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Hi Mark,

You need your crystal ball again! The PPS. was added almost immediately? It was missed out of the original Post because of difficulty Posting from this end yesterday. Somebody may have been performing maintenance on one of my search engine's???

Regards,

Colin.

What Post No. was it on?

Dear Colin,

I did miss understand what you meant.

regards David

Hi All

I have a Prestige century 3 vacuum autoclave which I use in conjunction with an ultrawave ultrasonic cleaner (including cleaning fluid) the method is as David described above .

I have enough instrumentation to last through a weeks work so today (Sunday) is my instrument cleaning day and yes everything is numbered with the printer read out and if not used in 3 months is re sterilised.

Do I use sterile water ? no just deionised . The manufacturer told me at the installation instruction it was practitioner choice as nothing at the time was clinically proven . The autoclave goes through its own test cycle (printed) everytime it is used so if a fault occurs the cycle is aborted.

I believe I am taking all reasonable measures to protect my patients unless in the passing of time research proves otherwise . It does not however protect the patient from post operative infections from bacteria filled shoes , bad personal hygiene , going into hospital and picking up some infection there or a total disregard of any instructions I gave !!

The cost per pack ?? I don't know I have never bothered to work it out my way is , if I need it I do it myself then I know it is done properly and there is no one else to blame should a problem occur and the cost is built in to my fee anyway ( IPP = profit and loss business rules).

But there again perhaps thats why my patients are happy to pay my fee ??

Cheers

Derek

David looks like the only way forward is CSSD for instrument tracabilty, I think the time taken up with the new guide lines will out way the cost. So would like to know of available commersial companies who will supply private practioners, and could anyone tell me of there experiences. (spell check would be helpful on this site).

Jude

hi
I also use a Prestige Autoclave & Ultrasonic cleaner. I use de ionised water, what would I use sterile water for when its heated to 134C.
CJD is an unknown quantity as yet I'm not sure any autoclave can sterilize against it.I'm not even sure there is a method of sterilization that wo't destroy the instrument, hence the instrument tracking in hospitals.
Jeff