Processing and storage of speech therapy probes

It should be noted right away that there are no instructions that would regulate the process of processing speech therapy probes. We have developed this instruction based on instructional and methodological documents regulating disinfection and sterilization activities in dental institutions:

1. OST 42-21-2-85 “Sterilization and disinfection of medical devices. Methods, means, modes";

2. Order of the USSR Ministry of Health dated July 12, 1989 No. 408 “On measures to reduce the incidence of viral hepatitis in the country”;

3. Order of the USSR Ministry of Health dated September 3, 1991 No. 254 “On the development of disinfection in the country”;

4. Order of the Ministry of Health of Russia dated August 18, 1997 No. 170 “On measures to improve the prevention and treatment of HIV infection in the Russian Federation”;

5. Guidelines for disinfection, pre-sterilization cleaning and sterilization of medical devices (MU-287-113 dated December 30, 1998), approved by the Department of State Sanitary and Epidemiological Monitoring of the Ministry of Health of Russia;

6. “Concept for the prevention of nosocomial infections”, approved by the Deputy Minister of Health of the Russian Federation G.A. Onishchenko. 06.12.1999;

7. Guide “Use of ultraviolet bactericidal radiation for disinfection of air and surfaces in premises” (R 3.1.683-98, approved by the Ministry of Health of the Russian Federation);

8. Sanitary and epidemiological rules SP 3.5.1378-03 “Sanitary and epidemiological requirements for the organization and implementation of disinfection activities”;

9. Sanitary and epidemiological rules SP 1.1.1058-01 “Organization and conduct of production control over compliance with sanitary rules and implementation of sanitary and anti-epidemic (preventive) measures”;

10. Guidelines MUK 4.2.1035-01 dated May 23, 2001 “Control methods. Biological and microbiological factors. Control of disinfection chambers";

11. Manual “Organization of disinfection and sterilization regimes in dental institutions, offices” (L.A. Ponomareva, Moscow Disinfection Station No. 7, 1998);

12. Methodological recommendations “On the organization and implementation of anti-epidemic measures in dental service institutions” (candidate of medical sciences P.S. Oparin, Irkutsk disinfection station, Siberia-Vostok magazine, April 2000);

13. Methodological letter of the Central State Medical University in Moscow dated March 21, 1995, No. 12/20/-208 “Organization of sanitary-hygienic and disinfection-sterilization regimes in dental institutions”;

14. A manual on the use of disinfection and sterilization means in health care facilities and the organization of disinfection and sterilization regimes in the departments of endoscopy and dentistry. Moscow, 1998.

Immediately after using speech therapy probes, they must be washed with detergent under running water, then pre-sterilization treatment of the instrument is carried out. For this process, special baths and trays are used that are easy to clean and safe to use.

Soaking of probes in a washing solution is carried out by completely immersing the product in the working solution for 30 - 60 minutes, depending on the product used.

If the product, along with detergents, also has disinfecting properties, pre-sterilization cleaning can be combined with disinfection (“Alaminol” (SSC RF NIOPIK, Russia) 5.0% or 8% - 60 minutes, “Veltolen” (AOZT Velt, Russia) 2.5% - 60 minutes, "Deconex Dental BB" (Bohrer Chemi AG, Switzerland) - 30 minutes, "ID-212" (Dürr Dental-Orohim, Germany) 4% - 30-60 minutes, etc.) .

New means for pre-sterilization cleaning of speech therapy probes. Carefully read the instructions for preparing the working solution and exposing the instrument in the solution!

Alaminol (NIO-LIK, Russia), Vapusan-2000 (Nautimex Industry, Sweden), Veltolen (ZAO WELT, Russia), Virkon (KRKL, Slovenia), Dezeffekt (Sanifect-128) ( LiquaTech Industries Inc., USA), Septabik (Abik, Israel), Septodor-Forte (Dorvet Ltd., Israel), Lizafin (Petrospirt CJSC, Russia) - pre-sterilization cleaning of medical products (incl. combined in one process), disinfection of room surfaces, furniture, medical equipment, dishes, linen, plumbing equipment, cleaning equipment.

Deconex 50 FF (Bohrer Chemie AG, Switzerland), Deconex Dental BB (Borsr Chemie AG, Switzerland), Dulbac DTB/L (PFC Pettens-Chemistry, France), Lisetol LF (Schülke and Mayr GmbH) , Germany), Grotanat Borerbad (Schülke and Mayr GmbH, Germany), ID-212 (Dürr-Dengal-Orohim, Germany) - disinfection and pre-sterilization cleaning of medical devices (combined in one process).

Bromosept 50 (Abik, Israel), Nika-extra M (PKF Genix, Russia), Septodor (Dorvet Ltd, Israel) - pre-sterilization cleaning of medical products, disinfection of room surfaces, linen, dishes, care items, plumbing equipment.

Blanisol (JSC Petrospirt, Russia), Vex-Side (Wexford Labs. Inc., USA), Erinox (Orion Corporation NOIRO, Finland) - pre-sterilization cleaning of medical products, including rotating instruments. After washing the speech therapy probes with running water, you can proceed to the next stage: sterilization. The most accessible method of sterilization is boiling probes in distilled water.

Method 1 Hot processing

Sterilization by boiling is usually carried out in a sterilizer - a rectangular metal box with a tight-fitting lid. Speech therapy probes are placed on the mesh in the sterilizer and filled with distilled water. To increase the boiling point and eliminate water hardness, add 1-2% sodium bicarbonate (if tap water).

The sterilizer is closed with a lid and heated. The beginning of sterilization is considered to be the moment the water boils; the boiling time is 15-30 minutes. At the end of sterilization, the mesh with instruments is removed by the side handles with special hooks, and the instruments in it are taken with sterile tweezers or forceps, which are boiled along with the rest of the instruments.

If you work in a medical institution where it is possible to sterilize in an autoclave, then most likely the process of sterilizing your instrument will be carried out by a nurse specially trained for this. Steam sterilization under pressure is carried out in an autoclave. This sterilization method is based on exposing the materials being sterilized to saturated water vapor at a pressure above atmospheric. As a result of such sterilization, both vegetative and spore forms of microorganisms die with a single treatment. It must be said that the plastic balls on the probes for sound P do not withstand autoclaving and often crack during prolonged boiling. Probes made of food-grade plastic are not subject to heat treatment and can only be used as a child’s individual instrument.

Probes treated in this way are sterile and ready for use. It is recommended to store sterile probes in a UV bactericidal chamber. The chamber is designed for storing pre-sterilized medical instruments in order to prevent their secondary contamination by microorganisms. ATTENTION! The chamber is not intended for sterilization and disinfection of instruments! The chamber ensures that speech therapy probes are always ready for use during their long-term (up to 7 days) storage. The camera is placed in the speech therapy room in the work area.

Processing and storage of speech therapy probes

After washing the speech therapy probes with running water, you can proceed to the next stage: sterilization. Soak the probes in a 6% hydrogen peroxide solution. Exposure - 6 hours. If the solution is heated to 40-50 degrees (do not boil!), then the exposure can be reduced to 3 hours. After sterilization, rinse. The probe is ready for reuse. This method can be recommended for processing any probes and probe substitutes (both metal and plastic).

Please note that these instructions are not an official document on the processing of speech therapy probes. We recommend using a set of individual speech therapy tools for each child. Teach parents to sterilize speech therapy tubes daily and store them properly.

Never tell SES employees that you are using a non-disposable tool. Don't show them speech therapy probes. Purchase tools for use only with a hygienic certificate. Keep your instrument perfectly clean!

You can purchase speech therapy probes and other products in our online store “Everything for a speech therapist.”

Alaminol-preparation for disinfection of speech therapy probes and instruments, concentrated (1 l)

Directions for use: to disinfect speech therapy instruments, dilute the concentrate at a rate of 1:20 with water. Speech therapy probes and instruments - place in the prepared solution until completely immersed for 30 minutes. If the instrument has hidden holes, etc. Take the Alaminol solution into a medical syringe and pour the drug under pressure into the hidden cavities, displacing all the air from them. After disinfecting the speech therapy instrument , rinse the instrument with boiled water and wipe dry with a disposable towel.

The “soaking” box is a convenient equipment for disinfecting speech therapy probes by immersing them in an antiseptic solution. The design of this box is made in such a way that the hands of the speech therapist do not come into contact with the solution. When the box is opened, the bath with probes rises on a “microlift” from the solution. Suitable for any length of speech therapy probes

Quartz sterilizer for speech therapy instruments. The principle of operation is based on the antibactericidal effect of UV radiation. The UV light source is a quartz lamp with a power of 9 watts. The device is stationary and is used for professional activities. Speech therapy probes are placed in a container. The device will be connected to the 220V network. Has a built-in shutdown timer. Sterilization time - 30 minutes. The dimensions of the tray for sterilization are 19.5 cm x 10.5 cm. The depth of the tray is 3 cm. The tray has a mirror bottom - there is no need to turn the instruments over.

Thermal sterilizer for speech therapy instruments Microstop (Italy) - with quartz balls. This sterilizer is distinguished by exceptional build quality, European reliability and guaranteed sterilization of speech therapy instruments. Sterilization temperature 250 degrees, sterilization time 5-10 seconds. Only the working surface of the probes is sterilized by placing it in hot quartz balls. Attention! Do not use instruments containing plastic balls or parts for sterilization! Heating time until ready is 30 minutes. The speech therapist's instrument is placed with its working parts in a container with heated quartz balls. Size(LxWxH): 16x16x17.

The cheapest way to process massager attachments, which I use in my practice on the advice of A. Mamonov: cut off the “fingers” from a disposable medical latex glove that can be put on the attachment, do a massage and throw it away.

We can conclude that whatever processing method you choose,