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É uma unidade de apoiotécnico a todas as unidades
assistenciais.
É responsável pelo
processamento dos artigos(instrumental), respiratórios
e outros.
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Pode estar localizado fora oudentro do centro cirúrgico;
Atualmente Centralizada;O ideal é que o CME se
localize nas proximidades doscentros fornecedores
( almoxarifado e rouparia).
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A área física do CME devepermitir um fluxo contínuo eunidirecional do artigo, evitando
o cruzamento de artigos sujoscom os limpos e esterilizados e
deve evitar também ocruzamento do pessoal da área
contaminada com o da área
limpa.
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Estrutura Física/Fluxogramaunidirecional do CME:
EXPURGO OU
SALA DE L IMPEZA
ÁREA SUJA
SALA DE PREPARO
ÁREA LIMPA
ARSENAL OU SALA DE
ARMAZENAMENTO
ÁREA ESTÉRI L
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EXPURGO:
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Subdivisões:
Expurgo ou Área Suja;
Área de Preparo;
Área de Esterilização;Arsenal ou Área deEstoque;
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Destina-se à recepção,separação dos materiaisutilizados, limpeza e
desinfecção.A recomenda o uso de
equipamentos (EPI’s) paralavagem de materiais pelosriscos ocupacionais que a
limpeza manual oferece.
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Área do CME – Expurgo:
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Área do CME – Expurgo:
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Produtos Utilizados paraLimpeza:
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Lavadora Ultrassônica:
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Lavadora Termodesinfectadoracom Instrumentais Cirúrgicos:
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Rack da Lavadora ComMaterial Respiratório :
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Remoção da sujidadeReduzir o número de
microorganismos presentes e remover substâncias que
possibilitarão o seu
crescimento;
Garantir a eficácia do processo
de esterilização e desinfecção.
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Manual:
Remoção de sujidades por meio
de fricção aplicada sobre uma
superfície utilizando detergente,
escova e água.
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Carbohidrase
Amilase
Protease
Lipase
Enzimas
desenvolvidas
especificamente
para o emprego na
área médico-
hospitalar
Detergentes Enzimáticos:
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Lavadora Ultrassônica:
Tipos de Limpeza:
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Limpeza Automatizada
Remoção de sujidades por meio
da ação física (jato d água) e
química (detergente), utilizando
lavadoras.
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Fatores que afetam o
processo de limpeza:
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Materias Ortopédicos
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Materias Ortopédicos
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Materias Ortopédicos
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Materias
Ortopédicos
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Materias
Ortopédicos
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Desmontar os materiais
Manual, automatizada eultrassônica
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Frezas flexíveis:
Materias
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Materias OrtopédicosParafusos
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CLASSIFICAÇÃO DOS MATERIAIS SEGUNDOO RISCO POTENCIAL DE CONTAMINAÇÃO
Crítico Tecido estérilEsterilização
Não críticoPele íntegraLimpeza
Procedimentomínimo
(Spaulding, 1968)
Semi-críticoMucosa colonizadDesinfecção
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Desinfecção:
Processo físico ou químico de destruição de microrganismos em forma
vegetativa, mas não necessariamente as formas
esparoladas, aplicado a
superfícies inertes (artigos, equipamentos e superfícies
fixas).
A escolha do nível germicida do desinfetante deve ser
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ORDEM DECRESCENTE DE RESISTÊNCIA A GERMICIDAS QUÍMICOSPRIONS
ESPOROS BACTERIANOS
MICOBACTERIA
VÍRUS NÃO LIPÍDICOS OU PEQUENOSVÍRUS
FUNGOS
BACTERIAS VEGETATIVAS
VÍRUS LIPÍDICOS OU VÍRUS DE TAMANHO
MÉDIO
Mais resistentes
Menos resistentes
Alto nível (aldeídos eácido peracético)
Nível intermediário (álcool,
hipoclorito de sódio a 1%,cloro orgânico, fenolsintético, monopersulfatode potássio e associações)
Baixo nível (quaternáriode amônio e hipocloritode sódio 0,02%)
A escolha do nível germicida do desinfetante deve ser pautada em critérios claros e definidos.
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AMBU
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Material Respiratório
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Pinças para Cirurgia porVideolaparoscopia
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Manguito Pediátrico
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ÁREA DE PREPARO:
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Preparo e Acondicionamento:esta área divide-se em váriasseções, de acordo com o tipo
de material a ser preparado(roupas, vidraria, material
inoxidável, instrumentaiscirúrgicos e materiaisrespiratórios).
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CME - Área dePreparo
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Inspeção visual rigorosa de
cada material, observando:• falhas no processo de
limpeza
•pontos de corrosão
•danos ou quebras do
instrumental ouimplantável
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• Uso de álcool e cotonetes
Inspeção do material
Área de Preparo
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• Organização durante opreparo do material;
• Conferência do
material com a lista.
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•Permitir aesterilização dos artigos
•
Assegurar a esterilidadedos artigos até omomento de sua utilização
•Favorecer atransferência doconteúdo c técnica asséptica
Embalagens - Finalidades
Microrganismos
Embalagem
PR
O
D
U
T
O
Ar
Agente
esterilizante
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Comparação:
Tecido X Papel Crepado X NãoTecido
Eficiência da Barreira Bacteriana
34% 91-96%91-99%
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Tyvek®
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ComparaçãoPapel Grau-Cirúrgico x Tyvek ®
Eficiência da
3,2 5,8
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Filmes Transparentes
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Containers
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ÁREA DEESTERILIZAÇÃO:
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Área de Preparo/Esterilização:Carregamento da Autoclave.
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Área de Preparo/Esterilização:Material em Autoclave.
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MÉTODOS DE ESTERILIZAÇÃO
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Imbatível paraartigos
termorresistentes!
FÍSICOS
RADIAÇÃOIONIZANTE
CALOR
ÚMIDO(AUTOCLAVE)Com Pré-vácuo
SECO(ESTUFA)
J ( + Industrial) (hospitalar)
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Parte Interna da Autoclave
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Autoclave Flash:
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Classe 1: Tiras impregnadas comtinta termo-química que
muda de coloraçãoquando exposto a
temperatura.ita Zebrada
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Classe 2: Teste de BOWIE & DICK- testa a eficácia dosistema de vácuo daautoclave pré-vácuo.Uso diário no 1º ciclo,
sem carga, a 134° C por3,5 a 4 minutos sem
secagem.
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Teste de BOWIE & DICK
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Classe 3:Controla um único
parâmetro: atemperatura pré-
estabelecida.
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Classe 4:Indicador
multiparamétrico:
Controla a temperaturae o tempo necessáriospara o processo.
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Classe 5:Integrador:
controla temperatura,
tempo e qualidade dovapor
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Classe 6:Intervalo de
confiança maior queclasse 5.
Pacote teste desafio para as cargas
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Pacote teste desafio para as cargasde implantáveis:
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•Indicadores Biológicos (IBs):asseguram que o conjunto de
todas as condições deesterilização está adequado,porque os microorganismos
são diretamente testadosquanto ao seu crescimento
ou não.
Métodos de monitoramentoda esterilização:
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Leitura do Teste com I ndicador
Biológico de 3 Gera o
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Biológico de 3ªGeração.
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O que registrar?
Bowie&Dick
Registro do ciclo
Integradores Químicos +
Biológicos
Prontuário do Paciente
Sistema de Documentação do CME
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Sistema de Tratamento deÁgua:
Bomba de Osmose Reversa
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ÁREA DEARMAZEMANENTO E
DISTRIBUIÇÃO:
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Lavagem das Mãos:
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MÉTODOS DE ESTERILIZAÇÃOPARA MATERIAIS TERMOSSENSÍVEIS
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ácido peracético 0,2%1h
glutaraldeído 2% 8-10h
formaldeído:
aquoso 10%
alcoólico 8% 18 h
Físico-químicogasoso
Óxido de etileno - ETO
Plasma de peróxido
de hidrogênio-Sterrad
Autoclave de vapor abaixa T° e Formaldeído
Pastilhas deparaformaldeído
SOLUÇÃO:
QUÍMICOS
USO DE EMBALAGENS, IB, IQMÉTODO AUTOMATIZADO
MÉTODO MANUALTÓXICO/CORROSIVORECONTAMINAÇÃO
MÉTODO MANUALTÓXICORECONTAMINAÇÃO
Toxicidade do Glutaraldeído
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Face
Corpo
Mãos
Esterilização Química:
Óxido de Etileno (ETO)
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Esterilização Gasosa:
Métodos gasosos: difusibilidade,
compatibilidade e toxicidade
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“Padrão Ouro” para
esterilização de materiais
sensíveis a temperatura eumidade
Extremamente reativo(alquilação), difusível(penetrabilidade) e compatível.
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Mas...... Explosivo, inflamávelCarcinogênico
Anormalidades reprodutivasProblemas neurológicos
O Grande problema está naaeração.
Esterilização por Plasma de
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Peróxido de Hidrogênio
Esterilização por Plasma dePeróxido de Hidrogênio
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Esterilização a baixaTemperatura e Formoaldeído
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CENTRO DE MATERIAL E ESTERILIZAÇÃO
RECEPÇÃO DE ARTIGOS SUJOS
RECEPÇÃO DEROUPAS
RECEPÇÃO DE ARTIGOS LIMPOS
LIMPEZA E
SECAGEM DE ARTIGOS
PREPARO E ACONDICIONAMENTO
ESTERILIZAÇÃO
ARMAZANAMENTODE ARTIGOS PROCESSADOS
DISTRIBUIÇÃO DE ARTIGOSLIMPOS E ESTERILIZADOS
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7/16/2019 Aula CME Profº José
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O CME é um setor da
organização de saúde que lidacom artigos e está diretamente
ligado com a qualidade da
assistência prestada. Deve sersempre um local onde os
princípios de microbiologia,
farmacologia, física e as