4 8 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E M A Y 2 0 1 6
Don't overlook the importance of
manual cleaning, even if you're using
an automatic washer. Start by deter-
mining which instruments require
manual cleaning, and the specific
tools needed to perform the task, by
reviewing the instruments' IFUs.
Making IFUs easy to access — by
collecting them in a binder, display-
ing them on posters or posting them online — ensures techs always have the
information they need to accurately clean devices.
In the IFUs, you'll find the type of cleaning agent to use as well as the size and
style of brush to clean with. We typically use a soft bristle brush in various sizes,
depending on the instrument. Note that you should never use a metal brush, as
it can be too abrasive and remove the instruments' protective oxidized coating.
You also want to ensure that staff are wearing the proper PPE during the clean-
ing process, including gloves, gown and eye protection.
Manual cleaning is a precise process. Because of that, techs should receive
regular education, and some states even require certification in order to work in
central sterile departments. To ensure our techs are up to snuff, we hold yearly
competency exams and conduct regular education sessions when we receive a
new product or device.
4. Automatic cleaning
An automatic instrument washer can be a worthy investment for facilities look-
ing to standardize their decontamination process. Washers allow you to auto-
mate the decontamination of medical instruments and scopes. There are several
different styles on the market, including single-chamber washers that wash and
disinfect instruments, ultrasonic washers for hard-to-clean or delicate instru-
ments, cart washers, multi-chamber washers that process high volumes of
• SPRAY PAN Enzymatic cleaners break down bioburden for easier removal.