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内窥镜的清洗消毒流程是一个严格的多步骤过程,以确保设备的安全和有效性。以下是标准的清洗消毒流程:
The cleaning and disinfection process of endoscopes is a strict multi-step process to ensure the safety and effectiveness of the equipment. The following is the standard cleaning and disinfection process:
初洗:
Initial washing:
拆开各部件,在流动水下彻底冲洗。
Disassemble each component and thoroughly rinse under flowing water.
使用高压水枪反复冲洗各孔道,内镜的轴件部、弯曲部、管腔内用软毛刷彻底刷洗,刷洗时注意避免划伤镜面。
Use a high-pressure water gun to repeatedly rinse each hole, thoroughly brush the shaft, curved part, and lumen of the endoscope with a soft bristled brush, and be careful not to scratch the mirror surface during brushing.
内镜附件如细胞刷、切开刀、导丝、碎石器、网篮、造影导管、异物钳等使用后,先放入清水中,用小刷刷洗钳瓣内面和关节处,清洗后并擦干。
After using endoscopic accessories such as cell brushes, incisors, guide wires, lithotripters, mesh baskets, contrast catheters, foreign body forceps, etc., first place them in clean water, use a small brush to wash the inner surface of the forceps and joints, clean and dry them.
送洗:
Delivery for washing:
内镜初洗后立即放入专用器械盒。
Immediately put the endoscope into a dedicated instrument box after initial cleaning.
如果是感染器械要在盒盖上用红笔注明感染源。
If it is an infectious device, the source of infection should be indicated on the box cover with a red pen.
置于内镜运送车送至消毒供应中心清洗。
Place it in the endoscope transport vehicle and send it to the disinfection supply center for cleaning.
酶洗:
Enzymatic washing:
根据多酶液的比例正确的配置。
Correctly configure according to the ratio of multiple enzyme solutions.
将擦干后在的内镜置于酶洗槽中浸泡5分钟,或超声清洗器内清洗5-10分钟。
Soak the dried endoscope in an enzyme bath for 5 minutes or clean it in an ultrasonic cleaner for 5-10 minutes.
镜头于酶液中手洗。
The camera is hand washed in enzyme solution.
每清洗一次内镜更换多酶洗液。
Replace the multi enzyme wash solution every time the endoscope is cleaned.
次洗(脱酶洗):
Secondary washing (enzymatic washing):
多酶洗液浸泡后的内镜,用流动水彻底冲洗。
After soaking the endoscope in a multi enzyme washing solution, rinse it thoroughly with running water.
用高压水枪彻底冲洗管道,以去除管道内的多酶洗液及松脱的污物,同时冲洗内镜的外表面,冲洗时间要大于5分钟。
Thoroughly rinse the pipeline with a high-pressure water gun to remove the multi enzyme washing solution and loose dirt inside the pipeline. At the same time, rinse the outer surface of the endoscope for more than 5 minutes.
漂洗:
Rinse:
用纯净水再次冲洗。
Rinse again with purified water.
干燥:
dry:
用纱布将内镜外表面的水分擦干。
Wipe off the moisture on the outer surface of the endoscope with gauze.
再用高压水枪将内镜各管腔内的水分冲干。
Use a high-pressure water gun to flush out the water inside each cavity of the endoscope.
消毒:
disinfect
将消毒后的内窥镜储存于干燥、通风、无尘的储存室内。
Store the disinfected endoscope in a dry, ventilated, and dust-free storage room.
自动清洗/消毒(如果使用自动清洗消毒设备):
Automatic cleaning/disinfection (if using automatic cleaning and disinfection equipment):
使用符合ISO 15883-1的程序,此程序必须至少达到A0值3000,并且在消毒阶段温度不超过93°C。
Use a program that complies with ISO 15883-1, which must achieve an A0 value of at least 3000 and a temperature not exceeding 93 ° C during the disinfection phase.
在清洗过程中,不得超过55°C以保证达到最优清洗结果。
During the cleaning process, the temperature should not exceed 55 ° C to ensure optimal cleaning results.
在中和以后,冲洗回路以确保无残留清洗或中和剂从而影响再处理步骤。
After neutralization, rinse the circuit to ensure that there are no residual cleaning or neutralizing agents that may affect the reprocessing steps.
在最后冲洗和消毒必须完全使用去离子水。
Deionized water must be used completely for final rinsing and disinfection.
以上步骤确保了内窥镜在使
The above steps ensure that the endoscope is functioning properly
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