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IPC 7.b* | NABH - 6th Edition | Malayalam Explanation | Grapes IDMR

Chapter - IPC, standard - 7, objective element - b (CORE): Cleaning, packing, disinfection and/or sterilisation, storing and the issue of items is done as per the written guidance.*

Interpretation: The written guidance shall be in consonance with national and/o international guidelines. A good reference is "CDC Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008". Other references include the Hospital Infection Society India (HISI) guidelines.

Cleaning of used instrument/equipment/device shall preferably be done in the CSSD. However, if the same is done in patient care areas, adequate measures are taken for infection prevention. Cleaning ensures that visible biological material and dirt is removed. After cleaning the instrument, sets are prepared and packed using the appropriate material. Shelf life of sterilised items is defined and monitored to increase efficacy. Spaulding's classification guides the decision to do high/intermediate/low-level disinfection. Disinfection/sterilisation is performed as per the written guidance. Flash sterilisation shall only be done in exceptional situations when there is insufficient time to sterilise an item by the preferred method. The sterilised/disinfected equipment/sets shall be stored appropriately across the organisation and not just in CSSD. The expiry date of sterilised instruments/equipment shall be guided by the packing material used and the mode of sterilisation.
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