Surfaces are to be treated : All dry surfaces & areas are to be fully exposed to disinfectant

Prescence of organic material : Disinfectants csc become inactive unless blood, saliva, or pus is washed off.

Ambulatory Care

Ambulatory care refers to medical care performed on an out patient basis, without admission to a hospital or other fascililty. It is provided in settings such as dialysis clinics, ambulatory surgical centres, hospital outpatient departments & the offices of physicians & other health care members.

Nurses Role

Prevent transmission through indirect contact, soiled items & equipments must be kept away from touching the nurses clothing

A common error is to carry dirt linen in the arms against the uniform.

Laundry hampers should be replaced before they are overfilled.

CDC recommendations for Infection control

Hand washing, when it is visibly soiled

Hand rub, when hands are not visibly dirty

Use of personal protective equipments

Following of safe sampling techniques

Isolation precautions

Control of portal of entry

Surgical asepsis

Performing sterile procedures . &

Routine cleaning of the department

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