Manual Cleaning Dental Instruments and the HTM01-05
The HTM01-05 remains, as ever, a document with inconsistencies, open to interpretation and full of anomalies. One such query is with manual cleaning, clearly not recommended but widely relied upon as a method of cleaning instruments without any method of validation. The HTM does however go into great detail about how, when and why mechanical cleaning methods can and should be validated.
So I ask, when so many dental practices rely upon it, why don’t we validate manual cleaning?
We know the short comings of manual cleaning the key one being that it is very difficult to create a standard reproducible protocol. The actions and activities that are involved in manual cleaning can vary so much that in order to have an effective system in place, a highly detailed written scheme of the process must be created. The HTM provides a template for the “Immersion Method” and some parameters to work within such as temperature guides however, in order to create a protocol that can more reliably be validated it is down to the practice to create the detailed scheme and protocol and ensure the training and implementation is done effectively. Once a routine protocol has been settled upon and is consistently repeated why not validate this process? Why don’t we check how successful or not our manual cleaning process is given how heavily we rely upon it?
Get the right tools for the job
The process of validation also relies upon having standard equipment that are used to create an optimal environment for cleaning to take place thus removing some of the inconsistency:
- Decontamination Procedure Gloves
- Long handled Brush
- Approved fit for purpose detergent such as Hospec Neutral or Prolystica Manual Enzymatic Cleaner
- Temperature probe
- Twin sink / bowl setup for cleaning and rinsing
By standardising the equipment used along with the procedure to be followed we are approaching a more reproducible protocol, one which could, be validated. Introducing a Residual protein test would give an indication if the process is being carried out successfully over a period of time and highlight issues. That being said, as it is not a requirement to do so, it is an optional step, but for me, given how many instruments are cleaned manually, one I would imagine our patients would like us to do.
So the answer to my question is, we don’t, but we could.
Alternatively we could move away from manual cleaning and head towards a process that can be validated.
Where are we heading?
Manual cleaning is allowed under the HTM01-05 as the minimum essential requirement, but realistically every practice should be moving to a form of mechanical cleaning, either Ultrasonic or Washer Disinfector.
We know many practices have not moved forward to put a washer disinfector in service due to the horror stories practices have had in the past. The reliability of many of the first machines in the market, made them just NOT fit for purpose.
New models being introduced such as the Mocom H10 Hybrid Ultrasonic and Washer disinfector are proving to be reliable, economical, easy to use, space saving and fully compliant to ISO 15883-3.
With a cycle time of just 35minutes, dirty instruments are flushed, washed using ultrasound, rinsed, thermally disinfected and dried ready to go straight into the sterilising process.
Now is the time to fully investigate the newer Washer Disinfectors such as the Mocom H10 and consider changing to a system that can be validated.
For more information on the Mocom H10 Hybrid Washer Disinfector please call us for a Brochure or to speak to our Sales team: 01833-630393
With interest rates being so low, it is the ideal time to finance your purchase. Do not forget you can include full engineering coverage and all consumables within the lease and get 40% Tax relief. (The actual finance deal offered will be based on your own circumstances)
Originally posted 2016-03-01 11:00:21. Republished by Blog Post Promoter