EWWWW, something doesn't seem right to me here!! - page 3
I have yet another question... In ER yesterday, we had to intubate a patient. anyway, ater all was said and done, I called to have the blades sent for sterilization so I cuold get the crash... Read More
Mar 22, '07Quote from jadje01Not picking on you, but I wanted to respond to the premise here.OK I have to admit this caught my eye. And after reading everyones replys thus far I must agree with the others. When your in a life or death situation does it really matter. I do see the point you are trying to make however, as long as they are clean. They are not stored in sterile wraping anyways.
This Is a little gross when you think of it.
In a code/resus situation, I don't sterilize med ports, often don't clean the skin as I should before IV insertion. That is, to me, acceptable. I can't
pre-clean the IV ports and have them ready and "sterile" just in case the pt codes.
We can, however, have sterile blades available for intubation. It isn't like we are rushing to grab the nearest set of blades that are dirty and don't have time to clean them. If that's the case then please tube me with dirty blades. But if the question is not wanting to take the time while the ED is quiet to clean the blades correctly (meaning the CS people, not the OP) then that is just laziness and nuts.
That's just my opinion, but it is the difference between preparation and chaos.
Mar 23, '07while many of us(myself included) are going "ewwwwww" over this, a thought I just had - while a field or ER intubation is usually a life or death situation, what are the protocols on blades used in the OR when one is under for general anesthesia?
Mar 23, '07interesting discussion guys. at my facility we send the blades down for sterilization but they always come back to us in bags that are open.
oh well, at least they started out sterile and will remain clean. i agree with the previous poster who brought up different people's different standards of clean. i would think that if the facility has the policy of handwashing blades, there would be a written policy on what solution, how long to soak/scrub to avoid these variances. if not, maybe the OP can spearhead the development of one!
Mar 23, '07Yeah I would deff agree that you would need to make an incident report on that and have a little consult w/ sterile processing.
Mar 23, '07Wow, I've never even thought about it. We use sterile disposable blades in the ER and on the ambulance. However, in the ER the OPA's lay on the most disgusting shelf. It's not so bad when their bagged but when you grab one and their in the open, you're not so sure. I have actually seen someone wipe one off, write the size on the side with a sharpie, and stick up for the next patient. So much for clean and disposable.
Mar 28, '07ED RNs normally place them in a cidex solution so that they never leave the department............i'm sure this is for cost effectiveness......I work in a 58 bed ED.
Mar 28, '07they arent necessarily have to be sterile. in an emergency, sterility will have to take a back seat or two to preserve the patient's life
Mar 28, '07The mouth may not be sterile, but the blades still need to be sterilized, not to be kept sterile afterwards, but to go through the sterilizing process!
We wash ours with an instrument cleaning solution, scrub brushes and water first, then were sterilize them.
JACHO would be very interested to hear about that.
Mar 28, '07I think Central Supply/Sterile Processing has an Association or Society of their own, but don't know what it's called. It probably has standards also.
Mar 28, '07Here's 2 articles to chew on:
https://www.aorn.org/journal/2005/decci.htm (scroll down)