Autoclave Part 2 - Medical Assistant Skills Video #10

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[@lilmarius]

Observation: It is true that your instruments need to be exposed to steam at a given temp. e.g (273F). At the beginning of the sterilization cycle, a period of time passes by until the set temp. is reached. Unfortunately, your timer starts from the beginning and NOT when the set temperature has been reached. Meaning, your instruments are being exposed to steam at the set temp. for less than 30 mins. Most autoclaves take ~15mins to arrive at the max temp, hence the initial temp should be 45mins

[@maximilianmaurer1609]

7:36 and the indicator shows it is NOT sterile....

[@SciDOCMBC]

Part II As regards the sterilization time, it is imperative to adhere to the instructions of the manufacturer of the autoclave. On these devices the sterilization time is dependent on how quickly an expulsion of the residual air lasts. This has been tested by the manufacturer. For this reason, the sterilization times given by the manufacturer must always be respected!

[@shirleyharrell6093]

Everyone is trying to say that steam won't kill germs while dealing with this Covid19 (Coronovirus), but I believe applying steam to your household won't hurt, I know it's not like the autoclave procedure, but by me being in the medical field I must do all I can to protect my family as well as the patients I deal with. Kisses and be blessed.

[@SuperSardar88]

great video!

[@elizabethmedrano7849]

Thanks! Great and useful video!

[@galaxystar3592]

germs r everywhere...after sterlization when we put sterlized instruments away or in drawers without wrapping they could be contaminated again...could anyone pls tell me??

[@hannahportzer9319]

So when surgical instruments are unwrapped you're supposed to do a flash sterilization because they were dropped during surgery, or you need them immediately.

[@jacka.4774]

oh my god. those things in the drawer, the duck-bill-shaped metal instruments, are they not speculum? they help keep open hollow part of the body... so, they go inside body. why are they not in a pouch.you get many points off, lol

[@Jaws69]

Agree!

[@SciDOCMBC]

Part I Packaging should not be added in the autoclave over one another, which can prevent the drying! In the autoclave are already enough indicators that show the success of sterilization. Since the additional indicator stripe later can't be allocated to the unpackaged instruments, it is also completely unnecessary! Furthermore, as mentioned above, sufficient other indicators are in the autoclave.

[@joseluisreza8373]

Excelentes vídeos

[@indayviolchannel3179]

great video

[@tsegeredagebrenegus1806]

Thank you helpful video

[@martialartsnerd7673]

MVCC in the HOUSE!!! Used distiled water the machine as useing tap water may contain mineral that can harm the machine.

[@MegaCadette55]

Pro God Pro life Pro Gun wow!never thought if that.thank u!

[@Amin_the_calm_man]

Pro God Pro life Pro Gun I didn’t see any difference in indicator color can you explain why?

[@autoclavedepot1242]

Great video!

[@chilledmonkeybrains6199]

Thank you for the video! Those scrubs are dating this video for sure XD

[@busigh]

Making a video such as this is never easy, so congratulations. That being said it is important to ensure that what you are presenting is accurate, especially in a teaching video. Unfortunately the video has so many errors. One major one is using the work CLEAN (time 2:04 and others). An autoclave is designed to STERILIZE items, which is the termination of what may reside on its surface, such as pathogens, whether open items, packed or wrapped. CLEAN means no such thing. Clean does not even mean disinfected. Clean is the removal of organic and inorganic debris, allowing the surfaces that may make contact with a patient directly or indirectly to have a bioburden low enough for the autoclave process to be effective. CLEANING is typically done by manually scrubbing with a brush, the use of enzymatic detergents and or ultrasonic cleaners prior to the sterilization process. CLEANING is possibly the most important process, as without proper cleaning, processes like sanitization, low, intermediate and high level disinfection, and sterilization are not possible. Why use distilled water? The main reason for using distilled water is to minimize the presence of minerals such as calcium, chlorine, sulphur, etc. many of which can damage the instruments/items, and cause scaling of the surfaces in the autoclave that the steam will come in contact with. I noted the two autoclaves shown in the video (the Pelton & Crane in the back ground) are NOT suitable for anything other than open instruments These at best are N Class autoclaves. Dental, medical, wrapped and packed instruments, anything with a lumen should be sterilized in a B Class autoclave. B Class autoclaves include a vacuum cycle. This is where vacuum is applied to the chamber and its contents in an attempt to remove all air pockets. The saturated steam is then applied filling the vacuum areas. The autoclaves in the video do not have a true vacuum cycle but try to remove air in the chamber by pressurizing the chamber with steam then venting it and trusting that the air will also be vented. This very old method has been shown to be unreliable especially as it pertains to the air in the sterilizations pouches and similar packing. Indicators. It is a good practice to use indicators INSIDE packs. Though many pouches/packs have steam sterilization indicators on their packaging it is important to remember that what happens outside the package might not be what happens inside the package. This is especially true when you have large loads. Beside this, many of the indicators on the pouch/packs are of poor quality and are really just an indicator to verify what items have been processed and which have not, rather than an indication of sterility. aking a video such as this is never easy, so congratulations. That being said it is important to ensure that what you are presenting is accurate, especially in a teaching video. Unfortunately the video has so many errors. One major one is using the work CLEAN (time 2:04 and others). An autoclave is designed to STERILIZE items, which is the termination of what may reside on its surface, such as pathogens, whether open items, packed or wrapped. CLEAN means no such thing. Clean does not even mean disinfected. Clean is the removal of organic and inorganic debris, allowing the surfaces that may make contact with a patient directly or indirectly to have a bioburden low enough for the autoclave process to be effective. CLEANING is typically done by manually scrubbing with a brush, the use of enzymatic detergents and or ultrasonic cleaners prior to the sterilization process. CLEANING is possibly the most important process, as without proper cleaning, processes like sanitization, low, intermediate and high level disinfection, and sterilization are not possible. Why use distilled water? The main reason for using distilled water is to minimize the presence of minerals such as calcium, chlorine, sulphur, etc. many of which can damage the instruments/items, and cause scaling of the surfaces in the autoclave that the steam will come in contact with. I noted the two autoclaves shown in the video (the Pelton & Crane in the back ground) are NOT suitable for anything other than open instruments. Dental, medical, wrapped and packed instruments, anything with a lumen should be sterilized in a B Class autoclave. B Class autoclaves include a vacuum cycle. This is where vacuum is applied to the chamber and its contents in an attempt to remove all air pockets. The saturated steam is then applied filling the vacuum areas. The autoclaves in the video do not have a true vacuum cycle but try to remove air in the chamber by pressurizing the chamber with steam then venting it and trusting that the air will also be vented. This very old method has been shown to be unreliable especially as it pertains to the air in the sterilizations pouches and similar packing. Indicators. It is a good practice to use indicators INSIDE packs. Though many pouches/packs have steam sterilization indicators on their packaging it is important to remember that what happens outside the package might not be what happens inside the package. This is especially true when you have large loads. Beside this, many of the indicators on the pouch/packs are of poor quality and are really just an indicator to verify what items have been processed and which have not, rather than an indication of sterility. Information is welcomed and as the world more and more turns to the web and in particular tools such as KZbin it is important to offer the most accurate information possible. A remake of your video or at least a re-edit would be recommended, admirable and welcomed.

[@jeevanpandey4057]

RIGHT HONORABLE MAM YOU'RE REQUESTED TO MAKE A VIDEO ON COOKER TYPES AUTOCLAVE. HOW SURGICAL INSTRUMENTS ARE KEPT IN SURGICAL DRUMS. HOW LONG AUTOCLAVED SURGICAL DRUM WITH INSTRUMENTS CAN BE USED IN SURGERY.

[@Amin_the_calm_man]

I didn’t see any difference in indicator color can anyone explain why

[@bdoe9536]

going to take a wild guess that this is a demo and it wasn't actually turned on....

[@veevee1978]

AMIN She didn't actually turn it on. She was just demonstrating all of the steps

[@SciDOCMBC]

Part III In addition, devices that operate on the principle of gravity are no longer permitted, either in the U.S. or in Europe! Today you have to use devices that work with fractionated pre-vacuum. This whole imagination was not successful because almost everything is wrong! Perhaps re-learn again?

[@andleyjean9595]

Réparation

[@billk6952]

YOU SHOULD TAKE THIS VIDEO DOWN

[@MissViccto]

Why is she not wearing gloves?!? (smh) she's contaminated everything!

[@hannahportzer9319]

It's because she isn't actually using the autoclave, it was just a demonstration. But when putting Sx packs, and Sx instruments in the autoclave you don't need gloves only when taking them out

[@busigh]

@@hannahportzer9319 The correct procedure is actually to wear gloves both when loading instruments (as you are to assume the instruments are contaminated) and unloading (as to maintain the integrity of the process).