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Best Practices for Cleaning, Disinfection and Sterilization in Health Authorities March 2007
Appendix A Reprocessing Decision Chart
MANUFACTURERS RECOMMENDATIONS FOR PRODUCT, CONCENTRATION AND EXPOSURE
TIME MUST BE FOLLOWED
Level of Classification of Examples of Equipment/Devices Products**
Processing/Reprocessing Equipment/
Device
Cleaning All reusable ** concentration and
" All reusable equipment/devices
Physical removal of soil, dust or equipment/devices contact time are dependant
" Oxygen tanks and cylinders
foreign material. Chemical, thermal on manufacturer s
or mechanical aids may be used. instructions
Cleaning usually involves soap and
water, detergents or enzymatic
" Quarternary ammonium
cleaners. Thorough cleaning is
compounds (QUATs)
required before disinfection or
" Enzymatic cleaners
sterilization may take place.
" Soap and water
" Detergents
" 0.5% Accelerated
hydrogen peroxide
Low level disinfection Noncritical ** concentration and
" Environmental surfaces touched
Level of disinfection required when equipment/devices contact time are dependant
by staff during procedures
processing noncritical on manufacturer s
involving parenteral or mucous
equipment/devices or some membrane contact (e.g. dental instructions
environmental surfaces. Low level
lamps, dialysis machines)
disinfectants kill most vegetative
" 3% Hydrogen peroxide
" Bedpans, urinals, commodes
bacteria and some fungi as well as (10 minutes)
" Stethoscopes
enveloped (lipid) viruses. Low level
" 60-95% Alcohol (10
" Blood pressure cuffs
disinfectants do not kill
minutes)
" Oximeters
mycobacteria or bacterial spores.
" Hypochlorite (1000 ppm)
" Glucose meters
" 0.5% Accelerated
" Electronic thermometers
hydrogen peroxide (5
" Hydrotherapy tanks
minutes)
" Patient lift slings
" Quarternary ammonium
" ECG machines/leads/cups etc.
compounds (QUATs)
" Sonography (ultrasound)
" Iodophors
equipment/probes that come into
" Phenolics ** (should not
contact with intact skin only
be used in nurseries)
" Bladder scanners
" Baby scales
" Cardiopulmonary training
mannequins
" Environmental surfaces (e.g. IV
poles, wheelchairs, beds, call
bells)
" Fingernail care equipment that is
single-client/patient/resident use
High level disinfection Semicritical ** concentration and
" Flexible endoscopes that do not
The level of disinfection required equipment/devices contact time are dependant
enter sterile cavities or tissues
when processing semicritical on manufacturer s
" Laryngoscopes
equipment/devices. High level instructions
" Bronchosopes (sterilization is
disinfection processes destroy
preferred)
vegetative bacteria, mycobacteria,
" 2% Glutaraldehyde (20
" Respiratory therapy equipment
fungi and enveloped (lipid) and non- minutes at 20°C)
" Nebulizer cups
enveloped (non-lipid) viruses, but
" 6% Hydrogen peroxide
" Anesthesia equipment
not necessarily bacterial spores.
(30 minutes)
" Endotrachial tubes
" 0.55% Ortho-
" Specula (nasal, anal, vaginal
phthalaldehyde (OPA) (10
43
Best Practices for Cleaning, Disinfection and Sterilization in Health Authorities March 2007
MANUFACTURERS RECOMMENDATIONS FOR PRODUCT, CONCENTRATION AND EXPOSURE
TIME MUST BE FOLLOWED
Level of Classification of Examples of Equipment/Devices Products**
Processing/Reprocessing Equipment/
Device
disposable equipment is strongly minutes at 20°C)
recommended)
" Pasteurization (30
" Tonometer foot plate minutes at 75°C)
" Ear syringe nozzles " 7% Accelerated hydrogen
peroxide (20 minutes)
" Sonography (ultrasound)
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