Structure indicators
(
15
15. Graziano KU, Lacerda RA, Turrini RTN, Bruna CQM, Silva CPR, Schmitt C, et al. Indicators for evaluation of processing dental-medical-hospital supplies: elaboration and validation. Rev Esc Enferm USP [Internet]. 2009 [cited 2020 Jul 19];43(2):1174-80. Available from: https://www.scielo.br/scielo.php?pid=S0080-62342009000600005&script=sci_arttext https://www.scielo.br/scielo.php?pid=S00...
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16
16. Mendonça ACC, Bezerra ALQ, Tipple AFV, Tobias GC. Quality indicators of health product processing in steam autoclaves. Rev Enferm UFPE on line [Internet]. 2017 [cited 2020 Aug 19];11(Supl. 2):906-14. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/13459/16148 https://periodicos.ufpe.br/revistas/revi...
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a) Cleaning: caster systems; sink configuration; taps; suitable brushes for all types of PHP; water/air guns; sharps containers; containers for biological material waste; minimum dimensions; physically isolated area; lighting; air conditioning; screened windows; finishing material; physical barrier for preparation; supplies for hand hygiene. |
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b) Preparation: area located between Cleaning and Sterilization; minimum dimensions; lighting; intensifying lens; compressed air gun; sealing equipment; supplies for hand hygiene. |
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c) Sterilization, Storage and Distribution: dimensions; architecture; area separated from the others; area located between preparation, storage and distribution; screened windows; pre-vacuum and low temperature autoclaves; sanitary barrier autoclave; restricted area; air conditioning; shelves’ distance from the floor, walls and ceiling; shelves used; storage location free from water sources, open windows and exposed pipes; gross accumulation of dust, trash, and presence of rodents or insects; supplies for hand hygiene. |
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Process indicators
(
15
15. Graziano KU, Lacerda RA, Turrini RTN, Bruna CQM, Silva CPR, Schmitt C, et al. Indicators for evaluation of processing dental-medical-hospital supplies: elaboration and validation. Rev Esc Enferm USP [Internet]. 2009 [cited 2020 Jul 19];43(2):1174-80. Available from: https://www.scielo.br/scielo.php?pid=S0080-62342009000600005&script=sci_arttext https://www.scielo.br/scielo.php?pid=S00...
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16
16. Mendonça ACC, Bezerra ALQ, Tipple AFV, Tobias GC. Quality indicators of health product processing in steam autoclaves. Rev Enferm UFPE on line [Internet]. 2017 [cited 2020 Aug 19];11(Supl. 2):906-14. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/13459/16148 https://periodicos.ufpe.br/revistas/revi...
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a) Cleaning: use of detergents; product labels used with registration, information on dilution, necessary PPE, indications and contraindications; dilution, immersion time and shelf-life after dilution follow the manufacturer’s recommendations; changing the detergent solution following the recommendations; prior submersion of dirty materials in disinfectant chemical solutions; manual and/or automated cleaning; manual washing piece by piece and with soft bristle brushes; friction under running water and water with solution; absence of abrasive materials; complex and cannulated PHP cleaning with brushes of suitable diameters, complemented with ultrasonic washer; thorough rinse; automated cleaning prioritized for PHP with complex conformation; documented equipment qualifications; periodic evaluation of the equipment; Personal Protective Equipment (PPE) available and used; drying; and hand hygiene. |
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b) Preparation: inspection with a magnifying glass regarding conditions and conservation; completely dry PHP; types of packaging; packages in the maximum recommended size; chemical indicator (Class I); package closure; identification; PPE; routine for decontaminating benches; hand hygiene. |
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c) Sterilization, Storage and Distribution: temperature, cycle time, records of autoclave parameters; arrangement of packages; used capacity of the device; wet packages, transferred hot to storage, with older dates in front of newer ones; shelf-life considered at the institution and checked; PHP distribution control recording system; PPE; hand hygiene. |
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d) Interview with the technical manager: exclusive nurse; standards and routines manual; permanent education program; sharps accident policy; management of essential aspects of the stages (water quality, equipment maintenance, packaging quality, rational use of chemical indicators, etc.); participation in purchasing processes. |
Results indicators
(
15
15. Graziano KU, Lacerda RA, Turrini RTN, Bruna CQM, Silva CPR, Schmitt C, et al. Indicators for evaluation of processing dental-medical-hospital supplies: elaboration and validation. Rev Esc Enferm USP [Internet]. 2009 [cited 2020 Jul 19];43(2):1174-80. Available from: https://www.scielo.br/scielo.php?pid=S0080-62342009000600005&script=sci_arttext https://www.scielo.br/scielo.php?pid=S00...
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16
16. Mendonça ACC, Bezerra ALQ, Tipple AFV, Tobias GC. Quality indicators of health product processing in steam autoclaves. Rev Enferm UFPE on line [Internet]. 2017 [cited 2020 Aug 19];11(Supl. 2):906-14. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/13459/16148 https://periodicos.ufpe.br/revistas/revi...
,
18
18. Whiteley GS, Glasbey TO, Fahey PP. Usando um algoritmo ATP simplificado para melhorar a confiabilidade dos dados e melhorar os padrões de limpeza para higiene de superfícies e dispositivos médicos. Infect Dis Health. 2022;27(1):3-9. https://doi.org/10.1016/j.idh.2021.07.001 https://doi.org/10.1016/j.idh.2021.07.00...
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Number of compliant and applicable components in the CSSD under evaluation x100 |
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Total applicable components |