TABLE II.

Point of Use Treatment Steps for Reusable Instruments

Point of use treatment: step-by-step guide
Reusable instruments
StepMethods
1. Don appropriate personal protective equipment (PPE) based on risk of exposureRequired level of PPE will vary between procedural areas (e.g., operating room, dermatology clinic)2,21,33
2. Remove gross debris as soon as possible after use and at the end of the caseUse low-lint sponges moistened with sterile water; do not use saline as this will cause instrument corrosion
Dried blood, body fluids, and non-organic materials on instrument surfaces impedes decontamination and depletes instrument lifecycle1–4,6,8,12,21
3. Flush cannulated instruments continuouslyThroughout procedure, irrigate with sterile water to prevent/remove residue buildup1,2,6,8,21
4. Consider all opened instruments to be contaminatedTreat all opened instruments, whether used or unused as contaminated due to risk of exposure to biohazardous materials2,6,8
5. Disassemble all instruments according to manufacturer instructions for use (IFU) (if applicable) and place in the tray/pan with jaws/hinges in the open positionPlace instruments in original pan/tray to minimize instrument damage/displacement; pretreatment (e.g., enzymatic) must contact all instrument surfaces when disassembled and placed in the open position1,2,6,8
6. Segregate reusable sharp instruments and properly discard disposable sharpsHandling of sharps and contaminated devices must be in a manner that reduces risk of staff harm and potential exposure1,2,4,6,8,21
7. Tag damaged/broken instruments (if applicable)Communicate damaged equipment to Sterile Processing personnel so it can be decontaminated and sent for repairs2,6,8,21
8. Place instruments in transport containerThe Occupational Health and Safety Administration-approved transport container must be: leakproof on sides and bottom, puncture-resistant, closeable, and identified as biohazardous1–3,6,8,21
9. Prior to transport, keep instruments moistPlace a towel moistened with water (not saline) or apply a hospital-approved pretreatment (e.g., enzymatic detergent)1–4,6,8,21
Point of use treatment: step-by-step guide
Reusable instruments
StepMethods
1. Don appropriate personal protective equipment (PPE) based on risk of exposureRequired level of PPE will vary between procedural areas (e.g., operating room, dermatology clinic)2,21,33
2. Remove gross debris as soon as possible after use and at the end of the caseUse low-lint sponges moistened with sterile water; do not use saline as this will cause instrument corrosion
Dried blood, body fluids, and non-organic materials on instrument surfaces impedes decontamination and depletes instrument lifecycle1–4,6,8,12,21
3. Flush cannulated instruments continuouslyThroughout procedure, irrigate with sterile water to prevent/remove residue buildup1,2,6,8,21
4. Consider all opened instruments to be contaminatedTreat all opened instruments, whether used or unused as contaminated due to risk of exposure to biohazardous materials2,6,8
5. Disassemble all instruments according to manufacturer instructions for use (IFU) (if applicable) and place in the tray/pan with jaws/hinges in the open positionPlace instruments in original pan/tray to minimize instrument damage/displacement; pretreatment (e.g., enzymatic) must contact all instrument surfaces when disassembled and placed in the open position1,2,6,8
6. Segregate reusable sharp instruments and properly discard disposable sharpsHandling of sharps and contaminated devices must be in a manner that reduces risk of staff harm and potential exposure1,2,4,6,8,21
7. Tag damaged/broken instruments (if applicable)Communicate damaged equipment to Sterile Processing personnel so it can be decontaminated and sent for repairs2,6,8,21
8. Place instruments in transport containerThe Occupational Health and Safety Administration-approved transport container must be: leakproof on sides and bottom, puncture-resistant, closeable, and identified as biohazardous1–3,6,8,21
9. Prior to transport, keep instruments moistPlace a towel moistened with water (not saline) or apply a hospital-approved pretreatment (e.g., enzymatic detergent)1–4,6,8,21
TABLE II.

Point of Use Treatment Steps for Reusable Instruments

Point of use treatment: step-by-step guide
Reusable instruments
StepMethods
1. Don appropriate personal protective equipment (PPE) based on risk of exposureRequired level of PPE will vary between procedural areas (e.g., operating room, dermatology clinic)2,21,33
2. Remove gross debris as soon as possible after use and at the end of the caseUse low-lint sponges moistened with sterile water; do not use saline as this will cause instrument corrosion
Dried blood, body fluids, and non-organic materials on instrument surfaces impedes decontamination and depletes instrument lifecycle1–4,6,8,12,21
3. Flush cannulated instruments continuouslyThroughout procedure, irrigate with sterile water to prevent/remove residue buildup1,2,6,8,21
4. Consider all opened instruments to be contaminatedTreat all opened instruments, whether used or unused as contaminated due to risk of exposure to biohazardous materials2,6,8
5. Disassemble all instruments according to manufacturer instructions for use (IFU) (if applicable) and place in the tray/pan with jaws/hinges in the open positionPlace instruments in original pan/tray to minimize instrument damage/displacement; pretreatment (e.g., enzymatic) must contact all instrument surfaces when disassembled and placed in the open position1,2,6,8
6. Segregate reusable sharp instruments and properly discard disposable sharpsHandling of sharps and contaminated devices must be in a manner that reduces risk of staff harm and potential exposure1,2,4,6,8,21
7. Tag damaged/broken instruments (if applicable)Communicate damaged equipment to Sterile Processing personnel so it can be decontaminated and sent for repairs2,6,8,21
8. Place instruments in transport containerThe Occupational Health and Safety Administration-approved transport container must be: leakproof on sides and bottom, puncture-resistant, closeable, and identified as biohazardous1–3,6,8,21
9. Prior to transport, keep instruments moistPlace a towel moistened with water (not saline) or apply a hospital-approved pretreatment (e.g., enzymatic detergent)1–4,6,8,21
Point of use treatment: step-by-step guide
Reusable instruments
StepMethods
1. Don appropriate personal protective equipment (PPE) based on risk of exposureRequired level of PPE will vary between procedural areas (e.g., operating room, dermatology clinic)2,21,33
2. Remove gross debris as soon as possible after use and at the end of the caseUse low-lint sponges moistened with sterile water; do not use saline as this will cause instrument corrosion
Dried blood, body fluids, and non-organic materials on instrument surfaces impedes decontamination and depletes instrument lifecycle1–4,6,8,12,21
3. Flush cannulated instruments continuouslyThroughout procedure, irrigate with sterile water to prevent/remove residue buildup1,2,6,8,21
4. Consider all opened instruments to be contaminatedTreat all opened instruments, whether used or unused as contaminated due to risk of exposure to biohazardous materials2,6,8
5. Disassemble all instruments according to manufacturer instructions for use (IFU) (if applicable) and place in the tray/pan with jaws/hinges in the open positionPlace instruments in original pan/tray to minimize instrument damage/displacement; pretreatment (e.g., enzymatic) must contact all instrument surfaces when disassembled and placed in the open position1,2,6,8
6. Segregate reusable sharp instruments and properly discard disposable sharpsHandling of sharps and contaminated devices must be in a manner that reduces risk of staff harm and potential exposure1,2,4,6,8,21
7. Tag damaged/broken instruments (if applicable)Communicate damaged equipment to Sterile Processing personnel so it can be decontaminated and sent for repairs2,6,8,21
8. Place instruments in transport containerThe Occupational Health and Safety Administration-approved transport container must be: leakproof on sides and bottom, puncture-resistant, closeable, and identified as biohazardous1–3,6,8,21
9. Prior to transport, keep instruments moistPlace a towel moistened with water (not saline) or apply a hospital-approved pretreatment (e.g., enzymatic detergent)1–4,6,8,21
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