Siscocare

1. Specification for Buying

• Choice of material / Does it fit the requirements?
• Certificate of quality from the manufacturer.
• Choice of surface finish.

2. Storage of Instruments

• Avoid any corrosive fumes / chemicals in storage area.
• Avoid area of high moisture to store instruments
• Brand new instruments should be cleaned / protective caps removed.
• Appropriate racks / containers should be used to store instruments.

3. Usage

• Clean the instruments after every use.
• Avoid prolonged exposure to saline.
• Sterilise used and unused instruments.

4. Preparation for Disinfection & Cleaning

• Check the correctness of the delivery.
• Returning of the Instruments from OT:- Dry instruments should be returned in dry condition.
• Returning instruments in wet condition:- Instruments should be immersed in a non-corrosive combined with disinfecting cum cleaning solutions.
• All hinges / latches of instruments should be released. Assembled instruments should be dismantled.

5. Reusing Instruments

• Dismantle and immediately immerse used and soiled instruments, completely in a pre-disinfection bath.
• Use containers which are hermetically sealed during the process of thermal disinfection and cleaning. It is done at 93'C for approx. 10 min. For heat-sensitive material, chemo thermal disinfection is done at 60'C for approx. 10 min.
• Open the containers at 60'C or lower

6. Pre - Disinfection

• Use cold water only. Water over 45'C leads to coagulation of proteins and causes cleaning problems.
• Epidemic Hygiene Aspect - disinfection first followed by cleaning. General Hygiene Aspect - first cleaning followed by disinfection.
• Follow exposure times / dilution parameters / concentration levels as recommended by the manufacturer for optimal cleaning / disinfection, pH value 4.5 to 9.5 is recommended for cleaning and disinfection solutions.
• Ultrasonic cleaners may be used in case of stubborn stains / encrustations.

7. Washing

• Periodically test water for its chloride / silicate and mineral content.
• Use of enzyme based detergents is recommended and instructions for dilutions as recommended by the supplier should be followed. If powered products are being used - particles should be dissolved.
• Final rinsing should be done in demineralised water.

8. Drying

• Instruments should be dried immediately after rinsing / washing.
• Use of air pistol is recommended where ever possible.
• Use lint free paper / cloth to wipe.

9. Care of Instruments

• Ensure all instruments are clean.
• Check functionality of individual instruments.
• Separate instruments which are not functioning correctly, showing signs of corrosion and wear & tear.

10. Maintenance for Instruments

• Periodically lubricate hinged/latched instruments and instruments with joints using lubricating oil.
• Inspect edges of cutting instruments and sharpen if required. Inspect instruments with carbide tips for wear and tear. Replace tips if required.
• Always arrange instruments systematically in terms of size, old or new, large bulky instruments and micro delicate instruments.

11. Conditions for Sterilisation

• Do not overload instruments trays with more than 10 Kgs.
• Do not mix old instruments with new instruments.
• Micro and delicate instruments should be placed in secure containers.

12. Sterilisation

• If all necessary steps prior to sterilisation have been followed - proceed.
• Use demineralised water if possible / Quality of water / steam is very important.
• Excessive silicates in water cause blackening of instruments.
• Excessive chlorides can set in corrosion in instruments (level of chlorides should be less than 120mg / I equiv to 200mg / I of nacl).
• Optimal loading of trays prevents formation of condensates.