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Started By
Message
re: Surgical Instruments and Sterilization
Posted on 11/18/25 at 10:26 am to WylieTiger
Posted on 11/18/25 at 10:26 am to WylieTiger
quote:
that’s if the ladies in Sterile Processing like you.
0
Posted on 11/18/25 at 10:40 am to Tempratt
Yep...same place.
Posted on 11/18/25 at 11:33 am to Tempratt
Autoclave. High heat steam and intense pressure. Kills everything.
Posted on 11/18/25 at 12:24 pm to delta_zulu
At Duke University's Medical Hospitals, they just use hydraulic fluid.
LINK
quote:
In 2004, a hydraulic fluid mix-up occurred at Duke University Health System's Raleigh and Durham Regional hospitals, where thousands of surgical instruments were mistakenly washed in hydraulic fluid instead of detergent.
LINK
This post was edited on 11/18/25 at 12:25 pm
Posted on 11/18/25 at 12:25 pm to delta_zulu
quote:
Autoclave. High heat steam and intense pressure. Kills everything.
Not effective sterilization against Creutzfeldt-Jakob disease (CJD), but then prions aren't technically alive. Scary shite.
Posted on 11/18/25 at 12:30 pm to SuperSaint
quote:
Bowie Dick
I see what you did there.
Most are right. Instruments should be wiped of gross soil and sprayed with an enzymatic detergent at point of use. Once in decontam then it’s manually washed with an enzymatic solution and rinsed. Some items are washed in an ultrasonic. Most items except delicates are sent though the auto washer. It is then passed to the prep and pack side. They inspect and pack instruments and include indicators in the pack. They are then sterilized usually either via steam or vaporized hydrogen peroxide. I doubt any hospitals still use ETO but big manufacturers do. Bowie dick test and biological done every morning and another biological with implant loads. Chemical indicators are in the packs. In a nutshell.
Posted on 11/18/25 at 1:05 pm to Tempratt
FYI, my wife (still no pics) confirmed they fixed the autoclave, so hopefully your FIL's procedure went well today.
Posted on 11/18/25 at 1:33 pm to Tempratt
Leaches
Posted on 11/18/25 at 1:49 pm to Tupelo
Good thing I'm not doing brain surgery 
Posted on 11/18/25 at 3:09 pm to delta_zulu
Everthing except CJD
Posted on 11/19/25 at 10:05 am to Witty_Username
quote:
so hopefully your FIL's procedure went well today.
Thanks
Posted on 11/23/25 at 7:40 am to Bestbank Tiger
Instrument sets are not in “pouches”, they are in trays, but now we’re splitting hairs.
Posted on 11/24/25 at 11:38 am to WylieTiger
quote:
A cycle of instruments can take up to 45 minutes to sterilize, then another 45 minutes to cool, so you’re looking at a 2 hr turn, that’s if the ladies in Sterile Processing like you.
Gotta keep the folks in SPD happy! Medical-device rep, I'm assuming? (former Stryker rep here)
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