How to Clean Instruments In Personal Service Settings Clean Rinse

How to Clean Instruments
In Personal Service Settings
STEP 1:
STEP 2:
STEP 3:
STEP 4:
STEP 5:
Presoak
Clean
Rinse
Air Dry
Disinfect
Soak in appropriate
disinfectant for the
required contact time.
– OR –
Sterilize
Use an autoclave or
dry heat sterilizer.
In cool water,
soak instruments
that cannot be
immediately
cleaned with water
and detergent.
Clean with warm
water and detergent.
Rinse under warm
running water.
Use a scrub brush or
ultrasonic cleaner and
utility gloves.
Cleaning is the FIRST step before disinfection or sterilization.
Disinfectants work BEST on clean instruments.
Adapted with permission from Toronto Public Health.
Air dry and store
in a clean, covered
container until
ready to disinfect or
sterilize.
Multi-use items that
penetrate the skin and
come in contact with
blood/body fluid must
be sterilized.
Other multi-use items
may be disinfected.
Region of Waterloo Public Health
Health Protection and Investigation
Infection Control Program
519-575-4400 | TTY 519-575-4608 | www.regionofwaterloo.ca/ph
A Guide to Disinfection & Sterilization
Level of Disinfection/Comments
Examples of Items
Product Options
Contact Time
Helpful Tips
Sterilization
Results in the
destruction of all
forms of microbial
life including
bacteria, viruses,
spores and fungi
Items that penetrate
the skin and come in
contact with blood/
body fluid. Items
that hold sterile
instruments.
Critical items:
• Re-usable parts of micro
pigmentation pen
• Needle bars
• Needle tubes and grips
• Forceps
• Piercing clamps, jewelry openers/
closers, receiving tubes
• Straight razors
Dry heat sterilizer
Follow manufacturer’s
instructions. Time
varies with temperature
and type of materials
•
High-level
disinfection
Kills all
microorganisms
except bacterial
spores
Items that come into
Semi-critical items:
• Needle/probe holder (e.g.
contact with nonintact skin or *mucous
electrolysis)
membranes and may • Comedone extractors
accidentally penetrate
them.
1:50 bleach dilution: 2 tsp. (10 ml) 20 minutes
5.25% chlorine with 2 cups
(500 ml) water
Intermediate-level
disinfection
Kills most bacteria,
fungi, viruses and
mycobacteria
(tuberculocidal)
Items that contact
Semi-critical items:
intact skin or *mucous • Footbaths
membranes and may • Ear piercing guns
accidentally penetrate • Handle and cradle of razors
• Crochet hook, hair trimmers, edgers
them.
• Nippers, clippers, cuticle pushers
• Comedone extractors
• Tweezers
1:50 bleach dilution: 2 tsp. (10 ml) 10–12 minutes
5.25% chlorine with 2 cups
Follow manufacturer’s
(500 ml) water
instructions
•
70–90% Alcohol
•
Low-level
disinfection
Kills some viruses,
bacteria and fungi
Environmental
surfaces and
instruments that do
not penetrate the skin
or have contact with
blood or body fluids.
Non-critical items:
• Combs, brushes and calipers
• Service trays
• Hairdressing stations
• Chairs
• Floor/walls
• Make-up brushes
• Hair trimmers, edgers
Autoclave
Note: UV light, glass-bead sterilizers, pressure cookers,
microwaves, immersion in boiling water and domestic
ovens are NOT APPROVED methods of sterilizing.
6% Hydrogen Peroxide
7% Stabilized Hydrogen Peroxide
Follow manufacturer’s
instructions
•
•
Note: Alcohol above 90% is not recommended.
10 minutes
3% Hydrogen Peroxide
Quaternary Ammonium Products
•
•
0.55% Orthophthaladehyde (OPA) 10 minutes
1:500 bleach dilution: 1 tsp. (5ml)
5.25% chlorine with 10 cups
(2 ½ L)
•
Follow manufacturer’s
instructions
Clean all instruments, equipment and
surfaces with detergent and water before
disinfection or sterilization.
Choose the higher level of disinfection
if uncertain about the required level of
disinfection.
Refer to manufacturer’s instructions for
proper dilution, contact time and material
safety data sheet information.
Use a permanent marker to label the bottle
clearly with the chemical name and mixing
instructions.
Prepare a fresh chlorine and/or Barbicide
solution daily. This ensures the maximum
effectiveness of your disinfectant.
Store your chemicals in a locked room or
cupboard, to keep them out of the reach of
children and customers.
Provide test strips to verify the correct
concentration of the chemical solution.
Store disinfected and/or sterilized
instruments in a manner that will prevent
contamination.
For pre-packaged sterile items:
• ­Purchase from a reputable supplier.
• ­Ensure each package is clearly marked with
manufacturer’s method of sterilization and a
batch/lot/code number.
• ­Keep on site: records of purchases and
a copy of manufacturer’s sterilization
certificate.
*Mucous membranes: eyes, nose, and mouth.
Single use instruments, such as emery boards, hindostones, orange sticks, buffers, pumice stones, toe separators cannot be cleaned or disinfected. They must be discarded after each client.
Region of Waterloo Public Health does not promote any specific brand of products. This chart represents examples of some of the products used in personal service settings and
does not include an exhaustive list. This chart is designed to help you understand the different levels of disinfection, so that you can prevent infections.
Source: Ministry of Health and Long-Term Care, Infection Prevention and Control Best Practices Personal Service Settings.
Adapted with permission from York Region Health Services Department.
April 2013
Region of Waterloo Public Health
n
www.regionofwaterloo.ca/ph
n
519-575-4400
n
TTY 519-575-4608
n
Fax 519-883-2241