Ultrasonic
What is the minimum amount of time an instrument should stay in the ultrasonic?
5 minutes
Should items be cleaned before placing into cold sterile?
Yes! Every item needs a pre-clean prior to being sterilized.
What can go thru the oiler machine?
High speed handpieces, and the top of slow speed handpieces (for removing glue), and microetch handpiece ONLY
How often should you check the water in the autoclave, and why?
How do you know if there is enough water?
Before each use! The machine cannot work properly if there is not enough water.
When the water reaches the green area of the tubing.
Do we discard of burs? If so which kinds and why?
Yes.
Rusted burs - they cannot be restored.
Finishing burs after any debonds - they will be too dull to use again (per Doc).
What instruments should not be placed in the ultrasonic?
any mirrors
scalers
handpieces
retractors
Items that go into cold sterile: cheek retractors (for photos only), color ties/power chains, rulers
Items that do not go into cold sterile: retractors for bondings, instruments, mirrors
Explain how to clean high speed handpieces.
Preclean with alcohol 2x2 guaze. Wipe down handpiece.
Attach to oiler machine and run.
Wipe handpiece after being oiled.
Bag and run thru autoclave
What water can be used in the autoclave?
Distilled water only
Spray with cavicide.
Scrub with metal brush.
Place in mesh holder and put into ultrasonic.
Rinse with water.
Put in autoclave.
Place 2 tablets and fill to the top with water.
Turn on for at least 15 minutes so tablets can dissolve.
Preclean with soap and water and wipe away any lipstick/chapstick
Rinse with water
Place in cold sterile
Explain how to clean slow speed handpieces used for prophy/acrylic burs.
Place one drop of oil into one hole on the bottom of the handpiece.
Attach to clinic chair and run for a minimum of 30 seconds.
Wipe handpiece with alcohol 2x2 gauze.
Explain what to do when the machine says "Weekly Maintenance needed"
Dump all water currently in autoclave machine.
Place all new distilled water until it reaches the green area of the tubing.
Explain how to sterilize IPR strips and discs
Spray with cavicide.
Scrub with soft bristle brush (metal is too harsh).
Place in green holder and run in ultrasonic
Rinse and run in autoclave
Explain how to deep clean the ultra sonic
Take out draining tube.
Use pipe cleaner to plunge out the draining pipe and plastic tube.
Wipe down interior and exterior with birex.
Rinse out.
How often does cold sterile need to be changed?
Monthly
Explain how to clean slow speed handpieces used for removing glue on broken brackets.
After each patient, detach the top of the handpiece. Wipe with alcohol 2x2 gauze.
Oil in the right side of the oiler machine for one second. Wipe again with 2x2 gauze.
Bag and run in autoclave.
Explain how to deep clean the autoclave. How often do we need to do this process?
Take out all trays.Scrub trays with "Barkeepers cleaner" to remove all rust. Rinse and dry.
Empty all water from machine. Place new distilled water until it reaches the green area on tubing.
We need to do this weekly.
In the autoclave, do bags get placed paper or plastic side down?
Paper side down
Do items that go in the ultrasonic need to be rinsed out? Why or why not?
Yes. Otherwise instruments can rust.
Explain how to clean items after they are sterilized from cold sterile
Take out of cold sterile bin
Rinse with water
Place items in bin of distilled water for minimum of 5 minutes
Dry and place in sterile bag. Circle "S" for sterile.
Explain how to deep clean oiler machine
Take out old paper towel on the bottom.
Wipe down entire machine with alcohol 2x2 gauze.
Place new paper towel on the bottom.
Explain how to run Speed Cleaner in autoclave machine.
How often do we need to do this process?
Take out all trays, interior holder, and traps.Scrub trays with "Barkeepers cleaner" to remove all rust. Rinse and dry.
Empty all water from machine. Place new distilled water until it reaches the green area on tubing.
Place 1 ounce of speed cleaner into bottom draining hole inside machine. Run on "pouches" cycle.
Before it starts "drying" cycle, press stop. Empty all water. Refill with new distilled water until it reaches green area on tubing. Run on "unwrapped" cycle.
Before it starts "drying" cycle, press stop. Empty all water. Refill with new distilled water. Place traps, interior holder and trays back into machine. Allow to cool before using with instruments.
We need to do this monthly.
Should instruments/cassettes be wet or dry when placing into sterile bags?
Dry