Gilmour Diane
Crawley Day Surgery Unit, Crawley Hospital.
J Perioper Pract. 2008 Jul;18(7):292-6. doi: 10.1177/175045890801800705.
Surgical instruments, whether single use or reusable, are defined by the University of Newcastle's Online Medical Dictionary as 'Hand held tools or implements used by health professionals for the performance of surgical tasks' (CancerWEB 1998). This definition, in its broadest terms, recognises that the inter-professional team (health professionals) are involved in the use, care and management of that tool or implement (performance of surgical tasks). Spry (2007) identifies that a surgical instrument could last 10 years if well made, carefully handled and appropriately used and that it is the responsibility of the surgical team and sterile services personnel to preserve and protect the life of each individual instrument. This article will identify the perioperative practitioner's responsibility in ensuring that each surgical instrument is fit for purpose, safe for use and will not harm the patient during use. The article will outline the process of instrument/set selection and the pre-, intra- and postoperative checks that should be made by the inter-professional team prior to, during and after use of that set/instrument. This article will also enable the practitioner to gain or reinforce their knowledge and understanding of the decontamination process and its application within the perioperative environment.
手术器械，无论是一次性使用还是可重复使用，根据纽卡斯尔大学在线医学词典的定义，是指“卫生专业人员用于执行手术任务的手持工具或器具”（CancerWEB，1998年）。从最广泛的意义上讲，这一定义承认跨专业团队（卫生专业人员）参与了该工具或器具的使用、护理和管理（手术任务的执行）。斯普赖（2007年）指出，如果制作精良、操作小心且使用得当，一件手术器械可以使用10年，并且手术团队和消毒供应人员有责任维护和保护每一件器械的使用寿命。本文将明确围手术期从业者在确保每件手术器械适用、使用安全且在使用过程中不会伤害患者方面的责任。本文将概述器械/器械包的选择过程以及跨专业团队在使用该器械包/器械之前、期间和之后应进行的术前、术中和术后检查。本文还将使从业者获得或强化他们对去污过程及其在围手术期环境中的应用的知识和理解。
