DECONTAMINATION
U.MONICA VARSHINI
LECTURER IN
ANAESTHESIOLOGY
Central Sterile Supply Department
• Responsible for collecting and receiving patient care items, instruments and devices
used during the provisions of healthcare.
• For decontaminating, processing, sterilizing, storing and dispensing items to all
parts of the hospital.
Areas:
• Receiving Area
• Clean and Decontamination Area
• Preparation and Packaging Area
• Sterilization Area
• Sterile Storage Area
THE DECONTAMINATION CYCLE
DEFINITION
Decontamination is the process of cleansing an object or substance to remove
contaminants such as microorganisms, hazardous materials including blood ,
secretions , organic matter , body fluids , radioactive substances and infectious
diseases .
THE DECONTAMINATION AREA
• Emergency Eyewash/shower equipment should be available within 10 seconds or 30
meter of a potential chemical exposure.
• Horizontal work surfaces should be cleaned an disinfected at the beginning and end
of each shift.
• Spills should be cleaned immediately.
• Floors should be cleaned immediately floors should be cleaned and disinfected
daily.
Cleaning Organic soils
Cleaning Inorganic soils
• What types of contaminants are we • What types of contaminants are we
faced with and need to be removed? faced with and need to be removed?
• Organic soils • Inorganic soils
• body fluids • Silicates
• Blood • calcium carbonate
• Skin • other salts
• Excrements • rust
• Proteins • other corrosions
• Fats
• other mineral deposits.
• germs.
Transportation:
Reusable equipment , instruments and utensils must be safely transported from patient
acre and treatment areas to the central service decontamination area.
Goals of soiled item transport:
• Prepare contaminated items so they will not be damaged after use or before return to
the central service decontamination area.
• To transport soiled items without cross contaminating the environment between point
of use and the decontamination area.
• To assure that all individuals who may come in contact with contaminated items
remain safe during the transport process.
Sources of contaminated items:
• Surgery
• Labor and delivery
• Emergency services
• Cardiac catheterization lab
• Endoscopy
• Any patient care and treatment area
Methods of transport
• Lifts, elevators, dumbwaiters dedicated to soiled item transport.
• Covered transport carts.
• Hand delivery by employees of the user department.
User departments
• Should have dedicated holding areas to hold items until they’re picked up by central
service staff.
• Those areas should be marked with biohazard signs.
Point of use preparation:
• Instrument decontamination begins at point of use.
• Point of use preparation helps prolong instrument life.
• If soil is allowed to dry on instruments ,it is much more difficult to remove .
• Remove gross soil.
• Keep soil instruments moist.
• Remove disposable components and dispose properly.
• Put sharps in sharps container, etc.
• Gross soil includes tissue, body fat , blood and other body substances
Transport carts
• If the same carts re used to
transport soiled items to the
decontamination area and return
clean items to user units, they must
be decontaminated between uses.
Transport safety
• Wear Cap, Consider all used items as contaminated.
• Appropriate PPE if you are going to handle contaminated items.
• Maintain control of transport carts at all times and be careful near doors, elevators
and hallway intersections where accidents may occur.
• Use hallway intersection mirrors.
Safety measures
• Everyone who has contact with contaminated items must understand the danger
associated with transport of biohazard items.
Conclusion
•THANK YOU
