fied arthroscopic shavers as a decontamination challenge and demon-
strated to OR staff how to disassemble removable parts and apply
enzymatic cleaner to exposed surfaces in the OR.
2
Manual cleaning in the SPD. Once instruments arrive in
the SPD, they are sorted, inspected and disassembled as
required by the IFU. For certain delicate instruments, manual
cleaning may be the only cleaning that occurs because they cannot
withstand the mechanical washing process. Some facilities may not
have mechanical washers and thus rely solely on manual cleaning.
Manual cleaning generally begins with rinsing gross debris off the
instruments, then immersing instruments in enzymatic detergent solu-
tions adhering to the solution's IFU recommendations. All cannulated
1 0 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U L Y 2 0 1 9