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TheatrePracticeStandardsGeneric1

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Generic Theatre Standard No 07 - Decontamination<br />

7.1 Decontamination Life Cycle<br />

• Decontamination Policy<br />

7.2 Decontamination Policy<br />

• Decontamination Policy<br />

7.3 Risk Management (decontamination & equipment)<br />

• Medical Device and Equipment Management Policy<br />

7.4 Single Use Medical Devices<br />

• Under no circumstances should single use medical devises be reused<br />

• Staff must ensure that they are aware of medical device single use status<br />

• Single use items must be disposed of after use in line with Trust waste policy for clinical<br />

waste or equipment<br />

• Single use items used during surgery must be disposed of in theatre and not returned to<br />

SSD on the instrument tray<br />

• Decontamination Policy<br />

7.5 Decontamination Training<br />

• Decontamination Policy<br />

7.6 Acquisition of surgical equipment<br />

• Procurement Policy<br />

• Medical Device and Equipment Management Policy<br />

7.7 Loan Surgical Instruments & Equipment<br />

• All loan equipment must be agreed by the theatre manager and SSD manager<br />

before use.<br />

• Electrical equipment must be tested by the trust medical physics department for<br />

electrical safety before use.<br />

• All surgical instruments must be sterilised via the Trsut SSD department before use<br />

• Confirmation must be gained from SSD before ordering loan equipment that the<br />

SSD department has the appropriate capacity and instructions on decontamination<br />

before placing the order.<br />

• On receipt of loan equipment the supply inventory must be fully checked and<br />

signed to confirm all items required are present before forwarding to SSD<br />

• Decontamination Policy<br />

7.8 Cleaning<br />

Guidance on automated cleaning washers/disinfectors and manual cleaning can be found in the<br />

following RCHT documents:<br />

• Decontamination Policy<br />

• Medical Device & Equipment Management Policy<br />

• Cleaning Policy<br />

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