I SAFESEPT MAX Disinfection and Cleaning Plan DISINFECTION AND CLEANING PLAN FOR VETERINARY PRACTICES What With what How When Who Surfaces Cleaning items and small surfaces, n SafeSept Max Surface Foam Cleaner which have been contaminated and cannot be disinfected thermally or placed in solutions (e.g. treatment unit, devices, work surfaces, x-ray equipment, lamp handle) Wipe cleaning solution and limit spray to areas, which cannot be reached by wiping. Ensure full moistening, adhere to application time, allow to dry. n In the treatment area after every treatment and after contamination n As required All staff/cleaning personnel in the examination and treatment area. Disinfecting items and small surfaces, which have been contaminated and cannot be disinfected thermally or placed in solutions (e.g. treatment unit, devices, work surfaces, x-ray equipment, lamp handle) n SafeSept Max Surface Wipes (or Wipes XL) n SafeSept Max Surface Wipes non-alcoholic n SafeSept Max Disinfection Spray n SafeSept Max Disinfection FV spray n SafeSept Max Disinfection Spray non-alcoholic Concentration: undiluted Application time: 1 min. Wipe with alcoholic fast-acting disinfectant; limit spray disinfectant to areas, which cannot be reached by wiping. Ensure full moistening, adhere to application time, allow to dry. Disinfecting items and small surfaces (alcohol sensitive), which have been contaminated and cannot be disinfected thermally or placed in solutions (e.g. treatment unit, devices, work surfaces, x-ray equipment, lamp handle) n SafeSept Max Surface Wipes non-alcoholic n SafeSept Max Disinfection Spray non-alcoholic Concentration: undiluted Application time: 1 min. Wipe with alcohol-free fast-acting disinfectant; limit spray disinfectant to areas, which cannot be reached by wiping. Ensure full moistening, adhere to application time, allow to dry. Surfaces and floors In the n SafeSept Max Disinfection non-alcoholic Concentrate examination and treatment rooms Concentration: 2.5%; 2%; 1% Application time: 15 mins. ; 30 mins. ; 60 mins. Disinfect and clean surfaces in the scouring, wiping and disinfection process (with suitable wet n When visibly contaminated by blood or wiping method). No rinsing off or dry wiping before the application time is complete. secretions Reuse of surfaces as soon as they are visibly dry. n As required All staff/cleaning personnel in the examination and treatment area. Hand/ Skin protection plan An easy-to-access hand washing area with running warm and cold water is required and a dispenser with skin-friendly detergent, hand disinfectants and suitable skin care products as well as single-use hand towels. No jewellery, watches or rings may be worn on hands or forearms. Dispensers and taps must have hands-free operation. Hands Washing (cleaning) n SafeSept Max Washlotion n SafeSept Max Washlotion sensitive From the dispenser, drying with single-use hand towel. Cleaning hands: Under running water with skin-friendly liquid soap from a dispenser, drying with a single-use towel. n When required (visible soiling/contamination) n Before starting a procedure n Before and after meals n After visiting the toilet n At the end of the procedure All staff Disinfecting n SafeSept Max Hand disinfection liquid n SafeSept Max Hand disinfection gel Liquid: 1 x 3 ml Application time: 30 secs. Gel: Rub 2 x 3 ml of the product into both hands for 30 seconds. Hygienic hand disinfection: Rub in hand disinfectant in accordance with rub-in technique CEN/EN 1500 until dry (30 sec.). Before putting on the medical single-use gloves, hands must be air dry. n Before starting procedures n After breaks n When required n After visiting the toilet n Before and after meals n At the end of a procedure All staff n SafeSept Max Hand disinfection liquid n SafeSept Max Hand disinfection gel Liquid: 9 – 12 ml (hands and forearms must be fully moistened) Application time: 1.5 mins. Gel: 2 x 5 ml Application time: 3 mins. Hands must be kept moist using the undiluted solution for the entire application time. Surgical hand disinfection: Wash hands and forearms up to the elbow for 1 minute, brushing finger nails and nail folds as required. Fully moisten hands and forearms by rubbing in (in accordance with the rub-in technique CEN/EN 1500) portions of hand disinfectant and leave moist for the 5 minutes application time. Before putting on the sterile, medical single-use gloves, hands must be air dry. n Before surgical treatment and before treatment of patients with an increased risk of infection Those involved in surgical treatment and treatment of patients with increased risk of infection. Hand protection (care) n SafeSept Max hand cream lotion Wear protective gloves. Skin protection and skin care: Ensure careful application between the fingers, at the nail folds n When required and on the back of the hands. n At the end of work All staff Skin Washing (cleaning) Wash lotion for combined hand/skin cleaning and germ reduction. n SafeSept Max Diniscrub 75 with soap n SafeSept Max Chlorhexidine 4% with soap n SafeSept Max Chlorhexidine 5% no soap Moisten the hands/skin with water, apply approx. 3 ml of wash lotion onto the hands and wash them for at least 30 seconds. Do not forget to wash between the fingers, the nail beds and the wrists. Then rinse the hands thoroughly with water. n Before starting procedures n When required n At the end of a procedure Those involved in treatment and patient care. Disinfecting Coloured, alcoholic skin and hand disinfectant for veterinary prophylaxis and for disinfection before operations: n SafeSept Max Diniscrub 100 no soap Rub the skin or hands with the solution according to the application times stated below, and keep moist. Bacteria and candida albicans (EN 13727, EN 13624, high contamination): 30 sec. Hygienic skin and hand disinfectant as per EN 1500, VAH: 30 sec. Surgical skin and hand disinfectant as per EN 12791, VAH: 1.5 min. TbB (M. terrae as per EN 14348, high contamination): 30 sec. Enveloped viruses (e.g. HBV, HCV and HIV) as per RKI/DVV (high contamination): 30 sec. Noroviruses as per EN 14476 n Before surgical treatment, injections and punctions Those involved in surgical treatment. Instruments and appliances For instruments, appliances, rotating and oscillating instruments, transmission instruments and auxiliary equipment, the manufacturers' instructions have priority over the following descriptions: Cleaning Disinfecting Transmission instruments Storage Self-acting formula that counteracts, penetrates and effectively removes all kinds of organic contaminations such as proteins, coagulated blood, mucus, vomit, fat and fecal matter even in hard-toreach areas: n SafeSept Max Instrument Cleaner Enzymatic concentrate n SafeSept Max Instrument Disinfection Concentrate FV Bactericide incl. MRSA, fungicide, tuberculocide (M. terrae) Concentration: 2% - 1.5% - 1% Application time: 15 mins. - 30 mins. - 60 mins. Virucide incl. HBV/HIV, polio, adeno, papova, vaccinia viruses 2% - 30 mins. n SafeSept Max Surface Wipes (or Wipes XL) n SafeSept Max Surface Wipes non-alcoholic n SafeSept Max Disinfection Spray n SafeSept Max Disinfection FV spray n SafeSept Max Disinfection Spray non-alcoholic Concentration: undiluted Application time: 1 min. Cupboard, drawer Preparation takes place directly after treatment taking into account the risk assessment and the medical product rating: 1. Contamination-free transport to the preparation area 2. Removal of rough organic soiling using cellulose 3. Disinfection and cleaning 3.1 Manual disinfection: Soaking the disassembled or disjointed instruments free of air bubbles, submerged in a disinfectant and cleaning solution (if necessary ultrasound bath). Cleaning, rinsing under running water at the end of application time, drying. 3.2 Machine disinfection: by using a validated cleaning and disinfection device using suitable carrier in accordance with the manufacturer‘s instructions 4. Checking for cleanliness, intactness, where necessary repeating step 3 5. Identification 6. Care and maintenance: | 1 | 2 Sharpen etc. according to manufacturer‘s instructions | 3 | 4 Oiling the interior parts 7. Checking of functions 8. Labelling (according to requirements) 9. Steam sterilisation with effective, validated procedure: 9.1 Non-critical instruments*: Steam sterilisation not required 9.2 Semi-critical instruments**: Unpackaged on trays, perforated instruments, trays, stands, basins etc. or packaged in sterile goods packaging in accordance with DIN 58952/58953 or EN 868 9.3 Critical instruments***: Packaged in sterile goods packaging in accordance with DIN 58952/58953 or EN 868 10. Documented approval of medical products for use 11. Storage protected against contamination n After every treatment n After all contamination Dry storage in the device before disinfection, not more than 6 hours. General storage duration in accordance with EN 868 or RKI guidelines. All staff involved in preparation of medical products. Special areas Waste from treatment and examination rooms Pointed, sharp, breakable objects, body parts (e.g. teeth, tissue) with blood, secretions, contaminated waste (e.g. saliva ejectors, cotton rolls, swabs etc.) as well as waste contaminated with pathogens of notifiable diseases must immediately be collected in situ in puncture-resistant and tear-resistant, damp-proof and sealed containers and, without decanting or sorting, must be handed over in securely closed containers to be disposed of by burning. Lead foil, old films, fixing baths, developer, residues containing mercury, old medications and batteries are disposed of by waste management companies. Domestic grade waste is collected in rubbish bags (HS waste bags) and separated and disposed of in line with the local regulations. *Non-critical medical products: Medical products, which only come into contact with intact skin. **Semi-critical medical products: Medical products, which come into contact with mucous membranes or pathologically changed skin. ***Critical medical products: Medical products, which penetrate the skin or mucous membrane and thus come into contact with blood, internal tissue or organs (including wounds). Practice stamp/date/company signature: www.kruuse.com ©KRUUSE · August 2018 · 20345 INT
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