AAMI-ST65-2000.pdf
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1、American National Standard ANSI/AAMI ST65:2000 AAMI Association for the Advancement of Medical Instrumentation Processing of reusable surgical textiles for use in health care facilities Copyright Association for the Advancement of Medical Instrumentation Provided by IHS under license with AAMI Licen
2、see=IHS Employees/1111111001, User=Wing, Bernie Not for Resale, 03/21/2007 02:49:36 MDTNo reproduction or networking permitted without license from IHS -,-,- American National StandardANSI/AAMI ST65:2000 Processing of reusable surgical textiles for use in health care facilities Developed by Associat
3、ion for the Advancement of Medical Instrumentation Approved 20 January 2000 by American National Standards Institute, Inc. Abstract:This recommended practice provides guidelines for the proper handling, processing, and preparation of reusable surgical textiles either on-site or off-site for use in h
4、ealth care facilities. This recommended practice specifically addresses design criteria for functional work areas; staff qualifications, education, training, dress codes, and other personnel considerations; receiving and handling of soiled surgical textiles; laundry processing considerations; transp
5、ort of both soiled and clean surgical textiles; installation, care, and maintenance of laundry equipment; quality control; and regulatory considerations. Definitions of terms and a bibliography are also provided. Keywords:laundry, linens, surgical drapes, surgical gowns, wrappers Copyright Associati
6、on for the Advancement of Medical Instrumentation Provided by IHS under license with AAMI Licensee=IHS Employees/1111111001, User=Wing, Bernie Not for Resale, 03/21/2007 02:49:36 MDTNo reproduction or networking permitted without license from IHS -,-,- AAMI Recommended Practice This AAMI recommended
7、 practice implies a consensus of those substantially concerned with its scope and provisions. The existence of an AAMI recommended practice does not in any respect preclude anyone, whether they have approved the recommended practice or not, from manufacturing, marketing, purchasing, or using product
8、s, processes, or procedures not conforming to the recommended practice. AAMI recommended practices are subject to periodic review, and users are cautioned to obtain the latest editions. CAUTION NOTICE: This AAMI recommended practice may be revised or withdrawn at any time. AAMI procedures require th
9、at action be taken to reaffirm, revise, or withdraw this recommended practice no later than 5 years from the date of publication. Interested parties can obtain current information on all AAMI recommended practices by calling or writing AAMI. Published by Association for the Advancement of Medical In
10、strumentation 1110 N. Glebe Road, Suite 220 Arlington, VA 22201-5762 2000 by the Association for the Advancement of Medical Instrumentation All Rights Reserved Publication, reproduction, photocopying, storage, or transmission, electronically or otherwise, of all or any part of this document without
11、the prior written permission of the Association for the Advancement of Medical Instrumentation is strictly prohibited by law. It is illegal under federal law (17 U.S.C. 101, et seq.) to make copies of all or any part of this document (whether internally or externally) without the prior written permi
12、ssion of the Association for the Advancement of Medical Instrumentation. Violators risk legal action, including civil and criminal penalties, and damages of $100,000 per offense. For permission regarding the use of all or any part of this document, contact Kurt C. Larrick, Director, Technical Publis
13、hing, at AAMI, 1110 N. Glebe Road, Suite 220, Arlington, VA 22201. Phone: (703) 525-4890, Ext. 239; Fax: (703) 525-1067. Printed in the United States of America ISBN 1-57020-128-5 Copyright Association for the Advancement of Medical Instrumentation Provided by IHS under license with AAMI Licensee=IH
14、S Employees/1111111001, User=Wing, Bernie Not for Resale, 03/21/2007 02:49:36 MDTNo reproduction or networking permitted without license from IHS -,-,- Contents Page Committee representationvii Acknowledgments.ix Foreword . x Introduction: Need for the recommended practicexi 1Scope.1 1.1General1 1.2
15、Inclusions 1 1.3Exclusions .1 2Definitions, symbols, and abbreviations.2 3Design considerations5 3.1General rationale.5 3.2Work area design and functional work flow.5 3.2.1Definitions of work areas.5 3.2.2Design criteria for work areas .7 3.2.3Functional work flow patterns7 3.2.4Traffic control 7 3.
16、3Physical facilities: laundry area .8 3.3.1Space requirements8 3.3.2Mechanical systems8 3.3.3Floors, walls, ceilings, and vents.8 3.3.4Ventilation .8 3.3.5Temperature and humidity control 8 3.3.6Lighting systems .8 3.3.7Handwashing facilities.9 3.3.8Emergency eyewash/shower equipment.9 3.3.9Soil-sor
17、t area.9 3.3.10Chemical storage area9 3.3.11Storage area for clean textile packs10 3.3.12Housekeeping.10 3.4Physical facilities: surgical pack assembly area10 3.4.1Space requirements10 3.4.2Mechanical systems10 3.4.3Floors, walls, ceilings, and vents.10 3.4.4Ventilation .10 3.4.5Temperature and humi
18、dity control 11 3.4.6Lighting systems .11 3.4.7Handwashing facilities.11 3.4.8Storage area for clean textile packs11 3.4.9Surgical pack sterilization area .11 3.4.10Sterile storage area.11 3.4.11Housekeeping.11 4Personnel considerations.12 4.1General rationale.12 4.2Qualifications.12 4.2.1Supervisor
19、s/managers 12 4.2.2Personnel12 Copyright Association for the Advancement of Medical Instrumentation Provided by IHS under license with AAMI Licensee=IHS Employees/1111111001, User=Wing, Bernie Not for Resale, 03/21/2007 02:49:36 MDTNo reproduction or networking permitted without license from IHS -,-
20、,- 4.3Training and education12 4.4Health and personal hygiene.13 4.5Attire13 4.5.1General .13 4.5.2Personal protective attire 14 5Receiving and handling of reusable surgical textiles .14 5.1General rationale.14 5.2Newly purchased items .14 5.2.1Identification and handling 14 5.2.2Washing14 5.3Collec
21、ting and transporting soiled surgical textiles15 5.3.1Collecting soiled surgical textiles at the point of use.15 5.3.2Transporting soiled surgical textiles15 5.4Sorting of soiled textiles.15 5.4.1Pre-sort systems .15 5.4.2Post-sort systems16 6Laundry processing recommendations16 6.1General rationale
22、.16 6.2Washing 16 6.2.1Procedures16 6.2.2Loading of washing equipment .16 6.2.3Steps in the washing process: laundry formulas.16 6.3Drying18 6.3.1Procedures18 6.3.2Equipment loading 19 6.3.3Steps in the drying process: drying formulas 19 6.4Process monitoring19 6.4.1Rationale for process monitoring
23、19 6.4.2Process monitoring: supplies20 6.4.3Process monitoring: equipment operation.21 6.4.4Process monitoring: finished products21 7Inspection, testing, and maintenance of laundered textiles .22 7.1General rationale.22 7.2Visual inspection .23 7.2.1Quality standards 23 7.2.2Stains23 7.2.3Physical d
24、efects24 7.2.4Chemical/thermal damage24 7.2.5Foreign debris.24 7.2.6Labeling.24 7.2.7Tracking system25 7.3Testing.25 7.3.1Test procedures 25 7.3.2Microbiological cleanliness25 7.3.3Effective life.26 7.3.4Important functional attributes.26 7.4Maintenance27 7.4.1Patching27 7.4.2Mending 27 7.4.3Rewash
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