Infection Control. Instrument Reprocessing Evacuation and Waterline Cleaning. Monitoring. Sterilization Waterline

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Morgan Bishop
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1 Infection ontrol Instrument Reprocessing Evacuation and Waterline leaning Monitoring Sterilization Waterline

INSTRUMENT ARE AND REPROESSING 1 PRE-TREAT 2 RINSE 3 LEAN 4 RINSE

instruments overnight or over the weekend Never use a disinfectant as a

bioburden Rinse instruments to remove any bioburden or solution

preferred as tap water may leave spots on the instruments If an

Wear appropriate personal protective equipment Separate dissimilar

2 INSTRUMENT ARE AND REPROESSING 1 PRE-TREAT 2 RINSE 3 LEAN 4 RINSE Instrument manufacturers recommend neutral ph products Never soak instruments overnight or over the weekend Never use a disinfectant as a holding solution Instruments must remain moist to avoid drying of bioburden Rinse instruments to remove any bioburden or solution remaining on the instruments Distilled or demineralized water is preferred as tap water may leave spots on the instruments If an instrument is not clean, it cannot be sterilized! Wear appropriate personal protective equipment Separate dissimilar metals Inspect for functionality Apply stain remover as needed Removes alginate as needed ULTRASONI Rinse and dry instruments INSTRUMENT WASHER

Helps prevent spotting, staining, corrosion

in open/ unlocked position External chemical

instruments Biological indicators test daily

3 5LUBRIATE 6 PAKAGE 7 STERILIZE HEAT 8 SENSITIVE Extends life of the instruments Helps prevent spotting, staining, corrosion and binding hinges Shake off excess before bagging/ wrapping instruments Separate dissimilar metals Hinged Instruments MUST BE in open/ unlocked position External chemical indicator for critical and semi-critical instruments Internal chemical indicator recommended for critical and semi-critical instruments Biological indicators test daily or weekly as per provincial guidelines/ standards Pre-treat Rinse Ultrasonic, Automatic Washer or Manual leaning lass B sterilizers: Bowie Dick daily (follow provincial guidelines) Soak in sterilizing solution for recommended time stated on product label, in a covered container

Sonic Enzo Lubricate Surgical Milk Silk 06 06 06 07 07 08 08 09 09 09 10 10 10 11 11 11 Package hemdye lass 4 hemdye Bowie Dick Vapor Line

Solution These products are concentrated to provide economical infection control solutions.

Environmentally Friendly These products are made with natural ingredients for responsible infection control solutions.

4 Index Pre-treat ET.Foam Gzyme Multi-purpose Disinfectants G-Nol Super Germiphene Sonibex lean Revive Trés lean Gleam II Super Sonic Enzo Lubricate Surgical Milk Silk Package hemdye lass 4 hemdye Bowie Dick Vapor Line Professional s hoice Sterilize Germi-Safe B-Safe SteriSafe Heat Sensitive Gluterate Glute Neut Steri-Soaker Evacuation Gobble Plus Microbex Microvac L.A. VA Waterline are E2O E Line E One Heat Sensitive Gluterate Glte Neut Steri-Soaker Authorized dealer for Surgical Instruments oncentrated Solution These products are concentrated to provide economical infection control solutions. oncentrates save you money, office space, and space in our landfills. Environmentally Friendly These products are made with natural ingredients for responsible infection control solutions. Enzyme Boost Enzymes enhance detergent cleaning by breaking down large, hard to remove materials into smaller, easy to remove fragments with the large stuff out of the way, the surfactants can do their job. Superior performance in the presence of high organic debris! Partner Products These products go hand in hand. We recommend using them together for optimal results. ASK US! 5 WARRANTY YEARS G U A R A N T E E instruments available made with the highest quality surgical steel

washers rinse prior to placing in instrument washer Neutral ph, non-corrosive formula will not harm most metals, plastics, rubber or corrugated tubing Free-rinsing 1L 4 L GZYME 3 Triple Enzymatic

Bacteriostatic to prevent additional microbial growth Neutral ph formula is mild on instruments Non-corrosive, low foaming, free-rinsing Economical SQUEEZE N MEASURE 1 L Tangerine Peel Partner with

5 Pre-treat 01 ET.FOAM Enzymatic Transportation Foam Ready to use, instrument pre-cleaning solution Breaks down bioburden to speed up cleaning process Keeps soiled instruments moist Ideal for use prior to instrument washers rinse prior to placing in instrument washer Neutral ph, non-corrosive formula will not harm most metals, plastics, rubber or corrugated tubing Free-rinsing 1L 4 L GZYME 3 Triple Enzymatic Ultrasonic leaner Penetrates and removes organic matter from all surgical and dental instruments, as well as flexible and rigid scopes Quickly loosens and dissolves proteinaceous deposits Bacteriostatic to prevent additional microbial growth Neutral ph formula is mild on instruments Non-corrosive, low foaming, free-rinsing Economical SQUEEZE N MEASURE 1 L Tangerine Peel Partner with Gleam ll once a week to renew your instrument s shine 1L Gzyme 3 = 400L solution PRE-TREAT Use appropriate PPE Handle contaminated instruments carefully to prevent exposure Use appropriate leak proof containers for dirty instruments - see Steri-Soaker P.9 If cleaning is delayed, keep soiled instruments moist with a gel, spray or foam intended to break down soil - see ET. Foam (Above) Visit us online to learn more about Germiphene, what s new, our products & our special promotions. oncentrate Enviro Friendly Enzyme Boost Partner Products

02 Multi-purpose Disinfectants G-NOL Disinfectant Solution Use as a holding solution to disinfect instruments and devices Bactericidal, Tuberculocidal, Fungicidal and Virucidal Economical Super

6 02 Multi-purpose Disinfectants G-NOL Disinfectant Solution Use as a holding solution to disinfect instruments and devices Bactericidal, Tuberculocidal, Fungicidal and Virucidal Economical Super concentrated solution HOLDING SOLUTION DISINFETION 1 L 1L G-Nol = 128L solution 1L G-Nol = 32L solution SUPER GERMIPHENE oncentrated Disinfectant & leaner For use on hard, non-porous surfaces such as metal, stainless steel, porcelain, plastic, floors & walls For use as an instrument pre-soak Excellent compatibility with all instruments Ideal pumice disinfectant Bactericidal, Fungicidal, Virucidal Dual action deodorant, remarkable cleaning Easy to use 2L Tip N Measure bottle TIP N MEASURE BOTTLE 454 ml 2 L 4 L 4L Super Germiphene = 250L solution SONIBEX Ultrasonic Disinfecting Detergent For use on dental instruments, roamers, diamonds, aspirator tips, glass slabs, impression trays, etc. Tuberculocidal, Bactericidal, Virucidal, Fungicidal Removes blood, organic debris, pumice, rouge and soils Neutralizes odours leans as well as disinfects instruments prior to sterilization an be used for manual cleaning 4L 4L Sonibex = 80L solution oncentrate Enviro Friendly Enzyme Boost Partner Products

lean 03 REVIVE Rust & Stain Remover Restores instruments like new Enhances the life and efficiency of stainless steel instruments Reduces instrument replacement costs Naturally derived Easy to use 2L

Safe for all plastics and non oxidizing metals Non rusting 1 L 1L Trés lean = 20L solution GLEAM II Ultrasonic leaning Solution Makes your instruments shine Bacteriostatic to prevent additional

7 lean 03 REVIVE Rust & Stain Remover Restores instruments like new Enhances the life and efficiency of stainless steel instruments Reduces instrument replacement costs Naturally derived Easy to use 2L Tip N Measure bottle TIP N MEASURE BOTTLE 2 L 2L ReViVe = 25L solution TRÉS LEAN Tray & Instrument leaner Ideal for impression trays, spatulas and other instruments an be used in ultrasonic machines Safe for all plastics and non oxidizing metals Non rusting 1 L 1L Trés lean = 20L solution GLEAM II Ultrasonic leaning Solution Makes your instruments shine Bacteriostatic to prevent additional microbial growth Will not harm stainless steel instruments Safe on hard plastics, glass and rubber Easy to use 2L Tip N Measure bottle TIP N MEASURE BOTTLE 2 L 10 L Laundry Fresh Partner with Gzyme 3 2L Gleam ll = 22L solution Our friendly customer care team is always ready to help you, or process your order. all us today. oncentrate Enviro Friendly Enzyme Boost Partner Products

04 lean SUPER SONI Ultrasonic Solution onvenient ready to use pouch requires no measuring

tissue from dental instruments Bacteriostatic to prevent additional microbial growth leans

not harm stainless steel instruments UNIT DOSE UNIT DOSE SQUEEZE N MEASURE 30 ml 30 ml x 48

boost fights hard against organic debris for a clean superior than surfactants alone Phosphate

HEKLIST Use appropriate PPE Perform cleaning as soon as possible Disassemble instruments as

8 04 lean SUPER SONI Ultrasonic Solution onvenient ready to use pouch requires no measuring Formulated to lift and remove proteinaceous and other organic matter such as blood, mucous and tissue from dental instruments Bacteriostatic to prevent additional microbial growth leans rapidly in less than 1 minute Non corrosive formula contains special rust inhibitors that will not harm stainless steel instruments UNIT DOSE UNIT DOSE SQUEEZE N MEASURE 30 ml 30 ml x 48 pouches/box 1L 30mL (pouch) Super Sonic = 192L solution ENZO Instrument Washer Solution Enzyme boost fights hard against organic debris for a clean superior than surfactants alone Phosphate free formula allows you to clean responsibly Neutral ph formula Non corrosive, non foaming Spot free results 3.78 L 1 box = 252 cycles* 1 box = 31 days (8 cycles/day)* *Based on 15mL per cycle LEANING HEKLIST Use appropriate PPE Perform cleaning as soon as possible Disassemble instruments as directed for thorough cleaning Inspect each instrument for function and cleanliness TIP: Use ET.Foam if manual cleaning cannot be done immediately. oncentrate Enviro Friendly Enzyme Boost Partner Products

Lubricate 05 SURGIAL MILK Instrument Lubricant Keeps instruments shiny and prevents dulling linically tested to be steam penetrable and steam sterilizable Effective in steam, dry or chemical

formula Bacteriostatic to prevent additional microbial growth Effective in steam, dry or chemical vapour sterilizers Routine use reduces cost of instrument repair and replacement Will not

As added value for our customers, we provide educational support to share our knowledge and training with you through interactive seminars and hands on workshops.

Infection ontrol & Prevention Be provincial guideline compliant Standard precautions/routine practices Disinfectants READ THE LABEL!

9 Lubricate 05 SURGIAL MILK Instrument Lubricant Keeps instruments shiny and prevents dulling linically tested to be steam penetrable and steam sterilizable Effective in steam, dry or chemical vapour sterilizers Reduces instrument repair and replacement costs 2 L 4 L 4L Surgical Milk = 20L solution SILK Silicone Free Instrument Lubricant Ready to use spray bottle Water based, non toxic formula Bacteriostatic to prevent additional microbial growth Effective in steam, dry or chemical vapour sterilizers Routine use reduces cost of instrument repair and replacement Will not interfere with the microbial killing efficacy of autoclaving Silicone FREE 227 ml How can we help your clinic? For 65 years, Germiphene has offered quality products & service. As added value for our customers, we provide educational support to share our knowledge and training with you through interactive seminars and hands on workshops. Our professional in office training keeps you safe, compliant and informed of new guidelines and industry developments. Infection ontrol & Prevention Be provincial guideline compliant Standard precautions/routine practices Disinfectants READ THE LABEL! Instrument reprocessing Hand hygiene Evacuation systems & amalgam separators urrent infection control concerns & issues Dental Unit Waterline Quality & Testing What is your water quality used during office procedures? The biofilm formation problem in dental offices The impact of water quality on you & your patients Options available to improve your water quality Whitening Oral Health Tooth Sensitivity

06 Package HEMDYE LASS 4 hemical Indicator Multi-variable indicator for steam sterilization Blue to black colour change is a permanent indicator that can be used as a record For use in every wrapped

10 06 Package HEMDYE LASS 4 hemical Indicator Multi-variable indicator for steam sterilization Blue to black colour change is a permanent indicator that can be used as a record For use in every wrapped cassette 250 Strips can be divided = 500 tests 250 test strips/box HEMDYE BOWIE DIK lass 2 For lass B sterilizers only Monitors the effectiveness of air removal in vacuum-assisted steam sterilizers Designed for cycles of 3.5 minutes at 134 or 4 minutes at 132 Permanent colour change from purple to green For daily use 120 tests/box VAPOR LINE lass 5 Integrator For monitoring all steam sterilization conditions (saturated steam, temperature, time) Easy to read results dark bar migrates through PASS and FAIL for clear reading 250 tests/bag TIP: Use Surgical Milk to prevent spotting, staining and instrument rust. oncentrate Enviro Friendly Enzyme Boost Partner Products

$fracture-free tinted blue film to provide a clean, fibre-free peel 100% Fail resistant, self-adhesive tape to ensure a perfect seal 3 Parameter check (time,$ temperature, and steam) Safe lead-free printed inks SIZE AVAILABILITY 200 pouches/box 2.25" x 4" 2.75" x 10" 3.5" x 6.5" 3.5" x 10" 5.25" x 11" 7.

temperature, and steam) Safe lead-free printed inks SIZE AVAILABILITY 200 pouches/box 2.25" x 4" 2.75" x 10" 3.5" x 6.5" 3.5" x 10" 5.25" x 11" 7.

internal chemical indicator for quality assurance Sterilize GERMI-SAFE Spore Testing In-office monitoring for steam sterilization Test results in 24 hours One product

guidelines/standards SELF-ONTAINED BI STARTER KIT (25 or 100 Vials) Incubator LIFETIME WARRANTY SELF-ONTAINED BI VIALS incubator & vial crusher record notebook BI

11 PROFESSIONAL S HOIE lass 4 Pouches Package 07 Internal/external multi-parameter indicator pouch onstructed of the finest surgical grade paper Multi-layer fracture-free tinted blue film to provide a clean, fibre-free peel 100% Fail resistant, self-adhesive tape to ensure a perfect seal 3 Parameter check (time, temperature, and steam) Safe lead-free printed inks SIZE AVAILABILITY 200 pouches/box 2.25" x 4" 2.75" x 10" 3.5" x 6.5" 3.5" x 10" 5.25" x 11" 7.5" x 13" 10" x 16" PAKAGE Peel pouches should be used for single, light weight items Do not overload pouches Each packaging system should have an external and internal chemical indicator for quality assurance Sterilize GERMI-SAFE Spore Testing In-office monitoring for steam sterilization Test results in 24 hours One product for all steam cycles Test up to 14 sterilizers at one time onvenient vial packaging for neat storage and easy inventory check Spore test as per provincial guidelines/standards SELF-ONTAINED BI STARTER KIT (25 or 100 Vials) Incubator LIFETIME WARRANTY SELF-ONTAINED BI VIALS incubator & vial crusher record notebook BI vials 25 x BI vials/box 100 x BI vials/box In Office Monitoring We l ve to hear from you. What can we do to better serve you & your clinic? Please tell us. info@germiphene.com oncentrate Enviro Friendly Enzyme Boost Partner Products

08 Sterilize B-SAFE Biological Sterilizer Monitoring Program B-Safe click to login Mail in test results in 24 hours once received Online test results available Monthly, weekly and single tests

strip SINGLE KIT 13 WEEK KIT 12 MONTH KIT 2 test strips 1 control strip 13 test strips 13 control strips 24 test strips 12 control strips Mail In Monitoring STERISAFE Biological Sterilizer Monitoring

testing Each kit: 1 test strip 1 control strip 26 WEEK KIT 52 WEEK KIT 26 test strips 26 control strips 52 test strips 52 control strips Mail In Monitoring & Online Results STERILIZE Load lighter

12 08 Sterilize B-SAFE Biological Sterilizer Monitoring Program B-Safe click to login Mail in test results in 24 hours once received Online test results available Monthly, weekly and single tests available 12 Month and 13 week kits include calendar for posting PASS stickers Single Kit: 2 test strips 1 control strip Monthly Kit: 2 test strips 1 control strip Weekly Kit: 1 test strip 1 control strip SINGLE KIT 13 WEEK KIT 12 MONTH KIT 2 test strips 1 control strip 13 test strips 13 control strips 24 test strips 12 control strips Mail In Monitoring STERISAFE Biological Sterilizer Monitoring Program Online test results in 24 hours once received Results, forms and record sheets available online 26 Week and 52 Week kits include strips and return envelopes An economic way to perform weekly testing Each kit: 1 test strip 1 control strip 26 WEEK KIT 52 WEEK KIT 26 test strips 26 control strips 52 test strips 52 control strips Mail In Monitoring & Online Results STERILIZE Load lighter items on top sterilizer shelf Always follow your sterilizer s instruction use manual Do not overload your sterilizer this is the number one cause of failures After sterilization, do not handle any visibly wet packages as this will compromise sterility of items inside Store sterile packages closed, in a clean dry location oncentrate Enviro Friendly Enzyme Boost Partner Products

Heat Sensitive 09 GLUTERATE Sterilant & Disinfectant Solution 2% Glutaraldehyde solution Ready to use, requires no activation Bactericidal, Fungicidal, Tuberculodical, Virucidal, Sporicidal 10 Hour

and brass 4 L Partner with Glute Neut to neutralize solution for disposal 1 use (4L soaking tray) = 30 days 2 uses (2L soaking tray) = 60 days 4 uses (1L soaking tray) = 120 days GLUTE NEUT

13 Heat Sensitive 09 GLUTERATE Sterilant & Disinfectant Solution 2% Glutaraldehyde solution Ready to use, requires no activation Bactericidal, Fungicidal, Tuberculodical, Virucidal, Sporicidal 10 Hour sterilization 10 Minute high level disinfection 2 Year shelf life on unused portion Safe for use on all medical and dental instruments and devices, lenses, cements, plastics, rubber, steel, aluminum and brass 4 L Partner with Glute Neut to neutralize solution for disposal 1 use (4L soaking tray) = 30 days 2 uses (2L soaking tray) = 60 days 4 uses (1L soaking tray) = 120 days GLUTE NEUT Glutaraldehyde Neutralizer Environmentally friendly, one-step solution for the safe disposal of Glutaraldehyde Fast-acting neutralizer Eliminates vapours, eye and skin irritation hanges solution from yellow to red to assure that neutralization has occurred 50g 50g x 16 pouches/box Partner with Gluterate 1 pouch deactivates 1L glutaraldehyde 2% - 2.5% STERI-SOAKER Sterilizing Accessory High volume germicide tray for cleaning, disinfecting and sterilizing instruments ompatible with enzyme & detergent cleaners, disinfectants and cold sterilants 14 x 9 x 4 Partner with Gluterate, Surgical Milk, Trés lean, Revive, Super Germiphene, G Nol, & ET. Foam oncentrate Enviro Friendly Enzyme Boost Partner Products

10 Evacuation GOBBLE PLUS Evacuation System leaner An environmentally friendly combination of enzyme-creating bacteria that immediately break down and eat organic matter, resulting in clean and

amalgam separator friendly Safe on plastics, metals or carbon filters Mild formulation with ph range 7±1 TIP N MEASURE BOTTLE MIROBEX MIROVA Evacuation System leaner 2 L 10 L Multi-enzyme formula

14 10 Evacuation GOBBLE PLUS Evacuation System leaner An environmentally friendly combination of enzyme-creating bacteria that immediately break down and eat organic matter, resulting in clean and deodorized suction lines Easy to use measure, dilute and suction right from the bottle Works continuously, producing residual action between uses ontains no harsh or hazardous chemicals Non foaming, amalgam separator friendly Safe on plastics, metals or carbon filters Mild formulation with ph range 7±1 TIP N MEASURE BOTTLE MIROBEX MIROVA Evacuation System leaner 2 L 10 L Multi-enzyme formula removes dental debris, ensuring your suction lines and solids traps remain unclogged for optimal suction Breaks down proteinaceous materials that build up and block your suction lines Routine use helps avoid costly line repairs and downtime Ideal for use in both wet and dry vacuum systems Non foaming, amalgam separator friendly No phosphates Neutralizes odours in your evacuation system Dispensing jug available 2L Gobble Plus = 67 Treatments 4L L.A. VA Evacuation System leaner Natural ingredients quickly dissolve organic waste and residue for clean and deodorized lines ontains lactic acid Biodegradable No harsh or hazardous chemicals No phosphates, phenols, aldehydes or chlorine Will not harm stainless steel, plastic, copper, aluminum or brass 4L Microvac = 400 Uses 2 L 2L LA. VA = 67 Uses oncentrate Enviro Friendly Enzyme Boost Partner Products

Waterline are 11 E2O Dental Waterline Treatment ontrol biofilm and bacteria in your water system, without using harsh chemicals Specifically

No measuring, no mess Non foaming, no residue that may clog Biofilm in waterlines can clog the cooling system in your dental hand pieces

250 ml 700mL water bottle: 166 uses 2L water bottle: 56 uses E LINE Dental Waterline Treatment & Water Quality heck Kit omplete control of

E2O Easy to understand, colour coded results Test vials are available separately SINGLE KIT 3 x 250mL E2O dental waterline treatment # OF

Fast 15 minute results onvenient in-house testing using a 60 dry block incubator User friendly T-up included for sampling, filtering and

15 Waterline are 11 E2O Dental Waterline Treatment ontrol biofilm and bacteria in your water system, without using harsh chemicals Specifically designed for use in independent water bottle systems Odourless, colourless, tasteless, neutral ph solution Simply squirt into water bottle No measuring, no mess Non foaming, no residue that may clog Biofilm in waterlines can clog the cooling system in your dental hand pieces resulting in expensive replacement costs! 250 ml 700mL water bottle: 166 uses 2L water bottle: 56 uses E LINE Dental Waterline Treatment & Water Quality heck Kit omplete control of your dental water, all in one box Evaluate water in-house using test vials and a 37 dry block incubator Treat any contaminated water with E2O Easy to understand, colour coded results Test vials are available separately SINGLE KIT 3 x 250mL E2O dental waterline treatment # OF TESTS/KIT incubator & vial crusher 6 x biofilm test vials (pink cap) 6 6 x bacteria test vials (yellow cap) E ONE Water Quality Indicator Fast 15 minute results onvenient in-house testing using a 60 dry block incubator User friendly T-up included for sampling, filtering and dispensing water One vial tests for bacteria, biofilm & fungi Vial contents change colour for easy to understand, clear results NUMBER OF TESTS/KIT SINGLE KIT 9 9 x T-ups oncentrate 3 ontrol Tests 12 x E One vials Enviro Friendly Enzyme Boost Partner Products

16 Infection ontrol Instrument Reprocessing Evacuation and Waterline leaning Monitoring Sterilization Waterline 1379 olborne Street East Brantford ON anada N3T 5M1 PO Box 1748 Brantford ON anada N3T 5V7 T (519) (800) F (519) (800) info@germiphene.com oncentrate Enviro Friendly Enzyme Boost Partner Products

Objectives. The Perioperative Nurse s Role 6/24/2016. Instrument Processing & Sterilization Chesapeake Perioperative Consortium 2016

Objectives. The Perioperative Nurse s Role 6/24/2016. Instrument Processing & Sterilization Chesapeake Perioperative Consortium 2016 Instrument Processing & Sterilization Chesapeake Perioperative Consortium 2016 Ensuring our patients get clean, sterile instruments every time. Objectives Define the perioperative nurse and surgical tech